The aim of our study was to establish whether the use of ultrasound to screen babies with risk factors has reduced the number of children presenting late with developmental dysplasia of the hip. Screening based on selection by risk factors was introduced in 1997. The average annual incidence from 1992 to 1996 was 0.84 and from 1997 to 2001 was 0.57 per 1000 live births. This decline in incidence of late developmental dysplasia of the hip was not significant (P=0.088). Sixty-four children (82%) had nothing that could be perceived as a risk factor for the condition. Our study presents population-based findings and it is clear that selective screening is not working in our region. It is unlikely that there will be one solution that could be applied throughout the United Kingdom given the diversity in the access to healthcare facilities. Clear leadership and accountability are required if we are to make any progress towards abolishing this condition that causes a significant morbidity in young adults.

The radiological consequences on the population of a borax accident in 1994 in the Tammuz 2 nuclear reactor have been postulated. Dose equivalents resulting from the atmospheric release of radionuclides during the accident have been estimated for distances ranging from the exclusion zone to 100km from the reactor. Gamma submersion, beta submersion doses from the plume, inhalation doses and surface exposure doses have been estimated for various exposure times. Dose equivalents estimated for the site boundary for an exposure time of 24 hours were 1.42 − 10mSv. Accordingly, it seemed that the consequences of the accident on the population living around Tuwaitha site could only take the form of stochastic radiation, such as the induction of cancers, and heredity.