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Chan School study estimates higher death toll in Puerto Rico from hurricane

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first_imgThe mortality rate in Puerto Rico rose by 62 percent [95 percent confidence interval (CI) 11 percent to 114 percent] after Hurricane Maria, according to a new study led by researchers from Harvard T.H. Chan School of Public Health. The study was conducted in January and February 2018, in collaboration with colleagues from Carlos Albizu University in Puerto Rico and the University of Colorado School of Medicine.The researchers concluded that the original estimate of 64 excess deaths due to Hurricane Maria is likely to be a substantial underestimate. The study estimates a death rate of 14.3 deaths per 1,000 [95 percent CI 9.8 to 18.9] between Sept. 20 and Dec. 31, 2017, up from a rate of 8.8 deaths per thousand at the same time in 2016. About one-third of the reported deaths in the households surveyed in the study were attributed to delayed or prevented access to medical care.The study was published online May 29, 2018 in the New England Journal of Medicine.Hurricane Maria made landfall in Puerto Rico on Sept. 20, 2017, inflicting approximately $90 billion worth of damage and displacing thousands of residents. The storm disrupted medical services across the island, and many households were left for weeks without water, electricity, or cell phone coverage.As with any major natural disaster, assessing the loss of life caused by Hurricane Maria was difficult and contentious. For disaster-related deaths to be confirmed in Puerto Rico, bodies must be transported to San Juan or a medical examiner must travel to the region to verify the death. This makes it difficult to log deaths that were caused by delays in treatment or chronic conditions that worsened in the aftermath of the storm. In December 2017, media reports suggested that the official death toll was significantly underestimated.To produce an independent estimate of lives lost as a result of the storm, the researchers surveyed 3,299 randomly chosen households across Puerto Rico. Participants were asked about infrastructure damage, displacement, and deaths. Results from the survey showed that there were an estimated 14.3 deaths per 1,000 people between Maria’s landfall and the end of 2017. By comparing this post-hurricane mortality rate with the same time period in 2016, the researchers estimated that there were 4,645 [95 percent CI, 793 to 8498] additional deaths in the three-month period following Hurricane Maria.In addition to a significantly higher death toll, the study showed that the average household went approximately 41 days without cell phone service, 68 days without water, and 84 days without electricity following the storm. More than 30 percent of surveyed households reported interruptions to medical care, with trouble accessing medications and powering respiratory equipment being the most frequently cited challenges.Household-based surveys such as these are well studied in the scientific literature and offer a cost-effective, rapid approach in the aftermath of a disaster. The researchers have made all of their anonymized data, analysis, and code publicly available for review.Support for the study came from Harvard T.H. Chan School of Public Health and the University of Colorado School of Medicine, Department of Emergency Medicine, Section of Wilderness and Environmental Medicine. Read Full Storylast_img read more

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Hamilton’s Javier Munoz Opens Up About His Battle with Cancer

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first_imgJavier Muñoz & Lin-Manuel Miranda(Photo: Bruce Glikas) Hamilton Star Files Related Shows Javier Muñozcenter_img from $149.00 View Comments Hamilton’s Javier Muñoz has shared his experience battling cancer. Following a two-month treatment, the actor, who plays the title role once a week, is back at the Richard Rodgers Theatre as Lin-Manuel Miranda’s alternate.“I spent about six weeks not wanting to think about it, face it, deal with it,” Muñoz told the New York Post about the cancer diagnosis he received in October. “I’d just call out or push through…I had never felt fear before like this in my life.” The following month, he left the show to undergo radiation treatment and physical therapy.Muñoz credits the Hamilton company for their tremendous support during the ordeal. Leslie Odom Jr., who plays Aaron Burr in the megahit musical, organized a drive with his castmates to provide meals for Muñoz while he was on leave.Muñoz, who also covered for Miranda in In the Heights, stepped back into Hamilton earlier this year. When he took the stage on February 14, his parents, who both battled cancer 12 years ago, were in the audience, celebrating their 56th anniversary.Broadway.com wishes Muñoz all the best as he continues on his path to a full and safe recovery.last_img read more

