150,000 deaths per year 2,850,000 hospitalizations $325 Billion cost to society

2. 150,000 deaths per year • 2,850,000 hospitalizations • $325 Billion cost to society • Our culture accepts traffic deaths and injuries as routine

3. Five Leading Causes of Injury Death 1. Traffic Related - 43% 2. Homicide/Suicide - 33% 3. Poisoning - 6% 4. Drowning - 6% 5. Burns, Falls, Other - 12%

4. Crashes cost society $150 Billion annually -- OF THAT AMOUNT: • $17 Billion is medical costs • $37.5 Billion is employer costs • $54.7 Billion is lost productivity

5. One murder every 31 minutes • One violent crime every 20 seconds • One crime every 3 seconds • One fatality every 13 minutes • One injury every 16 seconds • One crash every 5 seconds

6. Safe Tribal Communities is a process, not a program. • Safe Tribal Communities is a coalition centered, data driven injury prevention model. • Safe Tribal Communities emphasizes motor vehicle crashes as a leading injury prevention issue.

7. Safe Tribal Communities looks at transportation injuries and their costs. • Safe Tribal Communities is most successful when the coalition involves new partners in the process. • Safe Tribal Communities is geographic-based and involves local residents.

8. Injuries are not accidents. • Injuries are predictable and preventable. • Local people are in the best position to solve local problems. • Every tribe has effective groups working to prevent injuries.

9. Form a core coalition Create a tribal profile Examine local injury data Prioritize injury problems using data Organize coalition with subcommittees Identify/implement prevention strategies Measure impact and cost benefit

10. Identify and recruit stakeholders • Find host or lead organization • Appoint Safe Tribal Communities Coordinator • Enlist keepers of the data • Recruit injury data expert • Identify meeting times & places

11. Demographics (age, ethnic background, gender) • Tribal Members/Tribal Leaders Input • Roadway user data • Environmental data

12. Emergency department • Indian Health Service clinics • Hospital discharge • Emergency run report • Police crash reports

13. Significant contributor to fatal and nonfatal injuries • Significant contributor to health care costs • Disproportionately affects specific population groups • Major concern of tribal members

14. Health Officials Police Businesses Educators Tribal Leaders Tribal Members EMS/Fire and many others

15. Enforcement strategies • Enact laws or policies • Education/awareness strategies • Engineering and technology improvements • Evaluating results

16. Alcohol impaired driving • Red light running • Non seat belt use • Pedestrian collisions • Non or misuse of child car seats • Speeding or aggressive driving • Inexperienced drivers

17. Number of injuries • Hospital costs • Emergency room visits • Behavioral change • Local policies or ordinances • Tribal attitudes • Tribal and outside resources

18. “Selling a safe communities concept was easy because of our extended family philosophy. • As native people, wealllookoutforeachother, whether related by blood or not. • When someone is killed or injured, we all mourn.” • Alta BruceTurtle Mountain Band of Chippewa

19. The Pine Ridge SD Safe Tribal Community with the support of the Oglala Sioux Tribe’s Dept of Public Safety’s Lakota Highway Patrol is effectively combining awareness campaigns with active enforcement of DWI and occupant protection laws. From 1998 to 1999, the number of drunk drivers decreased by 26% and seat belt and car seat use increased 10 percentage points.

20. In a two year period, the Wyandotte (OK) Safe Tribal Communities coalition helped raise seat belt use from 54% to 72%, well above the statewide average for rural communities. • Today, there are over 25 Safe Tribal Communities coalitions addressing Native American injury prevention nationwide.

21. Customer Service Center Safe Communities Newsstand Safe Communities Town Square Best Practics Showcase Product Shop Partnership Emporium

22. Bureau of Indian Affairs Highway Safety Program 505 Marquette, N.W., Suite 1405 Albuquerque NM 87102 505/248-5053 http://www.doi.gov/bia/highway_safety/index.htm

24. NOTE to PRESENTERS -- PLEASE DO NOT SHOW THIS SLIDE The "Safe Tribal Communities" presentation is designed to serve as an orientation tool for new coalitions and potential coalition members by giving them a basic understanding of the Safe Communities model of injury prevention and control. Special emphasis is placed on the leading contributor to unintentional injuries and deaths -- motor vehicle crashes. It starts out with brief summary of the problem, defines the Safe Tribal Communities model, details a checklist for starting a Tribal coalition, shares examples of successful coalitions, and ends with two slides on the useful information and technical assistance people will find at the Safe Communities Service Center Web site and through the BIA Indian Highway Safety Program. Be sure and review the Notes section of this presentation. It gives you basic guidance and talking points for each of the slides. Also run the presentation in the Slide Show mode to see the order of points on each slide. A couple of slides present the information differently than you might expect. Presenters are encouraged to modify this presentation to fit necessary time constraints, add your own insights, and customize the presentation to reflect the injury problems and concerns of your Tribe or in your community where the talk is being given to make it more relevant to the local audience. If you have any questions or need additional information, please contact the Bureau of Indian Affairs Highway Safety Program.