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Provides information on the public health development in Cuba. Impact of economic condition in Cuba's health system; Health problems addressed by the Ministry of Health in Cuba; Role of National Institute for Workers Health; Significance of the Center for Genetic Engineering and Biotechnology.

Suggests an approach on how organized medicine and public health authorities can achieve a population-wide benefit, improved health for the United States. Differences between public health and medical care; Reasons for suggesting the approach; Limitations of the approach; Initiative of the New England Regional Office of the Department of Health and Human Services.

Reports that Director General Gro Harlem Brundtland is in the process of changing how the World Health Organization (WHO) works. Background on Brundtland; Discussion on Brundtland's reform; Evaluation on the success of Brundtland in redirecting WHO.

Transient ischemic attacks have been attributed to emboli from the external carotid artery in patients with complete occlusion of the internal carotid artery. We report a patient with an external carotid stenosis and normal internal carotid who developed ipsilateral transient ischemic attacks. Real time B-mode ultrasonography demonstrated that the plaque obstructing the external carotid artery extended into the carotid sinus. This may have served as a source of emboli into the internal carotid circulation. [ABSTRACT FROM AUTHOR]

Opinion. Discusses on health inequalities in England and Wales. Reference to Office for National Statistics report; Details on the standardized mortality ratios by social class.

Discusses the history of public health policy in Prague, Czech Republic. Soviet design of public health imposed in the 1960s; Privatization of insurance companies; Fee-for-service system of medical payments; Ministry of Health's efforts to enlist support for public health from hygiene and social medicine professionals.

Urges the national immunization program of the United States (US) to require registries reward states for improvements made in the fraction of their child population fully vaccinated on time. Information on ImmPact, a bi-state Web-based immunization registry of Maine and New Hampshire; Contribution of the US Centers for Disease Control and Prevention and the Health Care Financing Administration to this registry.

Focuses on the importance of managed care, with emphasis on the development of a health standard for screening managed care populations. Importance of managed care; Objectives of managed care; Reference made to the National Cholesterol Education Program guidelines; How can managed care assist in public health. INSET: New England public health and managed care initiative.