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Vol 276 No 7399 p525
6 May 2006

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New era for diagnostic devices could save millions

Cheap devices to diagnose STIs

Cheap devices to diagnose STIs could be available via community pharmacies

Within the next decade, pharmacies could help save the NHS millions of pounds a year by stocking diagnostic devices for use at home for detecting sexually transmitted diseases, a Department of Trade and Industry report suggests.

The report looks at the threats posed by infectious diseases over the next 10–25 years and examines how they could be managed. “A cheap self-diagnostic device to test sexually transmitted diseases, available from pharmacies in the future, could enable many people who would not normally visit a genito-urinary clinic to test themselves at home,” the report suggests. “This could bring testing and diagnosis to a large section of the population who have asymptomatic diseases, which, left undiagnosed, could lead to severe health complications and costly treatment.”

The report then provides examples — “designed to provoke thought, rather than being predictions” — to illustrate the possible benefits of improved detection, identification and monitoring. For instance, it suggests that, in 2015 “a hand-held diagnostic device for a range of sexually transmitted diseases saves the NHS £135m per year for chlamydia and gonorrhoea alone”.

The report also suggests that detection, identification and monitoring systems developed in the next two decades might reduce the UK mortality from an influenza pandemic by 10-fold and the health costs of a severe acute respiratory syndrome outbreak by £230m.

However, the report warns that a number of potential pitfalls of diagnostic devices need to be avoided. For instance, access by health care professionals to diagnostic information needs to be maintained, waste generated by these devices needs to be safely disposed and inappropriate self-treatment by patients needs to be minimised.

The report also looks at which categories of new and emerging diseases are likely to be of particular concern to the UK and sub-Saharan Africa in the next 25 years and how these might be affected by climate change over the coming 75 years.

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