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The ‘Most Distinctive’ Cause of Death in Your State

Discussion in 'USMLE' started by Egyptian Doctor, May 26, 2015.

  1. Egyptian Doctor

    Egyptian Doctor Moderator Verified Doctor

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    “More people died here from sepsis than in any other state” may not go on New Jersey’s official letterhead anytime soon, but it’s difficult to deny that Americans love things that make their home states unique, be they good, bad, or just plain morbid. Thanks to a new map and study from the Centers for Disease Control and Prevention (CDC), we now know the most distinctive cause of death for each state.

    To be clear: The map doesn’t show the most common cause of death in each state. That map would be boring and have two colors: one for heart disease and the other for cancer. What the CDC’s map does show is the cause of death that stands out most for each state relative to the national average between 2001 and 2010. For example, the number of deaths in Louisiana caused by syphilis between 2001 to 2010 — 22 — was above the national average, thus landing the Bayou State with syphilis as its most distinctive cause of death.

    While some of the causes make sense — ”pneumoconioses” (lung diseases caused by inhaling dust) in coal-mining states, for example — others are a bit confusing, such as “death by legal intervention” (death caused by law enforcement actions) in Oregon, New Mexico, and Nevada.

    Most Distinctive Causes of Death by State
    1. Alabama – Accidental discharge of firearms
    2. Alaska – Water, air and space, and other and unspecified transport accidents and their sequelae (resulting complications from the original disease/injury)
    3. Arizona – Discharge of firearms, undetermined intent
    4. Arkansas - Discharge of firearms, undetermined intent
    5. California – Hyperplasia of prostate
    6. Colorado – Atherosclerosis
    7. Connecticut – Inflammatory diseases of female pelvic organs
    8. Delaware – Atherosclerotic cardiovascular disease, so described
    9. District of Columbia – Human immunodeficiency virus (HIV)
    10. Florida - Human immunodeficiency virus (HIV)
    11. Georgia – Symptoms, signs and other and unspecified transport accidents and their sequelae
    12. Hawaii – Other nutritional deficiencies
    13. Idaho - Water, air and space, and other and unspecified transport accidents and their sequelae
    14. Illinois – Other disorders of kidney
    15. Indiana – Other and unspecified events of undetermined intent and their sequelae
    16. Iowa – Other and unspecified acute lower respiratory infections
    17. Kansas - Other and unspecified acute lower respiratory infections
    18. Kentucky – Pneumoconioses and chemical effects
    19. Louisiana – Syphilis
    20. Maine – Influenza
    21. Maryland – Other and unspecified events of undetermined intent and their sequelae
    22. Massachusetts - Other and unspecified events of undetermined intent and their sequelae
    23. Michigan - Atherosclerotic cardiovascular disease, so described
    24. Minnesota - Other and unspecified acute lower respiratory infections
    25. Mississippi – Other and unspecified malignant neoplasms of lymphoid, hematopoietic and related tissue
    26. Missouri – Meningococcal infection
    27. Montana – Acute and rapidly progressive nephritic and nephrotic syndrome
    28. Nebraska - Other and unspecified acute lower respiratory infections
    29. Nevada – Legal intervention
    30. New Hampshire – Other nutritional deficiencies
    31. New Jersey – Septicemia
    32. New Mexico – Legal intervention
    33. New York - Inflammatory diseases of female pelvic organs
    34. North Carolina – Other nutritional deficiencies
    35. North Dakota – Influenza
    36. Ohio - Other and unspecified acute lower respiratory infections
    37. Oklahoma – Other acute ischemic heart diseases
    38. Oregon – Legal intervention
    39. Pennsylvania - Pneumoconioses and chemical effects
    40. Rhode Island - Other and unspecified events of undetermined intent and their sequelae
    41. South Carolina - Other acute ischemic heart diseases
    42. South Dakota – Influenza
    43. Tennessee – Accidental discharge of firearms
    44. Texas – Tuberculosis
    45. Utah - Other and unspecified events of undetermined intent and their sequelae
    46. Vermont – Other nutritional deficiencies
    47. Virginia - Other acute ischemic heart diseases
    48. Washington – Tuberculosis
    49. West Virginia - Pneumoconioses and chemical effects
    50. Wisconsin - Other and unspecified acute lower respiratory infections
    51. Wyoming - Other and unspecified acute lower respiratory infections
    The study authors, Francis P. Boscoe, PhD and Eva Pradhan, MPH, acknowledge that the study has several limitations, including that the map is more likely to show rare causes of death because of the limited cause-of-death categories that were used. Had the categories been broader, the map would change significantly. It’s better to look at this study as a snapshot that can help public health physicians emphasize the prevention of more common chronic conditions, the authors wrote. They also found that death certificates frequently contain major errors, which suggests the need to teach physicians how to properly issue death certificates in order to have a more accurate data set in the first place.

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