The more people use antibiotics the less effective they become and you get more resistance to other bugs as well so I think there's obviously a fine line here. Tim could we talk maybe just about the strep for a minute just about I guess your perspective given what Sharani was saying as well about I guess antibiotics with strep A. yeah things have definitely got changed the last few years as people don't want to wait and queue up for hours and hours to emerge to doctor, he says.

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