INJURIES AS A PUBLIC HEALTH PROBLEM- SERBIAN EXPERIENCES Tanja - - PowerPoint PPT Presentation

INJURIES AS A PUBLIC HEALTH PROBLEM- SERBIAN EXPERIENCES Tanja Knezevic M.D.,Ph.D Institute of Public Health of Serbia Serbia

INJURIES AS A PUBLIC HEALTH PROBLEM SERBIAN EXPIRIENCES

• NATIONAL POLICIES
• There is no overall national policy for

injury or violence prevention.

• There are specific national policies for

road safety and poisoning prevention.

• OFFICIAL DATA SOURCES
• National Health Survey 2006:
• System of routine health statistics (primary,

secondary and tertiary level

• of health services)
• Mortality statistics

INJURIES AS A PUBLIC HEALTH PROBLEM SERBIAN EXPIRIENCES

• 8.3% of the adult population in Serbia had at least one

injury during the year prior to the Survey

• the incidence of injuries is lower in women (7.2%) than

men (9.2%)

• 0.5% of adults had his last injury in traffic
• 3.3% of the adult population and 4.8% of population

aged 65 and over, have been injured in the house

• 2.4% of adults had his last injury on the job, and the

incidence was significantly higher in men

INJURIES AS A PUBLIC HEALTH PROBLEM SERBIAN EXPIRIENCES

• According to the National Health Survey 2006:

• 12.5% of children and adolescents (age 7-19) in Serbia

had injury during the year prior to the Survey

• boys were more exposed (17.0%) than girls (8.2%)
• 0.6% of children was injured in traffic and 2.7% at school

INJURIES AS A PUBLIC HEALTH PROBLEM SERBIAN EXPIRIENCES

• According to the National Health Survey 2006:

• LEADING CAUSES OF DEATH (expressed in % )

INJURIES AS A PUBLIC HEALTH PROBLEM SERBIAN EXPIRIENCES

Most common causes of death (%) in Republic of Serbia, 2009 54.8 5.1 4.0 3.6 3.5 3.1 0.9 1.2 20.6 1.4 2.0

Diseases of the circulatory system (I00-I99) Neoplasms (C00-D48) Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99) Diseases of the respiratory system (J00-J99) Injury, poisoning and certain other consequences of external causes (S00-T98) Diseases of the digestive system (K00-K99) Endocrine, nutritional and metabolic diseases (E00-E90) Diseases of the genitourinary system (N00-N99) Diseases of the nervous system end senses (G00-H99) Mental and behavioural disorders (F00-F99) Other causes of death

• LEADING CAUSES OF DEATH (expressed in % )

INJURIES AS A PUBLIC HEALTH PROBLEM SERBIAN EXPIRIENCES

Most common external causes of death (%) in Republic of Serbia, 2009 22.4 5.8 4.9 3.9 3.5 3.02.4 2.0 1.7 1.7 48.9

Intentional self-harm by hanging, strangulation and suffocation (X70) Intentional self-harm by hanging, strangulation and suffocation (X70) Exposure to unspecified factor (X59) Exposure to unspecified factor (X59) Unspecified event, undetermined intent (Y34) Unspecified event, undetermined intent (Y34) Motor- or nonmotor-vehicle accident, type of vehicle unspecified (V89) Motor- or nonmotor-vehicle accident, type of vehicle unspecified (V89) Intentional self-harm by handgun discharge (X72) Intentional self-harm by handgun discharge (X72) Unspecified fall (W19) Unspecified fall (W19) Pedestrian injured in collision with car, pick-up truck or van (V03) Pedestrian injured in collision with car, pick-up truck or van (V03) Car occupant injured in other and unspecified transport accidents (V49) Car occupant injured in other and unspecified transport accidents (V49) Intentional self-poisoning by and exposure to other and unspecified chemicals and noxious substances (X69) Intentional self-poisoning by and exposure to other and unspecified chemicals and noxious substances (X69) Poisoning by and exposure to narcotics and psychodysleptics [hallucinogens], not elsewhere classified, Poisoning by and exposure to narcotics and psychodysleptics [hallucinogens], not elsewhere classified, undetermined intent (Y12) undetermined intent (Y12) Other external causes of death Other external causes of death

INJURIES AS A PUBLIC HEALTH PROBLEM SERBIAN EXPIRIENCES

Figure 1. Number of diagnosed injuries (per 1000 inhabitants) within primary health care, adults, pre-school, and school children, Serbia, 2006-2009

59 101 111 40 46 33 94 86 82 115 100 94 20 30 40 50 60 70 80 90 100 110 120 2006 2007 2008 2009 adults pre-school children school children

INJURIES AS A PUBLIC HEALTH PROBLEM SERBIAN EXPIRIENCES

Figure 2. Number of hospital admissions (per 1000 inhabitants) due to injuries, Serbia, 2006-2009

8.2 6.9 6.8 8.2 7.9 7.65 6.4 6.3 6.4 6.9 7.1 6.7 6.00 6.50 7.00 7.50 8.00 8.50 2006 2007 2008 2009 adults pre-school children school children

INJURIES AS A PUBLIC HEALTH PROBLEM SERBIAN EXPIRIENCES

Figure 3. Percentage of all deaths related to injuries, Serbia, 2006-2009

2006 2007 2008 2009 % 1 2 3 4 5 6

5.46 5.57 5.65 5.71

INJURIES AS A PUBLIC HEALTH PROBLEM SERBIAN EXPIRIENCES

Road traffic deaths - situation in Serbia

Serbia, trend in road traffic deaths – crude number (data after 1990 do not include data for Kosovo)

INJURIES AS A PUBLIC HEALTH PROBLEM SERBIAN EXPIRIENCES

• Age specific mortality due to road traffic injuries in Serbia

INJURIES AS A PUBLIC HEALTH PROBLEM SERBIAN EXPIRIENCES

Conclution related to the road traffic injuries

• Road traffic injuries are a major public health

(and economic, and safety, and security and development) problem

• WHO role as the lead coordinating agency for

actions aimed at preventing the deaths disabilities

• Ministry of Health role to call on other sectors
• Action is still a challenge for many countries

Key elements of policy development in injury and violence prevention in Serbia

Legend:

Yes No



×

NATIONAL POLICIES

• Overall national policy on injury prevention ×
• Overall national policy on violence prevention ×
• Commitment to develop national policy

POLITICAL SUPPORT FOR INJURY AND VIOLENCE AGENDA

 

EASY ACCESS TO SURVEILLANCE DATA

×

INTERSECTORAL COLLABORATION

• Key stakeholders identified ×
• Secretariat to support the intersectoral committee ×
• Questionnaire answered in consensus with other sectors/stakeholders ×

CAPACITY BUILDING

• Process in place
• Exchange of evidence-based practice as part of this process
• Promotion of research as part of this proces

  

EMERGANCY CARE

• Evidence-based approach
• Quality assessment programme ×
• Process to build capacity identified ×



INJURIES AS A PUBLIC HEALTH PROBLEM SERBIAN EXPIRIENCES

For the entire Serbian population Injuries were the third ranked cause of premature mortality. Unintentional injuries and intentional injuries (mainly suicide) accounted for over 8%

• f the mortality burden.

Cardiovascular disease, cancers andinjuries make up over ¾ of total burden of premature mortality. According to the The Burden of Disease and Injury Study in Serbia, an EU-funded project held in 2003