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Acute purulent meningitis in Alaska Natives: Epidemiology, diagnosis and prognosis

https://arctichealth.org/en/permalink/ahliterature825
Source
Canadian Medical Association Journal. 1966 Jan 1;94(1):19-22
Publication Type
Article
Date
Jan-1966
  1 website  
Author
Fortuine, R.
Author Affiliation
U.S. Indian Health Service
Source
Canadian Medical Association Journal. 1966 Jan 1;94(1):19-22
Date
Jan-1966
Language
English
Geographic Location
U.S.
Publication Type
Article
Physical Holding
Alaska Medical Library
Keywords
Haemophilus influenzae
Invasive Hib disease
Neisseria meningitidis
Staphylococcus spp.
Streptococcus pneumoniae
Adolescent
Adult
Alaska
Anti-Bacterial Agents - therapeutic use
Bacteriological Techniques
Child
Child, Preschool
Female
Humans
Indians, North American
Infant
Infant, Newborn
Inuits
Male
Meningitis - diagnosis - epidemiology
Meningitis, Meningococcal - diagnosis
Meningitis, Pneumococcal - diagnosis
Mortality
Otitis Media - epidemiology
Prognosis
Suppuration
Abstract
During the period 1957-1964, 69 cases of purulent meningitis were treated at the U.S. Public Health Service Hospital in Bethel, Alaska, a 65-bed facility serving about 10,000 Eskimos and Indians in the remote Yukon-Kuskokwim Delta area. Nearly two-thirds of the patients were infants, among whom the case fatality rate was 37.2%, compared with the overall fatality rate of 30.4%. In 52% of the cases no causative organism could be demonstrated on smear or culture. Of the bacteriologically positive cases, one-third were due to pneumococci and one-third to meningococci. Prognosis was not affected by previous treatment or recovery of the organism. Since 1957, an annual average of one out of 74 infants in the area has had purulent meningitis; one out of 200 has died of the disease. Chronic otitis media, poor nutrition, a high incidence of respiratory disease and the relative inaccessibility of medical care are significant factors.
Notes
Alaska Medical Library- From: Fortuine, Robert et al. 1993. The Health of the Inuit of North America: A Bibliography from the Earliest Times through 1990. University of Alaska Anchorage. Citation number 2383.
Cites: Alaska Med. 1965 Mar;7:7-1014291986
Cited in: Fortuine, Robert. 1968. The Health of the Eskimos: a bibliography 1857-1967. Dartmouth College Libraries. Citation number 711.
Online Resources
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Alaska Native Medical Center. A history, 1953-1983.

https://arctichealth.org/en/permalink/ahliterature826
Source
Alaska Area Native Health Service, Anchorage, AK. 300 pp.
Publication Type
Book/Book Chapter
Date
1986
Author
Fortuine, R.
Author Affiliation
U.S. Indian Health Service
Source
Alaska Area Native Health Service, Anchorage, AK. 300 pp.
Date
1986
Language
English
Geographic Location
U.S.
Publication Type
Book/Book Chapter
Physical Holding
Alaska Medical Library
University of Alaska Anchorage
Keywords
Hospitals
Alaska Native Medical Center
Tuberculosis
Health services
Urban migration
Notes
From: Fortuine, Robert et al. 1993. The Health of the Inuit of North America: A Bibliography from the Earliest Times through 1990. University of Alaska Anchorage. Citation number 604.
UAA/APU Consortium, Alaskana Collection RA981.A35 A42 F67 1986
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Availability and use of medical services in an Alaskan Eskimo community

