Already, universities and their medical schools, nursing colleges and schools of public health and pharmacy are expanding departments or creating new programs to address future health care needs.

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Dr Meldrum was one of eight signatories to a letter sent to Justice Secretary Jack Straw along with the heads of the Royal College of Surgeons, Royal College of Nursing, Medical Defence Union, Medical Protection Society, Royal College of GPs, Faculty of Public Health and Academy of Medical Royal Colleges.

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Cuban doctors there are at the pinnacle of the public-health community, teaching in medical colleges and running hospitals.

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