Health outcomes initiatives in NSW have concentrated on the development of indicators to monitor services and their effect on health, and on the use of indicator data to improve the quality and outcomes of health services.

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T his article reports on a postal survey of the 179 local government authorities (LGAs) in NSW to investigate the number of swimming pools under their ordinances and whether there is an association between the number of pools and serious immersions (drownings and hospitalised near-drownings) in those areas. BACKGROUND Private swimming pools represent the single most dangerous water environment for children up to the age of four in NSW. For example, there were 400 serious immersions in swimming pools in NSW for this age group in the years 1986 and 198992 inclusive. 1

IMPROVING NOTIFICATIONS OF MENINGITiS I nfbctious disease notification requirements changed in November 1991 with the introduction of the Public Health Act 1991. The number of medical conditions that medical practitioners were required to notify fell from 52 to 10, and responsibility for notification was given to hospital Chief Executive Officers (CEOs) and laboratories'.