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Arch Dis Child 2000 Volume 83 No 6
The Children Act—a judge replies
In March, two of our contributors stated with some vigour that the Children Act was failing those severely abused orand neglected children.1-1 This is a grave allegation to make against the law which governs how the courts protect children. We were not surprised, therefore, to receive an equally forthright rebuttal from a senior judge (page 463)—more particularly since she had been the Law Commissioner responsible for the reforms in family law, of which the Children Act was a key part. We hope readers from outside the jurisdiction will also find the dialogue useful as it raises matters of principle beyond that of the specific item of legislation under contention. Key messages are that social workers lack resources and support; families should not be separated without due process of law; legal proceedings must move faster; and adoption procedures need improving. Drs Wynne and Speight, authors of the original polemic, add that we need a lobby for the rights of abused children and they reiterate their objection to the unqualified statement, in this context, that “children are generally best looked after within the family . . .”.
References
- 1-1.↵
Prescribing—cause for concern
One day before writing this piece, the British press featured a story of a newborn baby who had died after allegedly being prescribed and administered a tenfold excess dose of a necessary medication. All experienced clinicians have experienced errors, hopefully without sequelae. This month we publish an audit from a large Scottish Hospital looking at its mandatory medication error reporting system (page 492). The overall rate was one per 662 admissions, ranging from nearly one in 100 in the paediatric intensive care unit, to one in 2500 in the surgical ward unit. Doctors, nurses, and pharmacists were all responsible and double checking was not foolproof. Given the newspaper report mentioned above, I was alarmed to read that fifteen incidents involved a tenfold error, five of them caused by incorrect setting of an infusion pump. Fortunately, 96% of errors were deemed minor—no harm likely and even the five more serious mistakes did not lead to long term damage.
Alarmingly, parents were not told about half of the events—no longer acceptable in these days of openness and shared management. The authors note that reluctance to acknowledge mistakes openly may result in system failures going undetected. They describe the remedial steps they have put in place. Anyone looking for something important to audit in their own unit might reasonably follow these authors' example.
Prescribing off licence
It's one thing to get the right dose but what if manufacturers can't or won't declare what it should be? We have previously looked at unlicensed and off-label prescribing in newborns.3-2 This month we look at what happens to children in general practices in the Midlands of England and the environs of Paris (pages 498 and 502). Off-label prescribing is widespread, the French being more cavalier than the puritanical inhabitants of Nottinghamshire and Derbyshire. The latter used licensed medicines, but at an off-label dose nearly 10% of the time. The largest groups were antibiotics, anti-asthmatic drugs, and emollients. The first tended to be prescribed at too low a dose and the second too high (inhaled steroids) or too low (chromoglycate). The 10 unlicensed preparations sound pretty benign—steroid cream diluted by a community pharmacist and a non standard formulation of white soft paraffin and liquid paraffin.
The French group were office based paediatricians rather than general practitioners and might not have been indicative of their counterparts in that they belonged to a self motivated educational programme. English readers will be pleased to have their prejudices confirmed by learning that the fourth most commonly prescribed items were paracetamol (acetaminophen) suppositories. Ninety nine of 2522 prescriptions were unlicensed, consisting mostly of nose drops used for coryza, some of which contained epinephrine (adrenaline) or steroids. The largest “off-label” group was for antibiotic eye drops—all of which were so classified as the French formulary contains no listing for eye drops with paediatric doses. Both sets of authors call for a better regulatory process. Dr Chalumeau and colleagues draw attention to the US FDA regulations which contain both legal obligations and financial incentives for paediatric drug evaluation. They add that EU guidelines have not improved drugs labelling and they call for compulsory regulation.
References
- 3-2.↵
And now for something completely different
Those who adhere to the Western calendar will note it is nearly the end of the year. Some believe it is nearly the beginning of the real millennium. Traditionally, our great uncle the BMJ, normally so straight laced, considers it's time to lift up its skirts and prance around a bit. Perhaps paediatricians aren't amusing enough, but we have done our best to gather together at the end of this month's ADC a selection of the quirky, dotty, gently satirical, and completely daft. I also claim to have included the first New Yorker cartoon to appear in the pages of the journal. It carries a profound message, so note well: all submissions in 2001 which the editors deem pretentious will receive a copy. You have been warned.
Supplementary materials
- REFEREES 2000
In addition to members of the Editorial Board, the following reviewed one or more papers for Archives of Disease in Childhood from 1 September 1999 to 31 August 2000. Thanks are extended to all reviewers.
