Clarifying methods and interpretations in law enforcement mortality surveillance: response to Kamal

We appreciate the opportunity to clarify our methodological decisions and acknowledge limitations inherent to population-based mortality studies. Our analysis established a transparent, reproducible baseline of mortality risk for U.S. law enforcement officers using population-wide data—with the understanding that available NOMS data make our findings period-specific. We view this work as a foundation upon which more finely resolved analyses incorporating active-duty indicators, service length, and post-retirement trajectories can build. Constructive engagement such as Dr. Kamal's will help ensure that future investigations continue to refine our understanding of occupational mortality among LEOs in the United States.