dmcanzi@watserv1.waterloo.edu (David Canzi) (03/16/91)
Medical News for week March 1 to March 10, 1991
Copyright 1991: USA TODAY/Gannett National Information Network
Reproduced with Permission
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March 4, 1991
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AIDS FINDING:
Heme, the pigment that makes blood red, reduces the amount of AZT needed to
slow the growth of the AIDS virus in a test tube, says a study in Proceedings
of the National Academy of Sciences. AZT in high doses can damage bone marrow
and cause anemia and bleeding. Many patients who take it need transfusions.
(From the USA TODAY Life section.)
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March 6, 1991
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DRUG APPROVED:
The Food and Drug Administration Tuesday approved a form of a new drug that
helps prevent infections among chemotherapy patients. GM-CSF (granulocyte
macrophage colony stimulating factor) accelerates growth of bone marrow,
production site of white blood cells. Chemotherapy kills infection-fighting
white blood cells along with cancer cells.
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March 8-10, 1991
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AIDS RESEARCH CAN BE BETTER:
Government AIDS research is on the right track, but should be better
coordinated, planned and funded, says a report card delivered Thursday to a
congressional committee. Recommendations for the National Institutes of
Health: Strengthen communication and planning among all those directing AIDS
studies; and seek a 25 percent increase in the current $800 million AIDS
budget.
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Center for Disease Control Reports
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Morbidity and Mortality Weekly Report
Thursday February 28, 1991
Epidemiologic Notes and Reports
Transmission of Multidrug-Resistant Tuberculosis
from an HIV-Positive Client
in a Residential Substance-Abuse Treatment Facility --
Michigan
In November 1989, a man with a history of intravenous (IV)-drug use first
presented to the tuberculosis (TB) clinic of the Muskegon County (Michigan)
Health Department (MCHD). The patient indicated that he had been treated for
pulmonary TB in another city, and he produced for clinic staff his labeled
medications, which included isoniazid (INH), rifampin (RIF), and ethambutol
(EMB). The patient also stated that he was an IV-drug user (IVDU) and
previously had tested positive for human immunodeficiency virus (HIV)
infection. Sputum specimens for acid-fast bacilli (AFB) were obtained, and the
patient was maintained on his anti-TB medications. His HIV-antibody status was
confirmed.
The patient was living in a residential substance-abuse treatment facility
in Michigan after moving from a large northeastern city. This treatment
facility recruits persons from the northeast who have a history of IV-drug use
and offers them a prescribed rehabilitation program of 1 year's duration;
however, the facility's attrition rate is high, and no health screening
program is in place at the facility.
One week after the initial visit, one of the sputum specimens was reported
smear-positive for AFB. A follow-up chest radiograph of the patient revealed a
pulmonary infiltrate with a cavitary lesion. Three weeks later, culture of the
sputum specimen yielded Mycobacterium tuberculosis resistant to INH, RIF, and
EMB. Subsequently, the patient's prior medical records arrived at the TB
clinic, confirming his HIV status and his treatment for TB since March 1988;
these records also indicated that M. tuberculosis isolated from his sputum
previously had been resistant to INH. Because the patient could not be
properly isolated in the residential facility, he was transferred to a
hospital.
Because of concerns regarding the potential for TB transmission in the
residential facility, the MCHD conducted a TB contact investigation in the
facility. Its rehabilitation program involves close interaction among clients
and staff. Clients are housed in a two-story building that contains several
large, crowded dormitories for sleeping. Ventilation is provided by opening
windows and doors, rather than through a central system, and heat is provided
by steam radiators.
Of the 160 clients and staff who were identified as contacts to the index
patient, 146 were tuberculin skin tested with 5 tuberculin units of purified
protein derivative (PPD) using the Mantoux technique. Of the 14 persons not
tested, 10 had histories of tuberculin skin-test positivity, and four had left
the facility. The skin tests were read at 48 hours for 140 of the tested
persons (six residents did not return for reading). Of the 140 persons, 16
(11%) had reactions of greater than or equal to 5 mm and were considered skin-
test positive.
In March 1990, MCHD personnel returned for follow-up skin testing of 70
persons who were previously skin-test negative and were still present in the
facility. Of these, 15 (21%) were positive (i.e., skin-test converters), 54
(77%) remained negative, and one (1%) person had left the facility before
having his test read. Fourteen of those with documented skin-test conversions
were residents of the facility, and one was a staff member.
Chest radiographs were obtained for all persons with a positive skin test,
including those positive by history alone. Although no additional cases of
clinical TB were identified, the investigation identified a total of 31 skin-
test positive persons and a documented skin-test conversion rate of 22% (15/69
tested).
Reported by: DE Hoch, MD, Muskegon County Health Dept; KR Wilcox, Jr, MD,
State Epidemiologist, Michigan Dept of Public Health. Div of Tuberculosis
Elimination, Center for Prevention Svcs, CDC.
Editorial Note: Even before the HIV epidemic, IVDUs were reported to be at
high risk for developing TB (1). In IVDUs who are coinfected with HIV and M.
tuberculosis, however, the risk of developing clinically active disease is
substantially increased and may be as high as 7% per year (2). In several
areas, HIV infection among IVDUs accounts for much of the HIV-associated
increase in TB (3,4).
In Muskegon County, a patient with multidrug-resistant TB infected at least
15 and possibly as many as 31 persons. However, the number of skin-test
converters identified in this investigation may underestimate the true number.
Although the HIV-antibody status of residents of the substance-abuse facility
was unknown, the clients were at high risk for HIV infection; HIV-related
delayed type hypersensitivity (DTH) anergy may have decreased skin-test
reactivity to PPD tuberculin (5). In addition, nearly half of the clients who
were initially skin-test negative were not available for repeat evaluation.
