Thursday, January 25, 2024

MICE STUDIES

Brain mechanism teaches mice to avoid bullies


Findings may offer insight into social disorders like autism

Peer-Reviewed Publication

NYU LANGONE HEALTH / NYU GROSSMAN SCHOOL OF MEDICINE




Like humans, mice live in complex social groups, fight over territory and mates, and learn when it is safer to avoid certain opponents. After losing even a brief fight, the defeated animals will flee from the mice that hurt them for weeks afterward, a new study shows.

Led by researchers at NYU Grossman School of Medicine, the study reveals that such “retreating behavior” is influenced by a distinct area on the underside of the hypothalamus, a part of the brain that controls hunger, sleep, and levels of many hormones. The team had previously found that this special region, called the anterior ventrolateral part of the ventromedial hypothalamus (aVMHvl), helps rodents defend themselves against bullies’ attacks. Here, the authors further identified a central role of the area to drive longer-lasting avoidance after being defeated.

The study showed that when rival mice first meet, scent information about opponents is not strong enough to activate aVMHvl cells to prompt a retreat. Once a fight begins, however, pain (such as from getting bitten) triggers the release of the “cuddle hormone” oxytocin. While this signal has long been linked with parenting and attraction, in this case it binds to oxytocin receptors on aVMHvl cells and signals danger. This process links pain signals to the opponent’s scent so the next time the aggressor approaches, its smell alone encourages the bullied mouse to stay away, say the study authors.

“Our findings provide new insight into how oxytocin within the hypothalamus drives learning from traumatic social experiences,” said study lead author Takuya Osakada, PhD. “While the hormone is often associated with positive behaviors like caregiving, our study highlights its key role in social conflict,” adds Osakada, a postdoctoral fellow in the Departments of Psychiatry and Neuroscience and Physiology at NYU Langone Health.

The study team, while cautioning that mice share a lot of brain chemistry with people but are not the same, says previous research has shown similar “retreat” behavior following social defeat in many species including humans. In addition, past studies in children have linked the experience of being bullied to increased social isolation and school absences.

Osakada notes that while previous research had examined rodent behavior over time after experiencing repeated defeats, the new study, publishing online Jan. 24 in the journal Nature, is the first to explore rapid social learning that occurs immediately after losing a fight.

For the research, the study team observed hundreds of mice that were exposed to a rival for 10 minutes before being separated. They also measured the animals’ brain activity before and after a conflict. The results showed that 24 hours after losing a single fight, social interaction dropped down to just 20% of pre-defeat levels. In addition, the findings revealed that pain prompted the immediate activation of oxytocin-releasing brain cells located right next to the aVMHvl.

To further examine the role of the aVMHvl in social avoidance, the researchers prevented receptors on these cells from binding to oxytocin. They found that rodents with blocked oxytocin receptors were less likely to retreat from their aggressor in later encounters. Meanwhile, when the team instead artificially activated aVMHvl cells, animals kept to themselves even if they had not lost a fight.

“Now that we have a better understanding of critical forces behind social avoidance, researchers can start exploring ways to harness oxytocin to treat disorders that affect social skills, such as autism, social anxiety, and attention-deficit hyperactivity disorder,” said study senior author Dayu Lin, PhD. Lin is a professor in the Departments of Psychiatry and Neuroscience and Physiology at NYU Langone, as well as a member of its Neuroscience Institute.

That said, Lin cautions that while the team connected the aVMHvl to social avoidance, they found no such link to another behavior exhibited by defeated mice — freezing up in the face of conflict. As a result, researchers say additional brain systems are likely involved in defeat behavior, and understanding such systems is essential before developing oxytocin-based therapies for human social disorders.

The study team next plans to examine whether the newly uncovered aVMHvl mechanism may also be involved in behaviors that rodents use to establish their social hierarchy under more natural conditions, instead of during the contrived scenario from the initial experiment.

Funding for the study was provided by National Institutes of Health grants U19NS107616, R01MH101377, R01MH124927, and R01HD092596. Further funding was provided by the Mathers Foundation, the Vulnerable Brain Project, the Uehara Memorial Foundation, the JSPS Overseas Research Fellowship, and the Osamu Hayaishi Memorial Scholarship.

