Unintentional injuries among children under five years.
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Transcript of Unintentional injuries among children under five years.
Unintentional injuries among children under five years
• Hospital Episode Statistics (HES) and mortality statistics for the most recent five years
• Other datasets may be useful to allow in-depth study of the topic, for example
− Trauma Audit and Research Network (TARN)
− UK National Burn Injury Database
− Information from child death overview panels (CDOPs)
− Coroners’ data
• These other datasets may comprise small sample sizes, but contain very detailed information on the most serious injuries
• They may provide narrow topic coverage
2 Unintentional injuries among children under five
Datasets
• England
• 2008/09–2012/13 (five years)
• Emergency hospital admissions only
• Data for the under 25s but main focus is on the under fives
• ICD-10 codes W00-X59− Non-transport accidents− Unintentional injuries
• Not just home accidents
3 Unintentional injuries among children under five
Admissions to hospital
• Location codes incomplete
• Not just home accidents
• May need more detail to allow most effective prevention programmes to be identified
• Millions of A&E attendances annually
− not life-threatening but numerous and costly
− potentially distressing and disruptive for the child and family
4 Unintentional injuries among children under five
Some data issues
Location
Home 32%
Residential institution 0%
School 8%
Sports 7%
Street / highway 3%
Trade / service area (shops, etc) 2%
Industrial / construction 1%
Farm 0%
Other 7%
Unspecified 40%
Unintentional injuries among children under five
Distribution of emergency hospital admissions for unintentional injuries (ICD-10 W codes only) among under 25s, by location, 2008/09–2012/13
Source: Hospital Episode Statistics (HES). Copyright © 2014 Re‐used with the permission of The Health and Social Care Information Centre. All rights reserved.
5 Unintentional injuries among children under five
Numbers of home and leisure A&E attendances in the UK, by age (HASS and LASS national estimates), 2002
Unintentional injuries among children under five
0 1 2 3 4 5 6 7 8 9 10 11 12 13 140
20,000
40,000
60,000
80,000
100,000
120,000
140,000
160,000
Home Leisure
Age (years)
Nu
mb
er
6 Unintentional injuries among children under five
Numbers of emergency hospital admissions for unintentional injuries, by age group and year
Unintentional injuries among children under five
0-4 5-9 10-14 15-19 20-240
5,000
10,000
15,000
20,000
25,000
30,000
35,000
40,000
45,0002008/09 2009/10 2010/11 2011/12 2012/13
Age group
Nu
mb
er
Source: Hospital Episode Statistics (HES). Copyright © 2014 Re‐used with the permission of The Health and Social Care Information Centre. All rights reserved.
7 Unintentional injuries among children under five
Emergency hospital admission rates by deprivation quintile for unintentional injuries among under fives, with 95% confidence intervals, 2012/13
Unintentional injuries among children under five
Least deprived
Most deprived
0
200
400
600
800
1,000
1,200
1,400
1,600
Ra
te p
er
10
0,0
00
Source: Hospital Episode Statistics (HES). Copyright © 2014 Re‐used with the permission of The Health and Social Care Information Centre. All rights reserved.
8 Unintentional injuries among children under five
Numbers of emergency hospital admissions for unintentional injuries, by age group, 2012/13
Unintentional injuries among children under five
0-4 5-9 10-14 15-19 20-24 0-24
Falls 18,286 11,980 9,691 6,065 6,776 52,798
Exposure to inanimate mechanical forces 8,028 4,051 3,440 4,297 5,393 25,209
Exposure to animate mechanical forces 1,326 1,505 1,772 1,931 2,200 8,734
Accidental drowning and submersion 105 33 16 13 10 177
Other accidental threats to breathing 413 72 59 67 96 707
Exposure to electric current, etc 33 14 20 26 60 153
Exposure to smoke, fire and flames 106 79 61 87 111 444
Contact with heat and hot substances 2,215 291 174 127 201 3,008
Contact with venomous animals & plants 25 21 12 10 31 99
Exposure to forces of nature 31 7 18 27 25 108
Accidental poisoning 5,105 513 623 1,864 2,233 10,338
Overexertion, travel and privation 143 183 449 503 616 1,894
Other and unspecified factors 3,307 1,068 978 1,148 1,498 7,999
Total 39,123 19,817 17,313 16,165 19,250 111,668
Source: Hospital Episode Statistics (HES). Copyright © 2014 Re‐used with the permission of The Health and Social Care Information Centre. All rights reserved.
