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Injury Epidemiology
Surveillance & Investigation
Phathai Singkham
MD MPH
Accident and Injury
More to know :
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4225791/
THA
≈ 80 : 18 : 2
Theories
Problem system-analysis
3D Haddon Matrix Determinants of Health
Original from Dahlgren G, Whitehead M
Original from William Haddon
More to read :
Policies and Strategies to Promote Social Equity in Health. Stockholm
Using the Haddon matrix: introducing the third dimension
Theories
Road Safety Countermeasures
https://roadsafetystrategy.ca/en/strategy
https://www.roadsafety.gov.au/nrss/safe-system
More to read : Safe system approach
Global
More to read:
https://issuu.com/gestamprenewableindustries/docs/fundaci_n_mapfre_road_safety_and_the_sdgs
Road safety Performance targets and indicators
Global status report on road safety
More to learn :
National
https://www.who.int/docs/default-
source/thailand/roadsafety/thailand-
status-against-12-global-road-safety-
performance-
targets.pdf?sfvrsn=92a24b06_4
More to read :
Country Guidelines for the Conduct of Road Safety Management Capacity Reviews
and the Specification of Lead Agency Reforms, Investment Strategies and Safe System
Projects
มุมมอง ภาคปฏิบัติ สถานการณ์
พิการ
ตา
ย
บาดเจ็บรุนแรง
บาดเจ็บ
ทัวไป
ช่วยเหลือ รักษา
ปัจจัยเสียง
อุบัติเหตุ การชน
ปัจจัย ช่วยลดการตาย พิการ
มาตรการ
มูลค่าใช้จ่าย
ทางอ้อม
ทางตรง
ปัจจัยแวดล้อม
WHO GRS Info
https://extranet.who.int/roadsafety/death-on-the-roads/
Questions on what we need
Injury prevention concept
More to learn
https://www.cdc.gov/violenceprevention/pdf/instructor-guide.pdf
surveillance
data
essential to
Public health surveillance is “the ongoing, systematic collection, analysis, and interpretation of health-related data essential to planning, implementation, and evaluation of public health practice.” — Field
Epidemiology https://www.cdc.gov/training/publichealth101/surveillance.html
ACTION
planning
implementation
evaluation
public health practices
ongoing
systematic collection
interpretation
health-related
Determinants of Health
Investigation
Research
Risk
communication
“ disease and other health events do not
occur randomly in a population ”
Causation ??
Distribution ??
Time Place Person
Host
Agent Environment
Data Utilization for Road Safety
Principle
Technical Challenges
Adaptive Challenges
Maximizing Power of Data
Surveillance and Investigation
Injury Surveillance
Mostly quantitative,
“Quick”
Situation awareness
Identify problems
Develop hypothesis
Prioritization
Injury Investigation
Qualitative and quantitative
“Detail”
Understand more in mechanism
Identify factors
Develop precise intervention
Story telling
Precise, effective interventions

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Injury Epidemiology and Investigation _ Phathai Singkham MD MPH.pdf