Lightning Deaths: A Retrospective Review of New Mexico's Cases, 1977–2009

To better understand lightning deaths, a retrospective review of electronic records from New Mexico's Office of the Medical Investigator database was performed between 1977 and 2009 to update and assess current risk factors. Information on demographics, circumstances, autopsy, and death certificates were collected and analyzed. Fifty‐four decedents were identified, ages 2–71 years old (mean 34 years old), 42 males and 12 females. Common racial/ethnic groups were non‐Hispanic Whites and American Indians (together comprising 72% of all cases). Physical findings were often related to the heat carried by the electrical current including clothing alterations (29.6%) and burning of skin (53.7%). Most deaths occurred on weekend afternoons in summer months, associated with recreational activities or agricultural work, and rural locations (77.8%). Utilizing the demographic information, clustered events, and associated outdoor activities will assist in creating public awareness and provide a framework to support targeted warnings in an attempt to prevent future deaths.     

Consent in escrow: opting to opt in

In this paper, we reply to Taylor''s (2015) peer commentary on consent-in-escrow. Specifically, we clarify the utility of this novel approach, the way in which it minimizes risks to participants, and how it differs from existing opt-out methods. We further explore its potential use in fields beyond disaster research.     

A public policy paradox

Over the last two decades policy analysis has flourished, as government has turned increasingly to the services of policy experts. With the refinement of analytic tools vast amounts of data have been made available to decision-makers. These developments have no doubt enhanced the management of many government programs. But some of the most serious policy problems—those involving macroeconomic policy and aspects of foreign policy — have not yielded to solutions. Moreover, the abundance of data has sometimes been overwhelming for decision-makers, a fact that may explain in part the inclination of many to seek simple and painless panaceas for complex problems. Although policy analysis can help the policymaker, it does not provide an avenue of escape from difficult decisions.