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 Statistics on Injury Statistics Lois A. Fingerhut, Chair Lois A. Fingerhut, Chair Special Assistant for Injury Special Assistant for Injury Epidemiology Epidemiology Office of Analysis and Office of Analysis and Epidemiology Epidemiology U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National Center for Health Statistics

Transcript of International Collaborative Effort -ICE- on Injury Statistics Lois A. Fingerhut, Chair Special...

Page 1: International Collaborative Effort -ICE- on Injury Statistics Lois A. Fingerhut, Chair Special Assistant for Injury Epidemiology Office of Analysis and.

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

Page 2: International Collaborative Effort -ICE- on Injury Statistics Lois A. Fingerhut, Chair Special Assistant for Injury Epidemiology Office of Analysis and.

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

Page 3: International Collaborative Effort -ICE- on Injury Statistics Lois A. Fingerhut, Chair Special Assistant for Injury Epidemiology Office of Analysis and.

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

Page 4: International Collaborative Effort -ICE- on Injury Statistics Lois A. Fingerhut, Chair Special Assistant for Injury Epidemiology Office of Analysis and.

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

Page 5: International Collaborative Effort -ICE- on Injury Statistics Lois A. Fingerhut, Chair Special Assistant for Injury Epidemiology Office of Analysis and.

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

Page 6: International Collaborative Effort -ICE- on Injury Statistics Lois A. Fingerhut, Chair Special Assistant for Injury Epidemiology Office of Analysis and.

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

Page 7: International Collaborative Effort -ICE- on Injury Statistics Lois A. Fingerhut, Chair Special Assistant for Injury Epidemiology Office of Analysis and.

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

Page 8: International Collaborative Effort -ICE- on Injury Statistics Lois A. Fingerhut, Chair Special Assistant for Injury Epidemiology Office of Analysis and.

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.

Page 9: International Collaborative Effort -ICE- on Injury Statistics Lois A. Fingerhut, Chair Special Assistant for Injury Epidemiology Office of Analysis and.

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…..

Page 10: International Collaborative Effort -ICE- on Injury Statistics Lois A. Fingerhut, Chair Special Assistant for Injury Epidemiology Office of Analysis and.

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

Page 11: International Collaborative Effort -ICE- on Injury Statistics Lois A. Fingerhut, Chair Special Assistant for Injury Epidemiology Office of Analysis and.

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

Page 12: International Collaborative Effort -ICE- on Injury Statistics Lois A. Fingerhut, Chair Special Assistant for Injury Epidemiology Office of Analysis and.

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

Page 13: International Collaborative Effort -ICE- on Injury Statistics Lois A. Fingerhut, Chair Special Assistant for Injury Epidemiology Office of Analysis and.

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.

Page 14: International Collaborative Effort -ICE- on Injury Statistics Lois A. Fingerhut, Chair Special Assistant for Injury Epidemiology Office of Analysis and.

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.

Page 15: International Collaborative Effort -ICE- on Injury Statistics Lois A. Fingerhut, Chair Special Assistant for Injury Epidemiology Office of Analysis and.

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

Page 16: International Collaborative Effort -ICE- on Injury Statistics Lois A. Fingerhut, Chair Special Assistant for Injury Epidemiology Office of Analysis and.

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.

Page 17: International Collaborative Effort -ICE- on Injury Statistics Lois A. Fingerhut, Chair Special Assistant for Injury Epidemiology Office of Analysis and.

Thank youThank you

[email protected]@cdc.gov

301-458-4213301-458-4213