Patel, Vibhuti creator text xu| 2002 continuing ng p.2124-125. Census 2001 has revealed a deterioration in the juvenile male-female sex ratio in Kerala. Hospital birth records can help establish sex ratios at birth and thus the prevalence of female foeticide. However, civil society and the state will need to pitch in to check the misuse of technology for female foeticide in Kerala. - Reproduced. Sex distribution Economic and Political Weekly 180718