Category: Mortality

The economic impact of the opioid epidemic

Mary Pat Campbell

Link: https://www.brookings.edu/blog/usc-brookings-schaeffer-on-health-policy/2023/04/17/the-economic-impact-of-the-opioid-epidemic/

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While the opioid epidemic has had significant impacts across the labor market, its effects have been particularly pronounced in specific occupations and industries. A CDC analysis of mortality data from 21 states concluded that unintentional and undetermined overdose deaths accounted for a disproportionate share of all deaths in the following six occupational groups: construction, extraction (e.g., mining), food preparation and serving, health care practitioners, health care support, and personal care and service. These fatalities are particularly concentrated in construction and extraction: an analysis by the Massachusetts Department of Public Health found that individuals employed in construction and extraction accounted for over 24% of all overdose deaths in the state’s working population.

Notably, the jobs with the highest rates of opioid overdose fatalities generally have high occupational injury rates and low access to paid sick leave. Figure 1 demonstrates that the industries with the highest rates of overdose fatalities in the workplace have elevated occupational injury rates for fractures and musculoskeletal disorders, both of which are significant risk factors for long-term opioid use.

Author(s): Julia Paris, Caitlin Rowley, and Richard G. Frank

Publication Date: 17 April 2023

Publication Site: Brookings

In Communities Where Civic Health Is Poor, Lives Are Shorter

Mary Pat Campbell

Link: https://www.governing.com/now/in-communities-where-civic-health-is-poor-lives-are-shorter

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Neglected civic infrastructure — schools, parks, community centers, libraries and other public spaces that help foster a sense of belonging — coupled with barriers to participation in civic life aren’t just manifestations of poor governance. According to the 2023 County Health Rankings & Roadmaps (CHR&R) from the University of Wisconsin Population Health Institute (UWPHI), they have health consequences.

The rankings, published since 2010, were developed to provide insight and guidance for improving health equity. The new report focuses on relationships between the state of civic infrastructure, community engagement and well-being.

“There is a connection between our civic health and thriving people and places,” says Sheri Johnson, the director of UWHPI.

The pandemic made the chronic stress faced by those without access to broadband connections, safe public spaces or other civic resources more visible than ever. Public health researcher Arline Geronimus has been at the forefront of research demonstrating that the stresses of poverty and discrimination actually cause cellular-level damage, overloading the hormonal systems that help us survive dangerous situations.

Author(s): Carl Smith

Publication Date: 4 April 2023

Publication Site: Governing

GUN VIOLENCE ARCHIVE

Mary Pat Campbell

Link: https://www.gunviolencearchive.org/

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PUBLISHED DATE: April 20, 2023

Gun violence  and crime incidents are collected/validated from 7,500 sources daily – Incident Reports and their source data are found at the gunviolencearchive.org website.

Footnotes

  1. Number of source verified deaths and injuries
  2. Number of INCIDENTS reported and verified
  3. Calculation based on CDC Suicide Data
  4. Actual total of all non-suicide deaths plus daily calculated suicide deaths

All numbers are subject to change or incidents recategorized as new evidence is established and verified.

METHODOLOGY & DEFINITIONS AVAILABLE AT:
https://www.gunviolencearchive.org/methodology

www.gunviolencearchive.org
www.facebook.com/gunviolencearchive
On Twitter @gundeaths

Publication Date: accessed 20 April 2023

Publication Site: Gun Violence Archive

Pension reform in France: Which countries have the lowest and highest retirement ages in Europe?

Mary Pat Campbell

Link: https://www.euronews.com/next/2023/04/06/pension-reform-in-france-which-countries-have-the-lowest-and-highest-retirement-ages-in-eu

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The gap between women and men in expected years of retirement varies from 2.0 years in Ireland to 7.5 years in Cyprus. 

By 2020, European women typically can expect to live 4.3 years more than men after they exit the labour market. 

While the EU average is 4.6 years, in France, the gender gap stands in favour of women by a total of 3.6 years.

Interestingly, life expectancy in retirement for both highly varies across Europe. For men, it ranges from 14 years in Latvia to 24 years in Luxembourg.

For women, it varies from 18.9 years in Latvia to 28.4 years in Greece. Women are expected to have 26 years or more to spend while retired in Belgium, France, Greece, Italy, Luxembourg and Spain.

Author(s): Servet Yanatma

Publication Date: 6 Apr 2023

Publication Site: euronews

Obesity in Asia

Mary Pat Campbell

Link: https://www.genre.com/knowledge/publications/2023/april/ri23-1-en

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Figure 2 shows the incidence of cardiovascular disease and stroke in the male population.