In addition to Osakada and Lin, other NYU Langone researchers involved in the study were Rongzhen Yan, PhD; Yiwen Jiang, MS; Dongyu Wei, PhD; Rina Tabuchi; Bing Dai, BS; Xiaohan Wang, PhD; Richard Tsien, PhD; and Adam Mar, PhD.

 

 

Experiment shows how predator mass mortality events affect food webs


A team of biologists experimentally caused a predator die-off to understand how rapid predator deaths affect freshwater ecosystems.


Peer-Reviewed Publication

UNIVERSITY OF ARKANSAS

Simon Tye 

IMAGE: 

SIMON TYE

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CREDIT: UNIVERSITY RELATIONS




Over the last century, die-offs of animal populations, known as mass mortality events (or MMEs), have increased in frequency and magnitude. The scale of these events can be staggering: billions of dead fish, hundreds of thousands of dead mammals and birds and millions of tons of dead biomass.

More troubling, as the planet continues to warm, mass mortality events are expected to increase in frequency, if not magnitude, especially in aquatic systems. 

But due to the relatively rare and unpredictable nature of MMEs, scientists don’t have a clear picture of how these events immediately impact ecosystems. This is particularly concerning because MMEs often affect predators that play vital roles in ecosystems. 

A new paper published in Nature now provides a clearer picture of what happens to lake ecosystems after predator MMEs by chronicling an experiment involving freshwater fish. Of the quartet of co-authors, two are from the U of A: first author Simon Tye, a research assistant in the Department of Biological Sciences and recent alumnus, and senior author Adam Siepielski, an associate professor of biological sciences. Second and third authors include Samuel B. Fey, associate professor at Reed College, and Jean-Philippe Gibert, an assistant professor of biology at Duke University.

The work presented in the paper tested earlier predictions by the team based on mathematical modeling suggesting that predator die-offs should generate two simultaneous effects. The first is a top-down effect in that predator fish loss would lead to the proliferation of “consumer” crustacean zooplankton that eat phytoplankton and that had previously been predated by fish. The second is a bottom-up effect in that nutrient rich carrion from dead predators will fertilize the system and likely lead to the proliferation of phytoplankton “primary producers” at the base of the food web.

The Experiment: Give or Take a Fish

To better understand the ecological aftermath of mass mortality events, the researchers created small artificial lakes that contained a food web with three levels: phytoplankton, zooplankton and fish. They then implemented scenarios that either isolated or combined the effects of removing predators and adding predator carrion and monitored these food webs for several months.

By and large, the artificial lakes responded to predator MMEs as predicted by the team´s earlier mathematical modeling: with appreciable increases in zooplankton consumer biomass and total producer biomass. But this is not necessarily a good thing, since MMEs can sometimes introduce so much decaying biomass into the water that a harmful algal bloom can occur.

“Predators are important for ecosystem function,” Siepielski noted, “and, rightfully so, biologists are concerned about the loss of predators. Many studies have sought to understand what happens when predators are ‘lost,’ and they do so by experimentally comparing a system with and without a predator present.  But, that is not what happens in nature. Predators do not simply disappear, they decompose.” 

“Letting the predators die and then decompose was a unique and important part of our study,” he continued. “In their death, they are providing lots of nutrients that other organisms used. Intellectually, you know it happens that way, but no one has really looked into it in the way we did. And when you do, you find something new.”

Experimentally confirming an existing theoretical framework is also in and of itself useful.

Tye explained that “our findings reaffirm foundational concepts in ecology and also suggest that predicting ecosystem responses to these events may be possible since they leave a distinct signature.” 

Gibert, a theoretician, added, “Witnessing these experimental systems behave as predicted by our previous theoretical work was remarkable. It means that we now understand enough about these processes to tell not just what has happened, but what might happen. It’s the ecologist’s holy grail.”

While the subject of accelerating MMEs is cause for serious concern, Siepielski seeks to find the upside. “I think it’s reassuring for scientists, and I would hope the general public as well, that we can use decades of established work to understand how emerging types of extreme events affect ecosystems. Freshwater ecosystems like the lakes we study are hugely important, but also imperiled.”

