The performance of safe community promotion committee Of ... · Nutritionist ِ 1.0 Optician 1.0...

The performance of safe community promotion committee Of Neyriz district

Title………………………………………………………………………………..........Page -An introduction to Neyriz………………………………………………………………………………. 1

-Indicator no1………………………………………………………………………………………………5

Efforts taken place toward to indicator no 1:………………………………………………………………………………5 The chairman of safe community committee …………………………………………………………………………….6

The Clerk of the committee…………………………………………………………………………………………………..6

Tasks of committee members…………………………………………………………………………………………….6

Method of follow up and harmonizing the activities…………………………………………………………………….7

- Indicator 2…………………………………………………………………………………………..........8 Efforts taken places toward to indicator no 2………………………………………………………………………………8

Intervention in places………………………………………………………………………………………………………. …11

Traffic passage…………………………………………………………………………………………………………………..11

Works places……………………………………………………………………………………………………………………14

Kindergartens and schools……………………………………………………………………………………………………14

Homes……………………………………………………………………………………………………………………………16

Sport places…………………………………………………………………………………………………………………….17

Recreational Places…………………………………………………………………………………………………………..18

Efforts taken place for age group…………………………………………………………………………………………..19

Efforts taken place for o-14 age group…………………………………………………………………………………….19

Efforts taken place for 14-24 age group……………………………………………………………………………………20

Efforts taken place for 25-64 age group…………………………………………………………………………………….22

Efforts taken place for 65< age group………………………………………………………………………………………24

-Indicator no 3………………………………………………………………………………………… 26 Motorcycle riders…………………………………………………………………………………………………………26

Suicide………………………………………………………………………………………………………………………28

Burn………………………………………………………………………………………………………………………….28

-Indicator no 4…………………………………………………………………………………………………………….....30

Efforts taken for indicator no 4…………………………………………………………………………………………….30

The sources of collecting the statistics of injuries involving…………………………………………………………..30

The sources of collecting data of mortalities……………………………………………………………………………..31

The sources of disabilities ' data- collecting……………………………………………………………………………..31

The sources of collecting the data of other accidents & injuries ……………………………………………………..31

-Indicator no 5……………………………………………………………………………………………………………… 38

Efforts taken place for indicator no5……………………………………………………………………….. 38 -Indicator no 6…………………………………………………………………………………………..45

- Others activity…………………………………………………………………………………………………..46

An introduction to Neyriz: Neyriz is located in the longitude of 19o54' and the latitude of 12o29'.Its area is about 10630 square kilometers and has

consist of 8.6 percent of the whole area of the province to itself and it is 1600 meters above the sea level. This

township is located in the east part of Fars province and is surrounded by Arsanjan and Bavanat cities north, to Shiraz

and Estahban west to Darab and Estahban south and to Kerman province from the east. Neyriz is 200 km far from

Shiraz (center of Fars province). Since this district is close to Kerman and Hormozgan province, there is the transiting

the products of this region to Bandar Abbas port approximately seven- hour road distance. The average annual

temperature of the area is 17.8o centigrade which varies from 4.5 to 38 degrees centigrade. The maximum relative

humidity is 47 percent and its minimum range is 24 percent, the number of annual cold period is 42 days and the

average range of raining is about 180 mm. This is includes AbadehTashk and Meshkan cities, 3 part and 455 villages.

According to the census of 2008 its population is about 112339.

Tourism attractive centers:

Jam Kabir mosque, S.P.R castle, the shrine of Hassan and Hosein, the shrine of khaje Ahmad Ansari, the shrine of

kameledin Ardebili ( Pire Morad) , the shrine of sultan seyyed Ebrahim, Neyriz caravansary, Bakhtegan lake and its

protected region, Narges island , Tarom waterfall, Bahrame- goor protectec region and …..

Fig.1. Jam Kabir mosque

Fig.2.productions of Neyriz

1

District of Neyrizlation Information General Popu :1Table

Table1: 52.6%of population lives in urban areas &47.4%live in rural areas

Students Elementary To High SchoolInformation ofGeneral :2Table District rizey Nni

.high school%29 school and mild% 28, )The most of them(elementary of students were % 43Describes: 2Table

2

Total Number of Students

School Total Number of Level of School

8414 49 Elementary School● 5356 58 Mid School ● 5622 42 High School ● 19392 194 Total

Students College Number of University and Total Number ofTotal :3Table

District rizeyN Population at

DistrictrizeyN ofRoad City In and Out ofSituation :4Table

Table4: 85% of Neyriz district roads are rural route.

District rizeyN of Fields Sport of NumberTotal : 5Table

.

3

Total Number of College Students

University Total Number of

3000 Azad Islamic University●

1800 Scientific- Professional University ●

1032 University Paiam-E-Nour●

380 Academy- School Neyriz-Fazl- E●

6212 Total

Length Accessible Roads (KM)

Description

5 Freeway ● 147 Main Road● 226 Wide Minor Road Branch With Asphalt surface● 244 Village Road With Asphalt surface● 92 Village Road With sub base surface ● 292 Village Road Without sub base surface ●

1006 Total

TotalVillage City Description

20 1 19 Total Number of Covered Sport Stadium ● 3 0 3 Total Number of Sport Places with Grass covered ● 34 30 4 Total Number of Sport Field without Grass covered ● 60 30 30 Total Number of Male Sport Board ● 50 25 25 Total Number of Female Sport Board ●

The status of local &suburb Neyriz district industries: Neyriz is considered as an industrial township having 5 factories such as white cement, steel company, sport Ring company, Sirik

Rah company, Mazrea Sabz factory ) 6 mines , 150 stone cutting firms , 200 furnaces of baking bricks and about 4000 workers.

District rizeyN entersCervice Ss of HealthIndicated the situation: 6Table

Table6: explain centers of health services. In this table almost of the inpatients served by government owned hospital and outpatients services by both private & government sectors.

4

resent Situation P Description

112339 Population ( Person)●

8835 Community with age Less than 5 years old ●

17.1 Rate of Fertility( per 1000 Person)●

4.5 Rate of Mortality( per 1000 Person )●

12.6 Population Growth ( per 1000 Person)●

10.6 ) 2

Population density ( per Km●

51.2 ):% City Community (Percent●

48.8 ):% Rural Community (Percent●

1.0 Total Number of Governmental Hospital ●

11.0 Total Number of Governmental Health centers

●

40.0 Total Number of the Rural Health Centers ●

: Number of Private Practice SectorsTotal ●

14.0 General Practitioner 13.0 Physician Specialize 7.0 Dentist

3.0 Midwifery

1.0 Nutritionist

1.0 Optician

1.0 Optometry

2.0 Physical Therapy 4.0 Dentistry

-Non ( Private Number of Total: Polyclinic)Government& Government

●

1.0 &T.C. Centers Detoxify 2.0 Laboratory 1.0 Radiology

1.0 Sonography

9.0 Pharmacy

4.0 Emergency Service Centers

5.0 Ambulance Vehicles

1.0 Emergency Communication Dispatch Centers

1.0 Polyclinic Government

1.0 Physical therapyGovernment

1.0 : Hospital●

90.0 Total Number of Beds 69% Rates of Occupied Bed

Internist, Pedi, )♂ ER, CCU, OR (♀& Hemodialysis, Thalassemia, Delivery Dept.

Active Departments

1-Indicator no1: 1. An infrastructure based on partnership and collaborations, governed by a cross- sectional group that is responsible for safety promotion in their community;

1- 1-Efforts taken place toward to indicator no 1: Accidents are considered as the main cause of death, allocating 19.24 percent of the whole mortalities, after heart

disease as the second cause of death based upon fact, accidents have distinctive, cause and possible to prevention that

requires paying attention to this problem and the collaboration of all related organizations play role in its effective

groups, therefore establishing a effective group prevention is necessary in this issues. .

Neyriz Health Centre has started the prevention of accidents with applying safe community model. In late 2004 it was

introduced to the ministry of health and medical education in order to perform the "safe community" program.

According to multi-activities of the" safe community" were followed more strictly since 2005.

