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Developing a National Injury Surveillance System. ARGENTINA. ICE on Injury Statistics Meeting Cuernavaca, Mexico. 1-2 June 2005 . Dr. Marta Vacchino. MSc Epidemiology ANLIS-National Institute of Epidemiology Dr Juan H. Jara. Ministry of Health and Environment.

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Developing a National Injury Surveillance System

ARGENTINA

ICE on Injury Statistics Meeting

Cuernavaca, Mexico. 1-2 June 2005

Dr. Marta Vacchino. MSc Epidemiology

ANLIS-National Institute of Epidemiology Dr Juan H. Jara. Ministry of Health and Environment

e-mail: vacchino@mdp.edu.ar investigacion@ine.gov.ar


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Injury Surveillance System:

Sistema de Vigilancia de Lesiones por Causa Externa. (S.I.V.I.L.E)

Started: September 2003

System design and piloting: until March 2004

System entry and training: from April 2004

Working units: from October 2004

Evaluation: from June 2005


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Injuries in the World,

America and Argentina

TRAINING

WORKSHOPS

Descriptive epidemiology

Time, place, person

APPLICATION

EXERCISES

What is a surveillance

system?

Presentation:

Instrument for data collection

PROPOSAL OF SENTINEL

UNITS


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Recall: Elements of a Surveillance System.

Health Care System

Public Health Authority

Reporting

Data

Event

Expected changes

Analysis & Interpretation

Decision

Information

Intervention

(Feedback)


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Developing a national injurysurveillance system

Health Care System

Public Health Authority

Reporting

Data

  • HEALTH EVENT

  • Injuries: the physical damage

  • that results when a human body is suddenly subjected to intolerable levels of energy.

  • bodily lesion resulting from acute exposure to energy in amounts that exceed the threshold of physiological tolerance

  • or impairment of function resulting from a lack of one or more vital elements.

  • time between exposure and injury is short

Information


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Developing a national injury surveillance system

Health Care System

Public Health Authority

  • DATA SOURCE

  • Selected sites (sentinel approach)

  • Emergency Medical Services, pre-hospital emergency

  • Hospital emergency departments, hospital inpatient services

  • Mostly public sector. Voluntary entry

Data

Information

Intervention


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Sentinel Units. Components

Actions: filling

questionnaire,

injury diagnosis

and treatment

Clinical

Epidemiological

Statistic

Actions: data entry,

help in data analysis

and local result

dissemination

Actions: local

data analysis and

interpretation,

local dissemination


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Developing a national injury surveillance system

Health Care System

Public Health Authority

  • CASE DEFINITION

  • Any person who demands assistance to Sentinel Unit

  • for any type of injury, intentional or unintentional,

  • for all age groups,

  • first visit for treatment of that injury.

  • I.D.C-10 and ICECI recommendations

Data

Information

Intervention


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Developing a national injurysurveillance system

Health Care System

Public Health Authority

Reporting frequency

Data

Event

  • Immediate

  • Web-based system

Information

Intervention


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Ministry

of Health and Environment

Developing a national injurysurveillance system:Data flow

Peripheral level

Health care system

Sentinel Units

Central level


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Developing a national injury surveillance system

Health Care System

Public Health Authority

  • Data Analysis

  • It is automated

  • Data characteristics

  • Basic descriptive analysis, tables and graphs

Event

Intervention


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Developing a national injurysurveillance system

Health Care System

Public Health Authority

System Evaluation

Event

Acceptability. Reliability (sensitivity and positive predictive value). Sustainability. Timeliness.

Intervention


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Where we are today!!!

Sentinel Units: 52

República Argentina. May 2005

REFERENCES

Some Jurisdictions

Province of Buenos Aires

and Buenos Aires City

Phase 0– No proposal

Phase I – Some proposal

Phase II - Received formative assessment

Phase III - Proof / PC/ Connection

Phase IV – System working


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Challenges !! : SWOT MATRIX


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