Dr Mario Abinum Dr Majd Abu Harb Dr Ishaq Abu-Arafeh Dr Dominic Acolet Dr Tony E Ades Dr Christoph Aebi Professor P J Aggett Dr Jag S Ahluwalia Dr Anthony K. Akobeng Mr Tim Albert Dr Grethe Albrektsen Dr John Alexander Dr Mazin Alfaham Dr Fernando Alvez Gonzalez Dr Rod Amos Dr Gavin Anderson Dr Mary Anthony Dr Richard Appleton Dr L Nick J Archer Dr Simone Arden-Holmes Dr A Arena Dr Peter Arkwright Dr Renu Arya Dr Mark R Ashton Dr D J Atherton Professor Jane T Atkins Professor Stephanie A Atkinson Professor Jeanette Atkinson Dr I Auchterlonie Professor Albert Aynsley-Green Mr AF Azmy Dr Denis Azzopardi Dr Christopher J Bacon Dr Trevor Baglin Dr Edward James Baker Dr Alastair J Baker Dr Ian M Balfour-Lynn Dr Colin Ball Dr Ami Ballin Professor David J P Barker Dr Denis Barker Professor Donald Barltrop Dr Nick Barnes Dr Rosemary A Barnes Dr Timothy Barrett Dr Peter W Barry Professor Kim Bartlett Dr J Harry Baumer Dr Martin C O Bax Dr Adam Baxter-Jones Dr Sue Beath Dr R Mark Beattie Dr Jack O Beattie Dr Alison Bedford Russell Dr Frank Bell Dr Michael Benson Dr Valerie Beral Dr Stefan Berg Dr A Bertotto Dr Viviane Bertrand Dr Peter R Betts Dr David Beverley Dr Walter Beyer Professor Vinny K Bhutani Professor Zulfiqar Ahmed Bhutta Professor Nick Bishop Dr W Michael Bisset Dr T Bistritzer Dr Maria Bitner-Glindzicz Dr Peter S Blair Dr Mats Blennow Dr Orna Blondheim Dr M Bobak Dr Antonio Boccazzi Dr Sandy Bohin Dr Paula Bolton-Maggs Professor Ian W Booth Dr Robert Booy Dr Nico A Bos Dr Stuart Boyd Dr Bernard Brabin Mr Jeffrey Brain Dr Claire Bramley Dr A M Breckenridge Dr Caroline Breese-Hall Dr Joseph Britto Dr J Trevor Brocklebank Dr Peter Brocklehurst Dr Paul A Brogan Professor Charles G D Brook Dr Edward G Brooks Dr Raymond Brown Dr Martin J Brueton Professor B Brunekreef Dr Frank Brus Dr Peter D Bull Dr Frances Bu'Lock Dr Mike Burch Mr David M Burge Dr David Burgner Professor Peter Burney Dr Michael L Burr Dr Martin Burton Dr Andrew Bush Dr R Butler Dr Pamela A Cairns Dr S A Calvert Dr Andrew J Cant Dr Robert G Carpenter Dr Robert Carr Dr Lucinda J Carr Dr Fabrice Carrat Dr Roy Carr-Hill Dr Enitan D Carrol Dr Marco Carrozzo Dr Dennis Carson Dr Patrick H T Cartlidge Dr Helen Carty Dr David Casson Dr P R Cavanagh Dr Tapia Ceballos Sir Iain Chalmers Dr Lee G Chan Dr Janet Chaplais Dr Stephen Chapman Dr Charlie P J Charlton Dr Tim Cheetham Dr Phil A J Chetcuti Professor Malcolm Chiswick Professor Imti Choonara Professor R D Christiansen Dr Deborah Christie Mr D I Clark Dr Penny Clark Dr Graham Clayden Dr Peter E Clayton Dr Jill Clayton-Smith Dr Maureen Cleary Dr G Mac Cochrane Professor Tim J Cole Dr Trevor R P Cole Dr Peter Cole Dr Jane Collins Dr John Collins Dr G J Connett Dr Stephen P Conway Dr Nancy R Cook Dr Derek Cook Professor Richard W I Cooke Dr Richard J Cooke Dr Robert Coombs Mr J J Corkery Dr M Cosgrove Mr Aidan Cosgrove Dr Malcolm G Coulthard Dr Jon Couriel Dr Fiona J Cowan Dr Brian Craig Dr Suzanne Crowley Dr Steven Cunningham Dr Nigel Curtis Dr Geoff Cusik Dr William A M Cutting Dr