Suicide continues to become more common in the United States, with rural areas hit hardest by this ongoing crisis of despair, a new study reports. Deprivation, isolation and lack of access to mental health care all appear to be driving the crisis in rural America, said lead researcher Danielle Steelesmith. She’s a postdoctoral fellow at Ohio State University’s Wexner Medical Center in Columbus. “Rural suicide rates are higher than urban rates and tend to be increasing a little more rapidly,” Steelesmith said. Suicide rates increased 41% between 1999 and 2016, from a median of 15 per 100,000 people to more than 21 per 100,000, county-by-county data show. Median means half had higher rates; half were lower. Rural folks tend to be at higher risk than city dwellers, the researchers found. Suicide rates were 22 per 100,000 in rural counties between 2014 and 2016, compared with about 18 per 100,000 in large metropolitan counties, the nationwide data revealed. To figure out the difference between rural and urban areas, the researchers did a county-by-county analysis of factors that could be driving suicide rates. “Deprivation” — a cluster of factors that includes low employment, poverty and lack of education — was closely related to increased rural suicide rates, the study authors said. Steelesmith said poverty could be more entrenched and economic opportunities more limited in rural areas, leaving…  read on >

The firefighters who flooded into Ground Zero on 9/11 put their lives on the line to help others. Now, a new study shows they are still paying the price for their selflessness. Those who were first on the scene or worked for months among the ruins of the World Trade Center disaster in 2001 have an increased risk of heart disease, stroke and heart attack that persists to this day, researchers report. Their exposure to the airborne dust and fine particles created by the collapse of New York City’s Twin Towers is wreaking long-term havoc on the health of their blood vessels and heart, experts said. Firefighters first on the scene have a 44% increased risk of heart attack, stroke, heart disease, sudden heart death, cardiac surgery or other life-threatening heart problems, when compared against those who arrived later in the day, researchers found. Further, those who worked at Ground Zero for six months or more have a 30% higher risk of a heart health emergency than those who worked fewer months on the scene. The risk from exposure to the World Trade Center disaster was about the same as that associated with chronic high blood pressure, said Dr. Jacqueline Moline, vice president of occupational medicine, epidemiology and prevention for Northwell Health in Manhasset, N.Y. “The concern is the dust was pro-inflammatory,” said Moline, who…  read on >

Growing up in a poor neighborhood significantly increases kids’ odds of becoming obese adults, and the risk is highest among teens, a new study says. It found that children from poor neighborhoods had 31% higher odds for adult obesity, and the risk was much higher (29%) among 11- to 18-year-olds than for younger children (13%). “Growing up in a disadvantaged neighborhood sticks with you, and can have a negative impact on one’s health through increasing one’s chance of obesity in adulthood,” said lead author Steven Alvarado, a professor of sociology at Cornell University in Ithaca, N.Y. Disadvantaged neighborhoods were defined by seven factors, including median income and home values, and the percentage of residents who were living in poverty, unemployed or had earned bachelor’s degrees. To account for other factors that can influence a child’s obesity risk — such as genes and their parents’ behaviors — Alvarado compared siblings. Siblings largely share the same genes and parenting influences, but may have been exposed to different neighborhood circumstances growing up, because their families moved or their neighborhoods changed between the births of the siblings, Alvarado explained. The study was said to be the first to account for factors such as grandparents’ experiences in segregated schools and neighborhoods, while examining the connection between growing up in poor neighborhoods and adult obesity. “We must continue to consider the…  read on >

The overall death rate of the Ebola outbreak in West Africa may have been underestimated, with new research finding survivors could have a five times higher death rate after leaving the hospital than the general population. An outbreak of Ebola is currently raging in the Democratic Republic of Congo, where more than 3,000 cases of the viral disease have occurred over the past year, including more than 2,000 deaths. The new study focuses on 1,130 Guinean survivors of the 2013-2016 Ebola outbreak in West Africa, the largest such outbreak ever recorded. These patients were tracked from early December 2015 to the end of September 2016. During that time, 59 died in the first year after hospital discharge. That 5.2% death rate was five times higher than what would be expected in the general Guinean population, according to the study. It was published Sept. 4 in The Lancet Infectious Diseases journal. “Our findings highlight the need to strengthen Ebola survivor programs, particularly as the number of people surviving the infection are increasing,” study author Dr. Ibrahima Soce Fall said in a journal news release. Fall is the World Health Organization’s assistant director-general for emergency response. Of the 59 deaths, 37 were initially attributed to kidney failure based on symptoms reported by family members. There was a lack of documentation or autopsies available to rule out other…  read on >