146213
Epidemiology of all-terrain vehicle (ATV) fatalities in West Virginia, 1999–2006
Aron J. Hall, DVM, MSPH
,
Epidemic Intelligence Service assigned to West Virginia Department of Health and Human Resources, Centers for Disease Control and Prevention, Charleston, WV
Danae Bixler, MD, MPH
,
Infectious Disease Epidemiology Program, West Virginia Department of Health and Human Resources, Charleston, WV
James Kaplan, MD
,
Office of the Chief Medical Examiner, West Virginia Department of Health and Human Resources, Charleston, WV
Background: Since the 1990s,
West Virginia (WV) has led the United States in per capita death rate from
all-terrain vehicle (ATV) incidents, with rates eight times higher than the
national average. Safety legislation enacted in 2005 attempted to curtail this
trend by prohibiting ATV operation on selected paved roads and by requiring
helmets for ATV riders aged <18 years. This study describes the epidemiology
of ATV fatalities in WV during the previous 8 years.
Methods: WV death
certificates for 1999–2006 with International Classification of Deaths
(10th Rev.) (ICD-10) codes correlating to ATV unintentional injuries
were identified. Descriptive analyses were performed to identify temporal
trends and demographic variations.
Results: During 1999–2006, a
total of 278 ATV fatalities occurred in WV. The greatest annual total occurred
in 2006, with 60 ATV fatalities, approximately twice the annual average during the
preceding 7 years of 31 (range: 14–43). Males accounted for 231 (81%) of
fatalities. The average annual death rate for WV residents attributable to ATV
incidents was 1.5/100,000, with adolescents aged 10–19 years exhibiting the
highest rate (2.8/100,000) among all age groups. During the 8-year period,
fatalities averaged a 20%/year increase. Half (139) of all ATV fatalities
resulted from incidents occurring on public highways, rather than off-road
incidents, with no significant difference in this trend before and after 2005.
Conclusions: Since 1999, ATV
fatalities in WV have continued to increase, with little change observed since 2005
safety legislation. We recommend targeted community education efforts and improved
ATV safety regulations.
Learning Objectives: Describe the epidemiology of all-terrain vehicle fatalities and specific risk factors. Develop appropriate educational and regulatory interventions to prevent all-terrain vehicle fatalities.
Keywords: Motor Vehicles, Injury
Presenting author's disclosure statement:Any relevant financial relationships? No Any institutionally-contracted trials related to this submission?
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.
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