Giuliano Da Villa Dr Mark Dalzell Dr Hans Daniels Dr Brian Darlow Dr V K Das Mr Mark Davenport Professor Tim J David Professor David P Davies Dr Hugh Davies Dr Pamela A Davies Professor Peter S W Davies Dr E Graham Davies Dr Helena Davies Dr Graham Davies Dr Paul M Davis Dr Peter D O Davis Dr Suzanne Davison Dr Katy Davison Dr Carmen L De Cunto Dr Ronald de Groot Dr R A de Lemos Dr Linda S de Vries Dr Ester de Vries Dr Peter R Dear Dr Geoff D Debelle Dr DM Demers Dr Graham Derrick Dr Sanjeev A Deshpande Dr Sean Devane Dr Carol A Dezateux Dr Anil Dhawan Miss H K Dhillon Dr David F Dickinson Mr James A S Dickson Dr Javier Diez-Domingo Dr Carolyn DiGuiseppi Professor Mike J Dillon Dr Gabriel Dimitriou Dr R Dinwiddie Dr Patricia Diot Dr Marjorie Dixon Dr Simon Dobson Dr P Dobson Dr Keith Dodd Professor John A Dodge Dr Cora Doherty Dr Malcolm D C Donaldson Professor Dian Donnai Professor S P Donnan Dr I M Doughty Dr Iolo J M Doull Professor Lex W Doyle Dr Eddie Doyle Professor Brendan Drumm Dr S W D'Souza Dr David A Ducker Dr Matthias Duerken Professor David B Dunger Professor Peter M Dunn Dr D Dutka Dr Philippa Easterbrook Professor Tim Eden Dr Julie Edge Professor David Edwards Dr Philippe A Eigenmann Dr Christine Eiser Dr David Elliman Mr Martin Elliot Dr A S El-Radhi Dr D Mary Eminson Dr Anthony J B Emmerson Dr Alan M Emond Dr Jean Emons Dr A H Enk Dr Ben Essex Dr Margaret J Evans Dr Geoffrey Evans Dr Nicholas J Evans Dr Mark L Everard Dr Andrew Ewer Dr Vineta Fellman Dr Alan C Fenton Dr Theo Fenton Dr Fabrizio Ferrari Dr Mary Fewtrell Professor David J Field Professor Alistair R Fielder Dr Alain Fischer Dr Margaret Fitzpatrick Professor Peter Fleming Dr Helen J Foley Dr Annabel B M Foot Dr Rodney P K Ford Dr Gillian Forrest Dr J Forster Professor Kevin Forsyth Dr K R Forward Dr Helen E Foster Dr Peter Fowlie Mr David Frank Dr Alan E Fryer Dr Susumu Furukawa Dr Albert García Dr Janet M Gardner-Medwin Dr E J Garland Professor Elana Garralda Dr H R Gaskins Dr A R Gatrad Dr E J A Gerritsen Dr Diana Gibb Dr Brenda Gibson Dr Alan Gibson Dr Neil Gibson Dr Ruth Gilbert Dr Brian Gill Dr A Bryan Gill Dr J E Gillespie Dr G Gladman Professor Frances P Glascoe Dr Philip L Glick Dr James Gnanapragasam Dr John Goddard Dr Michael Goldacre Professor Jean Golding Dr N Golitsina Dr Michael Goodacre Dr Judith Goodship Dr Siobhan Gormally Dr Paul Govaert Dr J Clive Graham Dr S M Granthem-McGregor Dr Elizabeth Gray Dr Victor E Grech Dr Anne Green Dr Stuart H Green Professor Anne Greenough Dr J W Gregory Dr Jim Grey Dr Jonathan Grigg Profesor Keith Grimwood Dr Peter Groneck Dr Tari Haahtela Dr Parviz Habibi Dr Dino Hadzic Dr Judith Hale Dr Michael Hall Professor David M B Hall Dr Georgina W Hall Professor Henry Halliday Dr Patricia Hamilton Dr W Handrick Dr Ian Hann Dr K N Haque Dr John I Harper Professor C Anthony Hart Dr Gary Hartnoll Professor David Harvey Dr Mark Hatherill Dr Jane Hawdon Dr Debbie Hawes Dr Joanna T Hawthorne Professor George B Haycock Dr F G Hayden Dr David Heaf Dr Paul Heath Professor Peter