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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 l.jpg

INJURY SURVEILLANCE IN TRINIDAD - The San Fernando General Hospital Experience

Roanna Bynoe

September 7, 2006


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History of Surveillance System Hospital Experience

  • 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


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ANALYSIS Hospital Experience

  • February 2002- December 2005

  • Catchment population: 500, 000

  • 23.5% of all A&E Department Visits



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Age Group Hospital Experience


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Intent Hospital Experience


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Intentional Interpersonal Injuries Hospital Experience

  • 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.


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Intentional Interpersonal Injuries Hospital Experience

  • 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.


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Mechanism of Injury 2002-2005 Hospital Experience


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Mechanism of Injury Hospital Experience

  • 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.


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Clinical Outcome Hospital Experience


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Clinical Outcome Hospital Experience

  • <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


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System Limitations Hospital Experience

  • 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


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Next Steps Hospital Experience

  • 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


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Acknowledgements Hospital Experience

  • 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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