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Assessment of the Injury Epidemiology Road Traffic Incidents in Peru D. Alex Quistberg, MPH, Epidemiology, School of Public Health, University of Washington BACKGROUND CONCLUSIONS Injury is a major health problem worldwide, and may be inflicted via road The government is attempting to address RTIs in some traffic incidents (RTIs), drowning, interpersonal violence, poisoning, falls, ways, including funding at least one research project to burns, and acts of war. According to the World Health Organization address some of the issues of surveillance and trauma (WHO), injuries account for 9% of global mortality and an enormous care. Though there have been few published studies on burden on global morbidity, especially among young people. In many RTIs, there is some interest in doing additional research. low and middle income countries there is a lack of work being don to Surveillance data could be greatly improved by augmenting reduce this burden, though many prove interventions exist and have the information that police collect. There have been some been deployed in developed countries. The purpose of this project is to attempts to encourage using WHO approved forms to do assess the current state of injury prevention, surveillance and research in this, but they still mostly rely on paper and pencil methods. Peru. These efforts will focus mostly on road safety because it is the Incentivizing the use of these forms may be one way of primary cause of unintentional injuries worldwide. increasing their use. It would be very useful to be able to link police data to clinical outcomes to understand the types and prevalence of injuries occurring in Peru, as well METHODS RESULTS as which subpopulations are being affected the most (e.g., Literature Review: This will include searching various sources of potential Road Traffic Incident Surveillance children, pedestrians, cyclists, etc.). There have been no information, including: • The Policia Nacional de Peru (under direction of the Ministerio del Interior) controlled studies of the prevention interventions that • Peer-reviewed, published scientific literature such as Web of are responsible for reporting any RTIs that occur at the national level. have been implemented in Peru. It is likely that these Science, PubMed, and Scielo • The data is generally recorded in handwritten notebooks, and generally only interventions will be as effective in Peru as elsewhere, but • White papers from non-governmental organizations (NGOs) and includes number of vehicles and pedestrians involved, age group of any there may be particular features that are the most government agencies of Peru persons involved (<18 or 18+ years ), #injured or dead, gender of any effective. Injury Epidemiology on road traffic incidents still • Gray literature via Google Scholar has a long way to go in Peru to mature to a solid involved, date, and location. • Media sources (eg., newspapers) in Peru understanding of the dynamics and issues related to injury. • Other sources of surveillance include the Cuerpo Nacional de Bomberos • General search using Internet search engines such as Google and Yahoo! (National Firefighter Corp), Asociación Peruana de Empresas de Seguros or Some examples of search terms used are “injury AND Peru” or “lesion APESEG (Peruvian Association of Insurance Companies), Ministerio de Salud, AND Peru” (Table 1). Electronic PDF copies of all documents will be and the Asociación de Clínicas. collected as well, if possible. Hard copies will be collected if PDFs are not • None of these sources have complete data on all RTIs, even combined. They available. All sources will be added EndNote X. A brief summary of the are a patchwork of information depending on what their main function is findings will be created. (emergency medical services, clinical care, payment, etc.) Collaborators: To establish relationships with injury prevention • There is no easy way of connecting these data sources to the police data since professionals, a combination of networking and cold contacting will be they do not include any identifying information used. Networking will be used through personal contacts and colleagues • This makes it difficult to complete in-depth assessments of patterns of injury that have relationships with researchers in Peru. Cold contacting will be in the country used via email and phone to contact government agencies and any professionals that have published any information related to injury Prevention Activities Epidemiology in Peru. • All road safety activities are coordinated and monitored by the Consejo Nacional de Seguridad Vial or CNSV (National Council of Road Safety) FUNDING SOURCE Table 1. Examples of search terms that will be combined with “Peru.” This project was funded by Washington Global Health underdirection of the Ministry of the Interior’s General Office of National Defense. Alliance through the Amauta Peru Practica Program. English Spanish Injury Lesión • Implemented a number of engineering interventions such as pedestrian Injury prevention Prevención de lesiones bridges, enforcement practices like zero-tolerance enforcement (alcohol), ACKNOWLEDGMENTS Injury Epidemiology Epidemiología de lesiones and some educational pedestrian safety for children and adolescents. Dr. Beth Ebel at the Harborview Injury Prevention & Research Crash Choque Center for being my practicum supervisor, Dr. Walter Curioso of Research Activities the Universidad Peruana Cayetano de Heredia for being the site Accident Accidente Road traffic incident Incidente de vial • There have been few published, peer-reviewed studies on RTIs in Peru supervisor, Dr. Jaime Miranda of Universidad Peruana Cayetano • There is currently a study assessing RTIs in Peru, including surveillance, de Heredia for his insights on RTIs in Peru, Alica Silva from the External causes Causas externas Global Health Department for administrative support , and Trauma Trauma clinical care, and infrastructure Rene’ M. Lucas of the School of Public Health for coordinating Road safety Seguridad vial • One potential collaborator was found the practicum. Traffic accident Accidentes de transito
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