“A large goal of 21st century ecology is being able to better anticipate ecological outcomes amidst novel stressors,” Fey added. “Our research helps to better anticipate the ecological consequences of one increasingly common ecological catastrophe.”

The Need to Monitor and Document MMEs

An additional finding of the experiment was more subtle and sobering. “We were surprised to find that predator MMEs also generated some ecological dynamics that were most similar to an intact system that had not experienced an MME,” Siepielski said. 

This indicates that it may be difficult to detect whether predator mass mortality events have occurred in freshwater lakes. A lake that seems healthy on the surface may have experienced a small cataclysm beneath it, making early detection critical.

As such, the researchers stressed that documenting and reporting these events is important. If you witness a die-off of fish or other animals, report that to your state game and fish organization. Keeping diligent records of these events provides opportunities to better understand why these events occur, which could thereby potentially help mitigate their occurrence.

The authors noted that the NSF has provided a range of support for this work, including funding from the Graduate Fellow Research Program to Tye and an NSF CAREER award to Siepielski. 

Those interested are encouraged to read the paper, “Predator mass mortality events restructure food webs through trophic decoupling.” The experiment was also discussed in a podcast published by Nature. The discussion begins at the 12:26 mark.

 

Water, water everywhere and now we may have drops to drink


NYU Tandon researchers unlock energy-efficient solution to global water crisis


Peer-Reviewed Publication

NYU TANDON SCHOOL OF ENGINEERING





Researchers at NYU Tandon School of Engineering achieved a major breakthrough in Redox Flow Desalination (RFD), an emerging electrochemical technique that can turn seawater into potable drinking water and also store affordable renewable energy.

In a paper published in Cell Reports Physical Science, the NYU Tandon team led by Dr. André Taylor, professor of chemical and biomolecular engineering and director of DC-MUSE (Decarbonizing Chemical Manufacturing Using Sustainable Electrification), increased the RFD system's salt removal rate by approximately 20 percent while lowering its energy demand by optimizing fluid flow rates.

RFD offers multiple benefits. These systems provide a scalable and flexible approach to energy storage, enabling the efficient utilization of intermittent renewable energy sources such as solar and wind. RFD also  promises an entirely new solution to the global water crisis. 

“By seamlessly integrating energy storage and desalination, our vision is to create a sustainable and efficient solution that not only meets the growing demand for freshwater but also champions environmental conservation and renewable energy integration,” said Taylor.

RFD can both reduce  reliance on conventional power grids and also foster the transition towards a carbon-neutral and eco-friendly water desalination process. Furthermore, the integration of redox flow batteries with desalination technologies enhances system efficiency and reliability. 

The inherent ability of redox flow batteries to store excess energy during periods of abundance and discharge it during peak demand aligns seamlessly with the fluctuating energy requirements of desalination processes.

“The success of this project is attributed to the ingenuity and perseverance of Stephen Akwei Maclean, the paper’s first author and a NYU Tandon Ph.D. candidate in chemical and biomolecular engineering,” said Taylor. “He demonstrated exceptional skill by designing the system architecture using advanced 3D printing technology available at the NYU Maker Space.”

The intricacies of the system involve the division of incoming seawater into two streams: the salinating stream (Image above, CH 2) and the desalinating stream (Image above, CH 3). Two additional channels house the electrolyte and redox molecule (Image above, A). These channels are effectively separated by either a cation exchange membrane (CEM) or an anion exchange membrane (AEM).

In CH 4, electrons are supplied from the cathode to the redox molecule, extracting Na+ that diffuses from CH 3. The redox molecule and Na+ are then transported to CH 4, where electrons are supplied to the anode from the redox molecules, and Na+ is allowed to diffuse into CH 2. Under this overall potential, Cl- ions move from CH 3 through the AEM to CH 2, forming the concentrated brine stream. Consequently, CH 3 generates the freshwater stream. 

"We can control the incoming seawater residence time to produce drinkable water by operating the system in a single pass or batch mode," said Maclean.

In the reverse operation, where the brine and freshwater are mixed, the stored chemical energy can be converted into renewable electricity. In essence, RFD systems can serve as a unique form of "battery," capturing excess energy stored from solar and wind sources. 