District rizeyN in "Safe Community "Members of :1Box Organization

Involve tthis program fficial MemberO-Un emberfficial MO

Head of Local Gas department City Governor(Head of Organization) 1

Head of Local Islamic Cultural & Guidance Head of Local Health Organization (Secretariat)2

Head of Local Sport Offices Head of Local Civil, Road Construction & Transportation Office

3

Head of Local Agricultural Offices Local Police Department4 Head of Local Guild Affairs Head of Local Educational Department5

Head of Local Media Station Local Mayor 6

Head of Local Cultural & Tourism Industry Head of Local Labor Department & Social Services7

Head of Local Insurance Office Head of Local City Councilor8

Chief Commander of Local National GuardPublic Prosecutor9

Representative of Local Welfare OfficeRepresentative of Martyrs Hospital10

Head of Local The Red Crescent11

Representative of Local Islamic Revolution House Foundation 12

Techno-Profession Center Head of Local13

Head of Local Department of Motor Vehicles (DMV)14

Chief Commander of Highway Patrol Police15

Head of Local House & town Foundation16

Local Representative of Islamic Parliament17

Head of Local Electrical Power Department 18

Local Representative of Islamic Educational Organization 19

5

1-2-The chairman of safe community committee:

The county governor is the chairman of safe community committee and his /her tasks are as follows:

- Active attendance in all of the meetings.

- Supervising the process of performing the activities.

- Identify the supervising group.

- Making decisions on the schedule of the meeting.

- Financial support of the safe community program.

- Reporting the efforts taken place to administrators and safe community committee of the province.

Fig.3.SafeCommunity Committee meeting

1-3-The Clerk of the committee: The chief of health centre is the clerk of the committee member and his/her tasks are as fallows:

- Organizing & forming the Committee meetings according regularly.

- Establishing coordination between the members.

- Collecting the statistics of accidents and analyzing data.

- Providing comprehensive reports about the performance of the committee members to the province one annually.

- Organizing the schedule of the meetings by harmonizing the members.

- Organizing the final operation program of the committee.

- Harmonizing in order to regulate the operation program of other members.

- Notifying the determined tasks of the members in the committee.

1-4-Tasks of committee members: - Identifying the reasons and risky spots of the activity field of each member.

- Determining the priorities of operational programs considering safety according to the region's condition.

- Offering the operational program of the field of activity.

- Surveying the needs and educational programming for different groups.

- Programming in order to cover promoting the safety of whole environment.

- Supervising and estimating all the programs connected with safety issue within the under controlled region.

- Providing the operational program financially.

- Performing research programs within the region.

- Communication with other safe communities.

6

1-5-Method of follow up and harmonizing the activities: The program of the committee have meetings' timetable with specific date and place announce by the city

governor monthly base for one year period .The meeting process confirm by county governor & inform by the

secretariat A week in advance and invites all the permanent members and temporary ones( if necessary)

according to the schedule of the meeting. The meeting's resolutions are notified to the members after the

governor’s approval. The members are charged to perform the resolutions within the determined the progress and

results during period of time to the secretariat clerk responsible for report the performance related to previous

resolutions for assessment by the committee members.

District Neyriz in " Safe Community" of ProcessFunctional : 7Table

Average

Attendance of Invited People

(%)

Present Applied Confirm Decision

Not Applied Confirm Decision

Applied Confirm Decision

Confirm Decision

Annual Meeting

Year

96% 2 0 48 50 8 2005

98% 1 0 93 94 10 2006

96% 5 0 140 145 14 2007

97% 42 10 123 175 18 2008

96.5% 50 10 404 464 50 Total

Table7: illustrates increasing trend of safe community committee performance during 2005_2008.

7

2- Indicator 2: Long-term sustainable programs covering genders and all ages, environments, and situations;

2-1-efortse taken places toward to indicator no 2: A three –year operational program for all age & gender, different environments and also some priorities in the

district accidents such as suicide, burn, and motorcycle rider’s crush is provided with the collaboration of all the

related organizations.

Titles of Prepared Practical Programs and Percent Progress Rates Based upon : 2Box )Secretariat (Community Safe District Neyriz, sTable'Gant

8

2008Situation on Predicted progress

ResponsibleOrganization

Prepared by Description

7% 7% "Safe Community" Group

Safe Community(Secretariat) Family Health

School Health

Increase accident Prevention ● Upon High risk Age Group (Children, Elderly, School Age


Safe Community(Secretariat)Occupational Health

Environment Health

Increase workplace Safeties●


Health CenterIncrease Burn Prevention●


Health CenterDepartment of Motor Vehicle

Increase Motorcycle Drivers Safeties●


Health CenterSafe Community(Secretariat)

Increase School Safeties●


Safe Community(Secretariat)Increase Kindergartens Safeties●

Program started on 2009

"Safe Community" Group

Safe Community(Secretariat)Health Center

Prevention of Suicides●


Mayor Safe Community(Secretariat)

Increase Safeties of Parks ●


Safe Community(Secretariat)Increase Safeties of Residential Home ●

Program started on 2009Summer

"Safe Community" Group

Health CenterSafe Community(Secretariat)

Increase Public Cooperation ●

in process "Safe Community" Group

Local Civil, Road Construction & Transportation Manager

●Increase Safeties of outer-city Passages


Police of Highway Patrol, Neyriz – Sirjan Cities

●Decrease Outer-City Road Accidents


Head of Local Electrical Power Department

●Increase Awareness of Public Related to Accidents of Electrical shock


Head of Local The Red Crescent

●Increase Awareness of Public Related to Rescue Issues


Police of Department of Motor Vehicle

●Increase Public Discipline & Descries Inner -City Accidents


Mayor●Increase Safeties of inner-city Passages


Physical Education Departments

●Increase Safeties of Sport's Places

District Neyriz in " Community“Safe Strategic Purposes ofand s Goal :3Box

District Neyriz in“ and Purposes of “Safe Community ome special GoalsS: A 4Box

9

Increase Prevention & control of Accident Boost Safeties Features in Neyriz

District. :Goals

Issues Strategic

Encourage Inner Group For more Cooperation● Increase Public Cooperation● Process Educational Activities of Public Cooperation● Indicate Environment Safeties Features ● Indicate Executive Priorities● Indicate Assessments and Evaluation Process●

Responsible Group

Goals

"Safe Community " Group Decrease of Mortality Rate Related to Accidents From 95 to 80% per

100,000person by the end of 2010.1

"Safe Community " Group Decrease of Injuries Rate Related to Home Accidents From 650 to 350 per 100,000person by the end of 2010.

2

"Safe Community " Group Decrease of Injuries Rate Related to Traffic Accidents From 1730 to 1200 per 100,000person by the end of 2010.

3

Labor Department"Safe Community " Group

Decrease of Injuries Rate Related to Workplace Accidents From 420 to 200 per 100,000person by the end of 2010.

4

"Safe Community " GroupDecrease of Injuries Rate Related to Suicide Attempts From 145.9 to 120 per 100,000person by the end of 2010.

5

Health Center, Hosing Foundation , Mayor

by the end of 2008 22% Increase Safeties of Residential Home6

Education Office, Health Center

by the end of 2008 15% Increase Safeties of School7

Labor Department"Safe Community " Group

Workplace 20% by 2010 Increase Safeties Rates of8

Local Civil, Road Construction & Transportation Manager

Identifying 100% of Dangerous & Risky Spots of Outer-City Roads by 2009 9

Mayor Identifying 100% of Dangerous & Risky Spots of Inner-City Roads by 200910 Local Civil, Road Construction

& Transportation ManagerCorrection & Reconstruction of 65%of Dangerous & Risky Spots of Outer-City Roads by 2009

11

District Neyriz insome special Goals and Purposes of “Safe Community “ : B4Box

10

Responsible Group

Goals

Mayor Correction & Reconstruction of 60% of Dangerous & Risky Spots of Outer-

City Roads by 2010 8912

MayorIncrease 75% Safeties Rate of Recreational center by 2010 13 Physical Education DepartmentsIncrease 35% Safeties Rate of Sport Places by 201014

Health Center Identifying 100% of People Prone To Different Risk Factors by 201015 "Safe Community " GroupPublic's Encouragements Toward To Prevention of 75% Different Accidents

by 201016

"Safe Community " Group Groups To Prevent any All Age and Genderof % 85Increase Knowledge of Types of Daily Base Accidents by End 2010

17


Increase Knowledge of 80% of Students ( Age: 6-18)To Prevent any Types of Outside Home ( Street, School,...) Accidents by End 2010

1-17

Health CenterIncrease Knowledge of 85% of House-wives To Prevent any Types of Home Accidents by End 2010

