Home and leisure injury prevention. Part 1: selected injuries.
Robertson-L; Stallones-L; Branche-Dorsey-CM; Nowak-N; Baker-S; Bender-TR; Dufour-M; Lumpkin-J; McLoughlin-E; Micik-S; Ory-M; Planek-TW; Rivara-F; Rutherford-GW Jr.; Scheidt-PC; Widome-M; Lezin-N
Position papers from The Third National Injury Control Conference: Setting the national agenda for injury control in the 1990s, April 22-25, 1991, Denver, Colorado. Atlanta, GA: National Center for Environmental Health and Injury Control, 1992 Apr; :255-294
Much attention has been focused on injuries related to motor vehicle crashes, yet each year tens of thousands of lives are lost or irrevocably shattered as a result of unintentional injuries in other circumstances. In 1986, 48,410 Americans died from unintentional injuries not related to motor vehicles; these deaths accounted for 32% of all injury-related deaths. In 1985, the lifetime human capital costs in lost earnings and medical care (excluding consideration for pain and suffering) totaled about $21 billion for fall-related injuries, $2.1 billion for drownings or near-drownings, $8.5 billion for poisonings (including intentional poisonings), $2.8 billion for fire- and burn-related injuries (not including property damage), and $14.4 billion for firearm injuries (intentional and unintentional) (1). We can reduce the incidence and severity of these and other injuries by applying the traditional tools of public health: surveillance to identify patterns and circumstances; research to understand causes and to develop and evaluate interventions; and implementation of programs that prevent injuries or mitigate their impact. The types of injuries addressed in this paper - those resulting from falls, drownings, poisonings, fires, burns, and firearms - are examples of the many unintentional injuries that are not related to motor vehicles. As members of the Home and Leisure Injury Prevention Panel, we chose to emphasize these injuries because of their prominence in Healthy People 2000, and because of their magnitude in terms of morbidity and fatalities, or because they can be prevented by effective interventions that are already available (2). These types of injuries affect different populations and vary in their causes and circumstances. As a result, the research and programs that address these types of injuries must encompass an array of academic disciplines, government and private organizations, and segments of society. No single intervention, agency, or approach can dramatically reduce the toll of unintentional injuries. We need a broad-based set of interventions that build on both research and examples of successful interventions.
Injuries; Injury-prevention; Traumatic-injuries; Accidents; Accident-prevention; Surveillance-programs; Burns; Substance-abuse
Book or book chapter
Position papers from The Third National Injury Control Conference: Setting the national agenda for injury control in the 1990s, April 22-25, 1991, Denver, Colorado
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