scholarly journals Age-Standardized Mortality Rates in the Caribbean: One Source, Three Different Interpretations

2018 ◽  
Vol 4 (Supplement 1) ◽  
pp. 26s-26s
Author(s):  
Nicholas G. Wolf ◽  
Camille Morgan ◽  
John S. Flanigan
Keyword(s):  
Cancer Mortality ◽  
The United States ◽  
Mortality Rates ◽  
Virgin Islands ◽  
International Agency ◽  
World Population ◽  
Us Virgin Islands ◽  
The Caribbean ◽  
Mortality Estimates

Abstract 74 Purpose A recent publication in the Morbidity and Mortality Weekly Report (MMWR) provided the opportunity to calculate differences in published cancer mortality estimates for Caribbean jurisdictions from three organizations, MMWR, the International Agency for Research on Cancer, and the Institute for Health Metrics and Evaluation. This comparison study serves to educate end users of these data. Methods We downloaded the publicly available cancer mortality estimates for 15 jurisdictions and the United States from the three organizations. We compared reported age-standardized mortality rates for each jurisdiction, and calculated the range among the estimates for each jurisdiction. We repeated this analysis after applying the same world population standard to all estimates. Results For males, ranges of Caribbean estimates were between 49% (Grenada and Trinidad) and 201% (US Virgin Islands) of the MMWR value, with an average of 88%. For females, ranges were between 15% (Trinidad) and 171% (US Virgin Islands) of the MMWR value, with an average of 64%. After all estimates were compared using the same population standard, ranges of Caribbean estimates for males were between 6% (Grenada) and 111% (US Virgin Islands) of the MMWR value, with an average of 34%. For females, ranges were between 7% (Grenada) and 97% (US Virgin Islands), with an average of 28%. Conclusion The use of different standard populations complicates comparisons across organizations. Data modeling does not completely compensate for the quality of source data, as our analysis has demonstrated by the differences in mortality rates despite the good quality of the vital registration in the Caribbean. AUTHORS' DISCLOSURES OF POTENTIAL CONFLICTS OF INTEREST No COIs from the authors.

scholarly journals Age-Standardized Mortality Rates in the Caribbean: One Source, Three Different Interpretations

2018 ◽  
pp. 1-10
Author(s):  
Nicholas G. Wolf ◽  
Camille Morgan ◽  
John S. Flanigan
Keyword(s):  
Cancer Mortality ◽  
The United States ◽  
Mortality Rates ◽  
Virgin Islands ◽  
International Agency ◽  
World Population ◽  
Us Virgin Islands ◽  
The Caribbean ◽  
Mortality Estimates

Purpose A recent publication in Morbidity and Mortality Weekly Report ( MMWR) provided the opportunity to calculate differences in published cancer mortality estimates for Caribbean jurisdictions from three organizations: MMWR, the International Agency for Research on Cancer, and the Institute for Health Metrics and Evaluation. This comparison study serves to educate end users of these data. Methods We downloaded the publicly available cancer mortality estimates for 15 jurisdictions and the United States from the three organizations. We compared reported age-standardized mortality rates for each jurisdiction and calculated the range among estimates for each jurisdiction. We repeated this analysis after applying the same world population standard to all estimates. Results For males, the ranges of the Caribbean estimates were between 49% (Grenada and Trinidad) and 201% (US Virgin Islands) of the MMWR value, with an average of 88%. For females, the ranges were between 15% (Trinidad) and 171% (US Virgin Islands) of the MMWR value, with an average of 64%. After all estimates were compared using the same population standard, the ranges of the Caribbean estimates for males were between 6% (Grenada) and 111% (US Virgin Islands) of the MMWR value, with an average of 34%. For females, the ranges were between 7% (Grenada) and 97% (US Virgin Islands), with an average of 28%. Conclusion The use of different standard populations complicates comparisons across organizations. Data modeling does not completely compensate for quality of source data, as our analysis demonstrated by the differences in mortality rates despite the good quality of the vital registration in the Caribbean.