This was derived from Gen Re’s Dread Disease experience study covering the period 2012–2015 and 2015–2019 for Hong Kong, Singapore and Malaysia. As per the analysis from the leading insurance companies of the respective market, 43% of men in Singapore, 40% of men in Malaysia and 26% of men in Hong Kong had critical illness claims due to cardiovascular disease and stroke between 2015 and 2019. When compared with the 2012–2015 analysis, it was noted that there is an increase in claims by 3% in Singapore, 10% in Malaysia and 1% points in Hong Kong, which may be associated with overweight and obesity or simply an older portfolio.

Due to increases in body weight and medical complications, insurance companies may be confronted with increasing claims which will impact their profitability. To mitigate this cost, insurance companies may have to increase the premium so as to commensurate with this rising claim cost. This increase in price will impact on the healthy population.

Health insurance premium has doubled in the past 10 years, but it is unclear how much of this premium is sufficient to cover the financial burden of the obesity pandemic. The evaluation of existing and developing new health coverages related to obesity-related conditions is an important consideration for the profitability of the health insurance providers.14

Author(s): Bharath UP

Publication Date: 12 April 2023

Publication Site: Gen Re

NYC subway-track deaths soar, driven by social-media dares

Mary Pat Campbell

Link: https://nypost.com/2023/04/02/nyc-subway-track-deaths-soar-driven-by-social-media-dares/

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The Metropolitan Transportation Authority had distressing news last week: Deaths on subway-train tracks soared in 2022, to 88.

It’s a little-remarked element of our post-2020 era of disorder and chaos.

….

But as with everything else in New York in the past three years, things went awry. Last year’s 88 track deaths were 35% above the 2018 and 2019 averages — 65 each year.

For context, 120 pedestrians died above ground last year in crashes with cars or trucks, close to the average of 121 in 2018 and 2019.

….

What’s going on? Of 1,365 known subway-track incidents in 2022 (most of which didn’t end in death), about 15% were accidental falls or medical emergencies, a new MTA analysis finds.

A thankfully surprisingly low number — fewer than 10% — was suicides or suicide attempts.

An even smaller percentage was assaults — that is, people being pushed to the tracks. (Though with pushes to the tracks comprising three of last year’s 10 subway murders, a 30-year high, a small percentage is too many.)

In most cases — well more than two-thirds — people ended up on the tracks voluntarily.

In 20% of total cases, people were clearly mentally ill (but not attempting suicide); in another 10% or so, people were drugged or drunk.

….

The worst spike in track intrusions started a little more than a year ago, in December 2021 to February 2022. (This includes January 2022, when Michelle Go was pushed to her death in Times Square by a mentally ill, violent ex-con.)

This winter, track intrusions are down 30%.

Why? Largely police enforcement.

Author(s): Nicole Gelinas

Publication Date: 2 April 2023

Publication Site: NY Post

Guidance for Certifying Deaths Due to Coronavirus Disease 2019 (COVID-19)

Mary Pat Campbell

Link: https://www.cdc.gov/nchs/data/nvss/vsrg/vsrg03-508.pdf

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Certifying deaths due to post-acute sequelae of
COVID-19
In the acute phase, clinical manifestations and complications
of COVID-19 of varying degrees have been documented,
including death. However, patients who recover from the acute
phase of the infection can still suffer long-term effects (8).
Post-acute sequelae of COVID-19 (PASC), commonly referred
to as “long COVID,” refers to the long-term symptoms, signs,
and complications experienced by some patients who have
recovered from the acute phase of COVID-19 (8–10). Emerging
evidence suggests that severe acute respiratory syndrome
coronavirus 2 (SARS-CoV-2), the virus that causes COVID-19,
can have lasting effects on nearly every organ and organ system
of the body weeks, months, and potentially years after infection
(11,12). Documented serious post-COVID-19 conditions include
cardiovascular, pulmonary, neurological, renal, endocrine,
hematological, and gastrointestinal complications (8), as well as
death (13).

Consequently, when completing the death certificate, certifiers
should carefully review and consider the decedent’s medical
history and records, laboratory test results, and autopsy report,
if one is available. For decedents who had a previous SARSCoV-2 infection and were diagnosed with a post-COVID-19
condition, the certifier may consider the possibility that the death
was due to long-term complications of COVID-19, even if the
original infection occurred months or years before death. If it is
determined that PASC was the UCOD, it should be reported on
the lowest line used in Part I with the condition(s) it led to on the
line(s) above in a logical sequence in terms of time and etiology.
If it is determined that PASC was not the UCOD but was still a
significant condition that contributed to death, then it should be
reported in Part II. Certifiers should use standard terminology,
that is, “Post-acute sequelae of COVID-19.” See Scenario IV in
the Appendix for an example certification. In accordance with
all death certification guidance, if the certifier determines that
PASC did not cause or contribute to death, then they should not
report it anywhere on the death certificate.

