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Background:The celebrity Jade Goody's cervical cancer diagnosis was associated with increased UK cervical screening attendance. We wanted to establish if there was an increase in high-grade (HG) cervical neoplasia diagnoses, and if so, what the characteristics of the women with HG disease were.Methods:We analysed prospective data on 3233 consecutive colposcopy referrals in North East London, UK, from 01 April 2005 to 30 June 2010. Characteristics and outcomes of pre- and post-Goody cohorts were compared.Results:Goody's diagnosis was associated with an increased incidence of colposcopy referrals in all subsequent annual quarters (incidence rate ratio (IRR) 1.3–1.9, P<0.002–P<0.0005) and increased HG disease diagnoses in the fourth quarter 2008/2009 (IRR 1.3, P=0.05) and first quarter 2009/2010 (IRR 1.3, P=0.07). We observed 1.90-fold (CI: 1.06–3.39), 2.06 (CI: 1.13–3.76) and 2.13-fold (CI: 1.07–4.25) respective increases in the odds of HG disease women being screening-naive in the first and second quarter 2009/2010, and the first quarter 2010/2011 (P<0.04, P<0.02 and P<0.04, respectively). There was a 2.23-fold increase in the odds of screening-naive HG disease women being symptomatic post-Goody's diagnosis (P=0.023). The age distributions of the pre- and post-Goody cohorts did not differ in any study group.Conclusion:Continued publicity about celebrities' diagnoses might encourage screening in at-risk populations.

recent overview of agricultural occupational safety and health hazards reported the incidence of trauma due to farm animals as "unknown" (OSHA, 1994), possibly due to the attention given to machine related injuries. A study based on National Safety Council data estimated that animal induced injuries amount to 16.9% of all farm work injuries (Purschwitz, 1990). However, in a recent dairy farming study, 32% of injuries were reported as animal related (Pratt, 1992). Among hospitalized victims of agricultural injury, 3% of long term disabilities resulted from farm animal injuries (Cogbill, 1985). Thus, animal related injuries in the agricultural workplace are common and potentially serious.Another study found 61 of 70 (87%) animal related occupational injuries among farm residents were caused by cows (Layde, 1996). During the period from 1991 to 1996, the Occupational Health Nurses in Agricultural Communities (OHNAC) surveillance program* in New

PLATE 1. Hydrogeologic section A-A', and map showing location of hydrogeologic sections in the Midwestern Basins and Arches region 2. Map showing locations of hydrogeologic sections B-B', C-C', D-D', and E-E' in the Midwestern Basins

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