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Windstorms affecting Europe are among the natural hazards with the largest socio-economic impacts. Therefore, many sectors like society, economy or the insurance industry are highly interested in reliable information on associated impacts and losses. There are different metrics to quantify windstorm-related losses, ranging from simple natural hazard databases over loss indices based on meteorological variables to more complex insurance loss (catastrophe) models. In this study, we compare estimated windstorm losses using the meteorological Loss Index (LI) with losses obtained from the European Windstorm Model of Aon Impact Forecasting. To test the sensitivity of LI to different meteorological input data, we furthermore contrast LI based on the reanalysis dataset ERA5 and its predecessor ERA-Interim. We focus on similarities and differences between the datasets in terms of loss values and storm rank for specific storm events in the common reanalysis period across 11 European countries. Our results reveal higher LI values for ERA5 than for ERA-Interim for all of Europe, coming mostly from a higher spatial resolution in ERA5. The storm ranking is comparable for Western and Central European countries for both reanalyses. Compared to Aon's Impact Forecasting model, LI ERA5 shows comparable storm ranks. However, LI seems to have difficulties in distinguishing between extreme windstorms with high losses and those with only moderate losses. The loss distribution in LI is thus not steep enough and the tail is probably on the short side, yet it is an effective index, precisely because of its simplicity, suitable for estimating the impacts and ranking storm events. [ABSTRACT FROM AUTHOR]

Background: A health advisory was issued in response to a fungal meningitis outbreak linked to epidural anesthesia exposure in two plastic surgery clinics in Mexico, from January 1 to May 13, 2023. This descriptive analysis describes the neuroendovascular and neurosurgical observations and management of patients treated at a single stroke center located along the US-Mexico Border., Methods: We conducted a retrospective chart review of fungal meningitis patients presenting between April and July 2023., Results: Among the patients diagnosed with fungal meningitis (n=12), the majority (n=11) were afflicted with angio-invasive Fusarium solani . 83% received dual antifungal therapy, with 40% initiated on alternate-day intrathecal amphotericin B. Diagnostic cerebral angiography was performed on all patients, revealing aneurysms in 58% of cases, predominantly within the posterior circulation, notably the basilar artery, with a median size of 4.2 mm (IQR 3.3-4.8). Treatment strategies included flow diversion (70%) and primary coiling (14%) for aneurysms. Ventriculostomy placement was undertaken in 67% of patients, with 37.5% of these requiring conversion to ventriculoperitoneal shunts. Subarachnoid hemorrhage development was uniformly associated with 100% mortality., Conclusions: In patients presenting with Fusarium solani meningitis, weekly angiographic surveillance proved instrumental for monitoring aneurysm and vasospasm development. Conventional angiography outperformed CT angiography due to its enhanced ability to detect small aneurysms. A proactive approach to aneurysm treatment is advocated, given their elevated rupture risk. While our findings suggest the potential reversibility of angiographic vasospasm with effective antifungal treatment, we acknowledge the challenge of drawing definitive conclusions based on a limited sample size., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2024. No commercial re-use. See rights and permissions. Published by BMJ.)