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International Primary Care Association
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Editor Admin


Sunshine exposure and diet alone do not provide adequate vitamin D for vulnerable groups in the UK. To prevent deficiency and the health consequences, GPs should be advising appropriate supplements for all infants, toddlers and pregnant and breastfeeding women. GP practices could distribute the low cost Healthy Start supplements to all their clients.

The festive season approaches and the NHS crises will mount. Black holes of underfunding, bed shortages, pressure on primary care and accident and emergency insufficiencies………  



Allergic rhinitis is present in over 500 million people worldwide and 300 million suffer asthma. The importance of the key Type 1 sensitivity reaction is discussed in relation to both disorders. Allergen structures and allergy tests are critically appraised. The principles of managing allergic rhinitis and asthma are discussed


Obstructive sleep apnoea (OSA) is a highly prevalent condition but many individuals remain undiagnosed. Patients usually present to primary care with loud snoring, daytime sleepiness, unrefreshing sleep, or as a consequence of witnessed nocturnal apnoeas. Successful treatment is achievable in most patients which can be life-changing.


Hepatitis C is a leading cause of chronic liver disease worldwide. Its estimated global prevalence is 170 million1 and it is the commonest indication for liver transplantation in Europe. A summary of important breakthroughs in the medical management of Hepatitis C is provided in this review, and aims to be of use to primary care clinicians.

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International Primary Care Association
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