Federal regulations require tuberculin skin testing of IVDUs before they
are admitted to treatment programs (6). Given the substantial risk for TB and
the potential for its prevention, substance-abuse programs should perform a
skin test and record the diameter of induration on each new enrollee, as well
as on persons who are already enrolled but have not been tested. Persons with
a tuberculin skin test of greater than or equal to 5 mm induration should be
further evaluated for clinical TB and, if disease is present, treated
according to current guidelines. If clinical disease is ruled out and exposure
to drug-sensitive M. tuberculosis is assumed, known and suspected HIV-infected
persons, regardless of age, with a tuberculin reaction of greater than or
equal to 5 mm should receive 12 months of INH preventive therapy, unless
medically contraindicated; all HIV-seronegative IVDUs with a reaction of
greater than or equal to 10 mm should receive 6 months of INH (7). All
consenting IVDUs and their sex partners should receive counseling and HIV-
antibody testing (8).
Because of apparent PPD anergy among some asymptomatic persons with HIV
infection, HIV-infected persons should be evaluated for DTH anergy in
conjunction with PPD tuberculin testing. This recommendation is particularly
important for persons at increased risk for tuberculous infection (e.g.,
recent contacts of a person with infectious TB). Companion testing with two
DTH skin test antigens is recommended; mumps, Candida, and tetanus toxoid
antigens administered by the Mantoux method are preferred. Guidelines for
anergy testing in HIV-infected persons are being developed. Anergic HIV-
seropositive persons who are known contacts of patients with infectious TB
should be considered for preventive therapy once active TB has been ruled out.
The usual approach to managing persons recently infected with M.
tuberculosis is to administer INH preventive therapy for 6-12 months (9). In
Muskegon County, however, the infected contacts were presumably infected with
organisms resistant to INH and RIF. No drug regimens have proven effective in
preventing progression to disease in persons infected with multidrug-resistant
TB. This outbreak and others (10) highlight the need for alternative
preventive therapy regimens in such instances.
The findings from the investigation in this report underscore the needs to:
1) immediately isolate and treat institutionalized persons suspected of having
infectious TB and rapidly initiate a contact investigation when the diagnosis
of TB is first considered (e.g., sputum smear is positive for AFB), rather
than when it is confirmed by identification of the organisms on culture (11);
2) suspect drug-resistant TB in a patient who remains sputum smear-positive
despite therapy for greater than 3 months; and 3) develop rapid diagnostic
tests to identify M. tuberculosis and to perform drug-susceptibility studies
(12). Finally, medical information about a patient who is under a health
department's care and who relocates should be expeditiously communicated to
the health department in the patient's new jurisdiction.
References
1. Reichman LB, Felton CP, Edsall JR. Drug dependence, a possible new risk
factor for tuberculosis disease. Arch Intern Med 1979;139:337-9.
2. Selwyn PA, Hartel D, Lewis VA, et al. A prospective study of the risk of
tuberculosis among intravenous drug users with human immunodeficiency virus
infection. N Engl J Med 1989; 320:545-50.
3. CDC. Tuberculosis and acquired immunodeficiency syndrome--New York City.
MMWR 1987;36:785-90,795.
4. Sunderam G, McDonald RJ, Maniatis T, et al. Tuberculosis as a
manifestation of the acquired immunodeficiency syndrome (AIDS). JAMA
1986;245:362-6.
5. Robert CF, Hirschel B, Rochat T, et al. Tuberculin skin reactivity in HIV-
seropositive intravenous drug addicts (Letter). N Engl J Med 1989;321:1268.
6. Food and Drug Administration/National Institute on Drug Abuse. Methadone
in maintenance and detoxification; joint proposed revision of conditions for
use; proposed rule. Federal Register 1987;52:37046-61. (21 CFR Part 291).
7. CDC. Tuberculosis and human immunodeficiency virus infection:
recommendations of the Advisory Committee for the Elimination of Tuberculosis.
MMWR 1989;38:236-8,243-50.
8. CDC. Public Health Service guidelines for counseling and antibody testing
to prevent HIV infection and AIDS. MMWR 1987;36:509-15.
9. American Thoracic Society/CDC. Treatment of tuberculosis and tuberculosis
infection in adults and children. Am Rev Respir Dis 1986;134:355-63.
10. CDC. Nosocomial transmission of multidrug-resistant TB to health-care
workers and HIVinfected patients in an urban hospital--Florida. MMWR
1990;39:718-22.
11. CDC. Guidelines for preventing the transmission of tuberculosis in health-
care settings, with special focus on HIV-related issues. MMWR 1990;39(no. RR-
17).
12. Brisson-Noel A, Lecossier D, Nassif X, et al. Rapid diagnosis of
tuberculosis by amplification of mycobacterial DNA in clinical samples. Lancet
1989;2:1069-71.
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Black Bag Medical BBS list
==========================
Copyright 1991 - Edward Del Grosso M.D.
Current as of 02/25/91
The following list is a list of medical, fire/EMS, science, alcohol, AIDS
and disABILITY related bulletin board systems. All have been checked within
the last twenty five days. You are granted the right to distribute the list in
electronic form as long as it remains UNALTERED. Please remember how much
time and effort goes into this and abide by this simple yet unenforceable
request. Also, please check out the comments at the end of the list.
Enjoy,
Edward Del Grosso M.D.
