IHS Injury Prevention Program

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IHS Injury Prevention Program

• OEHE Orientation Course
• January 29, 2002
• Tempe, AZ

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(No Transcript)
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Leading Causes of Death Age-adjusted Rates,
AI/AN, 1994-1996
Source Trends in Indian Health-1998, DHHS, OPEL,
Division of Program Statistics
Rates are per 100,000 service population
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Unintentional Injury Death Rates, American
Indians Alaska Natives, 1973-1995
Rates adjusted for age and race miscoding of
Indian race on death certificates. Rate per
100,000 population. Trends in Indian Health
1998-1999.
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Fatal Injury Rates Per IHS Area1998
US All Races Rate 48.26
Portland 115.3
Billings 143.6
Aberdeen 159.5
Bemidji 96.2
WA
MT
ND
MN
OR
ID
WI
SD
ME
WY
MI
IA
NY
NE
IN
PA
NV
UT
CO
Nashville 67.5
California 57.8
CA
KS
Oklahoma City 51.2
AZ
NM
NC
OK
TN
SC
AL
Phoenix 140.4
MS
Tucson 194
TX
LA
Navajo 135.9
FL
AK
Albuquerque 114.1
Source National Center for Health Statistics
Vital Statistics System
Alaska 132.1
Rates are per 100,000 service population
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Leading Causes of Unintentional Injury Death
Ages 1-44, AI/AN, 1998
Falls 3.1
MV Traffic 60.5
Fire/Burn 3.4
Pedestrian 3.1
Drowning 6.3
Poisoning 11.6
N 1,943
Source National Center for Health Statistics
Vital Statistics System
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Leading Causes of Injury Death All ages AI/AN -
1998 Aberdeen Area
N154
1998 User Population 96,524
Rates are per 100,000 service population
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Leading Causes of Injury Death All ages AI/AN -
1998 Alaska Area
AK
N137
1998 User Population 103,688
Rates are per 100,000 service population
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IHS Injury Prevention Program Mission

• Decrease the incidence of severe injuries and
  death to the lowest level possible
• Increase the ability of tribes to prevent
  injuries within their communities.

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IHS Injury Prevention Program Role

• Provide technical assistance
• Evaluate injury prevention projects
• Fund local interventions
• Advocate for tribal injury prevention programs at
  federal, regional levels
• Provide data for action at community level

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Public Health Approach

• Describe the problem and contributing factors
• Make a change
• Evaluate the program

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Program Progression

• 1970s Community Education
• 1985 Federal Infrastructure
• 1986-1987 Surveillance systems
• 1987-1989 Coalition building
• 1989-1990 Complete Injury Prevention
• 1990s Strategic Plan capacity building
• Present Building Tribal Infrastructure

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IHS Injury Prevention Program Staff

• Injury Prevention Specialists
• Program Manager
• Area level
• District level
• Tribal
• District/Service Unit Environmental Health staff
• Other IHS/Tribal staff
• Health Educators
• Community Health Representatives
• Public Health Nurses
• EHSC

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IHS Injury Prevention Courses

• Area-specific
• Introduction to Injury Prevention
• Data Analysis and Interpretation
• Translating Information into Action
• Injury Prevention Specialist Fellowship
• Injury Prevention Specialist Colloquium
• Topic specific courses

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Injury Prevention Specialist Fellowship Program

• Year long program
• Field course, academics, special study
• Bachelor degree required
• Environmental health specialists, physicians,
  nurses, social workers, health educators, injury
  prevention coordinators

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Building Tribal Injury Prevention Capacity
Resources

• 2000 2005
• 25 tribal injury prevention programs
• 50,000/year for 5 years
• Build or enhance local injury prevention capacity

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Building Tribal Injury Prevention Capacity Core
Program

• Full-time staff
• Community involvement
• Mission and plan to address injuries
• Basic injury surveillance
• Collaborative partnerships
• Culturally relevant interventions

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Sleep Safe InitiativeIn collaboration with US
Fire, Head Start

• Reduce rate of fire, burn injuries in AI/AN
  children 0 5 years of age
• Distribute smoke detectors, provide training
  curriculum, promote legislation
• Harold Cully, Diana Kuklinski, Chris Allen
  program coordinators
• 24 sites

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Tribal Steering Committee
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Whats being done in my Area?
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Injury Prevention Coalitions

• AB - UTTC, TISA, Three Affiliated Tribes, Spirit
  Lake
• AK - KANA, SEARHC
• AQ - Jemez
• BE - Fond du Lac, NNAHA
• BI - Chippewa Creek/Rocky Boy
• CA - CRIHB, Hoopa Valley

• NS - Eastern Band of Cherokee, St. Regis Mohawk
• NV - Navajo Highway Safety, Hardrock Council
• OK - Chickasaw, Caddo, Comanche, Kaw, Ponca
• PH - CRIT, FMCV, Reno-Sparks
• TU - Pascua Yaqui

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Injury Surveillance

• AB Spirit Lake, Trenton Indian Service Area
• AK Tanana Chiefs Conference
• BE Fond du Lac, NNAHA, Sault Ste. Marie, White
  Earth, Menominee, Intertribal Council of
  Michigan-Pokagon
• BI - Flathead
• CA Hoopa Valley, Big Sandy, Pinoleville
• OK Muscogee (Creek), Cheyenne Arapho, Osage,
  Chickasaw, Ponca
• PH Hopi, White Mountain Apache, Ute,Intertribal
  Council of Nevada, Colorado River Indian Tribes,
  First Mesa Consolidated Villages
• PO Quinault, Coeur d Alene

Sleep Safe Infrastructure Grantees
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Fire Safety

• AK - Tanana Chiefs Conference
• AQ - Laguna, Isleta
• BE Sault Ste. Marie, Fond du Lac, White Earth,
  Menominee, Intertribal Council of
  Michigan-Pokagon, Hannahville, St. Croix, Bois
  Forte
• BI Flathead
• CA Big Sandy Pinoleville
• NS St. Regis Mohawk
• OK Muscogee (Creek), Cheyenne Arapaho, Osage,
  Caddo, Comanche, Ponca
• PH Hopi, White Mountain Apache, Ute,
  Intertribal Council of Nevada, First Mesa
  Consolidated Villages
• PO Quinault, Coeur d Alene

Sleep Safe Infrastructure Grantees
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Injury Prevention Training Courses, Conferences

• AB - United Tribes Technical College
• AK - Kodiak Alaska Native Association
• BE - Fond du Lac, Northern Native American Health
  Alliance
• OK Caddo, Comanche
• PH - Colorado River Indian Tribes, First Mesa
  Consolidated Villages

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Occupant Protection

• AB - Spirit Lake, Trenton Indian Service Area
• BI - Rocky Boy/Chippewa Cree
• NV - Navajo Highway Safety
• OK Caddo, Comanche, Chickasaw, Kaw
• PH - First Mesa Consolidated Villages, Reno-Sparks