International Collaborative Effort on Injury Statistics

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					International Collaborative Effort
              -ICE-
       on Injury Statistics
             Lois A. Fingerhut, Chair
    Special Assistant for Injury Epidemiology
      Office of Analysis and Epidemiology




   U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
   Centers for Disease Control and Prevention
   National Center for Health Statistics
      The International Collaborative
      Effort (ICE) on Injury Statistics
   An international activity of the Centers for Disease
    Control and Prevention's (CDC) National Center
    for Health Statistics (NCHS)

   Annual meetings since May 1994

   Proceedings and presentations available on our
    website
      www.cdc.gov/nchs/advice.htm
           Goals of the ICE on
            Injury Statistics
   Provide essential data for understanding
    causes of injury and effective means of
    prevention

   Provide a forum for international experts in
    injury prevention and control to discuss data
    issues
             Participating Countries
   Early members
       Australia, Canada, Denmark, England and
        Wales, France, New Zealand, Netherlands,
        Norway, Scotland, South Africa, Thailand, St.
        Lucia, United States


   Recent additions
       Argentina, Barbados, Brazil, Chile, Colombia,
        Mexico, Nicaragua, Puerto Rico
    Organizational Collaborations

   Pan American Health Organization
   European Union/Commission
   World Health Organization (WHO) Center Heads
    for Classification
   Washington City Group (measurement of
    disability)
   International Society for Violence and Injury
    Prevention
           International Requests for
                ICE Assistance
   International Classification of External
    Causes of Injury
       Development and maintenance of this
        classification (now accepted by WHO)


   Mortality Reference Group of WHO
       Methodology for selecting a main injury among
        multiple causes of death
               Injury ICE Projects
   Reporting Frameworks
       External causes of injury mortality and morbidity
       Injury diagnoses for both morbidity and mortality
   Injury indicators
   Selecting a main injury among multiple causes
    of death
   International Classification of Diseases-- comparability
    and definitions
   Occupational injury measures
   Household survey questions about injuries
   Poisoning – definition and classification questions
   Injury severity measures
               AdvICE list…




Send SMTP message to listserv@cdc.gov and type in the
 body of e-mail "Subscribe AdvICE-Users" followed by
your full name.
       What’s Next for the ICE ?
   Next meeting- September 7-8 in DC
   Broadening outreach to include more
    countries with injury experts interested in
    data-related activities
   Following-up on Cuernavaca meeting to foster
    focus on surveillance of nonfatal injuries
   Establishing workgroups on measuring
    severity and defining indicators
   Seeking guidance on funding sources…..
  International injury
death rate comparisons
 Based on data provided from Cuernavaca
    meeting participants in June 2005,
 updated to reflect most recent data years
        available for each country
      Age-adjusted injury death rates: most recent
        years available ranging from 2000-2004
     South Africa
        Colombia
            Brazil
           Mexico
      Puerto Rico
    United States
        Nicaragua
        Argentina
             Chile
Eastern Caribbean
     New Zealand
         Denmark
           Austria
          Canada
         Australia
  Northern Ireland
 The Netherlands
 England& Wales


                     0.0   20.0   40.0   60.0        80.0         100.0   120.0   140.0   160.0
                                         Deaths per 100,000 population
      Age-adjusted injury death rates by intent: most
      recent years available ranging from 2000-2004
     South Africa
        Colombia
            Brazil
           Mexico
      Puerto Rico
    United States
        Nicaragua
                                                                            Unintentional
        Argentina                                                           Suicide
             Chile                                                          Homicide
Eastern Caribbean                                                           Undetermined
     New Zealand
                                                                            Legal/other
         Denmark
           Austria
          Canada
         Australia
  Northern Ireland
 The Netherlands
 England& Wales

                     0.0   20.0   40.0    60.0        80.0      100.0    120.0   140.0      160.0
                                         Deaths per 100,000 population
      Injury death rates for children 1-14 years: most
      recent years available ranging from 2000-2004
  South Africa
  New Zealand
     Colombia
       Mexico
     Argentina
         Brazil
                            In most countries, motor vehicle-traffic
    Nicaragua
  United States
                            deaths are the leading cause of injury
         Chile              death for this age group; in some countries,
       Canada                drowning leads all other causes of fatal injury.
      Australia
      N Ireland
   Puerto Rico
      Denmark
   Netherlands
        Austria
England&Wales

                  0   10   20                30                 40   50         60
                                Deaths per 100,000 population
          Injury death rates for teens and young adults 15-24
            years- most recent years available ranging from
                                2000-2004
     Colombia
  South Africa
         Brazil
   Puerto Rico
                                                        Firearms were the leading cause
  United States
                                                        of injury death in these countries.
     Argentina
  New Zealand
       Mexico
    Nicaragua
 Eastern Carib
         Chile                  Motor vehicle traffic deaths were the leading cause
       Canada                   of injury death in each of these countries.
        Austria
      Australia
     N Ireland
      Denmark
England&Wales
   Netherlands

                  0   20   40      60          80          100          120   140   160       180
                                        Deaths per 100,000 population
            Injury death rates for persons 35-54 years of
           age: most recent years available ranging from
                             2000-2004
  South Africa
     Colombia
         Brazil
 United States
       Mexico
   Puerto Rico
 Eastern Carib
         Chile

    Nicaragua
    Argentina
     Denmark
       Canada
       Austria
     Australia
     N Ireland
England&Wales
  Netherlands

  New Zealand

                  0     50                 100                150   20
                              Deaths per 100,000 population
  Injury death rates for persons 65 years and
  older: most recent years available ranging
                from 2000-2004
     Denmark
       Mexico
    Nicaragua
       Austria
     Colombia
         Chile
 United States                           With few exceptions, falls are
  South Africa                           the leading cause of injury death.
        Brazil                           Exceptions include PR, Argentina,
       Canada
                                         S Africa and Colombia where MVT
  Netherlands
                                         was the leading cause.
     Argentina
     Australia
  New Zealand
     N Ireland
England&Wales
 Eastern Carib
   Puerto Rico

                 0   50      100                 150        200           250

                          Deaths per 100,000 popualtion
Thank you
LFingerhut@cdc.gov
   301-458-4213