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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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| 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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| 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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