The 1984 National Minimum Drinking Age Act. The 1984 National Minimum Drinking Age Act, [23 U.S.C. Â§ 158], requires that States prohibit persons under 21 years of age from purchasing or publicly possessing alcoholic beverages as a condition of receiving State highway funds. [23 C.F.R. Â§ 1208.3].
Fistula occurs when emergency obstetric care is unavailable to women who develop complications during childbirth. This is why women living in remote rural areas with little access to medical care are mostly at risk. Before medical advancements, fistula was quite common in Europe and the United States.
Fistulas sometimes happen due to: 1  Hysterectomy and Caesarean section cause the largest number of vesicovaginal fistulas. Other surgery on the back wall of the vagina, the perineum, anus or rectum can result in a fistula. 2  Malignancies in the pelvic region, such as colon or cervical cancers.