Incidence of Head and Neck Cancers before and after 9/11 in New York City and New York State

ORL ◽  
2021 ◽  
pp. 1-12
Author(s):  
Rosalie Machado ◽  
Tristan Tham ◽  
Daniel Zhu ◽  
Amanda Wong ◽  
David Hiltzik ◽  
...  

<b><i>Introduction:</i></b> The incidence of cancers in New York State (NYS) before and after 9/11 including lung, colorectal, and renal cancers has been previously described. To date, the incidence of head and neck cancers (HNCs) before and after 9/11 has not been described. <b><i>Methods:</i></b> Cancers involving the oral cavity and oropharynx; the nose, nasal cavity, nasopharynx, and middle ear; larynx; and thyroid were identified using the New York State Cancer Registry (NYSCR). Age-adjusted incidence and rates per 100,000 residents from 1987 to 2015 were analyzed using joinpoint regression. Trends in incidence using annual percent changes are presented. <b><i>Results:</i></b> The overall rate of HNC increased slightly by 0.7% (<i>p</i> &#x3c; 0.001) from 1987 to 2003 in NYS. From 2003 to 2008, the rate increased by 5.73% (<i>p</i> &#x3c; 0.001), and from 2008 to 2015, the rate increased by 1.68% (<i>p</i> &#x3c; 0.001). The rate of thyroid cancer increased by 6.79% (<i>p</i> &#x3c; 0.001) from 1987 to 2003, by 9.99% (<i>p</i> &#x3c; 0.001) from 2003 to 2009, and by 2.41% (<i>p</i> = 0.001) from 2009 to 2015. The rate of thyroid cancer was higher in women at all time points. In a subset analysis of HNCs excluding thyroid cancer, the rate decreased by 2.02% (<i>p</i> &#x3c; 0.001) from 1991 to 2001, followed by a nonsignificant increase of 0.1% (<i>p</i> = 0.515) from 2001 to 2015. The rate of oropharyngeal (OP) cancer significantly increased from 1999 to 2015 (2.65%; <i>p</i> &#x3c; 0.001). The rate of oral cavity cancer significantly decreased from 1987 to 2003 (1.97%; <i>p</i> &#x3c; 0.001), with no significant change after 2003. The rate of laryngeal cancer decreased significantly by 2.43% (<i>p</i> &#x3c; 0.001) from 1987 to 2015, as did the rate of nasal cavity/nasopharyngeal cancer (0.33%; <i>p</i> = 0.03). <b><i>Conclusions:</i></b> In NYS, OP cancer and thyroid cancer rates increased significantly during the study period. The rate of thyroid cancer was higher in women. The rate of combined HNC increased significantly after 9/11 compared to before 9/11; however, in a subset analysis of all HNC patients excluding thyroid cancer, the rate decreased significantly prior to 9/11 and then nonsignificantly increased afterward. This suggests that the increase in thyroid cancer accounts for the increase in combined HNC in NYS. The impact of 9/11 on rates of HNC requires further research.

2020 ◽  
Author(s):  
Li Sun ◽  
Xinyi Lu ◽  
Zidian Xie ◽  
Dongmei Li

BACKGROUND Flavored electronic cigarettes (e-cigarettes) have become popular in recent years, especially among youth and young adults. To address the epidemic of e-cigarettes, New York State approved a ban on sales of most flavored vaping products other than tobacco and menthol flavors on September 17, 2019. OBJECTIVE This study aimed to examine the public responses on social media to the policy on flavored e-cigarettes in New York State. METHODS Twitter posts (tweets) related to e-cigarettes and the New York State policy on flavored e-cigarettes were collected using Twitter streaming API from June 2019 to December 2019. Tweets from New York State, and other states that did not have a flavored e-cigarettes policy were extracted. Sentiment analysis was applied to analyze the proportion of negative and positive tweets about e-cigarettes or the flavor policy. Topic modeling was applied to e-cigarettes related datasets to identify the most frequent topics before and after the announcement of the New York State policy on flavored e-cigarettes. RESULTS Our results showed that average number of tweets related to e-cigarettes and the New York State policy on flavored e-cigarettes increased in both New York State and other states after the NY flavor policy was announced. Sentiment analysis revealed that after the announcement of the New York State flavor policy, in both New York State and other states, the proportion of negative tweets on e-cigarettes increased, from 34.07% to 44.58% and from 32.48% to 44.40% respectively, while positive tweets decreased significantly, from 39.03% to 32.86% and from 42.78% to 33.93% respectively. The majority of tweets about the New York State flavor policy were negative in both New York State (from 88.78% to 83.46%) and other states (from 78.43% to 81.54%) while New York State had a higher proportion of negative tweets than other states. Topic modeling results demonstrated that teenage vaping and health problems were the most discussed topic associated with e-cigarettes. CONCLUSIONS Public attitudes toward e-cigarettes became more negative on Twitter after the New York State announced the policy on flavored e-cigarettes. Twitter users in other states that did not have such a policy on flavored e-cigarettes paid close attention to New York State flavor policy. This study provides some valuable information about the potential impact of the flavored e-cigarettes policy in New York State on public attitudes towards the flavored e-cigarettes.


