Press Releases Saturday 10 April 1999
No 7189 Volume 318

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(1) TV MEDICAL DRAMAS HAVE ENORMOUS RESPONSIBILITY
      FOR EDUCATING VIEWERS ON MEDICAL MATTERS

(2) STROKES ARE MORE COMMON IN THE BLACK POPULATION


(1) TV MEDICAL DRAMAS HAVE ENORMOUS RESPONSIBILITY
      FOR EDUCATING VIEWERS ON MEDICAL MATTERS

(Effects of a drug overdose in a television drama on presentations to
hospital for self poisoning: time series and questionnaire study)
http://www.bmj.com/cgi/content/full/318/7189/972

(Effects of a drug overdose in a television drama on knowledge of
specific dangers of self poisoning: population based surveys)
http://www.bmj.com/cgi/content/full/318/7189/978

Events depicted in television medical dramas can influence viewers'
behaviour and therefore producers must ensure that the clinical
information they portray is accurate say researchers in this week's BMJ.
In two studies, which centred around an episode of the BBC's Casualty
in which a character took an overdose of paracetamol, the researchers
found that both knowledge of the effects of fatal liver damage after such
an overdose and the actual incidences of self-poisoning increased.

In their study of 49 accident and emergency departments and
psychiatric services in the UK, Professor Keith Hawton from the
Warneford Hospital in Oxford and colleagues found that in the week
after the episode of Casualty was broadcast, people attempting
overdoses increased by nearly one fifth (17 per cent). Paracetamol
overdoses increased in particular, but only among those patients who
had seen the Casualty episode. There was not an increase in the
number of deaths caused by self-poisoning after the broadcast.

In a separate, but related study, Dr Susan O'Connor from Barrow
Hospital in Bristol and colleagues discovered that medical soap operas
also have enormous potential for educating viewers about medical
matters. Those people who had watched the episode of Casualty were
twice as likely to know about the specific dangers of paracetamol
poisoning than those who had not and this increased knowledge was
largely found to be retained eight months after the broadcast.

O'Connor et al conclude that there is an onus on broadcasters to ensure
that medical information is presented correctly, whilst Hawton and
colleagues say that their findings raise serious questions about the
portrayal of suicidal behaviour on television. They argue that TV
producers should consider how their clearly influential role could
encourage those people at risk to seek help, thereby contributing to the
prevention of this major health problem.

Contact:

Professor Keith Hawton, Professor of Psychiatry, University of Oxford,
Department of Psychiatry, Warneford Hospital, Oxford
Email: Keith.Hawton{at}psychiatry.oxford.ac.uk

Dr Susan O'Connor, Consultant Psychiatrist, United Bristol Healthcare
Trust, Directorate of Mental Health, Barrow Hospital, Bristol
Email: susan.oconnor{at}ukonline.co.uk

or Professor Christopher Bulstrode, Professor of Orthopaedics,
University of Oxford, Nuffield Department of Orthopaedic Surgery,
John Radcliffe Hospital, Oxford
 

(2) STROKES ARE MORE COMMON IN THE BLACK POPULATION

(Ethnic differences in incidence of stroke: prospective study with
stroke register)
http://www.bmj.com/cgi/content/full/318/7189/967

The incidence rate of stroke is twice as high in black people than in
white people, say researchers in this week's BMJ. Dr Judith Stewart
and colleagues from Guy's, King's College and St Thomas's School of
Medicine found that in their study of 234,533 people in south London,
the incidence of stroke in the black population (who accounted for 21
per cent of the total population) was both higher and occured at a
younger age.

The authors found that this phenomenon was not explained by
confounders such as social class, age or sex and they conclude that
ethnic differences in genetic, physiological and behavioural risk factors
for stroke should be investigated further. They say that this information
could then provide the basis for effective strategies for stoke prevention
in multi-ethnic communities.

Contact:

Dr Charles Wolfe, Reader in Public Health Medicine, Department of
Public Health Sciences, Guy's, King's College and St Thomas's School
of Medicine, London

Email: c.wolfe{at}umds.ac.uk
 


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