Cancer incidence and mortality in the Caribbean

2007 ◽  
Vol 25 (18_suppl) ◽  
pp. 21110-21110
Author(s):  
A. A. Phillips ◽  
J. S. Jacobson ◽  
C. Magai ◽  
N. Consedine ◽  
N. C. Horowicz-Mehler ◽  
...  
Keyword(s):  
Cancer Incidence ◽  
Large Bowel ◽  
The United States ◽  
Mortality Rates ◽  
Caribbean Region ◽  
International Agency ◽  
Incidence And Mortality ◽  
Liver Cancers ◽  
The Us ◽  
The Caribbean

21110 Background: Nearly 10% of immigrants to the United States come from the Caribbean region. In this paper, we analyzed incidence and mortality rates of the major cancers in the Bahamas, Barbados, Cuba, the Dominican Republic, Haiti, Jamaica, Puerto Rico, and Trinidad and Tobago, and compared them with US patterns. Methods: We obtained age-standardized, sex-specific cancer incidence and mortality rates for cancers of the bladder, breast, cervix, esophagus, large bowel, liver, lung, pancreas, prostate, and stomach for eight Caribbean countries and the US from the GLOBOCAN program of the International Agency for Research in Cancer (IARC) and for the US population from the Surveillance, Epidemiology, and End Results (SEER) Program of the NCI. Results: GLOBOCAN incidence and mortality rates for the overall US were lower than but correlated with overall SEER rates. Based on GLOBOCAN data, the incidence and mortality rates of cancers of the breast, prostate, large bowel, and lung, and, among males, bladder cancer were lower in the Caribbean countries than the US. Caribbean countries had higher rates of cancers of the cervix, esophagus, liver, and stomach. Haiti had the highest incidence and mortality rates of cervix and liver cancers. Jamaica and Haiti had the highest rates of stomach cancer. Conclusions: Cancer incidence and mortality in the Caribbean generally follow known patterns of association with economic development, infectious agents, and racial/ethnic origin. Studying these patterns and how immigration changes them may yield clues to cancer etiology. A better understanding of cancer incidence and mortality rates may help health policymakers to implement state-of-the-art treatment and preventive services for people of Caribbean descent both in their native countries and in immigrant communities in the US. [Table: see text] No significant financial relationships to disclose.

Digital Resources: Study of Danish Activities in the Caribbean

2021 ◽  
Author(s):  
Gunvor Simonsen
Keyword(s):  
United States ◽  
United States Of America ◽  
West Indies ◽  
The United States ◽  
Virgin Islands ◽  
Digital Platforms ◽  
Us Virgin Islands ◽  
The Us ◽  
The Caribbean ◽  
Danish West Indies

From the 1670s to 1917, Denmark (until 1814 Denmark–Norway) maintained colonies in the eastern Caribbean. The island of St. Thomas was colonized in 1672, St. John in 1718, and St. Croix was bought from the French in 1733. Racial slavery soon came to dominate the Danish islands and was only abolished in 1848. Most people arrived to the islands as captive Africans, while most Europeans were of either Dutch or British origin. In 1917, the islands, constituting the Danish West Indies, were sold to the United States of America and became the US Virgin Islands. As part of the centennial of 2017, commemorating the transfer of the Virgin Islands to the United States of America, major Danish cultural institutions, such as the National Archives, the Royal Library, and the National Museum, digitized large collections concerning Danish activities and Danish rule in the Caribbean, including the archive of the Danish West India and Guinea Company, the archives of local government agencies in the Caribbean, large collections of photos, drawings, and maps, as well as a significant part of the written works concerning the Danish West Indies published prior to 1917. In combination with older digital platforms, new online resources facilitate the triangulation of many different kinds of evidence, which in turn promises to generate fascinating new histories of the people who lived in the US Virgin Islands while they were under Danish rule.