9 Unintentional injuries among children under five
Emergency hospital admission rates for unintentional injuries among under fives, by sex and year
Unintentional injuries among children under five
Source: Hospital Episode Statistics (HES). Copyright © 2014 Re‐used with the permission of The Health and Social Care Information Centre. All rights reserved.
2008/09 2009/10 2010/11 2011/12 2012/130
200
400
600
800
1,000
1,200
1,400
1,600Males Females
Year
Ra
te p
er
10
0,0
00
45%
45%45% 45%
45%
10 Unintentional injuries among children under five
0-4 5-9 10-14 15-19 20-24 0-24
Falls 18,286 11,980 9,691 6,065 6,776 52,798
Exposure to inanimate mechanical forces 8,028 4,051 3,440 4,297 5,393 25,209
Exposure to animate mechanical forces 1,326 1,505 1,772 1,931 2,200 8,734
Accidental drowning and submersion 105 33 16 13 10 177
Other accidental threats to breathing 413 72 59 67 96 707
Exposure to electric current, etc 33 14 20 26 60 153
Exposure to smoke, fire and flames 106 79 61 87 111 444
Contact with heat and hot substances 2,215 291 174 127 201 3,008
Contact with venomous animals & plants 25 21 12 10 31 99
Exposure to forces of nature 31 7 18 27 25 108
Accidental poisoning 5,105 513 623 1,864 2,233 10,338
Overexertion, travel and privation 143 183 449 503 616 1,894
Other and unspecified factors 3,307 1,068 978 1,148 1,498 7,999
Total 39,123 19,817 17,313 16,165 19,250 111,668
Source: Hospital Episode Statistics (HES). Copyright © 2014 Re‐used with the permission of The Health and Social Care Information Centre. All rights reserved.
Unintentional injuries among children under five
Numbers of emergency hospital admissions for unintentional injuries by age group, 2012/13
11 Unintentional injuries among children under five
Emergency hospital admission rates due to unintentional injuries among under fives, by year, with 95% confidence intervals
Unintentional injuries among children under five
2008/09 2009/10 2010/11 2011/12 2012/130
200
400
600
800
1,000
1,200
1,400
Year
Ra
te p
er
10
0,0
00
Source: Hospital Episode Statistics (HES). Copyright © 2014 Re‐used with the permission of The Health and Social Care Information Centre. All rights reserved.
12 Unintentional injuries among children under five
Major causes of emergency hospital admission for unintentional injuries among under fives, 2008/09–2012/13
Unintentional injuries among children under five
Falls 93,315
Impacts, entrapments, lacerations 40,558
Accidental poisoning 23,014
Thermal injuries 11,115
Struck or bumped into by a person, and dog bites 6,553
Suffocation and strangulation 2,024
These six causes represent almost 90% of emergency admissions in this age group.
Source: Hospital Episode Statistics (HES). Copyright © 2014 Re‐used with the permission of The Health and Social Care Information Centre. All rights reserved.
13 Unintentional injuries among children under five
Numbers of emergency hospital admissions for fall injuries among under fives, 2008/09–2012/13
Unintentional injuries among children under five
W10 Fall on and from stairs and steps 12,140
W01 Fall on same level from slipping, tripping and stumbling 11,904
W06 Fall involving bed 9,468
W09 Fall involving playground equipment 9,121
W07 Fall involving chair 8,298
W04 Fall while being carried or supported by other persons 7,445
W18 Other fall on same level 7,157
W08 Fall involving other furniture 6,647
W17 Other fall from one level to another 6,312
W13 Fall from, out of or through building or structure 1,901
W03 Other fall on same level due to collision with, or pushing by, another person 1,141
W19 Unspecified fall 10,469
Source: Hospital Episode Statistics (HES). Copyright © 2014 Re‐used with the permission of The Health and Social Care Information Centre. All rights reserved.
