Surgical approach - thoracal or abdominal – to Morgagni hernias is controversial. In the authors' experience, the abdominal approach was successful. Its advantages are, feasibility in reducing intra-abdominal organs, ability to operate on bilateral hernias, no chest tube placement and little or no pulmonary complications.

An observational cross-sectional study of seatbelt utilization conducted in Kingston, Jamaica, showed 81.2% utilization by private motor vehicle drivers and 74.0%, by front seat passengers. This was significantly improved compared to 21.1% and 13.6% respectively in 1996, before the introduction of legislation in 1999 (p < 0.001). Females were significantly more likely than males to wear seat belts, both when driving (92.5% vs 77.3%; p < 0.001) and as front seat passengers (79.9% vs 66.3%; p < 0 001).

This paper presents the results of an anthropometric survey in one public and two private homes for the elderly in Guyana and of a food intake survey in two private homes.