York County Research Articles

Using the rDNA Internal Transcribed Spacer 1 to Identify the Invasive Pest Rhagoletis cerasi (Diptera: Tephritidae) in North America.

The cherry-infesting fruit fly Rhagoletis cerasi Loew is a significant commercial pest in Europe that has recently invaded North America. To date, it has been trapped only in Canada and northwestern counties of New York. It has the potential to spread further and threaten production and movement of cherry commodities. Timely diagnosis of the pest will facilitate surveys and quick response to new detections. Adult morphology of the pest is distinct from other flies in North America. However, when flies are significantly damaged on traps or the immature life stages are found in fruits, molecular methods of identification are important to confirm presence and host-use records. Other than DNA sequencing of genes from flies which takes over a day to complete, there are no timely methods of molecular identification for this pest. In this study, we report the first sequence record of the internal transcribed spacer 1 (ITS1) from R. cerasi and develop two diagnostic tests for the pest based on ITS1 differences among species in North America. The tests use loop-mediated isothermal amplification (LAMP) and multiplex, conventional polymerase chain reaction (mcPCR) technologies that target the same region of the R. cerasi ITS1 sequence. Both tests performed well when tested against collections of R. cerasi from North America and Europe, generating Diagnostic Sensitivity estimates of 98.4-99.5%. Likewise, the tests had relatively high estimates of Diagnostic Specificity (97.8-100%) when tested against Rhagoletis Loew species present in North America that also use cherry as a developmental host.

Evaluation of the Choose Health: Food, Fun, and Fitness 3rd- to 6th-Grade Curriculum: Changes in Obesity-Related Behaviors.

Choose Health: Food, Fun, and Fitness (CHFFF) is aimed at 3rd to 6th graders, and uses experiential learning, food preparation, active games, goal setting, and a family newsletter to target behaviors shown to decrease childhood obesity and chronic disease risk. This study aimed to evaluate CHFFF as intended in low-income settings. A quasi-experimental design with delayed intervention was used. CHFFF participants in 27 after-school and 28 in-school groups in 5 New York counties in 2014 to 2015 completed a self-report survey at initial enrollment, after a no-intervention control period, and after receiving CHFFF. Statistical analyses were based on 561 3rd to 6th graders who completed all 3 surveys and participated in at least 4 of the 6 lessons. Compared to their control period, after receiving CHFFF, youth significantly improved in the following multi-item dietary scores: overall dietary intake (p < .001), vegetable intake (p < .001), fruit intake (p < .01), soda/fast food intake (p < .05) and intent to consume soda/fast food (p < .001). Youth also reported reading Nutrition Facts labels and sharing about healthy eating with their family more often (both p < .001), and greater likelihood of having tried a new food (p < .001). Results provide evidence for the effectiveness of this curriculum in improving self-reported child diet and related behaviors.

Genomic analysis of Clostridioides difficile in two regions reveals a diversity of strains and limited transmission

Background: The epidemic NAP1/027 Clostridioides difficile strain (MLST1, ST1) that emerged in the mid-2000 is on the decline. The current distribution of C. difficile strain types and their transmission dynamics are poorly defined. We performed whole-genome sequencing (WGS) of C. difficile isolates in 2 regions to identify the predominant multilocus sequence types (MLSTs) in community- and healthcare-associated cases and potential transmission between cases using whole-genome single-nucleotide polymorphism (SNP) analysis. Methods: Isolates were collected through the CDC Emerging Infections Program population-based surveillance for C. difficile infections (CDI) for 3 months between 2016 and 2017 in 5 Minnesota counties and 1 New York county. Isolates were limited to incident cases (CDI in a county resident with no positive C. difficile test in the preceding 8 weeks). Cases were classified as healthcare associated (HA-CDI) or community associated (CA-CDI) based on healthcare exposures as previously described. WGS was performed on an Illumina Miseq. The CFSAN (FDA) pipeline was used to compute whole-genome SNPs, SPAdes was used for assembly, and MLST was assigned according to www.pubmlst.org. Results: Of 431 isolates, 269 originated from New York and 162 from Minnesota; 203 cases were classified as CA-CDI and 221 as HA-CDI. The proportion of CA-CDI cases was higher in Minnesota than in New York: 62% vs 38%. The predominant MLSTs across both sites were ST42 (9%), ST8 (8%), and ST2 (8%). MLSTs more frequently encountered in HA-CDI than CA-CDI included ST1 (note that this ST includes PCR Ribotype 027; 76% HA-CDI), ST53 (84% HA-CDI), and ST43 (80% HA-CDI). In contrast, ST110 (63% CA-CDI) and ST3 (67% CA-CDI) were more commonly isolated from CA-CDI cases. ST1 accounted for 7.6% of circulating strains and was more common in New York than Minnesota (10% vs 3%) and was concentrated among New York HA-CDI cases. Also, 412 isolates (1 per patient) were included in the final whole-genome SNP analysis. Of these, only 12 pairs were separated by 0–3 SNPs, indicating potential transmission, and most involved HA-CDI cases. ST1, ST17, and ST46 accounted for 8 of 12 pairs, with ST17 and ST46 potentially forming small clusters. Conclusions: This analysis provides a snapshot of the current genomic epidemiology of C. difficile across 2 geographically and epidemiologically distinct regions of the United States and supports other studies suggesting that the role of direct transmission in the spread of CDI may be limited.Funding: NoneDisclosures: None

