Owen is employed as a solicitor by Thomas & Thomas LLP. He normally works a forty-hour week, but he is working on a large merger and in the five weeks leading up to merger deadline, he works seventy hours per week. Has a breach of the Working Time Regulations 1998 occurred? Would your answer differ if a term of Owen's employment contract stated that employees of the firm may be required to work hours that breach the 1998 Regulations?Discuss

Question 1

Has human-to-human transmission of the H5N1 avian influenza virus been described?

Question 2

In brucellosis, is it possible to see a brucella agglutination test of more than

1/160 even for years after specific and successful therapy of brucellosis?

Question 3

Please define the terms holoendemic, mesoendemic, and hyperendemic

in relation to malaria.

Question 4

You only recommend malarone for malarial prophylaxis when there is a

significant chlorquine resistance. Isn't malarone now widely used in

travellers going to areas with low resistance.

Question 5

Parenteral vaccination with a killed suspension of Vibrio cholerae is

recommended by some - isn't an oral vaccine better?

Question 6

Please suggest possible reasons why Entamoeba histolytica infection

associated with bloody diarrhoea is not relieved by treatment with

ciprofloxacin and metronidazole 400 mg 2 daily over a 3-week

period.

Question 7

Is there a basis for treating patients for filariasis according to the

eosinophil count (except for cases of tropical pulmonary eosinophils;

TPE)? Filariasis is everywhere in my part of the world; a fluorescent

antibody test (FAT) might not be very useful - except when there are

very high values.

Question 8

Why do patients who ingest eggs from a tapeworm in contaminated

food not develop tapeworms?

Question 9

I have a query about one of the details in the book. You mention that

perihepatitis is a feature of gonorrhoeal infection, but other books say

that perihepatitis (Fitz-Hugh-Curtis syndrome) is a complication of

chlamydial infections. Is there a possibility of perihepatitis in

gonorrhoea? Thank you.

Question 10

In the 7th edition of Kumar and Clark Clinical Medicine, you indicate that

there is no benefit in treating the male partner of a woman diagnosed

Infectious diseases, tropical medicine and STI 4

with bacterial vaginosis (BV). As many physicians use the 2 g 1

metronidazole dose, is this unwarranted? Does it differ in women

experiencing frequent recurrences of infection?