Injury surveillance
in Toshima City
Masao Ichikawa
PhD, MPHAcademic advisor
Toshima Safety Promotion Committee
Professor
Injury Surveillance Committee
Safety for the elderly Safety for the disabled Child injury prevention Child abuse prevention School safety
Suicide prevention Cancer screening Bicycle safety Crime prevention
(Safety in downtown) Disaster preparedness
Committees of priority issues
Ikebukuro Health Center
Toshima Medical Association
Toshima & Ikebukuro Fire Departments Academic advisors
Committee members
Data collection and analysis
Establishment of sustainable surveillance Evaluation of safety promotion activities
Technical advice and assistance
What we know about surveillance
“ur eillance is the
ongoing
,
systematic
collection
, analysis and interpretation of
health data essential to the planning,
implementation, and evaluation of health
practice, closely integrated with the
timely
dissemination
of these data to those who
What we have
•
Emergency medical service (EMS) record
–
Strength
•
EMS covers whole city
•
Pre-hospital information
•
Systematic data collection
–
Weakness
•
Minor injuries are likely missed
EMS
•
Provided by municipal governments
•
Dispatched from fire stations with dispatch
centers
What we learned from EMS record
•
4,404 transported by EMS, 2010
•
52%(2,278): indoor
•
48% (2,126): outdoor
–
Mechanism
•
37% (1,650): falls (1,006: indoor)
•
26% (1,132): traffic injuries
–
Incidence per 10,000 by age group
•
Whole: 164
•
65-74 years: 192
What we have done and learned - 1
•
Mailed questionnaire survey
–
Random sample of 5,000 residents aged 18 years+
–
Response rate: 41% (n=2,040)
–
11% (224): injured in the past year
What we have done and learned - 2
•
Mailed questionnaire survey
–
All 35,303 residents aged 65 years+
(Those living alone or only with anyone aged 65 years+)
–
Response rate: 34% (n=12,108)
–
18% (2125): falls at home in the past year
–
5% (617): burns at home
What we have done and learned - 3
•
School-based questionnaire survey
–
All 22 public nursery schools
•
Total: 2298 children
•
Response rate: 77% (n=1768)
–
10% (169): injured, Apr-Dec 2010
•
1: hospitalized; 168: medically attended
•
4% (6): fracture
•
40% (68): falls
What we have done and learned - 4
•
School-based questionnaire survey
–
All 24 primary schools
•
Total: 1988 pupils (grade 2, 4, 6)
•
Response rate: 58% (n=1153)
–
All 8 public junior-high schools
•
Total: 889 students (grade 2)
•
Response rate: 42% (377)
–
15% (223): injured, Apr-Dec 2010
•
7: hospitalized; 216: medically attended
•
22% (50): fracture
•
38% (84): sport; 32% (72): play
What we are doing - 5
•
Hospital/clinic-based injury surveillance
– Based on Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP)
– Piloted at 23 clinics with about 240 forms
•
School-based injury surveillance
– Based on School Insurance Record
– Covers all public primary and junior high schools
Injury surveillance: overview
EMS record
Demographic & health statistics
Questionnaire survey Questionnaire survey
Death
Severe
Moderate
Minor
Children 18-64 years 65 years+
Hospital/clinic-based surveillance
Questionnaire survey School-based
Planned sustainable injury surveillance
・ Demographic & health statistics
・ Police data (injuries, crimes & suicides)
・ EMS record
・ Occupational injury data
・ School-based questionnaire survey 2010 ・ Mailed questionnaire survey 2010 : elderly ・ Mailed questionnaire survey 2010): general
・ Hospital/clinic-based injury surveillance ・School-based injury surveillance
・ School-based injury surveillance
To be piloted
To be conducted every year (on-going)
Emergency Medical Service data
Police statistics
Population statistics (mortality statisticsὸ
Survey on residents
ίfeeling of safety, injury, accidents)
Survey for elderly (accidents, injuries) death
Serious
minor
Close call
Children 18-64 Seniors
Survey on children’s accidents and injuries 14 Hospital/clinic-based surveillance Nursery and primary school-based injury surveillance
Data from Tokyo Medical Exa i er’s
office
Surveillance Committee
(set up 2011.1)member： Public Health Center, Medical Association, Fire Department,
