As is the case with so many child sexual abuse cases, the man manipulated and terrified Sam with threats of what would happen if he told anybody.

Sam kept quiet, but the abuse affected him profoundly.

With a population topping 2.9 million, that’s an estimated .7 offenses for every 1,000 residents in 2015 followed by .66 per 1,000 residents in 2016.

Based on the amount of incidents reported in 20, Iron County saw nearly five times the amount of sex offenses against children per capita when compared to the statewide average. Department of Health and Human Services indicated Utah reported the eighth highest amount of offenses in 2015.

Multiple genes are missing as a result of this deletion, and each may contribute to the symptoms of the disorder.

One of the deleted genes is TERT (telomerase reverse transcriptase).

In one class, Sam forgot an an assignment, and the teacher gave him two weeks of detention. He desperately wanted to tell people what was happening, but because of his declining grades and withdrawn behavior, there were few welcoming sources of support.

He was raised in a very small town, the type where the school principal is also an elected official, and one of his parents was employed by the school district. When Sam walked into a school counselor’s office, ready to disclose, he was turned away by an employee who assumed he was there to talk about college applications.

Documents state that Burk contacted a 17-year-old girl via social media on June 1, after she posted that she wanted to get out of her house.

Burk told the teen he would pick her up if she agreed to have sex with him.

In contrast, Washington County, whose population size is nearly triple that of Iron County’s at 147,800, reported 249 offenses in 2016 and 275 in 2015 – 1.9 and 1.7 per 1,000 residents, respectively. According to the Utah Department of Child and Family Services, 2,023 substantiated incidents were verified during the 2015 Fiscal Year.

A slight decrease to 1,909 was reported in FY 2016.

It usually becomes less noticeable as the baby gets older, making it difficult for doctors to diagnose cri-du-chat after age two.