Federal appropriations totalling over $162 million during fiscal year 1984 enabled the Appalachian Regional Commission (ARC) to attack the region's most critical needs. Area development appropriations ($43 million) were used to create almost 10,550 new jobs and retain nearly 4,100 jobs, give special assistance to Appalachia's neediest 80 counties (primarily for improvement of water and sewer services), and improve health care (primary care for 127,000 residents of 23 counties, prenatal care for 16,600 maternity cases, and construction of 5 and renovation of 2 primary care facilities). Under the highway portion of the finish-up program initiated in 1981, 197.8 of the remaining 725 high-priority miles were under construction or completed at the end of 1984. Throughout the year, the ARC provided technical assistance, conferences, and workshops in the areas of economic development financing, housing and community development, social investment, adult literacy, child care, and export promotion. Sections of the report discuss objectives and activities, finances, and projects (by category); provide maps, county population change data, and funding for the 13 Appalachian states; and include an address list and map of Appalachian local development districts. (NEC)