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     Dengue fever death toll rises: The number of deaths in the outbreak of dengue fever in Indonesia has risen to 344, with almost 20 000 recorded cases so far this year. The World Health Organization says a cyclical decline in population immunity is probably responsible rather than a new viral strain.

    Rare form of chlamydia in Europe: A possible outbreak of a rare form of chlamydia, lymphogranuloma venereum, may affect a "large part of western Europe," Dutch doctors warn. Normally associated with the tropics, it has been identified in a cluster of 25 gay men in Rotterdam and Amsterdam who between them had had sex in five European countries ( Nederlands Tijdschrift voor Geneeskunde 2004;148: 441-2). Unlike most types of chlamydia, treatment entails taking antibiotics for up to three weeks.

    UK government seeks views on public health: Health Secretary John Reid has launched a three month consultation called "Choosing Health?" to gauge reaction to proposals to curb rates of smoking, obesity, and sexually transmitted diseases. The consultation will be followed this summer by a white paper on public health (see details at www.dh.gov.uk/consultations)

    Urgent appeal to Sudanese government: The European Union has made an urgent appeal for the Sudanese government to cease hostilities and allow relief organisations unlimited access to people threatened by civil war in the western region of Darfur. Negotiations currently continue for two emergency aid flights to be allowed into the region.

    Long term response to avian flu is needed: The World Health Organization has urged a long term response to the current outbreak of H5N1 avian influenza in Asia. The unprecedented distribution, rate of spread, and severity of the infection make it difficult to control and prevent, WHO says. Details of its assessment are at www.who.int/csr/don/2004_03_02/en