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Risk Factors for Injuries in Western Asia
Adnan A. Hyder, MD MPH PhD
International Injury Research UnitDepartment of International Health Johns Hopkins Bloomberg School of
Public Health, USA
The Disease Causation Model
Microorganism
EnvironmentVector
Infectious disease model
Host
Injury Causation Model
Microorganism
Environment
Vector
Infectious disease model Injury model
Energy
Environment
Host
Vector or Vehicle
Host
Risks for road injuries
Road traffic fatalities are predicted to increase by 67% by the year 2020
Risks for Road Traffic Injuries…
Exposure:• Mode of travel• Poverty • Road design
Crash:• Speed• Alcohol/drugs• Vulnerability
Injury Severity• Speed• Lack of restraints• Lack of helmets
Outcome • EMS• Quality of care• Timeliness
Risks for Child Injuries
Poisoning
Falls
Road Traffic
Drowning
% of those <14y vehicle occupants who died and were found to have used safety restraints?
• = Zero (0%) % of those 10-14y traffic victims who were
driving?• = 24% The lack of known safety interventions is a
RISK for injuries!8
Example of Risk Factors from UAE:
Source: UAE University, 2008
Homes & Childhood Poisoning
“Household” chemicals (poisons) – cleaners,
medicines, kerosene – within easy reach of
children
Schools and Playground Falls
• Millions of children get injured during daily life
• At school, falls during play and in play grounds are common
Risks for Road Traffic Injuries
Rural Areas & Risks for Drowning
Pond Ditch
CanalSubmerged paddy field
13
Ghantoot Car Crash, March 2008 – 5 killed, 277 injured
Risk factors for injuries are both predictable and
preventable!
Adnan A. Hyder ([email protected])
From:International Injury Research Unit, Johns Hopkins Univ.www.jhsph.edu/dept/IH/IIRU
Thank you!