slide1 n.
Download
Skip this Video
Download Presentation
Injury Prevention in Indian Country

Loading in 2 Seconds...

play fullscreen
1 / 44

Injury Prevention in Indian Country - PowerPoint PPT Presentation


  • 136 Views
  • Uploaded on

Injury Prevention in Indian Country. Bridget Canniff Project Director Tribal Epidemiology Center Consortium Northwest Portland Area Indian Health Board. What are Unintentional Injuries?. Damage or harm caused to the body by an outside agent or force

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Injury Prevention in Indian Country' - dee


Download Now An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
slide1

Injury Prevention in Indian Country

Bridget Canniff

Project Director

Tribal Epidemiology Center Consortium

Northwest Portland Area Indian Health Board

what are unintentional injuries
What are Unintentional Injuries?
  • Damage or harm caused to the body by an outside agent or force
  • Does not include injuries related to violence (assault, abuse, homicide, suicide)

What is Injury Prevention?

  • Efforts to prevent or reduce the severity of bodily injuries before they occur
  • Programs that advance the health of the population by preventing injuries and improving quality of life
key unintentional injury topics
Key Unintentional Injury Topics
  • Motor Vehicle Safety: Seat Belts
  • Motor Vehicle Safety: Child Safety Seats
  • Elder Safety & Falls Prevention
  • Bike Safety & Helmet Use
  • Home Safety & Fire Prevention
motor vehicle safety
Motor Vehicle Safety
  • On average, 2 AI/ANs are killed every day in crashes in the US 1

1 Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. Web-based Injury Statistics Query and Reporting System (WISQARS) [online]. (2005) [cited Feb 18 2009].  Available from URL: www.cdc.gov/ncipc/wisqars

motor vehicle safety1
Motor Vehicle Safety
  • Make sure vehicles are safe and in working order
  • Use car seats for children
  • Ensure drivers and passengers wear seat belts
  • Enforce speed limits and discourage aggressive driving
  • Enforce laws against impaired driving
the traffic death rate for ai ans in washington is times higher than for non natives 2
The traffic death rate for AI/ANs in Washington is ____ times higher than for non-Natives.2
  • 1.7
  • 2.5
  • 3.3
  • 4.2

2 Washington Traffic Safety Commission. Tribal Traffic Safety [online]. (2010) [cited Feb 22 2010].  Available from URL: http://www.wtsc.wa.gov/programs/tribal.php

five ways seat belts prevent injury
Five Ways Seat Belts Prevent Injury

Keep people in the vehicle

Contact the strongest parts of the body

Spread forces over a wide area of the body

Help the body to slow down

Protect the brain and spinal cord

we don t buckle up
“We Don’t Buckle Up!”

“We don’t get tickets out here on the Rez”

“I am only going down the street”

“I just don’t think about it”

“I let the kids get out of their belts once we are on our Rez roads”

how often do you wear your seatbelt
How often do YOU wear your seatbelt?
  • Always
  • Usually
  • Sometimes
  • Occasionally
  • Never
the message for native communities buckle up for every ride
The Message for Native Communities: Buckle Up for Every Ride
  • Wearing a seat belt is the easiest way to prevent injury or death
  • It only takes a few seconds to buckle up - you never know when you may be in a crash
  • Buckle up for every ride in the car, even short trips
motor vehicle safety resources
Motor Vehicle Safety Resources
  • Washington Traffic Safety Commission http://www.wtsc.wa.gov/programs/tribal.php
  • Washington Safety Restraint Coalition www.800bucklup.org/
why use child safety seats
Why use Child Safety Seats?

Motor vehicle crashes are theLEADING CAUSE OF DEATH for AI/AN children between ages 1-9 (as well as AI/ANs 1-44).

… making up one-thirdof all child deaths 3

3 Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. Web-based Injury Statistics Query and Reporting System (WISQARS) [online]. (2005) [cited Feb 17 2009].  Available from URL: www.cdc.gov/ncipc/wisqars

five ways child safety seats prevent injury
Five Ways Child Safety Seats Prevent Injury

Keep children in the vehicle

Contact the strongest parts of the body

Spread forces over a wide area of the body

Help the body to slow down

Protect the brain, spinal cord and abdomen

4 steps for kids
4 Steps for Kids

1. Rear-facing

2. Forward-facing

3. Booster seats

4. Adult seat belts

minimum recommendations
Minimum recommendations
  • Rear-facing seats: Until age 1 AND at least 20 lbs
  • Forward-facing seats: Until upper limit for specific seat, usually age 4 AND 40 lbs
  • Booster seats: Until age 8 OR 4’9” tall
  • Adult seat belts in back seat: Until age 13
step 1 2 rear facing forward facing convertibles
Step 1 & 2: Rear-Facing / Forward-Facing Convertibles
  • Rear and forward facing
  • Reclined for rear-facing and upright for forward-facing
  • Can be used for larger infants less than one year old and 20-35 pounds
step 3 booster seats
Step 3: Booster Seats

