International Collaborative Effort -ICE- on Injury Statistics Lois A. Fingerhut, Chair Special...
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International International Collaborative Effort Collaborative Effort
-ICE- -ICE- on Injury Statisticson Injury Statistics
Lois A. Fingerhut, ChairLois A. Fingerhut, ChairSpecial Assistant for Injury Special Assistant for Injury
EpidemiologyEpidemiologyOffice of Analysis and EpidemiologyOffice of Analysis and Epidemiology
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICESCenters for Disease Control and PreventionNational Center for Health Statistics
The International The International Collaborative Effort (ICE) Collaborative Effort (ICE)
on Injury Statisticson Injury Statistics An international activity of the Centers An international activity of the Centers
for Disease Control and Prevention's for Disease Control and Prevention's (CDC) National Center for Health (CDC) National Center for Health Statistics (NCHS)Statistics (NCHS)
Annual meetings since May 1994Annual meetings since May 1994
Proceedings and presentations Proceedings and presentations available on our websiteavailable on our website www.cdc.gov/nchs/advice.htmwww.cdc.gov/nchs/advice.htm
Goals of the ICE onGoals of the ICE onInjury StatisticsInjury Statistics
Provide essential data for Provide essential data for understanding causes of injury understanding causes of injury and effective means of and effective means of preventionprevention
Provide a forum for international Provide a forum for international experts in injury prevention and experts in injury prevention and control to discuss data issuescontrol to discuss data issues
Participating CountriesParticipating Countries
Early membersEarly members Australia, Canada, Denmark, England Australia, Canada, Denmark, England
and Wales, France, New Zealand, and Wales, France, New Zealand, Netherlands, Norway, Scotland, South Netherlands, Norway, Scotland, South Africa, Thailand, St. Lucia, United StatesAfrica, Thailand, St. Lucia, United States
Recent additionsRecent additions Argentina, Barbados, Brazil, Chile, Argentina, Barbados, Brazil, Chile,
Colombia, Mexico, Nicaragua, Puerto Colombia, Mexico, Nicaragua, Puerto RicoRico
Organizational Organizational CollaborationsCollaborations
Pan American Health OrganizationPan American Health Organization European Union/CommissionEuropean Union/Commission World Health Organization (WHO) World Health Organization (WHO)
Center Heads for ClassificationCenter Heads for Classification Washington City Group (measurement Washington City Group (measurement
of disability)of disability) International Society for Violence and International Society for Violence and
Injury PreventionInjury Prevention
International Requests for International Requests for ICE AssistanceICE Assistance
International Classification of International Classification of External Causes of InjuryExternal Causes of Injury Development and maintenance of this Development and maintenance of this
classification (now accepted by WHO)classification (now accepted by WHO)
Mortality Reference Group of WHOMortality Reference Group of WHO Methodology for selecting a main injury Methodology for selecting a main injury
among multiple causes of deathamong multiple causes of death
Injury ICE ProjectsInjury ICE Projects Reporting FrameworksReporting Frameworks
External causes of injury mortality and morbidityExternal causes of injury mortality and morbidity Injury diagnoses for both morbidity and Injury diagnoses for both morbidity and
mortalitymortality Injury indicatorsInjury indicators Selecting a main injury among multiple Selecting a main injury among multiple
causes causes of deathof death
International Classification of Diseases-- International Classification of Diseases-- comparability and definitionscomparability and definitions
Occupational injury measures Occupational injury measures Household survey questions about injuriesHousehold survey questions about injuries Poisoning – definition and classification Poisoning – definition and classification
questionsquestions Injury severity measuresInjury severity measures
AdvICE list…AdvICE list…
Send SMTP message to [email protected] and type in the body of e-mail "Subscribe AdvICE-Users" followed by your full name.
