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Summary of Injury Surveillance Systems Internationally

Summary of Injury Surveillance Systems Internationally. International Collaborative Effort on Injuries Washington, D.C., September 6-8, 2006 Yvette Holder. Objectives and Scope. There are currently at least 18 injury surveillance systems internationally

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Summary of Injury Surveillance Systems Internationally

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  1. Summary of Injury Surveillance Systems Internationally International Collaborative Effort on Injuries Washington, D.C., September 6-8, 2006 Yvette Holder

  2. Objectives and Scope • There are currently at least 18 injury surveillance systems internationally • ISSs established since 1986, most recently in 2002 • Aim to • Identify new hazards • Describe at-risk populations • Monitor and evaluate interventions • Size of ISSs range from 20,000 to 150,000 per year • Usually owned by and housed in the Government' s Ministry of Health

  3. ISS Operations • Usually located in ERs of participating hospitals (except for mortuaries in South Africa) • Tend to be passive surveillance of all injured persons at institution ( of events in Dutch system) • Referent population – catchment area of institution; Jamaica, the only one with a national system • Data collected usually by interview of victim via mainly close-ended, pre-coded questionnaires (except Canada and Australia who self-administer) • Data processing is electronic with manual completion of form followed by entry into computer. Few ISS enter data directly onto data screen

  4. ISS Content • Case definition varies: • first visit for some, for others, all visits • All injury (E-)codes except iatrogenic conditions • Usually Core Minimum Dataset + Traffic lnjury and Violence Supplementary Datasets • Coding as per ICECI or modified ICECI as per Injury Surveillance Guidelines

  5. Requirements & Implications • Site • Clerical assistance to collect information and enter into database • Supervisor for day to day monitoring • Central • At least one person responsible for collation, analysis and response • General • An advocate and commitment of staff • Training and sensitisation for participation

  6. Conclusion • Most of the ISSs generate periodic reports, a few have produced articles • Few of the ISSs have been rigorously evaluated – one regularly at 5-year periods • Timeliness: 1 – 6 months • Completeness: 94% • Sensitivity: 34 – 72% • Resources (financial and human) continue to be challenges for many ISSs

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