ATW1H%ASUACAD.BITNET@oac.ucla.edu (Dr David Dodell) (09/05/89)
--- begin part 3 of 5 cut here ---
common rabid domestic animal, rabies vaccination programs should target cats
as well as dogs.
Delaware, New Mexico, Alaska, Connecticut, and South Carolina reported the
greatest relative increases in animal rabies in 1988. The increase in Delaware
was due to continuing transmission among raccoons in one county that was
initially affected by the mid-Atlantic epizootic in 1987. New Mexico had an
increase in rabid skunks in several counties; this increase was possibly
associated with an increase in the skunk population. Similarly, Alaska's
increase was a result of periodic increases in rabid red foxes and fox
populations in several areas. Connecticut's large percentage increase,
however, was attributable to expected fluctuations in small numbers. In South
Carolina, some of the increase was a result of a 29% increase in testing,
possibly due to a new public-education campaign. Other increases reported by
Florida, Georgia, and Pennsylvania were attributed to the spread of raccoon
rabies in those states.
The mid-Atlantic outbreak began two decades after the southeastern
epizootic (Figure 19) (1). Although the number of rabid raccoons in the mid-
Atlantic epizootic has decreased steadily since 1983, the number of affected
counties increases each year. In 1988, the sharp increase of rabid raccoons
from the southeastern epizootic represented the largest relative increase
(50%) in 10 years and may indicate further spread of this epizootic after
several years of relative equilibrium. Further spread of the mid-Atlantic
epizootic to highly populated areas of eastern Pennsylvania, Delaware, and New
Jersey, where raccoons commonly live in close proximity to people, may result
in large numbers of persons exposed to rabies. In 1987, the Delmarva Rabies
Initiative, a cooperative of state and federal health, wildlife, and
agriculture agencies, established a zone of immune raccoons by vaccinating
raccoons along the Chesapeake and Delaware Canal to protect animal populations
in the southern part of the Delmarva Peninsula. In 1988, two rabid raccoons
were trapped within the zone, for the first time demonstrating that the
epizootic had reached this area; however, no rabid animals were found south of
the zone.
Transmission of rabies from one domestic animal to another rarely occurs
in the United States. Dog-to-dog transmission may or may not be occurring in
the two Texas counties. Nevertheless, this epizootic emphasizes the importance
of maintaining high vaccination levels.
Monoclonal antibody analysis of rabies virus isolates from domestic
animals have demonstrated that most domestic animals are infected by bites
from the dominant terrestrial wildlife reservoir in the area (2). The similar
distribution of rabid domestic animals to skunks and raccoons suggests that
skunks are the main source of rabies for domestic animals in the North Central
and South Central states and that raccoons are the primary source in the
Middle Atlantic and South Atlantic states. In addition, the distribution of
rabid animals by month suggests that skunks are the primary source of rabies
in cattle. The seasonal peaks of rabies in skunks, raccoons, and bats may
reflect increased activity (e.g., during the mating season), increased
likelihood of detection because of increased contact with people, or both.
The two cases of imported canine rabies emphasize the need to educate
Health InfoCom Network News Page 20
Volume 2, Number 32 September 4, 1989
travelers of the risk of canine rabies in developing countries. Persons
traveling to developing countries should use great caution when importing pets
from these countries.
References
1. Jenkins SR, Winkler WG. Descriptive epidemiology from an epizootic of
raccoon rabies in the middle Atlantic states, 1982-1983. Am J Epidemiol
1987;126:429-37.
2. Smith JS, Baer GM. Epizootiology of rabies: the Americas. In: Campbell JB,
Charlton KM, eds. Developments in veterinary virology: rabies. Boston: Kluwer
Academic Publishers, 1988:267-99.
3. CDC. Rabies Surveillance, United States, 1987. In: CDC Surveillance
Summaries, September 1988. MMWR 1988;37(No. SS-4):1-17.
4. Fishbein DB, Arcangeli S. Rabies prevention in primary care: a four-step
approach. Postgrad Med 1987;82:83-95.
5. World Health Organization. World survey of rabies XXII (for years 1984-
1985). Geneva: World Health Organization, Division of Communicable Diseases,
Veterinary Public Health Unit, 1987.
6. Zoonosis Control Division. Rabies in Texas. Zoonosis Update, February
1989:1-2.
