EVIDENCE FILE: RIVERSIDE_GENERAL_ER

STATISTICAL ANOMALY ANALYSIS - EMERGENCY DEPARTMENT VISITS

Analysis Scope: November 2009 - July 2010

Geographic Focus: Highland Park, Forest View, Cedar Glen areas

Population Base: Approximately 15,000 residents

Analyst: Dr. Michael Chen, M.D. - Emergency Medicine

PATTERN IDENTIFICATION:

Standard ER Visit Rate: 2.3 visits per 1000 residents/month

Observed Rate (June-July 2010): 7.8 visits per 1000 residents/month

Statistical Significance: p < 0.001 (Highly significant increase)

CATEGORY 1: SLEEP DISORDERS & ANXIETY

Time Period: November 2009 - February 2010

Cases: 23 patients

Demographics: Adults age 25-45, predominantly female

Common Presenting Symptoms:

Severe insomnia with recurring nightmares
Night terrors and sleep paralysis
Panic attacks triggered by darkness
Obsessive thoughts about "being watched"
Fear of wooded areas despite no prior phobia

ICD-9 Codes: 300.02 (Generalized Anxiety), 307.47 (Night Terrors), 780.52 (Insomnia)

Physician Notes (Pattern Summary):

"Multiple patients report identical nightmare content: robed figures in forest setting, ritual candles, being photographed. No shared media exposure identified. Consider environmental factor or shared stressor in community."

CATEGORY 2: PEDIATRIC BEHAVIORAL PRESENTATIONS

Time Period: March 2010 - June 2010

Cases: 18 pediatric patients

Demographics: Children age 6-12

Common Presenting Symptoms:

Acute behavioral regression
Selective mutism after "bad dreams"
Compulsive drawing of ritual imagery
Phobic response to camera equipment
Knowledge of adult content inappropriate for age

Child Protective Services Consultations: 7 cases

Psychiatric Referrals: 14 cases

Pattern Significance: All families live within 3-mile radius of ████████████

CATEGORY 3: ACUTE TRAUMA PRESENTATIONS (JULY 2010)

Time Period: July 12-15, 2010 (72-hour window)

Cases: 11 patients

Severity: CRITICAL - Multiple Level 1 Trauma

Primary Diagnoses:

Acute stress reaction following "discovery of crime scene"
Hypertensive crisis in previously healthy adults
Dissociative episodes with memory gaps
Physical injuries from fainting/panic responses

CRITICAL PATTERN: 8 of 11 patients report "seeing photographer" at scene

Law Enforcement Notification: All cases reported to SBCSD per protocol

Witness Protection: 4 patients requested enhanced security

STATISTICAL CORRELATION ANALYSIS:

TEMPORAL CLUSTERING:

Pre-incident Phase: 45% increase in anxiety/sleep disorder presentations
Escalation Phase: 120% increase in pediatric behavioral concerns
Crisis Phase: 340% increase in all ER presentations within 72 hours
Post-incident: Ongoing elevated mental health presentations

GEOGRAPHIC CORRELATION:

Primary Impact Zone: 2-mile radius around crime scene

Secondary Impact Zone: 5-mile radius showing elevated presentations

Control Comparison: No similar patterns in other Riverside County areas

MEDICAL EXAMINER CONSULTATION:

Consulting Physician: Dr. Sarah Martinez, Forensic Pathologist

Assessment: Community health patterns consistent with collective trauma exposure

Key Findings:

Pre-incident symptoms suggest community was already under duress
Pediatric presentations indicate children may have witnessed preparation activities
Adult anxiety patterns suggest perpetrator maintained visible community presence
Post-incident trauma responses exceed typical community disaster patterns

QUALITY ASSURANCE REVIEW:

Dr. Robert Kim, Chief of Emergency Medicine

"The statistical clustering of these presentations is unprecedented in my 20 years of emergency medicine. The consistency of symptom patterns and the geographic concentration strongly suggest a shared environmental stressor or traumatic event affecting the entire community."

"Most concerning is the pediatric presentation pattern - children describing specific traumatic imagery weeks before the official incident suggests ongoing perpetrator contact with community members, particularly minors."

"Medical staff reported multiple patients used identical phrases when describing their symptoms, suggesting either shared experience or coordinated trauma response. Recommend psychiatric evaluation for medical staff showing secondary trauma symptoms."

INVESTIGATIVE SIGNIFICANCE:

Medical records establish timeline of community impact extending months before official incident
Pattern suggests perpetrator maintained long-term local presence
Pediatric presentations indicate children may be key witnesses
Community-wide trauma response confirms significance of crime

ONGOING MONITORING: Monthly statistical analysis continues

RECOMMENDATION: Long-term mental health support for affected community

Liaison: Det. Taylor | Medical Examiner: ██████

RIVERSIDE GENERAL HOSPITAL

EMERGENCY DEPARTMENT PATTERN ANALYSIS