[Effect of health education on the use of recreation by adolescents].
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The epidemiologic, pathological, and toxicological findings of 60 cocaine-related overdose deaths from middle 1978 through 1982 were studied and compared with a previous publication by this office. In addition, 180 deaths where cocaine was an incidental toxicological finding are also discussed. Currently, the average street cocaine fatality victim is 29 years old, and 42% of the victims are female. Blacks comprise 39% of the cases. The blood cocaine concentration in "street cocaine" fatality victims averaged 6.2 mg/L with a wide range, necessitating careful interpretation of the toxicological results in conjunction with terminal events. Although autopsy findings were generally nonspecific, multiple needle-puncture marks with surrounding ecchymoses are typical of IV cocaine abuse. An increase in cocaine-related overdose deaths is anticipated because of its popularity, increasing availability, and, currently, the increased purity of street cocaine.
An epidemic of Pseudomonas aeruginosa folliculitis occurred in 117 persons. An indoor swimming pool at a dude ranch was the source of the infection. Recognition of the epidemic occurred through four patients who reported to our clinic with a characteristic syndrome of follicular pustular eruptions and associated symptoms. Inadequate disinfection of the water was causative. Many affected persons had prolonged contact with the organism because swimsuits were worn for several hours after exposure. Early diagnosis and epidemiological investigation are important in treating this disorder.
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