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 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

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 NEISS Estimates Query Builder involving an injury One year maximum range: range cannot begin * From: From: 01/01/2012 * To: 12/31/2012 To: Treatment Dates: Treatment Dates: (mm/dd/yyyy) (mm/dd/yyyy) before 01/01/1991 or end after 12/31/2012 From: From: To: To: These codes change over time, so use the list ( ) NEISS Product Codes NEISS Product Codes next to each box to find the valid codes for your From: From: To: To: treatment data range. For more information,  From this sample, the see the NEISS Coding Manual NEISS Coding Manual or the Product Product Up to 3 ranges allowed. To query a single code, From: From: To: To: leave 'To' blank. All codes are queried if nothing Code Comparability Table Code Comparability Table entered. total number of product- If blank, there is no restriction for that parameter in the query. For Other Parameters Other Parameters Body Part: Body Part: age: 1-23 months follows 2-120 years in drop-down lists. Sex: Sex: Age From: Age From: Age To: Age To: Diagnosis: Diagnosis: Disposition: Disposition: Location: Location: related injuries treated in CPSC Home CPSC Home NEISS Home NEISS Home hospital emergency Submit Query Reset Fields marked with a Fields marked with a * * are required are required Questions on how to query the NEISS system should be directed to Questions on how to query the NEISS system should be directed to CPSC NEISS CPSC NEISS departments can be estimated https://www.cpsc.gov/cgibin/NEISSQuery/home.aspx

Across the Lifespan Infants and Children and Elderly Young Children Young Adults

Consumer Product-Related Injuries Top 20 Product Groups, 2010 Treated in an Emergency Department Estimate /1,2 Product Group % 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

Consumer Product-Related Deaths Causes of Deaths, 2008 Estimate /1,2,3 Causes of Consumer Deaths % 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

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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