2-17

Merchant Office, Health Center

Increase Knowledge of 90% Other Professions To Prevent any Types of Accidents by End 2010

3-17

Labor Department, Techno-Profession Educational

Center, Health Center

Increase Knowledge of 95% Supervisor & Worker to Prevent Workplace Accidents by End 2010

17-4

Department of Motor Vehicle, Health Center

Increase Knowledge of 70% Motorcycle drivers to Prevent Traffic Accidents by End 2010

5-17

Department of Motor Vehicle Increase Knowledge of 70% Track drivers to Prevent Traffic Accidents by End 2010

6-17

Department of Motor Vehicle, Mayor

Increase Knowledge of 90% Taxi drivers to Prevent Traffic Accidents by End 2010

7-17

Health Center Increase Knowledge of 75% of Elderly Related to Accidents Prevention by End 2010

8-17


Increase Knowledge of 40% of High School Students Related to Prevention of Suicide by End 2010

9-17

Universities, Health Center Increase Knowledge of 50% of College Students Related to Prevention of Suicide by End 2010

10-17

Local The Red CrescentTrain " First Aid Skill" To 50% of People 15 years or older by End 201011-17 Health Center City Governor,Activate Disaster Centers of Neyriz City by End 2010 18 City Governor,

Health CenterOrganizing 100% of Specialized group Meeting For Accidents Prevention by 2009

19

City Governor,Health Center

Practically Increase 85% of Applicable Confirmed decisions Made by "Safe Community " Group Untie 2010

20

Health CenterCover up to 100% of Hospital Record Registry by End of 200821 Health Center, Highway Police

Patrol, Mayor, inner city Police Department

Increase Mortality Registry Related To Accidents 100% by End of 2008

22

Intervention in places: 2-2- Since the first step of increase the safety of environments is assessing the primary status of safety checklists that

are provided for most of the environments annual visits. Therefore, we prepare the checklists were completed in

the environments.

District Neyrizin at private places & Issues of Public Safety Assessment of :8Table .2008-2006

2008-2006Assessed during ( % ) Percent 2008 2007 2006 Number of Place Total Name of Place

100 100 100 220 School100 100 100 37 Kindergarten100 100 100 12117 Home100 100 100 6 Park100 100 100 20 Sport's Stadiums &

34 Regular Sport's Fields Sport Place

100 100 100 Traffic Passages

Table8: Safe Community Committee performance related to assessment of safety indicator as shown for six major public locations.

2-2-1-Traffic passages:

Fig.4.repair, reconstruction& construction

A team consisted of the city governor, traffic police, Road and transportation office, municipality and health care

office was established in order to survey inner/outer city roads. This team evaluate based on the statistics of

traffic accidents, in different places high risk spots according to the standards of the passages.

Efforts taken place in the surveying team includes.

1- Determining the high risk spots and priorities in correcting those spots.

2- Determining the spots which need traffic signs, blinking lights, traffic & cross walk stripes, coating the

asphalt, widening the roads and building bridges.

3- Reporting to the safe community committee:

11

The committee determines the priorities by necessary convening meetings with the members frequently.

There is notified to the road & transportation office and the municipality to increase the safety of roads and

streets based on the compiled operational program.

Table9: Indicates outer-traffic passages action taken place at Neyriz during 2006_2009

12

Accumulation of All Actions Taken place Total 2009 2008 2007 2006 Actions Description 353.2 45 124.7 128.5 55 Surface Asphalt ( Km ) 137.7 5 22.2 53.5 57 ) Prepared Base& Sub-base ( Km 185 50 45 55 35 ( Km ) Prepared Road Shoulder 3700 0 0 2000 1700 Edge & Side Prepared ( m ) Road 85350 350 2000 80000 3000 )

2m( Road Repaired

27 0 0 2 25 Number of Bridge Construction

107 0 70 33 4 Number of Bridge Repaired &Reconstruction

16090 1810 6120 4560 3600 Number of Road Signs & Signals

Installation

1150 50 70 650 380 Road White or Yellow Traffic Stripe (Km)

168 0 150 0 18 Speed limit Bump

Construction (m)

37 0 5 27 5 Number of Road Dangerous Spots Correction & Reconstruction

450 0 300 0 150 Number of New Jersey Installation

50 3 10 22 15 Number of Road Side Parking Construction

12580 0 1380 8000 3200 Installation of Road Side Safe Guard

Protection

60 15 20 5 20 Number of Blinking Traffic Light Installation

2 2 0 0 0 Establishment of lighting Tower

1780 250 480 450 600 Leveling & Surfacing Rural Road and Margin of Main & Branch Roads

tCity Traffic Passages Actions Taken place a-nerInIndicates :10Table

• 2009-2006District During Neyriz

13

Accumulation of All Actions Taken

place Total 2009 2008 2007 2006 Actions Description

317000 70000 90000 82000 75000 Road Sub-base & Surface Asphalt ( Km )

278310 90 116800 94120 67300 )2

m( Road Sub-base 327000 50000 120000 82000 75000 )

2m( Road Surface Asphalt

4060 700 2110 670 580 of Canal( m) Construction 170 70 30 50 20 Number of Bridge Construction

331 200 51 43 37 Number of Bridge Repaired &Reconstruction

41000 5000 15000 12000 9000

Repaired &Reconstruction of Side walk )

2m(by Brick

8150 1700 2100 2500 1850 Boulevard Construction ( m )

15200 3000 6700 3000 2500 Construction of RoadEdge Canal( m)

1270 800 200 170 100 Repaired & Reconstruction

of Canal( m)

350 70 100 80 100 Number of Road Signs & SignalsInstallation

9700 3200 3000 1000 2500 )

2m(Construction of Canal's

Cover

2420 820 700 500 400 Street Pedestrian Crass - walk Stripe(m)

50000 0 50000 0 0 Street White or Yellow

Traffic Stripe(m)

57 15 17 15 10 Speed limit Bump Construction (m)

172 51 47 39 35 Number of Road Dangerous

Spots Correction & Reconstruction

2 1 1 0 0

Number of Public Parking Construction

17 5 5 4 2 Number of Road Side Parking

Construction

39 11 15 8 5 Correction, Reconstruction of Taxi – Cub & Shuttle Stations

57000 30000 27000 0 0 Painting the Street

Canal's Marginal ( m) 10 10 0 0 0 Establishment of lighting Tower

2-2-2-Works places According to the increasing process of establishing the industry in the Neyriz district specially the accident resulted

from working in mines and stonecutting companies cause major portion of the annual incidence of injuries.

This problem is considered as an important priority of prevention.

2-2-2-1-Eforts taken place in order to increase the safety of work places of Neyriz from 2006-2009 - Organizing the specialized committee of work place injury prevention.

- Establishing monthly meetings of safety and technical protection committees in work places.

- Supervising the newly established companies and assessing building plans in order to develop and correspond the

project with the relevant regulations.

- Periodic visits of companies and offering resolutions about correcting deficiencies.

- Identifying self- protection devices corresponding and proportionate to the situation of each of the working

environments.

- Offering educational programs for employers and employees.

- Building and installing safety alert signs in industries and mines.

- Recording injuries accrued in industries and mines.

- Organizing the maneuver of help, rescue and relief exercise in steel company.

Fig5. Safety of work places.

2-2-3-Kindergartens and schools:

In the first step of safety feature issues (2006)several primary efforts were taken place with cooperation of education

department .these include extinguisher, first aid box, stair and windows protection fences, pedestrian cross-walks

street, standard heating systems, removing junk staffs and worn- out old trees in the school yards. Then through

follow- up visits and training in this regard above issues explaining the subject in the meeting of safe community

actions were taken to increase the safety of schools.