Maternal pre-pregnancy body mass index, gestational weight gain and breastfeeding outcomes: a cross-sectional analysis

BackgroundIt is well established that mothers with above-normal pre-pregnancy BMI are at increased risk of breastfeeding cessation; however, the impact of pregnancy weight-gain (PWG) is less well-defined. Excess PWG may alter the hormonal preparation of breast tissue for lactation, increase the risk of complications that negatively impact breastfeeding (e.g. Cesarean-section, gestational diabetes), and may make effective latch more difficult to achieve.MethodsOur objective was to determine the impact of PWG and pre-pregnancy BMI on the risk of breastfeeding cessation utilizing the Institute of Medicine’s 2009 recommendations. Cox proportional hazards models were utilized to estimate the risk of cessation of exclusive breastfeeding, and cessation of any breastfeeding among women who initiated exclusive and any breastfeeding, respectively, in a cross sectional sample of survey respondents from a New York county (N = 1207). PWG category was interacted with pre-pregnancy BMI (3 levels of pre-pregnancy BMI, 3 levels of PWG). Confounders of the relationship of interest were evaluated using directed acyclic graphs and bivariate analyses; variables not on the proposed causal pathway and associated with the exposure and outcome were included in multivariate models. Results: After adjustment, women of normal and obese pre-pregnancy BMI with greater-than-recommended PWG had 1.39 (1.03–1.86) and 1.48 (1.06–2.07) times the risk of any breastfeeding cessation within the first 3 months postpartum compared to women with normal pre-pregnancy BMI who gained within PWG recommendations. Overweight women with greater-than-recommended PWG were at increased risk of cessation, although not significantly (aHR [95% CI]: 1.29 [0.95–1.75]). No significant relationship was observed for exclusive breastfeeding cessation.ConclusionsPre-pregnancy BMI and PWG may be modifiable risk factors for early breastfeeding cessation. Understanding the mechanism behind this risk should be ascertained by additional studies aimed at understanding the physiological, social, logistical (positioning) and other issues that may lead to early breastfeeding cessation.

Characterization of individuals with selected muscular dystrophies from the expanded pilot of the Muscular Dystrophy Surveillance, Tracking and Research Network (MD STARnet) in the United States.

Data on muscular dystrophies (MDs), a heterogeneous group of heritable diseases hallmarked by progressive muscle deterioration, are scarce. We describe cross-sectional sociodemographic and clinical characteristics of individuals with congenital, distal, Emery-Dreifuss, facioscapulohumeral, limb-girdle, myotonic, or oculopharyngeal MD. The study was conducted in four sites (Arizona, Colorado, Iowa, and 12 western New York counties) as a pilot expansion of the Muscular Dystrophy Surveillance, Tracking and Research Network, funded by the Centers for Disease Control and Prevention. MDs were detected in healthcare facilities and administrative data sources using International Classification of Disease codes. Our sample contains 1,723 individuals with a MD diagnosis and a healthcare encounter between January 1, 2007 and December 31, 2011. Individuals were mostly non-Hispanic and white. Median ages ranged from 9.2 to 66.0 years. Most (98%) had health insurance. The proportion of individuals who were disabled or unable to work increased with age (range: 8.6-46.4%). People with limb-girdle MD aged ≥18 years were more likely to be nonambulatory (range: 24.5-44.7%). The percentages of individuals with documented clinical interventions during the surveillance period were low. The most common cause of death was respiratory causes (46.3-57.1%); an ICD-10 code for MD (G71.1 or G71.0) was reported for nearly one-half. Our findings show wide variability in sociodemographic and clinical characteristics across MDs.