Black Bag BBS (150/140) 302-731-1998
CIS 71565,1532
Genie : E. DELGROSSO
BIX : DELGROSSO
Name Number Baud Codes PCP LastCall
==========================================================================
***** TOLL FREE *****
NBIAP 800-624-2723 2400 8N1 S 02/15/91
Don's Dental Service 800-228-5124 2400 8N1 Y 02/15/91
***** ALABAMA *****
SE Alabama Medical Center 205-793-8041 2400 8N1 02/08/91
***** ALASKA *****
Alaska EMS 907-789-1694 2400 8N1 F 02/01/91
***** ARIZONA *****
St.Joseph Hospital (114/15) 602-235-9653 2400 8N1 AZPHO 02/16/91
ARMA 602-246-6517 2400 8N1 AZPHO 02/16/91
Special Needs 602-253-5325 2400 8N1 D AZPHO 02/02/91
Reach Out 602-750-0241 2400 8N1 D 02/23/91
***** ARKANSAS *****
Firehouse 501-364-8731 2400 8N1 F 02/02/91
AHEC South Arkansas Medical 501-862-8711 2400 8N1 02/05/91
***** CALIFORNIA *****
LifeLine 213-398-5433 2400 8N1 R CALAN 02/09/91
Twelve Steps BBS (102/744) 213-653-4077 2400 8N1 R CAGLE 02/16/91
Medical Ed Support (102/722)213-824-3780 2400 8N1 CALAN 02/21/91
UCLA DAIMP Drug Abuse 213-825-3736 2400 8N1 R CALAN 02/09/91
Shrink Tank 408-257-8131 2400 8N1 P CASJO 02/02/91
Non Smokers BBS 408-298-4277 2400 8N1 CASJO 02/08/91
24 Hours a Day (143/302) 408-448-1126 2400 8N1 R CASJO 02/16/91
Higher Powered 408-737-9447 2400 8N1 R CASJO 02/05/91
MacScience BBS (143/36) 408-866-4933 2400 8N1 S CASJO 02/05/91
Recovery (125/9) 415-255-2188 2400 8N1 R CAOAK 02/21/91
Blink Connection 415-276-4121 2400 8N1 D CAOAK 02/18/91
Chemist's Comport (125/190) 415-359-6036 2400 8N1 C CASFA 02/20/91
Children's Hospital 415-428-3039 1200 8N1 CAOAK 02/01/91
California State EMS 415-499-7891 2400 8N1 F CASFA 02/01/91
AIDS Info BBS 415-626-1246 2400 8N1 A CAOAK 02/01/91
Disabled Children 415-642-7387 8N1 D CAOAK GONE
OASIS (125/32) 415-658-5397 2400 8N1 CAOAK 02/09/91
Nightingale (10/475) 415-731-2422 2400 8N1 N CASFA 02/02/91
Friends of Bill W. 415-833-1780 300 8N1 R 02/02/91
AIDS Action BBS (125/10) 415-863-9718 2400 8N1 A CAOAK 02/02/91
FOG City 415-863-9697 2400 8N1 A CAOAK 02/02/91
Baytalk 415-864-6430 2400 8N1 D CAOAK 02/01/91
Jandel Scientific 415-924-5443 2400 8N1 S CASFA 02/01/91
Digex SDCS Disabled 619-454-8078 2400 8N1 D CASDI 02/09/91
Medical Management 619-532-9183 8N1 CASDI GONE
Balboa Naval Hospital BBS 619-532-8022 2400 8N1 CASDI 02/02/91
Survival Forum (125/7) 707-545-0746 2400 8N1 F 02/01/91
911 EMS 707-664-1639 2400 8N1 F 02/01/91
12 & 12 Anonymous (103/200) 714-539-8644 2400 8N1 R CASAN 02/01/91
Global Med Tek 714-645-0141 2400 8N1 E CASAN 02/14/91
Beckman Inst (103/224) 714-773-8818 2400 8N1 L CASAN 02/01/91
FireHouse 714-790-0079 2400 8N1 F CACOL 02/21/91
LLUMC Medical Lib (10/211) 714-824-4328 2400 8N1 CACOL 02/01/91
The Body Shop BBS (103/925) 714-830-5759 2400 8N1 CASAN 02/18/91
MED BBS 714-831-4508 2400 8N1 CASAN 02/14/91
WellSpring 714-856-7996 2400 8N1 CASAN 02/02/91
WellSpring Node 2 714-856-5087 2400 8N1 CASAN 02/16/91
COMPSEA (207/106) 714-865-8586 2400 8N1 02/09/91
Calif Self Help (103/227) 714-952-2110 2400 8N1 P CASAN 02/20/91
Dr B's BBS 818-347-2845 2400 8N1 02/02/91
San Gabriel Fireman 818-915-2708 2400 8N1 F 02/08/91
The ARB Research Bulletin 916-324-6997 2400 8N1 CASAC 02/01/91
PrevNet 916-327-9534 2400 8N1 R CASAC 02/01/91
RBBS BioMed 916-362-4298 2400 8N1 E CASAC 02/09/91
Dead Lights 916-923-5459 2400 8N1 D CASAC 02/04/91
The Broken Rose 916-971-0589 2400 8N1 D CASAC 02/01/91
***** COLORADO *****
Nurse Link (104/52) 303-270-4936 2400 8N1 N CODEN 02/01/91
Fantasy Mountian (104/809) 303-278-8369 2400 8N1 D CODEN 02/05/91
New Age Bulletin Board 303-366-1106 2400 8N1 CODEN 02/01/91
The Watch Desk (104/66) 303-450-0822 2400 8N1 F CODEN 02/09/91
NVFC FireWatch (104/747) 303-452-0105 2400 8N1 F CODEN 02/21/91
CSHP 303-791-3402 2400 8N1 M CODEN 02/01/91
Deaf Net BBS 303-989-9245 2400 8N1 D CODEN 02/18/91
SCI Line (128/48) 719-578-9127 2400 8N1 S 02/01/91
Fire Net Leader (128/16) 719-591-7415 2400 8N1 F 02/09/91
School for the Deaf/Blind 719-632-8180 2400 8N1 D 02/04/91
***** CONNECTICUT *****
Handicap News (141/420) 203-337-1607 2400 8N1 D 02/16/91
Hippocampus BBS (141/205) 203-484-4621 2400 8N1 02/02/91
***** DELAWARE *****
Black Bag BBS (150/140) 302-731-1998 2400 8N1 ALWAYS !
