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![Page 1: The Health of a Nation - Injury Allan Booth Manager Road Safety Education Program Curriculum K-12 Directorate NSW Department of Education & Training NSW.](https://reader035.fdocuments.in/reader035/viewer/2022070401/56649f1b5503460f94c3075f/html5/thumbnails/1.jpg)
The Health of a Nation - Injury
Allan Booth
Manager Road Safety Education Program
Curriculum K-12 Directorate
NSW Department of Education & Training
NSW Public Schools – Leading the Way www.det.nsw.edu.au
![Page 2: The Health of a Nation - Injury Allan Booth Manager Road Safety Education Program Curriculum K-12 Directorate NSW Department of Education & Training NSW.](https://reader035.fdocuments.in/reader035/viewer/2022070401/56649f1b5503460f94c3075f/html5/thumbnails/2.jpg)
NSW Department of Education & Training
NSW Public Schools – Leading the Way www.det.nsw.edu.au
Today’s session
• National Trends
• Inequities
• Cost to the community
• Health Promotion
![Page 3: The Health of a Nation - Injury Allan Booth Manager Road Safety Education Program Curriculum K-12 Directorate NSW Department of Education & Training NSW.](https://reader035.fdocuments.in/reader035/viewer/2022070401/56649f1b5503460f94c3075f/html5/thumbnails/3.jpg)
NSW Department of Education & Training
NSW Public Schools – Leading the Way www.det.nsw.edu.au
http://www.rta.nsw.gov.au/publicationsstatisticsforms/index.html
http://www.aihw.gov.au/publications/index.cfm/title/10321
![Page 4: The Health of a Nation - Injury Allan Booth Manager Road Safety Education Program Curriculum K-12 Directorate NSW Department of Education & Training NSW.](https://reader035.fdocuments.in/reader035/viewer/2022070401/56649f1b5503460f94c3075f/html5/thumbnails/4.jpg)
NSW Department of Education & Training
NSW Public Schools – Leading the Way www.det.nsw.edu.au
Around 6% of all deaths registered in Australia in 2004 were considered to be due to injury – almost 22 per day.
![Page 5: The Health of a Nation - Injury Allan Booth Manager Road Safety Education Program Curriculum K-12 Directorate NSW Department of Education & Training NSW.](https://reader035.fdocuments.in/reader035/viewer/2022070401/56649f1b5503460f94c3075f/html5/thumbnails/5.jpg)
NSW Department of Education & Training
NSW Public Schools – Leading the Way www.det.nsw.edu.au
Injury deaths
• Intentional self harm or suicide (26%), transport injury (22%) and falls (20%) accounted for two-thirds of injury deaths in 2004.
• Suicide was the most frequent external cause of injury death in males and unintentional falls was the most common cause among females.
![Page 6: The Health of a Nation - Injury Allan Booth Manager Road Safety Education Program Curriculum K-12 Directorate NSW Department of Education & Training NSW.](https://reader035.fdocuments.in/reader035/viewer/2022070401/56649f1b5503460f94c3075f/html5/thumbnails/6.jpg)
NSW Department of Education & Training
NSW Public Schools – Leading the Way www.det.nsw.edu.au
The injury (and poisoning) death rates in Australia have halved during the past 50 years from 116 deaths per 100,000 males in 1955 to 55 in 2004and a corresponding fall for females from 51 to 23 deaths per 100,000 females.
Injury trends
![Page 7: The Health of a Nation - Injury Allan Booth Manager Road Safety Education Program Curriculum K-12 Directorate NSW Department of Education & Training NSW.](https://reader035.fdocuments.in/reader035/viewer/2022070401/56649f1b5503460f94c3075f/html5/thumbnails/7.jpg)
NSW Department of Education & Training
NSW Public Schools – Leading the Way www.det.nsw.edu.au
Injury trends
Deaths from transport-related accidents are also the lowest since World War II, the period when motor vehicles became the preferred means of transport. Death rates have consistently fallen between 1970 and 2004, from a high of 53 deaths to 12 deaths per 100,00 males and from 14 deaths to 4 deaths per 100,000 females.
