Lyme Disease Misinterpreted as Child Abuse

Child abuse is one of the most common causes for child fatality in the United States. Inaccurate reporting of child abuse combined with scarcity of resources for child abuse evaluations can lead to unintended consequences for children and their families. The differential diagnosis of child abuse is varied. To our knowledge, there are no reports in the literature on Lyme disease mimicking child abuse. The current study presents the case of a child from an endemic area for Lyme disease presenting with skin bruising, fracture, and swollen knee. The child was reported for child abuse by the pediatrician and then referred to the orthopaedic surgeon for fracture care.

Risk Factors for Child Death During an Intimate Partner Homicide: A Case-Control Study

Corollary victims represent approximately 20% of all intimate partner homicides (IPH), and many are children. We used National Violent Death Reporting System (NVDRS) data (2003–2017) to compare all IPH incidents with a child corollary victim (n = 227) to all IPH incidents where a child was present but not killed (n = 350). We examined risk factors for child fatality during an IPH. For each risk factor, we calculated the odds ratio for child death during the IPH, adjusting for multiple comparisons. Perpetrator history of suicidal behavior, rape of the intimate partner victim, a non-biological child of the perpetrator living in the home, and perpetrator job stressors increased odds while prior separation of the IPV victim from the perpetrator decreased the odds of a child death during an IPH incident. To our knowledge, this is the first case-control study using live-controls within NVDRS and can help direct prevention efforts for child death during IPH.

Older Adult Fatality Reviews: A Powerful Tool to Improve Policies, Protections, and Services

Older adult maltreatment is a serious problem that can hasten mortality and cause fatality. Child and Domestic Violence Fatality Review teams have made a major impact to improve protections, services, and system responses for victims. There are over 1300 child fatality review teams in 50 US states and 200 domestic violence fatality teams in 45 states. Older adult fatality reviews, in contrast, have not proliferated across the country, missing opportunities to bring interdisciplinary expertise together to resolve policy, protection, and services needed to prevent older adult premature deaths due to violence and abuse. Method: A mini mock review of a fatality of an older adult woman will demonstrate the possibilities of beginning Older Adult Fatality Review Board as recommended by the American Bar Association. Conclusion: Interdisciplinary older adult fatality review teams have been an underutilized tool to make changes in older adult mistreatment protection services and systems.

Agricultural Work-Related Fatalities to Non-Working Youth: Implications for Intervention Development

Highlights Keywords: Agriculture, Bystander, Child, Fatality, Passenger, Safety, Workplace.A total of 69 fatalities were recorded, with the largest proportion of fatalities (74%) involving children <5 years old. Keywords: Agriculture, Bystander, Child, Fatality, Passenger, Safety, Workplace.Most victims (75%, n = 52) were male. Keywords: Agriculture, Bystander, Child, Fatality, Passenger, Safety, Workplace.The process of identifying different injury patterns associated with non-work-related child activity has increased our understanding of how safety professionals and community members may help prevent these fatalities. Keywords: Agriculture, Bystander, Child, Fatality, Passenger, Safety, Workplace.The cases presented warrant investigation and commitment to environment modifications as well as parental enforcement to limit child exposure to worksite hazards. Keywords: Agriculture, Bystander, Child, Fatality, Passenger, Safety, Workplace. Abstract. This article presents data for agricultural work-related fatal injuries to non-working youth (<18 years old) in Pennsylvania. Cases were identified from the Pennsylvania Farm Fatality (PA-FF) database for the period 2000-2018. The circumstances of the death in each incident were reviewed from news clippings, death certificates, and other reports available to determine the victim’s status as a bystander, passenger, or other non-working child. The study identified 69 agricultural work-related fatalities to non-working youth in Pennsylvania. Incidents were coded as non-working accomplice (26), non-working accomplice extra rider (14), non-working attendant (25), and ambiguous (4). Fatalities to children <5 years old accounted for 74% of the non-working youth fatalities, and most (75%) of the victims were male. Plain Sect community members (Anabaptists) comprised 78% of the cases. Children contribute significantly to the overall burden of agricultural work-related fatal injuries in Pennsylvania, especially as bystanders. From the review of the data, we conclude that fatal injuries to non-working children on farms are preventable. The process of identifying different injury patterns associated with non-work-related child activity has increased our understanding of how safety professionals and community members may help prevent these fatalities. Many researchers have noted a variety of intervention efforts that show potential for providing safer farm and home environments but will need long-term commitments in various capacities. Keywords: Agriculture, Bystander, Child, Fatality, Passenger, Safety, Workplace.