Injury Prevention - ncsl.org

Injury Prevention

Ileana Arias, Ph.D.

DirectorNational Center for Injury Prevention and Control

Centers for Disease Control and Prevention

May 14, 2009

National Center for Injury Prevention and Control:

An Overview

National Center for Injury National Center for Injury Prevention and Control:Prevention and Control:

An OverviewAn Overview

Injury Prevention

CDC’s GoalsCDC’s Goals

• Healthy People in Every Stage of Life

• Healthy People in Healthy Places

• People Prepared for Emerging Health Threats

• Healthy People in a Healthy World

Injury Prevention

Septicemia34,136

Septicemia26,243

Septicemia3,912

ViralHepatitis

2,314

Influenza & Pneumonia

934


354


172Cerebrovascular

43Septicemia

36

Chronic Low. Respiratory

Disease 56

NecrotizingEnterocolitis

54610

Nephritis43,901

Nephritis36,416

Nephritis4,141

Chronic Low.Respiratory

Disease3,977

DiabetesMellitus

2,045

Congenital Anomalies

436

Complicated Pregnancy

183Septicemia

45Benign

Neoplasms40

Perinatal Period

58

Neonatal Hemorrhage

6659


63,001

Unintentional Injury36,729

Suicide4,210

HIV4,516

Cerebrovascular 2,260

Cerebrovascular 546

Cerebrovascular 196


55


Disease49

Cerebrovascular

62

Bacterial Sepsis

8348

Alzheimer’s Disease71,599

DiabetesMellitus55,222

LiverDisease

7,126

DiabetesMellitus

5,691

Liver Disease

2,688

DiabetesMellitus

617

DiabetesMellitus

202


Disease55


51Septicemia

85Respiratory

Distress860

7

DiabetesMellitus75,119


55,453Cerebrovascular

10,028Cerebrovascular

6,381Homicide

3,109HIV

1,318Congenital Anomalies

504Heart Disease

146Cerebrovascular

52Influenza

& Pneumonia110


6

Unintentional Injury

117,809

Alzheimer’s Disease70,858


Suicide6,991

HIV4,363

Heart Disease3,249

Heart Disease1,119


200Heart Disease

106Heart Disease

151Placenta Cord

Membranes1,110

5

Chronic. Low Respiratory

Disease130,933

Chronic. Low Respiratory

Disease112,716

Diabetes Mellitus11,301

Liver Disease

7,517Suicide6,550

Malignant Neoplasms

3,601

Malignant Neoplasms

1,717Homicide

220Homicide

121Homicide

375Maternal

Pregnancy Comp.1,776

4

Cerebrovascular143,579

Cerebrovascular123,881

Chronic Low. Respiratory

Disease12,747


Heart Disease12,688

Homicide4,752

Suicide4,212

Suicide270


196

Malignant Neoplasms

377SIDS2,2303

Malignant Neoplasms

559,312

Malignant Neoplasms

388,322

Heart Disease65,208

Heart Disease38,103

Malignant Neoplasms

14,566Suicide4,990

Homicide5,466

Malignant Neoplasms

515

Malignant Neoplasms

485


522

Short Gestation

4,7142

Heart Disease652,091

Heart Disease530,926

Malignant Neoplasms

99,240

Malignant Neoplasms

50,405








5,5521

Total65+55-6445-5435-4425-3415-2410-145-91-4<1Rank

Age Groups

10 Leading Causes of Death by Age Group10 Leading Causes of Death by Age GroupUnited StatesUnited States--20052005

Injury Prevention

The Burden of InjuryThe Burden of Injury

• Each year, 30 million people experience a nonfatal injury serious enough to require a visit to an emergency department.

• Hospital emergency departments treat an average 55 people for injuries every minute.

• $406 billion in medical expenses and lost productivity.

Injury Prevention

Injury and Violence Prevention and Control at CDCInjury and Violence Prevention and Control at CDC

• CDC began studying home and recreational injuries in the early 1970s and violence prevention in 1980s.

• In June 1992, CDC established the National Center for Injury Prevention and Control (NCIPC) to focus on preventing and controlling injuries and associated deaths and disabilities.

