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Motor Vehicle Collisions: Planning for the Provincial Health Officer’s Report

Motor Vehicle Collisions: Planning for the Provincial Health Officer’s Report. Prepared by Dr. Eric Young Deputy Provincial Health Officer. Executive Summary. Highlights (Significant stats, partnerships, recommendations). Preface/Introduction. Overview/Setting the Context

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Motor Vehicle Collisions: Planning for the Provincial Health Officer’s Report

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  1. Motor Vehicle Collisions:Planning for the Provincial Health Officer’s Report Prepared by Dr. Eric Young Deputy Provincial Health Officer

  2. Executive Summary • Highlights (Significant stats, partnerships, recommendations)

  3. Preface/Introduction • Overview/Setting the Context • Purpose/ Goals of report • Burden of Injury • Theoretical approach: e.g. Three-Six E’s of Injury Prevention/Haddon’s matrix/Injury Prevention Framework/Health Promotion Framework

  4. Epidemiology/Data • The use of epidemiology to inform action/ Need for reliable data • Traffic Collision Summary • Historical trends over the last 10 years: Traffic Collision Rates & Deaths & Hospitalizations by: • Motorcycle • Motor Vehicle-Bicycles • Motor Vehicle-Occupant • Motor Vehicle-Pedestrian • Total Motorcycle and Motor Vehicle Related • Non-MV Bicycle • Off-Road Vehicle • Commercial vehicles • Other Transport • Non-MV Bicycle, Off-Road and Other Transport • Pedestrians

  5. Epidemiology/Data cont… • Regional/Local differences: Traffic Collision Rates & Deaths & Hospitalizations by HSDA/HA, provincial and national • Gender & Age differences: Traffic Collision Rates & Deaths & Hospitalizations by gender and age • Time of Occurrence: Traffic Collision Rates by month, time of day, day of week • Frequency of Contributing factors involved: Deaths & Hospitalizations by different: • Human Factors (e.g. speeding, restraint use, alcohol use, etc) • Environmental Factors (e.g. weather, animal hazard, road conditions, etc.) • Vehicle Factors (e.g. bald tires, brakes, etc.) • Driver experience: Deaths & Hospitalizations by experience

  6. Business Case/Cost Burden/PYLL • Estimated Costs & Share of Estimated Costs of Injury Hospitalizations

  7. Best Practices/Interventions possibly in the following areas (to be determined based on data): • Vehicle • Human • Environment

  8. Vehicles • Restraints (child restraints – easy to install) • Design • Lights (high intensity) • Elec. Stability control • Ignition interlock/alcohol • Maintenance

  9. Vehicles cont… • Vehicles Types • Bicycles • Cars • Off-road • ATVs • Snowmobiles • Commercial • Motorboats/jet skis • Motorcycles • Licensing • Winterization (e.g. Quebec winter tire law)

  10. Human • Impairment • Alcohol • Drug (prescription and non prescription) • Fatigue • Distractions • Cell phones • GPS • Passengers (graduated licensing, and passenger restrictions) • Age • Young • Old • Special Population Groups (e.g. First Nations) • Driving as a requirement of work

  11. Human cont… • Protection • Helmets (ATVs; standards for motor cycle helmets) • Chronic Offender • Driver Training • Health conditions • Visual • Mental • Hearing • Effectiveness • Guide to drive (Screening coverage)

  12. Environment • Road design • Traffic control • Legislation/regulations/enforcement • lights on bikes • Highway • targeted policing • last call trace back • intersection cameras, speed cameras • high incident zones • low socio economic access to child restraints • random breath checks • speed limits • deterrence/penalties • bar hours

  13. Environment cont… • Insurance rates • Servers/bars • liability • training • single-use, hand-held breathalysers • bar hours • Animal Collisions • Signage – visual overload/distractions • BAC levels • blood testing in Emergency Rooms • community prevention committees • municipal alcohol policy

  14. Environment cont… • Social Encouragement • high risk driving • Advertising (car sales, spins, etc…) • off road, SUV driving • History of car manufacturer responsiveness to innovation • seat belt • air bags • direction of lights • electronic stability control

  15. What are Current Strategies • Environmental Scan of Regional Initiatives and possible partners in prevention and mitigation. • How successful • Cost-effectiveness comparisons of various interventions

  16. Strategies • Education • Enforcement • Environment, including policy • Evaluation • Economic • incentives • penalties • Engagement • Integrate the 3/4/5/6ES with health promotion

  17. Recommendations • for moving forward based on best practices • Government • Industry • Health Authorities • Individuals

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