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Success, Challenges, and Opportunity: A retrospective analysis of fatal pediatric injury in America, the Northeast, and Connecticut


Monday, November 2, 2015

Garry Lapidus, PA-C, MPH, Injury Prevention Center, Connecticut Children's Medical Center, Hartford, CT
Kevin T. Borrup, JD, MPA, Injury Prevention Center, Connecticut Children's Medical Center, Hartford, CT
Susan DiVietro, PhD, Injury Prevention Center, Connecticut Children's Medical Center, Hartford, CT
Brendan Campbell, MD, MPH, Connecticut Children's Medical Center, Hartford, CT
Rebecca Beebe, PhD, Injury Prevention Center, Connecticut Children's Medical Center, Hartford, CT
Carrie Corrigan, Connecticut Children's Medical Center, Hartford, CT
Steven C. Rogers, MD, MS-CTR, Emergency Medicine, Connecticut Children's Medical Center, Hartford, CT
Meghan Clough, Injury Prevention Center, Connecticut Children's Medical Center, Hartford
background:

The Connecticut Injury Prevention Center was established in 1990 and conducts research, education and training, community outreach programs and policy. This study describes historical changes in unintentional injury and violence in the United States, Northeast, and Connecticut.

 methods:

The Web-based Injury Statistics Query and Reporting System (WISQARS) was utilized to identify injury fatality rates for people aged 19 years and younger.  All mechanisms of injury fatalities for the years 1990 and 2013 were included in the study.  National data along with data from the Northeast region (and Connecticut were incorporated for better comparison measures.  Changes in fatality rates for each injury mechanism were calculated by comparing crude death rates from 1990 to that of 2013.

results:

All injury death rates have decreased by approximately 50% from 1990 to 2013 across the United States, Northeast, and Connecticut.  For unintentional injury fatalities, the national and northeast region’s rates fell by 55%, and the Connecticut rate fell by 49%.  Motor vehicle traffic fatalities decreased by more than 65% nationally and in the Northeast and by about 51% in Connecticut.  The national motor vehicle occupant death rates decreased by 84%, with an 85% decrease in the Northeast. However, suffocation and poisoning deaths increased from 1990 to 2013.

conclusion: The reduction of fatal youth injury deaths are likely due to research, community outreach efforts, enforcement, enhanced technology, and education and training programs to increase awareness of the preventability of injury fatality.  Promising programs and future areas of work are examined.

Learning Areas:

Epidemiology
Public health or related research

Learning Objectives:
Describe the rates of injury death in 1990 to present day (2013) and provide data, context, and explanations to better understand the comparisons.

Keyword(s): Epidemiology, Pediatrics

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the Director of the Injury Prevention Center at Connecticut Children’s Medical Center/Hartford Hospital and Associate Professor of Pediatrics and Public Health at the University of Connecticut School of Medicine. I served on the advisory boards for the Harvard Injury Control Research Center, and for the Society for Advancement of Violence and Injury Research. I currently am President of the New England Injury and Violence Prevention Research Collaborative.
Any relevant financial relationships? No

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.