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U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National Center for Health Statistics. Injury Data and Resources for School-Age Children . Manon A. Boudreault, MPH and Lois A. Fingerhut, MA NCHS Data Users Conference, July 2004. Overview.
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U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National Center for Health Statistics Injury Data and Resources for School-Age Children Manon A. Boudreault, MPH and Lois A. Fingerhut, MA NCHS Data Users Conference, July 2004
Overview • Burden of Injury • Trend Statistics • Data and Resources
Unintentional Injury Homicide Malignant Neoplasms Congenital Anomalies Suicide Homicide Congenital Anomalies Malignant Neoplasms Heart Disease Homicide Heart Disease Five leading causes of death according to age among persons 5-24 years of age: 2001 Age group Source: CDC, NCHS Vital Statistics System-Mortality.
Highlights • 157,078 deaths due to injuries-all ages • (13,806 of these were 5-19 years of age) • Unintentional injuries were the leading cause of death for children and adolescents 5-19 years of age • The five leading mechanisms of injury deaths for those 5-19: Motor vehicle traffic (48%) • Firearm (21%) • Suffocation (7%) • Drowning (5%) • Poisoning (5%)
Unintentional Motor Vehicle Traffic Unintentional Drowning Homicide Firearm Unintentional Fire/flame Suicide Suffocation Suicide Firearm Unintentional Poisoning Homicide Firearm Unintentional other land transport Suicide Firearm Suicide Suffocation Five leading causes of injury death according to intent and mechanism for persons 5-24 years of age: 2001 Age group Rank Source: CDC, NCHS Vital Statistics System-Mortality.
Injury death rates according to intent, race, and Hispanic origin for persons 15-19 years of age: 2001 Deaths per 100,000 population Intent *American Indian/Alaska Native (AI/AN) and Asian Pacific Islanders (API) include persons of Hispanic and non-Hispanic origin. Note: Persons of Hispanic origin may be of any race. Source: CDC, NCHS, National Vital Statistics System-Mortality, U.S. Bureau of the Census-2001 population estimates based on the 2000 census.
Injury death rates* according to intent among persons 5-19 years of age: 1990 and 2001 Ages 5-14 Ages 15-19 *Rate per 100,000 population Sources: CDC, NCHS Vital Statistics System-Mortality, U.S. Bureau of the Census- decennial census population counts for 1990, 2001 population estimates based on the 2000 census.
Injury death rates according to cause among persons 5-9 years of age: 1980-2001 Motor Vehicle Traffic Fire/hot Drowning Firearm Suffocation Year Note: Data are plotted on the log scale. Source: CDC, NCHS-National Vital Statistics System-Mortality, U.S. Bureau of the Census- intercensal population estimates for 1991-2000, 2001 population estimates based on the 2000 census.
Injury death rates according to cause among persons 10-14 years of age: 1980-2001 Motor Vehicle Traffic Firearm Drowning Suffocation Fire/hot Year Note: Data are plotted on the log scale. Source: CDC, NCHS-National Vital Statistics System-Mortality, U.S. Bureau of the Census-intercensal population estimates for 1991-2000, 2001 population estimates based on the 2000 census.
Injury death rates according to cause, among persons 15-19 years of age: 1980-2001 Motor Vehicle Traffic Firearm Drowning Poisoning Suffocation Year Note: Data are plotted on the log scale. Source: CDC, NCHS-National Vital Statistics System-Mortality, U.S. Bureau of the Census-intercensal population estimates for 1991-2000, 2001 population estimates based on the 2000 census.
Burden of injury among persons 5-19 years of age, 1998-2001 Rate per 100,000 population Injury-related emergency department visits-(1998-2001) Injury-related hospitalizations-(1998-2001) Injury Deaths-(2001) Age Note: Data are plotted on the log scale, data for 1998-2000 are an average. Sources: CDC, NCHS-National Hospital Ambulatory Care Survey, National Hospital Discharge Survey, National Vital Statistics System-Mortality.
