1. CPSC Data Bases Tom Schroeder 3/11 *This presentation was prepared by CPSC staff. It has not been reviewed or approved by, and may not necessarily reflect the views of, the Commission.

2. U.S. Consumer Product Safety Commission n The U.S. Consumer Product Safety Commission is charged with protecting the public from unreasonable risks of serious injury or death from thousands of types of consumer products under the agency's jurisdiction.

3. Surveillance Data Bases n Injury and Potential Injury Incident Data (IPII) n Death Certificates (DTHS) n In-Depth Investigations (INDP) n National Electronic Injury Surveillance System (NEISS)

4. CPSC Need for Death/Injury/Incident Data n Set Priorities n Support Ban or Recall of Hazardous Products n Convince Industry and Others of Need for Product Standard n Support Development of Product Standards n Evaluate the Effectiveness of Product Standards n Develop Information and Education Campaigns to Raise Public Awareness of Product Safety

5. Injury and Potential Injury Incident Data (IPII) n MECAP (Medical Examiner and Coroner Alert Program) n News Clips n Hotline Calls n Internet Complaints n Compliance Reports n Federal/State Agency Referrals n Other Incident Reports

7. Consumer Local government State government Federal government Public Safety Health Care Medical Examiner Child Service

9. Death Certificates (DTHS) n Separate contracts with 50 states n Purchase ~ 8,000 certificates annually n Read all and code ~ 5,000 certificates n Daily review n Analytical use

10. In-Depth Investigations (INDP) n Field investigations On-site On-site Contact with local officials (ME/Coroner, Police, Fire, etc.) Contact with local officials (ME/Coroner, Police, Fire, etc.) Samples may be collected Samples may be collected n Telephone interviews

11. Access to CPSC Information  Freedom of Information Act Request IPII, DTHS, INDP, NEISS IPII, DTHS, INDP, NEISS Coded information is available Coded information is available Some restrictions to actual documents Some restrictions to actual documents  Clearinghouse

12. Consumer product injuries = ~ 34 million Product-Related Injuries Consumer product injuries treated in EDs = ~ 13 million Treated in physicians’ offices Treated in ambulatory care clinics

13. U.S. Consumer Product Safety Commission N ational E lectronic I njury S urveillance S ystem

14. Overview/History n National sample of 96 hospitals from all U.S. hospitals with at least 6 beds and 24-hour emergency service. n Each hospital reports information on emergency treatments to CPSC. n Hospital coder enters data in local PC and transmits the data to CPSC over the internet. n System collects ~ 395,000 product-related injury reports each year. –(~ 300,000 non-CPSC injury reports each year). n Multi-level system. n Supports CPSC and other agencies.

15. Overview/History n Has been in use for over 30 years. n Last updated with new hospital sample in 1997. n Data available from 1980-current through FOIA request. –2009 data was finalized March 31, 2010. n Internet –On-line estimates from 1991-2009. –Data available for download from 2002-2009.

17. Why Emergency Department Data? n Large numbers of injuries are treated there. n Data are already being captured in ED record on these cases. n Hospitals have been very cooperative in supporting CPSC data collection activities. n The information is timely.

18. NEISS Surveillance Variables n Treatment date n Case number n Age n Sex n Injury diagnosis n Body part injured n Disposition from ED n Products involved (2) n Locale n Type/work-related n Fire dept. involvement n Intent n Race / ethnicity n Narrative (2 lines)

20. Statistical Basis n NEISS sample design: www.cpsc.gov/library/neiss.html www.cpsc.gov/library/neiss.html n Follow-back investigations can be conducted within the statistical framework.

21. Multi-level Data Collection Capability n Routine emergency department data n Emergency department special study - “2nd screens” n Telephone investigations n On-site investigations

22. Level 1- Surveillance Data n Baby walkers

24. Level 2-Emergency Department Questions (2nd Screen) n Poisonings to children <5 n Fireworks study

27. Level 3-Telephone Investigations n NEISS follow-up studies –ATV studies –Bicycle helmets –Scooters –Baby walkers –Lawn mowers –Circular saws –Household fires –Cribs –Television tip over –Gas generators –Etc.

28. Level 4 - On-site Investigations n Power mower study n ATV studies n Chain saw study

34. NEISS-All Injury Program n Interagency agreements with other federal agencies n Data is not released by CPSC to outside users n http://www.cdc.gov/injury/wisqars/index.html n http://www2.cdc.gov/risqs/

35. Consumer Product Safety Improvement Act of 2008 Signed into law in August 2008  Signed into law in August 2008  http://www.cpsc.gov/cpsia.pdf http://www.cpsc.gov/cpsia.pdf http://www.cpsc.gov/cpsia.pdf  Sec. 212. Establishment of a Public Consumer Product Safety Information Database.

36. Sec. 212. Establishment of a Public Consumer Product Safety Information Database. n Establishment of a publicly available, searchable, internet based website. n Searchable by manufacturer or private labeler. n Transmission of reports to manufacturers or private labelers within 5 business days of receiving report. n Reports of harm relating to the use of consumer products and other products or substances regulated by CPSC that are received by CPSC are to be made available in a database no later than 10 days after manufacturer or private labeler is sent report.

37. Contact Information tschroeder@cpsc.gov Tom Schroeder Statistician, Division Director Division of Hazard and Injury Data Systems U.S. Consumer Product Safety Commission 4330 East West Hwy Bethesda, MD 20814