2022 ◽  
Vol 273 ◽  
pp. 64-70
Author(s):  
Maaike van Gerwen ◽  
Mathilda Alsen ◽  
Naomi Alpert ◽  
Catherine Sinclair ◽  
Emanuela Taioli

2020 ◽  
pp. 000313482095482
Author(s):  
Megan R. Donnelly ◽  
Philip S. Barie ◽  
Areg Grigorian ◽  
Catherine M. Kuza ◽  
Sebastian Schubl ◽  
...  

Background The impacts of social stressors on violence during the coronavirus disease 2019 (COVID-19) pandemic are unknown. We hypothesized that firearm purchases and violence would increase surrounding the pandemic. This study determined the impact of COVID-19 and shelter-in-place (SIP) orders on firearm purchases and incidents in the United States (US) and New York State (NYS). Methods Scatterplots reflected trends in firearm purchases, incidents, and deaths over a 16-month period (January 2019 to April 2020). Bivariate comparisons of SIP and non-SIP jurisdictions before and after SIP (February 2020 vs. April 2020) and April 2020 vs. April 2019 were performed with the Mann-Whitney U test. Results The incidence of COVID-19 in the US increased between February and April 2020 from 24 to 1 067 660 and in NYS from 0 to 304 372. When comparing February to March to April in the US, firearm purchases increased 33.6% then decreased 22.0%, whereas firearm incidents increased 12.2% then again increased by 3.6% and firearm deaths increased 23.8% then decreased in April by 3.8%. In NYS, comparing February to March to April 2020, firearm purchases increased 87.6% then decreased 54.8%, firearm incidents increased 110.1% then decreased 30.8%, and firearm deaths increased 57.1% then again increased by 6.1%. In both SIP and non-SIP jurisdictions, April 2020 firearm purchases, incidents, deaths, and injuries were similar to April 2019 and February 2020 (all P = NS). Discussion Coronavirus disease 2019–related stressors may have triggered an increase in firearm purchases nationally and within NYS in March 2020. Firearm incidents also increased in NYS. SIP orders had no effect on firearm purchases and firearm violence.


Toxics ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 325
Author(s):  
Maaike van Gerwen ◽  
Brandon Gold ◽  
Mathilda Alsen ◽  
Mohemmed N. Khan ◽  
Lauren Petrick ◽  
...  

Background: to investigate the high thyroid cancer incidence rate of Staten Island and to disentangle the effects of potential environmental exposure from a landfill from screening. Methods: age-adjusted thyroid cancer incidence rates obtained from the New York State Public Access Cancer Epidemiology Data for New York State (NYS) excluding New York City (NYC) and the five NYC boroughs, including Staten Island, were mapped over time (1995–2018), investigated per age group and by percentage of localized thyroid cancer. Changes in trends were assessed using joinpoint. Contaminants of concern on Staten Island were assessed for carcinogenic and endocrine disruptive properties. Results: a more pronounced thyroid cancer incidence rate increase, without a difference in age distribution and similar percentages of localized thyroid cancer, was found in Staten Island compared to its demographic equivalent (NYS excluding NYC). Multiple contaminants of concern with carcinogenic and endocrine disrupting properties (e.g., cadmium, lead) were identified in air, water and sediment samples. Conclusion: investigations into the effects of increased/sustained environmental exposures are needed in chronically exposed populations to identify potential mechanisms of action of certain pollutants.


2014 ◽  
Vol 42 (6) ◽  
Author(s):  
Shetal Shah ◽  
Catherine Messina

AbstractInfluenza presents with increased morbidity and mortality in children ≤5 months of age. Vaccination of caregivers is indicated, but immunization rates are estimated at only 30%. The 2009 New York State Neonatal Influenza Protection Act (NIPA) mandated offering of influenza vaccine to caregivers during the post-partum hospitalization. The purpose of this study was to determine the impact of NIPA on infant influenza rates.Data on laboratory-confirmed influenza cases between 2006 and 2012 were extracted from the New York State Electronic Clinical Laboratory Reporting System (ECLRS). Data on infant cases were categorized by age (0–5 months) and location [New York City (NYC), outside NYC] based on reporting laboratory site. The total number of influenza cases and the percentage of total cases in the infant age group were normalized to the number of reporting laboratory sites. TheDuring the 6-year study period, 3154 cases of infant influenza were detected. In bivariate analysis, 1707 (54.1%) of cases occurred prior to NIPA implementation and 1447 (45.9%) of cases occurred after (P<0.001). Of the 1422 total infant cases detected in NYC, the percentages of influenza cases pre- and post-NIPA were 54.6% (777) and 45.4% (645), respectively (P<0.006). Outside NYC, the percentage of infant cases was reduced from 53.7% (930/1732) to 46.3% (802/1732, P<0.02). Prior to implementation, there was a year-to-year increase in the number of infant influenza cases statewide (P<0.04 for trend). The ratio of infant influenza cases normalized per ECLRS site in NYC increased each year after NIPA passage (P<0.01 for trend). The ratio of infant cases outside NYC decreased annually (P<0.05 for trend). No year-to-year trends were seen in the percentage of total influenza cases in the infant age group compared to total cases across all age groups either within or outside NYC.Comparison of three influenza seasons before and after NIPA suggests a total statewide reduction in infant influenza. However, the greatest driver of this reduction occurs from reduced disease in infants outside NYC. We speculate that, with increased crowding within NYC, parental immunization as encouraged by NIPA may not create cocoon immunity.


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