High back booster

Belt-positioning backless booster

  • Booster seats are for children from 40 to 80 pounds
  • Lap/shoulder belt only
  • Head restraint
  • Use shoulder belt positioners
step 4 seat belts
Step 4: Seat Belts
  • Vehicle seat belts are made for adults and older children 4’9” or taller
  • Most children reach this height at 8 years old and 80+ pounds
  • All children under the age of 13 should still sit in the back seat
incorrect restraint use
Incorrect Restraint Use
  • Children using adult seat belt face 3.5 times greater risk for serious injury
  • Child restraints reduce risk of death by 28% compared to adult seat belt
  • 51-82% of infant car seats and 30% of booster seats are used incorrectly
    • incorrect installation
    • incompatible with child’s height, weight, or age
    • straps are too loose

www.boosterseat.org

tribal child safety seat laws
Tribal Child Safety Seat Laws
  • Does your tribe have a current law for on reservation?
  • Do you know what that law mandates?
  • What are your impressions of community compliance with state or tribal laws?
possible interventions
Possible Interventions
  • Certified Child Passenger Safety (CPS) technician
  • Free or low cost child seats
  • Loaner program
  • Enact child passenger restraint law / Increased enforcement of existing laws
  • Health care providers ask about car seat use & reinforce the importance of seats
  • View crash test videos
  • Have wrecked vehicle at community events
  • Training on proper use
  • Have children design seat covers
child safety seat resources
Child Safety Seat Resources
  • National Highway Traffic Safety Administration www.nhtsa.gov
    • Washington State Booster Seat Coalition www.boosterseat.org
  • Washington Safety Restraint Coalition www.800bucklup.org/
impact of elder falls
Impact of Elder Falls

3 Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. Web-based Injury Statistics Query and Reporting System (WISQARS) [online]. (1999-2007) [cited Feb 18 2009].  Available from URL:www.cdc.gov/ncipc/wisqars

In the Northwest, falls are responsible for up to 25% of unintentional injury deaths for American Indians/Alaska Natives aged 55 and over 3

proven interventions what works
Proven Interventions: What Works
  • Comprehensive check-ups
  • Medication management
  • Vision care
  • Home safety
  • Regular exercise for balance & strength
elder falls resources
Elder Falls Resources
  • Fall Prevention Center of Excellence (CA) www.stopfalls.org
  • CDC National Center for Injury Prevention and Control www.cdc.gov/homeandrecreationalsafety/falls
bike safety and helmet use

Bike Safety and Helmet Use

Protecting Yourself, Your Family, and Your Community

why wear helmets
Why Wear Helmets?
  • Native American children die from injuries twice as often as children from other races 4
  • Helmets can reduce head injuries by 85% and brain injuries by 88% 5

4National Center for Health Statistics. Centers for Disease Control and Prevention. National Vital Statistics System. 2000-2004 mortality statistics. Hyattsville (MD): National Center for Health Statistics, 2007. Accessed 3/6/08

5National SAFE KIDS Campaign (NSKC). Bicycle Injury Fact Sheet. Washington (DC): NSKC, 2004. http://www.usa.safekids.org/tier3_cd.cfm?folder_id=540&content_item_id=1010. Accessed 2/7/2008.

bike and helmet safety resources
Bike and Helmet Safety Resources
  • National Bike Safety Coalition www.cdc.gov/HomeandRecreationalSafety/bikeinjuries.html
  • Pedestrian and Bicycle Information Center www.bicyclinginfo.org
home safety and fire prevention

Home Safetyand Fire Prevention

Protecting Yourself, Your Family, and Your Community

keeping homes safe
Keeping Homes Safe

Escape plans

Emergency services

Smoke/CO2 detectors

Home safety for Elders

Youth programs and activities

Environmental concerns

home and fire safety resources
Home and Fire Safety Resources

FireSafety.gov

Home Safety Council www.homesafetycouncil.org

slide39

Preventing Injuries at the Community Level

  • What injury prevention efforts are priorities for YOUR communities?
  • Who is involved, or could be involved?
injury prevention in indian country toolkit
Injury Prevention in Indian Country Toolkit
  • Designed for those interested in starting or expanding Tribal Injury Prevention Programs
  • Full Toolkit or CD only
  • Fact sheets, presentations, brochures
  • Developed jointly by Northwest, California and Southern Plains Tribal EpiCenters
assessing the need in your community
Assessing the Need in Your Community
  • Who is being injured?
  • How are these people being injured?
  • How many of these injuries have occurred, and over what time period? Are they increasing or decreasing in frequency?
  • Which of these injuries is most significant in terms of:
    • personal impact
    • economic costs
    • social consequences
assessing the need in your community1
Assessing the Need in Your Community

Are local injury rates higher or lower than the national or state rate? How does it compare to other health problems?

What are community issues (cultural, attitudes, beliefs, behaviors) that could be contributing to injuries?

What is involved in decreasing injuries? Are there strategies other communities have used that have proven effective or promising?

What are community strengths (cultural, attitudes, beliefs, behaviors) that could help reduce injuries?

general injury prevention resources
General Injury Prevention Resources
  • Indian Health Service Portland Area Injury Prevention www.ihs.gov/MedicalPrograms/portlandinjury
  • CDC National Center for Injury Prevention and Control (NCIPC) www.cdc.gov/injury
slide44
This presentation is a collaboration between the Tribal Epidemiology Center Consortium (with materials coming from the consortium’s Injury Prevention in Indian Country toolkit) and the Native CARS Study.

CONTACTS:

Bridget Canniff

Tribal EpiCenter Consortium

503-228-4185 x302

bcanniff@npaihb.org

Tam Lutz, Native CARS

503-228-4185 x271

tlutz@npaihb.org

This publication was supported by Award Number U50 MN024133 from the Centers for Disease Control and Prevention through a Cooperative Agreement with the Tribal Epidemiology Center Consortium. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of CDC.