MATERNAL SERUM SCREENING IN THE SIOUX LOOKOUT ZONE - COMPLICATED TESTFOR AN UNSPECIFIED NEED

We investigated whether the incidence of fetal abnormalities among pat ients in Sioux Lookout Zone differs from incidence elsewhere in Canada , whether First Nations people would agree to screening, how informati on could be disseminated, and what practical considerations would affe ct implementation. Incidence appears to be similar to elsewhere, but F irst Nations people's cultural and spiritual beliefs and the difficult y of taking action once results are confirmed make current screening p rograms inappropriate.