1. How has the ICE been a resource for problem response? Colin Cryer Injury Prevention Research Unit University of Otago 9 th World Conference on Injury Prevention and Safety Promotion, March 2008 9 th World Conference on Injury Prevention and Safety Promotion, March 2008

2. ICE 2 nd Symposium - 1999 International Classification of External Causes of Injury (ICECI) International Classification of External Causes of Injury (ICECI) Minimum Data Set for Injury Monitoring (MDIM) Minimum Data Set for Injury Monitoring (MDIM) Transitioning to ICD-10 Transitioning to ICD-10 Injury Diagnosis matrix Injury Diagnosis matrix Barell matrix Barell matrix Other Other March 2008 2Colin Cryer, IPRU, University of Otago

3. ICE 2 nd Symposium – 1999 Other Other Hospital discharge national databases: Hospital discharge national databases: Pilot questionnaire design and testing Pilot questionnaire design and testing International comparisons of drowning mortality International comparisons of drowning mortality Multiple cause of death and injury Multiple cause of death and injury Injury codes outside of ICD-9 Chapter 17 Injury codes outside of ICD-9 Chapter 17 EURORISC EURORISC to review current injury surveillance activities and to make recommendations for future ISC practice in the EU to review current injury surveillance activities and to make recommendations for future ISC practice in the EU March 2008 3Colin Cryer, IPRU, University of Otago

4. Indicators of injury incidence. 1998 1998 Our Healthier Nation – Green Paper Our Healthier Nation – Green Paper 1999 1999 Saving Lives: Our Healthier Nation Saving Lives: Our Healthier Nation March 2008 4Colin Cryer, IPRU, University of Otago

5. March 2008 5Colin Cryer, IPRU, University of Otago

6. March 2008 6Colin Cryer, IPRU, University of Otago

7. ICE Meeting 2001 “Validation” criteria presented to ICE “Validation” criteria presented to ICE Discussion Discussion 2 workshops 2 workshops Agreement on a set of ICE “Validation” criteria Agreement on a set of ICE “Validation” criteria Paper published in Injury Prevention on behalf of ICE Paper published in Injury Prevention on behalf of ICE Cryer et al. Inj Prev 2005; 11: 53-57 Cryer et al. Inj Prev 2005; 11: 53-57 March 2008 7Colin Cryer, IPRU, University of Otago

8. New Zealand Injury Prevention Strategy Developed and introduced in 2003 Developed and introduced in 2003 6 priority areas 6 priority areas Assault Assault Self-harm Self-harm Work-related injury Work-related injury Falls Falls Motor Vehicle Traffic Crashes Motor Vehicle Traffic Crashes Drowning Drowning NZIPS Secretariat asked us to develop indicators to support the strategy. NZIPS Secretariat asked us to develop indicators to support the strategy. March 2008 8Colin Cryer, IPRU, University of Otago

9. March 2008 9Colin Cryer, IPRU, University of Otago

10. March 2008 10Colin Cryer, IPRU, University of Otago Percentage deviation from 1994 base for motor vehicle traffic crashes - rates

11. ICE Meeting Present this work to ICE Present this work to ICE Discussion and challenges Discussion and challenges The basis and limitations of the ICISS severity measure The basis and limitations of the ICISS severity measure The need for empirical validation of the indicators The need for empirical validation of the indicators Post-ICE meeting Post-ICE meeting Further work on ICISS Further work on ICISS Further work to identify methods of validation Further work to identify methods of validation Collaboration with ICE members Collaboration with ICE members March 2008 11Colin Cryer, IPRU, University of Otago

12. How has ICE been a resource for problem response? My answer to that is illustrated by our experiences just described. My answer to that is illustrated by our experiences just described. To illustrate schematically. To illustrate schematically. March 2008 12Colin Cryer, IPRU, University of Otago

13. Schematic answer. Outside of ICE Develop thinking Research Development ICE Gain information Gain ideas Critical comment on work Collaboration March 2008 13Colin Cryer, IPRU, University of Otago

14. Post-script ICE Meeting Saturday 15 March 2008 ICE Meeting Saturday 15 March 2008 Global indicators Global indicators Agreement on the top 5-10 that we would recommend Agreement on the top 5-10 that we would recommend Research, development, discussion, critical comment & collaboration continues! Research, development, discussion, critical comment & collaboration continues! March 2008 14Colin Cryer, IPRU, University of Otago