Assessment of the Injury Epidemiology Road Traffic Incidents in Peru
D. Alex Quistberg, MPH, Epidemiology, School of Public Health, University of Washington
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.
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
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