Cases reported "Heat Stress Disorders"

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1/3. Sudden death after typhoid and Japanese encephalitis vaccination in a young male taking pseudoephedrine.

    The case of a 21-year-old male taking over-the-counter pseudoephedrine for weight loss who died suddenly during exercise shortly after inoculation with Japanese encephalitis and phenol-inactivated typhoid vaccines is presented. The patient collapsed in mild weather while exercising 75 minutes after his vaccinations. He presented in asystole with a core temperature of 42.2 degrees C (108 degrees F). There was no evidence of urticaria or angioedema. It is likely that the combined pyrogenic effects of the vaccines, pseudoephedrine, exercise, and mild obesity contributed to a failure of the thermoregulatory system. fever is still a common side effect of numerous other vaccines. Military physicians should consider administrative controls on thermogenic activities for a period after inoculations. Additionally, the dangers of ephedrine-containing compounds need to be more widely publicized.
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2/3. Heat-related illnesses and deaths--missouri, 1998, and united states, 1979-1996.

    Although heat-related illness and death are readily preventable, exposure to extremely high temperatures caused an annual average of 381 deaths in the United States during 1979-1996. Basic behavioral and environmental precautions are essential to preventing adverse health outcomes associated with sustained periods of hot weather (daytime heat index of > or = 105 F [> or = 40.6 C] and a nighttime minimum temperature of 80 F [26.7 C] persisting for at least 48 hours). This report describes four heat-related deaths that occurred in missouri during 1998, summarizes heat-related deaths in the united states during 1979-1996, describes risk factors associated with heat-related illness and death, especially in susceptible populations (young and elderly, chronically ill, and disabled persons), and recommends preventive measures.
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3/3. Heat-related illnesses, deaths, and risk factors--Cincinnati and Dayton, ohio, 1999, and united states, 1979-1997.

    During the summer of 1999, a heat wave occurred in the midwestern and eastern united states. This period of hot and humid weather persisted from July 12 through August 1, 1999, and caused or contributed to 22 deaths among persons residing in Cincinnati (18 deaths) and Dayton (four deaths). A CDC survey of 24 U.S. metropolitan areas indicated that ohio recorded some of the highest rates for heat-related deaths during the 1999 heat wave, with Cincinnati reporting 21 per million and Dayton reporting seven per million (CDC, unpublished data, 1999). This report describes four heat-related deaths representative of those that occurred in Cincinnati or Dayton during the 1999 heat wave, summarizes heat-related deaths in the united states during 1979-1997, describes risk factors associated with heat-related illness and death, and recommends preventive measures.
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