7. CDC. Imported dog and cat rabies--New Hampshire, California. MMWR
1988;37:559-60.
8. Helmick CG. The epidemiology of human rabies postexposure prophylaxis,
1980-1981. JAMA 1983;250:1990-6.
Health InfoCom Network News Page 21
Volume 2, Number 32 September 4, 1989
===============================================================================
Dental News
===============================================================================
Dental News from the American Dental Association
------
A new videotape and self-help manual entitled "Infection Control in the
Dental Environment" is available.
A videotape series and training manual, "Infection Control in the Dental
Environment: A Video Training Manual," is the result of the collaboration of
the Department of Veterans Affairs working with the ADA, the Centers for
Disease Control, the Food and Drug Administration and the National Institute
of Dental Research.
The infection control training program includes a three-tape video series
and a study manual designed to help dentists educate their staff to use
infection control techniques for all patients. Step-by-step suggestions for
setting up an office infection control regimen for commonly performed dental
procedures are featured on the tapes.
The five organizations that produced the program reviewed the scripts and
rough cuts of the videotapes at each stage of production to ensure not only
that the information included was correct, but that it also agreed with the
agencies' own policies on infection copntrol. The program was designed to
complement existing materials on infection control the agencies have already
provided to dentists.
Funding from CDC, FDA and NIDR awill enable distribution of the program to
state and local dental societies; dental schools; dental hygiene, assisting
and laboratory technician training programs; state and local health directors;
and all VA facilities throughout the country.
How to order
Individual copies of the program can be purchased for dental offices, clinics
or hospitals for $75, depending on sales tax regulations in each state.
Prices are higher for non-ADA-members. To order the videotapes and training
manual, contact the ADA's saleable materials department, WATS ext. 2639.
Special care groups need coordination
A host of government-supported and private-sector programs and activities
exist designed to boost access to dental care for special patients.
These diverse groups have had success in bringing oral health care to
traditionally underserved populations -- the poor, elderly, physically and
mentally handicapped and others. What they lack, though, is a coordinated
effort clearly focused on common goals, according to Dr. Lawrence Meskin,
speaking at the first National Conference on Special Care Issues in Dentistry.
The Federation of Special Care Organizations -- composed of the American
Association of Hospital Dentists, the Academy f Dentistry for the Handicapped
and the American Society of Geriatric Dentistry -- will join the ADA's Council
on Community Health, Hospital, Institutional and Medical Affairs to develop a
strategic plan to coordinate activities to address the needs of the special
patient.
Dr. Meskin told conference members that a commitment to focus on universal
goals is mandatory for success. He urged planners to seek the counsel of
outside experts to develop the strategic plan.
Health InfoCom Network News Page 22
Volume 2, Number 32 September 4, 1989
Other speakers at the conference recommended the development of coalitions
on the national and grassroots levels and stressed care in the place of
residence, in addition to improved public health education geared to the
special patient.
Patients don't want to be treated by a doctor with AIDS
Most Americans said they would look for a new doctor if they found out their
family physician was infected with the AIDS virus, according to a recent
survey.
A team of researchers at the University of California at San Francisco
interviewed 2,000 Americans nationwide, seeking opinions about HIV infection,
the cause of AIDS. Fifty-six percent of those called said they would change
physicians if they learned their doctor had HIV infection and 25 percent said
they'd switch from a doctor they believed was treating patients with HIV
infection.
The latter finding is especially disturbing, because the need for
physicians from all specialties to provide care to AIDS patients is growing.
Some doctors are reluctant to treat HIV patients for fear it will hurt their
regular practice. If healthy people shun doctors who merely treat HIV-
infected patients, it could add to the growing burden of providing medical
care for AIDS patients, the researchers concluded.
Interestingly, many people who said they would leave the practice of a
physician infected with HIV also said they know the virus wouldn't be
transmitted through contact in the doctor's office.
Even though knowledge about AIDS is growing and most people understand
that the infection doesn't spread through casual contact, survey results
demonstrate the need for more public education about AIDS.
Glove shortage abating
The acute national shortage of medical gloves, which increased sharply in l987
with stringent infection control measures, has abated, according to the
American Association of Hospital Dentists.
Foreign and domestic suppliers have increased their manufacturing output
to meet the escalating demand. However, purchasers are complaining that the
quality of many gloves has substantially deteriorated.
