An overview of Injury Mortality in Argentina Ingrid Waisman, MD Committee for Accident Prevention...
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An overview of Injury Mortality in Argentina Ingrid Waisman, MD Committee for Accident Prevention Sociedad Argentina de Pediatría
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Transcript of An overview of Injury Mortality in Argentina Ingrid Waisman, MD Committee for Accident Prevention...
An overview of Injury Mortality in Argentina
Ingrid Waisman, MDCommittee for Accident PreventionSociedad Argentina de Pediatría
Historical evolution of Injury Mortality Rate and Infant Mortality Rate. Argentina. 1990-2003
10
20
30
40
50
60
All Injury 55 54,4 54,8 54,9 55,3 52,8 54,7 54,9 54,8 54,3 52,3 53,1 51,9 50
Unintentional 32,6 32,4 31,8 32,8 31,4 28 27,8 28,6 30,5 29,5 28,3 26,5 25,4 27,2
Infant Mortality 25 24,2 23,6 22,5 21 21,7 20,5 19,4 19,1 19 18 16,3 16,8 16,5
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003
-10%
-34%
-8,3%
First 10 causes of death. Argentina 2003
Causes All <1 1 - 4 5 - 14 15 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 74 75 and older
1Cardiac and Circulatory Perinatal
Injury Unintentional
Injury Unintentional
Injury Unintentional
Injury Unintentional Tumors Tumors Tumors
Cardiac and Circulatory
Cardiac and Circulatory
2 TumorsCongenital malformation Respiratory Tumors
Injury Homicide Infectious
Cardiac and Circulatory
Cardiac and Circulatory
Cardiac and Circulatory Tumors Respiratory
3 Respiratory Respiratory Infectious RespiratoryInjury Suicide Tumors
Injury Unintentional Respiratory Respiratory Respiratory Tumors
4 Ill-defined Ill-definedCongenital malformation Ill-defined
Injury Undetermined
Injury Homicide Infectious Ill-defined Ill-defined Ill-defined Ill-defined
5 Infectious Infectious Ill-definedCardiac and Circulatory Tumors
Cardiac and Circulatory Respiratory
Injury Unintentional Diabetes Diabetes Infectious
6Injury Unintentional
Injury Unintentional Malnutrition Infectious Respiratory
Injury Suicide Ill-defined Infectious Infectious Infectious
Genitourinary
7 Diabetes Circulatorio TumorsCongenital malformation
Cardiac and Circulatory Respiratory
Injury Suicide Liver
Injury Unintentional
Genitourinary Diabetes
8Genitourinary Malnutrition
Cardiac and Circulatory
Injury Suicide Ill-defined Ill-defined
Injury Homicide Diabetes
Genitourinary
Injury Unintentional Psychiatric
9 Perinatal Meningitis MeningitisInjury Homicide Infectious
Injury Undetermined
Injury Undetermined
Injury Suicide Liver Liver
Injury Unintentional
10Injury Suicide Tumors
Injury Undetermined
Injury Undetermined Pregnancy Pregnancy Liver
Genitourinary
Injury Suicide Psychiatric Malnutrition
0
500
1000
1500
2000
2500
3000
3500
4000
<1 1-4 5-14 15 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 74 75 andolder
Injury by intention. Age groups. Argentina 2003
Undetermined
Homicide
Suicide
Unintentional
90,9% 88,6% 76,4% 40,6% 48,1% 52,2% 55,4% 57,4% 61,1% 73,8%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Unintentional Injury. Age group 1 to 14 years. Argentina, 2003
Fall 2%
Firearm 2,1%
Posisoning 3,6%
Suffocation 5,8%
Unspecified 15,8%
All other 17,9%
Drowning 22,4%
Transport 30,4%
From: Direccion de Estadisticas e Informacion de Salud, Ministry ofHealth, Argentina. Database 2003
Chubut
Santa Cruz
Salta
Buenos Aires
Rio Negro
Cordoba
Mendoza
La Pampa
Santa Fe
Chaco
Neuquen
La Rioja
San Juan
San Luis
Catamarca
Jujuy
Corrientes
Formosa
Entre Rios
Santiago del EsteroMisionesTucuman
Tierra del Fuego
Ciudad Bs As
Population Density
DENSIDAD_D
0,80000 - 6,90000
6,90001 - 22,60000
22,60001 - 59,40000
59,40001 - 303,00000
303,00001 - 13679,00000
ARGENTINAPopulation Density
Country Populationdensity: 13,8 inhabitantsper sq km
From: INDEC, 2003
Population: 37.869.723Area: 2,7 million sq km
Chubut
Santa Cruz
Salta
Buenos Aires
Rio Negro
Cordoba
Mendoza
La Pampa
Santa Fe
Chaco
Neuquen
La Rioja
San Juan
San Luis
Catamarca
Jujuy
Corrientes
Formosa
Entre Rios
Santiago del EsteroMisionesTucuman
