Success in achieving health information for all by 2015 is doubtful. In developing countries, where the priorities are often survival and improved environmental conditions, computers and the internet are still considered innovations. The Public Health article by Fiona Godlee and colleagues (July 17, p 295)1Godlee F Pakenham-Walsh N Ncayiyana D Cohen B Packer A Can we achieve health information for all by 2015?.Lancet. 2004; 364: 295-300Summary Full Text Full Text PDF PubMed Scopus (157) Google Scholar is information-centred and not client-centred. Some difficulties are underestimated. First, diffusion of innovation has always been a challenge, and the many good ideas that have not succeeded indicate how difficult it is to move people to change.2Rogers EM Diffusion of innovations. 4th edn. Free Press, New York1995Google Scholar For example, the popularisation of bottle feeding among mothers in developing countries contributed directly to widespread infant diarrhoea,2Rogers EM Diffusion of innovations. 4th edn. Free Press, New York1995Google Scholar yet replacement of breast feeding with prepared infant formulas was an excellent objective that was unsuccessful. Can those new technologies for communication and information help to disseminate positive messages and implement better health-care practice? We should consider the recommendations made by Berwick3Berwick D Disseminating innovations in health care.JAMA. 2003; 289: 1969-1975Crossref PubMed Scopus (1359) Google Scholar for promoting innovations in health care that explore three areas of influence: perception of the innovation, characteristics of the individual who might adopt the change, and contextual and managerial factors within organisations. Second, the language issue is not addressed sufficiently. Even if the world could communicate through one language, issues related to history, culture, and social behaviour are important. Godlee and colleagues mention the Latin American initiatives, but surely there also exist other languages and cultures in this communicating world—eg, Asian languages, German, French, etc. Third, the quality of information is well discussed. We have little data about the quality of information on the internet, and cannot conclude that it is poor. However, the flood of information through e-documents does not imply better quality. We already have data4Johnson KR Hester EJ Schilling LM Delavalle RP Addressing internet reference loss.Lancet. 2004; 363: 660-661Summary Full Text Full Text PDF PubMed Scopus (11) Google Scholar that suggest the quality of references is decreasing with increasing use of the internet. Is all information on the internet of poor quality? Finally, information without education in clinical epidemiology could be harmful. Godlee and colleagues present numerous initiatives for teaching critical appraisal. After the 1978 Alma Ata Declaration (Health for all by the year 2000), the International Clinical Epidemiology Network (INCLEN) was established in 1982.5Halstead SB Tugwell P Bennett K The international clinical epidemiology network (INCLEN): a progress report.J Clin Epidemiol. 1991; 44: 579-584Summary Full Text PDF PubMed Scopus (40) Google Scholar The network is based on local organisations in Asia Pacific, Latin America, India, and Africa that adapt the subject matter to be taught to local cultures. After 20 years, insufficient progress has been made, and funding is a key factor for success. Initiatives of foreign counterparts, such as the French Réseau d'Epidémiologie Clinique International Francophone (RECIF) network (http://recif.univ-lyon1.fr/) should be encouraged. Such a model, with local adaptation to different cultures, should be used to disseminate information.