Abundance fluctuations in the interstellar medium

The determination of abundances within the interstellar medium is reviewed. It appears that interstellar abundances within 1 kpc of the Sun are uniform to within a factor of two or three, but it is not yet possible to determine whether there are real fluctuations at this level except for deuterium for which the factor of two variations appear to be real. Establishing the level of local fluctuations in the abundances is of considerable importance for understanding the history of nucleosynthesis in the solar neighborhood, the evolution of the interstellar medium and the formation of stars.