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
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 hospitals in the US
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 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
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Rare Earth Magnets
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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)
10
January 13, 2014 Release Number: 14-078
y’s
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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. n’s n’s
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.”