1. International Collaborative Effort -ICE- on Injury Statistics Lois A. Fingerhut, Chair Special Assistant for Injury Epidemiology Office of Analysis and Epidemiology U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National Center for Health Statistics

2. The International Collaborative Effort (ICE) on Injury Statistics An international activity of the Centers for Disease Control and Prevention's (CDC) National Center for Health Statistics (NCHS) An international activity of the Centers for Disease Control and Prevention's (CDC) National Center for Health Statistics (NCHS) Annual meetings since May 1994 Annual meetings since May 1994 Proceedings and presentations available on our website Proceedings and presentations available on our website www.cdc.gov/nchs/advice.htm www.cdc.gov/nchs/advice.htmwww.cdc.gov/nchs/advice.htm

3. Goals of the ICE on Injury Statistics Provide essential data for understanding causes of injury and effective means of prevention Provide essential data for understanding causes of injury and effective means of prevention Provide a forum for international experts in injury prevention and control to discuss data issues Provide a forum for international experts in injury prevention and control to discuss data issues

4. Participating Countries Early members Early members Australia, Canada, Denmark, England and Wales, France, New Zealand, Netherlands, Norway, Scotland, South Africa, Thailand, St. Lucia, United States Australia, Canada, Denmark, England and Wales, France, New Zealand, Netherlands, Norway, Scotland, South Africa, Thailand, St. Lucia, United States Recent additions Recent additions Argentina, Barbados, Brazil, Chile, Colombia, Mexico, Nicaragua, Puerto Rico Argentina, Barbados, Brazil, Chile, Colombia, Mexico, Nicaragua, Puerto Rico

5. Organizational Collaborations Pan American Health Organization Pan American Health Organization European Union/Commission European Union/Commission World Health Organization (WHO) Center Heads for Classification World Health Organization (WHO) Center Heads for Classification Washington City Group (measurement of disability) Washington City Group (measurement of disability) International Society for Violence and Injury Prevention International Society for Violence and Injury Prevention

6. International Requests for ICE Assistance International Classification of External Causes of Injury International Classification of External Causes of Injury Development and maintenance of this classification (now accepted by WHO) Development and maintenance of this classification (now accepted by WHO) Mortality Reference Group of WHO Mortality Reference Group of WHO Methodology for selecting a main injury among multiple causes of death Methodology for selecting a main injury among multiple causes of death

7. Injury ICE Projects Reporting Frameworks Reporting Frameworks External causes of injury mortality and morbidity External causes of injury mortality and morbidity Injury diagnoses for both morbidity and mortality Injury diagnoses for both morbidity and mortality Injury indicators Injury indicators Selecting a main injury among multiple causes Selecting a main injury among multiple causes of death International Classification of Diseases-- comparability and definitions International Classification of Diseases-- comparability and definitions Occupational injury measures Occupational injury measures Household survey questions about injuries Household survey questions about injuries Poisoning – definition and classification questions Poisoning – definition and classification questions Injury severity measures Injury severity measures

8. AdvICE list… Send SMTP message to listserv@cdc.gov and type in thelistserv@cdc.gov body of e-mail "Subscribe AdvICE-Users" followed by your full name.

9. What’s Next for the ICE ? Next meeting- September 7-8 in DC Next meeting- September 7-8 in DC Broadening outreach to include more countries with injury experts interested in data-related activities Broadening outreach to include more countries with injury experts interested in data-related activities Following-up on Cuernavaca meeting to foster focus on surveillance of nonfatal injuries Following-up on Cuernavaca meeting to foster focus on surveillance of nonfatal injuries Establishing workgroups on measuring severity and defining indicators Establishing workgroups on measuring severity and defining indicators Seeking guidance on funding sources….. Seeking guidance on funding sources…..

10. International injury death rate comparisons Based on data provided from Cuernavaca meeting participants in June 2005, updated to reflect most recent data years available for each country

11. Age-adjusted injury death rates: most recent years available ranging from 2000-2004

12. Age-adjusted injury death rates by intent: most recent years available ranging from 2000-2004

13. Injury death rates for children 1-14 years: most recent years available ranging from 2000-2004 In most countries, motor vehicle-traffic deaths are the leading cause of injury death for this age group; in some countries, drowning leads all other causes of fatal injury.

14. Injury death rates for teens and young adults 15-24 years- most recent years available ranging from 2000-2004

15. Injury death rates for persons 35-54 years of age: most recent years available ranging from 2000-2004

16. Injury death rates for persons 65 years and older: most recent years available ranging from 2000-2004 With few exceptions, falls are the leading cause of injury death. Exceptions include PR, Argentina, S Africa and Colombia where MVT was the leading cause.

17. Thank you LFingerhut@cdc.gov 301-458-4213