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Abortion services in the United States, 1984 and 1985.

In 1984 and 1985, the number of abortions, the abortion rate and the abortion ratio stayed at approximately the same levels as in the previous three years. Just under 1.6 million abortions were performed, about three percent of women of reproductive age obtained an abortion, and about 30 percent of pregnancies (excluding those ending in stillbirths and miscarriages) were terminated by abortion. However, the number of abortion providers declined by five percent between 1982 and 1985, and the geographic distribution of abortion services continued to be markedly uneven. Eighty-two percent of all U.S. counties--50 percent of those classified as metropolitan and 91 percent of those classified as nonmetropolitan--lacked an abortion provider in 1985. The long-term trend away from hospital abortions persisted during the period: Eighty-seven percent of the abortions performed in 1985 were done in nonhospital facilities, an increase of five percentage points over the 1982 level. Although abortion clinics constituted only 15 percent of all providers, they were responsible for 60 percent of the procedures performed in 1985. Among all abortion facilities, only 43 percent provided services to women after the 12th week of pregnancy. Abortion clinics were far more likely to offer second-trimester procedures than were other types of abortion providers (75 percent, compared with 13-50 percent). As of mid-1986, charges for a first-trimester nonhospital abortion ranged from $75 to nearly $900. The average amount paid was $213. In 1985, only 39 percent of nonhospital abortion facilities accepted state reimbursement for abortions provided to low-income women, and only 55 percent of facilities offered some reduction in charges to such women.

Abortion Applicants↗

Hypertension and health education intervention in the Caribbean: a public health appraisal.

Epidemiologic data on morbidity and mortality have established hypertension and its related diseases as posing a public health problem for the developing world.In the case of the Caribbean region, the increasing magnitude of the hypertension problem is complicated further by the region's fiscal crisis-its low cash availability for health expenditures and the concomitant experience in infectious diseases. Given these problems, it is reasoned that health education as an intervention approach is the only practical method to employ to address the problem of improved control of hypertension. The success of any such health education program will depend on, among other things, the framework used to guide the program, the population targeted on the basis of defined levels of arterial blood pressure and at-risk characteristics, and the specifics (ie, cultural, pharmacological, nonpharmacological, and motivational) of the message to be disseminated.

Developing Countries↗

Alterations in clinical chemistry levels associated with the dyslipoproteinemias. The Lipid Research Clinics Program Prevalence Study.

Mean blood levels of eight components of clinical chemistry and the proportion of participants with abnormal chemistry values were calculated for persons with six dyslipoproteinemias (DLPs) and compared with findings from normolipidemic participants in 10 defined North American Lipid Research Clinics Program study populations. Most of the significant differences in mean chemistry levels were in persons with type IIB and IV DLP, and were characterized by higher mean levels of serum alkaline phosphatase, glucose, SGOT, and uric acid, and by lower mean levels of total bilirubin and thyroxine. Similarly, persons with type IIB and IV DLP were more likely to have significantly increased percentages of abnormal clinical chemistry values than were normolipidemics, but for a given chemistry this was rarely over 10% to 15% higher. With the exception of some participants with types IIB and IV DLP, the DLPs detected in these study populations were not associated with a substantial prevalence of abnormal clinical chemistry values and, by inference, were not frequently associated with the diseases or metabolic abnormalities for which these chemical abnormalities are indicators.

Adult↗

A national monitoring system for congenital malformations in Israel.

In 1976 the Department of Maternal and Child Health in Israel established, at minimum cost, a national system for reporting of congenital malformations. The system is based on hospital reporting of all live births through a special form attached to the live birth certificate. Compliance of reporting has reached 80 to 90%. Data obtained are tabulated and circulated monthly. It was found that forms that were received later reported a relatively higher percentage of congenital anomalies.

Birth Certificates↗