The Technical Services Division received and processed 160,632 contemporary physical items (books, serial issues, audiovisuals, and electronic media) which is slightly higher than last year’s total. Electronic publishing has not yet had a significant impact on the number of physical items that NLM acquires. Net totals of 35,303 volumes and 376,927 other items, including nonprint media, manuscripts, and pictures acquired by the History of Medicine Division (HMD), were added to the NLM collection. LO uses subscription agents and book vendors to acquire current literature published around the world. In FY2008, TSD worked with the LC East Africa office.