And anyone at any age can suffer an injury that causes substantial deterioration of health and permanently alters the course of that person's life.

During its last decade, the regime of Saddam Hussein cut public health funding by 90 percent, contributing to a substantial deterioration in health care.

Urbanization, mining and agriculture have caused substantial deterioration of the watershed.

During this period while her hull and propulsion system remained in reasonable order, there was a substantial deterioration in the reliability of her combat systems and they ceased to be entirely viable.

Inspection of the (then) survivors revealed that four out of five showed substantial deterioration.

The flip side of the 80 percent increase in airline industry productivity claimed by the two professors is a substantial deterioration in the standard of living of airline workers.

There was a substantial deterioration.

"It had many violations and a substantial deterioration of the exterior masonry and roofing."

But they concluded that this would not result in "any substantial deterioration in the inflation climate."

The Commission' s proposal to reduce the monthly increments would mean another substantial deterioration in farm incomes.