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Global Status

Global Status. The winning combination. Legislation: primary enforcement Penalty for violation Enforcement : periodic, regular, public several times a year Public education Incentives – child restraint loan schemes. Adapted from European Transport Safety Council 1996.

raymond-dickson
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Global Status

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  1. Global Status

  2. The winning combination • Legislation: primary enforcement • Penalty for violation • Enforcement: periodic, regular, public several times a year • Public education • Incentives – child restraint loan schemes Adapted from European Transport Safety Council 1996

  3. When does a risk factor become a priority for jurisdiction? • When does a disease or injury become of public health importance that legislation is required? • How many persons need to be affected before preventive action is taken? • In clinical drug trials, we use the term “number needed to treat in order to prevent one adverse event” (NNT) • In public health, perhaps, the minimum number of persons whose death or disability is sufficient reason for cost effective preventive measures

  4. Factors - more emotion than fact! • Size of country • Stage of social and economic development • Safety culture – philosophy, fatalistic view • Political will - • Cost effectiveness - willingness to pay issues

  5. Model for jurisdiction Media campaign - emphasis Legislation Enforcement measures/fines % Compliance Survey Results - deaths/inj. Importance of regulation Announce date of law Enforcement measures / fines Announce date of law Enforcement measures / fines Importance of regulation Education of target groups - public, policy makers, professionals, press, politicians, police, NGOs Enforcement - Ongoing Engineering measures – standards, manufacturers, Compliance with regulation over time Time Pre --- Legislation --- Post No legislation

  6. Effectiveness of interventions • “Passive” more effective than “active” • Product modification > Environment modification > Education

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