Understanding Trends in PTO Shielding Using Kelman’s Processes of Change

ABSTRACT Background: Kelman’s Processes of Change suggest that individuals participate in behaviors for one of three reasons: because it is required (compliance), because the behavior allows them to maintain a particular social status (identification), or because the behavior aligns with the individuals core beliefs (internalization). This study aims to assess the utility of this model in understanding farmers’ attitudes and behaviors regarding power take-off (PTO) shielding to prevent entanglements. Methods: Surveys collected data on 673 farmers’ attitudes and behaviors related to PTO shielding in 14 highly agricultural counties of New York. Participants were classified based on Kelman’s Processes of Change. Results: In total, 59.44% of participants could be classified into one of the three Kelman categories based on both attitude and behavior. Of these participants, 18% were classified in the compliance phase, 3% in identification, and 79% in internalization. Of participants who did not display appropriate shielding behavior, 77% still reported having internalized the importance of PTO shielding. Conclusions: Two main challenges occurred in using Kelman’s Processes of Change to assess PTO shielding behaviors among farmers. First, the attitude and behaviors of participants were not always reflective of one another, and second, participants tended to have difficulties distinguishing their primary motivations for PTO shielding (compliance, identification, or internalization). Though participants can be classified based on Kelman’s Processes of Change and researchers can benefit from a more in-depth understanding of motivations related to changing safety behaviors, this study indicates that there are challenges in accurately assigning individuals to their appropriate “change” classification.

Elevated atmospheric carbon dioxide effects on maize and alfalfa in the Northeast US: A comparison of model predictions and observed data

The main feed crops on dairy farms in the northeastern U.S. are alfalfa (Medicago sativa L.) and maize (Zea mays L.). Projected changes in climate along with increased atmospheric carbon dioxide (CO2) concentration will affect future production of these crops. We evaluated maize and alfalfa yield and evapotranspiration response to CO2 enrichment predicted by three process-based cropping system models, CropSyst, DSSAT and IFSM, in six counties of Pennsylvania and New York, using 25 years of daily weather and two concentrations of atmospheric CO2 (350 and 550 ppm). Positive effects of CO2 enrichment on crop growth have been documented using plants grown under controlled CO2 conditions; of particular relevance are results obtained in fields with free-air CO2 enrichment (FACE) technology. For evaluation, simulation results were compared among models and to FACE experimental data. The three models simulated similar maize response to increasing CO2 for grain yield, total biomass yield and harvest index, with predicted responses within the ranges reported in FACE experiments. The models may have slightly overestimated the yield response of maize during wet years compared with FACE experiments. The models also simulated increased productivity of alfalfa within the bounds observed in FACE experiments. While DSSAT and IFSM predicted yield increases of about 20%, Cropsyst predicted an increase of 32%, which is in the upper bound of FACE experimental data. For both crops, models simulated a lesser reduction in evapotranspiration under increasing CO2 than that measured in FACE experiments. The larger response of alfalfa may either shift rotations towards more alfalfa, or allow for a shorter alfalfa phase in a rotation depending on market and other production constraints. While there were overestimations in simulating maize productivity under no water stress and uncertainties in simulating evapotranspiration that are relevant for local and regional hydrology, these models adequately represented crop yield response to changes in atmospheric CO2 concentration.