![Page 8: The Health of a Nation - Injury Allan Booth Manager Road Safety Education Program Curriculum K-12 Directorate NSW Department of Education & Training NSW.](https://reader035.fdocuments.in/reader035/viewer/2022070401/56649f1b5503460f94c3075f/html5/thumbnails/8.jpg)
NSW Department of Education & Training
NSW Public Schools – Leading the Way www.det.nsw.edu.au
Trends for casualties Casualties, Selected Age Groups, NSW, 1995-2004
36% reduction
31% reduction
43% reduction
16% reduction
-
1,000
2,000
3,000
4,000
5,000
6,000
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004Age Group
No
of C
asua
lties
0-45-910-1415-19
![Page 9: The Health of a Nation - Injury Allan Booth Manager Road Safety Education Program Curriculum K-12 Directorate NSW Department of Education & Training NSW.](https://reader035.fdocuments.in/reader035/viewer/2022070401/56649f1b5503460f94c3075f/html5/thumbnails/9.jpg)
NSW Department of Education & Training
NSW Public Schools – Leading the Way www.det.nsw.edu.au
Northern Territory Injury death rates in NT 1991-2000 • NT Indigenous injury death rate is 3.4x the
national rate • NT Non-Indigenous death rate is 1.5x the
national rate • 17% of all deaths in NT were due to injury
versus 6% nationally • Injury is the 3rd leading cause of death in the NT
(2nd for the Indigenous population) after cardiovascular disease and cancer.
• The leading causes of injury death are transport accident, violence, falls and suicide.
• The leading causes of hospital admission due to injury are violence, falls and transport accidents.
![Page 10: The Health of a Nation - Injury Allan Booth Manager Road Safety Education Program Curriculum K-12 Directorate NSW Department of Education & Training NSW.](https://reader035.fdocuments.in/reader035/viewer/2022070401/56649f1b5503460f94c3075f/html5/thumbnails/10.jpg)
NSW Department of Education & Training
NSW Public Schools – Leading the Way www.det.nsw.edu.au
Injury
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NSW Department of Education & Training
NSW Public Schools – Leading the Way www.det.nsw.edu.au
Groups experiencing inequity
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NSW Department of Education & Training
NSW Public Schools – Leading the Way www.det.nsw.edu.au
ATSI
• Injuries - sustained in accidents such as car crashes. An indigenous person is three times more likely to die in an accident than a non-indigenous person. The Aboriginal population also has high rates of suicide and homicide.
• HospitalisationIndigenous people are nearly twice as likely to be admitted to hospital than non-indigenous people. For children aged 15 years and under, the main reasons for hospitalisation include diseases of the chest and throat, injuries caused by accidents and middle ear infections.
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NSW Department of Education & Training
NSW Public Schools – Leading the Way www.det.nsw.edu.au
Socioeconomic disadvantage
Death rates for people aged 25-64 years living in areas of most disadvantage, compared to those living in areas of least disadvantage.
Males 2.2 times more for traffic accidents1.6 more from suicideFemales2.0 more for traffic accidents1.3 for suicide
![Page 14: The Health of a Nation - Injury Allan Booth Manager Road Safety Education Program Curriculum K-12 Directorate NSW Department of Education & Training NSW.](https://reader035.fdocuments.in/reader035/viewer/2022070401/56649f1b5503460f94c3075f/html5/thumbnails/14.jpg)
NSW Department of Education & Training
NSW Public Schools – Leading the Way www.det.nsw.edu.au
Gender
Measure Males Females Persons
Number of deaths 5285 2681 7966
Proportion of all deaths
7.7% 4.2% 6.0%
Crude rate per
100,000 population
52.9 26.4 39.6
Adjusted rate per 100,000 population
55.1 23.4 38.8
Injury deaths, proportion and rates - 2004
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NSW Department of Education & Training
NSW Public Schools – Leading the Way www.det.nsw.edu.au
Casualties, Drivers,
2002-2004 Three Year Average
0
200
400
600
800
1,000
0-4 5-9 10-14 15-19
MaleFemale
Gender
![Page 16: The Health of a Nation - Injury Allan Booth Manager Road Safety Education Program Curriculum K-12 Directorate NSW Department of Education & Training NSW.](https://reader035.fdocuments.in/reader035/viewer/2022070401/56649f1b5503460f94c3075f/html5/thumbnails/16.jpg)