14 Unintentional injuries among children under five
Unintentional injuries among children under five
Source: Hospital Episode Statistics (HES). Copyright © 2014 Re‐used with the permission of The Health and Social Care Information Centre. All rights reserved.
2008/09 2009/10 2010/11 2011/12 2012/130
100
200
300
400
500
600
700
Year
Ra
te p
er
10
0,0
00
Emergency hospital admission rates for fall injuries among under fives, by year, with 95% confidence intervals
15 Unintentional injuries among children under five
Unintentional injuries among children under five
Under 1 1 2 3 40
20
40
60
80
100
120
140
160
180
Fall while being carried or supported by other persons
Fall on and from stairs and steps
Age (years)
Ra
te p
er
10
0,0
00
Source: Hospital Episode Statistics (HES). Copyright © 2014 Re‐used with the permission of The Health and Social Care Information Centre. All rights reserved.
Emergency hospital admission rates for certain falls, by age, with 95% confidence intervals, 2008/09–2012/13
16 Unintentional injuries among children under five
Unintentional injuries among children under five
Under 1 1 2 3 40
20
40
60
80
100
120
Fall involving bedFall involving chairFall involving other furniture
Age (years)
Ra
te p
er
10
0,0
00
Source: Hospital Episode Statistics (HES). Copyright © 2014 Re‐used with the permission of The Health and Social Care Information Centre. All rights reserved.
Emergency hospital admission rates for furniture falls by age, with 95% confidence intervals, 2008/09–2012/13
17 Unintentional injuries among children under five
Numbers of emergency hospital admissions for impacts, entrapments and lacerations among under fives, 2008/09–2012/13
Unintentional injuries among children under five
W22 Striking against or struck by other objects 11,400
W23Caught, crushed, jammed or pinched in or between objects
10,930
W44Foreign body entering into or through eye or natural orifice
10,429
W20 Struck by thrown, projected or falling object 2,463
W25 Contact with sharp glass 1,687
W45 Foreign body or object entering through skin 1,443
Source: Hospital Episode Statistics (HES). Copyright © 2014 Re‐used with the permission of The Health and Social Care Information Centre. All rights reserved.
18 Unintentional injuries among children under five
Numbers of emergency hospital admissions for accidental poisoning among under fives, 2008/09–2012/13
Unintentional injuries among children under five
X40Accidental poisoning by and exposure to nonopioid analgesics, antipyretics and antirheumatics
7,090
X44Accidental poisoning by and exposure to other and unspecified drugs, medicaments and biological substances
6,391
X49Accidental poisoning by and exposure to other and unspecified chemicals and noxious substances
3,979
X41Accidental poisoning by and exposure to antiepileptic, sedative-hypnotic, antiparkinsonism and psychotropic drugs, not elsewhere classified
2,114
X46Accidental poisoning by and exposure to organic solvents and halogenated hydrocarbons and their vapours
1,185
Source: Hospital Episode Statistics (HES). Copyright © 2014 Re‐used with the permission of The Health and Social Care Information Centre. All rights reserved.
19 Unintentional injuries among children under five
Emergency hospital admissions for accidental poisonings among under fives, 2008/09–2012/13
Unintentional injuries among children under five
Source: Hospital Episode Statistics (HES). Copyright © 2014 Re‐used with the permission of The Health and Social Care Information Centre. All rights reserved.
20 Unintentional injuries among children under five
Unintentional injuries among children under five
Source: Hospital Episode Statistics (HES). Copyright © 2014 Re‐used with the permission of The Health and Social Care Information Centre. All rights reserved.
Emergency hospital admission rates for poisonings among under fives, by type of poison and year, with 95% confidence intervals
2008/09 2009/10 2010/11 2011/12 2012/130
20
40
60
80
100
120Medicines Organic solvents Other household chemicals, etc
Year
Ra
te p
er
10
0,0
00
21 Unintentional injuries among children under five
Unintentional injuries among children under five
Under 1 1 2 3 40
50
100
150
200
250
Medicines Household chemicals, poisonous plants, etc
Age (years)
Ra
te p
er
10
0,0
00
Source: Hospital Episode Statistics (HES). Copyright © 2014 Re‐used with the permission of The Health and Social Care Information Centre. All rights reserved.