scholarly journals Comparing Cancer Mortality Estimates in Mexico By Using Two National Death Registries

2017 ◽  
Vol 3 (2_suppl) ◽  
pp. 24s-24s
Author(s):  
Susana Lozano-Esparza ◽  
Dalia Stern ◽  
Juan Eugenio Hernandez-Avila ◽  
Evangelina Morales-Carmona ◽  
Rafael Lozano ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Latin American ◽  
Cancer Mortality ◽  
Research Funding ◽  
Direct Method ◽  
Mortality Rates ◽  
World Population ◽  
Death Certificates ◽  
Stroke Mortality ◽  
Mortality Estimates

Abstract 49 Background: Mexico has low cancer mortality compared with other Latin American countries and high-income economies. The National Institute of Geography and Statistics (INEGI) uses an automated coding system that has been adapted from the Centers for Disease Control system to process death certificates. In contrast, the System for Epidemiologic Death Statistics (SEED) relied on a standardized manual process. We hypothesized that the low cancer mortality could be explained by processing procedures. We undertook this work to compare cancer mortality rates from two national death registries that independently code and attribute cause of death from death certificates. Methods: We calculated age-standardized cancer mortality rates for all cancers and specific sites by sex for 2010 to 2014 by using data from INEGI and SEED. We calculated stroke mortality rates for comparison. We obtained age-adjusted mortality rates and 95% CIs by using direct method and World Population Prospects 2010 as a standard. Results: Age-standardized mortality rate per 100,000 women for all cancers was 74.8 (95% CI, 74.0 to 75.6) in INEGI and 74.1 (95% CI, 73.3 to 74.9) in SEED for 2010. In contrast, for men, cancer mortality rate was 69.0 (95% CI, 68.2 to 69.7) in INEGI and 68.4 (95% CI, 67.7 to 69.7) in SEED. We did not observe substantial differences across cancer sites and years; however, when analyzing cases with cancer as a contributing condition, INEGI reported approximately 50% more compared with SEED. In contrast, stroke mortality significantly differed between registries for all years. For women, in 2010, INEGI reported 29.4 (95% CI, 29.0 to 29.9) compared with 26.5 (95% CI, 26.0 to 26.9) in SEED. Corresponding estimates for men were 36.6 (95% CI, 36.0 to 37.1) and 33.0 (95% CI, 32.4 to 33.5), respectively. Conclusion: Cancer mortality estimates were minimally affected by use of distinct processing procedures. Death certification in Mexico should be further evaluated. Funding: AstraZeneca, GlaxoSmithKline, and Merck. AUTHORS' DISCLOSURES OF POTENTIAL CONFLICTS OF INTEREST Susana Lozano-Esparza No relationship to disclose Dalia Stern No relationship to disclose Juan Eugenio Hernandez-Avila No relationship to disclose Evangelina Morales-Carmona No relationship to disclose Rafael Lozano No relationship to disclose Eduardo Lazcano-Ponce Consulting or Advisory Role: Merck Sharp & Dohme Research Funding: Roche, Roche (Inst), BD, Qiagen (Inst) Travel, Accommodations, Expenses: GlaxoSmithKline, Merck Sharp & Dohme, Qiagen Ruy Lopez-Ridaura Research Funding: AstraZeneca Martin Lajous Research Funding: AstraZeneca

scholarly journals Ocular Findings and Visual Function in Children Examined during the Zika Health Brigade in the US Virgin Islands, March 2018

2021 ◽  
Vol 6 (2) ◽  
pp. 66
Author(s):  
S. Grace Prakalapakorn ◽  
Lucas Bonafede ◽  
Linda Lawrence ◽  
Daniel Lattin ◽  
Nicola Kim ◽  
...  
Keyword(s):  
Visual Function ◽  
Retrospective Chart Review ◽  
The United States ◽  
Virgin Islands ◽  
Neurologic Examination ◽  
Zikv Infection ◽  
Us Virgin Islands ◽  
Ocular Findings ◽  
Ocular Structure ◽  
The Us