As a result, the federal government has initiated a regulatory process
that will lead to its testing batches of nonsterile patient examination gloves
and possibly seizing those that prove defective. It is feared that this
impending quality control crackdown by the Food and Drug Administration (FDA)
will rekindle the shortage.
As of April l3, the FDA is revoking exemptions that applied to examination
gloves regarding filing of premarket notifications and compliance with current
good manufacturing practice regulations. These exemptions were granted in
l980 because no adverse experiences had been related to patient examination
gloves. Also, the role of gloves as a protective barrier against HIV
transmission was not the public health concern it is today, and the risks
associated with glove failure were not as well understood.
Manufacturers now will be required to include descriptions of product
testing, methodology, the standard employed in making the gloves, as well as
the "acceptable quality level."
The FDA may reconsider reinstituting the exemptions if, over time, the
agency finds that gloves are meeting safety and effectiveness criteria.
Health InfoCom Network News Page 23
Volume 2, Number 32 September 4, 1989
Oral complications of cancer therapy
The oral cavity is frequently a common site of complications resulting from
cancer therapies.
At a National Institutes of Health (NIH) conference held in April,
discussions focused on the most effective means of limiting oral complications
by pretherapy interventions as well as strategies for the management of acute
and chronic complications arising during cancer therapy.
The consensus development panel, consisting of representatives from
medicine, dentistry and nursing, evaluated scientific evidence presented by
experts in the management of cancer patients. Pretherapy intervention There
is evidence that pre-existing oral pathoses unrelated to cancer or therapy may
increase the risk of oral complications. Therefore, a comprehensive pre-
treatment dental evaluation should be performed before the initiation of
cancer therapy.
Pretreatment strategies include evaluation, treatment of pre-existing
dental disease, prevention of oral mucosal infections, interventions to modify
salivary gland dysfunction and prevention of mucositis, among others. During
cancer therapy Oral complications occurring during treatment include mucosal
inflammation and ulceration, oral candidiasis, bacterial and viral infections
and mucosal bleeding.
There is currently no single agent completely effective in preventing
therapy-related mucositis. Patients at risk for oral herpes simplex virus may
benefit from the use of either oral or intravenous acyclovir. Topical forms
of therapy for oral candidiasis include nystatin and clotrimazole.
Severe thrombocytopenia may predispose patients to bleeding from routine
mechanical oral hygiene procedures. In these patients, dental plaque can be
managed effectively by daily mouth rinsing with a chlorhexidine solution.
Following cancer therapy
Management of chronic xerostomia involves a combination of strategies,
including continuous maintenance of effective oral hygiene to reduce the
proliferation of oral pathogens, use of water or artificial saliva to keep the
mouth moist, and stimulation of residual salivary parenchyma to produce more
saliva.
In the event that dental extraction is required following radiation,
meticulous surgical technique and antibiotic prophylaxis are necessary.
Directions for the future Emphasis must be placed on devising accurate,
quantifiable and reproducible criteria for assessing the oral complications of
cancer therapy, as well as establishing large-scale databases to determine
incidence, prevalence and risk factors for oral complications.
The panel felt that the therapeutic team should be multidisciplinary and
sensitive to patients' emotional and physical needs. Through coordination of
committed members of the dental, medical and nursing professional, many
research goals can be reached.
Danes get free dental check-ups
More than one million edentulous Danes will be offered free oral examinations
this fall, as part of the Danish Dental Association's contribution to the
campaign "Europe Against Cancer."
A publicity campaign has been launched and patient leaflets are being
distributed at clinics throughout Denmark. At a number of conferences and
exhibitions, the Associaiton is seeking to draw patients' attention to the
Health InfoCom Network News Page 24
Volume 2, Number 32 September 4, 1989
risk of oral cancer. In the future, the education of dental students in
Denmark will feature a greater emphasis on prevention and early diagnosis of
oral cancer.
Dentsply supports 'glasnost'
Dentsply and the All-Union Scientific Industrial Association Stomatologia of
the USSR formed a joint venture for the production of dental products within
the USSR, the first venture of its kind in the dental industry.
The joint venture will lead to the production of several dental products
within the Soviet Union and the sale of those products within the USSR and
other countries.
The new enterprise will initially produce modern composite restorative
materials. The products will be manufactured in Kharkov, USSR, in an existing
facility, which will be equipped with modern, state-of-the art production
equipment and quality control laboratories.
