BMJ 1994; 308 doi: (Published 26 March 1994) Cite this as: BMJ 1994;308:807


Hammersmith Hospital is reprieved:

Hammersmith and Charing Cross Hospitals, which had been threatened with closure or merger, will continue on their present sites as the Hammersmith Hospitals NHS Trust. The trust will also include Queen Charlotte's and Acton Hospitals and will be chaired by Sir Christopher Bland, former chairman of London Weekend Television.

Clinton's health reforms pass another hurdle: The Ways and Means Committee's health subcommittee in the US House of Representatives has supported President Clinton's reforms by refusing to allow insurance companies to adjust premiums based on age and by refusing to permit companies with fewer than 1000 workers to self insure. It has set up four premium categories to make cover less expensive for people without children, with more of the costs of two income families borne by the larger employer whose insurance plan is chosen.

Many American under 2 are not immunised: The US Centers for Disease Control has reported in JAMA that more than half the children in major cities have not been immunised by the age of 2. In Houston, Texas, only 11% were fully immunised. The immunisation rate rises to an average of 87% by the time children start school.

Health reforms threaten academic medicine in US: President Clinton says that he will support revisions to his health plan to provide more money for medical schools and teaching hositals, which are concerned about the future of medical education. They are already losing patients to institutions that can offer lower prices because they do not have the extra costs of teaching and research.

Rear seat belt wearers in minority: Only 45% of adults in Britain wear rear seat belts despite the fact that it is compulsory in cars in which belts are provided--80% of cars. The government has started a £ 600 000 television campaign. The wearing of front seat belts was made compulsory in 1983 and between 90% and 95% of people now wear them.

Infected health workers must notify public health doctor: Revised guidance for British health workers infected with HIV or with AIDS identifies the director of public health as the person to be notified rather than the employer as in previous advice.

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