Among children born with laboratory-confirmed Zika virus (ZIKV) infection, visual impairment (VI) can occur despite normal ocular structure. The objective of this report is to describe ocular findings and visual function among children examined during the Department of Health Zika Health Brigade (ZHB) in the United States Virgin Islands in March 2018. This analysis is based on a retrospective chart review of children eligible to participate in the ZHB (i.e., part of the US Zika Pregnancy and Infant Registry) and who were examined by ophthalmologists. Eighty-eight children attended the ZHB. This report includes 81 children [48 (59.3%) males] whose charts were located [average gestational age = 37.6 weeks (range: 27.6–41.3) and average adjusted age at examination = 9.1 months (range: 0.9–21.9)]. Of those examined, 5/81 (6.2%) had microcephaly at birth, 2/81 (2.5%) had a structural eye abnormality, and 19/72 (26.4%) had VI. Among children with normal ocular structure and neurologic examination, 13/51 (25.5%) had VI. Despite a low incidence of abnormal ocular structure and microcephaly, about a quarter of children examined had VI. Our findings emphasize that ophthalmological examinations should be performed in all children with suspicion for antenatal ZIKV infection, even children with normal ocular structure and neurologic examination.

scholarly journals Outcomes for Children and Adolescents With Cancer: Challenges for the Twenty-First Century

2010 ◽  
Vol 28 (15) ◽  
pp. 2625-2634 ◽  
Author(s):  
Malcolm A. Smith ◽  
Nita L. Seibel ◽  
Sean F. Altekruse ◽  
Lynn A.G. Ries ◽  
Danielle L. Melbert ◽  
...  
Keyword(s):  
United States ◽  
Childhood Cancer ◽  
Cancer Mortality ◽  
Lymphoblastic Leukemia ◽  
The United States ◽  
Mortality Rates ◽  
Mortality Data ◽  
Childhood Cancers ◽  
Essential Information ◽  
The Impact

Purpose This report provides an overview of current childhood cancer statistics to facilitate analysis of the impact of past research discoveries on outcome and provide essential information for prioritizing future research directions. Methods Incidence and survival data for childhood cancers came from the Surveillance, Epidemiology, and End Results 9 (SEER 9) registries, and mortality data were based on deaths in the United States that were reported by states to the Centers for Disease Control and Prevention by underlying cause. Results Childhood cancer incidence rates increased significantly from 1975 through 2006, with increasing rates for acute lymphoblastic leukemia being most notable. Childhood cancer mortality rates declined by more than 50% between 1975 and 2006. For leukemias and lymphomas, significantly decreasing mortality rates were observed throughout the 32-year period, though the rate of decline slowed somewhat after 1998. For remaining childhood cancers, significantly decreasing mortality rates were observed from 1975 to 1996, with stable rates from 1996 through 2006. Increased survival rates were observed for all categories of childhood cancers studied, with the extent and temporal pace of the increases varying by diagnosis. Conclusion When 1975 age-specific death rates for children are used as a baseline, approximately 38,000 childhood malignant cancer deaths were averted in the United States from 1975 through 2006 as a result of more effective treatments identified and applied during this period. Continued success in reducing childhood cancer mortality will require new treatment paradigms building on an increased understanding of the molecular processes that promote growth and survival of specific childhood cancers.

scholarly journals Habitat and Client Diversity Influence the Skin Microbiome of the Caribbean Cleaner Goby Elacatinus Evelynae

2021 ◽  
Author(s):  
Ana Pereira ◽  
Marta C. Soares ◽  
Teresa Santos ◽  
Ana Poças ◽  
Marcos Pérez-Losada ◽  
...  
Keyword(s):  
Coral Reefs ◽  
Virgin Islands ◽  
Physical Contact ◽  
Rrna Gene ◽  
Skin Microbiome ◽  
Us Virgin Islands ◽  
Alpha And Beta Diversity ◽  
Skin Bacteria ◽  
The Caribbean ◽  
Microbiota Diversity