Emergency hospital admission rates for accidental poisonings by age, with 95% confidence intervals, 2008/09–2012/13
22 Unintentional injuries among children under five
Numbers of emergency hospital admissions for unintentional thermal injuries among under fives, 2008/09–2012/13
Unintentional injuries among children under five
X10 Contact with hot drinks, food, fats and cooking oils 4,174
X15 Contact with hot household appliances 2,122
X12Contact with other hot fluids (incl. water heated on stove)
2,104
X11 Contact with hot tap-water 1,110
X16Contact with hot heating appliances, radiators and pipes
984
Source: Hospital Episode Statistics (HES). Copyright © 2014 Re‐used with the permission of The Health and Social Care Information Centre. All rights reserved.
23 Unintentional injuries among children under five
2008/09 2009/10 2010/11 2011/12 2012/130
10
20
30
40
50
60
70
80
Year
Ra
te p
er
10
0,0
00
Unintentional injuries among children under five
Source: Hospital Episode Statistics (HES). Copyright © 2014 Re‐used with the permission of The Health and Social Care Information Centre. All rights reserved.
Emergency hospital admission rates for unintentional thermal injuries among under fives, by year, with 95% confidence intervals
24 Unintentional injuries among children under five
Unintentional injuries among children under five
Source: Hospital Episode Statistics (HES). Copyright © 2014 Re‐used with the permission of The Health and Social Care Information Centre. All rights reserved.
Emergency hospital admission rates for unintentional scalds among under fives, by year, with 95% confidence intervals
2008/09 2009/10 2010/11 2011/12 2012/130
5
10
15
20
25
30
Hot drinks, food, fats and cooking oils Hot tap-water
Other hot fluids (incl. water heated on stove)
Year
Ra
te p
er
10
0,0
00
25 Unintentional injuries among children under five
2008/09 2009/10 2010/11 2011/12 2012/130
2
4
6
8
10
12
14
16
Hot household appliances Hot heating appliances, radiators and pipes
Year
Ra
te p
er
10
0,0
00
Unintentional injuries among children under five
Source: Hospital Episode Statistics (HES). Copyright © 2014 Re‐used with the permission of The Health and Social Care Information Centre. All rights reserved.
Emergency hospital admission rates for unintentional contact burns among under fives, by year, with 95% confidence intervals
26 Unintentional injuries among children under five
Unintentional injuries among children under five
Under 1 1 2 3 40
10
20
30
40
50
60
70
80
Contact with hot drinks, food, fats and cooking oils
Contact with hot tap-water
Contact with other hot fluids (incl. water heated on stove)
Age (years)
Ra
te p
er
10
0,0
00
Source: Hospital Episode Statistics (HES). Copyright © 2014 Re‐used with the permission of The Health and Social Care Information Centre. All rights reserved.
Emergency hospital admission rates for unintentional scalds by age, with 95% confidence intervals, 2008/09–2012/13
27 Unintentional injuries among children under five
Unintentional injuries among children under five
Under 1 1 2 3 40
5
10
15
20
25
30
Contact with hot household appliances
Contact with hot heating appliances, radiators and pipes
Age (years)
Ra
te p
er
10
0,0
00
Source: Hospital Episode Statistics (HES). Copyright © 2014 Re‐used with the permission of The Health and Social Care Information Centre. All rights reserved.
Emergency hospital admission rates for unintentional appliance burns by age, with 95% confidence intervals, 2008/09–2012/13
28 Unintentional injuries among children under five
Numbers of emergency hospital admissions from exposure to animate mechanical forces among under fives, 2008/09–2012/13
Unintentional injuries among children under five
W54 Bitten or struck by dog 2,427
W50Hit, struck, kicked, twisted, bitten or scratched by another person
1,408
W51 Striking against or bumped into by another person 1,392
Source: Hospital Episode Statistics (HES). Copyright © 2014 Re‐used with the permission of The Health and Social Care Information Centre. All rights reserved.
