2009 H1N1 Fatalities: The New Mexico Experience

Abstract: Histopathologic features of New Mexico 2009 H1N1 fatalities have not been representative of those reported nationwide. We retrospectively reviewed medical records of all New Mexico 2009 pandemic influenza A (pH1N1) fatalities (n = 50). In cases in which autopsy was performed (n = 12), histologic sections and culture results were examined. In contrast to previously published studies, the majority of our fatalities did not have diffuse alveolar damage (DAD) (2/12; 16.7%). Common findings included pulmonary interstitial inflammation and edema, tracheobronchitis, and pneumonia. Two cases had significant extra‐pulmonary manifestations: myocarditis and cerebral edema with herniation. The majority had a rapid disease course: range from 1 to 12 days (median, 2 days), and Native Americans were disproportionately represented among fatalities. These findings suggest that New Mexico H1N1 fatalities generally did not survive long enough to develop the classic picture of DAD. Pathologists should be aware that H1N1 may cause extra‐pulmonary pathology and perform postmortem cultures and histologic sampling accordingly.     

Manning the Fields: Remaking Women's Work in the Tobacco South in the Twentieth Century

Today, men make up the vast majority of the workforce in the tobacco fields of the American South. This was not always the case. For more than two centuries, enslaved women worked alongside men in the tobacco fields. In the late nineteenth century, the unpaid labor of female kin made possible the household's replacement of the plantation as the center of production, and it remained critical for farm families well into the twentieth century. Following World War II, agricultural engineers developed new technologies to eliminate tasks traditionally done by women. In the 1980s, the process of defeminization accelerated as growers began to hire male guestworkers from Mexico as more women moved into the non-farm labor market to supplement their families' farm incomes. The transition from family to wage labor in the tobacco South was far from a ‘natural’ process, but one nurtured by state agricultural, labor, and immigration policy.     

Sudden unexpected death due to a brainstem glioma in an adult

Sudden death due to undiagnosed central nervous system tumors is an uncommon, but well-described occurrence. Most of the tumors in these circumstances are supratentorial and occur in a wide spectrum of ages. Brainstem tumors are more rare and occur predominantly in the pediatric and adolescent populations. We present the case of a 48-year-old man who died suddenly and unexpectedly of a brainstem glioma. This case is unusual because of his age and the paucity of antecedent symptoms.     

Municipal Support for Social Entrepreneurship

This study examines how cities help social entrepreneurship—the activity of private individuals and organizations taking initiative to address social challenges in their communities. Based on a national survey and in-depth interviews among jurisdictions with populations over 50,000, the authors find that municipalities help social entrepreneurs by increasing awareness of social problems, and by helping them to acquire resources, coordinate with other organizations, and implement programs. Nearly three-quarters of cities provide active or moderate support, which is positively associated with the perceived effectiveness of nonprofit organizations in their communities.     

Reviews

Gilbert Rozman, Seizaburo Sato & Gerald Segal, eds, Dismantling Communism: Common Causes and Regional Variations. Baltimore, MD: Johns Hopkins University Press, 1993, x + 405 pp., £28.50. Ben Fowkes, The Rise and Fall of Communism in Eastern Europe. Basingstoke: Macmillan, 1993, xv + 228 pp., £40.00

Stephen Whitefield, Industrial Power and the Soviet State. Oxford: Clarendon Press, 1993, 279 pp; £35.00

Steve H. Hanke, Lars Jonung & Kurt Schuler, Russian Currency and Finance: A Currency Board Approach to Reform. London and New York: Routledge, 1993, xvi + 222 pp., £35.00.

Gregory S. Alexander & Grazyna Skapska eds, A Fourth Way? Privatization, Property, and the Emergence of New Market Economies. New York, London: Routledge, 1994, xxiii + 336 pp., £40.00 h/b, £14.99 p/b.

John and Carol Garrard (eds), World War II and the Soviet People. Selected Papers from the Fourth World Congress for Soviet and East European Studies, Harrogate, 1990. New York: St Martin Press, 1993, 268 pp. $45.00.

John Barber & Mark Harrison, The Soviet Home Front: A Social and Economic History of the USSR in World War II. London and New York: Longman, 1991, xiii + 252pp

Richard Debo, Survival and Consolidation: The Foreign Policy of Soviet Russia, 1918–1921. Montreal: McGill‐Queen's University Press, 1992, xiii + 502 pp., £42.00.

Amy Knight, Beria: Stalin's First Lieutenant. Princeton, NJ: Princeton University Press, 1993, xvii + 312 pp., $24.95, ;19.95.

Ronald Grigor Suny, Looking Toward Ararat: Armenia in Modern History. Bloomington, IN: Indiana University Press, 1993, xi + 289 pp. £32.50 h/b, £12.99 p/b.     

Determinants of initial entry onto welfare by young women

Using data from the youngest cohorts of women in the National Longitudinal Survey of Youth, this study constructs Aid to Families with Dependent Children (AFDC) histories starting at age 15. Most young women go on AFDC for the first time between ages 18 and 25 and do so in the first few years after the birth of their first baby. These histories are used to estimate models of the determinants of initial use of AFDC. The models provide mixed evidence that the financial or other incentives of welfare policy affect the likelihood and timing of AFDC use. Benefit levels do not seem to affect participation, but the presence of a program for medically needy families who are not on welfare appears to decrease entrance to welfare for some groups. Parental poverty, family structure, academic achievement, attitudes toward school, and race are significantly related to the likelihood of participating in AFDC, and the rate of entry. © 2000 by the Association for Public Policy Analysis and Management.     

Situating tenure,capital and finance in farmland relations: implications for stewardship and agroecological health in Ontario,Canada

Farmers in Canada are older and more capitalized than ever before. Meanwhile, farmland values continue to rise. These forces together are generating unprecedented shifts in farmland relations, marked by increasing reliance on rental tenure and the rise of hybrid owner–renter consolidating farmers. This paper explores these dynamics in Ontario and asks how they are impacting on-farm agroecological stewardship. To do so, we begin with a review of the land and property relations literature as well as farmland and agricultural change in Ontario. We then briefly review agroecological issues and concepts that are important for linking on-farm agroecological health to aformentioned farmland and agricultural changes. From here, we use survey, interview and soil sample data collected from grain farmers across Ontario to elucidate relatively new shifts in land tenure and use dynamics. We argue that this complex set of forces is interacting to produce an appealing set of conditions for financial investors, while restricting access to farmland for less-capitalized farmers. We then show how these shifts are divesting capital and attention from agroecological health. We conclude with a reflection on how the state has been mediating and contributing to these dynamics, and urgently call for land policy that prioritizes social and ecological principals.