Intermission 2: Paul Chinnock

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Paul Chinnock: "Trauma is a tropical disease and an NCD"

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Intermission 2: Paul Chinnock

  1. 1. Paul ChinnockHonorary Editor, Cochrane Injuries Grouppaul_chinnock@btinternet.com
  2. 2. WHO 2008. The Global Burden of Disease: 2004 Update
  3. 3. 2004 ranking of burden due to road traffic injury by WHO regionAfrica 9thAmericas 5thEastern Mediterranean 8thEuropean 6thSouth-East Asia 9thWestern Pacific 6th WHO 2008. The Global Burden of Disease: 2004 Update
  4. 4.  Dead 1.3 million Injured 50 million RTI is the largest single cause of global injury deaths – about a quarter of the total.
  5. 5.  “Road traffic accident deaths are projected to increase from 1.3 million in 2004 to 2.4 million in 2030, primarily due to the increased motor vehicle ownership and use associated with economic growth in low- and middle-income countries.” “The projected 28% increase in global deaths due to injury between 2004 and 2030 is predominantly due to the increasing numbers of road traffic accident deaths.”
  6. 6. WHO 2004. World Report on Road Traffic Injury Prevention.Europe: 7.2 RTI deaths/100,000Africa: 17.4 RTI deaths/100,000Low- and middle-income countries: 96% of all child RTI deaths
  7. 7. “The number of peopledisabled as a result of [roadtraffic] crashes is not welldocumented … Prevalenceestimates of post-crashdisability varied from 2% to87%.”
  8. 8. UnintentionalDrowningPoisoningFiresFalls[Work-related]IntentionalHomicideSuicide[Domestic - Civil conflict]
  9. 9. “Injuries, both intentional and unintentional,directly lead to the death of more than 5 millionpeople worldwide annually and cause harm tomillions more. Such injuries account for 9% ofglobal mortality and create enormous demand formedical care and rehabilitation services.“The burden of injury disproportionately falls uponthe poor, who often live, work and travel in unsafeenvironments; benefit less from prevention efforts;and have less access to high-quality treatment andrehabilitation services.”

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