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How did the infection get in to the prison: a new admission, a member of staff, a visitor? How is the infection being spread? With HIV and the bloodborne hepatitis viruses, the most likely cause is needlesharing by drug users, but for HIV and hepatitis B sexual transmission must also be considered. How many people are affected? Screening with informed consent will be needed to detect people who are not ill but are carrying the infection. This will entail an urgent educational programme to explain the situation to inmates and the provision of counselling facilities. Cooperation between inmates and staff would be called for in the event of an outbreak of pulmonary tuberculosis, for instance, triphasil.

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Survey also finds only 24 percent of small-business owners plan to expand hiring in 2001 Albany Rising health-care costs, along with high taxes and an uncertain economy top the list of concerns expressed by New York's small-business owners, according to a new survey released today by the National Federation of Independent Business NFIB ; . "The alarm bell is sounding. Despite significant business climate improvements in recent years, small-business owners still face spiraling health-care costs in large part as a result of government mandates; a high combined state and local tax burden; and persistent concerns about workers compensation insurance costs; " said Mark Alesse, state director for the NFIB. "Only 24 percent of our members plan to do new hiring in 2001, and since small-business creates most of the new jobs, -- the conditions that affect them, affect the entire economy, " Alewse added. Rising health-care costs continue to be the major issue of concern to small-business owners in the state, with 63 percent of those questioned selecting it as one of the top three most serious problems they face. "The need has never been greater for legislative remedies to this healthinsurance crisis, which can start by the legislature doing no harm, " Alexse said. The survey vividly demonstrated the seriousness of the health crisis. Nearly two-thirds of respondents said that they provided health benefits to their employees. However, 47 percent also reported that their insurance premiums increased by more than 11 percent in the past year, with 25 percent reporting increases of over 15 percent. Unsurprisingly, nearly 85 percent urged NFIB to oppose all new health insurance mandates, because of their impact on costs, and the same number supported cost-testing proposed health mandates first on the state employee benefit plans before imposing them on private group plans. -more and amitriptyline.

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