scholarly journals The Effect of Alcohol Consumption on Mortality: Regression Discontinuity Evidence from the Minimum Drinking Age

2009 ◽  
Vol 1 (1) ◽  
pp. 164-182 ◽  
Author(s):  
Christopher Carpenter ◽  
Carlos Dobkin
Keyword(s):  
Public Health ◽  
Young Adults ◽  
Alcohol Consumption ◽  
Motor Vehicle ◽  
Regression Discontinuity ◽  
Motor Vehicle Accidents ◽  
Regression Discontinuity Design ◽  
Vehicle Accidents ◽  
Percent Increase ◽  
Drinking Age

We estimate the effect of alcohol consumption on mortality using the minimum drinking age in a regression discontinuity design. We find large and immediate increases in drinking at age 21, including a 21 percent increase in recent drinking days. We also find a discrete 9 percent increase in the mortality rate at age 21, primarily due to motor vehicle accidents, alcohol-related deaths, and suicides. We estimate a 10 percent increase in the number of drinking days for young adults results in a 4.3 percent increase in mortality. Our results suggest policies that reduce drinking among young adults can have substantial public health benefits. (JEL I12, I18)

Accidental Childhood Death and the Role of the Pathologist

2000 ◽  
Vol 3 (5) ◽  
pp. 405-418 ◽  
Author(s):  
Roger W. Byard
Keyword(s):  
Public Health ◽  
Motor Vehicle ◽  
Motor Vehicle Accidents ◽  
Child Safety ◽  
Vehicle Accidents ◽  
Childhood Death ◽  
Childhood Accidents ◽  
Eating Practices ◽  
Public Health Strategies

The following study provides an overview of accidental childhood death. This study is based on a review of 369 cases of fatal childhood accidents taken from the records of the Department of Histopathology, Women's and Children's Hospital, Adelaide, Australia, over a 34-year period from 1963 to 1996. Data provide information on deaths due to motor vehicle accidents, drownings, accidental asphyxia, burns, poisonings, electrocution, and miscellaneous trauma. In addition, certain categories have undergone further examination, including asphyxial deaths due to unsafe sleeping environments and unsafe eating practices, drowning deaths, and deaths on farms, following identification of significant child safety problems in these areas as part of the “Keeping Your Baby and Child Safe” program. Previously unrecognized dangers to children detected through this program include mesh-sided cots, V-shaped pillows, and certain types of stroller-prams. The production of information pamphlets and packages for parents and the recall of certain dangerous products following recommendations made by pathologists demonstrate that pediatric and forensic pathologists have an important role to play in preventive medicine issues and in formulating public health strategies.

scholarly journals Public Health Surveillance for the Great American Solar Eclipse in Oregon

2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Laurel Boyd ◽  
Meredith Jagger ◽  
Kathryn Kuspis ◽  
Melissa Powell ◽  
Sandy Giffin
Keyword(s):  
Public Health ◽  
Solar Eclipse ◽  
Public Health Surveillance ◽  
Motor Vehicle ◽  
Health Surveillance ◽  
Motor Vehicle Accidents ◽  
The State ◽  
Poison Center ◽  
Vehicle Accidents ◽  
Mass Gatherings

