International Collaborative Effort -ICE- on Injury Statistics Lois A. Fingerhut, Chair Cuernavaca, Mexico June 1 st -2 nd,, 2005 U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National Center for Health Statistics

Welcome! Argentina, Barbados, Brazil, Chile, Colombia, Mexico, Nicaragua, Puerto Rico Australia, Canada, The Netherlands, South Africa, Thailand, St. Lucia, and the United States Pan American Health Organization, World Health Organization, CDC (US)

In your folders… Agenda Agenda Participant list Participant list ICE on Injury Statistics: 10 year review ICE on Injury Statistics: 10 year review International mortality comparison report International mortality comparison report Report from WHO on External cause of injury lists Report from WHO on External cause of injury lists NCHS injury resource documents NCHS injury resource documents Brief introductions of all attendees Brief introductions of all attendees

Injury ICE Projects Reporting Frameworks Reporting Frameworks External causes of injury mortality and morbidity External causes of injury mortality and morbidity Injury diagnoses for both morbidity and mortality Injury diagnoses for both morbidity and mortality Injury Indicators Injury Indicators Selecting a main injury among multiple causes Selecting a main injury among multiple causes of death ICD comparability and definitions ICD comparability and definitions Occupational injury Occupational injury Household survey questions about injuries Household survey questions about injuries Poisoning – definition and classification questions Poisoning – definition and classification questions Injury Severity Injury Severity

Collaborations Pan American Health Organization Pan American Health Organization European Union/Commission European Union/Commission ICECI (International Classification of External Causes of Injury) ICECI (International Classification of External Causes of Injury) WHO Center Heads for Classification WHO Center Heads for Classification Washington City Group (focus is on measurement of disability) Washington City Group (focus is on measurement of disability)

AdvICE list… Send SMTP message to and type in body of "Subscribe AdvICE-Users" followed by your full name.

International death rate comparisons Thanks to all of you!

Notes… Rates are crude and not age-adjusted Rates are crude and not age-adjusted Standard errors were not requested Standard errors were not requested Scales are different on each chart! Scales are different on each chart! Countries are ordered on the charts by population size Countries are ordered on the charts by population size Format follows previous work of the ICE on Injury Statistics Format follows previous work of the ICE on Injury Statistics Copy of that report is in your folder Copy of that report is in your folder

Sorted from hi to low Injury death rates, selected years

Injury death rates by mechanism

Injury death rates by intent

Percent distribution of injuries by intent

Injury death rates- children 1-14 years

Injury death rates ages years

Injury death rates years

Injury death rates 65 years and over

Next steps Update and verify data! Update and verify data! Provide age-adjusted rates Provide age-adjusted rates Standard errors Standard errors Obtain data from additional countries from Latin America and from other ICE participants Obtain data from additional countries from Latin America and from other ICE participants Draft and edit text Draft and edit text Submit to journal Submit to journal

General meeting information

A warm welcome to all!