Prevalence and concentrations of drugs in older suspected drugged drivers

Objective: Older drivers are somewhat more likely to be involved in car crashes than middle-aged drivers but less likely to be involved than younger drivers. This study aimed to assess the extent of drug use in older suspected drunk and drugged drivers, with respect to which drugs were detected and at which concentrations.

Methods: Blood samples from older suspected drunk and drugged drivers taken between February 1, 2012, and May 22, 2013, were identified from the database at the Norwegian Institute of Public Health and were retrospectively analyzed for a broad repertoire of drugs relevant for impairment. The prevalence of different drugs among the suspected drunk and drugged drivers was studied. Regarding drug concentrations, the findings in older drivers (>65 years) were compared to a reference group of apprehended drivers aged 20–40 years.

Results: Four hundred and ten older suspected drunk and drugged drivers were included. Any drug (including ethanol) was detected in 92% of blood samples, and ethanol was detected in 81%. Benzodiazepines were found in 15% of the older drivers and z-hypnotics (zopiclone or zolpidem) were detected in 13%. The most frequent single legal drugs found in blood samples taken from older impaired drivers were zopiclone (9.8%) and diazepam (9.3%). Regarding drug combinations, older drivers used a mean number of 1.4 drugs, and 20% of ethanol-positive cases showed at least one other drug. High drug concentrations of clonazepam and diazepam were more frequently seen in the younger group.

Conclusions: This study showed that drugs were detected in the vast majority of older drivers suspected for drunk or drugged driving. Ethanol was the most frequent drug detected, followed by zopiclone and diazepam. Older drivers combine drugs to a lesser degree than younger drivers, but their combination of ethanol and other drugs represents a considerable traffic risk. Lower concentrations of benzodiazepines are seen in older compared to younger drivers.     

Falls prevention through community intervention – A Swedish example

In order to control and reduce fall-related injuries, particularly among women over the age of 55, a safety management and falls prevention campaign was structured and implemented during 2006–2007 in the small industrial town of Södertälje, Sweden. A local campaign was launched to recruit falls prevention agents, to inform key target groups in the local community, and to educate older people about fall risks. A survey showed that the campaign had a greater impact among professionals with a special relation to fall risk than among the general population. Medical records were used in the evaluation of the outcomes. The results show that between 2005 and 2007 there was a drop of fractures related to falls in the council: an overall drop of 16.7% in the population; among men 55 or older a drop of 12%, among women 55 or older a drop of 15%, among home-dwelling women 55 or older a drop of 5.7% and among women in special accommodation a drop of 44.4%. Expressed in terms of years lost to disability (YLD), the overall drop in hip fractures treated at the local hospital between 2005 and 2007 was 48%. A comparison with National medical records for the same period shows the drop for the intervention area to be much larger than that for Sweden as a whole, although the effect was not statistically significant. The study demonstrates the advantages of a broad, community-based approach to injury prevention.     

Temperature Dependent Depuration of Norovirus GII and Tulane Virus from Oysters (Crassostrea gigas)

Raw oysters are considered a culinary delicacy but are frequently the culprit in food-borne norovirus (NoV) infections. As commercial depuration procedures are currently unable to efficiently eliminate NoV from oysters, an optimisation of the process should be considered. This study addresses the ability of elevated water temperatures to enhance the elimination of NoV and Tulane virus (TuV) from Pacific oysters (Crassostrea gigas). Both viruses were experimentally bioaccumulated in oysters, which were thereafter depurated at 12 °C and 17 °C for 4 weeks. Infectious TuV and viral RNA were monitored weekly for 28 days by TCID₅₀ and (PMAxx-) RT-qPCR, respectively. TuV RNA was more persistent than NoV and decreased by?<?0.5 log₁₀ after 14 days, while NoV reductions were already?>?1.0 log₁₀ at this time. For RT-qPCR there was no detectable benefit of elevated water temperatures or PMAxx for either virus (p?>?0.05). TuV TCID₅₀ decreased steadily, and reductions were significantly different between the two temperatures (p?<?0.001). This was most evident on days 14 and 21 when reductions at 17 °C were 1.3–1.7 log₁₀ higher than at 12 °C. After 3 weeks, reductions?>?3.0 log₁₀ were observed at 17 °C, while at 12 °C reductions did not exceed 1.9 log₁₀. The length of depuration also had an influence on virus numbers. TuV reductions increased from?<?1.0 log₁₀ after seven days to?>?4.0 log₁₀ after 4 weeks. This implies that an extension of the depuration period to more than seven days, possibly in combination with elevated water temperatures, may be beneficial for the inactivation and removal of viral pathogens.

