Since the United States Congress was established with the 1st Congress in 1789, fifteen of its members have been killed while in office, and thirteen have suffered serious injuries from attacks. The members of Congress were either injured or killed by someone intending serious harm, or there is evidence of lethal intent by an unknown assailant (such as the two congressmen who died of the National Hotel disease). The first member of Congress to be killed or wounded in office was Henry Wharton Conway who was killed in a duel in 1827. The most recent death occurred in 1983 when Korean Air Lines Flight 007, carrying Larry McDonald, was shot down over the Pacific Ocean. The most recent Congress member to be injured was Rand Paul who was tackled from behind by his neighbor in 2017.