National Tribal Steering Committee for Injury Prevention . Background
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The National Tribal Steering Committee (TSC) for Injury Prevention was established in 1999 by the Indian Health Service. The makeup of the committee consists of 12 members and 12 alternate members representing each of the 12 Indian Health Service Areas. As a National Committee the TSC represents a total of approximately 4.3 million Tribal people from 569 Federally recognized Native American and Alaska Native Tribes across the United States.
IHS Budget by Program.
Injury death disparity by cause under 44 years of age. Native vs Non-Native. 1999 to 2003.
Native vs Non Native
All Injury 78.30 43.10Motor Vehicle 33.21 15.29
Suicide 13.74 10.47 Firearms 11.39 7.50
Homicide 10.10 3.32 Suffocation 7.60 3.63 Drowning 3.09 1.32
Fire/burn 1.67 0.82
Falls 1.47 0 .99
crude rate per 100,000 population
C. Everett Koop, MD
Former Surgeon General
What is the value of a Child’s life?
Child safety seat……............$50.00
Safe storage of poisons……….$0
Wearing seat belts…………....$0
Childhood Interrupted …
"If a disease were killing our children in the proportions that injuries are, people would be outraged and demand that this killer be stopped”.
Crude rates may be affected by differences in the population structures. For example, disproportionate poverty, poor education, cultural differences, and inadequate health service delivery, result in higher crude death rates for injury deaths in many Tribal Communities.
“AI/AN are 204% more likely to suffer premature death from injuries than other Americans.”
NIHB 02/14/2006 testimony to the Senate Committee on Indian Affairs
Funding is needed to:
AI/AN Years of Potential Life Lost (YPLL) before age 65 by cause. 1999-2003.
Native American/Alaska Natives
average age at death (Nashville Area Data)
Years of Productive Life Lost
Injuries are killing Native American adults and children at a tremendously alarming and disproportionate rate compared to non-native Americans. The comparative level of funding for injury prevention falls devastatingly short in comparison to other health disparities that plague Native Americans and Alaska Natives. The medical, emotional and societal cost of injuries far exceed the cost of establishing sustainable injury prevention programs and strategies.
It is tremendously important to understand that there is a great need for additional funding to address injuries as a health disparity, to provide educational information to communities and Tribal Government. The lack of programs, as well as the lack of injury prevention specialists at the Tribal level, substantiate the need for funding to promote injury prevention as a career field.
For further information, or to contact your area TSC representative please visit our website at: www.ihs.gov/medicalprograms/injuryprevention
Leading causes of death for Native Americans
under 44 years of age.
Injuries are the leading cause of death for AI/AN under 44 years of age.
6642 deaths to Injuries
823 deaths to Heart Disease
761 deaths to Malignant Neoplasm
189 deaths to Cerebrovascular Disease
185 deaths to Diabetes Mellitus
National Injury Facts
Injuries are not accidents, injuries are foreseeable and they are preventable. To say that injuries are accidents implies that there is nothing we can do to prevent injuries.