The Epidemiology of Injury cdc伤害疾病预防控制中心的流行病学.gov.pptVIP

ICE Injury Statistics International meeting Washington DC, September 7-8, 2006 PAHO’s Current Projects Morbidity data Hospital injury surveillance Mortality data Observatorios Violencia Interpersonal violence Intimate partner violence, sexual violence, child maltreatment, youth violence, suicides, etc Morbidity data PAHO-CDC-MOH-CISALVA “Injury Surveillance Systems in emergency rooms in Nicaragua, El Salvador and Colombia ” Technical assistance in different LAC countries Existing ISS as found in Jamaica, Peru, Brasil, Honduras, Bolivia, Chile, Argentina, Paraguay, etc MOH in Central America : “Family violence and sexual violence surveillance” Cali, Colombia: a case study in data cleaning and coding Challenges: Cali, Colombia: a case study in data cleaning and coding Cali, Colombia: a case study in data cleaning and coding Predictors of missing data Hospital Doctor Presence of alcohol Hour of admission Pre hospital care Achievements Injury data collection in ED is possible Health authorities are interested in: Extension of injury surveillance Creation of injury prevention programs Promotion of intersectorial injury mortality surveillance Data is being used to make decisions Challenges “Parallel” systems in the MOH persist Incomplete data in : alcohol abuse and other drugs, relationship between perpetrators and victims, precipitating factors in self-inflicted, etc Lack of consensus in measures of severity Insufficient dissemination of data to the authorities Challenges- Opportunities Consolidating existing health information systems, and promoting the integration of ISS in these systems : Ex SILEX- SIMMOW ( El Salvador ) Expert collaborations ( ICE, IACPV, etc ) strengthening quality of data, minimum data set, measures of severity, classification, etc New Training Injury Tools Teach- VIP ( WHO ) ; Injury Surveillance Training Manual ( CDC) ; etc Recommendations Regulate injury surveillance in the MOH Increase injury