Bridging the gap: bringing together intentional and unintentional injury prevention efforts to improve health and well being

PROBLEM: Intentional and unintentional injury prevention efforts have traditionally been independent and non-integrated. Fostering collaboration between the sub-fields would enhance work within both sub-fields and advance injury prevention work as a whole. METHOD: A systematic assessment of similarities and differences between the sub-fields was performed, including an examination of relevant definitions and norms, research methods and findings, key risk and resiliency factors, and prevention strategies that would promote collaboration and better advance current prevention efforts. RESULTS/SUMMARY: Several areas exist in which injury prevention efforts could be coordinated or ideas and practices could be cross-applied, including training of practitioners, data collection and analysis, application of tools and methodologies, examination of risk and resiliency factors, and identification of funding sources and partners. IMPACT ON INDUSTRY: This paper delineates how intentional and unintentional injury prevention practitioners can more effectively collaborate to promote safer environments and further reduce incidence of injury. An integrated injury prevention approach could significantly impact the underlying contributors to both types of injury, allowing practitioners within both sub-fields to achieve greater outcomes through increased credibility, reduced duplication of efforts, more efficient use of resources, and unified injury prevention messages.     

Performance of an in situ passive sampling system for metals in stormwater

A passive sampler has been developed and is demonstrated in situ for urban runoff. The passive sampler is compared to conventional composite (time-dependent and flow-weighted) bottle sampling during and between storm events. The sampling was carried out at established stormwater stations; before and after a stormwater detention pond. In situ deployment of the passive sampler provides the metal concentrations, corresponding to the electrochemically available fraction of total metal, for time-dependent samples collected in parallel. The sampler provides improved accuracy compared to bottle sampling because contamination during sample transport and handling is minimised. Laboratory handling is reduced by direct analysis of the accumulated metals on the receiving membrane by laser ablation inductively coupled plasma mass spectrometry. Passive sampling also solves the problem of metal speciation change during transport to the laboratory, which is a potential problem for bottle samples. The low cost and convenience of the passive sampler and subsequent analysis should allow significantly more extensive spatial and temporal monitoring of metals in the aquatic environment than has previously been possible.     

Prenatal screening for Down syndrome in twin pregnancies: Estimates of screening performance based on 61 affected and 7302 unaffected twin pregnancies

The aims of this study were to determine whether assumptions used in prenatal screening for Down syndrome in twin pregnancies are valid and derive estimates of risk and screening performance in twin pregnancies using observed data. Data were collected on nuchal translucency, chorionicity, pregnancy associated plasma protein-A (PAPP-A), and free ß human chorionic gonadotrophin (free ß-hCG) from 61 twin pregnancies with Down syndrome and 7302 unaffected twin pregnancies. Distribution parameters were determined and used to estimate screening performance. The assumption that proportional differences in serum marker levels in affected and unaffected singleton pregnancies apply to twin pregnancies was not confirmed. Median free β-hCG value in monochorionic affected twin pregnancies (2.63 multiples of the median [MoM]; 95% CI, 1.79-3.22 MoM) was lower than that assuming proportionality (3.76 MoM), and the median PAPP-A value in dichorionic affected twin pregnancies (1.88 MoM; 95% CI, 1.60-2.17 MoM) was higher than that based on proportionality (1.33 MoM). The detection rate was 87% for a 3% false-positive rate in monochorionic twin pregnancies and 74% in dichorionic twin pregnancies compared with 86% in singleton pregnancies. Estimates of screening performance in Down syndrome twin pregnancies do not need to rely on assumptions and can take account of chorionicity and gestational age.     

Equity and sustainability over the next fifty years: An exercise in economic visioning

A simplistic aggregate model of global economic activity supports a 50-year visioning exercise with targets defined in terms of aggregate measures of global equity (convergence) and sustainability (contraction). Some ambitious combinations of these targets turn out to be infeasible even under the most favorable modeling assumptions. No contraction target (no reduction in fossil fuel consumption relative to the present) was possible, for example, if international capital transfers pushed per capita incomes in low-income countries above 33% of levels achieved in high-income countries. Lower prices for renewable alternatives to exhaustible resources generally made sustainability targets easier to achieve, but lower prices for renewable resources also made equity targets more difficult to achieve. Improved substitution between capital and labor made equity targets easier to achieve in relative terms, but improved substitution between capital and labor could make any given sustainability target more or less difficult to achieve. All the results suggest that it is possible to overstate the purported conflict between achieving sustainability and equity targets. The very transfers of international capital that would promote relative equity between high-income and low-income countries could also work to spread the incidence of achieving any sustainability target more evenly across their boundaries.Readers should send their comments on this paper to: BhaskarNath@aol.com within 3 months of publication of this issue.     

Copper desorption in flooded agricultural soils and toxicity to the Florida apple snail (Pomacea paludosa): implications in Everglades restoration

Copper (Cu) desorption and toxicity to the Florida apple snail were investigated from soils obtained from agricultural sites acquired under the Comprehensive Everglades Restoration Plan. Copper concentrations in 11 flooded soils ranged from 5 to 234 mg/kg on day 0 and from 6.2 to 204 mg/kg on day 28 (steady-state). The steady-state Cu concentration in overlying water ranged from 9.1 to 308.2 microg/L. In a 28-d growth study, high mortality in snails occurred within 9 to 16 d in two of three soil treatments tested. Growth of apple snails over 28 d was affected by Cu in these two treatments. Tissue Cu concentrations by day 14 were 12-23-fold higher in snails exposed to the three soil treatments compared to controls. The endangered Florida snail kite and its main food source, the Florida apple snail, may be at risk from Cu exposure in these managed agricultural soil-water ecosystems.     

Effects of Water Withdrawal From Ice‐Covered Lakes on Oxygen,Temperature, and Fish1

Abstract: In northern regions, large volumes of water are needed for activities such as winter road construction. Such withdrawals, particularly from small lakes, can reduce oxygen concentrations and water levels, potentially affecting aquatic organisms. Withdrawal limits have been developed by regulatory agencies, but are largely theoretical. Water withdrawal thresholds were tested in two small lakes by removing 10% and 20% of their respective under‐ice volumes and comparing oxygen parameters, temperature, over‐wintering habitat, and northern pike (Esox lucius) abundance to reference conditions. Because of a milder winter, oxygen parameters were elevated in reference lakes in the period following withdrawal compared to the prewithdrawal period. The 10% withdrawal resulted in a ?0.2 m shift in the oxygen concentration profile at 4 mg/l in that lake, but had no effect on total volume‐weighted oxygen, or volume of over‐wintering habitat. In contrast, the 20% withdrawal caused 0.7 m reduction in the oxygen concentration profile at 4 mg/l compared to the previous year, a 26% decline in the volume‐weighted oxygen concentration, and a 23% reduction in the volume of over‐wintering habitat compared to prewithdrawal conditions. Water temperatures were slightly (≤ 10%) colder in the upper strata in the year following the withdrawal in both withdrawal and reference lakes. Northern pike abundance was not impacted by water withdrawals in either of the lakes. The results of this study show that the effects of water withdrawal on the parameters investigated reflected the characteristics of the lakes, and would therefore be expected to vary from lake to lake. Policy development to mitigate impacts must therefore reflect the site‐specific nature of water withdrawal.