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Systematic review has shown that French and Austrian screening
programmes for toxoplasma infection during pregnancy are based on poor
evidence. Such screening is expensive, and some have questioned whether
the interventions used to treat assumed infections do more good than
harm. Wallon et al (p 1511) reviewed all evidence from comparative
studies. Most studies had no controls or controls that were not
directly comparable with the treatment group. The study found no good
evidence of benefit from antenatal treatment. The authors recommend
a careful trial before other countries introduce screening.