To Die with Your Boots On: Relative Lethality of the States

1993 ◽  
Vol 72 (3) ◽  
pp. 843-854 ◽  
Author(s):  
James A. Thorson
Keyword(s):  
United States ◽  
New Mexico ◽  
Rhode Island ◽  
Causes Of Death ◽  
The United States ◽  
External Causes Of Death ◽  
External Causes

External causes of death (accidents, suicides, and homicides) account for slightly more than seven percent of all deaths in the United States. This percentage varies, however, from less than five percent in Rhode Island to almost fifteen percent in New Mexico and over twenty-five percent in Alaska. Relative lethality from external causes among the states is examined, and several explanatory hypotheses for observed differences are presented.

scholarly journals Mortality from injury, overdose and suicide during the 2020 COVID-19 pandemic, March-July, 2020

2021 ◽  
Author(s):  
Jeremy S. Faust ◽  
Chengan Du ◽  
Katherine Dickerson Mayes ◽  
Shu-Xia Li ◽  
Zhenqiu Lin ◽  
...  
Keyword(s):  
Causes Of Death ◽  
Excess Mortality ◽  
The United States ◽  
Health Statistics ◽  
Unintentional Injuries ◽  
Public Data ◽  
Drug Overdoses ◽  
External Causes Of Death ◽  
External Causes ◽  
Excess Deaths

Abstract Introduction The COVID-19 pandemic has been associated with substantial rates of all-cause excess mortality. The contribution of external causes of death to excess mortality including drug overdose, homicide, suicide, and unintentional injuries during the initial outbreak in the United States is less well documented. Methods Using public data published by the National Center for Health Statistics on February 10, 2021, we measured monthly excess mortality (the gap between observed and expected deaths) from five external causes using national-level data published by National Center for Health Statistics; assault (homicide); intentional self-harm (suicide); accidents (unintentional injuries); and motor vehicle accidents. We used seasonal autoregressive integrated moving average (sARIMA) models developed with cause-specific monthly mortality counts and US population data from 2015-2019 and estimated the contribution of individual cause-specific mortality to all-cause excess mortality from March-July 2020. Results From March-July, 2020, 212,825 (95% CI 136,236-290,776) all-cause excess deaths occurred in the US). There were 8,540 excess drug overdoses (all intents) (95% CI 5,106 to 11,975), accounting for 4% of all excess mortality; 1,455 excess homicide deaths (95% CI 708 to 2202, accounting for 0.7% of excess mortality; 5,492 excess deaths due to unintentional accidents occurred (95% CI 85 to 10,899, accounting for 2.6% of excess mortality. Though a non-significantly 135 (95% CI -1361 to 1,630) more MVA deaths were recorded during the study period, a significant decrease in April (525; 95% CI -817 to -233) and significant increases in June-July (965; 95% CI 348 to 1,587) were observed. Suicide deaths were statistically lower than projected by 2,067 (95% CI 941-3,193 fewer deaths). Meaning Excess deaths from drug overdoses, homicide, and addicents occurred during the pandemic but represented a small fraction of all-cause excess mortality. The excess external causes of death, however, still represent thousands of lives lost. Notably, deaths from suicide were lower than expected and therefore did not contribute to excess mortality.

scholarly journals Protective Effectiveness of Long-Lasting Permethrin Impregnated Clothing Against Tick Bites in an Endemic Lyme Disease Setting: A Randomized Control Trial Among Outdoor Workers

2020 ◽  
Vol 57 (5) ◽  
pp. 1532-1538
Author(s):  
Cedar Mitchell ◽  
Megan Dyer ◽  
Feng-Chang Lin ◽  
Natalie Bowman ◽  
Thomas Mather ◽  
...  
Keyword(s):  
United States ◽  
Rhode Island ◽  
The United States ◽  
Amblyomma Americanum ◽  
Adverse Outcomes ◽  
Control Group ◽  
Tick Bites ◽  
Outdoor Workers ◽  
Significant Difference ◽  
Protective Effectiveness

