1. ICE Collaboration with EU Anne Mette T. Johansen & Birthe Frimodt-Møller www.niph.dk Denmark International Collaborative Effort on Injury Statistics May 11, 2002, Montreal, Canada

2. IPP meeting, Copenhagen April 2002

3. The EU Injury Prevention Programme (IPP): The aim of this programme is:  To reduce the incidence of injuries  By promoting the epidemiological monitoring of injuries  By exchange of information about the use of the data  By reaching a common understanding about indicators, in order to exchange data and information on injuries.

4. Visions for the IPP by 2004  The Member States should reach consensus on minimum requirements on quality, representativity and compatibility of data.  Furthermore, Member States should meet the Community requirements for reporting of injuries within the framework of the EUPHIN telematic network.

5. The IPP Network  Established in 1999  Each Member State nominates two experts in the field of HLA injuries and intentional injuries

6. The Co-ordinating Secretariat for the IPP Network  acts as a link between the European Commission, the Network and other interested parties  assists the Commission and the Network members in administrative and technical matters

7. The IPP Projects The projects are categorized in two groups:  Data collection projects  Epidemiological projects.

8. Data collection in the IPP  Data collection on HLA (since 1986). A continuation of the former EHLASS  Data collection at ED’s at approx. 75 hospitals in 12 Member States Three MS collect data through household surveys  A common coding manual V2000 is used. The V2000 is based on the 3 rd revised edition of NOMESCO

9. Epidemiological projects Examples:  Development of Minimum Data Sets on Injuries (NL)  Decision-support tools for HLA data (data mining tools) (FR)  Study on comparability and representativity of HLA data (DK)  Sports injuries in EU countries (GR)

10. Epidemiological projects (2)  European review of suicide & epidemiology (UK)  Collection of data on intentional injuries (DK)  Medical costs of injury in Europe (NL)  Common software for quality control of HLA data (AT)  Social attitudes towards home and leisure risks in the EU (AT)

11. Epidemiological projects (3)  The European Commission will place final reports on IPP projects on its website: http://europa.eu.int/comm/dg05/index_en.htm

12. The telematic network Interchange of Data between Administrations IDA European Public Health Information Network EUPHIN Health Information Exchange and Monitoring System HIEMS ISS Injury Surveillance System (Including the former EHLASS ) The Injury Prevention Programme

13. The ISS Database  Representativity: Data must be population-based  Classification: Data must be delivered according to V2000  Methodology: Data must be collected at hospital level. Household surveys are considered as additional valuable information.

14. Variables in the ISS database  Country, Hospital-id, Case-id, Sex of patient, Age of patient  Date and time of attendance  Date and time of injury  Treatment and follow-up, number of days hospitalized  Place of occurrence, Activity at time of injury  Sports-codes

15. Variables in the ISS database (2)  Mechanism of injury, Type of injury, Part of body injured  Product involved in the injury, Product causing the injury, Other products  Accident description

16. Problems to overcome  Representativity  Comparability  Definition of indicators

17. Study on comparability and representativity of HLA data  4 countries participated (NL, SE, UK and DK)  Each MS gave an account for representativity  Injury incidence-rates were compared

18. Incidence of unintentional injury, men

19. Incidence of unintent. injury, fractures men

20. The New Public Health Programme 1.Improving health information and knowledge, i.e. a comprehensive health information system to provide policy makers, health professionals and the general public with key health data. 2.Responding rapidly to health threats, i.e. develop effective rapid response capability to deal with threats to public health.

21. The New Public Health Programme (2) 3.Addressing health determinants, i.e. improve health status of the population and reduce premature deaths in the EU by tackling underlying causes of ill health, through effective health promotion and disease prevention measures.

22. Collaboration between ICE and EU  Compare statistics at aggregate level in HIEMS and/or at detailed level in ISS  Develop robust indicators  Gather information on household surveys including questions on injury

23. Contact  IPP Secretariat National Institute of Public Health Svanemollevej 25 DK-2100 Copenhagen O e-mail:ipp@niph.dk web:www.niph.dk