This stored energy can be released on demand, providing a versatile and sustainable supplement to other electricity sources when needed. The dual functionality of the RFD system showcases its potential not only in desalination but also as an innovative contributor to renewable energy solutions. 

While further research is warranted, the findings from the NYU Tandon team signal a promising avenue towards a more cost-effective RFD process - a critical advancement in the global quest for increased potable water. As climate change and population growth intensify, more regions grapple with water shortages, underscoring the significance of innovative and efficient desalination methods.

This research aligns seamlessly with the mission of DC-MUSE (Decarbonizing Chemical Manufacturing Using Sustainable Electrification), a collaborative initiative established at NYU Tandon. DC-MUSE is committed to advancing research activities that diminish the environmental impact of chemical processes through the utilization of renewable energy. The current study builds upon Taylor's extensive body of work in renewable energy, with a recent emphasis on storing sustainably produced energy for utilization during off-peak hours.

In addition to Taylor and Maclean, the dedicated team of NYU Tandon researchers contributing to this study includes Syed Raza, Hang Wang, Chiamaka Igbomezie, Jamin Liu, Nathan Makowski, Yuanyuan Ma, Yaxin Shen, and Jason A. Röhrl. Collaborating across borders, Guo-Ming Weng from Shanghai Jiao Tong University in China also played a crucial role as a team member.

An exceptional milestone, this publication marks the 100th from Taylor's Transformative Materials & Devices Lab. Originally established at Yale University in 2008 and subsequently relocated to NYU Tandon in 2018, the lab focuses on the development of innovative materials and devices for energy conversion and storage, reflecting Taylor's enduring commitment to transformative research in the field.

 

About the New York University Tandon School of Engineering

The NYU Tandon School of Engineering is home to a community of renowned faculty, undergraduate and graduate students united in a mission to understand and create technology that powers cities, enables worldwide communication, fights climate change, and builds healthier, safer, and more equitable real and digital worlds. The school’s culture centers on encouraging rigorous, interdisciplinary collaboration and research; fostering inclusivity, entrepreneurial thinking, and diverse perspectives; and creating innovative and accessible pathways for lifelong learning in STEM.  NYU Tandon dates back to 1854, the founding year of both the New York University School of Civil Engineering and Architecture and the Brooklyn Collegiate and Polytechnic Institute. Located in the heart of Brooklyn, NYU Tandon is a vital part of New York University and its unparalleled global network. For more information, visit engineering.nyu.edu.

Global warming has a bigger effect on compact, fast-moving typhoons


Peer-Reviewed Publication

NAGOYA UNIVERSITY

Figure 1 

IMAGE: 

THE SIMULATION USED SEVERAL INTENSE TYPHOONS THAT CAUSED SEVERE DAMAGES TO JAPAN, INCLUDING FAXAI (PICTURE) IN SEPTEMBER 2019.

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CREDIT: NASA




A group from Nagoya University in Japan has found that larger, slower-moving typhoons are more likely to be resilient against global warming. However, compact, faster-moving storms are more likely to be sensitive. These findings suggest an improved method to project the strength of typhoons under global warming conditions. Their report was published in Geophysical Research Letters

Tropical cyclones are among the most dangerous weather systems in the world, causing disruption, damage, and death in East Asia. As global temperatures increase, so does the threat of typhoons. But projecting the strength and structure of such storms also becomes more difficult. Understanding changes in ocean response is essential to mitigate the worst effects of typhoons. 

One way to understand tropical cyclones is to examine the relationship between the atmosphere and the ocean. The ocean-atmosphere coupling relationship influences weather patterns, ocean circulation, and climate variability.  

This is especially important for typhoons as the intensity of tropical cyclones is linked to increases in sea surface temperature (SST). As the size of a cyclone increases, SST decreases, limiting its intensity. However, under global warming, the SST is higher. As a result, this could make a typhoon last longer. 

“The rise in sea temperatures is concerning because a typical compact, fast-moving storm, for example Typhoon Faxai in 2019, caused severe damage to eastern Japan,” warned lead researcher Sachie Kanada. “Our findings show the intensity of such typhoons can strengthen under global warming conditions.”  