• NCIPC is dedicated to identifying risk factors for injuries, developing and sharing strategies to prevent them, and supporting organizations and individuals working to do the same.

• NCIPC supports surveillance, research, and program implementation to address injuries in the community.

Injury Prevention

The Public Health Approach to PreventionThe Public Health Approach to Prevention

Develop and Test

Prevention Strategies

Ensure Widespread

Adoption

Identify Risk and Protective

Factors

Define the Problem

Injury Prevention

NCIPC Program DevelopmentNCIPC Program Development

1979 – 1990

1990 - 2000

2000 - present

Building the Case

Conducting/Synthesizing the Science

Moving Toward Implementation

Injury Prevention

• Maximize overall health of the population

• Reduce or eliminate health disparities

Health ImpactHealth Impact

Injury Prevention

Criteria to Accelerate Health ImpactCriteria to Accelerate Health Impact

• Burden of injury• Evidence base for interventions• Feasibility of interventions• Demonstrable and measurable

impact• Alignment with agency-wide goals• Consistent with CDC’s role• Cross-cutting and far reaching

impact• Stakeholder support

Injury Prevention

NCIPC PrioritiesNCIPC Priorities

• Preventing Injuries from Residential Fires

• Older Adult Falls Prevention

• Child Maltreatment Prevention

Injury Prevention

Why?Why?

• 396,000 home fires and 3,030 fire related deaths annually and we can prevent

• Injuries related to falls are a leading cause of death for adults age 65 or older and we can prevent

• One out of seven children experience child maltreatment and we can prevent

Injury Prevention

• Residential Fire Injury Prevention: Promote functioning smoke alarms in every home

• Preventing Falls Among Older Adults:Promote independent living through interventions that remove home hazards and improve physical fitness

• Child Maltreatment Prevention: Promote Safe, Stable, Nurturing Relationships (SSNR’s) between children and caregivers

NCIPC’s Strategies Related to the PrioritiesNCIPC’s Strategies Related to the Priorities

Injury Prevention

WhatWhat’’s Needed?s Needed?

• Dissemination and evaluation of proven interventions as community programs

• Dissemination of prevention materials to health care providers and community organizations

• Widespread adoption

Injury Prevention

Injury Prevention and Control Cost SavingsInjury Prevention and Control Cost Savings

$11,280 $11,280 in direct medical costsin direct medical costs

$2,618 $2,618 per personper person

Adherence to treatment guidelines Adherence to treatment guidelines for severely injured TBI patientsfor severely injured TBI patients

$600$600$74 $74

per childper childTeen Driving Safety ProgramTeen Driving Safety Program

$940$940$33$33Residential Home Smoke AlarmResidential Home Smoke Alarm

$10,800$10,800$1,250 $1,250

per personper personCommunityCommunity--based Fall based Fall Prevention ProgramPrevention Program

$570$570$10$10Child Bicycle HelmetChild Bicycle Helmet

$2,200$2,200$31$31Booster SeatsBooster Seats

Benefit to SocietyBenefit to SocietyCostCostPrevention/ControlPrevention/Control

MethodMethod

Injury Prevention

Road Ahead and Next Steps for NCIPCRoad Ahead and Next Steps for NCIPC

• Identified status, gaps, and needs in the priority areas

• Align resources to advance priorities

• Evaluate progress

• Ensuring that progress in other areas remains well tracked for success

Injury Prevention

In conclusion, the NCIPC…In conclusion, the NCIPC…

• Applies a systematic process to addressing the public health impacts of injuries and violence in America.

• Works closely with other agencies to be complementary, but not overlapping.

• Continues to look for opportunities to move research and data into programs that can benefit Americans and prevent injuries and death.

Injury Prevention

Investing in InjuryInvesting in Injury

• Good health is fundamental to our ability to be economically productive, engaged in our communities, and able to care for and enjoy our families.

• Primary prevention has a track record of improving health and reducing costs.

• Investing in violence prevention has immediate and long term savings, including reductions in chronic diseases.

Injury Prevention

NCIPC MissionNCIPC Mission

Documents

Injury Prevention - ncsl.org