Objective: There have been substantial reductions in motor vehicle crash–related child fatalities due to advances in legislation, public safety campaigns, and engineering. Less is known about non-traffic injuries and fatalities to children in and around motor vehicles. The objective of this study was to describe the frequency of various non-traffic incidents, injuries, and fatalities to children using a unique surveillance system and database.
Methods: Instances of non-traffic injuries and fatalities in the United States to children 0–14 years were tracked from January 1990 to December 2014 using a compilation of sources including media reports, individual accounts from families of affected children, medical examiner reports, police reports, child death review teams, coroner reports, medical professionals, legal professionals, and other various modes of publication.
Results: Over the 25-year period, there were at least 11,759 events resulting in 3,396 deaths. The median age of the affected child was 3.7 years. The incident types included 3,115 children unattended in hot vehicles resulting in 729 deaths, 2,251 backovers resulting in 1,232 deaths, 1,439 frontovers resulting in 692 deaths, 777 vehicles knocked into motion resulting in 227 deaths, 415 underage drivers resulting in 203 deaths, 172 power window incidents resulting in 61 deaths, 134 falls resulting in 54 deaths, 79 fires resulting in 41 deaths, and 3,377 other incidents resulting in 157 deaths.
Conclusions: Non-traffic injuries and fatalities present an important threat to the safety and lives of very young children. Future efforts should consider complementary surveillance mechanisms to systematically and comprehensively capture all non-traffic incidents. Continued education, engineering modifications, advocacy, and legislation can help continue to prevent these incidents and must be incorporated in overall child vehicle safety initiatives. 相似文献
The sensitivity of the United States Forest Health Monitoring network to outbreaks of defoliating insects was examined by means of a simulation study. A model constructed specifically for the study was used to generate a wide variety of defoliation patterns in forested landscapes. Forest configuration was that of Minnesota, USA, as expressed by the GAP land cover classification. Combinations of model parameters were based on a Latin Hypercube sample. The relationship between the average number of plots defoliated and outbreak characteristics was then examined via multiple regression. Both theoretical and model results pointed to a strong, linear relationship between the average number of plots defoliated and outbreak size. Model results provided additional insight, suggesting a significant relationship between the average number of plots defoliated and other outbreak characteristics after outbreak size was taken into account. 相似文献
The increasing use of sea water for industrial cooling presents a real threat to the ecological environment in the ocean. in Taiwan where many electric power plants along the coast take sea water for cooling, people are concerned seriously about nuclear power plants. There are three nuclear power plants in Taiwan. Each plant has two units for generating power. the first two are located along the northern coast of Taiwan. the third is located in Kenting National Park along the coast of southernmost Taiwan. the plants take sea water for cooling, and discharge their heated effluents to the ocean surface from the coast. the thermal effluents have variable effects on the ecological environment near the plants. Fishermen living near the power plants complain that the heated water affects the inshore fishery catch. in addition, the thermal water from the second plant is easily accumulated near the coastal zone to influence the nearby swimming area in the summer-time. the thermal water from the third plant bleaches or kills some corals in shallow water near the outlet, and this conflicts with the interests of Kenting National Park. 相似文献
ABSTRACT: Churchill County, Nevada, has approximately 23,000 residents, among whom an estimated 13,500 relied on private wells for water supply in 2002. This study examined exposure to arsenic in water supplies among residents with private domestic wells and factors related to householder choice to consume tap water. It compared opinions and concerns about water quality with consumption habits and observed concentrations from tap water samples. The results from 351 households indicated that a majority (75 percent) of respondents consumed tap water and that a minority (38 percent) applied treatment. Approximately 66 percent of those who consumed tap water were exposed to concentrations of arsenic that exceeded 10 ppb. Water consumption was related to application of treatment. Among 98 respondents who were not at all concerned about the health effects of aqueous arsenic, 59 (60 percent) reported consuming tap water with concentrations of arsenic exceeding 10 ppb. Conversely, among 86 respondents who were highly concerned about arsenic, 33 (37 percent) consumed tap water with concentrations of arsenic exceeding 10 ppb. Results from a national sampling effort showed that 620 of 5,304 private wells sampled (11.7 percent) had arsenic concentrations above 10 ppb. The paradox of awareness of arsenic in water supplies coupled with consumption of aqueous arsenic in concentrations greater than 10 ppb may be common in other parts of the nation. Enhanced educational efforts, especially related to tap water sampling and explanations of efficacy of available treatment, may be useful means of reducing exposure through private water supplies. 相似文献
The increase in damage due to natural disasters is directly related to the number of people who live and work in hazardous
areas and continuously accumulate assets. Therefore, land use planning authorities have to manage effectively the establishment
and development of settlements in flood-prone areas in order to avoid the further increase of vulnerable assets. Germany faced
major destruction during the flood in August 2002 in the Elbe and Danube catchments, and many changes have been suggested
in the existing German water and planning regulations. This article presents some findings of a “Lessons Learned” study that
was carried out in the aftermath of the flood and discusses the following topics: 1) the establishment of comprehensive hazard
maps and flood protection concepts, 2) the harmonization of regulations of flood protection at the federal level, 3) the communication
of the flood hazard and awareness strategies, and 4) how damage potential can be minimized through measures of area precaution
such as resettlement and risk-adapted land use. Although attempts towards a coordinated and harmonized creation of flood hazard
maps and concepts have been made, there is still no uniform strategy at all planning levels and for all states (Laender) of the Federal Republic of Germany. The development and communication of possible mitigation strategies for “unthinkable
extreme events” beyond the common safety level of a 100-year flood are needed. In order to establish a sustainable and integrated
flood risk management, interdisciplinary and catchment-based approaches are needed. 相似文献