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Comparing child product safety concerns with injury incidents: Does the evidence support the response?. Kirsten McKenzie 1 , Jesani Limbong 1 , Dave Strachan 2 1 CARRS-Q, 2 Office of Fair Trading, Queensland Government 2 nd October 2012. CRICOS No. 00213J. Presentation Aims.
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Comparing child product safety concerns with injury incidents: Does the evidence support the response? Kirsten McKenzie1, Jesani Limbong1, Dave Strachan2 1CARRS-Q, 2Office of Fair Trading, Queensland Government 2nd October 2012 CRICOS No. 00213J
Presentation Aims • Describe methods to utilise existing injury data for product safety surveillance purposes • Discuss approaches to proactively prioritise areas for further investigation using injury data • Outline findings from comparison of product safety regulatory data and injury data for Qld children
Background • Recent reviews of product safety regulation in Australia and legislative changes -> • Increasing requirement for safety of consumer goods • Reporting of injuries/deaths associated with products • Need for evidence-base to support system • Reactive vs proactive surveillance • Criticisms of utility of injury data for product safety surveillance but costs of establishing new system too high, thus need to use existing data sources
Product-focus vs Risk-focus • Product-focused surveillance considers each product individually to assess level of risk and determine responses to a specific product • Risk-focused surveillance prioritises hazards of concern • Specific hazards -> distinct injuries • Greater utility of injury data under hazard-based model • May be universal design/regulatory/information standards across range of products as preventative measures
Ch 19 Injury and Ch 20 Ext Cause Ch 19 Injury and Poisoning Chap
Examples from Qld Child Product-Related Injury Study • Data sources: • Product safety documents outlining investigations, recalls, compliance checks, bans/standards etc • Emergency department injury presentation data • Hospital admission injury data • Scope: • Children under 18 years of age • Incident/investigation occurring in 2008 or 2009 • Queensland-based • Document analysis, secondary data analysis and text mining
Product-focused surveillance Risk-focused surveillance
Other important considerations • Weighing up frequency and severity rankings (see JesaniLimbong’s poster) • Consideration of proportion of consumer product involvement per mechanism • Product causality (product fault vs user behaviour) • Potential for product safety intervention • Evaluation of efficacy of interventions • Exposure and inherent risk ratios
Conclusions • CAN the evidence support the response? YES, by: • Using a risk-focused proactive surveillance approach • Compiling injury data regularly to build an information resource • Using coded and text data to identify cases and explore circumstances • Using severity indicators as well as frequency data to prioritise rank order of hazards by age groups • DOES the evidence support the response for product-related injury in children? PARTIALLY: • Age groups and some products/hazards concordant • Identification of hazards which require further investigation
Acknowledgements • Research Team: JesaniLimbong, Debbie Scott, Dave Strachan, Emily Li, Jude Michel • Members of Consumer Product Injury Research Advisory Group (CPIRAG) • Office of Fair Trading, Product Safety unit • Queensland Injury Prevention Council
Questions? k.mckenzie@qut.edu.au Full report available at: http://eprints.qut.edu.au/46518/ Mark your Diaries! International Council on Alcohol, Drugs and Traffic Safety Conference (2013) 25-28 August 2013, Brisbane http://t2013.com CRICOS No. 00213J