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Global Perspective on Injury: Causes, Trends, and Gaps

This presentation discusses the global prevalence and causes of injury-related deaths, with a focus on road traffic injuries and traumatic brain injuries. It also highlights the disparities in injury rates between high and low/middle-income countries, and addresses the gaps in accessibility to emergency services and data collection. Future prevention efforts and the importance of international collaboration are emphasized.

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Global Perspective on Injury: Causes, Trends, and Gaps

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  1. Injury: A Global Perspective Steve Amaefuna B.A. University of Wisconsin School of Medicine and Public Health Presented April 23, 2017, New Orleans, LA, USA 2018 ThinkFirst Conference on Inury Prevention

  2. 14,000 peopledie every day due to injury Source: WHO Injuries and Violence the Facts , 2014

  3. Causes of Global Injury Mortality Falls Suicide Other unintentional injury Road traffic injury Source: WHO Global Health Estimates, 2014

  4. Road Traffic Injury Leading cause of death in individuals ages 15-29 3% of Global GDP Will be 7th overall leading cause of death by 2030 Source: WHO Global Status Report on Road Safety 2015

  5. Trends In Global Road Traffic Mortality Global plateau in 2007 4% increase in population 16% increase in registered vehicles Improved legislation Speeding Drunk-driving Helmet use Seat-belts Child restraints Social marketing campaigns Click It or Ticket Still No Decline Source: WHO Global Status Report on Road Safety 2015

  6. 90% of global traffic injury deaths occur in low/middle income countries Low/middle income countries only account for 54% of registered vehicles Source: WHO Global Status Report on Road Safety 2015

  7. Trends In Global Road Traffic Mortality 9.2 17.3 Large disparity seen in death rates between high and low/middle income countries 8.1 Source: WHO Global Status Report on Health Safety, 2015

  8. Trends In Global Road Traffic Mortality United States Motorization in low/middle income countries is outpacing the creation of road safety initiatives Sources: Cambodia: http://tinyurl.com/mezjmqh. India: http://tinyurl.com/odgmf4s. USA: Fatality Analysis Reporting System (FARS)

  9. Global Traumatic Brain Injury 60% of global TBI is due to road traffic incidents (RTIs) 20 – 30% due to falls 10% due to violence Source: Hyder AA, Wunderlich CA, Puvanachandra P, Gururaj G, Kobusingye OC. The impact of traumatic brain injuries: a global perspective. NeuroRehabilitation. 2007;22(5):341-353.

  10. Global Traumatic Brain Injury Comparative rates of TBI due to RTI around the world Netherlands 51% USA 13.7% Mexico 43% India 59% Brazil 41% Sources: Peeters, Wouter et al. “Epidemiology of Traumatic Brain Injury in Europe.” Acta Neurochirurgica 157.10 (2015): 1683–1696. PMC. Web. 10 Apr. 2017. Hyder AA, Wunderlich CA, Puvanachandra P, Gururaj G, Kobusingye OC. The impact of traumatic brain injuries: A global perspective. NeuroRehabilitation. 2007;22(5):341-353. Taylor CA, Bell JM, Breiding MJ, Xu L. Traumatic Brain Injury-Related Emergency Department Visits, Hospitalizations, and Deaths - United States, 2007 and 2013. Morbidity and mortality weekly report. Surveillance summaries. Mar 17 2017;66(9):1-16.

  11. Understanding The Gaps Accessibility of emergency services Varying levels of post-crash care Lack of centralized emergency services number Inconsistent road-traffic accident data collection Deficits in education and law enforcement ThinkFirst International Global surge in road infrastructure and vehicle use

  12. Addressing The Gaps Data collection and analysis is essential in assessing the progress of interventions and tailoring prevention efforts Sharing information on the international experience with TBI

  13. Join other countries in providing injury prevention educational programs: Start a ThinkFirst Chapter. Apply to obtain training and program materials: www.thinkfirst.org See Chapters/Start a Chapter

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