29 Unintentional injuries among children under five
Unintentional injuries among children under five
2008/09 2009/10 2010/11 2011/12 2012/130
2
4
6
8
10
12
14
16
18
Year
Ra
te p
er
10
0,0
00
Source: Hospital Episode Statistics (HES). Copyright © 2014 Re‐used with the permission of The Health and Social Care Information Centre. All rights reserved.
Emergency hospital admission rates for dog bites among under fives, by year, with 95% confidence intervals
30 Unintentional injuries among children under five
Numbers of emergency hospital admissions for other accidental threats to breathing among under fives, 2008/09–2012/13
Unintentional injuries among children under five
W79Inhalation and ingestion of food causing obstruction of respiratory tract
972
W80Inhalation and ingestion of other objects causing obstruction of respiratory tract
439
W78 Inhalation of gastric contents 407
Source: Hospital Episode Statistics (HES). Copyright © 2014 Re‐used with the permission of The Health and Social Care Information Centre. All rights reserved.
31 Unintentional injuries among children under five
Unintentional injuries among children under five
Under 1 1 2 3 40
2
4
6
8
10
12
14
16
Inhalation of gastric contents
Inhalation and ingestion of food causing obstruction of respiratory tract
Inhalation and ingestion of other objects causing obstruction of respiratory tract
Age (years)
Ra
te p
er
10
0,0
00
Source: Hospital Episode Statistics (HES). Copyright © 2014 Re‐used with the permission of The Health and Social Care Information Centre. All rights reserved.
Emergency hospital admission rates for inhalations and ingestions by age, with 95% confidence intervals, 2008/09–2012/13
32 Unintentional injuries among children under five
Proportions of emergency hospital stays for specific causes that were over three days among under fives, 2008/09–2012/13
Unintentional injuries among children under five
Source: Hospital Episode Statistics (HES). Copyright © 2014 Re‐used with the permission of The Health and Social Care Information Centre. All rights reserved.
Other accidental threats to breathing 14.2%
Exposure to smoke, fire and flames 12.0%
Contact with heat and hot substances 11.8%
Accidental drowning and submersion 9.0%
Falls 3.8%
Accidental poisoning 2.1%
Impacts, entrapments, lacerations 1.7%
All causes 4.5%
33 Unintentional injuries among children under five
Unintentional injuries among children under five
Source: Hospital Episode Statistics (HES). Copyright © 2014 Re‐used with the permission of The Health and Social Care Information Centre. All rights reserved.
Variations in lengths of emergency hospital stay among under fives, 2008/09–2012/13
Under 2 days Over 3 days
2008/09 87.5% 4.9%
2009/10 87.1% 4.8%
2010/11 88.0% 4.3%
2011/12 88.2% 4.2%
2012/13 88.3% 4.4%
34 Unintentional injuries among children under five
35 Unintentional injuries among children under five
• Social inequalities gradient for the under fives
• Drop in overall emergency admission rates in 2012/13
• Falls (93,000)− falls on stairs and steps (one year olds)− drops (under ones)− furniture falls (decrease with age)− drop in falls admissions in 2012/13 but reason not clear
• Bumps, crushing and entrapments (40,500), small objects
Overview of emergency hospital admissions for the under fives
36 Unintentional injuries among children under five
• Poisonings: medicines (16,000). Increasing annual trend. Short lengths of stay.
• Thermal injuries (11,000): scalds and appliance burns (one year olds). No clear annual trend. Long lengths of stay.
• Dog bites (2,400): after age of one. The annual trend is flat.
• Suffocations (2,000): vomit (under ones) and food (both under ones and older). Long lengths of stay.
