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alcohol should not only have a beneficial effect on homocysteine levels, but most have long been accepted as offering a benefit to patients with regard to atherosclerotic disease prophylaxis. Innovative ways of promoting such a lifestyle need to be found. Accepting the difficulty regarding the latter, the hopeful enthusiasm for yet another ‘pill’ and widespread vitamin food fortification programmes in an effort to reduce vascular occlusive disease can be easily understood.

Ethical issues in voluntary HIV testing in a high-prevalence area--the case of Malawi.