Phase I, being the most urgent, was presented in great detail by Dr. Cleary and Dr. Hosier. The environmental concerns resulting from the implementation of Phase I included disturbing coastal wetlands, interference with turtle nesting activities, and water quality. In order to avoid degrading wildlife in the wetlands, no dredging or filling would take place in tidal wetlands. To avoid interference with the nesting activities of the endangered loggerhead turtle, no beach renourishment would take place between May 1st and November 15th. Water quality changes resulting from dredging would be addressed through bulldozing a dike.

Question 21 What is the correct method of diagnosis of meningococcal septicaemia: cerebrospinal fluid culture or blood culture? Question 22 Can Escherichia coli 0157 be spread by foods other than meats? Question 23 I have a question about a patient with brucellosis in whom, after 6 weeks of treatment with 600 mg rifampicin +200 mg doxycycline, the agglutination test still shows a 1/320 titre. If, after stopping the treatment, the patient begins to experience identical symptoms as previously, how should treatment proceed? What is the best laboratory test to show relapse? Question 24 Do steroids have a role in the treatment of dengue haemorrhagic fever, in particular to prevent the further fall in the platelet count? Question 25 Please give me the mechanism of thrombocytopenia in dengue and malaria. Question 26 What is the recommended procedure for the treatment of a case of dengue fever? Question 27 What diseases can you get from tick bites? Question 28 Why has severe acute respiratory syndrome (SARS) not spread as widely as was predicted? Question 29 Please explain the relation between recurrent typhoid fever and chronic carrier, and the recommended treatment for both. Question 30 What is the single most confirmatory diagnostic test for typhoid?