To understand how global warming can affect typhoons, Kanada and fellow researcher Hidenori Aiki examined the buffering effect of atmosphere-ocean coupling on typhoons. They used the latest simulator of weather systems, an atmosphere-ocean model called CReSS-NHOES, to evaluate the effect of atmosphere ocean coupling on changes in the intensity of strong typhoons. CReSS-NHOES combines the cloud simulation model CReSS, developed at Nagoya University, with the oceanographic model NHOES, developed by the Japan Agency for Marine-Earth Science and Technology.  

The researchers used CReSS-NHOES to examine four powerful, but different-sized, typhoons in recent years: Trami (2018), Faxai (2019), Hagibis (2019), and Haishen (2020). These typhoons were all devastating; Trami and Faxai caused billions of dollars of damage and Hagibis led to the deaths of 118 people.  

Kanada and Aiki evaluated three scenarios: preindustrial era climate, a 2°C increase in SST, and a 4°C increase in SST. “We found that the degree to which typhoons strengthened per 1°C rise in SST varies significantly from typhoon to typhoon,” said Kanada. She was surprised by the change in hPa, a unit of pressure used in meteorology to measure atmospheric pressure and which represents the strength and intensity of a storm. “A typhoon, such as Trami, strengthens by only 3.1 hPa, while Faxai strengthens by as much as 16.2 hPa with a 1°C rise in SST.” 

The results of this study suggest that the atmosphere-ocean coupling effect buffers changes in storm intensity associated with global warming. But typhoons of different sizes may be affected differently. Storms with large eyes and small movement speeds cause SST to drop near their center, hindering their development. However, storms with small eyes and high movement speeds move away from the SST occurence. Such typhoons maintain constant heat at their center, increasing in intensity.  

Using these findings, the researchers created a new model to project the effect of tropical cyclones. They used a simple parameter called nondimensional storm speed (S0). Their model showed that S0 could distinguish between potentially destructive storms that are likely to strengthen under global warming and those that are resilient to the effects of global warming. 

“Currently, climate change projection research on typhoon intensity is conducted using models with coarse horizontal resolution or atmosphere-only models, which have difficulty reproducing the intensity and structure of strong typhoons,” Kanada explains. “This research using a high-resolution coupled regional atmosphere-ocean model can reproduce the intensity and structure of strong typhoons and the response of the ocean with high accuracy, so is expected to contribute not only to the quantitative projection of typhoon intensity under a warming climate, but also to the improvement of the accuracy of current typhoon intensity forecasts.” 

More than half of US adults don’t know heart disease is leading cause of death, despite 100-year reign


Heart disease remains the leading cause of death in U.S., according to a new report from the American Heart Association; yet fewer than half of survey respondents knew that


Peer-Reviewed Publication

AMERICAN HEART ASSOCIATION




Highlights:

  • More than half (51%) of respondents in a 2023 Harris Poll survey conducted on behalf of the American Heart Association did not identify heart disease as the leading cause of death in the U.S.
  • According to the 2024 Heart Disease and Stroke Statistics: A Report of U.S. and Global Data From the American Heart Association, heart disease has been the leading cause of death in the U.S. for 100 years.
  • Heart disease along with stroke, which is the fifth leading cause of death, claimed more lives in 2021 in the U.S. than all forms of cancer and chronic lower respiratory disease combined.

 

DALLAS, Jan. 24, 2024 — More than half of people in the U.S. (51%) do not know that heart disease is the leading cause of death in the country, according to a recent Harris Poll survey conducted on behalf of the American Heart Association in November 2023.  Yet, heart disease has now been the #1 killer for more than a century, according to the 2024 Heart Disease and Stroke Statistics: A Report of U.S. and Global Data From the American Heart Association. The annual update published today in Circulation, the peer-reviewed, flagship journal of the American Heart Association, the nation’s oldest and largest voluntary organization dedicated to fighting heart disease and stroke, celebrating 100 years of lifesaving work in 2024.

“Heart disease has now been the leading cause of death in this country for 100 years straight, since 1921, according to the Centers for Disease Control and Prevention,” said Joseph C. Wu, M.D., Ph.D., FAHA, volunteer president of the American Heart Association, director of the Stanford Cardiovascular Institute and the Simon H. Stertzer Professor of Medicine and Radiology at Stanford School of Medicine. “Heart disease along with stroke, which is the fifth leading cause of death, claims more lives in the U.S. than all forms of cancer and chronic lower respiratory disease combined, based on the most recent data available. So, the results of this survey, finding that most people do not know the significant impact of heart disease, is discouraging and even a bit frightening.”