Abstract Fish associated microorganisms are known to be affected by the environment and other external factors, such as microbial transfer between interacting partners. One of the most iconic mutualistic interactions on coral reefs are the cleaning interactions between cleanerfishes and their clients, during which direct physical contact occurs. Here, we characterized the skin bacteria of the Caribbean cleaner sharknose goby, Elacatinus evelynae, in four coral reefs of the US Virgin Islands using sequencing of the V4 region of the 16S rRNA gene. We specifically tested the relationship between gobies’ level of interaction with clients and skin microbiota diversity and composition. Our results showed differences in microbial alpha- and beta-diversity in the skin of gobies from different reef habitats and high inter-individual variation in microbiota diversity and structure. Overall, the results showed that fish-to-fish direct contact and specifically, access to a diverse clientele, influences the bacterial diversity and structure of cleaner gobies’ skin. Because of their frequent contact with clients, and therefore, high potential for microbial exchange, cleanerfish may serve as models in future studies aiming to understand the role of social microbial transfer in reef fish communities.

scholarly journals Breast Cancer Prevalence and Mortality among Hispanic Subgroups in the United States, 2009–2013

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Bijou R. Hunt
Keyword(s):  
Breast Cancer ◽  
Cancer Mortality ◽  
Breast Cancer Mortality ◽  
The United States ◽  
Mortality Rates ◽  
Female Breast Cancer ◽  
South American ◽  
Cancer Prevalence ◽  
Targeted Interventions ◽  
Hispanic Subgroup

Background. This paper presents data on breast cancer prevalence and mortality among US Hispanics and Hispanic subgroups, including Cuban, Mexican, Puerto Rican, Central American, and South American.Methods. Five-year average annual female breast cancer prevalence and mortality rates for 2009–2013 were examined using data from the National Health Interview Survey (prevalence) and the National Center for Health Statistics and the American Community Survey (mortality rates).Results. Overall breast cancer prevalence among US Hispanic women was 1.03%. Although the estimates varied slightly by Hispanic subgroup, these differences were not statistically significant. The breast cancer mortality rate for Hispanics overall was 17.71 per 100,000 women. Higher rates were observed among Cubans (17.89), Mexicans (18.78), and Puerto Ricans (19.04), and a lower rate was observed among Central and South Americans (10.15). With the exception of the rate for Cubans, all Hispanic subgroup rates were statistically significantly different from the overall Hispanic rate. Additionally, all Hispanic subgroups rates were statistically significantly higher than the Central and South American rate.Conclusion. The data reveal significant differences in mortality across Hispanic subgroups. These data enable public health officials to develop targeted interventions to help lower breast cancer mortality among the highest risk populations.

Caribbean Organization

1965 ◽  
Vol 19 (4) ◽  
pp. 1070-1073
Keyword(s):  
United States ◽  
Puerto Rico ◽  
The Netherlands ◽  
French Guiana ◽  
The United States ◽  
Virgin Islands ◽  
British Virgin Islands ◽  
Netherlands Antilles ◽  
The United Kingdom ◽  
The Caribbean

The Caribbean Council held its fifth and last meeting in Curaçao, Netherlands Antilles, from November 30 to December 4, 1964. Attending the meeting were delegates from France on behalf of French Guiana, Guadeloupe, and Martinique; the Netherlands Antilles; Surinam; the British Virgin Islands; the Commonwealth of Puerto Rico; and the United States Virgin Islands. Representatives of Antigua, Barbados, Dominica, Grenada, Montserrat, and St. Vincent, countries enjoying special observer status, attended the meeting. Also at the meeting were observers from the Netherlands, the United Kingdom, and the United States.

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