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September NaN, 1999

Recommendations for Lightning Safety

Author Affiliations

Margaret A.WinkerMD, Deputy EditorIndividualAuthorPhil B.FontanarosaMD, Interim CoeditorIndividualAuthor

JAMA. 1999;282(12):1132-1133. doi:10-1001/pubs.JAMA-ISSN-0098-7484-282-12-jbk0922

To the Editor: For 35 years (1959-1994), lightning has been the second largest storm-related cause of death in the United States, exceeded only by flash floods.1 Lightning kills approximately 100 people each year and is responsible for 5 to 10 times more injuries.2 The sequelae of lightning injury are not well appreciated either by the lay public or by many physicians. Many survivors of lightning injury complain of chronic pain syndromes, sympathetic nervous system injury, sleep disturbances, and neurocognitive deficits.2,3 Because people who are struck by lightning are most often healthy and productive young adults, lightning strike injuries represent a significant source of disability.13

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