Delfire BBS (150/250) 302-739-6757 2400 8N1 F 02/01/91
***** DISTRICT OF COLUMBIA *****
Science Line 202-265-4496 2400 8N1 S DCWAS 02/09/91
Science Line 202-328-5853 2400 8N1 S DCWAS 02/09/91
ACOG 202-479-0005 2400 8N1 X DCWAS 02/01/91
Synapse (109/110) 202-543-9176 2400 8N1 D DCWAS 02/21/91
American Inst of Bio. Sci. 202-628-2427 2400 8N1 B DCWAS 02/01/91
Science Resources (NSF) 202-634-1764 2400 8N1 S DCWAS 02/18/91
State and Local EMS 202-646-2887 2400 8N1 F DCWAS 02/02/91
The Steps of DC (109/133) 202-659-5270 1200 8N1 R DCWAS 02/09/91
PIE 202-872-9141 2400 8N1 P DCWAS 02/01/91
American Psychological 202-955-7724 8N1 P DCWAS GONE
***** FLORIDA *****
CG Medterm (135/8) 305-444-5615 2400 8N1 FLMIA 02/01/91
InnerSight Connect (369/19) 305-480-6758 2400 8N1 D 02/01/91
Hearing Aid 305-653-2589 2400 8N1 D FLMIA 02/15/91
FIU Sci BBS (135/73) 305-940-5740 2400 8N1 S FLMIA 02/01/91
The Firehouse BBS (135/53) 305-948-4382 2400 8N1 F FLMIA 02/16/91
Nurses Corner (363/15) 407-299-4762 2400 8N1 N FLORL 02/02/91
The Firehouse BBS (3609/8) 407-439-0341 2400 8N1 F 02/02/91
C. Florida Psych (363/52) 407-645-1658 2400 8N1 P FLORL 02/09/91
Central Florida TDD Info 407-657-7011 300 8N1 D FLORL 02/02/91
UCF Health Topics (363/507) 407-281-5522 8N1 FLORL GONE
Addiction 407-969-2475 2400 8N1 R 02/20/91
Entropy 813-264-6344 2400 8N1 S FLTAM 02/09/91
Stetson Legal AIDS 813-345-8208 8N1 A GONE
Macnet/Mednet 813-377-7032 2400 8N1 02/21/91
Sight and Sound 813-399-1271 2400 8N1 O 02/18/91
The Program BBS 813-862-7946 2400 8N1 R 02/12/91
Medlink (3600/3) 904-431-1575 2400 8N1 02/01/91
EMS Database 904-487-6752 2400 8N1 F 02/01/91 %
Fl Archeology BBS 904-488-6186 2400 8N1 02/09/91
***** GEORGIA *****
Atlanta Medical Forum 404-351-9757 2400 8N1 GAATL 02/01/91
CDC Aids Info Line 404-377-9563 2400 8N1 A GAATL 02/01/91
HI Powerered 404-491-9408 2400 8N1 R GAATL GONE
CEAM (370/50) 404-546-3402 2400 8N1 F 02/16/91
Dentistry Today 404-587-2362 2400 8N1 Y GAATL 02/09/91
MedStat 404-728-0452 2400 8N1 F GAATL 02/01/91
Total Recall 404-920-0621 1200 8N1 R GAATL 02/08/91
EMS BBS 912-264-8737 2400 8N1 F 02/08/91
Middle GA Med.For (3611/5) 912-477-8741 2400 8N1 02/02/91
***** ILLINOIS *****
Check Source (233/13) 217-244-6954 2400 8N1 S 02/20/91
The Cloud Chamber (233/15) 217-367-8429 2400 8N1 S 02/05/91
RBBS Biomed 312-227-7455 8N1 E ILCHI GONE
COPH 2 (115/778) 312-286-0608 2400 8N1 D ILCHI 02/21/91
CansurLink BBS 312-440-7050 2400 8N1 ILCHI 02/18/91
ENA BBS 312-649-0490 2400 8N1 N ILCHI 02/18/91
I CAN (115/738) 312-736-7388 2400 8N1 D ILCHI 02/09/91
Med First 708-429-9160 2400 8N1 ILCHI 02/01/91
Cope (115/777) 708-790-0187 2400 8N1 D ILCHI 02/01/91
Hazardous Management 708-972-3275 2400 8N1 F ILCHI 02/09/91
***** INDIANA *****
Special Needs 219-659-0112 2400 8N1 D 02/16/91
Testing Station 317-846-8917 1200 8N1 P 02/09/91
OpLine BBS (11/15) 812-477-9607 2400 8N1 02/10/91
***** IOWA *****
Anesthesiology BBS 319-353-6528 2400 8N1 G 02/01/91
Hemophilia (283/356) 319-356-1632 2400 8N1 02/11/91
***** KANSAS *****
Physical Therapy 913-362-5733 2400 8N1 MOKCI 02/18/91
Doc Talk 913-588-1998 2400 8N1 MOKCI 02/20/91
***** KENTUCKY *****
SciBoard 502-588-0864 2400 8N1 S 02/18/91
Fido Racer (11/301) 502-762-3140 2400 8N1 D 02/05/91
Science Spoken Here 606-233-5413 2400 8N1 S 02/06/91
***** LOUISIANA *****
NIX BBS 318-231-5621 8N1 N GONE
VICE (396/8) 504-286-7294 8N1 D GONE
Tulane Med Center AIDS 504-584-1654 2400 8N1 A 02/06/91
Tulane Medical Center 504-588-5743 2400 8N1 02/06/91
The Fire Scene (390/2) 504-641-4789 2400 8N1 F 02/08/91
LA Medsig (396/28) 504-738-7080 2400 8N1 02/17/91
Resource Access (396/42) 504-897-9204 1200 8N1 02/02/91
***** MAINE *****
Maine EMS 207-289-5336 1200 8N1 F 02/02/91
National Assoc. EMS 207-326-8800 2400 8N1 F 02/12/91
***** MARYLAND *****
MIEMSS 301-328-3842 2400 8N1 F 02/04/91
Maryland Med Sig (261/1039) 301-332-7386 2400 8N1 02/03/91
Nutrition BBS 301-436-5078 2400 8N1 DCWAS 02/16/91
FDA BBS 301-443-7496 2400 8N1 M DCWAS 02/09/91
Science Lab 301-466-0949 2400 8N1 S 02/21/91
Maryland Fire (261/1047) 301-536-1935 2400 8N1 F 02/18/91
