Casebook June 2016
June  2016

​Welcome to this issue of Housecalls, where we present challenging cases and provide relevant research on the morbidity and mortality associated with less common medical conditions or rare insurance underwriting situations. In this issue we discuss a case of a preterm infant. Unfortunately, preterm birth is not uncommon, but it does not come up often in life underwriting.

According to the World Health Organization, an estimated 15 million babies are born worldwide prior to 37 weeks’ gestation every year. That represents slightly more than 10% of live births. And, slightly less than 1 million babies die yearly due to complications of early delivery. Worldwide, the leading cause of children dying under the age of five is preterm birth complications. India, China and Nigeria had the highest absolute numbers of preterm births, and the United States had over a half million in 2013.

For the preterm infants who do not die, many are facing a lifetime of learning disabilities and/or hearing or visual impairments. It is also estimated that proper prenatal, perinatal and postnatal care could save more than 75% of premature babies. For the World Health Organization’s suggestions for improving the outcomes of preterm babies we refer you to their website.

Dr. Regina Rosace recently joined the Medical Staff of SCOR Global Life in the Americas and will be discussing a case of preterm birth in this issue. Dr. Rosace recently served as Assistant Professor, Pediatrics, Case Western Reserve University Faculty Pediatric Emergency Medicine, Rainbow Babies and Children’s Hospital in Cleveland, Ohio. She also served as Medical Director for First Catholic Slovak Ladies Association in Beachwood, Ohio. She is certified by the American Board of Pediatrics and is working towards Board Certification in Insurance Medicine. She currently serves on the Professional & Public Relations committee of the American Academy of Insurance Medicine.

Dr. Rooney returns in this issue with a case of coronary artery dissection (which can be associated with pregnancy and delivery) and another ECG Puzzler.

In other SCOR news, several medical publications were recently released on Chikungunya Fever, Mental Health & Psychiatric Conditions and Antimicrobial Resistance.