In the survey, only 49% of people named heart disease as the leading cause of death; 16% said they didn’t know the leading cause and 18% listed cancer as the top cause of death of people in the U.S.

Wu cautioned that this lack of knowledge and awareness is potentially deadly, as this year’s statistical update reports that nearly half of all people in the U.S. (48.6%) have some type of cardiovascular disease (CVD), including coronary heart disease, heart failure, stroke and, most notably, high blood pressure.

According to the 2024 statistical update, 46.7% of U.S. adults have high blood pressure. Yet, 38% those with high blood pressure are unaware that they have it. In the past 10 years, the age-adjusted death rate from high blood pressure increased 65.6% and the actual number of deaths rose 91.2%.

“High blood pressure is a leading risk factor for heart disease and stroke, and yet with proper treatment and management it can be controlled and your risk for cardiovascular disease can be greatly reduced. The first step toward reducing any risk factor for cardiovascular disease is awareness.” Wu said. “When the American Heart Association was founded 100 years ago, heart disease was considered a death sentence. Little was known about what caused it and even less about how to care for people living with and dying from it. The knowledge we continue to gain through research and data such as that reported in this statistical update is helping make significant inroads. Although too many people still die each year, many are living longer, more productive lives while managing their cardiovascular disease and risk factors.”

Wu noted there are several highlights in the fight against cardiovascular disease published in a special foreword of this year’s statistical update:

  • Since 1950, death rates from CVD have declined 60%; the rates have fluctuated over the years and have recently trended upward. Wu notes this trend aligns with increases in the prevalence of risk factors that cause heart disease and stroke, such as high blood pressure and obesity.
  • The number of people in the United States dying of a heart attack each year has dropped from 1 in 2 in the 1950s to now 1 in 8.5. Wu notes this is likely due in part to improved diagnosis and treatment options.
  • Stroke was first ranked as the third leading cause of death in 1938; however, stroke mortality has been on the decline since the early 20th century and now ranks as the fifth leading cause of death in the United States. Aggressive evidence-based public health programs and clinical interventions have played a key role in reducing the number of stroke deaths, Wu said.
  • Cigarette smoking has fallen dramatically from >40% of U.S. adults smoking in the mid-1960s to about 11% today. According to Wu, the American Heart Association has led the charge in this decline, supporting increased public awareness about the dangers of nicotine and tobacco use and policy initiatives that have placed legal restrictions on smoking in public spaces and placed higher taxes on cigarette products.

“Identifying trends like this is a key reason why we compile the American Heart Association’s statistical update, which has been released annually since 1927. Although the research and statistics included in each year’s report illustrate the most recent data available, the historical data pulled from the collective work over the years is especially invaluable,” said volunteer chair of the statistical update writing committee Seth S. Martin, M.D., M.H.S., FAHA, a professor of medicine and cardiologist at John’s Hopkins School of Medicine in Baltimore, Maryland. “As it has evolved over the years, the report has become a preeminent resource in identifying the overall impact of cardiovascular disease, including who is most affected, where it is most prevalent and what factors may increase the risk of it. This type of information is crucial to the development of awareness initiatives and policy strategies and provides a road map for cardiovascular research priorities.”

Martin noted that last year’s statistical update identified a concerning increase in cardiovascular related deaths – the largest single-year increase since 2015 – which may have been a reflection of the first year of the COVID-19 pandemic. The data trends on cardiovascular deaths reported in this year’s update also show an increase, however it appears lower in magnitude:

  • The overall number of cardiovascular related deaths was 931,578, an increase of less than 3,000 from the 928,741 deaths reported last year. Last year, the number of deaths increased more than 54,000 over the previous year.
  • Cardiovascular deaths include deaths from coronary heart disease (40.3%), stroke (17.5%), other minor CVD causes combined (17.1%), high blood pressure (13.4%), heart failure (9.1%) and diseases of the arteries (2.6%).
  • The age-adjusted death rate from cardiovascular disease increased to 233.3 per 100,000, up 4.0% from 224.4 per 100,000 reported last year, whereas the rate had increased 4.6% in the previous year. Last year’s increase was the first increase in age-adjusted death rates seen in many years.