New York State cases of anaphylaxis in elderly patients from 2000 to 2010

BackgroundLimited information is available on the effect of anaphylaxis, a severe, potentially life-threatening allergic reaction, in the elderly population. ObjectiveTo elucidate the frequency of anaphylaxis and the demographic characteristics of elderly patients admitted to New York hospitals from 2000 to 2010. MethodsA retrospective analysis of hospitalized patients aged 65 years and older in New York from 2000 to 2010 was conducted using the Statewide Planning and Research Cooperative System, a statewide administrative database. Cases were identified using anaphylaxis International Classification of Diseases, Ninth Revision (ICD-9) codes or an ICD-9–based diagnostic algorithm incorporating the National Institutes of Allergy and Infectious Disease diagnostic criteria. The χ2 test was used to measure the association between demographic characteristics and group membership. Regression was used to model group and age as a function of hospital rates. ResultsA total of 3673 hospitalizations were analyzed. Anaphylaxis ICD-9 codes identified 1790 cases (48.7%), the algorithms identified 1701 cases (46.3.%), and 182 cases (5.0%) were identified by both. Hospitalization rates increased significantly during this period (P < .001). Women comprised 61.5% and people of white race comprised 69.8% of the sample. Distribution by age differed by ascertainment method (ICD-9 vs algorithm) among the early-old group (65-74 years of age; 53.8% vs 41.8%) and among the late-old group (≥85 years of age; 11.2% vs 19.3%). ConclusionHospitalization rates and anaphylaxis cases increased during the study period among the hospitalized elderly population of New York. Relying on anaphylaxis ICD-9 codes alone missed approximately half of possible cases. The identification and possibly the effect of anaphylaxis among the elderly population may differ, depending on age, race, payer, New York County, and disposition.

APA’s District Branches Take Lead in Helping Psychiatrists Adjust to New Way of Working

APA’s District Branches Take Lead in Helping Psychiatrists Adjust to New Way of Working

Does the disclosure of gun ownership affect crime? Evidence from New York

While the social costs of gun violence are high, opponents of gun restrictions argue that gun ownership deters crime and creates a positive externality by increasing unobserved risk to criminals. This paper investigates the evidence for these two deterrence channels, exploiting the sudden disclosure of all handgun permit holders' names and addresses in two New York counties. Permit holders have more crime incidents at their homes relative to non-permit holders in the baseline, which is not driven by selection into neighborhoods. I find little evidence in favor of direct deterrence, and little evidence of peer deterrence. Instead, I find that victimization is associated with a higher likelihood of future gun ownership.

Wealth inequality and economic mobility in the post-revolutionary Pennsylvania backcountry

Township tax lists for 1783 and 1793 are used to examine the distribution of wealth and economic mobility in York County, Pennsylvania following the Revolutionary War. Measures of inequality are inconclusive, but the typical York County household was worse off in 1793 than in 1783: median wealth fell 5 percent. The poorest households recorded an increase in assessed wealth. Over 40 percent of households disappeared from the tax lists, with the least wealthy being the most likely to leave. Households that remained in the county were far more likely to see an improvement in their relative status than a decline.

Steadily Attached to His Majesty? Varieties of Loyalism in Revolutionary New York

This paper responds to most recent works on the complexity of loyalist identities during the American Revolution. It forms a close reading of over 400 claims submitted by self-identified loyalist claimants from the former colony of New York to the Loyalist Claims Commission. Through a case study of three New York counties (the city and county of New York, Albany County and Tryon County), the paper demonstrates that the loyalist experience differed greatly between the three distinct geographic regions; different counties entered the war at different stages, while demonstrations of loyalism and the range of services provided by loyalists to advance the British cause varied considerably. The paper also outlines (and justifies the use of) the potential of three broad categories by which to analyze loyalist claimants: namely, ‘active’, ‘reluctant’ and ‘passive’. Ultimately, this paper concludes that the varying nature of loyalism was largely the product of local contextual circumstance.

Financial Condition and Internal Control Deficiencies: Evidence From New York Counties

In recent years, significant attention has been given to measuring the financial condition of local governments, predicting when those governments will experience fiscal distress, and understanding how public managers navigate financial shortfalls. Researchers have given less focus, however, to understanding how financial condition affects other financial management practices—such as the administrative systems used to ensure financial accountability. This study uses a 19‐year panel of county‐level data from New York State to examine whether financial condition affects the likelihood of internal control deficiencies. The findings indicate that the incidence and severity of internal control deficiencies increase as financial condition deteriorates.

Prevalence and Genetic Characterization of Deer Tick Virus (Powassan Virus, Lineage II) in Ixodes scapularis Ticks Collected in Maine.

