Document Detail

Recent Iowa trends in sudden unexpected infant deaths: the importance of public health collaboration with medical examiners' offices.
MedLine Citation:
PMID:  20938328     Owner:  NLM     Status:  MEDLINE    
During the winter in 2008, Iowa experienced an increase in sudden unexplained infant deaths (SUIDs). SUIDs and infectious causes of infant deaths generally average 3 monthly (SD = 1.0) in Iowa. However, in January 2008, 9 infant deaths were reported to the Iowa Department of Public Health and the Iowa Office of the State Medical Examiner. Between January and March of 2008, joint investigation of 22 SUIDs was conducted. The investigations required the involvement of multiple medical examiners from various jurisdictions, testing for pathogens at the University Hygienic Laboratory, epidemiologic support from the Iowa Department of Public Health, and consultation with the Centers for Disease Control and Prevention. The preliminary hypotheses for the increase in the infant mortality included viral respiratory disease and/or possible novel respiratory viral infections being the cause. Collaboration between public health and the medical examiner offices resulted in timely assessment of the cases. While no single causative agent was responsible for the increase seen in the number of infant deaths, respiratory pathogens played a role in the deaths of 15 of 22 children.
Meghan L Harris; David Massaquoi; Kenneth Soyemi; Sarah M Brend; Dennis Klein; Michael Pentella; John Kraemer; Marcus Nashelsky; Gregory Schmunk; Tara Smith; Ariel Pleva
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American journal of forensic medicine and pathology     Volume:  33     ISSN:  1533-404X     ISO Abbreviation:  Am J Forensic Med Pathol     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-05-15     Completed Date:  2012-09-25     Revised Date:  2013-07-09    
Medline Journal Info:
Nlm Unique ID:  8108948     Medline TA:  Am J Forensic Med Pathol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  113-8     Citation Subset:  IM    
Iowa Department of Public Health, Des Moines, IA 50319, USA.
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MeSH Terms
Analysis of Variance
Cooperative Behavior*
Coroners and Medical Examiners*
Infant, Newborn
Interprofessional Relations
Iowa / epidemiology
Public Health Administration*
Respiratory Syncytial Virus Infections / mortality
Respiratory Tract Infections / microbiology,  mortality,  virology
Sudden Infant Death / epidemiology*,  etiology
Comment In:
Am J Forensic Med Pathol. 2013 Jun;34(2):e3   [PMID:  23574868 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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