In the second steps (2008) of the safety standards of school were determined through the guideline of the standard

14

75

4845

0

43

0

60

95 96

63 65 70 58 75

020406080

100

120

2006 2008

1 2 3 4 5 6 7 Standard Heat System 5 PedestrianFor Road Stripe -4 Protection Stair - 3First Aid Box - 2 Fire Fighting - 1

Electrical PowerSafe 7 Omitted any type of Risk Factors - 6 Fence Capsule

:6. Fig in Neyriz Districtmparing Safeties Situations of Schools Based Upon FacilitiesCo

2008& 2006

Office and then the checklist of evaluating the status of safety were provided by the secretariat. This checklist was

completed from the early 2009 for 194 schools and 37 kindergartens. Intervention actions will be started in order to

promote the safety of schools by offering the results of analyzing the data in near future.

of Educational Increasing Safeties Purpose of Place for Taken Actions: 11Table .2009-2006, District Neyriz in cesPla

Description Number Responsible Organizations

Furnishing School With Fire Fighting Capsule

51 Education Department, Welfare Organization, Health Center

Furnishing With First Aid Box 124 Education Department, Welfare Organization, Health Center

Furnishing With Stair Protection Fence 46 Education Department, Welfare Organization, Health Center

Traffic Road Stripe For Pedestrian Crossing Access way to Educational Centers


Furnishing With Standard Heat System 70 Education Department, Welfare Organization, Health Center

Omitted the Risk Factors(Old trees, old School Equipment...)


Furnished With Safe Electrical Power System


Complete Safeties Check List 194 Health Center

Fig.6: There is numerous amounts improvement in safety of schools during 2006-_2008 15

:2 .Fig District At Nayriz CitySituations of Rural House SafetiesComparing

2008

:7. Fig

2008yriz District eIn N Rural homesComparing Safeties Situations of

2-2-4-Homes Approximately 35 percent of the accidents were happened at homes. Most people specially the elderly and children

spend most of their time at homes, there fore one the important priorities of the safe community was determined to

promote the safety of homes.

of ResidentialIncreasing Safeties Purpose o f Place for Taken Actions: 21Table . 2009-2006, District NeyrizPlaces in

16

Responsible Organization

Description of Intervention

Years

Local Health CenterAnnual Evaluation of Residential Place Entrance DoorLocal Health CenterFilling Check List Related to Safeties of Residential PlacesLocal Health CenterFace to Face EducationLocal Health CenterIdentifying Problems that existLocal Health CenterFollow-up Actions to Solve Problems that existLocal Health CenterAnalyzing Check ListHousing Foundation OfficePaying Loan for the purpose of Repair of 3000 Rural Residential

PlacesMayor( City Hall), Housing Foundation Office & "Safe Community " Group

Increasing Supervision for Construction of Residential Places

Islamic Hosing Foundation Assemblies

Education of Construction Skill Worker Related to Safeties of Residential Places

2008-2006

86.780.9

93.4

78.4

86.2 87.8

707580859095

1 2 3 4 5 6 1-Kitchen 2-Room 3-Stairway 4-Backyard, 5-Shawer 6-House Parking Balcony & Roof

Fig.9. Sport places are one of important goals for safety.

2-2-5-Sport places: The office of physical education compiled a three – year operational program with the cooperation of the safe

community committee in order to increase the safety of sport, locations. Of Neyriz city the following efforts were

taken place in sport issue.

2-2-5-1-Swimming pool:

- Furnisher covered pool with examination bed, oxygen capsule and first aid devices. - Attendance of a lifeguard while people swim.

2-2-5-2-Sport halls: Firstly the statuses of sport halls were assessed for the items such first aid kits, fire fighting capsule and lights by the

physical education office.

All the sport halls were equipped with first aid kits and light systems and 53 percent of the halls with fire

extinguishers as well.

2-2-5-3-Rural regions: In rural regions, relative safety was considered by building one sport hall.

17

2-2-6- Recreational Places 2-2-6-1- Efforts taken place for safety promotion of recreational places.

1-Field evaluation by special check list.

2- Design and intervention parks with Safety indicators

3- Report result evaluation to municipality

Table13.Efforts taken place for purpose of safety promotion of Recreational places.

18

Accumulation of Function

TotalFirst Season 2009 2008

2007 2006 Improvement Description

22400 7150 6000 6200 3050 in Park (m) Construct Creek (Canal)

23700 8250 6450 5500 3500 Edge Border in Park (m) Construct

32600 3600 2000 25000 2000 ) 2m( Lay out & Construct Mosaic in Park

532 180 170 105 80 Light Extra Provide a Number of

1296 560 305 236 195 Repair Park Benches

1296 560 305 236 195 Furnish New Park Benches

60 30 16 9 5 Repair Old & Furnish Number of New Playing Tools (Instruments ) of Park

190 70 60 40 20 Installation Number of Alert Signs

60 30 16 9 5 Replace Old Playing Tools (Instruments ) of Park

12 0 4 6 2 New Free Phone Line Installation Number of

3 3 0 0 0 Improve & Make Safe Environment For Children Playing Tools

9 4 2 2 1 Construct Number of New Park

141 50 40 28 23 Electrical Equipments Periodically Improve& Repair

2-3-Efforts taken place for age group:

2-3-1-Efforts taken place for o-14 age group: In this age group most injured people are among those who had

motorcycle accident, falls, hit, bit, pedestrian crash, and motorist

crash. Fig.8. Traffic Educational programs for students

Following actions are taken place:

1- combining educational programs of safety principals in the program of caring under 8 years children and

training mothers in the field of falls, burns,

2- Training kindergarten educators for delivering the education to children.

3- Getting help from students in school's police and police assistant projects.

4- Organizing painting competitions among students about prevention of traffic accidents.

5- The presence of police and health stuff in schools for implementing educational programs.

14- 0Groups-Indicates Programs Have Taken Place for Age: 41Table

19

Responsible

Organizations Number of Attendance

(Person)

Number of MeetingTarget Group Description Year

Health Center80 2 Teachers

Kindergartens Prevention From Different

Accidents 2007

Health Center220 2 Instructors of Adult School

Prevention From Burn Accidents

2007

Instructors of Adult School

700 50 House-WivesPrevention From Burn Accidents

2008

Department of Motor Vehicles (DMV)

5400 150 Meetings Elementary StudentsPedestrian Crossing ..To board (get on) a

Bus,.

2008


84 1 TeachersKindergartens

Prevention From Traffic Accidents

2008


456 15 Meetings Parents Students Prevention From Traffic Accidents

2008

The Red Crescent248 6 Meetings Janitors, Caretakers,Principal&Asst. Principal

First Aid2008

Fire Fighters156 Face to Face Janitors& Caretaker

Method of Using Fire Fighter Capsule

2008

Health Center5400 180 Meetings Elementary Students Prevention From Burn Accidents

2008

Department of Motor Vehicles (DMV), Health Center

180 3 Kindergartens Children

Celebrate & Compete For Art Painting With Purpose of Safeties

2008

Fig10: The most important of accident at this group is traffic accidents at first and then falling down.

2-3-2-efforts taken place for 15-24 age groups: n this age group most of the injured people suffer from motorcycle crush, violence, suicide, hit or beat, motorist crush

and falls respectively.

Following actions are taken place until now in order to increase safety in this group:

1- Organizing workshops for school administrators about prevention of traffic accidents in youngsters & younger

adults.

2- Organizing educational programs to prevent traffic accidents through holing educational class, delivering the

pamphlet of traffic accidents.

3- Organizing safe exhibition. Distributing articles about the safety of motorcycle riders and motorists.

4- Organizing educational courses for 20-24 age group who work in industries and mines about using safety self-

protection devices

5- Consulting with groups in risk of suicide by a psychologist expert.

20

0.37 0.75 0.75 0 0

27.9

16.6

4.1 1.9 1.1

23.7

10.2

38.4

05

1015202530354045

1 2 3 4 5 6 7 8 9 10 11 12 13 7 -Hit or Beat Fall -6 Electrical Shock -5 4- Drown Burn -3 Scorpion & Snake bite -2 Animal Attack -1

Motorcycle Crash -13 Car Crash -12 11- Pedestrian Crash Suicide -10 Rudeness or Harshness - 9 Poisoning -8

:10. Fig

2008 Person10,000Per , yriz Districtein N) 14-0( of Accidents Related to Age Group Rate

.24-15Groups - Indicates Programs Have Taken Place for Age:51Table

Fig11: The most important accidents at this group are traffic accidents especially motorcycle accidents.