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Auction watchers spoiled for choice

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first_imgIf your idea of a tops way to start the weekend involves a cappuccino-to-go, beautiful homes and the adrenaline of competition, then Saturday’s crop of auctions should be right up your alley.At 9:30am head north where 28 Grove Rd, Albion will be taking on all comers.28 Grove Rd, Albion presents an entry-level opportunity. Photo: supplied.This is a great entry-level option for one of Brisbane’s most desirable inner-city suburbs.The three-bedroom 1900s cottage has been declared a “rare opportunity” by marketing agent Alistair Macmillan of Ray White Wilston.While there’s the ability for keen renovators to make their mark, the home’s updated kitchen, polished floors and rear deck mean you can choose to move in straight away and make plans in comfort.Sources at Ray White tell us renovation real estate close to the CBD has been selling strongly of late, and this home should prove the theory.From there, rush west to 4 Yeoman St, Chapel Hill where at 10am, Josh Clemm of Ray White Metro West will be overseeing events.Head to 4 Yeoman St, Chapel Hill and check out the impressive ‘man cave’. Photo: suppliedSet on 673 square metres, this five-bedroom, two-bathroom, two-level weatherboard cottage is typical of family living in the suburb and has been pitched as having something for all comers.“Everyone has their criteria when looking for a home, but this one really has it all,” Clemm said.There’s potential to adapt the home for a sixth bedroom and, best of all, there’s a ‘man cave’ to keep the blokes amused and out of the way.Next, you’ll have to make a tough ‘choose your own adventure’ choice — whether to turn right or left off Moggill Road.Turn right and you can head to 140 Kadumba St, Yeronga which will be open to bids at 11am with Judy Goodger of Place presiding.140 Kadumba Street, Yeronga offers an excellent example of the Hamptons style in Brisbane. Photo: supplied.The property is a stunner and sets the benchmarks for Hamptons-design dwellings in our city.The home is set on a massive 1247 square metre block and has been lovingly renovated by the owner.More from newsMould, age, not enough to stop 17 bidders fighting for this home5 hours agoBuyers ‘crazy’ not to take govt freebies, says 28-yr-old investor5 hours agoWhile you’re there, take a peek at the Harry Potter-esque space under the stairs – a favourite hiding place for the owners now-adult children.If you choose to turn left back at Moggill Rd then you might make the 11am event at 9 Elouera Rd, Ashgrove.Classic features at 9 Eloura Rd, Ashgrove will bring in the buyers. Photo: supplied.This is a classic Ashgrovian that’s extended and renovated to take full advantage of its ‘Avenues’ position.Four bedrooms and two bathrooms are just the start. The real features are the original timber panelling, picture rails and polished floors that are classic of this design.Out back you can step from the open-plan kitchen/living space onto the open deck.Ashgrove is always on the shopping list for family buyers looking to get into its great school districts, and renovated properties are eagerly sought by time-poor professionals. If all goes to plan, this property should do very well indeed.South of the river at 11:30am is an event which will see a highly desirable home finally go under the hammer.11 Apple Blossom Pl, Eight Mile Plains will be hotly contested according to selling agent Owen Chen of Place Sunnybank.Competition is expected to be hot at 11 Apple Blossom Pl, Eight Mile Plain. Photo: suppliedThis contemporary four-bedroom, two-bathroom home is set on a 560 square meters and according to sources at the agency, their listing saw extraordinary web traffic via realestate.com.au during the week, so expect a big crowd.At midday, there’s a chance to pop in to 48 Lugg St, Bardon to see Michael Kingston of Calibre Real Estate maker a sale.There’s plenty of outdoor living on offer at 48 Lugg St, Bardon. Photo: supplied.The expansive Queenslander with four-bedroom accommodation will no doubt appeal to many potential buyers.Built in the early 1900s, the home has been extended and renovated but still retains its old-world charm with VJ walls and ceilings over polished hardwood floors.The downstairs living and kitchen space feeds into the yard and pool area, while views from the upper level deck make for very pleasant Sunday brunches.See you on the road this Saturday.last_img read more

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