Seasonal Trends in Emergency Department Visits for Mental and Behavioral Health Conditions Among Children and Adolescents Aged 5-17 Years - United States, January 2018-June 2023.

Mental and behavioral health conditions among school-aged children, including substance use disorders and overall emotional well-being, are a public health concern in the United States. Timely data on seasonal patterns in child and adolescent conditions can guide optimal timing of prevention and intervention strategies. CDC examined emergency department (ED) visit data from the National Syndromic Surveillance Program for 25 distinct conditions during January 2018-June 2023 among U.S. children and adolescents aged 5-17 years, stratified by age group. Each year, during 2018-2023, among persons aged 10-14 and 15-17 years, the number and proportion of weekly ED visits for eight conditions increased in the fall school semester and remained elevated throughout the spring semester; ED visits were up to twice as high during school semesters compared with the summer period. Among children aged 5-9 years, the number and proportion of visits increased for five mental and behavioral health conditions. Seasonal increases in ED visits for some conditions among school-aged children warrant enhanced awareness about mental distress symptoms and the challenges and stressors in the school environment. Systemic changes that prioritize protective factors (e.g., physical activity; nutrition; sleep; social, community, or faith-based support; and inclusive school and community environments) and incorporate preparedness for increases in conditions during back-to-school planning might improve child and adolescent mental health.

3D characterisation and quantification of an offshore freshened groundwater system in the Canterbury Bight.

Although offshore freshened groundwater (OFG) systems have been documented in numerous continental margins worldwide, their geometry, controls and emplacement dynamics remain poorly constrained. Here we integrate controlled-source electromagnetic, seismic reflection and borehole data with hydrological modelling to quantitatively characterise a previously unknown OFG system near Canterbury, New Zealand. The OFG system consists of one main, and two smaller, low salinity groundwater bodies. The main body extends up to 60 km from the coast and a seawater depth of 110 m. We attribute along-shelf variability in salinity to permeability heterogeneity due to permeable conduits and normal faults, and to recharge from rivers during sea level lowstands. A meteoric origin of the OFG and active groundwater migration from onshore are inferred. However, modelling results suggest that the majority of the OFG was emplaced via topographically-driven flow during sea level lowstands in the last 300 ka. Global volumetric estimates of OFG will be significantly revised if active margins, with steep coastal topographies like the Canterbury margin, are considered.

The Role of Fault-Zone Architectural Elements on Pore Pressure Propagation and Induced Seismicity.

We used hydrogeologic models to assess how fault-zone properties promote or inhibit the downward propagation of fluid overpressures from a basal reservoir injection well (150 m from fault zone, Q = 5000 m3 /day) into the underlying crystalline basement rocks. We varied the permeability of the fault-zone architectural components and a crystalline basement weathered layer as part of a numerical sensitivity study. Realistic conduit-barrier style fault zones effectively transmit elevated pore pressures associated with 4 years of continuous injection to depths of approximately 2.5 km within the crystalline basement while compartmentalizing fluid flow within the injection reservoir. The presence of a laterally continuous, relatively low-permeability altered/weathered basement horizon (kaltered layer = 0.1 × kbasement ) can limit the penetration depth of the pressure front to approximately 500 m. On the other hand, the presence of a discontinuous altered/weathered horizon that partially confines the injection reservoir without blocking the fault fluid conduit promotes downward propagation of pressures. Permeability enhancement via hydromechanical failure was found to increase the depth of early-time pressure front migration by a factor of 1.3 to 1.85. Dynamic permeability models may help explain seismicity at depths of greater than 10 km such as is observed within the Permian Basin, NM.

Offshore fresh groundwater reserves as a global phenomenon.

The flow of terrestrial groundwater to the sea is an important natural component of the hydrological cycle. This process, however, does not explain the large volumes of low-salinity groundwater that are found below continental shelves. There is mounting evidence for the global occurrence of offshore fresh and brackish groundwater reserves. The potential use of these non-renewable reserves as a freshwater resource provides a clear incentive for future research. But the scope for continental shelf hydrogeology is broader and we envisage that it can contribute to the advancement of other scientific disciplines, in particular sedimentology and marine geochemistry.

Hydrogeologic controls on induced seismicity in crystalline basement rocks due to fluid injection into basal reservoirs.

A series of Mb 3.8-5.5 induced seismic events in the midcontinent region, United States, resulted from injection of fluid either into a basal sedimentary reservoir with no underlying confining unit or directly into the underlying crystalline basement complex. The earthquakes probably occurred along faults that were likely critically stressed within the crystalline basement. These faults were located at a considerable distance (up to 10 km) from the injection wells and head increases at the hypocenters were likely relatively small (∼70-150 m). We present a suite of simulations that use a simple hydrogeologic-geomechanical model to assess what hydrogeologic conditions promote or deter induced seismic events within the crystalline basement across the midcontinent. The presence of a confining unit beneath the injection reservoir horizon had the single largest effect in preventing induced seismicity within the underlying crystalline basement. For a crystalline basement having a permeability of 2 × 10(-17) m(2) and specific storage coefficient of 10(-7) /m, injection at a rate of 5455 m(3) /d into the basal aquifer with no underlying basal seal over 10 years resulted in probable brittle failure to depths of about 0.6 km below the injection reservoir. Including a permeable (kz = 10(-13) m(2) ) Precambrian normal fault, located 20 m from the injection well, increased the depth of the failure region below the reservoir to 3 km. For a large permeability contrast between a Precambrian thrust fault (10(-12) m(2) ) and the surrounding crystalline basement (10(-18) m(2) ), the failure region can extend laterally 10 km away from the injection well.

Origin and extent of fresh paleowaters on the Atlantic continental shelf, USA.

While the existence of relatively fresh groundwater sequestered within permeable, porous sediments beneath the Atlantic continental shelf of North and South America has been known for some time, these waters have never been assessed as a potential resource. This fresh water was likely emplaced during Pleistocene sea-level low stands when the shelf was exposed to meteoric recharge and by elevated recharge in areas overrun by the Laurentide ice sheet at high latitudes. To test this hypothesis, we present results from a high-resolution paleohydrologic model of groundwater flow, heat and solute transport, ice sheet loading, and sea level fluctuations for the continental shelf from New Jersey to Maine over the last 2 million years. Our analysis suggests that the presence of fresh to brackish water within shallow Miocene sands more than 100 km offshore of New Jersey was facilitated by discharge of submarine springs along Baltimore and Hudson Canyons where these shallow aquifers crop out. Recharge rates four times modern levels were computed for portions of New England's continental shelf that were overrun by the Laurentide ice sheet during the last glacial maximum. We estimate the volume of emplaced Pleistocene continental shelf fresh water (less than 1 ppt) to be 1300 km(3) in New England. We also present estimates of continental shelf fresh water resources for the U.S. Atlantic eastern seaboard (10(4) km(3)) and passive margins globally (3 x 10(5) km(3)). The simulation results support the hypothesis that offshore fresh water is a potentially valuable, albeit nonrenewable resource for coastal megacities faced with growing water shortages.