Sushma D Acquilla

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OBJECTIVE To examine the role of exposure to the 1984 Bhopal gas leak in the development of persistent obstructive airways disease. DESIGN Cross sectional survey. SETTING Bhopal, India. SUBJECTS Random sample of 454 adults stratified by distance of residence from the Union Carbide plant. MAIN OUTCOME MEASURES Self reported respiratory symptoms;(More)
Nine years after the Bhopal methyl isocyanate disaster, we examined the effects of exposures among a cross-section of current residents and a subset of those with persistent symptoms. We estimated individual exposures by developing exposure indices based on activity, exposure duration, and distance of residence from the plant. Most people left home after(More)
STUDY OBJECTIVE The prevalence of asthma was assessed to investigate respiratory health effects of airborne emissions from a factory. A geographical information system allowed flexible definition of study areas in terms of their size, distance, and location in relation to the factory. The value of the approach for this type of investigation is focussed on.(More)
In the analysis of spatially referenced public health data, members of different disciplinary groups (geographers, epidemiologists and statisticians) tend to select different methodological approaches, usually those with which they are already familiar. This paper compares three such approaches in terms of their relative value and results. A single public(More)
BACKGROUND The extent and nature of long term health sequelae among survivors of the Bhopal gas disaster are not known. In 1994 an International Medical Commission was set up with the aim of assessing respiratory, neurological and other health effects attributable to gas exposure. METHODS An epidemiological survey of a representative sample of gas-exposed(More)
Three inquiries about Public Health continuing professional development were undertaken in the Northern and Yorkshire Region of the National Health Service during 1995-96. Public Health Physicians were asked about their experience of continuing education and for their views on a regional policy for continuing professional development. Health Authority Chief(More)
OBJECTIVES Since 1997, UK public health training has undergone major changes, including the creation of specialist registrars (SpRs), introduction of a competency framework, admission of non-medical (specialist) trainees and National Health Service organizational change. It was therefore considered timely to audit the quality of this training. STUDY(More)
OBJECTIVE To assess the completeness and accuracy of cancer surveillance data relevant to Health of the Nation targets. DESIGN A comparison of locally ascertained data on cancer with recorded cancer registry sources in selected diagnoses. SETTING The district of South West Durham within the Northern Regional Health Authority. PATIENTS All patients(More)
OBJECTIVES To investigate predictors of a supportive training relationship and examination success using data from the first UK Public Health Training Audit. STUDY DESIGN Secondary analysis of data from a national cross-sectional survey of UK public health trainees, conducted in April 2003. METHODS All UK public health trainees were sent a questionnaire(More)
The current round of mergers between Health Authorities and Family Health Service Authorities (FHSAs), when set in the competitive context of markets, has profound implications for training in Public Health Medicine. This paper considers the phases in the management of change and the costs, benefits and principles for trainers, trainees and organisations as(More)