ObjectiveDevelop a public health surveillance plan for the Oregon Public Health Division (OPHD) in anticipation of the expected influx of visitors for the 2017 Great American Solar Eclipse.IntroductionThe Great American Solar Eclipse of 2017 provided a rare opportunity to view a complete solar eclipse on the American mainland. Much of Oregon was in the path of totality and forecasted to have clear skies. Ahead of the event, OPHD aggregated a list of 107 known gatherings in mostly rural areas across the state, some with estimated attendance of up to 30,000 attendees. Temporary food vendors and a range of sanitation solutions (including open latrines) were planned. International travelers were expected, along with large numbers of visitors traveling by car on the day of the eclipse.The potential for multiple simultaneous mass gatherings across the state prompted OPHD to activate an incident management team (IMT) and to create a Health Intelligence Section to design a mass gathering surveillance strategy. Statewide syndromic surveillance (Oregon ESSENCE) has been used to monitor previous mass gatherings (1) and captures statewide emergency department (ED), urgent care, Oregon Poison Center, and reportable disease data.MethodsThe OPHD Health Intelligence Section identified five categories of public health effects associated with large outdoor gatherings based on literature review (2–5) and an internal risk assessment. These included health system status (total visit or call counts), communicable disease (fever, bloody diarrhea and reportable disease counts), injuries and substance abuse (including motor vehicle accidents), and outdoor exposure (heat-related illness, snake bites and asthma-related visits). An event-related category monitored trends in eclipse-related visits or eye-related injuries (looking directly at the sun). Where possible, syndromic trends were assessed in multiple data sources. These categories were used to create dashboards within Oregon ESSENCE and shared in a guidance document for local health departments and hospitals.Health Intelligence monitored syndromes of interest during a period of enhanced surveillance (9/18-9/22), and met daily with members of the OPHD IMT to share surveillance summaries, which were also sent to OPHD leadership and external partners.ResultsDuring the enhance surveillance period, the OPHD Health Intelligence Section did not identify statewide increases in healthcare utilization (total ED visits and calls to the Oregon Poison Center), but did observe increases in visits at select emergency departments in the state. Visits by out-of-state residents (as determined by patient zip code at time of registration) increased during the surveillance period. Fever-related visits increased as well but were not accompanied by reports of illnesses clusters.Increases were noted for motor vehicle accidents, eye-related injuries, and “eclipse”-related visits. Increases in eye-related injuries appeared to be an annual seasonal trend and not related to the eclipse. There were no increases of note in the other queries monitored. Development of new queries (West Nile Virus) was begun based upon mosquito pool surveillance findings. Surveillance highlights were posted publicly in a special edition of the biweekly Oregon ESSENCE Hazard Report (see Image 1).ConclusionsStatewide public health surveillance during the 2017 Great American Solar Eclipse in Oregon did not identify clusters of infectious disease or other opportunities for real-time public health intervention. Nevertheless, surveillance identified increases in motor vehicle accidents, especially among out-of-state residents, due perhaps to increased road travel for the event. Preparations for this event increased capacity of state health department staff to conduct this type of surveillance in the future. Tools created for the eclipse have been used in several IMT activations since the eclipse.References1. Jagger MA, Jaramillo S, Boyd L, Johnson B, Reed KR, Powell M. Mass Gathering Surveillance : New ESSENCE Report and Collaboration Win Gold in OR. 2017;9(1):2579.2. WHO. Public Health for Mass Gatherings: Key Considerations. World Health Organization. 2015.3. Lombardo JS, Sniegoski CA, Loschen WA, Westercamp M, Wade M, Dearth S, et al. Public health surveillance for mass gatherings. Johns Hopkins APL Tech Dig (Applied Phys Lab. 2008;27(4):347–55.4. Polkinghorne BG, Massey PD, Durrheim DN, Byrnes T, MacIntyre CR. Prevention and surveillance of public health risks during extended mass gatherings in rural areas: The experience of the Tamworth Country Music Festival, Australia. Public Health. 2013;127(1):32–8.5. Burdick TE. Wilderness event medicine: Planning for mass gatherings in remote areas. Vol. 3, Travel Medicine and Infectious Disease. 2005. p. 249–58.

Discriminant Profile of Young Adulthood Driving Behavior among Brazilian Drivers

2013 ◽  
Vol 16 ◽  
Author(s):  
Renata Maria Dotta-Panichi ◽  
Adriana Wagner ◽  
Jorge Castellá Sarriera
Keyword(s):  
Young Adults ◽  
Alcohol Consumption ◽  
Sensation Seeking ◽  
Motor Vehicle ◽  
Driving Behavior ◽  
Education Level ◽  
Driving Under The Influence ◽  
Vehicle Accidents ◽  
Seeking Behavior ◽  
Traffic Tickets

AbstractThe aim of this article was to describe the driving behavior profile of drivers aged 18 to 25 years old. Four hundred young adults were interviewed, 320 (80%) of them male and 80 (20%) female. Cluster analysis identified a group characterized by sensation-seeking behavior (Cluster 1), a group that did not show any risky driving behavior (Cluster 2), and a group engaged in transgressive behavior and driving under the influence of alcohol and/or drugs (Cluster 3). Discriminant analysis classified successfully and correctly 81.3% of the young adults into their original profiles. Function 1 distinguished cluster 1 from clusters 2 and 3, on the basis of the following factors: higher frequency of alcohol consumption, intrusive behavior, and motorcycle riding, as well as younger age, more aggressive behavior, and lower education level. Function 2 distinguished cluster 3 from cluster 1 and 2, especially as to higher amounts of alcohol consumption, higher frequency of marijuana use and delinquent behavior, larger number of traffic tickets and motor vehicle accidents, higher paternal education level, which were the variables with discriminant values above .20. Characteristics of vulnerability were identified, especially those related to alcohol consumption, drug use, and externalizing issues.

