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I congratulate Manjunath et al. for their article that highlights an issue deserving of greater prominence in health care than it currently receives. Glove perforations and associated needle stick injuries are healthcare hazards that place us at risk of catching any of a large number of blood-borne infections, including but not limited to hepatitis B/C and HIV. For surgeons, this risk is particularly greatest in a number of specialties including our own Obstetrics and Gynaecology.2 Potential infection with these agents causes immeasurable emotional suffering for the victim and his or her family and can be associated with significant costs due to the postexpo-sure prophylaxis (and associated drug toxicity) and perhaps the litigation that may follow.