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Surveillance Systems: Their Role in Identifying Risk and Resilience Factors Diego E Zavala, M.Sc., Ph.D. Associate Professor Public Health Program, Ponce School of Medicine Ponce, Puerto Rico IANSA Public Health Network 3 rd  Biennial Meeting of States of the UN Programme of Action On Small Arms and Light Weapons July 14-18, 2008
Public Health Approach: Problem Response 3. Intervention Evaluation: What works? 4. Implementation: How do you do it? Source: WHO Teach VIP 1. Surveillance: What  is the  problem? 2. Risk Factor Identification: What is the  cause?
Source: WHO Teach VIP
Injury pyramid Source: WHO Teach VIP Deaths Injuries resulting  in hospitalization Injuries resulting in ambulatory and emergency treatment Injuries resulting in treatment in Primary care settings Injuries treated by paramedics only (school nurse, physiotherapist, first aid) Untreated injuries or injuries which were not reported
Injury Pyramid 145,655  Deaths 2,701,000  Hospitalizations 33,950,000 Emergency  Department Visits 65,555,000 Visits to Office-based  Physicians 59,550,000 Injuries Requiring Medical Attention or Time Off Work Source:  National Center for Health Statistics 1:408 1:450 1:233 1:18
Multinational Injury Surveillance System Pilot Project ,[object Object],[object Object],[object Object],[object Object],[object Object]
Public Health Approach Problem Response 3. Intervention Evaluation: What works? 4. Implementation: How do you do it? Source: WHO Teach VIP 1. Surveillance: What  is the  problem? 2. Risk Factor Identification: What is the  cause?
Public Health Surveillance: Problem Response Source: WHO Teach VIP ,[object Object],[object Object],1. Surveillance: What  is the  problem?
Public Health Surveillance: Problem Response Source: WHO Teach VIP ,[object Object],1. Surveillance: What  is the  problem?
Multinational Injury Surveillance Pilot Project in Africa 2006-2007
Participating Countries in Africa DRC Kenya Nigeria Uganda Zambia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Multinational Injury Surveillance Project ,[object Object],64.5%
Multinational Injury Surveillance Study ,[object Object]
Multinational Injury Surveillance Study ,[object Object],[object Object],[object Object]
Multinational Injury Surveillance Project ,[object Object],4 cases with missing information
Multinational Injury Surveillance Project ,[object Object]
Multinational Injury Surveillance Project ,[object Object]
Multinational Injury Surveillance Project Interpersonal Violence - Mechanism
Multinational Injury Surveillance Project IPV: CONTEXT
Multinational Injury Surveillance Project IPV: Relationship
Multinational Injury Surveillance Project CLINICAL DATA: Anatomic site
Public Health Surveillance Problem Response Source: CDC Summaries Interpretations Recommendations Reports Analysis Health Agencies Health care providers and Policy makers Public
Policy Development for Prevention Strategies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Herdman, C., Sherris, J., Bingham, A. Bringing about change: Policy development for cervical cancer prevention in low-resource countries. Abstract No. O-49. 19th International Papillomavirus Conference. Florianópolis, Brazil. September 1-7, 2001.

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Surveillance Systems: Their Role in Identifying Risk and Resilience Factors

  • 1. Surveillance Systems: Their Role in Identifying Risk and Resilience Factors Diego E Zavala, M.Sc., Ph.D. Associate Professor Public Health Program, Ponce School of Medicine Ponce, Puerto Rico IANSA Public Health Network 3 rd Biennial Meeting of States of the UN Programme of Action On Small Arms and Light Weapons July 14-18, 2008
  • 2. Public Health Approach: Problem Response 3. Intervention Evaluation: What works? 4. Implementation: How do you do it? Source: WHO Teach VIP 1. Surveillance: What is the problem? 2. Risk Factor Identification: What is the cause?
  • 4. Injury pyramid Source: WHO Teach VIP Deaths Injuries resulting in hospitalization Injuries resulting in ambulatory and emergency treatment Injuries resulting in treatment in Primary care settings Injuries treated by paramedics only (school nurse, physiotherapist, first aid) Untreated injuries or injuries which were not reported
  • 5. Injury Pyramid 145,655 Deaths 2,701,000 Hospitalizations 33,950,000 Emergency Department Visits 65,555,000 Visits to Office-based Physicians 59,550,000 Injuries Requiring Medical Attention or Time Off Work Source: National Center for Health Statistics 1:408 1:450 1:233 1:18
  • 6.
  • 7. Public Health Approach Problem Response 3. Intervention Evaluation: What works? 4. Implementation: How do you do it? Source: WHO Teach VIP 1. Surveillance: What is the problem? 2. Risk Factor Identification: What is the cause?
  • 8.
  • 9.
  • 10. Multinational Injury Surveillance Pilot Project in Africa 2006-2007
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18. Multinational Injury Surveillance Project Interpersonal Violence - Mechanism
  • 19. Multinational Injury Surveillance Project IPV: CONTEXT
  • 20. Multinational Injury Surveillance Project IPV: Relationship
  • 21. Multinational Injury Surveillance Project CLINICAL DATA: Anatomic site
  • 22. Public Health Surveillance Problem Response Source: CDC Summaries Interpretations Recommendations Reports Analysis Health Agencies Health care providers and Policy makers Public
  • 23.