RESUMO
Records from the Medical Examiner's Office of Westchester County (1980 population = 866,599) were studied for trends in blood alcohol levels in drivers who died after single vehicle accidents. Findings for all motorists (N = 102) who died in the earliest available eight-year period, 1952-1959, were compared with findings for all motorists (N = 183) who died from 1980 to 1987. The mean age of subjects in the two periods did not differ (37.3 yr +/- 15.4 SD versus 35.4 yr +/- 16.8 SD), and mean blood alcohol levels were nearly identical (0.14% +/- 0.12 SD) versus 0.13% +/- 0.12 SD). Based on the increase in vehicular miles travelled during the two periods, there may have been a 20-25% reduction in alcohol-associated mortality over a 30-year period. Following legislation raising the minimum drinking age to 21, no fatally injured drivers 20 years of age or under have had blood alcohol levels greater than or equal to 0.10%.
Assuntos
Acidentes de Trânsito/mortalidade , Consumo de Bebidas Alcoólicas , Adulto , Fatores Etários , Etanol/sangue , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , New York/epidemiologiaAssuntos
Serviços de Saúde da Criança/normas , Adolescente , Adulto , Criança , Serviços de Saúde da Criança/tendências , Pré-Escolar , Serviços de Saúde Bucal/tendências , Unidade Hospitalar de Odontologia/normas , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Medicaid , Programas Nacionais de Saúde , New YorkRESUMO
Many vaccines are available to prevent potentially fatal disease. It is especially important for all of us who provide care to review periodically the current recommendations, since they are not static. Changes are based not only on the availability of improved vaccines, but also on knowledge of the diseases and altering societal and epidemiologic circumstances. We owe it to all our patients to be meticulous in maintaining up-to-date immunization records as well as to be knowledgeable about the indications and contraindications for each vaccine. Finally, it is important to remember that the immunization status of adults has been overlooked too often. This is no longer justifiable in light of current knowledge.
