{"id":"66383337-56a7-460d-94a2-7ff4431146a9","slug":"neurological-deaths-of-american-adults-55-74-and-the-over-75s-by-sex-compared-with-20-western-countries-1989-2010-cause-for-concern","title":"Neurological deaths of American adults (55–74) and the over 75’s by sex compared with 20 Western countries 1989–2010: Cause for concern","authors":["Colin Pritchard","Emily Rosenorn-Lanng"],"abstract":"Background: Have USA total neurological deaths (TNDs) of adults (55-74) and the over 75's risen more than in twenty Western Countries? Methods: World Health Organization TND data are compared with control mortalities cancer mortality rates (CMRs) and circulatory disease deaths (CDDs) between 1989-1991 and 2008-2010 and odds ratios (ORs) and confidence intervals calculated. Results: Neurological Deaths - Twenty country (TC) average 55-74 male rates per million (pm) rose 2% to 503 pm, USA increased by 82% to 627 pm. TC average females rose 1% to 390 pm, USA rising 48% to 560 pm. TC average over 75's male and female increased 117% and 143%; USA rising 368% and 663%, significantly more than 16 countries. Cancer mortality - Average 55-74 male and female fell 20% and 12%, USA down 36% and 18%. TC average over 75's male and female fell 13% and 15%, the USA 29% and 2%. Circulatory deaths - TC average 55-74 rates fell 60% and 46% the USA down 54% and 53%. Over 75's average down 46% and 39%, USA falling 40% and 33%. ORs for rose substantially in every country. TC average 75's ORs for CMR: TND male and females were 1:2.83 and 1:3.04 but the USA 1:5.18 and 1:6.50. The ORs for CDD: TND male and females TC average was 1:3.42 and 1:3.62 but the USA 1:6.13 and 1:9.89. Conclusions: Every country's neurological deaths rose relative to the controls, especially in the USA, which is a cause for concern and suggests possible environmental influences.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/66383337-56a7-460d-94a2-7ff4431146a9/featured/hero-1782420861202.png","publishDate":"2015-07-23T00:00:00.000Z","doi":"10.4103/2152-7806.161420","categories":["Original Article"],"fullTextUrl":"http://surgicalneurologyint.com/wp-content/uploads/2015/07/6164/SNI-6-123.pdf"}