106 STAT. 5350 PROCLAMATION 6453-JUNE 30, 1992 and, ultimately, a cure for spina biHda. Government researchers have been joined in their efforts by physicians and scientists throughout the private sector and by a number of voluntary health associations. In addition to supporting basic and clinical research, many of these associations also work to promote public awareness of spina biHda while providing assistance to patients and their families. This month, we recognize all of the dedicated professionals and volunteers who are striving to overcome spina bifida, and we reaffirm our support of their efforts. The Congress, by House Joint Resolution 470, has designated September 1992 as "National Spina BiHda Awareness Month" and has requested the President to issue a proclamation in observance of this month. NOW, THEREFORE, I, GEORGE BUSH, President of the United States of America, do hereby proclaim September 1992 as National Spina Bifida Awareness Month. I encourage all Americans to observe this month with appropriate programs and activities. IN WITNESS WHEREOF, I have hereunto set my hand this 30 day of June, in the year of our Lord nineteen hundred and ninety-two, and of the Independence of the United States of America the two hundred and sixteenth. GEORGE BUSH Proclamation 6453 of June 30, 1992 National Awareness Week for Lifesaving Techniques, 1992 By the President of the United States of America A Proclamation Prompt, effective assistance can mean the difference between life and death for victims of accidents and other emergencies, which is why each of us should be prepared to respond accordingly. Citizens who have knowledge of and training in lifesaving techniques such as cardiopulmonary resuscitation (CPR) and the control of bleeding and shock can play a vital role in providing needed first aid during the critical minutes before professional help is available. The National Center for Health Statistics reports that in 1989, the most recent year for which final figures are available, 296 out of every 100,000 deaths in the United States were caused by heart disease. More than 4,000 Americans died from drowning and submersion, and 3,578 of our citizens either suffocated or choked to death. A significant number of these tragic deaths could have been prevented if bystanders were trained in basic lifesaving techniques taught by the American Red Cross, the Young Men's and Women's Christian Associations, the American Heart Association, and other national and local organizations. Indeed, it is estimated that the help of knowledgeable bystanders could save as many as 50 percent of those injured, compared to accidents and emergencies in which care is unavailable until medical personnel arrive on the scene. .