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This article discusses the development and implementation of Argentina's Injury Surveillance System (S.I.V.I.L.E), including system design, training workshops, and the role of sentinel units. It also provides an overview of injuries and the importance of data collection for public health interventions.
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Developing a National Injury Surveillance System ARGENTINA ICE on Injury Statistics Meeting Cuernavaca, Mexico. 1-2 June 2005 Dr. Marta Vacchino. MSc Epidemiology ANLIS-National Institute of Epidemiology Dr Juan H. Jara. Ministry of Health and Environment e-mail: vacchino@mdp.edu.ar investigacion@ine.gov.ar
Injury Surveillance System: Sistema de Vigilancia de Lesiones por Causa Externa. (S.I.V.I.L.E) Started: September 2003 System design and piloting: until March 2004 System entry and training: from April 2004 Working units: from October 2004 Evaluation: from June 2005
Injuries in the World, America and Argentina TRAINING WORKSHOPS Descriptive epidemiology Time, place, person APPLICATION EXERCISES What is a surveillance system? Presentation: Instrument for data collection PROPOSAL OF SENTINEL UNITS
Recall: Elements of a Surveillance System. Health Care System Public Health Authority Reporting Data Event Expected changes Analysis & Interpretation Decision Information Intervention (Feedback)
Developing a national injurysurveillance system Health Care System Public Health Authority Reporting Data • HEALTH EVENT • Injuries: the physical damage • that results when a human body is suddenly subjected to intolerable levels of energy. • bodily lesion resulting from acute exposure to energy in amounts that exceed the threshold of physiological tolerance • or impairment of function resulting from a lack of one or more vital elements. • time between exposure and injury is short Information
Developing a national injury surveillance system Health Care System Public Health Authority • DATA SOURCE • Selected sites (sentinel approach) • Emergency Medical Services, pre-hospital emergency • Hospital emergency departments, hospital inpatient services • Mostly public sector. Voluntary entry Data Information Intervention
Sentinel Units. Components Actions: filling questionnaire, injury diagnosis and treatment Clinical Epidemiological Statistic Actions: data entry, help in data analysis and local result dissemination Actions: local data analysis and interpretation, local dissemination
Developing a national injury surveillance system Health Care System Public Health Authority • CASE DEFINITION • Any person who demands assistance to Sentinel Unit • for any type of injury, intentional or unintentional, • for all age groups, • first visit for treatment of that injury. • I.D.C-10 and ICECI recommendations Data Information Intervention
Developing a national injurysurveillance system Health Care System Public Health Authority Reporting frequency Data Event • Immediate • Web-based system Information Intervention
Ministry of Health and Environment Developing a national injurysurveillance system:Data flow Peripheral level Health care system Sentinel Units Central level
Developing a national injury surveillance system Health Care System Public Health Authority • Data Analysis • It is automated • Data characteristics • Basic descriptive analysis, tables and graphs Event Intervention
Developing a national injurysurveillance system Health Care System Public Health Authority System Evaluation Event Acceptability. Reliability (sensitivity and positive predictive value). Sustainability. Timeliness. Intervention
Where we are today!!! Sentinel Units: 52 República Argentina. May 2005 REFERENCES Some Jurisdictions Province of Buenos Aires and Buenos Aires City Phase 0– No proposal Phase I – Some proposal Phase II - Received formative assessment Phase III - Proof / PC/ Connection Phase IV – System working