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What kills us in Connecticut? You might be surprised by number four.

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What kills us in Connecticut? You might be surprised by number four.


For some of us in Connecticut, falls can be deadly.

But whether they’re babies suffocating in bed with their parents, young people dying in car crashes or elderly people falling and suffering a brain bleed, people are dying in accidents or accidental ways in Connecticut.

In fact, accidents are the fourth leading cause of death in the state, according to the Centers for Disease Control and Prevention, following heart disease, cancer and COVID-19.

Dr. Manisha Juthani, commissioner of the state Department of Public Health said accidental deaths “generally relate to falls, motor vehicle traffic deaths and poisoning. Those are sort of the big categories. And poisoning, I’m thinking, is largely opioid overdoses.” 

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She added that “in the less-than-1-year age group, unintentional suffocation is the predominant cause across the board,” while motor vehicle crashes are No. 1 for those 10 to 64. Then, for those over 65, falls are the leading cause.

Part of the reason so many deaths are caused by accidents in Connecticut may be that it is one of the states with the oldest population.

“This is a state where … by 2030 they’re expecting people 65 and older to be at least 30% of every town,” said Dr. Sowmya Kurtakoti, chief of geriatrics at Hartford Hospital.

She said 37% of people who fall have an injury, and in 2021 there were 460 deaths caused by a fall in Connecticut.

As people live longer, they have more health concerns, such as cardiac issues, “which makes these kinds of falls just that much more fatal,” Kurtakoti said. “So they end up with head injuries, internal bleeding, things like that, that can actually cause them to have a fatal death versus in the past.”

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Dr. Manisha Juthani, commissioner of the Connecticut Department of Public Health (Courtesy of Connecticut Department of Public Health)

Another concern is chronic health issues, such as diabetes and high blood pressure, which cause “trouble with gait and balance, their ability to walk, and that itself results in falls,” especially in the snow and icy conditions of Connecticut’s winters, she said.

“One of the key things that should happen is I think primary care should be at the forefront to make sure that they’re screening people for falls,” Kurtakoti said. “I think some health systems do better than others in screening people and the screening needs to start not just once a year, because so much happens within a year.”

She said those who are at high risk for falls should be referred to physical therapy programs and community exercise programs “to help maintain their ability to maintain their balance and their gait,” she said.

Vision and hearing problems, such as trouble dealing with bifocals or having tinnitus, can also affect balance, Kurtakoti said. 

“Also, if they’re not able to maintain their balance and gait, they need to be provided with the right kind of walker or cane or support,” she said.

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Tai chi for balance

One of those community programs is Tai Ji Quan at the Windsor Senior Center. Roy Duff, 78, is taking the class for the second time.

Dr. Jody Terranova, deputy commissioner of the Connecticut Department of Public Health (Courtesy of Connecticut Department of Public Health)
Dr. Jody Terranova, deputy commissioner of the Connecticut Department of Public Health (Courtesy of Connecticut Department of Public Health)

“I take several medications … and several of them affect my balance,” he said. “So when I took this program last season, I noticed an improvement. And I’m taking it again this season and I noticed a significant improvement.”

“And one of the things that I do now that I didn’t do before I took this program was walk, point my feet straight ahead instead of splayed out and walk, lift my feet and walk heel-ball-toe,” Duff said. “If I do that now, I don’t have to grab onto anything if I get up in the middle of the night to visit the restroom.”

He said it’s helping with his golf stance too.

Since she’s taken the class, Ann Dillon, 81, said, “I am steady on my feet. I can walk without wobbling. Anything that requires balance, I can do so much better. This class has been fantastic for me.”

Rob Dexter of West Hartford, participates in a Tai Ji Quan class at the Windsor Senior Center on Friday, Jan. 19, 2024. (Aaron Flaum/Hartford Courant)
Rob Dexter of West Hartford, participates in a Tai Ji Quan class at the Windsor Senior Center on Friday, Jan. 19, 2024. The exercise helps with balance. (Aaron Flaum/Hartford Courant)

Mary DiPace said it’s helped her with her balance as well. “Even if you have a cane or something to help you with walking, you can take this course because you can sit when you’re doing it, but you would have to do it long term to see real results,” she said.

