A drug is only licensed for the medical conditions it was tested to treat in the clinical trials. Drug regulations: • control what drugs a doctor can prescribe
• ensure doctors can prescribe a drug with confidence
• protect patients.
AMD is an eye condition that can result in very poor vision.
Doctors treat approximately 40 000 new cases of AMD each year.
Two drugs licensed to treat AMD in the UK are drug A and drug B.
In many other countries drug C is used to treat AMD.
Drug C is only licensed in the UK to treat cancer.
The cost per injection for each drug is:
• drug A £561
• drug B £800
• drug C £28
The number of injections required to treat AMD is the same for each drug.
In 2018 the High Court in the UK gave permission for drug C to be used to treat AMD.
Evaluate the decision to allow the use of drug C to treat AMD in the UK

Environmental science studies the interactions between the physical, chemical, and biological components of the environment, including their effects on all types of organisms. earth science (also known as geoscience), is an inclusive term for all sciences related to earth (geology, meteorology, oceanogr maphy, etc).  although environmental and earth science cover essentially the same material, environmental science places greater emphasis on the biological realm, while earth science places greater emphasis on the physical realm.    environmental and earth science study the interactions of four major systems or “spheres” (figure 8.6).  the  geosphere  consists of the core, mantle and crust of the earth.the  atmosphere  contains all of the earth’s air and is divided into troposphere, stratosphere, mesosphere, thermosphere and ionosphere.the  hydrosphere  contains all of the solid, liquid and gaseous water on earth, extending from the depths of the sea to the upper reaches of the troposphere where water is found.  ninety-seven percent of the hydrosphere is found in salty oceans, and the remainder is found as vapor or droplets in the atmosphere and as liquid in ground water, lakes, rivers, glaciers and snowfields.  the  biosphere  is the collection of all earth’s life forms, distributed in major life zones known as biomes:   tundra, boreal forest, temperate deciduous forest, temperate grassland, desert, savannah, tropical rainforest, chaparral, freshwater, and marine.although the four systems have their unique identities, there is substantial interaction between them.  environmental scientists study the effects of events in one sphere on the other spheres. for example, a volcanic eruption in the geosphere may cause profound direct and indirect effects on the hydrosphere, atmosphere and biosphere as follows: example 1 (volcano)    on may 18, 1980, mount saint helens, in the state of washington, erupted.  this event altered the surrounding environment, and provided scientists with an opportunity to study the effects of volcanic eruptions on the geosphere, hydrosphere, atmosphere and biosphere.  such studies are vital because volcanic eruptions will continue to occur, and will have increasing impact on humans as people continue to settle lands closer to dormant volcanoes. the following are but a few of the myriad of interactions resulting from a volcanic 

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