     

Soil pollution in day-care centers and playgrounds in Norway: national action plan for mapping and remediation

Systematic geochemical mapping based on sampling and analysis of surface soils (0–2 cm) has been carried out in several Norwegian cities. The soils in the oldest parts of the cities are contaminated with metals (especially Pb) and polycyclic aromatic hydrocarbons (PAH). Due to the fact that children are often in contact with surface soil, it was realized that special focus had to be directed towards soils in day-care centers and playgrounds. The first mapping and remedy program was initiated in Trondheim in 1996. Here, the importance of copper–chromium–arsenic (CCA)-pressure-impregnated wood in playing equipment as a pollution source for soils was documented, and a process was started with the aim to ban this product. Soils from day-care centers in the inner city of Bergen were polluted to a degree that required remediation in 45% out of 87 centers, mainly due to high concentrations of Pb and benzo(a)pyrene. In Oslo, 38% of 700 day-care centers needed remediation due to soil pollution by Pb, BaP, Cd, Hg, Ni and PCB. Removal of CCA-impregnated wood was necessary in more than half of the day-care centers The Norwegian parliament has decided to investigate all outdoor playing areas in day-care centers, playgrounds and schoolyards in Norway, starting in 2007 with day-care centers in the ten largest cities and five most important industrial areas. The Norwegian Institute of Public Health has developed quality criteria for soils in day-care centers and playgrounds for As, Cd, Cr⁶⁺, Hg, Ni, Pb, zinc, PAH_sum16, benzo(a)pyrene, and PCB_sum7. The Geological Survey of Norway has developed guidance for mapping of soil pollution (sampling, chemical analysis and reporting) in day-care centers. Especially the sampling strategy has been developed in the period 1996–2007, and the preferred sampling strategy is to collect at least 10 samples of surface soil (0–2 cm) from (1) “original soil” on the site, (2) artificial man-made “hills”, and (3) soils used for growing vegetables. A total number of 2,000 day-care-centres are to be investigated, and necessary remediation should be completed before the end of 2010.     

Uncertainties in Predictions of Surface Water Acidity using the MAGIC Model

In this study, we have used the MAGIC model together with data from the Birkenes catchment in Norway, at which 27 years of data (1974–2000) are available. We calibrated the MAGIC model to the five year observed average chemistry around 1990, and then used the data from the five year period around 1980 to refine the calibration. From 1990, forecasts were run for the different sets of inputs and parameters, and the sets of inputs and parameters were further refined using observations for the period 1996–2000. Through an automatic calibration routine, the model was calibrated a large number of times with different sets of input data to account for the uncertainties in the observed data using a Monte Carlo set-up. The results show that the uncertainty in the model predictions decreases as more observed data from different points in time are used in the model calibration. The results also show that when usingthe time series data in calibration, the distribution of the forecastchanged. The distribution of the predicted Acid Neutralisation Capacity (ANC) in the future is lower for the more refined model calibration. The 10 and 90 percentiles of predicted ANC in 2010 are –3 to 21 μeq L^-1 when only a five-year average is used for calibration, but are –7 to 9 μeq L^-1 when data from the three different time periods are used.     

Competition for a mate restricts mate search of female pied flycatchers

Summary We studied the mate sampling behaviour of female pied flycatchers, Ficedula hypoleuca, in a 40-ha area containing 10–12 unmated males whose nestboxes were monitored with videocameras. The main results were: (1) The females undertook a restricted mate search. The females that mated in the area during three monitoring periods (n = 20, 12 females released by us and 8 females that arrived naturally) sampled 1–10 males (median 4.5). This was about 40% of the available mating options. (2) Search costs in terms of time and energy were low. The search period was short (median 5.1 h) and only a small proportion of the search period was spent at the nestboxes of males (median 4%). The females visited up to seven different males in 1 h, and the time elapsing between visits to different males was short (median 13 min). The minimum distance travelled during the search was also short (median 1.4 km). (3) There was competition between the females. We recorded seven cases of two females visiting the same male at the same time, including at least one case involving physical fighting. (4) Females that experienced a high level of competition had a more restricted mate search than females that experienced a low level of competition. (5) The search pattern of most of the females did not conform to the best-of-n-males rule nor to the threshold criterion rule, because they made repeated visits to many of the males sampled.     

