BMJ 1996; 313 doi: https://doi.org/10.1136/bmj.313.7054.434 (Published 17 August 1996) Cite this as: BMJ 1996;313:434

Most neonatal deaths occur in infants born before 30 weeks' gestation, and in such cases careful examination will often show evidence of chorioamnionitis (American Journal of Public Health 1996;86:701-3). The organisms responsible are usually bacteria of low virulence that may cause vaginosis or no symptoms at all. Women who have had one pregnancy that ended in premature delivery might, says the journal, benefit from prophylactic antibiotic treatment.

Religious fundamentalists in the United States are continuing and intensifying their campaign to have schools teach that evolution is a controversial theory that should not be considered to be fact. According to “Science” (1996;273:420-2), publishers are now offering customised textbooks from which any contentious passages have been removed, and education authorities dominated by members of the religious right are commissioning the books they want.

Patients in North America with unexplained fatigue and muscle pains often conclude that they have chronic Lyme disease despite the lack of serological evidence for that diagnosis (Archives of Internal Medicine 1996;156:1493-500). Lyme disease is a real disease, is potentially curable, and provides an acceptable explanation for the patient's ills. In reality many of these patients have fibromyalgia, but many doctors have not even heard of this condition.

A survey of 319 Swedish …

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