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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

INJURY SURVEILLANCE IN TRINIDAD - The San Fernando General Hospital Experience

Roanna Bynoe

September 7, 2006

history of surveillance system
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
  • Data collection commenced in February 2002
  • Collaboration with Mc Laughlin Centre, Ottawa in 2005
analysis
ANALYSIS
  • February 2002- December 2005
  • Catchment population: 500, 000
  • 23.5% of all A&E Department Visits
intentional interpersonal injuries
Intentional Interpersonal Injuries
  • 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.
intentional interpersonal injuries8
Intentional Interpersonal Injuries
  • 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.
mechanism of injury
Mechanism of Injury
  • 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.
clinical outcome12
Clinical Outcome
  • <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
system limitations
System Limitations
  • 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
next steps
Next Steps
  • 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
acknowledgements
Acknowledgements
  • 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