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January 28, 1998

Antibiotic Prescribing and Respiratory Tract Infections

Author Affiliations

Margaret A.WinkerMD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Senior EditorIndividualAuthor

JAMA. 1998;279(4):271-273. doi:10.1001/jama.279.4.271

To the Editor.—The issues of antibiotic abuse and overuse need to be addressed at the international level. However, the analysis by Dr Gonzales and colleagues1 stops at the border. Persons of both Mexican and non-Mexican descent frequently cross the US-Mexico border to purchase over-the-counter antibiotics in Mexico. Despite the illegality of this practice in the United States, regulations are easily bypassed by not declaring the drugs at the border. In fact, pharmaceuticals are not listed as an item needing to be declared to customs on return to the United States.

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