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Medical Resources :: General Medical Issues :: Medical Evaluation of the Internationally Adopted Child (page 1 of 3)

International Adoption Statistic: between 1988 and 2001, 159,290 adoptions from abroad took place.

U.S. State Department Data for International Adoptions in 2001
Total Intercountry adoptions: 19,137
China 4,681
Russia 4,279
South Korea 1,770
Guatemala 1,609
Ukraine 1,246
Romania 782
Vietnam 737
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U.S. State Department Data for International Adoptions in 2000
Total Intercountry adoptions: 18,441
China 5,053
Russia 4,269
South Korea 1,794
Guatemala 1,518
Romania 1,122
Vietnam 724
Based on immigrant visas issued
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U.S. State Department Data for International Adoptions in 1999
Total Intercountry adoptions: 16,369
Russia 4,348
China 4,101
South Korea 2,008
Guatemala 1,002
Romania 895
Vietnam 712
http://travel.state.gov/orphan_numbers.html
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Primary Receiving States for Intercountry Adoptions 1998
New York 1,232
California 1,102
Pennsylvania 916
Illinois 785
New Jersey 662
National Adoption Information Clearinghouse
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Trends in International Adoption 1989 thru 1999
1989 8,102
1999 16,369
Doubled in 11 years
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China and Russia are Neck-and-Neck
China 28,686 since 1989
Russia 28,153 since 1992
• As of end of 2001
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Pre-adoption Issues
• Choosing a country
• Vaccines for travel--start at the beginning of the process of adoption!
CDC http://www.cdc.gov/travel/
1-877-FYI-TRIP
WHO http://www.who.int/ith/english/
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Vaccines for Travel
• Parents and children traveling abroad need advice to keep well and happy!
• Hepatitis A, B, updated dT, IPV? Influenza? Typhoid?
• Rule of 1957: Before and After
CDC http://www.cdc.gov/travel/
Check Titers for M, M, R, V, diphtheria, tetanus, polio, and give appropriate boosters
http://www.orphandoctor.com/
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Medical Abstract Reviews
• Countries each have a unique style of presenting the medical information about the child--there is a standard!
• Russia and Defectology
• Russia and the search for FAS--video & photo
• China and Hepatitis B serology, growth points
• Cambodia--HIV and the Pasteur lab
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Defectology
• Russian philosophy, religion, science
• Perinatal Encephalopathy, Pyramidal insufficiency, Hypertensive-hydrocephalic syndrome, Neuroreflex excitability syndrome, Seizure readiness, hypotrophy, hip dysplasia, convergent squint, dystonia, myotonia, exudative diathesis, open foramen ovale, oligophrenia, dysbacteriosis
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Fetal Alcohol Syndrome
• Worldwide incidence is 1.9 cases per 1,000 (Abel et al 1987)
• Aronson 1998 FAS incidence based on retrospective chart review of Russian medical records-1.53% or 15 per 1,000 (8 times world incidence)
• FAE is not mild FAS
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Head Circumference
• Aronson Orphan Ranger Program in Russia
• Stickney (1998) and Holtan (1999)--40% of children living in orphanages in Russia had microcephaly
• 50% had FTT
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Preperation for Travel Abroad
• Prescriptions: Zithromax, Tobrex, Nystatin, Elimite 5%
• Discussion of URIs, Otitis Media, Reactive Airways, Eczema, Diaper rash,Teething, Constipation, Gastroenteritis, Hotel and Airplane Behavior, Sleep issues, Feeding, and Adaptation behaviors of the newly adopted child
• Travel Clinics Abroad: SOS/AEA, AMC, IAMAT
• Stateside doctor availability for phone consultation
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  This page last updated September 17, 2003 8:24 PM EST