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 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 hospitals in the US Patient information NEISS Estimates Query Builder collected for every emergency visit involving 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: an injury treatment data range. For more information, 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. If blank, there is no restriction for that parameter in the query. For Other Parameters Other Parameters Body Part: Body Part: From this sample, the total 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: number of product-related CPSC Home CPSC Home NEISS Home NEISS Home Submit Query Reset injuries treated in hospital 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 emergency departments https://www.cpsc.gov/cgibin/NEISSQuery/home.aspx can be estimated
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 Survival 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 CPSC does not have same name-recognition as other similar federal agencies Product recall announcements are overwhelming Confusion about actions to take after recall Older children at increased risk, parents less worried about product safety Grandparents play an important role
’ ’ ’ Laundry Detergent Pods “a ” ’ “W
› › › Rare Earth Magnets »
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
New Federal Safety Standard (January, 2014) En Espa ñol CPSC Approves New Federal Safety Standard for Infant Bedside Sleepers 10 The new regulation improves the safety of bedside sleepers, a bassinet-type infant product that is secured to Print an adult bed. WASHINGTON, D .C. – T o prevent deaths and injuries to children, the U.S. January 13, 2014 Release Number: 14-078 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. n’s n’s y’s -– c
Reproductive Age Diversity Education Employment Reliance on Digital Communication More options than ever before Boomer Gen X Millennial Gen Z 1946-1964 1965-1980 1981-2000 2001-PRESENT Today she ’ s 55. Today she ’ s 35. Today she ’ s 25. Today she ’ s 13.
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 .”
Countering Challenges: Multi-Level Approach Determine critical consumer product hazards Create and strengthen partnerships Third-party independent testing Work towards harmonizing global consumer product safety standards Promote and recognize innovation and advancements in consumer product safety Develop multidisciplinary teams Utilize behavioral theory and models to understand adoption of behaviors and product use/purchase
Recommend
More recommend