ABE NET 301-587-5623 2400 8N1 W DCWAS 02/09/91
EPA Superfund and Hazard 301-589-8366 2400 8N1 F DCWAS 02/20/91
HEX TDD 301-593-7033 300 8N1 D DCWAS 02/12/91
HEX 301-593-7357 1200 8N1 D DCWAS 02/01/91
Nerve Center (261/1000) 301-655-4708 2400 8N1 D 02/01/91
PharmNet (ASHP) 301-657-2617 2400 8N1 M DCWAS 02/09/91
Trilogy (261/220) 301-880-0965 2400 8N1 02/08/91
Pi Squared 301-794-8316 2400 8N1 S DCWAS 02/01/91
The Fire Station (261/1044) 301-866-8613 2400 8N1 F 02/14/91
Braille Inn (261/1089) 301-879-4027 2400 8N1 D 02/02/91
CFRBBS 301-921-6302 2400 8N1 F DCWAS 02/01/91
BBS Mumps 301-948-6825 2400 8N1 DCWAS 02/09/91
The Idea Link (109/432) 301-949-5764 2400 8N1 W DCWAS 02/01/91
Oprey's Nest 301-989-9036 2400 8N1 DCWAS 02/11/91
***** MASSACHUSETTS *****
The FireHouse (321/223) 413-445-7198 1200 8N1 F 02/07/91
Physics Forum (321/110) 413-545-1959 2400 8N1 S 02/07/91
Fire House BBS (101/440) 508-287-0245 1200 8N1 F 02/08/91
Chronic Fatigue 508-468-6208 2400 8N1 02/11/91
Fire Plug (322/710) 508-699-9357 2400 8N1 F 02/16/91
Boston Gas 617-235-6303 2400 8N1 G MABOS 02/08/91
EFFIGY 617-288-1117 2400 8N1 W MABOS 02/21/91
CSR Net (101/650) 617-353-5377 2400 8N1 P MABOS 02/18/91
Mass. Comm. for the Blind 617-451-5327 2400 8N1 D MABOS 02/23/91
VI/BUG (101/460) 617-767-2909 2400 8N1 D 02/09/91
***** MICHIGAN *****
4 Sights Network 313-272-7111 2400 8N1 D MIDET 02/06/91
Blind Ambition 313-651-4009 2400 8N1 D 02/08/91
Reierson Chiropractic 313-661-3596 2400 8N1 02/19/91
Psych Forum 517-353-2003 2400 8N1 P 02/12/91
Bloom County Hosp (228/26) 616-361-8345 2400 8N1 02/02/91
Intensive Care (139/940) 906-428-3250 2400 8N1 02/01/91
Social Work BBS 906-774-8555 2400 8N1 W 02/16/91
***** MINNESOTA *****
Medical Software (292/53) 507-281-1989 2400 8N1 02/21/91
MN Sci Net 612-894-3967 8N1 S MNMIN GONE
***** MISSOURI *****
The Bios BBS (289/3) 314-443-2668 2400 8N1 S 02/04/91
Optometry Online (100/514) 314-553-6475 2400 8N1 O MOSLO 02/19/91
St. Louis Medical 314-776-4110 2400 8N1 MOSLO 02/16/91
Science Center BBS 314-882-3874 8N1 S GONE
Doc in the Box (289/8) 314-893-6099 2400 8N1 02/21/91
Medical Mile (289/8.2) 417-863-1327 2400 8N1 02/09/91
Blindsight 816-254-9116 2400 8N1 D MOKCI 02/08/91
****** NEBRASKA *****
National Bio Med (285/663) 402-559-6023 2400 8N1 E 02/18/91
**** NEW HAMPSHIRE ***
Easy Does It (132/131) 603-228-0705 2400 8N1 R 02/04/91
Emergency Net (132/144) 603-529-1948 2400 8N1 F 02/15/91
***** NEW JERSEY *****
Science and Technology 201-391-7743 2400 8N1 S 02/06/91
Medical Library 201-456-6444 2400 8N1 NJNEW 02/05/91 #
The Biomedical Engineering 201-596-5679 2400 8N1 E NJNEW 02/09/91
Chuck's Attempt 201-729-2602 2400 8N1 D 02/01/91
ASCRS Research Foundation 201-746-0614 8N1 NJNEW GONE
FMBA 609-522-4965 2400 8N1 F 02/18/91
***** NEW MEXICO *****
NASW (305/101) 505-646-2868 2400 8N1 W 02/14/91
***** NEW YORK STATE *****
Engine House (260/315) 315-451-7148 2400 8N1 F 02/03/91
Brookhaven National Labs 516-282-3481 2400 8N1 S 02/17/91
Utopian Quest (107/269) 516-842-7518 2400 8N1 A NYNYO 02/19/91
Compsych 518-564-3372 1200 8N1 P 02/05/91
Host (267/41) 518-793-9574 2400 8N1 D 02/05/91
The Recovery Room (260/207) 716-461-5201 2400 8N1 R 02/14/91
Nat. Database Anesthesia 716-473-4246 1200 8N1 G 02/06/91
Taxacom 716-896-7581 2400 8N1 B 02/07/91
Med TechNet (260/10) 716-688-1552 2400 8N1 L 02/11/91
Permanent Connections 716-881-9045 2400 8N1 W 02/14/91
***** NEW YORK CITY *****
ANESComp (107/718) 212-545-7956 2400 8N1 G NYNYO 02/11/91
American Psych Exchange 212-662-7171 1200 8N1 P NYNYO 02/16/91
Utopian Quest (107/769) 212-686-5248 2400 8N1 A NYNYO 02/21/91
The Double Helix BBS 212-865-7043 1200 8N1 S NYNYO 02/02/91
NYC Fire Dept (107/702) 212-964-8090 2400 8N1 F NYNYO 02/04/91
Pharm Stat 718-217-0898 2400 8N1 M NYNYO 02/18/91
Catholic Deaf Services 718-624-5817 2400 NYNYO 02/05/91
Stac Net 718-746-2006 2400 8N1 S NYNYO 02/22/91
***** NORTH CAROLINA *****
SEFC (379/18) 704-343-0649 2400 8N1 F 02/09/91
N.C. Emerg. Services 704-637-6906 2400 8N1 F 02/22/91
Medical Forum (3614/106) 919-455-1075 2400 8N1 02/01/91