https://arctichealth.org/en/permalink/ahliterature827
Source
Public Health Reports. 1969 Oct; 84(10):845-856
Publication Type
Article
Date
Oct-1969
  1 website  
Author
Fortuine, R.
Author Affiliation
U.S. Indian Health Service
Source
Public Health Reports. 1969 Oct; 84(10):845-856
Date
Oct-1969
Language
English
Geographic Location
U.S.
Publication Type
Article
Physical Holding
Alaska Medical Library
Keywords
Communications
Community health aides
Community health workers
Demography
Health services
Hooper Bay
Infant mortality
Physicians
Adolescent
Adult
Age Factors
Aged
Alaska
Child
Child, Preschool
Community Health Services - utilization
Female
Health Manpower
Hospitalization
Hospitals - utilization
Humans
Infant
Inuits
Male
Middle Aged
Personal Health Services - supply & distribution - utilization
Physicians - utilization
Radio
Rural Health
Sampling Studies
United States
United States Public Health Service
Abstract
This paper describes the unusual problems encountered in making medical services available to a remote Eskimo community and the pattern of utilization of these services by the people of the community. The findings may be of some assistance to other persons concerned with the health needs of a population living under similar adverse circumstances.
Notes
Alaska Medical Library - From: Fortuine, Robert et al. 1993. The Health of the Inuit of North America: A Bibliography from the Earliest Times through 1990. University of Alaska Anchorage. Citation number 1474.
Cites: Can Med Assoc J. 1966 Jan 1;94(1):19-225322362
Cites: JAMA. 1967 Jun 12;200(11):927-314290501
Cites: Public Health Rep. 1967 Aug;82(8):714-204962121
Cites: Arch Environ Health. 1968 Jul;17(1):101-65671077
Cites: Cancer. 1969 Feb;23(2):468-745764985
Cites: Public Health Rep. 1961 Jan;76:19-2413694948
Cites: Arch Otolaryngol. 1965 Jan;81:29-3314236664
Cites: Public Health Rep. 1965 Jul;80:565-7214310580
Cites: J Parasitol. 1950 Jun;36(3):232-415422459
Cites: Alaska Med. 1966 Sep;8(3):56-635341612
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C. Earl Albrecht and the struggle against tuberculosis in Alaska

https://arctichealth.org/en/permalink/ahliterature2876
Source
Pages 237-241 in R. Fortuine et al., eds. Circumpolar Health 96. Proceedings of the Tenth International Congress on Circumpolar Health, Anchorage, Alaska, 1996. Int J Circumpolar Health. 1998;57 Supp 1.
Publication Type
Article
Date
1998
  1 document  
Author
Fortuine, R.
Author Affiliation
Biomedical Program, University of Alaska Anchorage, USA
Source
Pages 237-241 in R. Fortuine et al., eds. Circumpolar Health 96. Proceedings of the Tenth International Congress on Circumpolar Health, Anchorage, Alaska, 1996. Int J Circumpolar Health. 1998;57 Supp 1.
Date
1998
Language
English
Geographic Location
U.S.
Publication Type
Article
Digital File Format
Text - PDF
Physical Holding
University of Alaska Anchorage
Keywords
Alaska
Albrecht, C. Earl
History, 20th Century
Tuberculosis
Communicable disease control
Humans
Prevention & control
Abstract
This paper outlines the contributions of C. Earl Albrecht in tuberculosis control in Alaska during his term as Territorial Commissioner of Health from 1945 to 1956. Tuberculosis, called the "Scourge of Alaska," had spread by the end of World War II to every corner of Alaska, with especially devastating effects on the Alaska Natives. When Dr. Albrecht became commissioner, the epidemic was at its peak. With an obvious zest for battle, he organized a campaign on many fronts, with initial emphasis on case-finding, establishing a tuberculosis register, and making available hospital beds both for orthopedic and pulmonary tuberculosis. Later, BCG vaccination, ambulatory chemotherapy, and chemoprophylaxis were added to the battle plan. The results were strikingly successful. He became an eloquent spokesman and advocate for health in both Juneau and Washington, and was successful in obtaining greatly increased territorial and federal appropriations, not to mention surplus military buildings, ships, and supplies. He was also notably effective in bringing together into a functional team such diverse agencies as the U.S. Public Health Service, the Bureau of Indian Affairs, the Territorial Department of Health, and various voluntary health organizations.
PubMed ID
10093281 View in PubMed
Documents
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Characteristics of cancer in the Eskimos of southwestern Alaska.

https://arctichealth.org/en/permalink/ahliterature828
Source
Cancer. 1969 Feb; 23(2):468-474
Publication Type
Article
Date
Feb-1969

Chills and fever: health and disease in the early history of Alaska.

https://arctichealth.org/en/permalink/ahliterature829
Source
University of Alaska Press, Fairbanks. 393 pp.
Publication Type
Book/Book Chapter
Date
1989
Author
Fortuine, R.
Author Affiliation
University of Alaska Anchorage
Source
University of Alaska Press, Fairbanks. 393 pp.
Date
1989
Language
English
Geographic Location
U.S.
Publication Type
Book/Book Chapter
Physical Holding
Alaska Medical Library
University of Alaska Anchorage
Keywords
STD
Alcohol abuse
Epidemics
Tuberculosis
Syphilis
Health status
Paleopathology
Traditional healing
Health services
Hospitals
Tobacco abuse
Trauma
Starvation
Violence
Smallpox
Influenza
Public Health
Health and hygiene
Diseases
Notes
Alaska Medical Library - From: Fortuine, Robert et al. 1993. The Health of the Inuit of North America: A Bibliography from the Earliest Times through 1990. University of Alaska Anchorage. Citation number 611.
ALASKA RA447.A4F67 1989
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Communicable disease control in the early history of Alaska. II. Syphilis.