Deer tick virus (DTV) is a genetic variant of Powassan virus (POWV) that circulates in North America in an enzootic cycle involving the blacklegged or "deer tick," Ixodes scapularis, and small rodents such as the white-footed mouse. The number of reported human cases with neuroinvasive disease has increased substantially over the past few years, indicating that POWV may be of increasing public health importance. To this end, we sought to estimate POWV infection rates in questing I. scapularis collected from four health districts in Maine (York, Cumberland, Midcoast, and Central Maine). Infection rates were 1.6%, 1.7%, 0.7%, and 0%, respectively, for adults collected from April to November in 2016. Adults collected in October and November in 2017 from York and Cumberland counties had slightly higher rates of 2.3% and 3.5%, respectively. There was no difference in the number of males verses the number of females infected. All positive samples were of the DTV (lineage II) variant. Phylogenetic analysis was performed on 8 of the 15 DTV sequences obtained in 2016. Deer tick virus from the coastal regions were genetically similar and clustered with virus strains isolated from I. scapularis from New York State and Bridgeport, CT. The two inland viruses were genetically nearly identical and grouped with viruses from Massachusetts, Connecticut, and New York. These results are the first reported infection rates and sequences for POWV in questing ticks collected in Maine and will provide a reference point for future POWV studies.

Trends in Adolescent Heroin and Injection Drug Use in Nine Urban Centers in the U.S., 1999–2017

PurposeAlthough estimates of heroin and injection drug use (IDU) among U.S. adolescents have remained low and stable, national data may mask local variation in use. Adolescent use may be higher in urban areas, many of which have historically high rates of heroin use and IDU. We investigate trends in heroin use and IDU among 9th–12th grade students in major urban centers in the U.S. MethodsWe used local Youth Risk Behavior Survey data from all large, urban school districts (n = 9) with at least 5 years of weighted, publicly available data. We used time series mean estimation to estimate the prevalence of heroin use and IDU among high school students from 1999 to 2017 and used logistic regression to test for linear and quadratic trends. ResultsWe observed statistically significant linear increases in (1) lifetime heroin use in New York (β = .43, 1%–3.9%), Chicago (β = .15, 3.1%–4.6%), and Milwaukee (β = .35, 2.8%–7.4%); and (2) lifetime IDU in New York (β = .34, .8%–2.7%), Orange County (β = .17, 2.2%–3.5%), and Miami-Dade County (β = .16, 2.7%–3.9%). Only San Bernardino experienced significant decreases in heroin use (β = −.34, 4.6%–1.6%) and IDU (β = −.20, 2.5%–1.9%) over the time period. ConclusionsIn contrast to national trends, the prevalence of heroin use is increasing among adolescents in certain urban centers in the U.S. Our results illustrate that national averages mask local variation in adolescent heroin use. Further research with locally representative samples is needed to inform public health policy and practice, especially in cities where heroin problems have been historically endemic and continue to rise.

Bacterial and Fungal Infections in Persons Who Inject Drugs - Western New York, 2017.

During 2014-2017, CDC Emerging Infections Program surveillance data reported that the occurrence of invasive methicillin-resistant Staphylococcus aureus (MRSA) infections associated with injection drug use doubled among persons aged 18-49 years residing in Monroe County in western New York.* Unpublished surveillance data also indicate that an increasing proportion of all Candida spp. bloodstream infections in Monroe County and invasive group A Streptococcus (GAS) infections in 15 New York counties are also occurring among persons who inject drugs. In addition, across six surveillance sites nationwide, the proportion of invasive MRSA infections that occurred in persons who inject drugs increased from 4.1% of invasive MRSA cases in 2011 to 9.2% in 2016 (1). To better understand the types and frequency of these infections and identify prevention opportunities, CDC and public health partners conducted a rapid assessment of bacterial and fungal infections among persons who inject drugs in western New York. The goals were to assess which bacterial and fungal pathogens most often cause infections in persons who inject drugs, what proportion of persons who inject use opioids, and of these, how many were offered medication-assisted treatment for opioid use disorder. Medication-assisted treatment, which includes use of medications such as buprenorphine, methadone, and naltrexone, reduces cravings and has been reported to lower the risk for overdose death and all-cause mortality in persons who use opioids (2,3). In this assessment, nearly all persons with infections who injected drugs used opioids (97%), but half of inpatients (22 of 44) and 12 of 13 patients seen only in the emergency department (ED) were not offered medication-assisted treatment. The most commonly identified pathogen was S. aureus (80%), which is frequently found on skin. Health care visits for bacterial and fungal infections associated with injection opioid use are an opportunity to treat the underlying opioid use disorder with medication-assisted treatment. Routine care for patients who continue to inject should include advice on hand hygiene and not injecting into skin that has not been cleaned or to use any equipment contaminated by reuse, saliva, soil, or water (4,5).