“While the long-term impact of the pandemic is yet to be seen, we’re cautiously optimistic that the trends from this year’s update indicate a slowdown in the striking effects we initially saw,” Martin said. “There is still much work to be done in the overall fight against cardiovascular disease. Recognizing that most people do not realize heart disease is the leading cause of death in the U.S., it’s imperative that we share the data from our statistics update even more broadly to increase this awareness.”

Here are some other key facts from the 2024 report:

  • There are 2,552 deaths from total cardiovascular disease (CVD) each day, based on 2021 data.
  • On average, someone dies of CVD every 34 seconds in the U.S.
  • There are about 1,905 deaths from heart disease, each day in the U.S., including heart attacks.
  • Approximately every 40 seconds, someone in the U.S. will have a heart attack.
  • Each year in the U.S., there are about 605,000 new heart attacks and 200,000 recurrent attacks. Of these, it is estimated that 170,000 are silent, without significant symptoms.
  • The average age at first heart attack is 65.6 years for males and 72.0 years for females.
  • There are about 446 deaths from stroke each day, based on 2021 data.
  • On average, someone dies of a stroke every 3 minutes and 14 seconds in the U.S.
  • Each year, 795,000 people experience a new or recurrent stroke.
  • Approximately 610,000 of these are first attacks and 185,000 are recurrent attacks.
  • On average, someone dies of a stroke every 3 minutes 14 seconds.
  • Stroke accounts for about 1 of every 21 deaths in the United States.
  • In 2021, sudden cardiac arrest attributed to 20,114 deaths in the U.S.
  • On average, there are about 55 deaths from sudden cardiac arrest in the U.S. each day.
  • According to 2022 U.S. data, most adult Out of Hospital Cardiac Arrests (OHCA) occur at a home or a residence (72.1%). Public settings (17.3%) and nursing homes (10.6%) were the second and third most common locations of adult OHCA.
  • According to 2022 U.S. data for adult OHCA only, survival to hospital discharge was 9.3% for all EMS-treated non-traumatic OHCA cardiac arrests. Bystander witnessed adult arrests had a 14.0% survival to hospital discharge and 9-1-1 responder witnessed arrests had a 17.0% survival to hospital discharge.

“This year, our annual statistical report has a new name, as we’ve added ‘Global’ to the title to reflect the continued addition of more data noting the impact of cardiovascular disease around the world,” said volunteer vice-chair of the report writing committee Latha P. Palaniappan, M.D., M.S., FAHA, a professor of cardiovascular medicine at Stanford University in Palo Alto, California. “Cardiovascular disease is the leading cause of death not only in the U.S., but worldwide. The information gathered in our statistical update helps identify the global burden of CVD and guides the American Heart Association’s lifesaving work around the world.”

Here are a few key global statistics from the new report:

  • In 2019, 27% of the world’s deaths were caused by CVD, making it the predominant cause of death globally.
  • CVD accounted for approximately 19.91 million global deaths in 2021.
  • Worldwide, tobacco contributed to an estimated 7.43 million deaths in 2021.
  • Worldwide, high body mass index was attributed to 3.69 million deaths in 2021, an increase of 46.7% compared with 2010.
  • In 2021, an estimated 1.70 million deaths were attributed to diabetes globally.

“I cannot stress enough how important it is for people to fully recognize just how much cardiovascular diseases, including heart disease and stroke, impact each of us as individuals and communities. If you don’t have heart disease yourself, chances are you know someone who does, perhaps a family member or other loved one,” Wu said. “Arm yourself with knowledge that can help you reduce your risk of becoming a future statistic. In 2024, with Bold Hearts™ - the American Heart Association’s Centennial celebration – the organization celebrates 100 years of progress as a global force transforming the way the world understands, treats and prevents cardiovascular and cerebrovascular diseases. This year, more than ever, our future is about improving yours.”

This statistical update was prepared by a volunteer writing group on behalf of the American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Committee.

Additional author names and authors’ disclosures are listed in the manuscript.