https://arctichealth.org/en/permalink/ahliterature830
Source
Pages 191-194 in R. Fortuine, ed. Circumpolar Health 84. Proceedings of the International Symposium on Circumpolar Health, 6th, Anchorage, 13-18 May 1984. University of Washington Press, Seattle.
Publication Type
Article
Date
1985
  1 document  
Author
Fortuine, R.
Author Affiliation
U.S. Indian Health Service
Source
Pages 191-194 in R. Fortuine, ed. Circumpolar Health 84. Proceedings of the International Symposium on Circumpolar Health, 6th, Anchorage, 13-18 May 1984. University of Washington Press, Seattle.
Date
1985
Language
English
Geographic Location
U.S.
Publication Type
Article
Digital File Format
Text - PDF
Physical Holding
Alaska Medical Library
Keywords
Epidemics
Kodiak
Nuchek
Prevention
STD
Syphilis
Notes
From: Fortuine, Robert et al. 1993. The Health of the Inuit of North America: A Bibliography from the Earliest Times through 1990. University of Alaska Anchorage. Citation number 603.
Documents
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Communicable disease control in the early history of Alaska. I. Smallpox.

https://arctichealth.org/en/permalink/ahliterature831
Source
Pages 187-190 in R. Fortuine, ed. Circumpolar Health 84. Proceedings of the International Symposium on Circumpolar Health, 6th, Anchorage, 13-18 May 1984. University of Washington Press, Seattle.
Publication Type
Article
Date
1985
  1 document  
Author
Fortuine, R.
Author Affiliation
U.S. Indian Health Service
Source
Pages 187-190 in R. Fortuine, ed. Circumpolar Health 84. Proceedings of the International Symposium on Circumpolar Health, 6th, Anchorage, 13-18 May 1984. University of Washington Press, Seattle.
Date
1985
Language
English
Geographic Location
U.S.
Publication Type
Article
Digital File Format
Text - PDF
Physical Holding
Alaska Medical Library
Keywords
Epidemics
Immunizations
Prevention
Smallpox
Vaccine
Notes
From: Fortuine, Robert et al. 1993. The Health of the Inuit of North America: A Bibliography from the Earliest Times through 1990. University of Alaska Anchorage. Citation number 602.
Documents
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Current status of animal-borne diseases among the Eskimos.

https://arctichealth.org/en/permalink/ahliterature832
Source
Canadian Journal of Comparative Medicine and Veterinary Science. 1961 Jul; 25(7):185-189.
Publication Type
Article
Date
1961
Author
Fortuine, R.
Source
Canadian Journal of Comparative Medicine and Veterinary Science. 1961 Jul; 25(7):185-189.
Date
1961
Language
English
Geographic Location
Multi-National
Publication Type
Article
Physical Holding
Alaska Medical Library
Keywords
Trichinosis
Zoonosis
Brucellosis
Fish tapeworm
Cystic hydatid disease
Alveolar hydatid disease
Rabies
Tularemia
Psittacosis
Humans
Animals
Parasites
Notes
From: Fortuine, Robert et al. 1993. The Health of the Inuit of North America: A Bibliography from the Earliest Times through 1990. University of Alaska Anchorage. Citation number 1679.
Cited in: Fortuine, Robert. 1968. The Health of the Eskimos: a bibliography 1857-1967. Dartmouth College Libraries. Citation number 836.
PubMed ID
17649313 View in PubMed
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Development of modern medicine in southwestern Alaska. 1. The growth of health services.

https://arctichealth.org/en/permalink/ahliterature833
Source
Alaska Medicine. 13(2):51-59.
Publication Type
Article
Date
1971
Author
Fortuine, R.
Author Affiliation
U.S. Indian Health Service
Source
Alaska Medicine. 13(2):51-59.
Date
1971
Language
English
Geographic Location
U.S.
Publication Type
Article
Physical Holding
Alaska Medical Library
Keywords
Bethel
Community health aides
Medical missions
Epidemics
Hospitals
Health ship
Communications
Sanitation
Community health workers
U.S. Bureau of Education
Alaska Native Service
Alaska Area Native Health Service
Notes
From: Fortuine, Robert et al. 1993. The Health of the Inuit of North America: A Bibliography from the Earliest Times through 1990. University of Alaska Anchorage. Citation number 598.
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64 records – page 1 of 7.