1. The Health of a Nation - Injury Allan Booth Manager Road Safety Education Program Curriculum K-12 Directorate NSW Department of Education & Training NSW Public Schools – Leading the Way www.det.nsw.edu.au

2. NSW Department of Education & Training NSW Public Schools – Leading the Way www.det.nsw.edu.au Today’s session National Trends Inequities Cost to the community Health Promotion

3. NSW Department of Education & Training NSW Public Schools – Leading the Way www.det.nsw.edu.au http://www.rta.nsw.gov.au/publicationsstatisticsforms/index.html http://www.aihw.gov.au/publications/index.cfm/title/10321

4. NSW Department of Education & Training NSW Public Schools – Leading the Way www.det.nsw.edu.au Around 6% of all deaths registered in Australia in 2004 were considered to be due to injury – almost 22 per day.

5. NSW Department of Education & Training NSW Public Schools – Leading the Way www.det.nsw.edu.au Injury deaths Intentional self harm or suicide (26%), transport injury (22%) and falls (20%) accounted for two-thirds of injury deaths in 2004. Suicide was the most frequent external cause of injury death in males and unintentional falls was the most common cause among females.

6. NSW Department of Education & Training NSW Public Schools – Leading the Way www.det.nsw.edu.au The injury (and poisoning) death rates in Australia have halved during the past 50 years from 116 deaths per 100,000 males in 1955 to 55 in 2004and a corresponding fall for females from 51 to 23 deaths per 100,000 females. Injury trends

7. NSW Department of Education & Training NSW Public Schools – Leading the Way www.det.nsw.edu.au Injury trends Deaths from transport-related accidents are also the lowest since World War II, the period when motor vehicles became the preferred means of transport. Death rates have consistently fallen between 1970 and 2004, from a high of 53 deaths to 12 deaths per 100,00 males and from 14 deaths to 4 deaths per 100,000 females.

8. NSW Department of Education & Training NSW Public Schools – Leading the Way www.det.nsw.edu.au Trends for casualties

9. NSW Department of Education & Training NSW Public Schools – Leading the Way www.det.nsw.edu.au Northern Territory Injury death rates in NT 1991-2000 NT Indigenous injury death rate is 3.4x the national rate NT Non-Indigenous death rate is 1.5x the national rate 17% of all deaths in NT were due to injury versus 6% nationally Injury is the 3rd leading cause of death in the NT (2nd for the Indigenous population) after cardiovascular disease and cancer. The leading causes of injury death are transport accident, violence, falls and suicide. The leading causes of hospital admission due to injury are violence, falls and transport accidents.

10. NSW Department of Education & Training NSW Public Schools – Leading the Way www.det.nsw.edu.au Injury

11. NSW Department of Education & Training NSW Public Schools – Leading the Way www.det.nsw.edu.au Groups experiencing inequity

12. NSW Department of Education & Training NSW Public Schools – Leading the Way www.det.nsw.edu.au ATSI Injuries - sustained in accidents such as car crashes. An indigenous person is three times more likely to die in an accident than a non-indigenous person. The Aboriginal population also has high rates of suicide and homicide. Hospitalisation Indigenous people are nearly twice as likely to be admitted to hospital than non-indigenous people. For children aged 15 years and under, the main reasons for hospitalisation include diseases of the chest and throat, injuries caused by accidents and middle ear infections.

13. NSW Department of Education & Training NSW Public Schools – Leading the Way www.det.nsw.edu.au Socioeconomic disadvantage Death rates for people aged 25-64 years living in areas of most disadvantage, compared to those living in areas of least disadvantage. Males 2.2 times more for traffic accidents 1.6 more from suicide Females 2.0 more for traffic accidents 1.3 for suicide

14. NSW Department of Education & Training NSW Public Schools – Leading the Way www.det.nsw.edu.au Gender MeasureMalesFemalesPersons Number of deaths528526817966 Proportion of all deaths 7.7%4.2%6.0% Crude rate per 100,000 population 52.926.439.6 Adjusted rate per 100,000 population 55.123.438.8 Injury deaths, proportion and rates - 2004

