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Abstract/Syllabus:
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Confronting the Burden of Injuries
Fall 2005

Staff
Adnan Hyder and Maria Segui-Gomez
Offered By
International Health and Health Policy and Management
Description
Confronting the Burden of Injuries- A Global Perspective is a course offered by the Department of International Health and the Department of Health Policy and Management at the Bloomberg School of Public Health, Johns Hopkins University.
This course is intended to guide students interested in working on injury control in areas with little to no tradition in injury prevention from a public health perspective.
Students will learn to define the injury problem and assess its magnitude; identify data sources and assess the quality of the data; identify which agencies or institutions should be involved in the solution of the problem; identify which interventions are in place and need to be implemented and evaluated; produce a strategic plan for the establishment and/or improvement of injury prevention programs in such areas; and present such a plan to authorities in a compelling manner.
Syllabus
Course Description
Confronting the Burden of Injuries- A Global Perspective is a course offered by the Department of International Health and the Department of Health Policy and Management at the Bloomberg School of Public Health, Johns Hopkins University.
This course is intended to guide students interested in working on injury control in areas with little to no tradition in injury prevention from a public health perspective.
Students will learn to define the injury problem and assess its magnitude; identify data sources and assess the quality of the data; identify which agencies or institutions should be involved in the solution of the problem; identify which interventions are in place and need to be implemented and evaluated; produce a strategic plan for the establishment and/or improvement of injury prevention programs in such areas; and present such a plan to authorities in a compelling manner.
Course Objectives
After completion of this course, you will be able to:
- Identify the current estimates of the burden of injuries globally.
- Describe approaches to measuring the burden of injuries, including costs.
- Assess the magnitude of the problem and evaluate the current/potential interventions.
- Use data for policy development and provide tools to conduct policy analysis for reduction of injury burden.
Course Requirements
This course involves an innovative action plan.
Reading Assignments : Before accessing each lecture, you are to read the assigned articles in your course reading packet.
Lectures : You are to complete all lectures during the term.
Assignment : Throughout the course, you will be asked to start working on different sections of your assignment. We believe that the best way to evaluate whether you have achieved the course goals is to ask you to develop an argument for an injury prevention program. In Part 2, you will present your arguments in the form of a memo. Your preparatory work will be submitted as the Part 1 assignment (basically a first draft of the final project).
Part 2 is to reflect your best effort at convincing reluctant high officials of some particular geographical region of the need for and the advantages of implementing a particular injury prevention activity. You should place specific emphasis on determining 1) the burden of the injury problem in that particular region, and 2) the possibility of improving the situation by implementing appropriate injury prevention programs. The geographical region and the intervention to propose are your choice.
Course Topics
This course covers the following topics:
- Module 1 introduces the course and its goals, discusses course logistics, reviews injury prevention concepts, and presents the need for implementation of injury prevention interventions throughout the world.
- Module 2 introduces methods for assessing the magnitude of the injury problem in terms of mortality, morbidity, disability, costs, and exposure.
- Module 3 consists of complementary sessions that present case studies in greater detail.
- Module 4 explains how injury prevention interventions are selected, implemented, enforced, and evaluated. Also highlighted in this module are methodological issues related to evaluation.
- Module 5 describes the state of emergency services and trauma systems around the world and presents essential features of a responsive acute care system for injuries.
- Module 6 will be devoted to complementary aspects of injury prevention, including alcohol.
Schedule
|
Welcome Video |
Video |
Review |
Lecture (Optional) |
Exercise for optional review lecture |
Exercise (Optional) |
Introduction |
Lecture 1 |
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Mortality |
Lecture 2 |
Morbidity |
Lecture 3 |
Events |
Lecture 4 |
Cost |
Lecture 5 |
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Assignment 1 |
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South Asia Case Study |
Lecture 6 |
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Evaluation |
Lecture 7 |
Evaluation Case Study |
Lecture 8 |
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Acute Care |
Lecture 9 |
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Alcohol |
Lecture 10 |
Boundaries |
Lecture 11 |
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Assignment 2 |
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Assignment 3 |
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Further Reading:
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Readings
Reading List (24 KB) This document contains a comprehensive list of all readings, including those for the live chat sessions.
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Review Lecture |
Bonnie RJ, Rulco CE, Liverman CT (eds.). The Injury Field. In: "Reducing the Burden of Injury: Advancing Prevention and Treatment". IOM, Washington , DC 1999: National Academy Press. Pp. 18-40.
MacKenzie EJ. Epidemiology of Injuries: Current Trends and Future Challenges. Epidemiol Rev 2000;22(1):112-119.
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Lecture 1 |
Krug EG, Sharma GK, Lozano R. The global burden of injuries. Am J Public Health 2000;90:523-526.
