IDB-Background-Purpose-Implementation

					                     The
             EU Injury Database
        Policy background,
      purpose, implementation
       and national support
IDB Seminar, Ankara, Turkey, 6th June 2008
                         Robert Bauer
 Austrian Road Safety Board / Dept. for Home and Leisure Safety
                  Vienna, Austria - www.kfv.at
                                              Working together to make Europe a safer place
Questions   to answer?
 • What is the IDB?
 • What is it’s product and
   service dimension?
 • Why is it important for
   Consumer Protection?
 • What is the support for
   national IDBs?
  Key facts about
  Injuries in the EU

• Injuries are the killer no. 1   Premature death
  in age groups 1-45                 / disability
                                         15%
• Injuries are the main cause
  of chronic disability in        Acute health care
  young people                          10%

• Injuries cause 10% of            Preventability
  hospital admissions                  high
                      What is the IDB?




                   • EU data collection on injuries involving
                     consumer products
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                   • to enable an evidence based response to public
a safer place        health and consumer safety issues
                       IDB Data Collection


                   Selected IDB Hospital            ...             Selected IDB Hospital

                   IDB Standard Data Set            ...             IDB Standard Data Set

                                                    ...
                                               National IDB
                                              Administrator




                                              EU IDB Network
                                            Data Upload Centre

                                                DG SANCO
Working together                           Public Internet Access
to make Europe
a safer place
                   Features of IDB data collection
                   • Minimum data set - keeping it practical
                   • Hospital based data collection – focus on more
                     severe injuries
                   • Sampling – ensuring cost efficiency and cost
                     effectiveness
                   • Country based (NDA) – harmonisation and
                     cross-national aggregation of existing systems
                   • Help for start-ups with seed money
                   • Subsidiarity – sharing responsibilities between
                     EU (overall control and IT) and Member States
                     (implementation)
Working together   • Central coordination and NDA support
to make Europe
a safer place        (training, tools, marketing)
                   The IDB data set
                   SEX OF PATIENT
                   AGE
                   DATE OF INJURY)
                                                  • Prevention needs
                   TIME OF INJURY
                   DATE OF ATTENDANCE
                                                    information about
                   TIME OF ATTENDANCE               external causes and
                   DATE OF DISCHARGE                circumstances of
                   TREATMENT AND FOLLOW-UP
                                                    injury events!
                   PLACE OF OCCURRENCE
                   MECHANISM OF INJURY            • The IDB is the only
                   ACTIVITY                         register which
                   SPORTS
                   TYPE OF INJURY
                                                    provides this kind of
                   PART OF THE BODY INJURED         information !
                   PRODUCT INVOLVED IN ACCIDENT
                   PRODUCT CAUSING THE INJURY
                   ACCIDENT DESCRIPTION
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                   What is it’s product and
                   service dimension?
                   The standard IDB data has
                   • up to four product related variables
                     with 4000 different product codes
                     each
                   • three products: product codes for
                     underlying / direct / intermediate
                     object producing the injury, and
                     narrative
                   • service identification through
                     place of occurrence (shopping mall,
Working together
                     gym) and type of sports (skiing), and
to make Europe
a safer place
                     narrative
                   What is it’s product and
                   service dimension?
                   The additional IDB module on products
                     and services
                   • Allows for additional questions on pre-
                     selected products or services




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a safer place
                   Why is it important for
                   Consumer Protection?
                   The IDB provides basic information about:
                   • How frequently are specific types of products
                     involved in accidental injuries?
                   • What are the mechanisms leading to injuries?
                   • What are typical settings (location, activity, victim)?
                   • What features of a product or a service impose the
                     risks?
                   • How severe are injuries of this type of accident?



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                   Why is it important for
                   Consumer Protection?
                   The IDB data enables for
                   • Risk assessment: Identification
                     and analysis of products and
                     services related to injuries
                   • Priority setting: Analysis of injury
                     patterns and groups
                     at risk
                   • EU-wide injury data exchange:
                     Injury monitoring and
                     benchmarking
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a safer place
                   Who needs product and
                   service risk assessment?
                   • Product and service safety
                     administrations
                   • Standardisation bodies
                   • Manufacturers and retailers
                   • Consumer protection agencies
                   • Policy makers in the field, on all levels


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a safer place
                   Where else do we need the
                   IDB information?
                   • Policy making
                   • Priority setting
                   • Advocacy for injury prevention
                   • Set up of campaigns
                   • Media work
                   • Monitoring of change
                   • Public Health Research
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                   • Product design (industry)
                   Importance of IDB for
                   Product Safety

                   The IDB data is a basis for
                      • identifying specific safety product
                        problems
                      • identifying “unsafe” categories of
                        products
                      • providing information to serve as a basis
                        for further investigating the specific
                        product aspects that may require
                        additional safety requirements (e.g. via
                        new standards).
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to make Europe
a safer place
                   The EU Consumer Policy
                   Context
                   • Data on accidents and injuries is a key
                     element in sound policy-making for
                     product and service safety
                   • In line with Consumer Policy Strategy and
                     Better Regulation approach
                   • A key element of the Commission’s
                     overall initiative on safety of consumer
                     services.




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a safer place
                   Importance of the IDB
                   at EU level
                   Support of EU Consumer Safety policy
                   • Epidemiology of product and service related
                     accidents in the common market
                   • Evidence-base for consumer safety legislation and
                     standardisation

                   Support of EU Public Health policy
                   • quantify the problems at EU / cross-national level
                   • identify external causes
                   • indicator based reporting for all injury sectors
                   • monitoring change and effectiveness of
                     interventions in the Member States
                   • international benchmarking with other big markets
                     (e.g. USA).

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a safer place
                   A Brief History of the IDB
                   • 1993 - 1997: EHLASS Programme
                      –   Home and Leisure accidents only
                      –   EU-12 + EFTA
                      –   Subsidized by DG XXIV Consumer Safety
                      –   National Reports on paper only

                   • 1999 - 2003: Injury Prevention Programme
                      –   Home and Leisure accidents only
                      –   EU-15 + EFTA
                      –   Subsidized by DG SANCO Public Health
                      –   Central database developed (ISS - Injury Surveillance System),
                          not public

                   • 2003 - 2008: Public Health Programme
                      –   All Injuries
                      –   EU-25 + EFTA + Accesion Countries
                      –   Supported by DG SANCO Public Health through PHP projects
  Working
Working together
  together to
to make Europe
  Working             –   Central database operational (IDB - Injury Database), public
a make place
   safer
  together to
  Europe a
  make
  safer place
  Europe a
                   What is the support for
                   national IDBs?
                   • IDB information events for national
                     stakeholders
                   • Seed money for new IDB pilots
                   • NDA Trainings
                   • IDB Coding Helpdesk
                   • Central database access
                   • Reports and data services
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to make Europe
                   • IDB Hospital certification
a safer place
                   Contacts for more information

                   IDB Project Coordination
                   rupert.kisser@kvf.at
                   robert.bauer@kfv.at

                   IDB Helpdesk
                   sanco-idb@ec.europa.eu


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