In addition, Dentsply will establish educational centers in major Russian
cities to train Soviet dentists and dental laboratory technicians in the use
of the new products. The company noted that there are approximately l20,000
stomatologists (dentists) and 40,000 dental laboratory technicians in the USSR
serving a population estimated at 280 million.
Civil war trivia
Thanks to Dr. Peter H. Jacobsohn, associate editor of the Wisconsin Dental
Association Journal, for the following:
During the American Civil War, desertion by soldiers was commonplace. Men
left the battlefield in large numbers and just went home. Self-mutilation to
avoid the draft or to be discharged from front line duty was a problem seen by
both military recruiters and regimental surgeons.
The destruction of anterior teeth was a common method used to avoid the
draft or to be transferred to non-combatant status. The war weapon used by
the average soldier of the day was a single-shot, muzzle-loading musket or
rifle. It required 11 separate steps to load and fire. The first step was to
tear open a paper cartridge with the incisor teeth. Anyone unable to do so
because these teeth were absent was unable to serve as a front line
infantryman.
In an effort to discourage the practice of dental mutilation, the
following announcement from the War Department appeared in local newspapers of
the time:
"Those drafted persons who have knocked out their front teeth to procure
exemption are informed that they will be accepted in the Cavalry, where
front teeth are not needed to bite off cartridges."
o American Druggist, a publication for the nation's pharmacists, reported the
most commonly dispensed prescription drugs in retail pharmacies for l988:
l. Amoxil Infections
2. Lanoxin Arrythmia/congestive heart failure
3. Xanax Anxiety
4. Zantac Ulcers
5. Premarin Menopause
6. Dyazide Hypertension
7. Tagamet Ulcers
Health InfoCom Network News Page 25
Volume 2, Number 32 September 4, 1989
8. Tenormin Hypertension/Angina
9. Naprosyn Pain/Arthritis
l0. Cardizem Angina
Health InfoCom Network News Page 26
Volume 2, Number 32 September 4, 1989
===============================================================================
Columns
===============================================================================
Black Bag BBS
=======================
Current as of 8/25/89
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. Please excuse the fact that it is one month late..... I needed a
break from the modem.
Please take the time to read 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
Name Number Baud Codes LastCall
========================================================================
***** ALASKA *****
Alaska EMS 907-789-1694 2400 8N1 F 8/14/89
***** ARIZONA *****
St.Joseph Hospital (114/15) 602-235-9653 2400 8N1 * 8/14/89
Eye Net (114/14) 602-941-3747 2400 8N1 * O 8/25/89
***** CALIFORNIA *****
LifeLine 213-398-5433 2400 8N1 * L CALAN 8/25/89
Legacy 213-652-7537 1200 8N1 * CALAN 8/14/89
Shrink Tank 408-257-8131 2400 8N1 * P CASJO 8/14/89
Non Smokers BBS 408-298-4277 2400 8N1 * CASJO 8/14/89
MacScience BBS (143/36) 408-866-4933 2400 8N1 * S CASJO 8/25/89