What’s Next for the ICE ?What’s Next for the ICE ? Next meeting- September 7-8 in DC Next meeting- September 7-8 in DC Broadening outreach to include more Broadening outreach to include more
countries with injury experts interested countries with injury experts interested in data-related activitiesin data-related activities
Following-up on Cuernavaca meeting to Following-up on Cuernavaca meeting to foster focus on surveillance of nonfatal foster focus on surveillance of nonfatal injuriesinjuries
Establishing workgroups on measuring Establishing workgroups on measuring severity and defining indicatorsseverity and defining indicators
Seeking guidance on funding sources…..Seeking guidance on funding sources…..
International International injury death rate injury death rate
comparisonscomparisonsBased on data provided from Based on data provided from
Cuernavaca meeting Cuernavaca meeting participants in June 2005, participants in June 2005,
updated to reflect most recent updated to reflect most recent data years available for each data years available for each
countrycountry
Age-adjusted injury death rates: Age-adjusted injury death rates: most recent years available most recent years available
ranging from 2000-2004ranging from 2000-2004
0.0 20.0 40.0 60.0 80.0 100.0 120.0 140.0 160.0
England& Wales
The Netherlands
Northern Ireland
Australia
Canada
Austria
Denmark
New Zealand
Eastern Caribbean
Chile
Argentina
Nicaragua
United States
Puerto Rico
Mexico
Brazil
Colombia
South Africa
Deaths per 100,000 population
Age-adjusted injury death rates by Age-adjusted injury death rates by intent: most recent years available intent: most recent years available
ranging from 2000-2004ranging from 2000-2004
0.0 20.0 40.0 60.0 80.0 100.0 120.0 140.0 160.0
England& Wales
The Netherlands
Northern Ireland
Australia
Canada
Austria
Denmark
New Zealand
Eastern Caribbean
Chile
Argentina
Nicaragua
United States
Puerto Rico
Mexico
Brazil
Colombia
South Africa
Deaths per 100,000 population
Unintentional
Suicide
Homicide
Undetermined
Legal/other
Injury death rates for children 1-Injury death rates for children 1-14 years: most recent years 14 years: most recent years
available ranging from 2000-2004available ranging from 2000-2004
0 10 20 30 40 50 60
England&Wales
Austria
Netherlands
Denmark
Puerto Rico
N Ireland
Australia
Canada
Chile
United States
Nicaragua
Brazil
Argentina
Mexico
Colombia
New Zealand
South Africa
Deaths per 100,000 population
In most countries, motor vehicle-trafficdeaths are the leading cause of injurydeath for this age group; in some countries, drowning leads all other causes of fatal injury.
Injury death rates for teens and young Injury death rates for teens and young adults 15-24 years- most recent years adults 15-24 years- most recent years
available ranging fromavailable ranging from 2000-2004 2000-2004
0 20 40 60 80 100 120 140 160 180
Netherlands
England&Wales
Denmark
N Ireland
Australia
Austria
Canada
Chile
Eastern Carib
Nicaragua
Mexico
New Zealand
Argentina
United States
Puerto Rico
Brazil
South Africa
Colombia
Deaths per 100,000 population
Motor vehicle traffic deaths were the leading causeof injury death in each of these countries.
Firearms were the leading cause of injury death in these countries.
Injury death rates for persons 35-Injury death rates for persons 35-54 years of age: most recent years 54 years of age: most recent years available ranging from 2000-2004available ranging from 2000-2004
0 50 100 150 200
New Zealand
Netherlands
England&Wales
N Ireland
Australia
Austria
Canada
Denmark
Argentina
Nicaragua
Chile
Eastern Carib
Puerto Rico
Mexico
United States
Brazil
Colombia
South Africa
Deaths per 100,000 population
Injury death rates for persons 65 Injury death rates for persons 65 years and older: most recent years years and older: most recent years available ranging from 2000-2004available ranging from 2000-2004
0 50 100 150 200 250
Puerto Rico
Eastern Carib
England&Wales
N Ireland
New Zealand
Australia
Argentina
Netherlands
Canada
Brazil
South Africa
United States
Chile
Colombia
Austria
Nicaragua
Mexico
Denmark
Deaths per 100,000 popualtion
With few exceptions, falls arethe leading cause of injury death.Exceptions include PR, Argentina,S Africa and Colombia where MVT was the leading cause.