J Helms Professor Henderson-Smart Dr M Herbert Dr Dean Hess Dr Edmund Hey Professor Peter D Hill Dr Peter Hindley Dr Peter Hindmarsh Dr Michael F Hird Miss Rowena Hitchcock Dr P Hoare Dr Christopher J Hobbs Mr Anthony Hockley Dr Donald Hodge Professor Hilary Hoey Dr Barbara Holland Dr Philip C Holland Professor Jeff Holly Dr E Wren Hoskyns Dr Robert W Hostoffer Dr Brian Houston Dr Alan Houston Professor J G R Howie Dr Ian Huggon Professor Ieuan Hughes Dr Helen Hughes Dr David Hughes Professor Sir David Hull Dr Sally Hulton Dr A Stewart Hunter Dr Mark Hunter Dr Susan Huson Dr John Irving Professor David Isaacs Dr Hiroki Isomura Dr Kevin Ives Dr Tsuyoshi Iwasaki Dr Anoo Jain Dr C Jakobs Professor Stephen Jarvis Dr Ian G Jefferson Dr Huw R Jenkins Dr Lise Jensen Dr Fiona Jewkes Dr Ann Johnson Dr Paul Johnson Dr David P H Jones Dr Barry Jones Dr Alison Jones Dr Rosamond Jones Mr Nigel Jones Professor Elizabeth F Juniper Dr Anthony Kaiser Dr Nathalie Kapel Dr Michael Kaplan Dr J H Karpathios Dr John Karrani Dr Martin Katan Dr Krista L Kaups Mrs Sue Keffler Dr Deirdre A Kelly Dr Yvonne J Kelly Dr A Wilf R Kelsall Dr Alison Kemp Dr Stephen T Kempley Dr Colin R Kennedy Professor Jan L L Kimpen Dr SE Kinsey Dr Jeremy M W Kirk Dr Harriett Kitzman Dr Nigel Klein Professor Jerome klein Professor Martin E Kline Dr L M Koenig Dr P Konig Dr Ron Kooijman Dr Sailesh Kotecha Dr Ilya Kovar Dr Rashmi Kumar Dr Nathan Kuppermann Dr Necdet Kuyucu Dr Dominic P Kwiatkowski Dr Phillipa Kyle Dr Gideon Lack Dr Ian Laing Dr Hamish Laing Dr R Lakshman Dr William Lamb Dr Anthony D Lander Dr Victor F Larcher Dr Daniel Lavanchy r Margaret Lawson Professor Ann Le Couteur Dr Howard Lee Dr Christoph Lees Harris Dr Eric Legius Dr Eugene Leibovitz Dr Warren Lenney Professor James V Leonard Dr Elizabeth Letsky Dr Wai-Ching Leung Professor Malcolm I Levene Dr Franciscio Leyva-Cobián Dr Seah Lim Dr Nehama Linder Professor Otwin Linderkamp Dr Tom Lissauer Dr J M Littlewood Dr Ben W Lloyd Professor David Lloyd Professor Robert Locke Dr Stuart Logan Dr D J Lovell Professor Margaret Lynch Dr Andrew J Lyon Dr Ian MacConachie Dr Roderick MacFaul Dr Duncan Macrae Dr R John Madar Dr Andrew R Magnay Dr Dermot Maher Dr Mike Makris Dr Gunilla Malm Professor Jillian R Mann Dr Nicholas P Mann Dr Adnan Manzur Dr Michael Markiewicz Professor Neil Marlow Dr Elaine Marlow Professor A M Marmont Dr Mike Mars Dr Michael J Marsh Dr Tom Marshall Professor J C Marshall Dr Rob Martin Dr Ahmed Massoud Dr Ruth C Mathews Dr Heather Maxwell Dr Jan McColm Dr Moira McDonnell Dr Pat McGrath Dr Mary McGraw Dr Bill McGuire Dr Kieran McHugh Professor Neil McIntosh Dr Mike McKendrick Dr Sheila A McKenzie Dr Patricia A McKinney Dr Karen A McLeod Dr M Tony McShane Professor Sir Roy Meadow Dr Nigel Meadows Dr Judith Meek Dr P W Dirk Meerstadt Dr Dirk Mentzer Dr Jussi Mertsola Dr Colin A Michie Professor Giorgina Mieli-Vergani Dr Heather J Milburn Professor Peter J Milla Dr Elizabeth Miller Dr Mark Miller Dr S Millership Dr David Milligan Professor Anthony D Milner Dr