305 e-Letters

  • Obesity is associated with respiratory problems, not necessarily asthma
    Dear Editor,

    I was interested to see the work of Figueroa-Munoz and colleagues showing an association between obesity and wheeze.[1] I would like to caution against their conclusion. In their study asthma is defined according to "asthma attack" and parental reports of wheeze. Several studies have shown parental reporting of wheeze to be unreliable.[2][3][4]

    Please can the authors clarify who defined, "asthma att...

    Show More
  • Lower respiratory tract infection and antibiotics
    Dear Editor

    The observational data presented by Macfarlane et al on the aetiology of acute lower respiratory tract illness in the community[1] confirm that the often stated assertion that these illnesses are usually caused by viral infection is incorrect. The high prevalence of bacteriological and atypical pathogens, and in particular the high prevalence of C pneumoniae in these patients is of interest and points to the n...

    Show More
  • ETS and asthma: U shaped effect?
    Dear Editor,

    If the abstract indicates correctly that children of totally non-smoking parents were not included in the study, I see that as a significant weakness.

    The study found, as might be expected by many, an increase in contacts for asthma episodes among children most heavily exposed to environmental tobacco smoke (ETS).

    However, it also found a non-significant but noteworthy decrease in asthma epi...

    Show More
  • CAP deaths, observations from the community
    Dear Editor,

    I read with interest this article in Thorax and have been worried by the comments in "Pulse" which followed (9 December 2000).

    The lack of information about the general practitioner (GP) consultations, and the non- availability of records is alarming and dispiriting. Particularly when nowadays much information is computerised and records can in emergency situations, given the hard work of Health...

    Show More
  • Screening of immigrants is inappropriate
    Dear Editor:

    The Code of Practice (Control and prevention of tuberculosis in the United Kingdom)[1] provides us with evidence based gold standards for best practice in this field. The exception is of promoting routine immigrant screening and the context within which it is recommended.

    I welcome a general health check for immigrants on arrival, but does routine screening for tuberculosis needs to be part of it?...

    Show More