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Oxford Handbook of Clinical Medicine, 6th sixth Edition CHM Book

There has seldom been a better time to be ill, one might think, on reviewing all the changes and developments since our last edition. From Angina to Zollingerâ€“Ellison syndrome, the new developments, all detailed in this volume, seem universally bright or brighteningâ€”and overall death rates from the big killers such as coronary heart disease are declining faster than ever before. This superficial view hides darker forces which paint a more sombre picture. The pandemic of HIV has grown a pace or two or three. Diabetes is doubling its grip, and global warming is introducing new diseases to areas where local inhabitants have little immunityâ€”these effects are described in Chapters 9 and 14. Once-trusted antibiotics are becoming useless in the face of pathogen development (p262); airlines are spreading completely new diseases around the worldâ€”eg SARS. Diseases caused by medicine have never been more common. Crucially, the world is no wealthier than when we first began to write on these topics.

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Date: 04:Nov:2008