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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.
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