Overview of emergency hospital admissions for the under fives
37 Unintentional injuries among children under five
• Mortality statistics from the Office for National Statistics
• England
• 2008-2012 inclusive – five years
• ICD-10 codes W00-X59
- Non-transport accidents
- Unintentional injuries
• Not just home accidents
Deaths
Deaths by age group, 2008–2012
Unintentional injuries among children under five
0-4 5-9 10-14 15-19 20-24 Total
Falls 24 2 14 53 81 174
Exposure to inanimate mechanical forces 18 5 6 13 36 78
Exposure to animate mechanical forces 3 0 2 3 7 15
Accidental drowning and submersion 65 20 17 65 65 232
Other accidental threats to breathing 138 18 57 68 123 404
Exposure to electric current, radiation , etc 2 0 2 12 22 38
Exposure to smoke, fire and flames 23 20 5 7 26 81
Contact with heat and hot substances 3 1 0 0 0 4
Exposure to forces of nature 0 0 1 6 6 13Accidental poisoning by and exposure to noxious substances 10 4 15 156 461 646Accidental exposure to other and unspecified factors 25 8 2 25 49 109
311 78 121 408 876 1,794
Source: Office for National Statistics. Crown copyright reserved.
38 Unintentional injuries among children under five
Deaths among under fives, 2008–2012
Unintentional injuries among children under five
Other accidental threats to breathing 138
Accidental drowning and submersion 65
Falls 24
Exposure to smoke, fire and flames 23
Exposure to inanimate mechanical forces 18
Accidental poisoning by and exposure to noxious substances 10
Exposure to animate mechanical forces 3
Contact with heat and hot substances 3
Exposure to electric current, etc 2
Contact with venomous animals and plants 0
Exposure to forces of nature 0
Overexertion, travel and privation 0
Accidental exposure to other and unspecified factors 25
Source: Office for National Statistics. Crown copyright reserved.
39 Unintentional injuries among children under five
Distribution of deaths among under fives by sex,2008–2012
Unintentional injuries among children under five
Under 1 1 2 3 4 Under 50%
10%
20%
30%
40%
50%
60%
70%Males Females
Age (years)Source: Office for National Statistics. Crown copyright reserved.
40 Unintentional injuries among children under five
Numbers of deaths due to other accidental threats to breathing among under fives, 2008–2012
Unintentional injuries among children under five
W75 Accidental suffocation and strangulation in bed 37
W76 Other accidental hanging and strangulation 28
W79Inhalation and ingestion of food causing obstruction of respiratory tract
19
W78 Inhalation of gastric contents 16
W80Inhalation and ingestion of other objects causing obstruction of respiratory tract
7
W83 Other specified threats to breathing 6
W84 Unspecified threat to breathing 25
Total 138
Source: Office for National Statistics. Crown copyright reserved.
41 Unintentional injuries among children under five
Numbers of deaths due to accidental drowning and submersion among under fives, 2008–2012
Unintentional injuries among children under five
W65 Drowning and submersion while in bath-tub 18
W67 Drowning and submersion while in swimming-pool 6
W69 Drowning and submersion while in natural water 2
W70 Drowning and submersion following fall into natural water 2
W68 Drowning and submersion following fall into swimming-pool 1
W66 Drowning and submersion following fall into bath-tub 0
W74 Unspecified drowning and submersion 22
W73 Other specified drowning and submersion 14
Total 65
Source: Office for National Statistics. Crown copyright reserved.
42 Unintentional injuries among children under five
Numbers of deaths due to falls among under fives, 2008–2012
Unintentional injuries among children under five
W04 Fall while being carried or supported by other persons 5
W13 Fall from out of or through building or structure 5
W07 Fall involving chair 3
W06 Fall involving bed 2
W08 Fall involving other furniture 2
W10 Fall on and from stairs and steps 2
W18 Other fall on same level 1
W09 Fall involving playground equipment 0
W19 Unspecified fall 4
Total 24
Source: Office for National Statistics. Crown copyright reserved.
43 Unintentional injuries among children under five
Numbers of deaths due to exposure to smoke, fire and flames among under fives, 2008–2012
Unintentional injuries among children under five
X00 Exposure to uncontrolled fire in building or structure 18
X06 Exposure to ignition or melting of other clothing and apparel 3
X08 Exposure to other specified smoke 1
X09 Exposure to unspecified smoke 1
Total 23
Source: Office for National Statistics. Crown copyright reserved.
