N.C. OCME Annual Report 1992

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Chapter 7: Non-Motor Vehicle Accidents

There were 995 non-motor vehicle accidental deaths investigated by the Medical Examiner System in 1992.

Figure 26

Figure 26 shows that fires, falls, and drownings represent a little more than half (53%) of these deaths. Figure 27 exhibits percentages of alcohol use for each type of accident. Alcohol was a major factor in many of these deaths.

Figure 27

*Total tested for alcohol

Fire

There were 175 accidental fire deaths in North Carolina in 1992. Nonwhite males had the highest death rate and nonwhites in general had double the death rate compared to whites. Fire death rates by age exhibit a U-shaped pattern in which the very young and the very old had the highest rates (Figure 28). The highest frequency of fire deaths was in the winter months.

Figure 28

Table 11: 1992 Medical Examiner Fire Death Rates by Race and Sex (per 100,000 population)

Figure 29 exhibits fire deaths by cause of death. Approximately 85 percent of all fire deaths were in a housefire, and the majority of those deaths were attributed to smoke inhalation (carbon monoxide poisoning).

Figure 29

Falls

There were 223 accidental deaths due to falls in 1992. The death rates were the highest for nonwhite males (Table 12). Death rates by age group show an increase with advancing age. Many deaths due to falls occur in elderly individuals who die of complications following a fall that fractures a leg or hip and in whom serious underlying natural disease also play a role. Death due to falls in the elderly are underreported to the Medical Examiner System which is reflected in the higher death rate in the 65+ age group in vital statistics data (Figure 30).

Figure 30

Table 12: 1992 Medical Examiner Fall Death Rates by Race and Sex (per 100,000 population)

Figure 31

Figure 31 shows fall deaths by nature of fall.

Drownings

There were 126 accidental drowning deaths in 1992. Nonwhite males had the highest death rate and males had a death rate eight times that of females (Table 13). The age group 0-4 had the highest age-specific death rate (Figure 32). Drowning deaths occurred more frequently in the summer months.

Figure 32

Table 13: 1992 Medical Examiner Drowning Death Rates by Race and Sex (per 100,000 population)

Figure 33 exhibits drowning deaths by premise of injury. The majority of drownings occur in rivers or lakes. Other studies at the Office of the Chief Medical Examiner have shown that farm pond drownings are especially prevalent in North Carolina.

Figure 33