Recovery II (125/9) 415-223-1119 2400 8N1 * L CAOAK 8/14/89
Cowtown Lafayette 415-284-1872 2400 8N1 * S CAOAK 8/14/89
Chemist's Comport (125/190) 415-359-6036 9600 8N1 * C CASFA 8/20/89
Children's Hospital 415-428-3039 1200 8N1 * CAOAK 8/14/89
Compuchem 415-487-0310 2400 8N1 * X CAPAL GONE
California State EMS 415-499-7891 2400 8N1 * F CASFA 8/14/89
AIDS Info BBS 415-626-1246 2400 8N1 * A CASFA 8/14/89
Disabled Children 415-642-7387 300 8N1 * D CAOAK 8/20/89
OASIS (Over Eaters) 415-658-5397 2400 8N1 * CAOAK 8/20/89
Nightingale (10/475) 415-731-2422 2400 8N1 * R CASFA 8/14/89
Friends of Bill W. 415-833-1780 300 8N1 L 8/25/89
Cowtown Berkeley 415-841-1411 2400 8N1 * S CAOAK 8/25/89
Health InfoCom Network News Page 27
Volume 2, Number 32 September 4, 1989
Baytalk 415-864-6430 1200 8N1 * D CASFA 8/14/89
Digex SDCS Disabled 619-454-8078 1200 8N1 * D CASDI 8/14/89
Medical Management 619-532-9183 2400 8N1 * CASDI 8/14/89
Balboa Naval Hospital BBS 619-532-8022 2400 8N1 * CASDI 8/14/89
Survival Forum (125/7) 707-545-0746 2400 8N1 F 8/14/89
911 EMS 707-664-1639 2400 8N1 F 8/14/89
COMP SEA 714-865-8586 2400 8N1 8/25/89
12 & 12 Anonymous BBS. 714-539-8644 2400 8N1 * A CASAN 8/14/89
Beckman Inst (103/524) 714-773-8818 2400 8N1 * X CASAN 8/14/89
LLUMC Medical Lib (10/211) 714-824-4328 2400 8N1 * CACOL 8/14/89
WellSpring 714-856-7996 2400 8N1 * CASAN 8/14/89
WellSpring Node 2 714-856-5087 1200 8N1 * CASAN 8/15/89
Calif Self Help 714-952-2110 2400 8N1 * P CASAN 8/14/89
Nine Lives 805-836-8531 2400 8N1 8/14/89
The ARB Research Bulletin 916-324-6997 2400 8N1 * CASAC 8/14/89
Project Disable (119/500) 916-343-3742 2400 8N1 D GONE
RBBS BioMed 916-362-4298 1200 8N1 * B CASAC 8/14/89
CompuHelp 916-786-3923 1200 8N1 D 8/14/89
***** COLORADO *****
Nurse Link (104/52) 303-270-4936 2400 8N1 * R 8/14/89
P2 B2 S (104/51) 303-329-3337 2400 8N1 * P 8/14/89
The Watch Desk (104/66) 303-450-0822 2400 8N1 * F 8/14/89
Med Link (104/444) 303-499-1022 2400 8N1 * 8/14/89
Deaf Net BBS 303-989-9245 1200 8N1 * D 8/14/89
SCI LINE (128/48) 719-578-9127 2400 8N1 S 8/14/89
Fire Net Leader (128/16) 719-591-7415 2400 8N1 F 8/14/89
***** CONNECTICUT *****
Handicap News (141/420) 203-337-1607 1200 8N1 D 8/14/89
Hippocampus (141/205) 203-481-7475 2400 8N1 8/14/89
Dr. Fido (141/315) 203-937-2686 2400 8N1 8/14/89
***** DELAWARE *****
Black Bag BBS (150/101) 302-731-1998 2400 8N1 Call-ALWAYS
***** DISTRICT OF COLUMBIA *****
Science Line 2 202-265-4496 2400 8N1 * S 8/14/89
American Otolaryngology 202-289-7338 2400 8N1 * 8/14/89
Science Line 202-328-5853 2400 8N1 * S 8/15/89
APGO 202-466-2893 2400 8N1 * G GONE
ACOG 202-479-0005 2400 8N1 * G 8/14/89
Synapse (109/110) 202-543-9176 2400 8N1 D 8/14/89
American Inst of Bio. Sci. 202-628-2427 2400 8N1 * Q 8/14/89
Science Resources (NSF) 202-634-1764 2400 8N1 * S 8/14/89
State and Local EMS 202-646-2887 2400 8N1 * F 8/14/89
The Steps of DC (109/133) 202-659-5270 1200 8N1 * L 8/14/89
PIE 202-872-9141 2400 8N1 * P 8/14/89
ShanErin (109/20) 202-941-8291 2400 8N1 * 8/24/89
Health InfoCom Network News Page 28
Volume 2, Number 32 September 4, 1989
***** FLORIDA *****
Medical Software Ex (135/3) 305-325-8709 2400 8N1 * 8/14/89