Kurtakoti said it’s wise to have a geriatrician do a home evaluation to find the lurking dangers.

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“They have a rug there that could put them at a higher risk for falls,” she said. “Do they have a very dim light at night? That can put them at a higher risk for falls. How far is it just going from the room to the bathroom?”

Accidents No. 1 for children

“For children, accidents or unintentional deaths is the leading cause of death,” said Dr. Jody Terranova, deputy commissioner of the state health department.  

For infants, “co-sleeping and … accidentally suffocating” is the No. 1 cause, she said. A baby might be “on the couch with the mom or dad and got squished or wedged and then suffocated,” she said.

Dr. Kirsten Bechtel, a pediatrician at Yale New Haven Children’s Hospital, said the number of deaths caused by suffocation is a stubborn problem.

“We’ve not really made any dent in the numbers despite pediatricians providing this anticipatory guidance to parents and caregivers,” she said. “So many times, parents don’t adhere to this advice because they’re so desperate to get sleep and they feel that their baby sleeps better with them in the bed.

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Dr. Kirsten Bechtel, pediatrician at Yale New Haven Children's Hospital (Courtesy of Yale University)
Dr. Kirsten Bechtel, pediatrician at Yale New Haven Children’s Hospital (Courtesy of Yale University)

“And then, unfortunately, in rare cases, they wake up to a tragedy where the baby is not breathing or unresponsive and then is later declared dead,” Bechtel said.

In the 1990s, she said, there was a big push to encourage parents to have their baby sleep on its back, not on its stomach and “we made a big dent in sleep-related deaths. But over the past 10 years, here in Connecticut and nationally, all those numbers have stagnated.”

“In Connecticut, every year we lose about 25 children or a future kindergarten class every year because of sleep-related deaths,” Bechtel said. “So it’s the leading cause of preventable deaths in infants.”

Older children die from motor vehicle crashes and poisonings. “We’ve seen also an increase in the number of children that have been unintentionally exposed to fentanyl and have passed away from that in our state,” Terranova said. That can happen if a teenager is experimenting with heroin that is laced with fentanyl. Drownings are another cause.

Accidental gun deaths increase

“We have seen, as the kids get older, the 5 to 10 and then the teenagers, that deaths from gun violence is actually one of the leading causes of accidental death in that age group of children,” Terranova said.

“A number of years ago (that) wasn’t really on the list as one of the top causes of accidental deaths, and that’s become another epidemic that we have seen,” she said.

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Kevin Borrup, executive director of the Injury Prevention Center at Connecticut Children’s Medical Center, said overall there are not many deaths from injuries among children.

“If you are 14 and under, the numbers are very small of injury-based deaths,” he said. “It’s kids under 1 where the numbers are a little bit higher and a lot of those numbers are these unexplained or sleep-related deaths.”

He said the numbers start to rise at about 10 “and then at 15 to 24 is where you really see these numbers go up around unintentional injury, suicide and homicide. So luckily, for the state of Connecticut, we’re relatively safe.”

Prevention programs

Borrup said the Injury Prevention Center has several programs, including Safe Kids Connecticut, which “works throughout the state on child passenger safety issues, making sure our folks understand the need to keep children appropriately restrained.”

Another, Watch for Me CT, “is a pedestrian and bicycle safety campaign that works to educate folks around how to be safe on our roads, both drivers and pedestrians and cyclists,” Borrup said.

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“We know that in many of our urban centers, there is a big issue with violence and firearm violence,” he said.

“So we also engage in programs like our hospital-based violence-intervention program, where we work with both Hartford Hospital, Trinity Health in the city of Hartford and Compass Youth Collaborative …,” Borrup said. “Mothers United Against Violence, to intervene with folks who are at risk or we’ve been shot, work to ensure that they’re not in danger again.”   

