MinervaBMJ 1995; 310 doi: https://doi.org/10.1136/bmj.310.6989.1276 (Published 13 May 1995) Cite this as: BMJ 1995;310:1276
British women aged over 65 can have mammography if they ask for it, but it is not offered routinely. The 77000 women in the Swedish two county trial were aged 40-74, and analysis of the results in those over 65 (Journal of Medical Screening 1995;2:10-4) has shown a substantial reduction in mortality from cancer—the relative mortality was 0.68. Mortality from breast cancer is higher in women over 65 than in those below that age. The only reason not to offer all of them screening must be cost.
Might home test kits for HIV infection become available in the near future? This possibility is raised in a review in “AIDS Care” (1995;7:115-24) of the current status of testing and counselling, 10 years after an HIV antibody test first became available. Why should tests for HIV infection continue to be different from all other diagnostic tests in terms of anonymity and confidentiality?
As many as 40% of patients with AIDS may develop cytomegalovirus retinitis in the final stages of their disease. Standard treatment with intravenous ganciclovir and foscarnet carries substantial hazards. Research groups in the United States (Science 1995;268:368-9) have developed several forms of local treatment that deliver drugs directly into the eye including …