A Single-Center Experience with a Pregnant Immigrant Population and Zika Virus Serologic Screening in New York City.

Our institution is in an area of New York City with a large population of immigrants from Zika virus endemic areas. With the recent Zika virus outbreak, we sought to examine our center's experience with screening for Zika virus and outcomes among patients who tested positive for the disease during pregnancy. We performed a chart review of all pregnant patients who tested positive (positive serum or urine polymerase chain reaction [PCR]) or presumed positive (immunoglobulin M [IgM] enzyme-linked immunosorbent assay [ELISA] positive or IgM ELISA equivocal with positive plaque reduction neutralization test) for Zika virus. All tests were performed by the Department of Health (DOH) and followed Centers for Disease Control and Prevention guidelines in effect at the time of specimen collection. Testing of cord blood, placenta, and/or neonatal blood were/was performed by the DOH for New York County. Prenatal ultrasounds for fetal head size and surveillance for calcifications were performed by maternal-fetal medicine specialists. Infant head ultrasound results were included when available. Between March 2016 and April 2017, 70 pregnant patients were positive or presumed positive for Zika infection during pregnancy. Of those, 16 women had positive urine or serum PCR and the remaining 54 were presumed positive. Among positive cases, five women tested positive via urine PCR only, nine women tested positive via serum PCR only, and two women had both positive urine and serum PCR. Fifteen of 67 infants (22%) born during the study period were born to mothers with positive urine or serum PCR testing. Sixty-five newborns were clinically normal with normal head measurements. Of the intracranial ultrasound performed, one infant had a grade 1 intraventricular hemorrhage, four had incidental choroid plexus cysts, and one had severe ventriculomegaly that was also noted antenatally. There were 2 positive and 15 equivocal infant serum IgM samples and 1 positive placental PCR from these pregnancies. There were four pregnancy terminations and two cases with fetal anomalies in this population that were split evenly between patients who tested positive and those who tested presumed positive for Zika virus during pregnancy. We found no differences in pregnancy or neonatal outcomes between women who tested positive and presumed positive for Zika virus during pregnancy. Testing of infants and placenta tissue after delivery was largely inconclusive. Improvement in testing for Zika virus infection is needed to determine which pregnancies are at risk for congenital anomalies. Further research is still needed to determine which children are at risk for poor neurodevelopmental outcomes related to Zika virus and how to best coordinate care among the immigrant population during a new disease epidemic.

Effectiveness of Peer Counselor Support on Breastfeeding Outcomes in WIC-Enrolled Women

ObjectiveTo evaluate the effectiveness of different quantities and types of breastfeeding (BF) peer counselor (BFPC) support on BF outcomes in women enrolled in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). DesignSecondary data analysis using BFPC data from an upstate New York county WIC (April 1, 2009 to March 30, 2011) merged with New York State Department of Health WIC surveillance data. ParticipantsA total of 2,149 WIC-enrolled mothers with live singleton births who accepted a BFPC referral and received different quantities and types of BFPC support (telephone, in person, and mailings). Main Outcome MeasuresSelf-reported BF initiation and duration at 30 days. AnalysisMultivariable logistic regression was used to estimate the odds of BF outcomes at 30 days associated with different levels of BFPC support. ResultsMothers who accepted BFPC referrals and had at least 1 phone conversation or in-person contact had a significant 35% to 164% increased odds of positive BF outcomes. Mailings did not significantly improve outcomes. Conclusions and ImplicationsThe Special Supplemental Nutrition Program for Women, Infants, and Children may need to identify barriers to BF duration and implement interventions in communities with low BF rates. Future studies may benefit from evaluating the impact of combined in-person support and phone contacts during the prenatal and postpartum periods on BF outcomes.

