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REFUGEES – Indochinese refugee arrivals in the United States with suspected tuberculosis

and cases counted in 1980 – continued

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Based on diagnostic status at the end of the calendar year, regardless of entry date or overseas certification status.

Indochinese refugees are medically screened in Southeast Asia before traveling to the United States and other countries. Upon arrival at U.S. ports of entry, suspected cases of tuberculosis are referred to the appropriate state and local health departments.

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Reported cases by month of onset of prodrome, United States,

December 1976-November 1980

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The temporal association seen in previous years between Reye syndrome and influenza B was present again in 1980. The 548 cases of Reye syndrome reported in 1980 was the largest total received by CDC since yearly national surveillance began. Eightythree percent (420/506) of the Reye syndrome cases occurred between November 25, 1979-April 18, 1980. Cases began increasing approximately the same time as influenza B isolates were identified by collaborating World Health Organization laboratories in the United States. Influenza B isolates and Reye syndrome cases both peaked the week ending February 8, 1980. Varicella-related Reye syndrome cases occurred sporadically throughout the year. Sixty-three percent (55/87) of all varicella-associated cases occurred during the late winter, early spring-the peak varicella season.

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SURGICAL STERILIZATION - Hysterectomy rates' for women aged 15-44 by selected

demographic variables, United States, 1970-1978

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According to data from the National Hospital Discharge Survey, an estimated 3.5 million women ages 15-44 had hysterectomies in United States short-stay hospitals between 1970 and 1978. Hysterectomy is the second most frequently performed intra-abdominal surgical procedure (following tubal sterilization) among women ages 15-44. Compared with other regions, women in the South had the highest hysterectomy rates while women in the Northeast had the lowest rates. Women ages 35-44 had the highest hysterectomy rates among reproductive-age women (15-44), while black women generally had higher rates than white women. Of women ages 15-44 who had had hysterectomies in 1978, 25% had vaginal hysterectomies while 75% had abdominal procedures.

SURGICAL STERILIZATION

SURGICAL STERILIZATION – Hysterectomies performed in hospitals* on women

ages 15-44, by year, United States, 1970-1978

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SURGICAL STERILIZATION – Tubal sterilizations performed in hospitals,*

United States, 1970-1978

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SURGICAL STERILIZATION - Tubal sterilization rates' for women aged 15-44 by selected

demographic variables, United States, 1970-1978

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According to data from the National Hospital Discharge Survey, between 1970 and 1978 an estimated 4.25 million women ages 15-44 had tubal sterilizations in United States short-stay hospitals. From 1970 to 1977 the number of sterilizations increased from 201,000 to 702,000. In 1978, 653,000 tubal sterilizations were performed. In 1978, the number of sterilizations performed in hospitals decreased for the first time. Currently, tubal sterilization is the most frequently performed intraabdominal surgical procedure performed on reproductive-age women. Tubal sterilization rates were comparable in all regions of the country except the West for which the rates were consistently lower. Women ages 25-34 had the highest sterilization rates. The average age at the time of sterilization is about 30 years old. Rates for black women were generally higher than those for white women. Since 1973, more than half of the sterilizations done in hospitals have been interval procedures, i.e., they were performed on women who were not pregnant on hospital admission. In 1978, 51% of the interval sterilizations were done with a laparoscope. During the period 1976-1978, 115,000 women had sterilizations on an out-patient basis in hospitals, i.e., they were admitted, had surgery, and were discharged on the same day.

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