Brief Encounters
MAGIC BULLETS
The ideal for STI management has always been a cheap, single dose, and preferably oral treatment. Add to this an effective syndromic approach to diagnosis and there is the possibility of rapidly improved control of STI and consequent reduction in HIV transmission. Pépin and Mabey have reviewed the effectiveness and price of single dose treatments for various syndromes, and conclude that there is no longer any financial obstacle to the widespread use of single dose treatments. The development of generic drug industries in India and Africa has brought down the price of many drugs, including third generation cephalosporins. See p 432
DROWNING OR WAVING?
Few practitioners in the UK would argue with the basic problem identified by …