EM BBS 919-733-4478 2400 8N1 F NCRTP 02/12/91
EMS On Line 919-856-6023 2400 8N1 F NCRTP 02/12/91
Pharmacopiea BBS 919-962-0074 8N1 M NCRTP GONE
***** OHIO *****
Nerd's Nook (157/3) 216-356-1431 2400 8N1 D OHCLE 02/09/91
HelpNet Impaired (157/2) 216-356-1872 2400 8N1 D OHCLE 02/01/91
Free Net (Case Western) 216-368-3888 2400 7E1 OHCLE 02/06/91
FES Information 216-368-2947 1200 8N1 D OHCLE 02/09/91
Foot Talk 216-421-2548 2400 8N1 T OHCLE 02/08/91
MedicCom BBS 419-535-1722 2400 8N1 F 02/02/91
MED Tech BBS 513-832-1532 2400 8N1 L 02/08/91
Emergi Net 614-293-5625 2400 8N1 F OHCOL 02/09/91
COMSYS 614-457-0832 2400 8N1 S OHCOL 02/14/91
***** OKLAHOMA *****
Pill Box BBS (147/12) 405-681-5818 2400 8N1 M 02/11/91
Recovery I (147/37) 405-691-3437 2400 8N1 R 02/22/91
SITE (147/41) 405-366-1449 2400 8N1 D 02/16/91
CHEMCOM 405-744-9425 2400 8N1 C 02/04/91
***** OREGON *****
The 4th Dimension 503-236-5068 2400 8N1 R ORPOR 02/08/91
CCC High Tech 503-650-9476 1200 8N1 D ORPOR 02/08/91
HP Calculator BBS 503-750-4448 2400 8N1 S 02/02/91
Busker's Boneyard (105/14) 503-771-4773 2400 8N1 ORPOR 02/17/91
Amatuer Scientist 503-843-4214 1200 8N1 S 02/13/91
***** PENNSYLVANIA *****
The Braille Bank (273/210) 215-244-9937 2400 8N1 D PAPHI 02/02/91
Info 90 215-434-2237 2400 8N1 D 02/05/91
Satronics TBBS 215-464-3562 2400 8N1 S PAPHI 02/03/91
Bucks Telematics (273/201) 215-493-5242 2400 8N1 02/04/91
Maltese Cross 215-625-0093 2400 8N1 F PAPHI 02/22/91
Drug Information 215-628-9999 2400 8N1 M PAPHI 02/22/91
Scooters Sci Exc (273/712) 215-657-5586 2400 8N1 S PAPHI 02/23/91
Audubon BBS 215-666-7657 2400 8N1 F 02/16/91
Satronics TBBS Node 2 215-698-1905 2400 8N1 S PAPHI 02/09/91
Jets RBBS (Jefferson Med) 215-955-7503 2400 8N1 02/12/91
BIOSIS 215-972-6759 2400 8N1 B PAPHI 02/21/91
Behavioral Vision (129/131) 412-247-4610 2400 8N1 O 02/14/91
Sounding Board (129/26) 412-621-4604 2400 8N1 D 02/16/91
Clinet 412-648-7893 2400 8N1 M 02/18/91
Blind Link (129/89) 412-766-0732 2400 8N1 D 02/13/91
Doctors WOC Inn (129/3) 412-881-7757 2400 8N1 02/12/91
Fire BBS (270/214) 717-566-3500 2400 8N1 F 02/20/91
Pennsylvania EMS 717-763-0409 2400 8N1 F 02/24/91
Micro Medical (270/711) 717-245-2847 2400 8N1 02/01/91
Sci Link 814-432-2476 2400 8N1 S 02/08/91
***** RHODE ISLAND *****
Rad Tech BBS (323/120) 401-351-6245 2400 8N1 02/20/91
***** SOUTH CAROLINA *****
Periscope (18/101) 803-650-9022 2400 8N1 O 02/01/91
USC College of Social Work 803-777-4719 2400 8N1 W 02/06/91
***** TENNESSEE *****
Medsys 615-288-3957 2400 8N1 02/05/91
Promises (116/300) 615-385-9421 2400 8N1 R 02/16/91
Knoxville InPharmation 615-541-1786 8N1 M GONE
ETSU Family Med (116/500) 615-929-6477 8N1 GONE
***** TEXAS *****
Aids Information Exch 214-247-5609 2400 8N1 A TXDAL 02/09/91
Aids Information Exch 214-247-2367 2400 8N1 A TXDAL 02/21/91
Psychology Forum 214-368-5474 2400 8N1 P TXDAL 02/02/91
Optomyes (124/3101) 214-412-9660 2400 8N1 O TXDAL 02/15/91
The INPHARMATION Center 214-590-8213 2400 8N1 M TXDAL 02/18/91
Double Ace 214-606-0703 2400 8N1 R TXDAL 02/09/91
Medical Education 214-613-9227 1200 8N1 TXDAL 02/12/91
Texas EMS Exchange 409-765-2500 2400 8N1 F 02/02/91
Button and Dietz 512-442-6091 2400 8N1 W TXAUS 02/04/91
Health Link (382/5) 512-444-9908 2400 8N1 TXAUS 02/02/91
SON NET (382/18) 512-471-7584 2400 8N1 N TXAUS 02/20/91
Yellow Dream Machine 512-473-2702 2400 8N1 D TXAUS 02/01/91
PI Net 512-523-0236 1200 8N1 P 02/09/91
Trauma Center 512-618-0571 2400 8N1 F 02/05/91
Disability Hotline (387/606)512-680-0030 2400 8N1 D 02/01/91
EM LEPC 713-341-4437 2400 8N1 R TXHOU 02/16/91
Houston Medical BBS 713-666-0425 2400 8N1 TXHOU 02/09/91
Bone Box (130/33) 817-244-7136 2400 8N1 02/01/91
Gas Company 817-265-8938 2400 8N1 G TXDAL 02/02/91
C CAD Online 817-429-5327 2400 8N1 D TXDAL 02/08/91
DD Connection (130/10) 817-640-7880 2400 8N1 D TXDAL 02/09/91
Lower Cretaceous BBS 817-763-9776 2400 8N1 S 02/01/91
Health Profession (381/61) 915-590-9798 2400 8N1 02/02/91
Sky's the Limit (381/9) 915-594-7806 2400 8N1 D 02/09/91
***** UTAH *****
LDS Hospital User Group 801-321-5030 2400 8N1 UTSLC 02/04/91
