L A R A B . M C K E N Z I E , P H D , M A A S S O C I A T E P R O F E S S O R C E N T E R F O R I N J U R Y R E S E A R C H A N D P O L I C Y R E S E A R C H I N S T I T U T E A T N A T I O N W I D E C H I L D R E N ’ S H O S P I T A L A M E R I C A N A C A D E M Y O F H E A L T H B E H A V I O R 1 4 T H A N N U A L M E E T I N G C H A R L E S T O N , S C M A R C H 2 0 1 4
Injury Prevention: Ruining All the Fun One Activity and Product at - - PowerPoint PPT Presentation
Injury Prevention: Ruining All the Fun One Activity and Product at - - PowerPoint PPT Presentation
Injury Prevention: Ruining All the Fun One Activity and Product at a Time L A R A B . M C K E N Z I E , P H D , M A A S S O C I A T E P R O F E S S O R C E N T E R F O R I N J U R Y R E S E A R C H A N D P O L I C Y R E S E A R C H
Consumer Product-Related Injuries and Deaths
Deaths, injuries and property damage from
consumer product incidents cost the nation more than $1 trillion annually
14,614,128 unintentional product-related injuries
treated in hospital EDs
37,200 unintentional product-related deaths
U.S. Consumer Product Safety Commission
CPSC is charged with protecting the public from
unreasonable risks of injury or death associated with the use of the thousands of types of consumer products (under the agency’s jurisdiction)
Products that pose a fire, electrical, chemical, or
mechanical hazard
CPSC’s work to ensure safety of consumer products
contributed to a decline in the rate of deaths and injuries
National Electronic Injury Surveillance System
National probability
sample of US hospitals
Patient information
collected for every emergency visit involving an injury
From this sample, the
total number of product- related injuries treated in hospital emergency departments can be estimated
NEISS Estimates Query Builder
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Across the Lifespan
Infants and Young Children Children and Young Adults Elderly
Consumer Product-Related Injuries
Top 20 Product Groups, 2010
Estimate/1,2 % of Total Stairs, ramps, landings, floors 2,690,000 18 Beds, mattresses, pillows 715,000 5 Chairs, sofas & sofa beds 590,000 4 Basketball (sport or equipment) 529,000 4 Miscellaneous personal use items 559,000 4 Exercise & equipment 466,000 3 Bicycles & accessories 542,000 4 Football (sport or equipment) 490,000 3 Bathtub & shower structures 430,000 3 Ceilings, walls, panels (inside) 363,000 2 Non-glass doors and panels 354,000 2 Tables, all types 358,000 2 Clothing, all 304,000 2 Cutlery, knives, unpowered 413,000 3 Cans, other containers 289,000 2 Desks, cabinets, shelves, racks 302,000 2 Baseball/softball 282,000 2 Ladders, stools 247,000 2 Soccer 226,000 2 Atv's, mopeds, minibikes, etc. 231,000 2 Overall Total 14,695,000 Product Group Treated in an Emergency Department
Consumer Product-Related Deaths
Causes of Deaths, 2008
Causes of Consumer Deaths Estimate/1,2,3 % of Total Falls 20,310 57 Not Specified 3,230 9 Fires 2,790 8 Poisoning/Anoxia 2,170 6 Suffocation 2,100 6 Drowning 1,520 4 Off-Road Vehicles 1,140 3 Bicycles 900 3 Other Specified 660 2 Struck By 480 1 Electric Current 130 <1 Machinery 120 <1 Cut/Pierce 90 <1 Explosions 90 <1 Hot Objects 70 <1 Caught In 70 <1 Child Poisoning 40 <1 Foreign Body 20 <1 Man-made Environment <10 <1 Overexertion <10 <1 Overall Total 35,900
Challenge 1: Globalization and Technology
Expanded range of products on the market Availability and reach
Challenge 2: Information Sources
How does the public
receive information?