21

Responsible Organizations

Number of Attendance

(Person)

Number of Meeting

Target Group Description Year

The Red Crescent1200 45 Periods High School Students 32 hrs Basic Training of

Public (First Aid) (

2007, 2008 The Red Crescent300 10 Periods Drivers32 hrs General Training of

Public (First Aid)

2007, 2008Health Center10000 210 High School Students Prevention From Burn

Accidents2008 Department of Motor

Vehicles (DMV)9000 120 High School Students Prevention From Traffic

Accidents2008 The Red Crescent248 6 Meetings Janitors, Caretakers,

Principal&Asst. PrincipalFirst Aid2008

Fire Fighters156 Face to Face Janitors& Caretakers Method of Using Fire Fighter Capsule

2008 Department of Motor

Vehicles (DMV), Health Center

4500 2 Motorcycle Drivers Celebrate For Memorial of Traffic Accidents Victim

2007, 2008

3.6 1.6 2.3 0.3 1.619.5 23.8

3.6

34.4 29.410.6

23.5

186.2

020406080

100120140160180200



:11. Fig

2008Person,000 10Per , yriz Districtein N) 24-15( Rate of Accidents Related to Age Group

Fig.12. Maneuver of fire fighting operation by Red Crescent Organization Neryiz.

2-3-3-Efforts taken place for 25-64 age groups: In this age group, car crush, pedestrian accident and hit &beat trauma are more prevalent.

Following actions are taken place in order to promote safety in this group: 1- Implementing educational programs of traffic accident- prevention.

2- Holding educational meetings, delivering pamphlets and installing signs in passages and holding fairs.

3- Educating workers about using self- protection devices with the cooperation of Labor and Social affairs office

and vocational health part.

22

64- 25Groups-Indicates Programs Have Taken Place for Age: 61Table

23


Number ofAttendance

(Person)

Number of

Meeting

Target Group Description Year

Department of Motor Vehicles (DMV), Health Center 12000 150 PublicTraffic Accidents2007, 2008

Health Center6500 2 PublicCelebrate For Memorial of Traffic Accidents Victim2008

Techno-Profession Center200 120 hrs Technical Staff ofEducation Department Protection & Safety2008

Techno-Profession Center120 120 hrs Regular workers Protection & Safety2008

The Red Crescent10000 17 Days PublicRelief 2 Organizing Equipments Exhibition

2008

The Red Crescent &Disaster Center450 2 MeetingPublic Practicing Earthquake

Maneuver2008

Health Center1400 35 Mines & Factories Regular workers

Prevention of Workplace Accidents

2008

The Red Crescent1200 25 Times Drivers 32 hrs Basic Training of Public (First Aid)

2007,2008

The Red Crescent1600 45 House-Wives 8hrs General Training (First Aid)

2007, 2008

The Red Crescent248 2 MeetingJanitors &CaretakersMethod of Using Fire Fighter Capsule

2008

Department of Motor Vehicles (DMV), Health Center 12000 38 Drivers Traffic Accidents2008

Highway Patrol Police55 Person 1 Health VolunteerElectrical Power Risk Safeties2008 Electrical Power Department,

Health Center11000 210 House-Wives Prevention From Home Accidents

2008

Fig 13: Traffic accidents are the most important at this group especially car accidents.

2-3-4-Actions taken for 65 + age group: In this age group falls, motorcycle and car accidents are more prevalent.

Following actions are taken place to promote safety in this group till now:

1- Combining the education of safety principles in the program of caring the elderly in health centers.

The elderly people are cared in health centers they are trained to prevent accidents & injuries.

2- Educating the families of elderly people about their safety and prevalent accidents and injuries in this group.

3- Face to face education at homes while evaluating the safety of houses.

Programs aiming at promoting the safety of high – risk group, volunteers and environment.

24

0.81 3 2.2 0.2 1.4

1822.6

1.810.7 10.3

31.1

79.9

0.810

102030405060708090



:13. Fig

2008Person ,000 10Per, City Districtyriz ein N) 64-25(Rate of Accidents Related to Age Group

8.3 5 3.3 0 0

31.6

3.30

8.31.7

21.6

11.6

59.9

0

10

20

30

40

50

60

70

1 2 3 4 5 6 7 8 9 10 11 12 13

7 -Hit or Beat Fall -6 Electrical Shock -5 4- Drown Burn -3 Scorpion & Snake bite -2 Animal Attack -1

Motorcycle Crash -13 Car Crash -12 11- Pedestrian Crash Suicide -10 Rudeness or Harshness -9 Poisoning -8

:14. Fig

2008Person ,000 10Per , yriz Districtein N+)65(Rate of Accidents Related to Age Group

65Groups Above-Indicates Programs Have Taken Place for Age: 71Table

Table17: Determinates the collective accident data sources from diverse organization in different Period of time.

Fig14: Illustrates traffic accidents are the first and falling down the second cause of injuries between elder ages.

25

Indicator no 3: Programs that target high-risk groups and environments, and programs that promote safety


Number ofAttendance

Number of Meeting

Target Group

Description Year

Health Center 2500 30 ElderlyPrevention From Traffic Accidents2008

Health Center2700 50 ElderlyPrevention From Falls2008 Health Center3200 45 ElderlyPrevention From Burn2007,2008

for vulnerable groups;

Identified priorities: increase the safety of motorcycle riders, Decrease in breaking out burn and suicide which are

explained as follows:

1- Promoting the safety of motorcycle riders :

Since the most rate of breaking injuries are consequence motorcycle riders therefore, this group is among most high

risk group as result of prevention – program is compiled for them:

2- Suicide :

By surveying the statistics of accident's injuries during recent years, the rate of committing suicide has an increasing

process especially in 15-24 age groups, suicide – prevention is considered as a priority issue.

3- Burn :

After traffic accidents approximately 21 percent of total accidents happen at homes and among them burn especially

with hot water has the highest incidence and burn- prevention was determined as a priority.

Actions taken place are as follows:

3-1- motorcycle riders:

In order to assess the status of motorcycle safety and the awareness, about using helmets 5% of the motorcycle riders

were evaluated.

RidersMotorcycle among Issues Increasing SafetiesAssessment of : 81Table

Table18: Motorcycle riders hardly ever use helmet and that is one of main socio-cultural problem at this group.

26

Rate (%)

Description

4 Percentage People Use Helmet When They Used Motorcycle 1 28.1 Percentage Motorcycle Drivers They have Registration2 80.0 Rate of awareness of Motorcycle Drivers About Usefulness of Helmet 3 35.0 Percentage of People, They Have a Positive Impression About Use of Helmet4 43.0 Percentage of People, They Have a Negative Impression About Use of Helmet5 37.4 Percentage of People, They Have a Helmet 6 19.5 Percentage of People, They Have a Motorcycle Driver License 7 29.8 Percentage of People, They Have a Car Driver License8 42.1 Percentage of People, They Involved With Accidents When They Were

Driving Motorcycle9

403 Percentage of People, When They Involved With Accidents They Wore Helmet 10

Fig.15.indicates this is motorcycle riders’ maneuver

3-1-1-Efforts in the process to achieve safety of motor cycle riders:

1-Compiling a 3-year operational program about reducing the incidence of motorcycle riders crush of Neyriz

district during 2005-2008

2-In the operational program 3 main specific goals are considered as follows:

1- Promoting the level of knowledge and awareness of benefit wearing helmets during the use of motor cycle,

2- Promoting the level of awareness, of motorcycle riders about using other safety devices such as signal light ,

mirror , night lights, night reflected safety vest in the night activities .

3-Efforts in the process of performance of plane carrying out of training program as follows:

1- Providing and installing educational sign and Banners.

2- Providing and distribution of educational pamphlets.

3- Promoting education to the public knowledge by health agent of districts, organizations, health centers and local

religious leaders.

4- Preparing the maneuver of safe motorcycle riders.

5- Establishing safety competitions and offering prize such as safety helmets and night light reflected safety vests.

6- Pursuing for construction of motor cycle riders practice field of Neyriz city.

4-Establishing inter-departmental coordination includes:

1- Pursuing for construction of motor cycle riders practice field of Neyriz city.

2- Facilitating easy access to standard helmets with reasonable prices within the sport shops.

3- Enforcing traffic regulations more strictly.

4- Evaluating the program.

.

27

3-2-Suicide

Evaluation of suicide problem in Neyriz district population indicates high among age group 15-29.

In the primary assessment of suicide, 58 % were of women, 42 % men committed suicide.

Among suicidal population of this district 89.5% attempted by over dose medication, 10.5 % by other methods.

Only1 % of them attempted suicide were successfully ended to death, however, 99 % were unsuccessful.

3-2-1-Related to preventing suicide following approaches were conducted:

1-Safe community committee formed special suicide prevention group in Neyriz district. This group includes as

follow: Local health department, city governor, hospital, city police, district attorney, education department, and

scientific-professional Institute, Azad and Paiam-E-Nour universities.