Fatally injured drivers in Norway 2005–2015—Trends in substance use and crash characteristics

Objective: Norway introduced a “Vision Zero” strategy in 2001, using multiple approaches, aiming toward a future in which no one will be killed or seriously injured in road traffic crashes (RTCs). Official statistics show that the number of fatally injured road users has declined substantially from 341 deaths in 2000 to 117 in 2015. In-depth crash investigations of all fatal RTCs started in Norway in 2005. The aim of this study was to investigate whether fatal crash characteristics, vehicle safety features, and prevalence of drugs and/or alcohol among fatally injured drivers and riders has changed during 2005–2015, accompanying the reduction in road fatalities.

Methods: Data on all car/van drivers and motorcycle/moped riders fatally injured in RTCs during 2005–2015 were extracted from Norwegian road traffic crash registries and combined with forensic toxicology data.

Results: The proportion of cars and motorcycles with antilock braking systems and cars with electronic stability control, increased significantly during the study period. The prevalence of nonuse of seat belts/helmets and speeding declined among both fatally injured drivers and riders. In addition, the prevalence of alcohol declined, though no significant change in the total prevalence of other substances was noted.

Conclusion: The observed changes toward more safety installations in cars and motorcycles and lower prevalence of driver-related risk factors like alcohol use, speeding, and nonuse of seat belts/helmets among fatally injured drivers/riders may have contributed to the decrease in road traffic deaths.     

Occupational road trauma and permanent medical impairment

Medically impairing occupational injuries sustained in traffic in Sweden were analysed. More than half of the cases with a permanent medical impairment were caused by minor injuries. Soft tissue injuries to the neck (whiplash injuries) made up nearly half of all permanently impairing injuries, and half of these were caused by rear-end collisions. As a final result, just over one third (37%) of the total group had a permanent decreased work capacity, or needed to change jobs because of residual problems from their injuries. Professional drivers had the highest injury incidence per employed and they accounted for 28% of the total number of permanent impairment cases, and for 43% of the fatalities. Professional drivers also had a higher percentage of serious injuries and severe permanent impairments than other occupational groups. This might be associated with the low use of safety belts (16%) compared to other occupational groups, where usage was 4–5 times higher. This occupational injury problem ought to be handled in the same way as other occupational safety problems, i.e. protective equipment in a vehicle should be used and the use of safe vehicles should be encouraged.     

瑞典海岸带可持续发展的经济评价

瑞典海岸带是自然界提供的各种商品和服务利益冲突的场所.自由出入的条件以及许多服务的公有性质增加了解决这些冲突的难度."可持续性"是一个模糊的但被广泛接受的、找到不同利益之间合理的折衷方案的准则.联合国关于可持续发展的观点表明,海岸带管理的目的应该是可持续的生态、经济及社会文化发展.通过进一步分析经济可持续性,人们认为,关于社会变化是否意味着益或损的经济分析应该考虑环境的经济价值.本文简要地评述了在瑞典海岸带背景下开展这种经济评价所采用的方法.值得注意是,财产权的情况对于评价研究的结果很重要.本文介绍了这一总的背景之后对瑞典海岸带问题的四项研究的设计和结果进行了扼要的陈述.其中一项研究是关于改善斯德哥尔摩群岛一个海水浴场水质的经济价值.其他三项研究分别是关于改善斯德哥尔摩群岛游钓渔业的经济价值的旅行成本研究,关于恢复鳟生境的价值的更新成本研究,以及关于改善瑞典西海岸沿岸水质的经济价值的选择试验研究.     

Effect of an uncontrolled fire and the subsequent fire fight on the chemical composition of landfill leachate

Landfill leachates sampled during and after an accidental landfill fire were analysed and the levels of selected metals and chemical compounds compared to those occurring in the leachate under normal conditions. The fire at the landfill site was put out by excavation and cooling by use of water. The investigation during the fire and fire fight revealed a moderate increase in the level of nitrogen and also in pH and conductivity. Heavy metals and COD in the leachate showed considerably increased levels. In general, the determined variables appeared to normalise within one week after the fire was extinguished. It can be concluded that landfill fires extinguished by excavation may lead to elevated leachate levels of especially COD and heavy metals, but that this is only a short-term effect.