***** VIRGINIA *****
NBIAP 703-231-3858 2400 8N1 S 02/05/91
Dynamic Duo (109/304) 703-425-4506 2400 8N1 D DCWAS 02/04/91
FireWatch 703-522-0017 8N1 F DCWAS GONE
Handiline 703-536-2052 2400 8N1 D DCWAS 02/02/91
FCPF 703-591-4287 2400 8N1 F DCWAS 02/09/91
AMRAD BBS 703-734-1387 2400 8N1 D DCWAS 02/02/91
Tedi NET 703-759-2424 2400 8N1 D DCWAS 02/16/91
Darkness III (109/143) 703-768-2751 2400 8N1 D DCWAS 02/21/91
Adult Child of Alcoholics 703-821-2925 2400 8N1 R DCWAS 02/18/91
TechNet at TJHSST 703-941-3572 2400 8N1 S DCWAS 02/06/91
NAPWA 703-998-3144 2400 8N1 A DCWAS 02/20/91
HandiNet BBS (275/429) 804-496-3320 2400 8N1 D 02/01/91
Squad Room BBS (275/430) 804-499-2077 2400 8N1 F 02/09/91
FAFNIR 804-739-4978 2400 8N1 F 02/01/91
***** WASHINGTON *****
Seattle AIDS Info 206-323-4420 2400 8N1 A WASEA 02/01/91
Cardio Board 206-328-7876 2400 8N1 G WASEA 02/09/91
St. Peter's Hospital 206-493-7409 2400 8N1 02/01/91
Seattle Hearing (343/71) 206-526-2744 2400 8N1 D WASEA 02/01/91
Univ. Wash HHS (343/35) 206-543-3719 2400 8N1 W WASEA 02/01/91
Science Factor 206-562-7083 2400 8N1 S WASEA 02/09/91
Group Medical (138/120) 206-581-9088 2400 8N1 02/02/91
Seattle Recovery 206-646-2854 2400 8N1 R WASEA 02/01/91
DOHNET 206-753-4352 2400 8N1 02/01/91
Tacoma Recovery 206-862-3815 2400 8N1 R 02/01/91
***** WEST VIRGINIA *****
Project Enable 304-766-7842. 2400 8N1 D 02/23/91
***** WISCONSIN *****
SciQuest (154/32) 414-353-1576 2400 8N1 S WIMIL 02/16/91
The Wheelchair (154/54) 414-462-2874 2400 8N1 D WIMIL 02/18/91
Family Friends 608-263-0494 2400 8N1 02/21/91
NABT 608-274-8435 2400 8N1 B 02/09/91
***** WYOMING *****
Healthcon 406-994-2564 2400 8N1 02/18/91
UND Psych 701-777-4495 2400 8N1 P 02/09/91
***** AUSTRALIA *****
AlphaMed Link 61-2-4382137 2400 8N1 02/24/91
VK2ZBB 61-2-5695130 2400 8N1 02/24/91
MedNET 61-6285-1920 8N1 GONE
***** CANADA *****
MIX (348/202) 204-775-7079 2400 8N1 02/08/91
CAMEO BBS (134/63) 403-295-7088 2400 8N1 F 02/08/91
Addictions (17/58) 403-460-8357 2400 8N1 R 02/08/91
Homestead Know. (259/415) 416-272-4067 2400 8N1 02/08/91
Doctor on Board (247/100) 416-684-7710 8N1 GONE
AIDS Information (221/201) 519-822-0896 2400 8N1 A 02/08/91
Air Space Society ((153/155)604-270-6475 2400 8N1 02/24/91
EPIX (153/162) 604-291-4921 2400 8N1 F 02/08/91
Bccng 604-432-7626 2400 8N1 N 02/08/91
Questor Project (153/118) 604-681-0670 2400 8N1 A 02/08/91
Challenged (249/138) 613-547-2479 2400 8N1 D 02/08/91
***** FINLAND *****
Scientist's RCom(2:504/0112) 358-0365163 2400 8N1 S 02/24/91
***** GERMANY *****
The Medical BBS (2:1993/3) 49-223449479 2400 8N1 02/24/91
Medic BBS 49-721694986 2400 8N1 02/24/91
**** HONG KONG *****
labMED (3:700/121) 852-7585048 2400 8N1 09/25/90
MedInfoNet (3:700/5) 852-7604228 2400 8N1 02/24/91
Handicapped Comp(3:700/129) 852-8550569 2400 8N1 D 02/24/91
***** IRELAND *****
Ireland GP 353-1785866 2400 8N1 02/24/91
***** ITALY *****
TELESIBioC (2:331/17) 39-26889009 2400 8N1 C 09/09/90
***** NETHERLANDS *****
Gezondheidszorg(2:500/211) 31-55-337951 2400 8N1 M 02/24/91
Nurse Net (2:281/401) 31-71-227080 2400 8N1 N 02/24/91
Datawerken 31-837615363 2400 8N1 W 02/24/91
Databank Anesthesiologie 31-58-122512 2400 8N1 G 02/24/91
***** SINGAPORE *****
SMA BBS 65-448-0808 2400 8N1 02/21/91
MedStat 65-776-5074 2400 8N1 02/21/91
***** SPAIN *****
Medical BBS (2:343/703) 34-3-8306080 8N1 GONE
***** UNITED KINGDOM *****
Chemi Call (2:254/35) 4432-278652 2400 8N1 C 02/21/91
Disabled Data Link 4450-2518274 2400 8N1 D 02/24/91
The Alchemist (2:252/15) 4466-6504597 2400 8N1 M 02/24/91
College of Surgeons 4471-2421175 2400 8N1 02/24/91
PolyOpus 4471-5801690 2400 8N1 D 02/24/91
Body Matters 4471-6037581 2400 8N1 02/24/91
P.H.A.C.S. (2:255/28) 4475-2361291 2400 8N1 02/24/91
Clinical Chem (2:252/103 4486-7368123 2400 8N1 C 02/24/91
Emergency Planning 4491-2210108 2400 8N1 F 02/24/91
UK Health Link (2:253/152) 4494-2722984 2400 8N1 02/21/91
==========================================================================
NOTES:
1) The following codes identify the major interests of the particular board.
