June 2, 1998 / le 2 juin 1998

CMAJ 1998; 158(11)

© 1998 Canadian Medical Association / Association médicale canadienne

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Editor's preface Mot du rédacteur en chef

1419	News and analysis Norwegian cemetery may hold clues to Spanish flu Quebec faces shortage of anesthetists Cooler heads prevail Reversing heart problems goal of unique Vancouver clinic Cancer fight may get $60-million war chest Health Canada still studying olestra Cool site

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Letters ˇ Correspondance Instructions to correspondents / Directives aux correspondants More on breast cancer guidelines, J Mahoney; S.C. Brown; C.M. Godfrey; R.L. Reid; M. Rieckenberg; W.R. Ramsay; B.A. Nassar et al; response: M. McGregor The list works. Use it, J. Raiche Getting prepared for rural practice, A. Long; response: A. Reddoch Hospital bean-counting, G. Ford; response: W.J.S. Marshall Studying workplace health, M. O'Donnell; response: S. Verma, L. Flynn A match made in heaven, A. Cass

Cover: Doctors are lashing out against the funding crisis in an unprecedented wave of job action and other militant behaviour. Physicians in the 4 most active provinces are fed up with chronic underfunding at the expense of quality care and fair compensation (page 1505). Couverture : La profession médicale réagit à la crise du financement par une vague sans précédent de moyens de pression. Les médecins des quatre provinces les plus actives en ont assez du sous-financement chronique aux dépens de la qualité des soins et d'une rémunération équitable (page 1505).

	Evidence ˇ Études
1439	Mercury levels in the Cree population of James Bay, Quebec, from 1988 to 1993/94, C. Dumont, M. Girard, F. Bellavance, F. Noël [abstract / résumé]
1449	Evidence-based guidelines for universal counselling and offering of HIV testing in pregnancy in Canada, L. Samson, S. King [full text / résumé]

	Editorials ˇ Éditoriaux
1461	The hepatitis C disaster, M. McGregor [full text]
1463	Hepatitis C as medical misadventure, J. Hoey [full text]
1465	Methylmercury and fish consumption: weighing the risks, T. Clarkson [full text]
1467	Determinants — and determination, J. Hoey, B. Postl [full text]
1469	Access to prenatal HIV testing, R.S. Remis, D.M. Patrick [full text]

	Education ˇ Éducation
1473	Defining the physician's duty to warn: consensus statement of Ontario's Medical Expert Panel on Duty to Inform, L.E. Ferris, H. Barkun, J. Carlisle, B. Hoffman, C. Katz, M. Silverman [full text / résumé]
1483	Unconventional therapies for cancer: 5. Vitamins A, C and E, E. Kaegi, on behalf of the Task Force on Alternative Therapies of the Canadian Breast Cancer Research Initiative [full text]

	Experience ˇ Expérience
1491	Lassa fever: 10 years on, D. Cummins

	Public health ˇ Santé publique
1493	Injuries associated with the farm harvest in Canada, L. Hartling, W. Pickett, J.R. Guernsey, N. Alberg, T.D. Redekop, R.J. Brison [full text]

	Features ˇ Chroniques
1499	Concern mounts as transfusion medicine loses its lustre, A. Mullens [full text / en bref]
1505	In your face: A new wave of militant doctors lashes out, B. Sibbald [full text / en bref]
1510	Dr. Luigi Di Bella and the politics of elixirs, C. Gray [in brief / en bref]
1516	A Marathon session: A town's MDs develop a philosophy to call their own, M. OReilly [full text  / en brief]
1518	With HIV prevalence among women increasing, more provinces encourage prenatal testing, A. Silversides [full text / en bref]
1520	Little-publicized Manitoba case holds crucial lesson for doctors, K. Capen [in brief / en bref]

1522	On_the_Net@cma.ca ˇ Sur_le_Net@cma.ca    Internet virology 101

	Pulse ˇ Médicogramme
1584	Projected physician supply / Nombre projeté de médecins

ISSN 0820-3946 158(11) 1409-1584 (1998)