personal contacts between clinicians and laboratory staff with an emphasis on clinical relevance and rapid reporting of laboratory results; 3) the consideration of the quality aspects of the work from the start; and 4) keen follow-up of the bacteriologic results and their clinical significance and use, of practical laboratory work, and of quality assurance aspects. In the first two years of its operation, the laboratory identified Streptococcus pneumoniae and Haemophilus influenzae as the most important causes of severe pneumonia, sepsis or meningitis in children less than two years of age, and Salmonella typhi as the most frequent significant isolate from the blood cultures, being found most often in school age children and young adults.One person in the world dies by suicide every 40 seconds, according to the first ever comprehensive report on the issue from the World Health Organisation, which talks of a massive toll of tragic and preventable deaths.

Suicide rates vary enormously from one country to another around the world – influenced by the cultural, social, religious and economic environments in which people live and sometimes want to stop living. Some of the worst affected countries have more than 40 times more suicides than the least affected areas. But the pressures that cause extreme emotional distress are similar everywhere and there are measures all governments can take to make suicide less likely, says the WHO.

Overall, the Geneva-based UN body estimates that there are at least 800,000 suicides a year. But