Robert A Minns Dr Christopher Mitchell Dr Ed A Mitchell Dr Sally Mitton Dr Jacqueline Mok Dr James Moorcraft Mr A T Moore Dr Imogen Morgan Mr D Morgan Dr Bruce J Morland Dr Ruth Morley Professor Colin J Morley Dr Richard Morton Dr Jenny Moseley Dr Celia Moss Professor Martin G Mott Dr Robert Moy Professor Miranda Mugford Dr M Zulf Mughal Dr Richard H Mupanemunda Dr Simon Murch Dr I A Murdoch Dr Craig Murdoch Dr Deborah Murdoch-Eaton Dr Anna Murphy Dr Mike F G Murphy Ms Julia Murray Dr Kirsi Mustonen Dr Simon Nadel Dr Richard Naeye Dr A B Naficy Dr Keigo Natakani Dr Dilip Nathan Dr Tim Neal Dr Simon J Newell Professor P C Ng Dr Richard M Nicholl Dr Angus Nicoll Dr Hans E Nielsen Dr Maarten W Nijsten Dr Titus Ninan Dr Hanna Nohynek Dr Vas Novelli Professor Frank Oberklaid Dr Christopher O'Callaghan Dr Amanda Ogilvy-Stuart Dr Shyuuhei Ogita Dr Richard Oliver Professor Richard E Olver Dr William Olver Dr I Ostman-Smith Dr S K Parikh Dr Gareth Parry Dr Leena Patel Dr James Y Paton Mr Michael Paynton Dr Ian Peart Professor Ammon B Peck Professor Heikki Peltola Dr Daniel J Penny Dr Juliet Penrice Professor A Percy Dr Mike J Peters Dr Stavros Petrou Professor P O D Pharoah Dr Jeffrey Phelan Dr A G S Philip Dr Barbara Phillips Dr Michael Pike Dr Alison Pike Dr Andrew J Pollard Professor Leon Polnay Dr Anne-Louise Ponsonby Professor C Potter Dr Chris Power Dr G Prats Professor Michael Preece Dr Michael Prendergast Dr Ursula Pretzlik Professor John F Price Dr D A Price Dr Robert A Primhak Dr Sue Protheroe Dr Jonathan Punt Dr John W L Puntis Dr Michael W Quinn Dr Shakeel A Qureshi Dr Andrew Raffles Dr Mary Ramsay Professor M B Ranke Dr Richard Reading Dr William Reardon Dr Andrew N Redington Dr Aileen OB Redmond Dr M M Reid Dr John J Reilly Dr Elizabet Reizenstein Professor Graham J Reynolds Mr Peter Richards Dr Martin Richardson Dr Sam Richmond Dr Chris Riddoch Dr F Andrew I Riordan Professor R A Risdon Dr Rodney P A Rivers Dr Clare Roberston Dr Ian Roberts Dr Ian St John Roberts Mr Julian Roberts Dr N J Robertson Dr Bengt Robertson Ms Lesley Robertson Professor R O Robinson Dr Peter Robinson Dr M J Robinson Professor Leslie L Robison Miss W Joan Robson Professor Roberto J Rona Dr Elhasid Ronit Dr Stephen J Rose Dr Lewis Rosenbloom Dr Eric Rosenthal Dr Simon Roth Dr SH Roussounis Dr Judith Rowen Dr Peter T Rudd Dr Gary Ruiz Dr Martin Runciman Dr J Alison Rushforth Dr Glynn Russell Dr Robert Ian Ross Russell Professor Nick Rutter Dr Steve Ryan Dr George W Rylance Dr Berthold Rzany Dr Eeva Salo Dr Alison Salt Dr Barry Sampson Dr Martin Samuels Dr Camille de San Lazaro Dr Ian R Sanderson Professor Bhupinder Sandhu Professor J M Saudubray Dr Sureyya Savasan Dr Rayfel Schneider Dr Susanne Schweitzer-Krantz Professor Gunnar Sedin Dr Reinhard Seger Dr Tom Sensky Professor Graham R Serjeant Dr Gurleen Sharland Dr Peta Sharples Dr Ben J Shaw Dr Nicholas J Shaw Dr Alison G Shefler Dr J P H Shield Dr S D Shorvon Dr Sheila Shribman Dr Anupam Sibal Professor Jo Sibert Professor D Sidi Professor Michael Silverman Dr