Ed Stannard can be reached at estannard@courant.com. 



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Connecticut

Lawmakers again push to restore Shore Line East service to 2019 levels

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Lawmakers again push to restore Shore Line East service to 2019 levels


Connecticut lawmakers are again looking to restore Shore Line East rail service to its pre‑pandemic levels, a proposal that could add about 90 more trains per week.

Lawmakers are also weighing a separate cost‑saving proposal to shift the line from electric rail cars back to diesel.

The plan comes as ridership remains well below 2019 numbers, though state data shows those numbers have begun to climb.

The Department of Transportation provided the General Assembly’s transportation committee with the following data:

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  • 132 trains per week today versus 222 trains per week in 2019, according to the CTDOT commissioner.
  • In 2019, most weekday SLE trains traveled between New Haven Union Station and Old Saybrook. This allowed SLE to operate with only five train sets in the morning and four train sets in the afternoon.
  • It should be noted that 2019 SLE service levels were very different due to constrained infrastructure; 2019 service levels had a reduced number of SLE trains serving New London (13 trains per day Monday through Friday, as opposed to 20 today), while other stations had increased service (36 trains per day Monday through Friday, as opposed to 20 today).

“2019 levels beyond Old Saybrook to New London would require more crews and more train sets than were used in 2019, requiring significantly more financial resources,” the department wrote in its written testimony.

The department said the governor’s FY2027 budget does not include funding for a full restoration. In other words, even if the legislature requires additional trains, the funds are not included in the current financial plan.

Governor Lamont said on Monday to remember that the state subsidizes the line more than any other rail right now.

“There’s not as much demand as there are for some of the other rail services in other parts of the state, so that’s the balance we’re trying to get right,” Lamont said.

At a public hearing on Monday, concerns about the line’s reliability and schedule were a central focus in the testimony.

“We’re making the line less attractive, some would say. The schedules are very, very difficult to manage,” said Sen. Christine Cohen of Guilford, the co-chair of the committee.

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The current schedule for eastbound morning commuters is difficult. The train either arrives in New London just after 7 a.m. or after 9 a.m.

“So obviously not really … conducive to a typical workday,” Cohen said.

Cohen, who represents communities along the line, said she continues to reintroduce the bill to expand service year after year, pushing the state to do more with the line.

She thanked the department for the work it was able to do with the recent funding to establish a through train to Stamford.

“What do we need to do, and what are the challenges that you face in terms of expansion at this time?” Cohen asked.

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Commissioner Garrett Eucalitto responded that the biggest hurdle is the cost of labor and access fees to Amtrak, which owns the territory.

“The cost to provide rail service is very expensive,” Eucalitto said.

He said CTDOT knows the current schedule is “not ideal,” but the economics of a work-from-home society are difficult.

“People expect 100% of the trains that they had in 2019, but they only want to take it two days a week,” Eucalitto said.

Asked about the eastbound schedule, the commissioner explained Shore Line East still operates on a model that sends trains toward New Haven in the morning rather than toward New London.

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Changing that would require more equipment, more crews, and a second morning operations base, as well as negotiations with Amtrak, which owns the tracks.

Amtrak is “protecting their slots to be able to run increased Northeast Regional service as well as increased Acela service,” Eucallito said. “They’re going to look at us and question, ‘Well, how does that impact our need for Amtrak services?’ They’ll never give you an answer upfront, it’s always: ‘show us a proposal and then they’ll respond to it.’”

Cohen, who chairs the Transportation Committee, touted how a successful Shoreline East benefits the environment, development along the line, and reduces I-95 congestion.

“We need to start talking about how much money this costs us and think about all of the ancillary benefits,” Cohen said during the hearing.

Cohen said there is multi-state support for extending the line into Rhode Island.

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“We will need some federal dollars. But as you say, there are other businesses up the line in New London,” Cohen said. “We’ve got Electric Boat. We’ve got Pfizer up that way. If we can get those employees on the transit line, we’re all the better for it.”