scholarly journals Trends in the leading causes of childhood mortality from 2004 to 2016 in Qatar

2018 ◽  
Vol 7 (1) ◽  
Author(s):  
Mohammed Al-Thani ◽  
Al-Anoud Al-Thani ◽  
Amine Toumi ◽  
ShamsEldin Khalifa ◽  
Muhammad Asif Ijaz ◽  
...  
Keyword(s):  
Public Health ◽  
Mortality Rate ◽  
Congenital Malformations ◽  
Motor Vehicle ◽  
Circulatory System ◽  
Motor Vehicle Accidents ◽  
Childhood Mortality ◽  
Public Health Issue ◽  
Trend Test ◽  
Vehicle Accidents

Introduction: Childhood mortality is an important health indicator that reflects the overall health status of a population. Despite the decrease in global childhood mortality rates over the past decades, it still remains an important public health issue in Qatar.Methods: The data from 2004-2016 were extracted from the Qatar Ministry of Public Health Birth and Death Database. International Classification of Diseases (ICD-10) was used for coding the causes of death. The childhood mortality rate was defined as the probability of a child dying between the first and the fifth birthday, expressed as the number of deaths per 1,000 children surviving to 12 months of age. The sex ratio was calculated by dividing the mortality rate of males by that of females. Mann-Kendall trend test was performed to examine time trends. Relative risks were calculated to examine differences by nationality (Qatari and non-Qatari) and sex.Results: A significant decrease in mortality rate of children aged one to five was observed from 1.76 to 1.05 per 1000 children between 2004 and 2016 (Kendall tau=-0.6, p=0.004). Three prominent causes of mortality were motor vehicle accidents, congenital malformations of the circulatory system, and accidental drowning/submersion. A statistically non-significant decrease in childhood mortality from motor vehicle accidents was oberved for all nationalities (total (Kendall tau=-0.03), Qatari (Kendall tau=-0.14), and non-Qatari (Kendall tau=-0.12)). A significant decrease was seen for total accidental drowning and submersion (Kendall tau=-0.54, p=0.012), while no statistically significant decrease was seen for total congenital malformations of the circulatory system (Kendall tau=-0.36, NS). The Qatari population did have a significant decrease in childhood mortality due to congenital malformations of the circulatory system (Kendall tau=-0.67, p=0.003) and accidental drowning and submersion (Kendall tau=-0.55, p=0.016).Conclusion: The study is a first attempt to evaluate childhood mortality statistics from Qatar and could be useful in supporting Qatar’s ongoing national health strategy programs.

Psychological Outcome of Motor Vehicle Accidents

2008 ◽  
Author(s):  
Yoshiharu Kim ◽  
Yutaka Matsuoka ◽  
Ulrich Schnyder ◽  
Sara Freedman ◽  
Robert Ursano
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Accidents ◽  
Psychological Outcome ◽  
Vehicle Accidents

Resuscitative endovascular balloon occlusion of the aorta (REBOA) enables operative management of the peripartum trauma patient in hemorrhagic shock

2019 ◽  
Vol 3 (1) ◽  
Author(s):  
Kelvin Allenson ◽  
Laura Moore
Keyword(s):  
Maternal Death ◽  
Motor Vehicle ◽  
Operative Management ◽  
Balloon Occlusion ◽  
Motor Vehicle Accidents ◽  
Gravid Uterus ◽  
Intrauterine Pregnancy ◽  
Vehicle Accidents ◽  
Pelvic Hemorrhage ◽  
Endovascular Balloon Occlusion

Trauma related injury is the leading cause of non-obstetric maternal death.  The gravid uterus is at risk for injury, particularly during motor vehicle accidents.  Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a means of controlling pelvic hemorrhage in the setting of trauma.  We report the use of REBOA in a hemodynamically unstable, multiply-injured young woman with viable intrauterine pregnancy.

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