Abstract Tick-borne diseases are a growing threat to public health in the United States, especially among outdoor workers who experience high occupational exposure to ticks. Long-lasting permethrin-impregnated clothing has demonstrated high initial protection against bites from blacklegged ticks, Ixodes scapularis Say (Acari: Ixodidae), in laboratory settings, and sustained protection against bites from the lone star tick, Amblyomma americanum (L.) (Acari: Ixodidae), in field tests. However, long-lasting permethrin impregnation of clothing has not been field tested among outdoor workers who are frequently exposed to blacklegged ticks. We conducted a 2-yr randomized, placebo-controlled, double-blinded trial among 82 outdoor workers in Rhode Island and southern Massachusetts. Participants in the treatment arm wore factory-impregnated permethrin clothing, and the control group wore sham-treated clothing. Outdoor working hours, tick encounters, and bites were recorded weekly to assess protective effectiveness of long-lasting permethrin-impregnated garments. Factory-impregnated clothing significantly reduced tick bites by 65% in the first study year and by 50% in the second year for a 2-yr protective effect of 58%. No significant difference in other tick bite prevention method utilization occurred between treatment and control groups, and no treatment-related adverse outcomes were reported. Factory permethrin impregnation of clothing is safe and effective for the prevention of tick bites among outdoor workers whose primary exposure is to blacklegged ticks in the northeastern United States.

Narrowing the mindware gap in medicine

Diagnosis ◽  
2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Pat Croskerry
Keyword(s):  
United States ◽  
Cognitive Performance ◽  
Clinical Reasoning ◽  
Medical Errors ◽  
Medical Error ◽  
Causes Of Death ◽  
The United States ◽  
Morbidity And Mortality ◽  
Medical Educators ◽  
High Degree

Abstract Medical error is now recognized as one of the leading causes of death in the United States. Of the medical errors, diagnostic failure appears to be the dominant contributor, failing in a significant number of cases, and associated with a high degree of morbidity and mortality. One of the significant contributors to diagnostic failure is the cognitive performance of the provider, how they think and decide about the process of diagnosis. This thinking deficit in clinical reasoning, referred to as a mindware gap, deserves the attention of medical educators. A variety of specific approaches are outlined here that have the potential to close the gap.

First Hemispheric Report of Invasive Tick Species Haemaphysalis Punctata Canestrini Et Fanzago, 1878, First State Report of Haemaphysalis Longicornis Neumann, and Range Expansion of Native Tick Species in Rhode Island, USA

2021 ◽  
Author(s):  
Danielle M Tufts ◽  
Maria A Diuk-Wasser
Keyword(s):  
United States ◽  
Rhode Island ◽  
Range Expansion ◽  
Tick Species ◽  
The United States ◽  
Western Hemisphere ◽  
Avian Host ◽  
Haemaphysalis Longicornis ◽  
New Locations ◽  
Block Island

Abstract Invasive arthropod vectors and the range expansions of native vectors can lead to public and veterinary health concerns, as these vectors may introduce novel pathogens or spread endemic pathogens to new locations. Recent tick invasions and range expansion in the United States has been attributed to climate and land use change, an increase in global travel, and importations of exotic animals. A 10 year surveillance study was conducted on Block Island, Rhode Island from 2010–2020 including sampling ticks from small mammal and avian hosts. We report the discovery and establishment of the red sheep tick for the first time in the western hemisphere and in the United States. This invasive species was first collected in 2010 on Block Island, was collected continuously throughout the study, and was collected from an avian host. We document the first report of the invasive Asian longhorned tick in the state of Rhode Island, first observed at our sites in 2018. Finally, we present data on the range expansion and establishment of two native tick species, the lone star tick and the rabbit tick on Block Island. This study emphasized the importance of long-term surveillance to detect changes in tick host communities, including invasive and expanding native vectors of potential significance to humans and wildlife.

