Pages 3, 4, 56 and 57 have sections underlined with blue biro, the rest of the booklet is squeaky clean. "This compilation brings together international ethical codes and declarations relevant to the work of health professionals in the field of human rights.." (introduction) Second edition. Includes a "AMA code of Ethics" pamphlet as a loose insert. 59 pages, please check with us for an accurate postage cost, the booklet will go letter mail.