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INJURY SURVEILLANCE IN TRINIDAD - The San Fernando General Hospital Experience

INJURY SURVEILLANCE IN TRINIDAD - The San Fernando General Hospital Experience. Roanna Bynoe September 7, 2006. History of Surveillance System . Surveillance System initiated in December 2001 with grant from IDRC Joint initiative of the CAREC, SWRHA and the Rotary Club, San Fernando South

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INJURY SURVEILLANCE IN TRINIDAD - The San Fernando General Hospital Experience

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  1. INJURY SURVEILLANCE IN TRINIDAD - The San Fernando General Hospital Experience Roanna Bynoe September 7, 2006

  2. History of Surveillance System • Surveillance System initiated in December 2001 with grant from IDRC • Joint initiative of the CAREC, SWRHA and the Rotary Club, San Fernando South • Data collection commenced in February 2002 • Collaboration with Mc Laughlin Centre, Ottawa in 2005

  3. ANALYSIS • February 2002- December 2005 • Catchment population: 500, 000 • 23.5% of all A&E Department Visits

  4. Total Injuries by year 2002-2005

  5. Age Group

  6. Intent

  7. Intentional Interpersonal Injuries • Quarrel - predominant context of injury Leading context in the 25 – 44 age category with men twice likely to be at risk than female counterpart. • The predominant object used during a Quarrel was Bodily force and predominant location is home, 2nd leading location is street/highway.

  8. Intentional Interpersonal Injuries • The predominant Victim/Perpetrator Relationship was a friend/ acquaintance and leading age group is 25 – 44 years, 2nd leading age group is 15 – 24 years • Predominant Object Used is bodily force especially with 25 – 44 and 15 – 24 age groups.

  9. Mechanism of Injury 2002-2005

  10. Mechanism of Injury • Falls accounted for 32.5% of the Level IV injuries whilst Other Blunt Force accounted for 26.8% of the Level IV injuries • The predominant mode of transportation is the private car, 2nd leading mode of transport is the pedestrian • The leading type of road user is the passenger, next predominant road user is the driver.

  11. Clinical Outcome

  12. Clinical Outcome • <1% of persons sustaining an unintentional injury died in the A&E Department • 72.1% of persons discharged sustained an intentional interpersonal injury • <20% of persons sustaining a fall were admitted to hospital • 17.9% of traffic injuries admitted to hospital

  13. System Limitations • Injury surveillance system exists only in South West Region • Profile of injuries may differ substantially across different Health Regions • System does not capture injuries presenting at: • Private Facilities • Health Centers • Under-representation of fatal injuries

  14. Next Steps • Develop and implement intervention strategies with key stakeholders • Training and sensitisation of staff • Expansion of the system to other A&E Departments within the SWRHA • National expansion of the system

  15. Acknowledgements • Caribbean Epidemiology Centre • South West Regional Health Authority (data collection and entry, nursing staff, medical staff, hospital administration) • Ministry of Health • Rotary Club, San Fernando South • PAHO (biennial funds) • Health Canada

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