120 likes | 408 Views
DR Michael Henderson FIA Institute Fellow - Australia. Dr Michael Henderson Chairman, Australian Institute For Motor Sport Safety Fellow, FIA Institute For Motor Sport Safety Medicine in Motor Sport Summit and CMO Seminar Valencia, 17-19 September 2010.
E N D
DR Michael Henderson FIA Institute Fellow - Australia
Dr Michael Henderson Chairman, Australian Institute For Motor Sport Safety Fellow, FIA Institute For Motor Sport Safety Medicine in Motor Sport Summit and CMO Seminar Valencia, 17-19 September 2010 MOTOR SPORT SAFETY: SOME EPIDEMIOLOGICAL AND PUBLIC HEALTH ASPECTS AIMSS
Aims of the presentation AIMSS • To present the reduction of death and injury in motor sport from a public health perspective • To show how epidemiological data can • detect trends • direct countermeasure priorities • Build safer systems • To call for the better systematic collection of data at all levels of the sport
A plea for better data AIMSS • Mass data • Incidence, exposure, rates, trends, priorities • Risk and risk factors • Detailed data and research • Non-judgemental crash investigation and analysis • Energy exchange and pathways – physical and thermal • Countermeasure development • Obstacles to progress • Poor general appreciation of need and importance • Lack of time and resources in volunteer based organisations
Safer systems: a public health model for motor sport AIMSS Based on the matrix of Dr William Haddon Jr, 1972
How epidemiological data has led to change: some examples AIMSS 1968 (Henderson): year’s sample of crashes in Britain: led to harnesses for open cars 1972: (Jim Clark Foundation): study of Formula One cars 1966-1972 seasons: multi-factorial, identifying circuit design, fire prevention and protection 1990: (Trammel and Olvey): data from Indy-car racing 1981 to 1989: multi-factorial, identifying lower limb injury as priority 1999 (Chesser et al): five-year study of 521 medical centre attendances at a British circuit: injury patterns and prevention 2004 (Minoyama and Tsuchida): study of professional racing in Japan: injury patterns by vehicle category
Motor sport injury: a new literature 1998 (Melvin et al):in the US, instrumentation of Indy cars 2000 (Wright):for Formula One, the first analysis of instrumented cars 2000 (Mellor):Formula One in-depth crash investigations examined head injury, scientific basis for new helmet designs 2006 (Melvin et al):extended study of impact recorders in stock car racing AIMSS
Total annual reported deaths in motor sport, all participants, world wide, 1895-2008 What’s going on here? AIMSS Data source: www.motorsportmemorial.org
Drivers and co-drivers, annual deaths by year and category, 1990-2008 (Three-order polynomial smoothed data AIMSS Data source: www.motorsportmemorial.org
Other participants, annual reported deaths by year and category, 1990-2008 Spectators Track officials Journalists AIMSS
Implications of mass fatality data The data show how fatality numbers and trends are changing over time, and indicate the most promising fields for countermeasure development Worldwide figures show that while safety is improving for competitors in circuit racing, the situation is probably different for rallying Competitor protection for professional circuit racing is now so good that it may be recognised as a successful application of the “vision zero” epidemiological principle now being used in highway safety The principle is that no motor sport participant should be exposed to forces above tolerance levels for death or serious injury The ultimate in safety – Formula 1 and other professional categories – requires large resources. Cost-benefit analysis can support epidemiological data so that maximum benefit can be obtained from allocation of available resources AIMSS
Summary and conclusions • A continuing flow of good data on crash rates, contributory factors and injury mechanisms is essential for the priority implementation of affordable safety measures, perhaps with associated cost-benefit analysis, especially at club and national level • Available epidemiological data show that the application of science-based measures has generally brought huge reductions in trauma • However, the same data show that in some categories the trend for fatality reduction is at present adverse. Safety improvements have been unevenly distributed throughout the sport, with professional circuit racing showing the greatest benefits AIMSS