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First, do no harm

Lynton G F Giles
Med J Aust 2014; 200 (5): . || doi: 10.5694/mja13.11172
Published online: 17 March 2014

To the Editor: Maintenance and improvement of physical and mental health should be based on the principle of primum non nocere, meaning “first, do no harm”.


  • School of Public Health, Tropical Medicine and Rehabilitation Sciences, James Cook University, Townsville, QLD.


Correspondence: lgiles3@bigpond.com

Competing interests:

No relevant disclosures.

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  • 2. Mathews JD, Forsythe AV, Brady Z, et al. Cancer risk in 680,000 people exposed to computed tomography scans in childhood or adolescence: data linkage study of 11 million Australians. BMJ 2013; 346: f2360.
  • 3. Berrington de González A, Mahesh M, Kim KP, et al. Projected cancer risks from computed tomographic scans performed in the United States in 2007. Arch Intern Med 2009; 169: 2071-2077.
  • 4. Richards PJ, George J, Metelko M, Brown M. Spine computed tomography doses and cancer induction. Spine (Phila Pa 1976) 2010; 35: 430-433.

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