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
Weather variability has the potential to influence municipal water use, particularly in dry regions such as the western United States (U.S.). Outdoor water use can account for more than half of annual household water use and may be particularly responsive to weather, but little is known about how the expected magnitude of these responses varies across the U.S. This nationwide study identified the response of municipal water use to monthly weather (i.e., temperature, precipitation, evapotranspiration [ET]) using monthly water deliveries for 229 cities in the contiguous U.S. Using city‐specific multiple regression and region‐specific models with city fixed effects, we investigated what portion of the variability in municipal water use was explained by weather across cities, and also estimated responses to weather across seasons and climate regions. Our findings indicated municipal water use was generally well‐explained by weather, with median adjusted R2 ranging from 63% to 95% across climate regions. Weather was more predictive of water use in dry climates compared to wet, and temperature had more explanatory power than precipitation or ET. In response to a 1°C increase in monthly maximum temperature, municipal water use was shown to increase by 3.2% and 3.9% in dry cities in winter and summer, respectively, with smaller changes in wet cities. Quantifying these responses allows urban water managers to plan for weather‐driven variability in water use. 相似文献
Devils Lake is a terminal lake located in northeast North Dakota. Because of its glacial origin and accumulated salts from evaporation, the lake has a high concentration of sulfate compared to the surrounding water bodies. From 1993 to 2011, Devils Lake water levels rose by ~10 m, which flooded surrounding communities and increased the chance of an overspill to the Sheyenne River. To control the flooding, the State of North Dakota constructed two outlets to pump the lake water to the river. However, the pumped water has raised concerns about of water quality degradation and potential flooding risk of the Sheyenne River. To investigate these perceived impacts, a Soil and Water Assessment Tool (SWAT) model was developed for the Sheyenne River and it was linked to a coupled SWAT and CE‐QUAL‐W2 model that was developed for Devils Lake in a previous study. While the current outlet schedule has attempted to maintain the total river discharge within the confines of a two‐year flood (36 m3/s), our simulation from 2012 to 2018 revealed that the diversion increased the Sheyenne River sulfate concentration from an average of 125 to >750 mg/L. Furthermore, a conceptual optimization model was developed with a goal of better preserving the water quality of the Sheyenne River while effectively mitigating the flooding of Devils Lake. The optimal solution provides a “win–win” outlet management that maintains the efficiency of the outlets while reducing the Sheyenne River sulfate concentration to ≤600 mg/L. 相似文献
Climate change poses water resource challenges for many already water stressed watersheds throughout the world. One such watershed is the Upper Neuse Watershed in North Carolina, which serves as a water source for the large and growing Research Triangle Park region. The aim of this study was to quantify possible changes in the watershed’s water balance due to climate change. To do this, we used the Soil and Water Assessment Tool (SWAT) model forced with different climate scenarios for baseline, mid‐century, and end‐century time periods using five different downscaled General Circulation Models. Before running these scenarios, the SWAT model was calibrated and validated using daily streamflow records within the watershed. The study results suggest that, even under a mitigation scenario, precipitation will increase by 7.7% from the baseline to mid‐century time period and by 9.8% between the baseline and end‐century time period. Over the same periods, evapotranspiration (ET) would decrease by 5.5 and 7.6%, water yield would increase by 25.1% and 33.2%, and soil water would increase by 1.4% and 1.9%. Perhaps most importantly, the model results show, under a high emission scenario, large seasonal differences with ET estimated to decrease by up to 42% and water yield to increase by up to 157% in late summer and fall. Planning for the wetter predicted future and corresponding seasonal changes will be critical for mitigating the impacts of climate change on water resources. 相似文献
Fifty percent of the dry zone areas in Sri Lanka have fluoride levels above 1 ppm. This paper discusses the ground conditions and recommends an appropriate range of fluoride in drinking water which can support preventive practices for improving the oral health of children 8-years old and younger. In efforts to address the Chronic Kidney Disease of Unknown etiology (CKDU), water treatment to reduce contaminant level in potable water has been implemented. Such treatment would also remove fluoride and has resulted in potable water with various fluoride levels, depending on concentrations in the raw water. While it is important to reduce fluoride levels, it is important to have appropriate residual levels for prevention of dental caries. It needs, however, to be noted fluoride in excess can cause dental fluorosis. In Sri Lanka's dry zone areas increasing prevalence of dental fluorosis with decreasing prevalence of dental caries has been noted. Consumption of tea and powdered milk could increase total intake of fluoride. Fluoridated toothpaste, when used properly, may, however, result in negligible intake of fluoride. Sri Lanka's hot tropical climate which results in substantial intake of fluids reinforces the need to consider reduction in water fluoride. Consideration of local studies and international standards indicate fluoride levels should be in the range of 0.225–0.500 ppm. In the range of 0.225–0.500 ppm, the prevalence of dental fluorosis and caries was only 14% and 8%, respectively, in an endemic district. When fluoride levels are above 0.500 ppm, the issue of dental fluorosis shall need to be addressed. When levels are below 0.225 ppm, oral health care services shall need to be directed at preventing dental caries. 相似文献
Waste accumulation is a grave concern and becoming a transboundary challenge for environment. During Covid-19 pandemic, diverse type of waste were collected due to different practices employed in order to fight back the transmission rate of the virus. Covid-19 was proved to be capricious catastrophe of this 20th century and even not completely eradicated from the world. The havoc created by this imperceptible quick witted, pleomorphic deadly virus can't be ignored. Though a number of vaccines have been developed by the scientists but there is a fear of getting this virus again in our life. Medical studies prove that immunity drinks will help to reduce its reoccurrences. Coconut water is widely used among all drinks available globally. Its massive consumption created an incalculable pile of green coconut shells around the different corners of the world. This practice generating enormous problem of space acquisition for the environment. Both the environment and public health will benefit from an evaluation of quantity of coconut waste that is being thrown and its potential to generate value added products. With this context, present article has been planned to study different aspects like, coconut waste generation, its biological properties and environmental hazards associated with its accumulation. Additionally, this review illustrates, green technologies for production of different value added products from coconut waste. 相似文献
San Vicente Bay is a coastal shallow embayment in Central Chile with multiple uses, one of which is receiving wastewater from
industrial fisheries, steel mill effluents, and domestic sewage. A simulation model was developed and applied to dissolved
oxygen consumption by organic residues released into this embayment. Three compartments were established as function of: depth,
circulation and outfall location. The model compartments had different volumes, and their oxygen saturation value was used
as baseline. The parameters: (a) BOD5 of the industrial and urban effluents, (b) oxygen demand by organic sediments, (c) respiration, (d) photosynthesis and (e)
re-aeration were included in the model. Iteration results of the model showed severe alterations in Compartment 1, with a
decrease of 65% in the oxygen below saturation. Compartment 2 showed a small decline (10%) and compartment 3 did not show
apparent changes in oxygen values. Measures recommended for remediation were to decrease the BOD5 loading by 30% in the affected sector. Iteration of the model for 200 h following recommendations derived from the preceding
results produced an increase in saturation of 60% (5 ml O2 L−1), which suggested an improvement of the environmental conditions. 相似文献