1. Dr. Susan M. Smith EdD. MSPH Associate Professor of Safety & Health Education Department of Applied Health Science, Indiana University Bloomington smithsu@indiana.edu Dr. Amina Sandal, PhD. MPH Director of Health Education Sharja UAE Ministry of Health

3. Citizens (21% of total population) include:  417,917 males and 407,578 females Non-citizens (79% of total population) include:  2,388,224 males and 3,280,932 females Changes in the UAE: increasing risk of unintentional injury death Rapid Growth Oil Production Expansion in Urban areas Major improvement in road systems Construction operations and related labor force demands has increase to be 19% of workforce by 2000.

4.  In 2005 the World Health Organization reported Accidents to be a major health problem in the United Arab Emirates  In this report the main cause of accidental death was cited as road accidents representing 70.5% of the total accidental deaths.  Of those who died males represented 88.5% of all road traffic accident deaths

5.  Objectives: ◦ Determine the unintentional death rate by cause for males ages 20-65 by within selected medical districts living in the UAE ◦ For the Six Medical Districts* managed by the UAE Ministry of Health  Determine the death rate for males ages 20-65 caused by unintentional injury & analyzed by citizen status for the years 2006-2008  Determine the death rate for males 20-65 caused by unintentional injuries & analyzed by citizen status for each season of the year. ◦ *Rasal-Khaimah, Ajman, Fujarah, Um m al Quiwan, Sharja, Dubai

6. Report Deaths by Gender & Citizen Status Male Citizen s Male Non- Citizens Total Males Female Citizens Female Non- Citizens Total Females Frequency2,6027,80010,4271,7601,9003,673 % within Category % Total Study Population 24.95%74.81% 73.9% 48%51.73% 26.0%

7.  -by citizen status for males ages 20-65 reported by six UAE Medical Districts  Chi-square –death rates differ significantly by citizen status  Adjusted Residuals  Accidents & Adverse Effects  Citizens significantly < observed than expected  Non-Citizens Significantly >observed than expected**  Motor Vehicle & Traffic Accidents  Citizens significantly > observed than expected** ◦ Non-Citizens Significantly < observed than expected

8.  Accidental Poisoning ◦ Citizens significantly > observed than expected**  Non-Citizens Significantly < observed than expected  Accidental Falls ◦ Citizens significantly < observed than expected  Non-Citizens Significantly > observed than expected**  Other causes ◦ Citizens significantly < observed than expected  Non-Citizens Significantly > observed than expected**  **=more observed than expected

9. SpringSummerFallWinter Unintentional Injury Cause Sig. Greater than Observed Accident & Adverse Effect Non-citizen Motor Vehicle & Traffic Accident CitizenNo Difference Citizen Accidental Poisoning No Difference CitizenNo Difference Citizen Accidental Falls Non-citizenNo Difference Non-citizen Other Causes Non-citizenNo Difference Non-citizen

10.  When unintentional injury fatalities reported by the all six UAE Medical Districts under study were analyzed by rate a Chi-Square test found the rate death due to unintentional injury to differ significantly between Citizens and Non-citizens.  For all unintentional injury death categories except Motor Vehicle & Traffic Accidents Non- citizens were found to have significantly higher rate of observed deaths than Citizens.  Citizens were found to have a significantly higher rate of observed deaths than Non- citizens for Motor Vehicle & Traffic Accidents