The “Distance Traveled”: Investigating the Downstream Consequences of Charge Reductions for Disparities in Incarceration

Relatively little work examines the impact that charging decisions exert on sentencing. We investigate this issue by estimating the “distance traveled” in charge bargaining, or the expected change in the likelihood of incarceration associated with reductions in charges across different stages of prosecution. Using data from New York County, we examine how the probability of incarceration shifts as a result of charging decisions and how this potentially contributes to social inequalities in incarceration. Findings indicate that charge reductions are associated with sizeable decreases in the probability of incarceration, particularly at the plea bargaining stage. On average, the “distance traveled” is substantially greater for female than male defendants and for White compared to Latino and Black defendants, even after accounting for a host of relevant punishment factors. Findings are discussed as they relate to contemporary theoretical perspectives on prosecutorial decision-making and social inequality in punishment.

Southern Splendor: Saving Architectural Treasures of the Old South by Marc R. Matrana, Robin S. Lattimore, and Michael W. Kitchens

Reviewed by: Southern Splendor: Saving Architectural Treasures of the Old South by Marc R. Matrana, Robin S. Lattimore, and Michael W. Kitchens Bethany Jay Southern Splendor: Saving Architectural Treasures of the Old South. By Marc R. Matrana, Robin S. Lattimore, and Michael W. Kitchens. ( Jackson: University Press of Mississippi, 2018. Pp. xii, 391. $40.00, ISBN 978-1-4968-1100-4.) Southern Splendor: Saving Architectural Treasures of the Old South surveys an impressive number of plantation museums and venues from nine states and details the various ways that they have been restored. These homes range from famous sites such as Monticello to lesser known homes. Organized by state, the book provides stand-alone narratives that discuss the history of each house and its owners, each site's architectural details, and the methods used to preserve and restore each home. The authors' knowledge of architecture and passion for preservation are evident in these short narratives. Readers looking for these details and lovely photographs will not be disappointed. The authors' focus, as the title suggests, is solely on the preservation of the homes of the region's elite, and they ably meet their goal to "celebrate restoration and preservation success stories" (p. 368). The book details public and private restorations and provides insight into the talented craftsmen and dedicated individuals at the heart of each initiative. The authors excel in discussing each home's architectural details, the circumstances that have affected each site's physical condition, and the time and expense that has gone into restoring and maintaining these homes. While the authors' focus is on preservation, their depictions of the antebellum and Civil War era history of each house distract from Southern Splendor's otherwise thoughtful narrative. Though the authors acknowledge that these homes can contribute to "a more balanced view of the region's history," the book does not reflect current scholarship on either the role of enslaved labor in funding, building, and maintaining these homes or the lives of individual enslaved people within these shared spaces (p. 7). When taken as a whole, the historical narratives reflect an earlier vision of an idyllic Old South and an uncritical depiction of slavery. Many of the house narratives, for example, render slavery virtually invisible, only discussing the growing enslaved population as evidence of antebellum wealth. In a section on Homestead House in York County, South Carolina, the authors remark that after the Civil War, "the halcyon days were over" (p. 263). The authors also write that Laura plantation's owner "bought thirty teenage female slaves from New Orleans and brought them to the plantation to have them impregnated. Within a few years, her breeding program resulted in what she called her 'crop of children'" (p. 29). This framing of sexual assault as an example of successful plantation management demonstrates how the narrative would benefit from attention to current slavery studies. Southern Splendor would better reflect contemporary scholarship and preservation initiatives if the authors had discussed the efforts to restore [End Page 752] enslaved spaces and to interpret enslaved lives alongside those of the elite. Preservationists are scrambling to save the region's remaining slave cabins, which were integral parts of the plantation landscapes at the heart of this book. Many museums also have incorporated discussions of slavery into their interpretations, but, with few exceptions, the authors do not discuss this practice. The discussion of Monticello's architecture, for example, excludes the attached dependencies and the museum's painstaking recreation of Mulberry Row, where enslaved people labored to support the plantation. Discussion of the Thomas Jefferson Foundation's extensive research into and interpretation of the lives of enslaved individuals is also absent. The authors' expertise in preservation and architecture is evident in this beautifully designed book. But their focus only on elite lives and spaces puts Southern Splendor behind the current scholarship of the era and neglects the work of those who are trying to preserve and interpret a more inclusive history. Bethany Jay Salem State University Copyright © 2019 The Southern Historical Association