1. Unintentional Injuries In Children By Todd Twogood MD, FAAP

3. 11/3 rd of our population OOur entire future

5. C. Everett Koop MD Former Surgeon General

6.  1952 : 3,000 Americans died of Polio  20,000 people left paralyzed  1999 : 30,000 died from firearms ( 9 per day)  Greater than 3,300 involve children each year most are unintentional  20,000 people each year are paralyzed from gunshots

8.  Accidents : implies that they are due to chance  Unintentional Injuries : characterizes the event as predictable and preventable if safety measures are implemented

11. Health is Years of Potential Life Lost (YPLL)

12.  5 th leading cause of death overall  Unintentional Injuries is the leading cause of death in ages 1 – 18 years old (Hovert 2005)

15.  Developmental or Genetic cause  SIDS  Prematurity  Accidents – Airway obstruction

16.  Accidents – Drowning #1, MVA’s #2  Developmental or Genetic cause  Cancer

17.  Accidents  Cancer  Homicide

18.  Accidents  Homicide  Suicide

20.  40% reduction in deaths from unintentional injuries from 1987 - 2001

21.  Still is the leading cause of death in children  About 6,000 kids die each year  About 92,000 are permanently disabled  Each year 14 million children sustain injury warranting medical attention

22.  14 billion in lifetime medical spending  1 billion in other resource cost  66 billion in present and future issues  Medicaid and government source paid for 39% of all days spent in the hospital by children for unintentional injuries (Miller et al.)

23.  MVA  Firearms  Drowning  Fires  Playground injuries  Bicycle injuries  Poisonings  A whole lot more

25.  Daily average of 4 deaths  602 injuries per day  More than ½ killed were unrestrained  1 of 4 involve a drunk driver  Among 5 y/o estimated 425 lives saved if properly restrained  Booster seats

27.  1 out of 3 deaths among teens is from MVA  12 teens die each day because of MVA’s  Teens are 14% of the population, but 30% of all MVA’s  Estimated cost of this is 40.8 billion dollars  Lowest rate of seat belt use  Drinking and drugs  Who’s at risk?

28.  Education  Graduated Driver’s Licenses (GDL) systems

30.  Children 3 – 14 years old account for 21% of pedal cyclist killed in MVA’s  35 children each day are seriously harmed because of not wearing a helmet  Bike helmets are 85-88% effective in reducing head injury from crashes  Parents need to be responsible  Legislation

32.  Drowning is still one of the top causes of injury related death (10 deaths per day, 4 kids)  For every child that drowns, 4 ER visits occur (40% require hospitalization)  Consequences  How do we prevent this

34.  Greater than 200,000 children 14 and younger  45% are serious injuries  75% of non-fatal injuries are on public playgrounds  70% of fatal cases occur at home

36.  Ingestions  52% of all poisonings occurred among children < 6 years old  Unintentional (72%)  Undetermined (10%)  Intentional (18%)

37.  In North Dakota  Sad Statistics  Prevention  Antidepressants

43.  Fireworks  Cold weather  Hot weather (Look before you leave)  Farm safety  ATV’s  Hunting  Lawn mowers  Home safety

46.  If some infectious disease came along [in the proportion that injuries do], there would be an outcry and we would be told to spare no expense to find a cure and to be quick about it.

48. Be Safe