Tierra del Fuego
Ciudad Bs As
NBI Percent
PORC_NBI
7,80000 - 10,40000
10,40001 - 15,80000
15,80001 - 21,50000
21,50001 - 28,80000
28,80001 - 33,60000
ARGENTINAUnsatisfied basic needs(Percent)
Country: 17,7%Ciudad Buenos Aires: 7,8%
From: INDEC, 2001
Chubut
Santa Cruz
Salta
Buenos Aires
Rio Negro
Cordoba
Mendoza
La Pampa
Santa Fe
Chaco
Neuquen
La Rioja
San Juan
San Luis
Catamarca
Jujuy
Corrientes
Formosa
Entre Rios
Santiago del EsteroMisionesTucuman
Tierra del Fuego
Ciudad Bs As
Population/Vehicles
HABIT_VEHI
1,77807 - 2,74563
2,74564 - 3,83267
3,83268 - 5,39065
5,39066 - 8,26291
8,26292 - 10,56027
ARGENTINA:Inhabitants per vehicle
Country: 3,58 inhab. Per vehicleCiudad Buenos Aires: 1,78
From: Registro Nacional de AntecedentesDe Tránsito, 2003
Chubut
Santa Cruz
Salta
Buenos Aires
Rio Negro
Cordoba
Mendoza
La Pampa
Santa Fe
Chaco
Neuquen
La Rioja
San Juan
San Luis
Catamarca
Jujuy
Corrientes
Formosa
Entre Rios
Santiago del Estero
MisionesTucuman
Tierra del Fuego
Ciudad Bs As
All InjuryMortalityRate
TASAMORTCE
29- 35
36 - 41
42-49
50 - 58
59 - 80
ARGENTINA:All Injury Mortality Rate
From: Direccion de Estadisticas e Información de Salud, 2003
Country: 48,2%ooo
Chubut
Santa Cruz
Salta
Buenos Aires
Rio Negro
Cordoba
Mendoza
La Pampa
Santa Fe
Chaco
Neuquen
La Rioja
San Juan
San Luis
Catamarca
Jujuy
Corrientes
Formosa
Entre Rios
Santiago del Estero
MisionesTucuman
Tierra del Fuego
Ciudad Bs As
UnuntentionalInjury MortalityRate
TASAMORTAC
15 - 20
21-23
24-26
27-32
33-40From: Direccion de Estadisticas e Información de Salud, 2003
ARGENTINA:Unintentional Injury
Country: 27%ooo
Chubut
Santa Cruz
Salta
Buenos Aires
Rio Negro
Cordoba
Mendoza
La Pampa
Santa Fe
Chaco
Neuquen
La Rioja
San Juan
San Luis
Catamarca
Jujuy
Corrientes
Formosa
Entre Rios
Santiago del Estero
MisionesTucuman
Tierra del Fuego
Ciudad Bs As
MVTMortalityRate
TASAMORTMV
3-5
6-8
9-11
12-14
15-18
ARGENTINA:MVT Injury
From: Direccion de Estadisticas e Información de Salud, 2003
Country:8,9%ooo
Firearm 0-4,35
4,35-6,85
6,85-9,18
9,18-14,16
ARGENTINAFirearm Mortality Rate
Country: 9,9 %ooo
Ciudad de Buenos Aires: 8,32%ooo
From: Direccion de Estadisticas e Información de Salud, 2003
Chubut
Santa Cruz
Salta
Buenos Aires
Rio Negro
Cordoba
Mendoza
La Pampa
Santa Fe
Chaco
Neuquen
La Rioja
San Juan
San Luis
Catamarca
Jujuy
Corrientes
Formosa
Entre Rios
Santiago del Estero
MisionesTucuman
Tierra del Fuego
Distrito Federal
Chubut
Santa Cruz
Salta
Buenos Aires
Rio Negro
Cordoba
Mendoza
La Pampa
Santa Fe
Chaco
Neuquen
La Rioja
San Juan
San Luis
Catamarca
Jujuy
Corrientes
Formosa
Entre Rios
Santiago del Estero
MisionesTucuman
Tierra del Fuego
Distrito Federal
InfantMortalityRate
TMI
8 - 12
13 - 15
16-17
18-23
24-28
NBI Percent
PORC_NBI
7,80000 - 10,40000
10,40001 - 15,80000
15,80001 - 21,50000
21,50001 - 28,80000
28,80001 - 33,60000
Relationship between Unsatisfied Basic Needs and Infant Mortalityr= 0,71
Unintentional injury and Infant Mortality rate
Chubut
Santa Cruz
Salta
Buenos Aires
Rio Negro
Cordoba
Mendoza
La Pampa
Santa Fe
Chaco
Neuquen
La Rioja
San Juan
San Luis
Catamarca
Jujuy
Corrientes
Formosa
Entre Rios
Santiago del Estero
MisionesTucuman
Tierra del Fuego
Distrito Federal
Chubut
Santa Cruz
Salta
Buenos Aires
Rio Negro
Cordoba
Mendoza
La Pampa
Santa Fe
Chaco
Neuquen
La Rioja
San Juan
San Luis
Catamarca
Jujuy
Corrientes
Formosa
Entre Rios
Santiago del Estero
MisionesTucuman
Tierra del Fuego
Distrito Federal
UnuntentionalInjury MortalityRate
TASAMORTAC
15 - 20
21-23
24-26
27-32
33-40
InfantMortalityRate
TMI
8 - 12
13 - 15
16-17
18-23
24-28
Comparison between unintentional injury mortality rates and infant mortality ratesr= - 0,0029
Injury Mortality in Argentina. Comments
• Is a major public health problem• Injury Mortality is significant in all age groups• This situation has not improved through time• There is little social or political awareness of the
magnitude of injury mortality and morbidity• There is no relation between Injury Mortality rates
and levels of poverty, or Infant Mortality rates.
