International Collaborative Effort -ICE- on Injury Statistics

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International Collaborative Effort -ICE- on
Injury Statistics

• Lois A. Fingerhut, Chair
• Special Assistant for Injury Epidemiology
• Office of Analysis and Epidemiology

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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)
•  
• Annual meetings since May 1994
• Proceedings and presentations available on our
  website
• www.cdc.gov/nchs/advice.htm

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Goals of the ICE onInjury Statistics

• 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

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Participating Countries

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

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Organizational Collaborations

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

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International Requests for ICE Assistance

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

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Injury ICE Projects

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

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AdvICE list
Send SMTP message to listserv_at_cdc.gov and type in
the body of e-mail "Subscribe AdvICE-Users"
followed by your full name.
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Whats Next for the ICE ?

• Next meeting- September 7-8 in DC
• 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
• Establishing workgroups on measuring severity and
  defining indicators
• Seeking guidance on funding sources..

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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

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Age-adjusted injury death rates most recent
years available ranging from 2000-2004
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Age-adjusted injury death rates by intent most
recent years available ranging from 2000-2004
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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.
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Injury death rates for teens and young adults
15-24 years- most recent years available ranging
from 2000-2004
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Injury death rates for persons 35-54 years of
age most recent years available ranging from
2000-2004
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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.
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Thank you

• LFingerhut_at_cdc.gov
• 301-458-4213