NSW Department of Education & Training
NSW Public Schools – Leading the Way www.det.nsw.edu.au
Casualties, Passengers,
2002-2004 Three Year Average
0
200
400
600
800
0-4 5-9 10-14 15-19
MaleFemale
Gender
![Page 17: The Health of a Nation - Injury Allan Booth Manager Road Safety Education Program Curriculum K-12 Directorate NSW Department of Education & Training NSW.](https://reader035.fdocuments.in/reader035/viewer/2022070401/56649f1b5503460f94c3075f/html5/thumbnails/17.jpg)
NSW Department of Education & Training
NSW Public Schools – Leading the Way www.det.nsw.edu.au
Casualties, Pedal Cyclists,
2002-2004 Three Year Average
0
50
100
150
0-4 5-9 10-14 15-19
MaleFemale
Gender
![Page 18: The Health of a Nation - Injury Allan Booth Manager Road Safety Education Program Curriculum K-12 Directorate NSW Department of Education & Training NSW.](https://reader035.fdocuments.in/reader035/viewer/2022070401/56649f1b5503460f94c3075f/html5/thumbnails/18.jpg)
NSW Department of Education & Training
NSW Public Schools – Leading the Way www.det.nsw.edu.au
Casualties, Motorcyclists,
2002-2004 Three Year Average
0
50
100
150
200
0-4 5-9 10-14 15-19
MaleFemale
![Page 19: The Health of a Nation - Injury Allan Booth Manager Road Safety Education Program Curriculum K-12 Directorate NSW Department of Education & Training NSW.](https://reader035.fdocuments.in/reader035/viewer/2022070401/56649f1b5503460f94c3075f/html5/thumbnails/19.jpg)
NSW Department of Education & Training
NSW Public Schools – Leading the Way www.det.nsw.edu.au
Older people
• Falls account for about one-third of hospitalised injury and about one-fifth of fatal injuries in Australia. By far the highest rates of these injuries are at older ages
![Page 20: The Health of a Nation - Injury Allan Booth Manager Road Safety Education Program Curriculum K-12 Directorate NSW Department of Education & Training NSW.](https://reader035.fdocuments.in/reader035/viewer/2022070401/56649f1b5503460f94c3075f/html5/thumbnails/20.jpg)
NSW Department of Education & Training
NSW Public Schools – Leading the Way www.det.nsw.edu.au
Older people
• Older people are over represented in pedestrian fatalities and have a greater chance of being killed when they are involved in a motor vehicle crash.
• Dementia and vision problems are the most significant issue affecting older drivers
![Page 21: The Health of a Nation - Injury Allan Booth Manager Road Safety Education Program Curriculum K-12 Directorate NSW Department of Education & Training NSW.](https://reader035.fdocuments.in/reader035/viewer/2022070401/56649f1b5503460f94c3075f/html5/thumbnails/21.jpg)
NSW Department of Education & Training
NSW Public Schools – Leading the Way www.det.nsw.edu.au
Younger people
In 2004, 47% of all deaths of persons aged 1-44 years were due to injury.
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NSW Department of Education & Training
NSW Public Schools – Leading the Way www.det.nsw.edu.au
Younger peopleCasualties per 100,000 Population, NSW,
2002-2004 Three Year Average
0
100
200
300
400
500
600
700
800
900
1,000
0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70+
Age Group
Cas
ualti
es p
er 1
00,0
00 P
opul
atio
n
MalesFemalesTotal
![Page 23: The Health of a Nation - Injury Allan Booth Manager Road Safety Education Program Curriculum K-12 Directorate NSW Department of Education & Training NSW.](https://reader035.fdocuments.in/reader035/viewer/2022070401/56649f1b5503460f94c3075f/html5/thumbnails/23.jpg)
NSW Department of Education & Training
NSW Public Schools – Leading the Way www.det.nsw.edu.au
Cost to the Community
In 2003, injury estimated to contributed to have contributed to :
•138,000 years of life lost (YLL) due to disease •106,600 years of ‘healthy’ life lost due to poor health or disability (YLD)
Significant health costs are also attributable to injury, accounting for approximately 8% of the total direct costs of all diseases annually.
Health costs associated with injury in Australia have been estimated to be $2.6 billion annually. This compares to the total direct cost for cancer of $1.4 billion for the same period.
