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Seat Belts. . . A Matter of Dollars and Sense. Ginger Floerchinger-Franks, M.S., Dr.P.H. Idaho Department of Health & Welfare Bureau of Health Promotion Mary Hunter Idaho Transportation Department Office of Highway Safety. Injury in Idaho versus U.S. TBI estimates
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Seat Belts. . .A Matter of Dollars and Sense. . . Ginger Floerchinger-Franks, M.S., Dr.P.H. Idaho Department of Health & Welfare Bureau of Health Promotion Mary Hunter Idaho Transportation Department Office of Highway Safety
Injury in Idaho versus U.S. TBI estimates Injury Prevention Strategies – Overview The Seat Belt Connection Past Motor Vehicle Injury Prevention Efforts Costs Topics To Be Covered
TBI Versus All Injury Deaths • U.S. – Each Year • TBI ~33% of all injury deaths • Idaho 1999 – 2001 • TBI ~45% of all injury deaths
TBI Annual Estimates – U.S. • 1.5 million new TBI annually • 50,000 fatalities • >230,000 hospitalizations • 80,000 long-term disabilities • 5.3 million living with a TBI disability
TBI Annual Estimates – Idaho • Based on U.S. estimates • 7,000 new TBI • 235 deaths • >1080 hospitalizations • 375 long term disabilities • ~24,900 living with a TBI disability
Changing Patterns Of TBI Fatalities: U.S. •Overall: Rates are decreasing. •Firearms-related: Increased to 1994. Decreased since 1995. •Motor vehicle-related: Decreased to 1994. • Fall-related: Rates are increasing.
TBI Deaths United States 1989-1998 • Firearm-Related: 40% • Ages 20 – 74 • Motor Vehicle-Related: 34% • Ages 0-19 • Fall-Related: 10% • Ages >75
Head Injury Deaths Idaho 1999 - 2001 • Average: 320 per year • Motor Vehicle-Related: 50% • Firearm-Related: 31% • Fall-Related: 14%
Motor Vehicle Collisions - Idaho • More than 5 Idahoans are either killed or seriously injured each day. • Leading cause of death for ages 5 – 34. • 83% of MVC deaths are aged > 18 years. • 60% of MVC fatalities involved a head injury.
Motor Vehicle Collision Injuries & Fatalities Idaho 1997 - 2001 • 1,146 Fatalities • 8,891 Serious Injuries • 26,375 Visible Injuries
INJURIES • ARE NOT random accidents. • ARE predictable. • ARE preventable.
Injury Prevention:Public Health Perspective • Surveillance • Risk Factor Identification • Program Development & Implementation • Program Evaluation
Motor Vehicle Injury Prevention:Transportation Perspective • Engineering • Enforcement • Education • Emergency Medical Services
Haddon –Injury Prevention • Prevent the creation of the hazard. • Prevent the release or distribution of the hazard. • Modify the hazard. • Increase resistance to the hazard. • Counter damage done by the hazard. • Stabilize, repair, rehabilitate damage.
Haddon Matrix - MVC • Alcohol Use •Driver’s Vision •Brakes/Tires • Ease of Control •Road Visibility •Signs/Signals •Alcohol Attitudes • Driving Experience •Use of Safety Restraints •Vehicle Size •Vehicle Speed •Guard Rails •Recovery Areas •Speed Limits •Type of Safety Restraint Laws •Age •Physical Condition •Fuel System Integrity •Distance and Quality of EMS •Support for Trauma Care Systems