NINCDS NOTES Cost Estimates for 20 Disorders A free NINCDS folder titled “Neurological& Communicative Disorders: Estimated Numbers and Cost” is now available. The folder gives unofficial estimates of the total cases, mortality, and annual cost of care for 20 chronic neurological and sensory disorders. Case finding is difficult because no formal system exists in the United States for collecting statistics on neurological disorders. Information in this pamphlet therefore was compiled from non-NINCDS sources such as foundations, textbooks, and other reports. (The Institute does have surveys under way to document data in a number of areas.) To order, write to: NINCDSIOSHR, N I H Bldg 31, Room 8A-16, Bethesda, M D 20014. NINCDS Sponsors National Stroke Survey NINCDS is supporting a national study to determine the incidence, prevalence, and cost of stroke. Field workers have begun approaching hospital administrators for data on stroke patients as part of the study, which includes analysis of a national sample of stroke discharges from 124 general short-term hospitals in about 35 regions of the continental United States. A sample of 3,000 hospital records with discharge diagnoses of stroke will be abstracted by professional medical personnel. The data will provide national estimates (by age and sex) of the incidence and prevalence of hospitalized patients with acute stroke; measures of the functional status of these patients; and the economic impact of the disease on the individual, his family, and society. The study should be completed by the end of the year. WHO Members Discuss African Health Needs O n March 28 to April 3 of this year, the World Health Organization sponsored workshops in Abidjan, Ivory Coast (West Africa) on epilepsy, tropical disorders, malnutrition, cerebrovascular disorders, and Parkinson’s disease. Eight NINCDS staff members, including Director Donald B. Tower, MD, attended the meeting to participate in summaries of the state of the art and to develop recommendations for future programs. The participants found that the major problems in Africa’s developing countries are stroke and hypertension, internal parasites, malnutrition, social sanctions against persons with epilepsy, and insufficient immunization against measles, polio, diphtheria, and tetanus. The workshop resulted in the submission to WHO of recommendations for: Education of the lay public and paramedics about epilepsy, stroke, nutrition, etc; professional training of health workers and more neurological specialists Field studies of the extent of epilepsy in several African countries and programs for immunization and bloodpressure screening and control Research on the characteristics of drug actions and immune responses in non-Caucasian persons and in malnourished or parasite-infected persons and studies of drugs and vaccines that will remain stable under tropical conditions Following these workshops, the directors of the W H O Collaborating Centers for Research and Training in the Neurosciences met and recommended two further workshops in Africa to plan an epilepsy and stroke survey and a lay education program. The directors also suggested development of ways to ensure regular distribution of supplies of affordable drugs and vaccines to Africa. Stroke Care Guidelines Published Gzlidelinesfor Stroke Care, designed as a reference handbook for health professionals, is now available. It presents a summary and integration of articles on cerebrovascular disorders that appeared instroke over a three-year period. Topics include medical and surgical management, special procedures and equipment, laboratory tests, nursing care, and rehabilitation. Under contract to NINCDS, it was prepared by the Joint Committee for Stroke Facilities of the American Neurological Association and edited by A. L. Sahs, E. C. Hartman, and S. M. Aronson. Copies can be obtained for $1.70 from: Superintendent of Documents, U.S. Government Printing Office, Washington, DC 20402 (stock no. 017-022-00469-1). Stipends Changed for Teacher-I nvestigators NINCDS has raised the maximum amount of support available to its Teacher-Investigators to $30,000 annually. Support for future teacher-investigators will be based on the amount the candidate is eligible to receive at the grantee institution, but EO more than $30,000. Current T-1 awardees will continue to receive stipends determined at the time the award was made. The amount of support appears on their current Notice of Grant Awarded. Resemch Advdnces Now Available The 1976 edition ofNIH Research Advances is now available. It contains articles on current research topics at each N I H institute, division, and center, including a section on NINCDS research, and is available free. To order a copy, write to: Editorial Operations Branch, NIH/OC, Bldg 31, Room 2B-03, Bethesda, M D 20014. This information is prepared monthly by the Office of Scientific and Health Reports, National Institute of Neurological and Communicative Disorders and Stroke. For further information, write or call: Carolyn Holstein, NINCDSlOSHR, NIH Bldg 31, Room 8A-16, Bethesda, MD 20914; tel: (301) 496-5751.