Injury-related emergency department visit rates according to leading external causes among persons under 18 years of age: 1999-2000 Emergency dept. visits per 1,000 population Unintentional injuries Motor vehicle traffic Cut/pierce Intentional injuries Struck object/person Falls Cause (unintentional injuries) Note: Data are a two-year average for 1999-2000. Source: CDC, NCHS-National Hospital Ambulatory Care Survey.
Average annual injury emergency department visit rates according to leading first-listed diagnosis and age among persons 5-19 years of age:1998-2000 Emergency dept. visits per 1,000 population Sprains/strains Open wounds Superficial/ contusions Fractures Age Note: Data are an average for 1998-2000. Source: CDC, NCHS-National Hospital Ambulatory Care Survey.
Injury hospitalizations for fractures according to age and sex among persons 15-24 years of age: 1980-2001 Discharge rate per 10,000 population Males 15-24 Females 15-24 Males <15 Females <15 Year Note: Data are plotted on the log scale, fracture is the first-listed diagnosis on the medical record. Source: CDC, NCHS, National Hospital Discharge Survey.
Annual rate of leading external causes of medically attended injury and poisoning episodes by selected characteristics: 2001 External cause Note: *Data do not meet standard of reliability and precision. Source: CDC, NCHS-National Health Interview Survey.
Annual rate of medically attended injury and poisoning episodes by place of occurrence and by selected characteristics: 2001 Note: *Data do not meet standard of reliability and precision. Source: CDC, NCHS-National Health Interview Survey.
About NCHS NCHS en Espanol FASTSTATS A to Z Help Events Surveys and Data Collection Systems NHANES NHCS NHIS NIS NSFG SLAITS Vital Statistics Initiatives Aging Disease Classification Healthy People Injury Research and Development Publications and Information Products Listservs Injury Data and Resources Injury Data and Resources | ICE on Injury | Injury FASTSTATS Presentations| National Databases | Tools and Frameworks | Related Links | Listservs | Contact NCHS Injury Data and Resources ICE on Injury Statistics www.cdc.gov/nchs/injury.htm
Injury Data and Resources (Web page continued) About NCHS NCHS en Espanol FASTSTATS A to Z Help Events Surveys and Data Collection Systems NHANES NHCS NHIS NIS NSFG SLAITS Vital Statistics Initiatives Aging Disease Classification Healthy People Injury Research and Development Publications and Information Products Listservs National DatabasesMortality dataMorbidityHospital Inpatient DataAmbulatory Care DataEmergency Department Visit DataOutpatient Department Visit DataPhysician Office Visit DataHealth Interview Survey DataHealth Examination and Interview Survey Data Tools and Frameworks Related Injury Web Sites Related Injury Listservs Contact InformationLois Fingerhut, Special Assistant for Injury EpidemiologyE-mail: LFingerhut@cdc.gov http://www.cdc.gov/nchs/injury.htm
Web Query Systems • Web-based Injury Statistics Query and Reporting System (WISQARS)www.cdc.gov/ncipc/wisqars • Customized reports of injury-related data (years 1981-most recent year available). • Wide-ranging Online Data for Epidemiologic Research (WONDER) www.wonder.cdc.gov/welcome.html • Numerous databases on morbidity, mortality, hospitalizations, surveillance of notifiable diseases, and CDC reports and guidelines.
DATA2010 -the Healthy People 2010 Database Adolescents and young adults* (schools and post secondary institutions) Inclusion of children and youth with disabilities in regular education programs School health education Unintentional injury Tobacco use and addiction Alcohol and other drug use Inadequate physical activity School nurse-to-student ratio Weapon carrying by adolescents on school property Meals and snacks at school Physical education requirement in schools …… *Data by a specific population group…..more on-line, 107 objectives with tracking data. http://www.cdc.gov/nchs/hphome.htm
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National Center for Health Statistics www.cdc.gov/nchs/injury.htm Mboudreault@cdc.gov and Lfingerhut@cdc.gov