CG Medterm (135/8) 305-444-5615 2400 8N1 * GONE
The Way Out (135/35) 305-445-6917 2400 8N1 * L 8/12/89
Metro Fire (135/14) 305-596-8611 2400 8N1 * F 8/12/89
Epics Division (135/9) 305-883-6892 2400 8N1 * X 8/14/89
The Firehouse BBS (135/53) 305-948-4382 2400 8N1 * F 8/14/89
UCF Health Topics (363/507) 407-281-5522 2400 8N1 8/14/89
Nurses Corner (363/15) 407-299-4762 2400 8N1 R 8/14/89
The Pharmacy BBS 407-363-1143 2400 8N1 M 8/15/89
Med Net 407-433-3977 2400 8N1 8/14/89
The Firehouse BBS (3609/8) 407-439-0341 2400 8N1 F 8/14/89
Central Florida Psych 407-645-1658 1200 8N1 P 8/14/89
Central Florida TDD Info 407-657-7011 1200 8N1 D 8/14/89
Entropy 813-264-6344 2400 8N1 * S 8/20/89
MACNET/MEDNET 813-377-7032 2400 8N1 8/14/89
APCO National RBBS 904-423-1312 2400 8N1 F 8/15/89
Medlink (3600/3) 904-431-1575 2400 8N1 8/15/89
Naval Hospital 904-452-6613 2400 8N1 GONE
***** GEORGIA *****
Psychology OnLine 404-252-8810 2400 8N1 * P 8/15/89
Atlanta Medical Forum 404-351-9757 2400 8N1 * 8/20/89
CDC Aids Info Line 404-377-9563 2400 8N1 * A 8/14/89
CEAM 404-546-3402 2400 8N1 F 8/14/89
Middle GA Med.For (133/210) 912-477-8741 2400 8N1 8/14/89
******* HAWAII ******
HAWAII EMS BBS 808-261-4268 2400 8N1 F GONE
***** ILLINOIS *****
Check Source (233/13) 217-244-6954 2400 8N1 S 8/25/89
Sig Bio (233/4) 217-333-9660 2400 8N1 S 8/14/89
RBBS Biomed 312-227-7455 1200 8N1 * B 8/20/89
COPH 2 (115/778) 312-286-0608 2400 8N1 * D 8/14/89
ENA BBS 312-649-0490 2400 8N1 * R 8/14/89
Cope (115/777) 312-790-0187 2400 8N1 * D 8/14/89
Hazardous Management 312-972-3275 2400 8N1 * F 8/14/89
T.I.E. 312-945-5575 2400 8N1 * S 8/25/89
***** INDIANA *****
Testing Station 317-846-8917 2400 8N1 P 8/14/89
***** IOWA *****
Anesthesiology BBS 319-353-6528 2400 8N1 N 8/14/89
Great Plains Hemophilia 319-356-1632 1200 8N1 8/14/89
***** KANSAS *****
Health InfoCom Network News Page 29
Volume 2, Number 32 September 4, 1989
Doc Talk 913-588-1998 2400 8N1 * 8/14/89
***** KENTUCKY *****
Operating Room 502-245-3516 2400 8N1 8/14/89
Fido Racer (11/301) 502-762-3140 2400 8N1 D 8/14/89
Science Spoken Here 606-233-5413 1200 8N1 S 8/14/89
***** LOUISIANA *****
VICE (396/8) 504-286-7294 2400 8N1 D 8/15/89
Health Text 504-456-9440 2400 8N1 8/14/89
Tulane Med Center AIDS 504-584-1654 2400 8N1 A 8/14/89
Tulane Medical Center 504-588-5743 2400 8N1 8/14/89
The Fire Scene (390/2) 504-641-4789 2400 8N1 F 8/15/89
LA Medsig 504-737-8173 2400 8N1 8/14/89
***** MAINE *****
Maine EMS 207-289-5336 1200 8N1 F 8/14/89
National Assoc. EMS 207-326-8800 2400 8N1 F 8/14/89
***** MARYLAND *****
The Firefighter Sig 301-229-9570 2400 8N1 * F 8/25/89
MIEMSS 301-328-3842 1200 8N1 F 8/14/89
Maryland Med Sig (261/1039) 301-332-7386 2400 8N1 8/20/89
Fusion Connection 301-353-6167 2400 8N1 * S 8/14/89
IMEEC 301-433-4833 1200 8N1 X 8/20/89
Science Lab 301-444-0551 2400 8N1 S 8/15/89
AAPT Physics Teachers 301-454-2086 2400 8N1 * S 8/20/89
Maryland Fire (261/1047) 301-536-1935 2400 8N1 F 8/25/89
EPA Superfund and Hazard 301-589-8366 2400 8N1 * F 8/14/89
HEX TDD 301-593-7033 300 8N1 * D 8/14/89
HEX 301-593-7357 1200 8N1 * D 8/14/89
Nerve Center (261/1000) 301-655-4708 2400 8N1 D 8/14/89
--- end part 3 of 5 cut here ---