![Page 24: The Health of a Nation - Injury Allan Booth Manager Road Safety Education Program Curriculum K-12 Directorate NSW Department of Education & Training NSW.](https://reader035.fdocuments.in/reader035/viewer/2022070401/56649f1b5503460f94c3075f/html5/thumbnails/24.jpg)
NSW Department of Education & Training
NSW Public Schools – Leading the Way www.det.nsw.edu.au
Health Promotion
![Page 25: The Health of a Nation - Injury Allan Booth Manager Road Safety Education Program Curriculum K-12 Directorate NSW Department of Education & Training NSW.](https://reader035.fdocuments.in/reader035/viewer/2022070401/56649f1b5503460f94c3075f/html5/thumbnails/25.jpg)
NSW Department of Education & Training
NSW Public Schools – Leading the Way www.det.nsw.edu.au
http://www.nphp.gov.au/publications/sipp/atsi.pdf
![Page 26: The Health of a Nation - Injury Allan Booth Manager Road Safety Education Program Curriculum K-12 Directorate NSW Department of Education & Training NSW.](https://reader035.fdocuments.in/reader035/viewer/2022070401/56649f1b5503460f94c3075f/html5/thumbnails/26.jpg)
NSW Department of Education & Training
NSW Public Schools – Leading the Way www.det.nsw.edu.au
The National Road Safety Strategy
http://www.atsb.gov.au/road/national_road_safety_strategy/index.aspx
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NSW Department of Education & Training
NSW Public Schools – Leading the Way www.det.nsw.edu.au
NSW Health promotion activities
addressing road injury
![Page 28: The Health of a Nation - Injury Allan Booth Manager Road Safety Education Program Curriculum K-12 Directorate NSW Department of Education & Training NSW.](https://reader035.fdocuments.in/reader035/viewer/2022070401/56649f1b5503460f94c3075f/html5/thumbnails/28.jpg)
NSW Department of Education & Training
NSW Public Schools – Leading the Way www.det.nsw.edu.au
http://www.rta.nsw.gov.au/publicationsstatisticsforms/downloads/aboriginal_action_plan2006_2010.pdf
Aboriginal Action Plan
![Page 29: The Health of a Nation - Injury Allan Booth Manager Road Safety Education Program Curriculum K-12 Directorate NSW Department of Education & Training NSW.](https://reader035.fdocuments.in/reader035/viewer/2022070401/56649f1b5503460f94c3075f/html5/thumbnails/29.jpg)
NSW Department of Education & Training
NSW Public Schools – Leading the Way www.det.nsw.edu.au
Strategies to target key issues
• Speed• Fatigue• Restraints• Drink Drive• Overloading• Pedestrians • Bicycles
![Page 30: The Health of a Nation - Injury Allan Booth Manager Road Safety Education Program Curriculum K-12 Directorate NSW Department of Education & Training NSW.](https://reader035.fdocuments.in/reader035/viewer/2022070401/56649f1b5503460f94c3075f/html5/thumbnails/30.jpg)
NSW Department of Education & Training
NSW Public Schools – Leading the Way www.det.nsw.edu.au
Bring the Mob Home Safely
an example of a new public health approach
![Page 31: The Health of a Nation - Injury Allan Booth Manager Road Safety Education Program Curriculum K-12 Directorate NSW Department of Education & Training NSW.](https://reader035.fdocuments.in/reader035/viewer/2022070401/56649f1b5503460f94c3075f/html5/thumbnails/31.jpg)
NSW Department of Education & Training
NSW Public Schools – Leading the Way www.det.nsw.edu.au
Developing personal skills – culturally appropriate
information
![Page 32: The Health of a Nation - Injury Allan Booth Manager Road Safety Education Program Curriculum K-12 Directorate NSW Department of Education & Training NSW.](https://reader035.fdocuments.in/reader035/viewer/2022070401/56649f1b5503460f94c3075f/html5/thumbnails/32.jpg)
NSW Department of Education & Training
NSW Public Schools – Leading the Way www.det.nsw.edu.au
Strengthening community action
Work with Elders
Work with young people
![Page 33: The Health of a Nation - Injury Allan Booth Manager Road Safety Education Program Curriculum K-12 Directorate NSW Department of Education & Training NSW.](https://reader035.fdocuments.in/reader035/viewer/2022070401/56649f1b5503460f94c3075f/html5/thumbnails/33.jpg)
NSW Department of Education & Training
NSW Public Schools – Leading the Way www.det.nsw.edu.au
Strengthening community action - key aboriginal events
• Survival (Australia Day)
• NAIDOC(2nd week of July)
• Croc Festival (September)
• Knockout (October long weekend)
![Page 34: The Health of a Nation - Injury Allan Booth Manager Road Safety Education Program Curriculum K-12 Directorate NSW Department of Education & Training NSW.](https://reader035.fdocuments.in/reader035/viewer/2022070401/56649f1b5503460f94c3075f/html5/thumbnails/34.jpg)
NSW Department of Education & Training
NSW Public Schools – Leading the Way www.det.nsw.edu.au
Building healthy public policy
RTA Aboriginal Action Plan http://www.rta.nsw.gov.au/publicationsstatisticsforms/downloads/aboriginal_action_plan2006_2010.pdf
![Page 35: The Health of a Nation - Injury Allan Booth Manager Road Safety Education Program Curriculum K-12 Directorate NSW Department of Education & Training NSW.](https://reader035.fdocuments.in/reader035/viewer/2022070401/56649f1b5503460f94c3075f/html5/thumbnails/35.jpg)
NSW Department of Education & Training
NSW Public Schools – Leading the Way www.det.nsw.edu.au
Building healthy public policy
http://www.rta.nsw.gov.au/publicationsstatisticsforms/downloads/aboriginal_action_plan2006_2010.pdf