Aids A Disability D
Recovery and Addiction R Biology B
Fire/EMS F Psychiatry/Psychology P
Anesthesiology G Social Service W
Biomedical Engineering E Ophthalmology O
Chemistry C Science S
Dentistry Y Nursing N
Pharmacy M Lab Medicine L
OB/GYN X Podiatry E
# - Select Destination:> TS xxxx-ts> LIBRARY Username: PUBLIC2
% - Both Username and Password are LIBRARY
1) The numbers following some of the board names are network addresses for
those boards participating in the International Fido Network.
2) I don't own a 9600 baud modem so the list does not reflect the fact that
many of these boards are capable of communicating at 9600 baud.
4) I plan to make the list available as dialing directories which can be used
directly by the following telecommunications programs -Boyan, Qmodem, Telix,
Telemate Procomm - others upon request. The files will be available on my
board in file area number one. You will have to go through the registration
process but will be able to download them on your first call.
5) LOST MY SPONSOR !!!!!!
For the last three years Computer News for Physicians has been kind enough
to help defray some of the cost of compiling this list. That cost has been
considerable approximating 500 dollars every three months which takes alot out
of a resident's salary......
If you find the list useful I'd like to ask you to send whatever you think
it is worth to the address below. That will help insure its continued
compilation. In exchange I'll send along my thanks and a list of toll free
online medical resources I have compilied. In addition, if you don't want to
call all the boards listed and need suggestions, or have a specific interest
not outlined in the list I'll send along a printed copy of the list which a
few boards marked that are exceptional or cater to your interests.
Any party interested in sponsoring the list can call me voice at 302-731-7076
6) Send additions, corrections, deletions, suggestions and donations to:
Edward Del Grosso M.D.
CIS 71565,1532
EXEC-PC
GENIE - E DELGROSSO
BIX - DELGROSSO
BLACK BAG BBS (150/140) My BBS at 302-731-1998
Or by U.S. Snail to
Edward Del Grosso M.D.
29 A-2 Golfview Dr.
Newark, DE 19702
7) If you have read this far you can be of a great help. This list is updated
every 6 months. The next update will be released on June 25,1991 It has made
great penetration but as I call these boards I see that many have lists that
are many months to years old. You can be of great service to me and the BBS
community in general if you would take the time and effort to upload this list
to at least one BBS in your area.
SPECIAL NOTE:
Sysops:
As always I hope you will take the time to contact me and contribute
numbers to the list.... still going strong after 5 years.
To all sysops. I strongly urge those of you who are not already members
to join the International Fido Net. I am sure most of you have heard of it,
but in case you haven't, it is a system by which bulletin boards across the
country exchange message traffic. Access is free and software to interface
your current system to it is probably available to you locally, at no cost.
The following is a list of national medical conferences which I am aware of
and participate in.
AIDS National Discussion
Alcoholism and Drug Abuse National Echo
Child Abuse National Echo
Diabetes National Discussion
Disabled Interests National Echo
Fire/EMS National Echomail
Grand Rounds National Medical Discussion
Health Physics Echo
Holistic Health National Forum
International Nurses Network
National Psychiatry Echo
Overeaters Echo
Physics National Echomail
Physicians Only National Conference
Science National Echomail
Social Services National Echo
Spinal Injury National Echo
Stroke/CVA National Discussion
Visually Impaired Echo
Deaf Users Echo
Stress Management Echo
Radiology Echo
Care Givers Echo
Alzheimers Echo
Radiation Safety Echo
Many are available with only a local call.
Finally, if you run one of the boards in this list you can be of great
help in keeping it up to date by maintaining my password even though I may
call only every two to three months. By doing so you will help save me a
great deal of time and money. Thanks !!!
:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
Volume 4, Number 5 March 10, 1991
+------------------------------------------------+
! !
! Health Info-Com Network !
! Newsletter !
+------------------------------------------------+
Editor: David Dodell, D.M.D.
St. Joseph's Hospital and Medical Center
10250 North 92nd Street, Suite 210, Scottsdale, Arizona 85258-4599 USA
Telephone +1 (602) 860-1121
FAX +1 (602) 451-1165
Copyright 1991 - Distribution on Commercial/Pay Systems Prohibited without
Prior Authorization
The Health Info-Com Network Newsletter is distributed weekly. Articles on a
medical nature are welcomed. If you have an article, please contact the
editor for information on how to submit it. If you are interested in joining
the automated distribution system, please contact the editor.
E-Mail Address:
Editor:
FidoNet = 1:114/15
Bitnet = ATW1H @ ASUACAD
Internet = ddodell@stjhmc.fidonet.org
LISTSERV = MEDNEWS @ ASUACAD.BITNET (or internet: asuvm.inre.asu.edu)
anonymous ftp = vm1.nodak.edu
(Notification List/ftp = hicn-notify-request@stjhmc.fidonet.org)
Associate Editors:
o Dr. Bruce MacDougall, University of Massachusetts at Amherst
(Bitnet: BRUCEMA@UMASS)
o Dr. J. Martin Wehlou (Bitnet: WEHLOU@BGERUG51)
--
David Canzi "Do not let superstition inhibit your actions."
-- Jeane Dixon, horoscope for Virgo, May 17, 1990.