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Letters to the editor
Reform of the Public Health Act
  1. C VAN DEN BOSCH,
  2. T SUNDKVIST, Directorate of Public Health
  1. W WEIR
  1. D O’SULLIVAN,
  2. R HEATHCOCK, Directorate of Public Health
  1. J STRANGEWAYS, Directorate of Public Health
  1. T ELLAM, Directorate of Public Health
  1. C SENG, Directorate of Public Health
  1. East London & The City Health Authority
  2. The Royal Free Hampstead NHS Trust
  3. Lambeth Southwark & Lewisham Health Authority
  4. Merton Sutton & Wandsworth Health Authority
  5. Ealing Hammersmith & Hounslow Health Authority
  6. Brent & Harrow Health Authority
  1. Dr C van den Bosch, CDC Team, 4th Floor, 81–91 Commercial Road, London E1 1RD, UK.

https://doi.org/10.1136/thx.54.8.750

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    We agree with Richard Coker1 that the vast majority of non-compliant cases of tuberculosis can be dealt with by a mixture of directly observed therapy (DOT) and inducements. However, when DOT fails in a few cases each year, despite intensive team effort and carrots such as housing or food vouchers, the Public Health Act may have to be invoked. …

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