2-Preventive intervention before attempted to commit suicide includes training families, schools and identifying

high risk people and introducing them to consulting center.

3- Intervention after first time attempt to committing suicide, in order to prevent future once.

4 -Establishing the new center for psycho-behavior consulting in Valiasr health services and activating consulting

sections in universities and schools.

3-3-Burn The results of a survey indicate that most injuries are related to burning happened hot liquids in less than 10 years old

children and housewives in the living room and the kitchen.

To prevent burn especially with hot liquids an operational program has been compiled.

3-3-1-Performed interventions: 1- Educating housewives women :

Group and face to face education for house holds about the prevention of burn at homes.

2- Educating kindergartens and schools.

With the presence of the experts in schools and kindergartens, students and children are educated in the field of burn

prevention.

3- Educating kindergarten trainers and health liaisons.

4- Holding educational meeting for nurses and Behvarzes (health workers)

28

:16. Fig

2008-2005 Person ,000 100Per , yriz DistricteTrend of Burn in N

Fig16: Point out trend of burn decrease in the period of 2005-2008

Fig.17 Illustrates little change in mortality related to burn 2006-2008

29

814595

290196

0200400600800

1000

2005

2006

7200

8200

3.72

2.72 2.7

0

2

4

2006 2007 2008

:17. Fig

2008-2006 Person 000 , 100Per, yriz DistricteTrend of Mortality Rate Burn in N

:18. Fig

2008-2005 Person,000 100Per , yriz DistricteTrend of Comparing Burn at Home in N

4-Indicator no 4 : Programs that document the frequency and causes of injuries; Enjoying programs which register and document the number and cause of injuries.

Fig18: Describe major portion of burn occurred of home. However this trend has shown rates of burn decline as a result

Of preventive intervention of safe community committee performance

4-Indicator no.4 4-1-Efforts taken for indicator no 4:

To organize the treatment of injuries and disabilities, the committee of incorporating the statistics of accidents & injuries

aiming at collecting and analyzing the statistics of accidents & injuries of the township is established and currently the

status of registering the statistics is as follow:

4-1-1-The sources of collecting the statistics of injuries involving:

1- Registering and reporting the data of injuries from health & cure center and health houses:

The number of all the injured clients is registered in a notebook and monthly period its statistics is reported to main

health center.

2- Registering and reporting the statistics of injuries from hospitals: The whole number of injured clients is registered

in a note book in the emergency section and monthly the statistics is sent to health center.

3-Registering and reporting the statistics of injuries in schools and kindergartens:

The statistics of injured people in schools and kindergartens is registered in a notebook and at monthly the data is

sent to health center by the welfare and education organizations.

4- Registering and reporting of data from different companies.

30

4-1-2-The sources of collecting data of mortalities:

1- Reporting the data of mortalities by Health & cure centers and health houses.

2- Reporting the data of mortalities by the hospital.

63.442.7

19 15.1

0

20

40

60

80

2005 2006 2007 2008

3- Reporting the data of mortalities (death rate) by the cemetery administrator and legal medicine organization.

4-1-3-The sources of disabilities ' data- collecting”

1- In cases in which the injured person has referred to the hospital or health & cure center and suffers from disability

the data is registered in the form of injuries by the hospital or health & cure center.

2- By the welfare organization :

When disabled person refers to the welfare organization for services he/she identified.

4-1-4-The sources of collecting the data of other accidents & injuries:

The data of traffic accidents are registered by the traffic police based on the accidents’ locations.

, DistrictIn Neyrizes of Data Collection Related to Different Accidents cSour :91Table

Table19: Indicates normal frequencies mortality rate in Neyriz district however accidents by itself determinate second cause.

31

.2008, DistrictIn Neyriz thsa of DeAll Typesistribution for D NormalMortality :20Table

Period of Collection


Types of Data Sources of Data Year

Monthly Base Health Center Injuries Related to

Home & Other Accidents

Health Centers 2006

Monthly BaseHealth Center Injuries Related to Accidents

Hospital Emergency 2000 Monthly BaseHealth CenterDeath Related to

Accidents Health Centers,

Legal Medicine, Cemetery Offices2008

Monthly Base Welfare Organization, Department Educational

Accidents At School & Kindergartens

School & Kindergartens2008

Yearly Base Welfare Organization,Hospital

Disabilities Related to Accident

Clients, Welfare People 2008 Seasonal Department of Motor

Vehicles (DMV) Inner-City Accidents

Occurrence Department of Motor Vehicles

(DMV)2008

SeasonalHighway Patrol Police Outer-City Accidents Occurrence

Highway Patrol Police Neyriz-Sirjan

2008

Table20: Accidents are second cause of death after cardiovascular cause as first.

Fig19: Illustrates that motorcycle accidents are the most important cause of injures.

32

hs of total DeatPercentCases Groups-Age

47.5 242 Heart Diseases 1 19.2 98 Accidents2 10.0 51 Cancers3 6.1 31 Respiratory Diseases 4 2.5 13 Urinary Tract Diseases 5 3.1 16 Genetics disorders, Pregnancy, Delivery Complication 6 1.4 7 Central Nervous System Diseases7 1.2 6 Metabolic Diseases 8 1.2 6 Infectious Diseases 9

18.7 22.2 19.61.8

10.7

214.4 204.6

27.6

179.7 145.9 141.5230.4

962.6

0200400600800

10001200

1 2 3 4 5 6 7 8 9 10 11 12 13

7 -Hit or Beat Fall -6 Electrical Shock -5 4- Drown Burn -3 Scorpion & Snake bite -2 Animal Attack -1


:91. Fig

2008Person 000 , 100Per, tRate of Injuries Related to Accidents in Neyriz Distric

:20. Fig

2008Person ,000 10Rate of Accidents Related to Gender in Neyriz District per

339.8 =Male

Male

Female

88.7

88.7 =Female

339.8

:21. Fig

2008Person ,000 100yriz District per eRates of Accidents Related to Place of Episode in N

135.6

65.8

15.30

50

100

150

City Rural Out of City & Rural

Fig21: Has shown inner-city accidents’ involves rates of injures Involve high rate of injuries.

33

:22. Fig

2008Person ,000 10Rate of Accidents Related to Location of Episode in Nayriz District per

Fig22: Mostly the injuries occur in alley-ways and streets and then related to homes as second.

Fig23: Explain high rates of accidents episode happen among age group 15-30 years old.

34

9.5 12.4 15.5

31.836.1

2820.4 20.4

12.8 16.6 1611.2 13.7

01020

3040

0-4

5-9

10-14

15-19

20-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60

:24. Fig 2008 nPerso,000 100Per , yriz Districteof Accidents in N Rate of Mortality Related to Type

381.7

17.8 48.9 47.1

1231.3

270.4

162.8

7.10

200

400600

800

1000

1400

1200

1 2 3 4 5 6 7 8

6- Highway & 7 - Workplace 8 -Others Alley & Street -5 -Sport& 4 Public Place -3 School -2 Home -1 Recreation Road

Places

:23. Fig

2008Person ,000 1rict per yriz DisteRate of Accidents Related to Age in N

Fig24: illustrated mortality rates related to types of accidents per 100000 person. Car crash is the most.

Fig25: Death rates more distinguishable among age groups 50-64 years old as well as 20-30.

35

4.531.2 2.1

5.51

10.8

15.6

7.6 8.2 10.113.04

20

9.6

20.9

7.2

0

5

10

15

20

25

0-4 5-9

10-14

15-19

20-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-64

65

:25. Fig

2008 Person,000 100Per, yriz DistricteRate of Mortality Related to Accidents by Age in N

2.7 0.9 0.9 3.6 4.45 1.8 5.34 8 4.45

15.1

19.6

1.811.6

2.7 1.8

010

20

30

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Suicide -8 7 - Rudeness or Harshness Poisoning -6 Hit or Beat -5 4- Fall Electrical Shock -3 Drown -2 Burn -1

-Gas Trap 15-Others-14 Drug Abuse-- Motorcycle Crash 11-Car Crash 12-Tractor Crash 13 -10 Pedestrian Crash -9

:26 .Fig

2008Person ,000 10Per , yriz DistricteRate of Accidents Related to Workplace in N

Fig26: Clearly describe hit& beat and falling down work places in compared to different once.