Stone DH. Research on injury prevention: time for an international agenda? J Epidemiol Community Health 1996;50:127-130.
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Lecture 2 |
Smith GS, Barss P. Unintentional Injuries in Developing Countries: The Epidemiology of a Neglected Problem. Epidemiol Rev 1991;13:228-266.
Winston FK, Rineer C, Menon R, Baker SP. The carnage wrought by major economic change: ecological study of traffic related mortality and the reunification of Germany . BMJ 1999;318:1647-1650. & MacCarthy. Commentary: Road Deaths in European Countries. BMJ 1999; 318:1649-1650
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Lecture 3 |
Adesunkanmi ARK , Oginni LM, Oyelami OA, Badru OS. Road traffic accidents to African children: assessment of severity using the Injury Severity Score (ISS). Injury, Int J Care Injured 2000;31:225-228.
Helmi I, Hussein A, Ahmed AHA. Abdominal trauma due to road traffic accidents in Qatar . Injury, Int J Care Injured 2001;32:105-108.
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Lecture 4 |
Hayward G. Risk of injury per hour of exposure to consumer products. Accid Anal & Prev 1996;28(1):115-121.
Schoemaker MJ, Barreto SM, Swerdlow AJ, Higgins CD, Carpenter RG. Non-fatal work related injuries in a cohort of Brazilian steelworkers. Occup Environ Med 2000;57:555-562.
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Lecture 5 |
Drummond MF, O'Brien B, Stoddart GL, Torrance GW. Cost analysis. In: Methods for the Economic Evaluation of Health Care Programmes-2 nd ed. Oxford Medical Publications, 1997; Pp 52-95.
Mathur N. Sharma KKR. Medico-Economic Implications of Industrial Hand Injuries in India. J Hand Surg 1988; 13: 325-327.
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Lecture 6 |
Ghaffar A, Hyder AA, Mastoor MI, Shaikh I. Injuries in Pakistan : directions for future health policy. Health Policy and Planning 1999;14(1):11-17.
Hyder AA, Ghaffar A, Masood TI. Motor vehicle crashes in Pakistan : the emerging epidemic. Injury Prevention 2000;6:199-202. |
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Lecture 7 |
Dannenberg AL, Fowler CJ. Evaluation of interventions to prevent injuries: an overview. Injury Prevention 1998;4:141-147.
Forjuoh SN, Li G. A review of successful transport and home injury interventions to guide developing countries. Soc Sci Med 1996;43:1551-1560.
Achara S, Adeyemi B, Dosekun E, Kelleher S, Lansley M, Male I, Muhialdin N, Reynolds L, Roberts I, Smailbegovic M, van der Spek N; The Cochrane Injuries Group Driver Education Reviewers. Evidence based road safety: the Driving Standards Agency's schools programme. Lancet 2001;358(9277):230-232.
Poli de Figueiredo LF, Rasslan S, Bruscagin V, Cruz R Jr., Rocha e Silva M. Increases in fines and driver licence withdrawal have effectively reduced immediate deaths from trauma on Brazilian roads: first-year report on the new traffic code. Injury, Int J Care Injured 2001;32:91-94.
Ekman R, Welander G., Svanstrom L., Schelp L. Long-term effects of legislation and local promotion of child restraint use in motor vehicles in Sweden . Accid Anal Prev . 2001;33:793-797.
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Lecture 8 |
Cummings P, Koepsell TD, Mueller BA. Methodological challenges in injury epidemiology and injury prevention research. Annu Rev Public Health 1995;16:381-400.
Mann RE, Macdonald S, Stoduto G, Bondy S, Jonah B, Shaikh A. The effects of introducing or lowering legal per se blood alcohol limits for driving: an international review. Accid Anal Prev 2001; 33: 569-583.
|
|
Lecture 9 |
Mock CN, Jurkovich GJ. Trauma systems development in the United States . Trauma Quarterly 1999;14(3):197-209.
Quansah RE, Mock C. Trauma care in Ghana . Trauma Quarterly 1999;14(3):283-293.
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Lecture 10 |
Smith GS, Branas CC, Miller TR. Fatal Nontraffic Injuries Involving Alcohol: A Metaanalysis. Ann Emerg Med. 1999;33:659 -701. |
Lecture 11 |
Martin SL, Kilgallen B, Tsui AO, Maitra K, Singh KK, Kupper LL. Sexual behaviors and reproductive health outcomes: associations with wife abuse in India . JAMA 1999;282(20):1967-1972.
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Webliography:
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Other Resources
Reading
|
Review Lecture |
Bonnie RJ, Rulco CE, Liverman CT (eds.). The Injury Field. In: "Reducing the Burden of Injury: Advancing Prevention and Treatment". IOM, Washington , DC 1999: National Academy Press. Pp. 18-40.
