Many people travel to high-altitude destinations, meaning clinicians are often faced with questions about how to prevent and treat altitude illness. Update your knowledge with this New Zealand Society of Travel Medicine summary of updated evidence-based guidelines with comments by senior lecturer Jenny Visser – it outlines the best prophylactic regimens, diagnostic approaches and treatment protocols for acute altitude illness
The latest issue of the New Zealand Medical Association is out today
The latest issue of the New Zealand Medical Association is out today

Journal of the New Zealand Medical Association (Vol 130 No 1460) 11 August 2017
Editorials
Rheumatic fever as an indicator of child health
Diana Lennon
Not too much; not too little; just right: remediation during medical school
Phillippa Poole
Articles
Emm type distribution of group A streptococcus isolates from the throat swabs of children living in areas with a high (Northland and Gisborne) or low (Palmerston North) incidence of acute rheumatic fever
Noah Mhlanga, Grace Sharp, Mary Nulsen
Medication-related patient harm in New Zealand hospitals
Gillian Robb, Elizabeth Loe, Ashika Maharaj, Richard Hamblin, Mary E Seddon
What is the relationship between visual impairment and cognitive function in octogenarians?
Denise S de Kok, Ruth O Teh, Avinesh Pillai, Martin J Connolly, Tim J Wilkinson, Robert Jacobs, Marama Muru-Lanning, Anna Rolleston, Simon A Moyes, Dieuwke Schiphof, Ngaire Kerse
Is a rheumatic fever register the best surveillance tool to evaluate rheumatic fever control in the Auckland region?
Diana Lennon, Te Aro Moxon, Philippa Anderson, Alison Leversha, Timothy Jelleyman, Peter Reed, Catherine Jackson
Mortality within 30 days of systemic anticancer therapy at a tertiary cancer centre: assessing the safety and quality of clinical care
Michelle Wilson, Weng Mak, Melissa Firth, Sanjeev Deva, Michael Findlay
Predictors of medical student remediation and their underlying causes: early lessons from a curriculum change in the University of Auckland Medical Programme
Brian Grainger, Jill Yielder, Papaarangi Reid, Warwick Bagg
Viewpoint
An in-country model of workforce support for trained mid-level eye care workers in Papua New Guinea and Pacific Islands
Julie Brûlé, Benoit Tousignant, Graeme Nicholls, Matthew G Pearce
Letter
Are young people eating their way to bowel cancer?
Jacqui Keenan, Alan Aitchison, Frank Frizelle