Fig27: Describes falling down is most cause of injures in recreational on compared to different ones

36

2.9

1.9

0.97

0.97

7.7

40.7

99.7

13.6

3.9

2.9

020406080

100120

1-Animal 2- Scorpion & 3- Burn 4 – Drown 5- Electrical 6 – Fall 7- Hit or Beat 8-Rudeness or 9-Suicide 10-Motorcycle crash Attack Snake bite Shock Harshness

1 2 3 4 5 6 7 8 9 10

7.1

4.4 0.9

21.4

8

4.4 0.9

05

10152025

:27. Fig

yriz City eRate of Injuries Related to Recreational Locations Based upon Type of Accidents in N2008Person 100 Per , District

Scorpion & 3- Burn 4 –Fall 5- Hit or Beat 6 - Rudeness or 7- Motorcycle -- 2 Animal -1 Crash Attack Snake bite Harshness

1 2 3 4 5 6 7

Dis

tric

tsN

eyri

z10

00

Gro

ups p

er

-R

ate

of D

iver

se A

ccid

enta

l Phe

nom

enon

Cor

rela

te to

Diff

eren

t Age

.21

Tab

le

2008

Iran

,Pr

ovin

ce

Fars

, Po

pula

tion

T

ype

of

Acc

iden

tsA

ge-G

roup

A

nim

al

A

ttack

Sc

orpi

on &

Sn

ake

bite

B

urn

Dro

wn

Ele

ctri

cal

Shoc

k

Fa

ll

Hit

or Bea

t

Po

ison

ing

Rud

enes

s

or H

arsh

ness

Su

icid e

Pe

dest

rian

C

rash

Car

Cra

sh

M

otor

cycl

e C

rash

O

ther s

T

otal

4-0

0.0 0.0

13.10.0

0.0 5.

218.

15 2.

10 13.1

0.0 8.

15 0.9

4.20

0.0 1.

95

9-5

0.0 2.1

0.0 0.0

0.0 2.

327.8

0.0 0.0

0.0 38

.4

1.11

2.32

0.0 9.

123

14-

10 0.0

0.1 0.1

0.0 0.0

0.30

8.23

1.2 1.4

1.3 6.

18 3.

109.

59 0.0

0.15

5

19-

15 3.4

1.2 4.1

0.0 4.1

9.19

3.19

1.2 3.

30 1.

294.

12 5.

162.

185

0.0

1.31

8

24-

20 8.3

3.1 2.3

64.091.1

1.19

0.28

1.5 2.

38 4.

349.8

9.29

1.18

7

0.0 9.

423

29-

25 64.1

3.3 1.4

0.0 64.1

3.21

1.31

3.3 3.

30 9.

225.6

4.34

9.11

8

82.02.

280

34-

30 0.0

1.1 1.1

0.0 2.2

4.17

5.30

3.3 8.

21 1.

138.9

5.30

1.73

0.0 0.

204

39-

35 4.1

7.2 1.4

4.1 4.1

9.25

8.17

0.0 0.

15 7.

132.8

9.36

1.75

0.0 6.

203

44-

40 0.0

4.3 0.0

0.0 0.0

0.5 5.

13 7.1

1.10

7.1 5.

13 4.

358.

43 0.0

2.12

8

49-

45 9.1

7.3 0.0

0.0 0.0

8.16

1.26

0.0 4.7

7.3 3.9

5.20

6.72

7.3 8.

165

54-

50 0.0

4.4 0.0

0.0 4.4

3.13

3.13

2.2 9.8

0.0 3.

13 9.

281.

71 0.0

1.16

0

59-

55 0.0

4.6 2.3

0.0 0.0

1.16

6.9 0.0

6.9 0.0

6.9 3.

193.

35 2.3

4.11

2

64-

60 0.0

0.0 2.5

0.0 0.0

2.26

4.10

0.0 7.

15 0.0

4.31

4.31

4.61

0.0 9.

151

65

+

3.8 0.5

3.3 0.0

0.0 6.

313.3

0.0 7.6

7.1 6.

21 6.

119.

59 0.0

87.15

4

To

tal

9.1

2.2 9.1

2.0 1.1

4.21

5.20

7.2 0.

18 0.

131.

14 0.

233.

96 3.0

7.21

6

Indicator no5:

Efforts taken place for indicator no5:

While compiling the operational program for all the environments, age groups, monitoring indicator and its

evaluation have been determined in advance. The considered indicators of evaluation are as follow:

1- Compiling the checklist of evaluation for homes, schools, kindergartens and recreational places that are

completed before and after intervention.

2- Assessing and analyzing the data of accidents and injuries collected from various sources and

comparing them with the similar previous ones monthly, quarterly and annually.

3- Determining the tasks of the committee members for evaluation :

For this purpose divers accident incidence regarding inner –city traffic suburban passages, schools and

kindergartens , work places and mines in order to determine the effect of intervention by traffic police,

Road police , health center, welfare organization and Labor office respectively will be assessed.

4- In some cases evaluation is performed by public reports.

.ed evaluation of Hospital Record Rates Describ: 22Table

, Related to All Accidents PhenomenonInjuriesates Trend of Indic: 32Table .2008&2005, NeyrizPerson of ,000100Per

Table23: Explain the decline rates of all types of accidents in 2005 compared to 2008.

38

Rate of Change 2008 2005 Description

15.0% 100.0% 85.0% Hospital Record related to Accidents 20.0% 100.0% 80.0% Mortality Risk Factors Record

Rate of Change )Declined(

2008 2005 Description

767.7 2167.3 2935 Rates of Injuries Related to All Accidents Phenomenon

234.2 162.8 397 Rates of Injuries Related to Workplaces496.7 1234.9 1731.6 Rates of Mortality Related to Traffic Accidents 253.3 381.7 635 Rates of Injuries Related to Home Accidents

Rates Related to All Accidents Phenomenon MortalityIndicates Trend of : 42Table

.2008&2005, NeyrizPerson of 000 ,100Per

Table24: illustrated mortality rates decrease for some of major causes of accidents in 2005 compared to 2008.

medical Agents Arrived for Rescuing -Para, of Average TimesIndicates Trend: 52Table .2008-2005, rizyeinjured Person of N

Table25: Drastically average times of arriving Emergency medical services (EMS) to accident scene were reduced since 2005 to 2008.

d for Rescuingmedical Agents Arrive-Para, Indicates Trend of Average Times: 62Table .2008-2005, DistrictNeyrizcity of -injured Person Out

Table26: Indicates trend of average times in which drastically decline by the timely accidents Emergency medical services (EMS) arriving to scene between 2005-2008

39

Rate Change )Declined(

2008 2005Description

6.6% 87.2% 93.8%Rates of Mortality Related to Accidents Phenomenon

19.2% 35.6% 54.8%Rates of Mortality Related to Traffic Accidents 1.9% 2.7% 4.6% Rates of Mortality Related to Burn

First Half of Year 20092008 2007 2006 2005 Year

4& 18

4 & 30

4 & 50 5

5

Average TimesMinutes & Seconds)(

First Half of Year 2009 2008 2007 2006 2005 Year

13& 9

14 & 29

17 & 20

22

25

Average Times Minutes & Seconds)(

2008to 2006 DuringlSchoo Safeties of theComparing :72Table

Table27:.illustrated remarkably increasing safety level comparing 2006to2008

.2008to 2006 )Auditorium, Hall (Sport’s placesfeties of Comparing The Sa :82Table

Table28: Clearly has shown improvements of safeties feature at sport places comparing 2006 to 2008.

40

Rate of )Increased(Change

2008 2006Description

%20.0 % 95.0%75.0Percentage of Furnishing School With Fire Fighting Capsule%48.0 %96.0 %48.0Percentage of Furnishing School With First Aid Box%18.0 % 63.0%45.0Percentage of Furnishing School With Stair Protection Fence%65.0 % 65.0%0.0Percentage of School With Access Road Traffic Stripe%33.0 % 70.0%43.0Percentage of Furnishing School With Standard Heat System%58.0 % 58.0%0.0Percentage of School that Omitted the Previous Risk Factors %15.0 % 75.0%60.0Percentage of School that Furnished With Safe Electrical Power System

)Increased(Rate of Change 2008 2006 Description

% 53.0 %100.0 % 47.0 First Aid Box%53.0 %53.0 %0.0 Fire Fighting Capsule%53.0 %100.0 % 47.0 Hall(Auditorium) Light (Brightness)

Fig28: Rural homes safeties have started sins 2000 before safe community. Point out the trend of safeties at rural home in 2000to2008

Fig29: Explain remarkable decline of dangerous spots of Neyriz outer-city roads from compared 2005to2008

41

6688

0

50

100

2000 2008

24

51

0

10

20

30

40

50

60

2005 2008

:28. Fig

2008& 2000 z yrie At NComparing Safeties Situations of Rural House

:92.Fig

2008& 2005 s Roads'City-Compared Dangerous Spots of Neyriz Outer

Fig30: Explain remarkable decline of dangerous spots of Neyriz inner-city roads from compared 2005to2008.

