scholarly journals Analysis of Flood Fatalities in the United States, 1959–2019

Water ◽  
2021 ◽  
Vol 13 (13) ◽  
pp. 1871
Author(s):  
Zhongyu Han ◽  
Hatim O. Sharif

Flooding is one of the main weather-related disasters that cause numerous fatalities every year across the globe. This study examines flood fatalities reported in the contiguous United States (US) from 1959 to 2019. The last two decades witnessed major flood events, changing the ranking of the top states compared to previous studies, with the exception of Texas, which had significantly higher flood-related fatalities than any other state. The rankings of counties within some states changed as well. The study aims to improve understanding of the situational conditions, demographics, and spatial and temporal characteristics associated with flood fatalities. The analysis reveals that flash flooding is associated with more fatalities than other flood types. In general, males are much more likely to be killed in floods than females. The analysis also suggests that people in the age groups of 10–19, 20–29, and 0–9 are the most vulnerable to flood hazard. Purposely driving or walking into floodwaters accounts for more than 86% of total flood fatalities. Thus, the vast majority of flood fatalities are preventable. The results will help identify the risk factors associated with different types of flooding and the vulnerability of the exposed communities.

2015 ◽  
Vol 143 (12) ◽  
pp. 2520-2531 ◽  
Author(s):  
W. S. KRUEGER ◽  
E. D. HILBORN ◽  
R. R. CONVERSE ◽  
T. J. WADE

SUMMARYHelicobacter pylori imparts a considerable burden to public health. Infections are mainly acquired in childhood and can lead to chronic diseases, including gastric ulcers and cancer. The bacterium subsists in water, but the environment's role in transmission remains poorly understood. The nationally representative National Health and Nutrition Examination Survey (NHANES) was examined for environmental risk factors associated with H. pylori seroprevalence. Data from 1999–2000 were examined and weighted to represent the US population. Multivariable logistic regression estimated adjusted odds ratios (aOR) and 95% confidence intervals (CI) for associations with seropositivity. Self-reported general health condition was inversely associated with seropositivity. Of participants aged <20 years, seropositivity was significantly associated with having a well as the source of home tap water (aOR 1·7, 95% CI 1·1–2·6) and living in a more crowded home (aOR 2·3, 95% CI 1·5–3·7). Of adults aged ⩾20 years, seropositivity was not associated with well water or crowded living conditions, but adults in soil-related occupations had significantly higher odds of seropositivity compared to those in non-soil-related occupations (aOR 1·9, 95% CI 1·2–2·9). Exposures to both well water and occupationally related soil increased the effect size of adults' odds of seropositivity compared to non-exposed adults (aOR 2·7, 95% CI 1·3-5·6). Environmental exposures (well-water usage and occupational contact with soil) play a role in H. pylori transmission. A disproportionate burden of infection is associated with poor health and crowded living conditions, but risks vary by age and race/ethnicity. These findings could help inform interventions to reduce the burden of infections in the United States.


2018 ◽  
Vol 257 ◽  
pp. 58-68 ◽  
Author(s):  
M.K. Nielsen ◽  
M.A. Branan ◽  
A.M. Wiedenheft ◽  
R. Digianantonio ◽  
J.A. Scare ◽  
...  

2017 ◽  
Vol 132 (3) ◽  
pp. 366-375 ◽  
Author(s):  
Haylea A. Hannah ◽  
Roque Miramontes ◽  
Neel R. Gandhi

Objectives: The objectives of our study were (1) to determine risk factors associated with tuberculosis (TB)–specific and non–TB-specific mortality among patients with TB and (2) to examine whether risk factors for TB-specific mortality differed from those for non–TB-specific mortality. Methods: We obtained data from the National Tuberculosis Surveillance System and included all patients who had TB between 2009 and 2013 in the United States and its territories. We used multinomial logistic regression analysis to determine the adjusted odds ratio (aOR) of each risk factor for TB-specific and non–TB-specific mortality. Results: Of 52 175 eligible patients with TB, 1404 died from TB, and 2413 died from other causes. Some of the risk factors associated with the highest odds of TB-specific mortality were multidrug-resistant TB diagnosis (aOR = 3.42; 95% CI, 1.95-5.99), end-stage renal disease (aOR = 3.02; 95% CI, 2.23-4.08), human immunodeficiency virus infection (aOR = 2.63; 95% CI, 2.02-3.42), age 45-64 years (aOR = 2.57; 95% CI, 2.01-3.30) or age ≥65 years (aOR = 5.76; 95% CI, 4.37-7.61), and immunosuppression (aOR = 2.20; 95% CI, 1.71-2.83). All of these risk factors except multidrug-resistant TB were also associated with increased odds of non–TB-specific mortality. Conclusion: TB patients with certain risk factors have an elevated risk of TB-specific mortality and should be monitored before, during, and after treatment. Identifying the predictors of TB-specific mortality may help public health authorities determine which subpopulations to target and where to allocate resources.


2013 ◽  
Vol 243 (12) ◽  
pp. 1737-1745 ◽  
Author(s):  
Chika C. Okafor ◽  
David L. Pearl ◽  
Sandra L. Lefebvre ◽  
Mansen Wang ◽  
Mingyin Yang ◽  
...  

Author(s):  
Katherine A. Halmi

In the past 20 years, the incidence of anorexia nervosa (AN) in industrialized countries has remained stable at 4.2–7.7 new cases per 100,000 per year. During this period, the incidence of bulimia nervosa (BN) has decreased from 12.2 to 6.1 per 100,000. The lifetime prevalence of AN in females in the United States in the past decade was 0.9% and 0.3% in males, and that of BN was 0.88% in females and 0.12% in males in a European study. Binge eating disorder (BED) is the most common eating disorder (ED), with a lifetime prevalence of 3.5% in women in the United States and 2.0% in men. AN has the highest standardized mortality rate of 5.86, followed by BN with a standardized mortality rate of 2.29. Less than half of AN patients have a full recovery, compared to two-thirds of BN patients who recover. The prevalence of EDs is increasing in the Middle East and Asian countries, as well as among Latinos, African-Americans, and Asians in the United States. Body dissatisfaction and a family history of ED are consistent risk factors across all EDs. Perfectionism is a greater risk factor for restricting AN and conduct disorders, and substance abuse and sexual abuse are risk factors for BN and BED. ED prevention programmes have mainly targeted at-risk persons in specific age groups and environments. Both Internet-based and group session programmes have reduced ED-related symptoms. There are multiple issues concerning the implementation and maintenance of prevention programmes, including clinician training, costs, attrition rate, and effectiveness over time.


2016 ◽  
Vol 214 (1) ◽  
pp. S247-S248
Author(s):  
Bahram Salmanian ◽  
Zhoobin H. Bateni ◽  
Steven L. Clark ◽  
Alex C. Vidaeff ◽  
Amirhossein Moaddab ◽  
...  

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