Joy L. Herndon

Homicide: A Leading Cause of Injury Deaths Among Pregnant and Postpartum Women in the United States, 1991–1999

OBJECTIVES We identified risk factors for pregnancy-associated homicide (women who died as a result of homicide during or within 1 year of pregnancy) in the United States from 1991 to 1999. METHODS Pregnancy-associated homicides were analyzed with data from the Pregnancy Mortality Surveillance System at the Centers for Disease Control and Prevention. RESULTS Six hundred seventeen (8.4%) homicide deaths were reported to the Pregnancy Mortality Surveillance System. The pregnancy-associated homicide ratio was 1.7 per 100000 live births. Risk factors included age younger than 20 years, Black race, and late or no prenatal care. Firearms were the leading mechanism for homicide (56.6%). CONCLUSIONS Homicide is a leading cause of pregnancy-associated injury deaths.

SARS Surveillance during Emergency Public Health Response, United States, March-July 2003

In response to the emergence of severe acute respiratory syndrome (SARS), the United States established national surveillance using a sensitive case definition incorporating clinical, epidemiologic, and laboratory criteria. Of 1,460 unexplained respiratory illnesses reported by state and local health departments to the Centers for Disease Control and Prevention from March 17 to July 30, 2003, a total of 398 (27%) met clinical and epidemiologic SARS case criteria. Of these, 72 (18%) were probable cases with radiographic evidence of pneumonia. Eight (2%) were laboratory-confirmed SARS-coronavirus (SARS-CoV) infections, 206 (52%) were SARS-CoV negative, and 184 (46%) had undetermined SARS-CoV status because of missing convalescent-phase serum specimens. Thirty-one percent (124/398) of case-patients were hospitalized; none died. Travel was the most common epidemiologic link (329/398, 83%), and mainland China was the affected area most commonly visited. One case of possible household transmission was reported, and no laboratory-confirmed infections occurred among healthcare workers. Successes and limitations of this emergency surveillance can guide preparations for future outbreaks of SARS or respiratory diseases of unknown etiology.

Snowblower injuries in Vermont, 1981–1984☆

Abstract The Vermont Department of Health carried out two studies of snowblower injuries in Vermont during the winters of 1982–1983 and 1983–1984. The first was a case-control study in which we assessed risk factors that predisposed operators to injury during snowblower use. We found 20 persons who had been injured by snowblowers and matched 28 controls to these by neighborhood. In this study, owning a snowblower for 1 year or less and having operated a snowblower for 10 days or less in ones lifetime were significantly associated with injury. The second study was population-based. We estimated that approximately 1.5% of Vermont residents owned snowblowers during the winter of 1982–1983 and that, among snowblower owners, injuries occurred at a rate of 1.3/1,000 person-years of ownership (0.1% chance of injury).