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Injuries and Violence Prevention: WHO's approach. Etienne Krug, MD, MPH Director, Department of Injuries and Violence Prevention, World Health Organization. Leading causes of death, both sexes, 2002. > 5,000,000 Deaths per year. Source: Global Burden of Disease Project for 2002, Version 5.

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slide1

Injuries and Violence Prevention:

WHO's approach

Etienne Krug, MD, MPH

Director, Department of

Injuries and Violence Prevention,

World Health Organization

slide2

Leading causes of death, both sexes, 2002

> 5,000,000 Deaths per year

Source: Global Burden of Disease Project for 2002, Version 5

slide4

Inequalities

More exposed to risks

Less exposed to prevention

Less access to quality trauma care and rehabilitation

slide5

Injuries are preventable

Child restraints: 35% reduction in fatal traffic injuries among children (US)

slide6

Injuries are preventable

Child restraints: 35% reduction in fatal traffic injuries among children (US)

Speed : for 1 km/hr less, 2-3% less fatal collisions

slide7

Injuries are preventable

  • Child restraints: 35% reduction in fatal traffic injuries among children (US)
  • Speed : for 1 km/hr less, 2-3% less fatal collisions
  • motorcycle helmets: Thailand: 41% less head injuries and 21% less deaths
slide8

Injuries are preventable

Child restraints: 35% reduction in fatal traffic injuries among children (US)

Speed : for 1 km/hr less, 2-3% less fatal collisions

motorcycle helmets: Thailand: 41% less head injuries and 21% less deaths

drowning: fencing, swimming pools

slide9

Injuries are preventable

Child restraints: 35% reduction in fatal traffic injuries among children (US)

Speed : for 1 km/hr less, 2-3% less fatal collisions

motorcycle helmets: Thailand: 41% less head injuries and 21% less deaths

drowning: fencing swimming pools

drowning: swimming lessons

slide10

Injuries are preventable

Child restraints: 35% reduction in fatal traffic injuries among children (US)

Speed : for 1 km/hr less, 2-3% less fatal collisions

motorcycle helmets: Thailand: 41% less head injuries and 21% less deaths

drowning: fencing swimming pools

drowning: swimming lessons

burns: safer stoves

slide11

Injuries are preventable

Child restraints: 35% reduction in fatal traffic injuries among children (US)

Speed : for 1 km/hr less, 2-3% less fatal collisions

motorcycle helmets: Thailand: 41% less head injuries and 21% less deaths drowning: fencing swimming pools

drowning: swimming lessons

burns: safer stoves

child abuse and neglect: e.g. home visitation contributed to a median reduction of 40% of cases

slide12

Injuries are preventable

Child restraints: 35% reduction in fatal traffic injuries among children (US)

Speed : for 1 km/hr less, 2-3% less fatal collisions

motorcycle helmets: Thailand: 41% less head injuries and 21% less deaths drowning: fencing swimming pools

drowning: swimming lessons

burns: safer stoves

child abuse and neglect: e.g. home visitation contributed to a median reduction of 40% of cases

alcohol related violence: e.g. reduction of 43% of assault related ED visits

slide14

Public health

Justice

Transport

Diplomacy

Education

Police

Labour

slide15

Public health

Epidemiology

Advocacy

Research

Services

Prevention

Policy

Evaluation

slide16

Inter -

personal

violence

Road

traffic

Burns

Drowning

Suicide

Falls

War

Health

Trans

port

Police

Interior

slide17

Inter -

personal

violence

Road

traffic

Burns

Drowning

Suicide

Falls

War

Health

Health

Trans

port

Justice

Police

Police

Interior

Interior

Health

Health

Health

Health

Health

Health

Diplo

macy

Trans

port

Police

Defense

Welfare

Police

Interior

Police

Police

Interior

Interior

Welfare

slide18

Political support

(WHA, UN GA, etc)

Model

region/

country

programs

Funding

World

report

Consultative

process

Advocacy

Technical support

(guidelines, best practices)

Regional/

country

programs

slide19

Inter -

personal

violence

Road

traffic

Burns

Drowning

Suicide

Falls

War

slide21

2003 - Implementing the recommendations of the

World report on violence and health, WHA56.24

2004 - Road traffic safety and health, WHA57.10

un passes historic resolution on road safety

Traffic injury prevention

UN passes historic resolution on Road Safety

United Nations General Assembly

2005 - Resolution A/60/L.8 "Improving global road safety"

slide23

Inter -

personal

violence

Road

traffic

Burns

Drowning

Suicide

Falls

War

Policy

Data

Research

Prevention

Services

Advocacy

slide24

Prevention

  • Preventing violence
  • Handbook for documenting violence prevention programmes
  • Framework for child maltreatment prevention (upcoming)
  • Road safety best practice documents
    • Helmets
    • Seat-belts
    • Drinking and driving
  • Best practices on child injury prevention (upcoming)
slide26

Inter -

personal

violence

Road

traffic

Burns

Drowning

Suicide

Falls

War

slide27

Child injury prevention

Good

Practices

booklet

April 2005

2008

May 2007

March 2006

November 2005

slide28

Collaborating Centres

Partnerships

Network of Ministry of Health

Focal Persons

slide29

Make sure the different elements of a system are being developed:

    • National report National plan
    • Data collection
    • Primary prevention
    • Services
    • Capacity building

Role of Focal Persons: in the country

  • Lead injury/violence prevention in the country
  • Be a catalyst
  • Coordinate public health efforts
  • If needed and appropriate, coordinate multi-sectoral efforts
  • Promote scientific approach
  • Fund raising
slide30

Role of Focal Persons: internationally

  • Contribute to regional and global policy making
  • Contribute to regional and global estimates
  • Share best practice
  • Mentor
slide31

Network of

Ministry of Health

Focal Persons

WHO

slide32

Conclusions

  • an enormous public health challenge
  • more attention from policy makers
  • Important recent WHA and UN GA resolutions
  • Ministries of health and WHO have an important role to play and can gain from collaboration
  • sometimes "all injury" approaches are best, sometimes approaches should be by "injury type"
  • Whatever the approach, there are common elements
  • Key role in setting priorities and catalysing action
  • We lack indicators
  • A major priority is to develop successful prevention programmes
slide33

Dr Etienne Krug

Director

Injuries and Violence Prevention

World Health Organization

20 Avenue Appia

1211 Geneva, Switzerland

Tel: 41 22 791 3480

E-mail: kruge@who.int