Intermission 2: Paul Chinnock
11
Paul Chinnock Honorary Editor, Cochrane Injuries Group [email protected] Trauma is a tropical disease …and an NCD
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Paul Chinnock: "Trauma is a tropical disease and an NCD"
Transcript of Intermission 2: Paul Chinnock
Paul ChinnockHonorary Editor, Cochrane Injuries Group
Trauma is a tropical disease…and an NCD
WHO 2008. The Global Burden of Disease: 2004 Update
2004 ranking of burden due to road traffic injury by WHO region
Africa 9th
Americas 5th
Eastern Mediterranean 8th
European 6th
South-East Asia 9th
Western Pacific 6th
WHO 2008. The Global Burden of Disease: 2004 Update
Dead 1.3 million Injured 50 million
RTI is the largest single cause of global injury deaths – about a quarter of the total.
Current RTI annual estimates
“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.”
Projections
WHO 2004. World Report on Road Traffic Injury Prevention.
Europe: 7.2 RTI deaths/100,000Africa: 17.4 RTI deaths/100,000
Low- and middle-income countries: 96% of all child RTI deaths
“The number of people disabled as a result of [road traffic] crashes is not well documented … Prevalence estimates of post-crash disability varied from 2% to 87%.”
Other major causes of trauma
Unintentional
DrowningPoisoningFiresFalls[Work-related]
Intentional
HomicideSuicide[Domestic - Civil conflict]
“Injuries, both intentional and unintentional, directly lead to the death of more than 5 million people worldwide annually and cause harm to millions more. Such injuries account for 9% of global mortality and create enormous demand for medical care and rehabilitation services.
“The burden of injury disproportionately falls upon the poor, who often live, work and travel in unsafe environments; benefit less from prevention efforts; and have less access to high-quality treatment and rehabilitation services.”
WHO 2011. World health statistics 2011