15. NSW Department of Education & Training NSW Public Schools – Leading the Way www.det.nsw.edu.au Gender

16. NSW Department of Education & Training NSW Public Schools – Leading the Way www.det.nsw.edu.au Gender

17. NSW Department of Education & Training NSW Public Schools – Leading the Way www.det.nsw.edu.au Gender

18. NSW Department of Education & Training NSW Public Schools – Leading the Way www.det.nsw.edu.au

19. NSW Department of Education & Training NSW Public Schools – Leading the Way www.det.nsw.edu.au Older people Falls account for about one-third of hospitalised injury and about one-fifth of fatal injuries in Australia. By far the highest rates of these injuries are at older ages

20. NSW Department of Education & Training NSW Public Schools – Leading the Way www.det.nsw.edu.au Older people Older people are over represented in pedestrian fatalities and have a greater chance of being killed when they are involved in a motor vehicle crash. Dementia and vision problems are the most significant issue affecting older drivers

21. NSW Department of Education & Training NSW Public Schools – Leading the Way www.det.nsw.edu.au Younger people In 2004, 47% of all deaths of persons aged 1-44 years were due to injury.

22. NSW Department of Education & Training NSW Public Schools – Leading the Way www.det.nsw.edu.au Younger people

23. NSW Department of Education & Training NSW Public Schools – Leading the Way www.det.nsw.edu.au Cost to the Community In 2003, injury estimated to contributed to have contributed to : 138,000 years of life lost (YLL) due to disease 106,600 years of ‘healthy’ life lost due to poor health or disability (YLD) Significant health costs are also attributable to injury, accounting for approximately 8% of the total direct costs of all diseases annually. Health costs associated with injury in Australia have been estimated to be $2.6 billion annually. This compares to the total direct cost for cancer of $1.4 billion for the same period.

24. NSW Department of Education & Training NSW Public Schools – Leading the Way www.det.nsw.edu.au Health Promotion

25. NSW Department of Education & Training NSW Public Schools – Leading the Way www.det.nsw.edu.au http://www.nphp.gov.au/publications/sipp/atsi.pdf

26. NSW Department of Education & Training NSW Public Schools – Leading the Way www.det.nsw.edu.au The National Road Safety Strategy http://www.atsb.gov.au/road/national_road_safety_strategy/index.aspx

27. NSW Department of Education & Training NSW Public Schools – Leading the Way www.det.nsw.edu.au NSW Health promotion activities addressing road injury

28. NSW Department of Education & Training NSW Public Schools – Leading the Way www.det.nsw.edu.au http://www.rta.nsw.gov.au/publicationsstatisticsforms/downloads/aborigi nal_action_plan2006_2010.pdf Aboriginal Action Plan

29. NSW Department of Education & Training NSW Public Schools – Leading the Way www.det.nsw.edu.au Strategies to target key issues Speed Fatigue Restraints Drink Drive Overloading Pedestrians Bicycles

30. NSW Department of Education & Training NSW Public Schools – Leading the Way www.det.nsw.edu.au Bring the Mob Home Safely an example of a new public health approach

31. NSW Department of Education & Training NSW Public Schools – Leading the Way www.det.nsw.edu.au Developing personal skills – culturally appropriate information 

32. NSW Department of Education & Training NSW Public Schools – Leading the Way www.det.nsw.edu.au Strengthening community action Work with Elders Work with young people

33. NSW Department of Education & Training NSW Public Schools – Leading the Way www.det.nsw.edu.au Strengthening community action - key aboriginal events Survival (Australia Day) NAIDOC(2 nd week of July) Croc Festival (September) Knockout (October long weekend)

34. NSW Department of Education & Training NSW Public Schools – Leading the Way www.det.nsw.edu.au Building healthy public policy RTA Aboriginal Action Plan http://www.rta.nsw.gov.au/publicationsstatisticsforms/downloads/abo riginal_action_plan2006_2010.pdf

35. NSW Department of Education & Training NSW Public Schools – Leading the Way www.det.nsw.edu.au Building healthy public policy http://www.rta.nsw.gov.au/publicationsstatisticsforms/downloads/abo riginal_action_plan2006_2010.pdf