Additional Resources:

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About the American Heart Association 

The American Heart Association is a relentless force for a world of longer, healthier lives. We are dedicated to ensuring equitable health in all communities. Through collaboration with numerous organizations, and powered by millions of volunteers, we fund innovative research, advocate for the public’s health and share lifesaving resources. The Dallas-based organization has been a leading source of health information for a century. During 2024 - our Centennial year - we celebrate our rich 100-year history and accomplishments. As we forge ahead into our second century of bold discovery and impact our vision is to advance health and hope for everyone, everywhere. Connect with us on heart.orgFacebookX or by calling 1-800-AHA-USA1.    

About the Harris Poll Survey

This survey was conducted online within the United States by The Harris Poll on behalf of the American Heart Association via its Harris On Demand omnibus platform. The survey was fielded between November 16-21, 2023, among 6,077 adults (aged 18 and over). Data are weighted where necessary by age, gender, region, race/ethnicity, household income, education, marital status, size of household, and propensity to be online to bring them in line with their actual proportions in the population. Respondents are selected among those who have agreed to participate in our surveys. The sampling precision of Harris online polls is measured by using a Bayesian credible interval. The sample data is accurate to within +1.5 percentage points using a 95% confidence level. This credible interval will be wider among subsets of the surveyed population of interest. All sample surveys and polls, whether or not they use probability sampling, are subject to other multiple sources of error which are most often not possible to quantify or estimate, including, but not limited to coverage error, error associated with nonresponse, error associated with question wording and response options, and post-survey weighting and adjustments.

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The costly, unintended consequences produced by the National Flood Insurance Program


Peer-Reviewed Publication

UNIVERSITY OF CHICAGO PRESS JOURNALS




Since the creation of the National Flood Insurance Program (NFIP) in 1968, the U.S. government has paid over $51 billion to cover flood losses. Almost half of these payouts went to just 25 counties, among the fastest-growing counties by population. A new paper published in the Journal of the Association of Environmental and Resource Economists examines whether insuring people against potential flood losses contributes directly to population growth in flood-prone areas. In “Does the National Flood Insurance Program Drive Migration to Higher Risk Areas?,” authors Abigail Peralta and Jonathan B. Scott theorize that “While flood insurance alone reduces the private cost of risk exposure for households, the subsidized premiums offered through the NFIP may exacerbate these responses.”

Mapping efforts in the early 1970s identified 13,600 communities in the US as containing areas of high flood risk. In 1979, FEMA began a long process of comprehensively mapping these communities, allowing them to enter the NFIP and access flood insurance coverage at subsidized rates. Authors Peralta and Scott leverage this initial roll-out of detailed flood maps for high-flood risk communities to estimate the impact of a community's entrance into the NFIP on population flows.

The authors find that local NFIP availability had an overall positive effect on the population size of communities enrolling into the program, and a significantly larger impact on the relatively more flood-prone locations, causing an additional 5 percent increase in population per one standard deviation increase in historical flood risk. Given their estimates on population growth, the results suggest the external costs produced by the NFIP may have contributed to a 6.6 percent increase in damages from Hurricane Katrina and up to a 14 percent increase in damages from Hurricane Harvey.

The paper shows that NFIP insurance adoption is a strong driver of population growth in high flood-risk areas, adding to the growing costs of increasingly frequent climate change-driven natural disasters. Shorelines in the U.S. account for only 10 percent of land area, yet the populations residing there make up nearly 39 percent of the total U.S. population. The findings provide evidence that household migration patterns are responsive to insurance markets, suggesting that flood insurance rates priced below actuarially fair levels will produce inefficient sorting to flood-prone locations.

In addition to the increased costs incurred from past major disasters, the perverse incentives created by the NFIP play a major role in inhibiting adaptation to the future risks of climate change. “This further hinders climate change adaptation,” the authors conclude, “due to both the higher population needing to be moved to increase adaptation efforts and the difficulty in encouraging these moves under the currently high NFIP incentives to reside in flood prone areas.” If policy intends to provide the right incentives to encourage adaptation to future risks of climate change, it must consider the unintended behavioral responses to national flood insurance. In the words of the authors, “This may mean restructuring the program sooner rather than later.”