44 Unintentional injuries among children under five
Numbers of deaths due to exposure to inanimate mechanical forces among under fives, 2008–2012
Unintentional injuries among children under five
W20 Struck by thrown projected or falling object 10
W22 Striking against or struck by other objects 3
W23 Caught crushed jammed or pinched in or between objects 1
W24 Contact with lifting and transmission devices, not elsewhere classified
1
W29 Contact with other powered hand tools and household machinery 1
W31 Contact with other and unspecified machinery 1
W44 Foreign body entering into or through eye or natural orifice 1
Total 18
Source: Office for National Statistics. Crown copyright reserved.
45 Unintentional injuries among children under five
Numbers of deaths due to accidental poisoning, among under fives, 2008–2012
Unintentional injuries among children under five
X49 Accidental poisoning by and exposure to other and unspecified chemicals and noxious substances
4
X44 Accidental poisoning by and exposure to other and unspecified drugs, medicaments and biological substances
3
X42 Accidental poisoning by and exposure to narcotics and psychodysleptics, not elsewhere classified
2
X40 Accidental poisoning by and exposure to nonopioid analgesics, antipyretics and antirheumatics
0
X41 Accidental poisoning by and exposure to antiepileptic, sedative-hypnotic, antiparkinsonism and psychotropic drugs, not elsewhere classified
1
X45 Accidental poisoning by and exposure to alcohol 0
X47 Accidental poisoning by and exposure to other gases and vapours 0
X48 Accidental poisoning by and exposure to pesticides 0
Total 10
Source: Office for National Statistics. Crown copyright reserved.
46 Unintentional injuries among children under five
47 Unintentional injuries among children under five
• Suffocation and strangulation in bed (37), other hanging and strangulation (28)
• Inhalation and ingestion of food and inhalation of vomit (42)
• Drowning: bath (18); lack of specified causes (22)
• Falls (24): no single high cause – drops, window and furniture falls. Stair falls infrequent
• House fires (18)
• Mechanical forces (18): possibly cave-ins and collapse of structures
• Poisonings (10): medicines and household chemicals
Source: Office for National Statistics. Crown copyright reserved.
Overview of deaths among the under fives, 2008–2012
Overview of deaths (2008–2012) and emergency hospital admissions (2008/09-2012/13) among under fives, ordered by deaths
Unintentional injuries among children under five
Deaths AdmissionsAdmissions/
deaths
Other accidental threats to breathing 138 2,024 15
Accidental drowning and submersion 65 498 8
Falls 24 93,315 3,888
Exposure to smoke, fire and flames 23 724 31
Exposure to inanimate mechanical forces
18 40,575 2,254
Accidental poisoning by and exposure to noxious substances
10 23,014 2,301
Exposure to animate mechanical forces 3 6,553 2,184
Contact with heat and hot substances 3 11,115 3,705
Exposure to electric current, etc 2 188 94Sources: Office for National Statistics. Crown copyright reserved. Hospital Episode Statistics (HES). Copyright © 2014 Re‐used with the permission of The Health and Social Care Information Centre. All rights reserved.
48 Unintentional injuries among children under five
Overview of deaths (2008–2012) and emergency hospital admissions (2008/09–2012/13) among under fives, ordered by admissions
Unintentional injuries among children under five
Deaths AdmissionsAdmissions/
deaths
Falls 24 93,315 3,888
Exposure to inanimate mechanical forces
18 40,575 2,254
Accidental poisoning by and exposure to noxious substances
10 23,014 2,301
Contact with heat and hot substances 3 11,115 3,705
Exposure to animate mechanical forces 3 6,553 2,184
Other accidental threats to breathing 138 2,024 15
Exposure to smoke, fire and flames 23 724 31
Accidental drowning and submersion 65 498 8
Exposure to electric current, etc 2 188 94Sources: Office for National Statistics. Crown copyright reserved. Hospital Episode Statistics (HES). Copyright © 2014 Re‐used with the permission of The Health and Social Care Information Centre. All rights reserved.
49 Unintentional injuries among children under five