Media sources Social Networks Websites Educational materials Professional organizations Health care providers Friends, other parents,
grandparents, neighbors
Recalls
Misinformation Information overload
Challenge 3: Knowledge, Attitudes and Beliefs
Keeping up with the Joneses—building a nest Survivor bias—“This is how my parents did it and I
turned out ok”
Back to Basics Re-sale, Re-cycle, Free-cycle, Up-cycle
Total Recall
Reactive system—canary in a coal mine More than 2 recalls per week—how can we keep up? Length of time and number of product failures
before a product is recalled
e.g., Peg Perego received 197 reports of ride-on toy defects
between 1994 and 1997…recall not issued until 1999
Poor response of companies Older children more at risk
Laundry Detergent Pods
’ ’ ’ “a ” ’ “W
Rare Earth Magnets
»
› ›
›
E-Cigarette Cartridge Refills
Protecting the Most Vulnerable Users
Removal of recalled and
dangerous products
Promote adoption of
next-generation juvenile products
Educate parents and
caregivers about effective ways to make a nursery safe
Back to Sleep is now Safe
to Sleep
ED-treated Injuries by Type of Nursery Product
Cribs, Playpens and Bassinets
Infants and young children spend time in cribs,
playpens and bassinets
Unique among nursery products—intended to be
secure locations
9 million cribs recalled since September 2007 Poor design, product defects, faulty setup, improper
use
Deaths, entrapments and other injuries Ongoing and unresolved
Infant Bedside Sleepers (January, 2014)
10
January 13, 2014 Release Number: 14-078
The U.S. Consumer Product Safety Commission is charged with protecting the public from unreasonable risks of injury or death associated with the use of thousands of types of consumer products under the agency’s jurisdiction. Deaths, injuries, and property damage from consumer product incidents cost the nation more than $1 trillion annually. CPSC is committed to protecting consumers and families from products that pose a fire, electrical, chemical or mechanical hazard. CPSC's work to help ensure the safety of consumer products - such as toys, cribs, power tools, cigarette lighters and household chemicals
- – contributed to a decline in the rate of deaths and injuries associated with consumer products over the past 40 years.
Federal law bars any person from selling products subject to a publicly-announced voluntary recall by a manufacturer or a mandatory recall ordered by the Commission. To report a dangerous product or a product-related injury go online to www.SaferProducts.gov or call CPSC's Hotline at (800) 638-2772 or teletypewriter at (301) 595-7054 for the hearing impaired. Consumers can obtain news release and recall information at www.cpsc.gov, on Twitter @USCPSC or by subscribing to CPSC's free e-mail newsletters.
En Español Print
CPSC Approves New Federal Safety Standard for Infant Bedside Sleepers
The new regulation improves the safety of bedside sleepers, a bassinet-type infant product that is secured to an adult bed. WASHINGTON, D.C. – To prevent deaths and injuries to children, the U.S. Consumer Product Safety Commission (CPSC) has approved a new federal mandatory standard to improve the safety of bedside sleepers. The Commission voted unanimously (3 to 0) January 8, 2014. A bedside sleeper is a bassinet-type product that is secured to an adult bed, has fabric or hard sides and may have a lower side adjacent to the adult mattress. A bedside sleeper is intended to provide a sleeping environment for an infant up to approximately 5 months of age or when a child begins to push up on his or her hands and knees. The new federal standard incorporates by reference, the voluntary standard (ASTM F2906-13), Standard Consumer Safety Specification for Bedside Sleepers, and requires bedside sleepers to comply with recent modifications required for bassinets in federal standard 16 C.F.R. part 1218. The new bedside sleeper federal standard also includes two recent modifications to the ASTM voluntary standard to address fabric-sided enclosed opening entrapment hazards and consumer misassembly when components are missing. CPSC has received a total of 27 product-related safety incident reports associated with bedside sleepers dating from January 2001 to May
- 2013. These incident reports include four fatalities that occurred between 2007 and 2009, which were associated with fabric-sided openings
- n the products.
The effective date for the mandatory bedside sleeper standard is 6 months after the final rule is published in the Federal Register. The Commission is required by The Danny Keysar Child Product Safety Notification Act, Section 104(b) of the Consumer Product Safety Improvement Act of 2008 (CPSIA), to issue consumer product safety standards for durable infant or toddler products. In the past 5 years, the Commission has approved new stringent federal safety standards for children’s products, including full-size cribs, non-full-size cribs, play yards, baby walkers, baby bath seats, children’s portable bed rails, toddler beds, infant swings, bassinets and cradles, and hand-held infant carriers.
Reproductive Age
Diversity Education Employment Reliance on Digital Communication More options than ever before
1946-1964 Today she’s 55.
Boomer
1965-1980 Today she’s 35.
Gen X
1981-2000 Today she’s 25. 2001-PRESENT Today she’s 13.
Gen Z Millennial
How are products used?
Behaviors of infants, children and caregivers Social norms Off-label use (e.g., boppy pillow in a crib or adult bed) Re-sale, Re-cycle, Free-cycle, Up-cycle Homemade (see unregulated) products
Pinterest and Etsy
Hanging Crib “According to some, a hanging crib makes the transition from womb to world a little easier for your baby. Suspended from the ceiling, the crib is gently sent into a rocking motion whenever the baby wiggles. This slight rocking movement calms baby and puts him back in dreamland.”