Not-for-profit services co-located with other public services are needed to address concerns about cost of spectacles, lack of trust in optometrists, and poor access to eye examinations in local settings. It will also be important to raise public understanding about the purpose of eye examinations in terms of other causes of preventable sight loss and not just refractive error and need for spectacles.

While young adults are at low risk of sight threatening disease, many do benefit from correction of refractive error. There is an argument for reducing the recommended frequency of eye examinations for low risk individuals from the 2 years currently advised. Nevertheless, young adults need to be made more aware of eye health issues, so that optometrists are seen as more than somewhere that sell spectacles. Increasing awareness of eye health in younger adulthood will also be important to ensure that services are appropriately accessed as they get older.

–  Objectives:  To understand European citizens’ opinions on water fluoridation, as part of research on their attitudes to the tensions between private and public interest. Methods:  Sixty‐eight focus groups held (with an average of eight people per group) in September and October 2003 in 16 countries (Austria, Belgium, Denmark, Finland, France, Germany, Greece, Ireland, Italy, Luxembourg, the Netherlands, Poland, Portugal, Spain, Sweden and the UK). Results:  Most participants were against water fluoridation, although groups in Greece, Ireland, Poland and Sweden were more in favour. Many felt dental health was an issue to be dealt with at the level of the individual, rather than a solution to be imposed en masse. While people accepted that some children were not encouraged to brush their teeth, they proposed other solutions to addressing these needs rather than having a solution of unproved safety imposed on them by public health authorities whom they did not fully trust. They did not see why they should accept potential side effects in order that a minority may benefit. In particular, water was something that should be kept as pure as possible, even though it was recognized that it already contains many additives. Conclusions:  While the vast majority of people opposed water fluoridation, this may be indicative of shifts away from public support of population interventions towards private interventions, as well as reduced trust in public agencies. Thus if research were to demonstrate more clear benefits of water fluoridation over and above that which can be achieved by use of fluoride toothpaste, then the public may become more supportive. However, lobby groups are likely to remain influential.

Background: Many biobanks have struggled to deliver on the high expectations and claims made for them because of insufficient samples, inadequate infrastructure, cost of establishing and maintaining a large enough resource over the long term, and satisfying legal, ethics and governance requirements. Increasingly, networks have formed to help with the collection, processing, storage, advertising, and distribution of samples. However, there are also challenges to establishing and maintaining biobank networks. Aim: To classify biobanks in order to better understand the problems faced by biobank networking. Methods: Interviews were conducted with principal investigators and/or managers responsible for 33 biobanks in 9 countries. Results: Biobanks were classified into the following categories: ‘storage’, ‘bring-and-share’, ‘catalogue’, ‘partnership’, ‘contribution’ and ‘expertise’. Conclusion: It was possible to allocate all of the biobanks visited to one of the network categories although some fitted better than others. Thus, the classification may not be mutually exclusive nor encompass all types of biobanks. Many of the governance and operational problems associated with the biobanks visited were due to networking functions: either intra- or inter-biobank networks. Thus, this proposed classification system should help better understand these issues and identify solutions.

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