Over 35 years in Antigua and Barbuda, there has been a 42% fall in births to teenage mothers and a 53% fall in births to school-aged teens. The decrease has been sustained over 15 years. Economic, educational, social and medical changes may all have played a role.

The purpose of this study was to determine the synergistic activity of amikacin, ertapenem and fluoroquinolones combinations against resistant nosocomial pathogens. The antibiotic combinations showed additive or synergistic activity against many of the Gramnegative pathogens.

A review of 27 Afro-Caribbean patients with systemic sclerosis illustrates a female preponderance and a younger age of onset than that described for Caucasians, Hispanics and Afro-Americans. There was a tendency to develop diffuse disease and telangiectasia occurred more frequently than is thought typical in black patients.

Forty-nine cases of parasuicide attempts involving acetaminophen in Jamaica were analyzed. The mean age was 23 years and 84% were women. Acetaminophen only was ingested in 71% of cases and 29% involved an additional drug. Patients presented an average of 6.5 hours after ingestion. Serum transaminases were elevated in 18% and mean duration of hospitalization was three days. One patient developed liver failure and there were no deaths.

This is a cross-sectional study on 1062 students from eight high schools to determine the influence of smoking habits, education of family, parents, the type of school and gender on smoking in adolescents.

Prevalence of loiasis was assessed in some village markets in Ondo State, South West Nigeria, using the rapid procedure for loiasis technique. Among 480 respondents, 80 (16.7%) had a history of loiasis, 11 (2.3%) had recent occurrence of the disease and 04 (0.83%) experienced adverse reactions to ivermectin treatment.