Karen Silvers Dr M Sinaasappel Dr Surjit Singh Dr Kuldeep Singh Dr Sunil Sinha Dr H Sintonen Professor Wolfgang G Sippell Dr S M Skevington Dr Jonathan Skinner Dr Roderick Skinner Professor David Skuse Dr Roger Smith Dr Michael F Smith Dr Alan Smyth Dr M R Sood Dr Christina Soon Professor David P Southall Dr B Speidel Dr A Nigel P Speight Dr David Spencer Professor Nick J Spencer Dr Gavin Spickett Dr Henry A Spiller Professor Lewis Spitz Dr Charles Stack Dr Richard G Stanhope Dr Lori J Stark Professor Alan Stein Dr Ben J Stenson Professor Terence Stephenson Professor John B P Stephenson Dr Michael C G Stevens Dr David W Stevens Dr Anne Stewart Dr Sarah Stewart-Brown Dr Charles A Stiller Dr Janet Stocks Dr Mark Stoeckle Dr Barbara J Stoll Dr David Stone Professor Gregory Stores Dr David Strachan Professor Stephan Strobel Dr A Graham Stuart Dr Oliver F W Stumper Dr Peter R Stutchfield Dr N V Subhedar Dr Sadao Suga Dr Peter B Sullivan Dr Ian Sullivan Dr Maurice Super Dr Robert Surtees Dr Cecille Svanes Professor Kathy Sylva Dr D N K Symon Dr Rashmin Tamhne Professor K L Tan Professor M Stuart Tanner Dr M J Tarlow Professor William Tarnow-Mordi Dr Robert C Tasker Dr Chris J Taylor Dr David W Teele Dr Sudhin Thayyil-Sudhan Dr Adrian Thomas Dr Julian E Thomas Dr Mark R Thomas Dr Neil Thomas Dr Ros Thomas Dr Michael E Thompson Dr Mirin A Thompson Dr Anne Thomson Dr Michael A Thomson Dr E Trend Dr J H Tripp Dr Annet Troelstra Professor David Tudehope Dr Robert Tulloh Dr Kjell Tullus Dr Dino Vaira Dr Niels H Valerius Dr Christopher Vallis Dr A Van Rie Dr Vivienne H van Someren Dr Guy Van Vliet Dr William Van't Hoff Dr Eftyhia Vardas Professor Alessandro Ventura Professor Julian L Verbov Dr Chris Verity Dr Kate Verrier Jones Dr Russell M Viner Dr G N Volans Dr Kurt von Siebenthal Dr A J Vora Dr Linda D Voss Dr Michael P Wailoo Dr J K H Wales Dr Neil Walker Dr Valerie Walker Dr Brian Walker Professor John A Walker-Smith Mr S Wall Dr Sheila J Wallace Dr W Hamish B Wallace Dr P C Waller Dr Martin P Ward Platt Dr Michael E Ward Dr Charles Wardrop Professor John O Warner Dr Justin Warner Dr Anthony Waterston Dr Peter M Watkin Dr PM Watkin Dr Andrew Watkins Dr Mike Watkinson Dr Alan R Watson Professor Lawrence T Weaver Dr Elspeth Webb Dr Nicholas J A Webb Dr Martin Weber Dr Fiona Weir Dr Peter H Weller Dr Ursula Werneke Dr Robert West Dr W Whitehouse Professor Andy Whitelaw Dr Luci Wiggs Professor David E L Wilcken Dr Duncan Wilcox Dr Peter Willatts Dr Tony F Williams Dr A Jeffrey Williams Dr Lorna Williamson Dr Nicola Wilson Dr Neil Wilson Dr David C Wilson Dr Joachim Woelfle Professor Fenella Wojnarowska Dr Andrew Wolf Professor Dieter F H Wolke Dr K C Wong Dr A J Wood Dr M R Workman Dr J Ed Wraith Dr John Wright Dr Jen-Tien Wung Professor John Wyatt Dr Jonathan Wyllie Dr Jane M Wynne Dr Janet Yassa Dr Robert Yates Dr Tetsushi Yoshikawa Dr Duncan Young Dr C Bill Yoxall Professor Victor Yu Professor W Yule Dr M Yunge Dr Hussain R Yusuf Dr Zenobia Zaiwalla Dr Fred Zepp Professor Stefan Zielen Dr Karen Zwi