Territorial and Early Statehood Periods

2017 ◽  
Author(s):  
Teresita Majewski ◽  
Lauren E. Jelinek
Keyword(s):  
United States ◽  
New Mexico ◽  
The United States ◽  
American Southwest ◽  
Subsequent Work ◽  
Cultural Heterogeneity ◽  
Terra Incognita ◽  
Formative Time ◽  
The 1960S ◽  
Historical Trajectory

The archaeology of the territorial and early statehood periods (1850–1917) in the American Southwest was virtually terra incognita until the advent of government-mandated archaeology in the 1960s. Subsequent work has shown that historical archaeology has much to contribute to a fuller understanding of this dynamic and formative time in U.S. history. Historical-archaeological investigations have demonstrated that although the United States formally exerted control over Arizona, Colorado, and New Mexico by the last half of the nineteenth century, the interactions among its Indigenous, Spanish, and Mexican inhabitants strongly influenced the territory’s historical trajectory into the nineteenth and early twentieth centuries. This chapter provides a historic context and a selective overview of archaeological studies that relate to the key themes of shifting economies and cultural heterogeneity.

scholarly journals Mortality in Russia: the second epidemiological revolution that never was

2015 ◽  
pp. 4-33 ◽  
Author(s):  
Anatoly Vishnevsky
Keyword(s):  
Life Expectancy ◽  
Causes Of Death ◽  
Age Distribution ◽  
Circulatory System ◽  
Developed Countries ◽  
Significant Rise ◽  
Past Half Century ◽  
External Causes Of Death ◽  
External Causes ◽  
Age Of Death

The article looks at different approaches to the conceptualization of the modern stage of mortality reduction (the "new stages” of the epidemiological transition, "the second epidemiological revolution”, the “health transition”). During this stage, which has lasted for at least half a century, revolutionary changes have taken place in most developed countries. These changes manifest themselves in the drastic expansion of the degree of control over non-infectious causes of death—particularly over diseases of the circulatory system, neoplasms, and other non-communicable diseases, as well as over external causes of death. As a consequence of these changes, there has been a rapid shift of deaths from the abovementioned causes to older ages, an increase in the mean age of death from these causes, and, ultimately, a significant rise in life expectancy. Russia, unfortunately, is watching this revolution from the outside, without taking any part in it. The age distribution of deaths from major classes of causes of death in Russia has not changed over the past half-century, life expectancy has stagnated, and Russia has increasingly lagged behind the majority of developed countries with respect to this indicator. Thus, the “second epidemiological revolution” has not yet to occur in Russia.

scholarly journals Mortality from external causes in Russia over half a century

2015 ◽  
pp. 85-108
Author(s):  
Ekaterina Kvasha ◽  
Tatiana Kharkova ◽  
Valeriy Yumaguzin
Keyword(s):  
Life Expectancy ◽  
Causes Of Death ◽  
Circulatory System ◽  
Developed Countries ◽  
Large Contribution ◽  
Mortality Trends ◽  
Undetermined Intent ◽  
External Causes Of Death ◽  
Excess Number ◽  
External Causes

The article discusses long-term mortality trends (since 1956) from external causes of death in Russia. Russia has long lagged behind developed countries in this domain. The level of mortality from external causes of death remains high and its structure is still archaic with large contribution of homicides, alcohol poisoning and injuries of undetermined intent. Excess number of deaths from life tables of Russia and Western European countries is compared. It is shown that in Russia the greatest excess losses are associated with mortality from poisonings among both sexes, suicide among men and homicide among women. Mortality from external causes, along with mortality from diseases of the circulatory system, has had a significant impact on life expectancy. In general, over the period 1956-2012 the increase in mortality from external causes in the 15-64 age group reduced life expectancy by 2.6 years for males and 0.7 years for females. The decline, starting in 2003, of mortality from external causes of death has slightly reduced the gap between Russia and developed countries, bringing the current Russian level closer to those levels reached in Russia in the mid-1960s and 1980s. However, given the fluctuations of mortality from external causes, it is premature to say whether the current decline in mortality is robust.

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