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Slide 1 - University of Washington School of Public Health


									                                             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
                                                                                   (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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