MacKenzie EJ. Epidemiology of Injuries: Current Trends and Future Challenges. Epidemiol Rev 2000;22(1):112-119.
|
Lecture 1 |
Krug EG, Sharma GK, Lozano R. The global burden of injuries. Am J Public Health 2000;90:523-526.
Stone DH. Research on injury prevention: time for an international agenda? J Epidemiol Community Health 1996;50:127-130.
|
|
Lecture 2 |
Smith GS, Barss P. Unintentional Injuries in Developing Countries: The Epidemiology of a Neglected Problem. Epidemiol Rev 1991;13:228-266.
Winston FK, Rineer C, Menon R, Baker SP. The carnage wrought by major economic change: ecological study of traffic related mortality and the reunification of Germany . BMJ 1999;318:1647-1650. & MacCarthy. Commentary: Road Deaths in European Countries. BMJ 1999; 318:1649-1650
|
Lecture 3 |
Adesunkanmi ARK , Oginni LM, Oyelami OA, Badru OS. Road traffic accidents to African children: assessment of severity using the Injury Severity Score (ISS). Injury, Int J Care Injured 2000;31:225-228.
Helmi I, Hussein A, Ahmed AHA. Abdominal trauma due to road traffic accidents in Qatar . Injury, Int J Care Injured 2001;32:105-108.
|
Lecture 4 |
Hayward G. Risk of injury per hour of exposure to consumer products. Accid Anal & Prev 1996;28(1):115-121.
Schoemaker MJ, Barreto SM, Swerdlow AJ, Higgins CD, Carpenter RG. Non-fatal work related injuries in a cohort of Brazilian steelworkers. Occup Environ Med 2000;57:555-562.
|
Lecture 5 |
Drummond MF, O'Brien B, Stoddart GL, Torrance GW. Cost analysis. In: Methods for the Economic Evaluation of Health Care Programmes-2 nd ed. Oxford Medical Publications, 1997; Pp 52-95.
Mathur N. Sharma KKR. Medico-Economic Implications of Industrial Hand Injuries in India. J Hand Surg 1988; 13: 325-327.
|
|
Lecture 6 |
Ghaffar A, Hyder AA, Mastoor MI, Shaikh I. Injuries in Pakistan : directions for future health policy. Health Policy and Planning 1999;14(1):11-17.
Hyder AA, Ghaffar A, Masood TI. Motor vehicle crashes in Pakistan : the emerging epidemic. Injury Prevention 2000;6:199-202. |
|
Lecture 7 |
Dannenberg AL, Fowler CJ. Evaluation of interventions to prevent injuries: an overview. Injury Prevention 1998;4:141-147.
Forjuoh SN, Li G. A review of successful transport and home injury interventions to guide developing countries. Soc Sci Med 1996;43:1551-1560.
Achara S, Adeyemi B, Dosekun E, Kelleher S, Lansley M, Male I, Muhialdin N, Reynolds L, Roberts I, Smailbegovic M, van der Spek N; The Cochrane Injuries Group Driver Education Reviewers. Evidence based road safety: the Driving Standards Agency's schools programme. Lancet 2001;358(9277):230-232.
Poli de Figueiredo LF, Rasslan S, Bruscagin V, Cruz R Jr., Rocha e Silva M. Increases in fines and driver licence withdrawal have effectively reduced immediate deaths from trauma on Brazilian roads: first-year report on the new traffic code. Injury, Int J Care Injured 2001;32:91-94.
Ekman R, Welander G., Svanstrom L., Schelp L. Long-term effects of legislation and local promotion of child restraint use in motor vehicles in Sweden . Accid Anal Prev . 2001;33:793-797.
|
Lecture 8 |
Cummings P, Koepsell TD, Mueller BA. Methodological challenges in injury epidemiology and injury prevention research. Annu Rev Public Health 1995;16:381-400.
Mann RE, Macdonald S, Stoduto G, Bondy S, Jonah B, Shaikh A. The effects of introducing or lowering legal per se blood alcohol limits for driving: an international review. Accid Anal Prev 2001; 33: 569-583.
|
|
Lecture 9 |
Mock CN, Jurkovich GJ. Trauma systems development in the United States . Trauma Quarterly 1999;14(3):197-209.
Quansah RE, Mock C. Trauma care in Ghana . Trauma Quarterly 1999;14(3):283-293.
|
|
Lecture 10 |
Smith GS, Branas CC, Miller TR. Fatal Nontraffic Injuries Involving Alcohol: A Metaanalysis. Ann Emerg Med. 1999;33:659 -701. |
Lecture 11 |
Martin SL, Kilgallen B, Tsui AO, Maitra K, Singh KK, Kupper LL. Sexual behaviors and reproductive health outcomes: associations with wife abuse in India . JAMA 1999;282(20):1967-1972.
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