The 7th World Conference on Injury Prevention and Safety Promotion, Vienna, Austria, June 6th-9th 2004. Vienna, Austria: Kuratorium für Schutz und Sicherheit/Institut Sicher Leben, 2004 Jun; :667-668
Problem under study: In Nicaragua the magnitude of the transport related injuries during the last decade has remained 8.27 to 10.89 per 100,000 inhabitants and represent between 15% - 25% of the external cause of deaths. This problem is aggravated due to the noncompliance with transportation regulations and the ingestion of alcohol by drivers. As soon as the development in epidemiology of injuries and public health programs then prevention can be promoted. Objectives: To obtain information on who, circumstances, time, and place of occurrence of transport-related injuries. This information will permit the promotion of prevention at the local level with the participation of the authorities and civil society. Methodology: Surveillance has been developed in two hospital emergency departments, in a national hospital (hospital A) and in a departmental hospital (hospital B) during August 2001- July 2002 with the technical and financial assistance from the Center of Disease Control, Atlanta, Georgia, USA. ICECI (International Classification of External Cause of Injury) coding was utilized and data were analyzed using EPI-Info 2000. Results: During the study period, August 1, 2001- July, 31 2002 there were 3,748 transport related injuries registered, of which 2,788 corresponded to hospital A and 960 corresponded to hospital B and in both hospitals the ratio of male to female was 3:1. The age distribution of the sample was those younger than 15 years old, 20%, 15-49 years old, 69%, and those older than 50 years old, 10.7%. The type of transport were motor vehicle; 2,329 (62.1%), bicycles 861 (23%); and cart drawn by an animal 210 (5.6%). Use of alcohol was suspected in 515 (14%) of the injuries. There were a total of 839 (23%) injured that required hospital admission. Of the injured pedestrians (n=997) there were 46.6% mildly injured, 33.5% moderately and 12.2% severely. Severity to drivers (n=1,338) was 49.1% mild, 38.4% moderate and 6.7% severe. And to passengers (n=1,169) the distribution of severity was 51.1% mild, 36.4% moderate and 6.7% severe. There were 107 fatalities (3%), the years potential life loss in males was 2,728 and for females 532. Conclusion: Injuries related to transportation represent an important burden in the morbidity and premature death in Nicaragua. This emergency department based injury surveillance system identified the ages of those being injured and provided important information regarding the type of transport and user involved in the collisions. This information can be critical in the development of effective prevention strategies. This one year experience has motivated the health authorities in Nicaragua to be interested in determining the costs.
The 7th World Conference on Injury Prevention and Safety Promotion, Vienna Austria, June 6th-9th 2004