Rider advocates said the issue is familiar.

“I’d rather see solutions, and not things that are holding it back,” said Susan Feaster, founder of the Shore Line East Riders’ Advocacy Group.

She said she worries the line is facing a transit death spiral, with reduced service leading to lower ridership and falling fare revenue.

“They have to give us the money,” Feaster said. “It shouldn’t have to be profitable.”

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Like other train lines across the country, Shore Line East relies on subsidies.

“We’re not asking for everything to be done overnight, but just incrementally,” Feaster said.

The line received $5 million two years ago, which increased service levels.

The proposal comes as the state reviews whether to return to diesel rail cars that are more than 30 years old.

The state says the switch would save about $9 million, but riders have said it would worsen the passenger experience.

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NBC Connecticut asked Cohen whether she’ll ask DOT to reverse that proposal.

“I really want to,” Cohen said. “I appreciate what CTDOT was trying to do in terms of not cutting service as a result of trying to find savings elsewhere. This isn’t the way to do it.”



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Iranian Yale scholar in Connecticut celebrates fall of regime, calls for free elections

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Iranian Yale scholar in Connecticut celebrates fall of regime, calls for free elections


HARTFORD, Conn. (WFSB) – Thousands of Connecticut families with ties to Iran are watching and waiting as their home country undergoes a historic change.

Among them is Ramin Ahmadi, a Yale doctor, human rights activist and founder of the Iran Human Rights Documentation Center. He has spent decades advocating for freedom in Iran from his home in Connecticut.

Ahmadi moved to the United States when he was 18. On Saturday morning, he learned of military strikes in Iran and the death of the country’s supreme leader.

Ahmadi said protests for democracy and human rights in Iran intensified in December, drawing millions of participants — including his own family and friends.

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“The situation in Iran was a humanitarian emergency and it needed an intervention,” Ahmadi said.

He said he celebrated when he heard the news Saturday morning.

“I was celebrating along with all other Iranians inside and outside the country,” Ahmadi said. “I do regret that we cannot bring him to a trial for crimes that he has committed against humanity.”

Ahmadi said he spoke with his sister in Iran after she celebrated in the streets. She was later told to return home for her safety.

He shared a message she relayed from those around her.

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“They said do not let our death be exploited because worse than that is having to live with the criminals who have done this to us for the rest of our lives,” Ahmadi said. “We do not want to do that.”

For those questioning whether the conflict was America’s to engage in, Ahmadi offered a direct response.

“We will all be affected,” he said. “And to those that tell you that the U.S. and Israel are beating the drums of war in Iran, one has to remind them that it was not like before this Iranian people were listening to Beethoven’s Symphony No. 9 in D minor. We had a war already declared on us by this regime. We were being slaughtered on a daily basis.”

Ahmadi said he believes the path forward begins with young military officers forcing out what remains of the regime, followed by free elections.

“Everyone’s life will be safer in the future and not just Iranians,” Ahmadi said.

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Connecticut lawmakers are also responding to the U.S. strikes on Iran.



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Two people shot in New Haven restaurant Saturday evening

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Two people shot in New Haven restaurant Saturday evening


New Haven police say two people were shot at a restaurant on Grand Avenue Saturday evening.

One of the victims was a 22-year-old male from East Haven who was shot in the leg and was transported to Yale New Haven Hospital for treatment.

According to police, the second victim was a 17-year-old male and arrived shortly after.

While on scene, police confirmed one of the possible shooters was still inside the restaurant.

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According to police, the victims were both inside the restaurant when the teen was approached by Naguea Bratton and another suspect.

They say a fight occurred which resulted in both victims being shot.

Police detained Bratton who was charged with carrying a pistol without a permit, two counts of illegal possession of a high-capacity magazine and larceny of a motor vehicle.

Bratton is being held on a $200,000 bond.

Both victims have non-life-threatening injuries police say.

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They say additional arrests are expected to be completed by warrant.



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