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Objective: To identify reasons for the refusal of spectacle usage among medical students of Rawalpindi and Islamabad. Study Design: Cross sectional study. Place and Duration of Study: Different medical colleges of Rawalpindi and Islamabad from 15 April to 18 September 2018. Materials and Methods: A total of 254 medical students who were prescribed constant use of spectacles were selected through simple random sampling technique. A structured close ended questionnaire was administered and collected data was analyzed through SPSS version 22. Results: Mean age of the participants was 22.5 + 1.4 years, female students were 60.7% and 39.3% were male. It was found that majority of female participants do not use spectacles due to cosmetic reason (64.5%). Unwillingness to use spectacles was the next most common reason for not using spectacles i.e., 57.2%. The students who reported that they face inconvenience and difficulty in managing the glasses were 47.9%. 31.8% of students were not using spectacles due to social stigma. Many students either lost their spectacle or not using spectacles due to breakage of glasses (23.1%). The gender differences among various reasons were found to be statistically significant. Conclusion: The current study concludes that various reasons leading to refusal and inadequate usage of spectacles among medical students are cosmetic unacceptability, unwillingness, social stigma and inconvenience. Targeted health education measures are imperative to formulate comprehensive corrective strategies.

Swine flu is an acute respiratory disease also referred as novel A/H1N1, caused by influenza type A virus.Although currently in post pandemic phase, swine flu is considered as a major emerging disease and in this situation notification of every case is essential to interrupt transmission of disease. Therefore, we are reporting this case of 35 year male presented with one week history of sore throat, fever and constitutional symptoms, investigated for swine flu, and successfully treated with an excellent outcome.