Author(s): National Vital Statistics System, National Center for Health Statistics

Publication Date: updated 27 Feb 2023

Publication Site: CDC

Flesh-rotting drug ‘Tranq’ linked to dozens of NY deaths: Schumer

Mary Pat Campbell

Link: https://nypost.com/2023/03/26/new-york-seeing-tranq-drug-related-deaths-schumer/

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Tranq – the deadly “zombie” drug formally known as xylazine – is circulating across New York and has been tied to dozens of deaths in the state, Senate Majority Leader Chuck Schumer warned Sunday.

Use of the flesh-rotting substance is “spreading” in Syracuse, Albany, Rochester and the Greater New York City area, Schumer said, as he called on increased federal funding for the state to help fight the disturbing trend.

….

Tranq, a veterinary drug, is Narcan-resistant, meaning its effects cannot be reversed in the event of an overdose.

It is said to cause skin and bone to deteriorate or rot over time. 

The US Drug Enforcement Administration recently issued a public safety alert, announcing that the agency had seized mixtures of xylazine and fentanyl in 48 of the 50 states. 

Author(s):Haley Brown and Stephanie Pagones

Publication Date: 26 Mar 2023

Publication Site: NY Post

12 States Where Working-Age Death Counts Are Still High

Mary Pat Campbell

Link: https://www.thinkadvisor.com/2023/03/28/12-states-where-working-age-death-counts-are-still-high/

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Death finally seemed to ease up on U.S. residents ages 25 through 64 in February.

The total number of deaths of working-age people in that age group, from all causes, was 5.5% lower than the February average for the period from 2015 through 2019, according to the very earliest mortality data available from the U.S. Centers for Disease Control and Prevention.

But all-cause death counts for working-age people were more than 4.5% higher than the 2015-2019 baseline in 12 states and New York City, and up by almost 40% in one state.

Before the start of the COVID-19 pandemic, anything that increased the death rate for a large group of people by more than 2% was considered a major news story.

….

Limitations

One concern is whether the apparent drop in working-age mortality is due partly to state data submission delays.

At press time, for example, Louisiana had sent the CDC only four days of mortality data for February. Other states might also be slower to send the CDC their numbers.

Author(s): Allison Bell

Publication Date: 28 March 2023

Publication Site: Think Advisor

ChatGPT: A conversation about underwriting and life insurance

Mary Pat Campbell

Link: https://www.dig-in.com/opinion/chatgpt-a-conversation-about-underwriting-life-insurance

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RGA decided to put ChatGPT to the test by posing three questions related to underwriting and the future of life insurance. The answers from ChatGPT that follow are entirely AI-generated. Following those responses is a brief FAQ that further explores this emerging topic.

How will COVID-19 affect U.S. long-term mortality?

It is difficult to predict the long-term effects of COVID-19 on mortality in the United States. The pandemic has already had a significant impact on mortality, with over 1.1 million COVID-attributed deaths reported in the country. However, it is possible that the mortality rate from COVID-19 could decline over time as more people become immune to the virus and as effective vaccines are developed and distributed.

There are also other factors that could affect the long-term mortality rate from COVID-19. For example, the effectiveness of public health measures, such as mask-wearing and social distancing, in controlling the spread of the virus could have a significant impact on the number of deaths. In addition, the availability of effective treatments for COVID-19 could also play a role in reducing the mortality rate from the virus.

It is important to continue monitoring the situation and taking steps to control the spread of the virus to minimize the impact on mortality.

Author(s): ChatGPT, Jeff Heaton, Dave Rengachary

Publication Date: 14 Feb 2023

Publication Site: Digital Insurance

Association of Cardiovascular Health With Life Expectancy Free of Cardiovascular Disease, Diabetes, Cancer, and Dementia in UK Adults

Mary Pat Campbell

Link: https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2801750?guestAccessKey=9c49772f-a1bb-4a29-9a46-445f585b3781&utm_source=silverchair&utm_medium=email&utm_campaign=article_alert-jamainternalmedicine&utm_content=olf&utm_term=022723

Cite: JAMA Intern Med. Published online February 27, 2023. doi:10.1001/jamainternmed.2023.0015

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Question  What is the association of cardiovascular health (CVH) levels, estimated by the American Heart Association’s Life’s Essential 8 score, with life expectancy free of major chronic diseases?

Findings  In this cohort study of 135 199 adults from the UK Biobank study, high CVH level was associated with substantially longer life expectancy free of 4 major chronic diseases (cardiovascular disease, diabetes, cancer, and dementia) in both men and women. Furthermore, the disease-free life expectancy was similar between low and other socioeconomic groups among participants with high CVH.

Meaning  These findings support improvement in population health by promoting a high CVH level, which may also narrow health disparities associated with socioeconomic status.

Author(s): Xuan Wang, MD, PhD1; Hao Ma, MD, PhD1; Xiang Li, MD, PhD1; et al

Publication Date: 27 Feb 2023

Publication Site: JAMA Internal Medicine