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The rubella epidemic of the mid-1960s has contributed to a much larger than average cohort of deaf-blind children. As they progress upward in age, some very major problems will occur in responding to their needs. Today's fragmented service system suffers from underdeveloped prevention services; lack of information on effective planning; and failure to mobilize far enough in advance to meet known future needs of the deaf-blind handicapped population. In this paper, the authors discuss (1) the planning required to meet the needs of young deaf-blind persons in 1980; (2) the need for information about and control of the service system; (3) the need to improve identification programs, especially for older deaf-blind persons; (4) the humanitarian and economic desirability of prevention; and (5) the probable size of the young deaf-blind population in 1980 and the cost of serving it. (See also R-1220, R-1420.)

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