42

320

128

050

100150200250300350

2005 2008

:30. Fig

2008&2005s Roads'City-Compared Dangerous Spots of Neyriz Inner

Fig31A&B: Has shown changes in trends of different accident rates related to episode location and reduction of ones in 2008compared to 2006.

43

2006 2008

619.7 vs. 204.6

13 vs. 10.7

264. 8 vs214.4

67.8 vs. 18.

76.2 vs 22.2

0.93vs 1.8

59.5 vs19.6

1 2 3 4 5 6 7 Hit or Beat- 7 ll Fa-6 Electrical Shock-5 Drown -4 Burn -3 e Snake bit& Scorpion -2 Animal Attack -1

1200

1000

800

600

400

200

0

:A31. Fig

008 2to 2006 yriz DistricteCompared Rate of Accidents Related to Location of Episode in N

44

0

200

400

600

800

1000

1200 1088.9 vs. 962.6

145.9 vs 59.5

230.4 vs 234.1

124.5 vs. 141.5

179.7vs 204.4

109.6 vs. 27.6

14 - Others Motorcycle Crash -13 Suicide - 11-violence 12- car crash-10 Pedestrian Crash -9 Poisoning -8

8 9 10 11 12 13 14

2006 2008

:B31. Fig

2008yriz District eCompared Rate of Accidents Related to Location of Episode in N

5- Efforts taken for indicator no 6: Ongoing participation in national and international Safe

Communities networks.

1- Oral presentation reports of the performance related to Neyriz safe community effort to Dr. Hendrickson

and Dr.Mohammadi from karolinska Institute, (Sweden) and request for guides in order to improve

implementation the program.

2- Sending the performance of Neyriz safe community to the global collaborate officiate safe community

located at Sweden.

3- Establishing the web site of the safe community of Neyriz and providing communication with other

communities.

www.neyriz.sums.ac.ir/sc

4- Participating in the designation ceremony of Arsanjan, Fars and Bardeskan, Khorasan Razavi To safe

community.

5- Visiting Arsanjan safe community program.

6- Shiraz University of Medical Sciences (SUMS) administrators visit from Neyriz safe community and

proposing necessary guides.

7- Visiting the program and offering necessary guides by the experts of the ministry of health.

Fig.32: indicates site visits of WHO collaboration center from Karolinska Institute and Iranian Health ministry

and Shiraz University of Medical Sciences administrative collaborative members from Neyriz safe community.

45

Others: The safe community committee has tried for some efforts for increasing participation

another organization and people.

Earth quack maneuver………….

Fig.33.field practice the quake maneuver

Safe "To ardtows Encouragements 'Public ofStrategies Indicates :92Table

. awareness of them in this Related &Programs & ” PlanCommunity

.e in safe community most important rol theoriented volunteers have one of-Health: 29Table

46

Strategies

Neyriz Volunteers from different Locations of Oriented-Healthncrease Number of I● )Aashyeir (Clans Volunteers from differentOriented-Healthncrease Number of I●

Volunteers from different Local OfficesOriented-Healthse Number of ncreaI● , Workplaces Volunteers from different Local Oriented-Healthse Number of ncreaI

Factory, Mines●

aspects of differentRelated to Volunteers Oriented-Health Capabilities of se ncreaIWorkplaces & their Own Location

●

Public's Encouragements Via: Religious Figures, Friday day pray Leaders, Islamic Assemblies& Public's Figures

●

Increase Public's knowledge from different Method: Public Media, Neyriz Afternoon Local Weekly News, Khabar Jounoub Newspaper, Safe Community Pamphlet, Safe Community Site

●

programs& Method of Informing Public about Safe Community Plan : 30Table

Table30: Increasing public awareness is an important strategy for Neyriz safe community.

47

Responsible Organization

Amount

Type Inform Target Group

Year

Safe Community(Secretariat)12 Announce in Neyriz Afternoon Local

Weekly NewsPublic 2002-2009

City Governor, Secretariat&4 InterviewPublic 2002-2009 Secretariat30 Daily Reports From Accidents

PhenomenonPublic 2002-2009

Secretariat10 Record in Safe Community ReportsPublic 2002-2009 Secretariat15 Safe Related toWarningRecord

Community Confirm Reports that Need Previous inform

Public 2002-2009

Representative of supreme Leader Islamic Educator

62 Friday Pray & Religious MeetingPublic 2002-2009

Secretariat- Started Active Safe Community Site since Middle of Year 2008

Public 2002-2009

Local The Red Crescent5 Establishment of Exhibition for different Occasion

Public 2002-2009

Secretariat7 Installation of Inner-City Signs Related the Safe Community Goals & Information

Public 2002-2009

of Education Text Information Prepared :31 Table

Table31: Public education is strategic program that has down by safe community especially for children and high risk groups.

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Responsible OrganizationsTarget Groups Amount

Type of Activities

Description of Plan

Years

Safe Community(Secretariat)House Wives6000 PamphletPrevention of Children

Burn 2007

Safe Community(Secretariat) Drivers4000

PamphletEducate & Prevent Behavior of Reckless Drivers

2007

Safe Community(Secretariat) Age- Groups (15-40 Yrs)5000 PamphletSafeties of Motorcycle

Drivers 2008

Safe Community(Secretariat) House Wives6000 PamphletPrevention of Kitchen Burn

2008

Safe Community(Secretariat) Public5000 PamphletGeneral Needs of First Aid for Family

2009

Safe Community(Secretariat) Age- Groups (5-12 Yrs)3500 PamphletEducate Children For

Safeties on Street 2008

Safe Community(Secretariat) Age- Groups (15-40 Yrs)

3500 PamphletPrevention of Youth For Drug Abuse2008

Health Department Medication Expertise

Public3500 PamphletPrevention For any Poisoning Related to Bites(1)

2008


Public3500 PamphletPrevention For any Poisoning Related to Bites(2)

2008


Public5000 PamphletHouse Safeties From any2008

Safe Community(Secretariat) Public5 Pamphlet Death is Neighbor of anyMotorcycle Drivers Without Helmet

2008

Safe Community(Secretariat) Public5 PamphletWorn HadShe/If He......!?Helmet

2008

Safe Community(Secretariat) Public5 PamphletReckless Behavior in driving the Car2008

Safe Community(Secretariat)School Principals300 PamphletSafe School2009

Safe Community(Secretariat) Public40000 PamphletSafe Community2009

Indicates Research Activities :23Table

Acknowledgment: We respect of everybody to participate for accumulation and arrangement especially Dr.M.H.Fallahzadeh,

andJoulae.Dr, Zakeri.Dr, adiMohammn.S. Dr,)Translator&counselor( Parsa.N.Dr ,Haidary.R.M.Dr Mr.Mohamad Taheri&Mrs. Mazidmoradi as Focal point safe community in Neyriz district. We also pleasure for well cooperation by Mrs.sh. Alinezhad, Mrs.M. Safari MD. Mrs.F. Foladband. Mrs.F. Rezae.Mrs.B.Malekzadeh. Mr.S.Nasiri. Mostafa Medhati MD & Efat Hadizadeh. Shiraz University of Medical Sciences_ Health Department –Non communicable diseases group-Accident prevention section. +987112122449-+989171051194. [email protected]

49

Present Situation of ResearchDescription of Plan Years

In Process Intervention to Increase Safeties For Motorcycle Riders

2004

In Process Intervention to Increase Safeties For Schools2008 In Process Intervention to Increase Safeties For

Kindergartens2008

In Process Intervention to Increase Participation of Public in "Safe Community" Plan and Program of

2008

In Process Intervention to Increase Awareness of Public "Safe Community" about Plan and Program of

2008

In Process Plan to Evaluate & Assess Safeties of Parks 2008

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