CSN Monthly Bulletin

United States Injury Data and Surveillance

July 2005

This bulletin comes to you from the Children's Safety Network through CSN Discuss, an electronic forum for the discussion of child and adolescent injury and violence prevention and related issues.

TABLE OF CONTENTS

News and Developments
  1. Enhancements to CDC WISQARS
Articles and Reports
  1. Report: Deaths: Injuries, 2001.
  2. Report: Surveillance for fatal and nonfatal injuries - United States, 2001.
  3. Report: Deaths: Preliminary data for 2003.
  4. Report: Annual summary of vital statistics-2003.
  5. Report: Release of update report on how states are collecting and using cause of injury data.
  6. Report: Health, United States, 2004 with Chartbook on Trends in the Health of Americans. 28th edition.
  7. Article: Methodology of the youth risk behavior surveillance system
  8. Article: The effects of changes in the World Health Organization's International Classification of Diseases on suicide rates in 71 Countries, 1950-1999.
Injury Mortality Data Resources from CSN
  1. Fact Sheets: From E to VWXY Cause of Injury Codes.
  2. Tables: Incidence and costs of fatal injuries by age group, United States, 1999-2002.

AVAILABILITY

Copies of many items can be delivered to state Maternal and Child Health and state public health staff upon request. Articles available by e-mail are so indicated. Some other articles can be faxed or mailed. To request an article or other publication, e-mail jhudson@edc.org with the item name, delivery preference (e-mail, fax number, or mailing address). This service is restricted to state Maternal and Child Health and state public health staff. Restricted time and resources forbids us from delivering articles to others.

URLs of publications that can be downloaded from the web are included in the bibliographic information.

News and Developments
  1. Enhancements to CDC WISQARS

    2. WISQARS, the Center for Disease Control and Prevention's Web-based Injury Statistics Query and Reporting System, has recently been enhanced. Users can now create and download graphs depicting the leading causes of injury deaths grouped by ICD-10 codes. To use this feature, go to the WISQARS homepage (http://www.cdc.gov/ncipc/wisqars/), click on "Leading Causes of Death Reports," create a Leading Cause of Death Table, and follow the instructions on this and succeeding pages*.

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Articles and Reports
  1. Anderson RN, Miniņo AM, Fingerhut LA, Warner M, Heinen MA.
    Deaths: Injuries, 2001.
    National Vital Statistics Report. 2004 June;52(21):1-86.

    This report presents injury mortality data for 2001 using the external cause of injury mortality matrix for ICD-10 and data on injury deaths classified by nature of injury. Deaths resulting from the terrorist attacks on September 11, 2001, are presented and the impact of these deaths on the trends in injury mortality discussed.

    Availability:

    The report is available at: http://www.cdc.gov/nchs/data/nvsr/nvsr52/nvsr52_21acc.pdf. (PDF)


  2. Vyroste SB, Annest JL, Ryan GW.
    Surveillance for fatal and nonfatal injuries --- United States, 2001.
    Morbidity and Mortality Weekly Report Surveillance Summaries. 2004 September;53(SS07):1-57.

    This report summarizes data on injuries in the United States for 2001, by age; sex; mechanism, intent, and type of injury; and other characteristics. Fatal injury data are derived from CDC's National Vital Statistics System (NVSS) and include information obtained from death certificates. Nonfatal injury data, other than for gunshot injuries, are from the National Electronic Injury Surveillance System All Injury Program (NEISS-AIP). Nonfatal firearm and BB/pellet gunshot injury data are from CDC's Firearm Injury Surveillance Study.

    Availability:

    This report provides the first summary report of fatal and nonfatal injuries that combines death data from NVSS and nonfatal injury data from NEISS-AIP. The report is available at: http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5307a1.htm.


  3. Hoyert DL, Kung HC, Smith BL.
    Deaths: Preliminary data for 2003.
    National Vital Statistics Report. 2005 February;53(15):1-48.

    This report presents preliminary U.S. data on deaths, death rates, life expectancy, leading causes of death, and infant mortality for the year 2003 by selected characteristics such as age, sex, race, and Hispanic origin and demonstrates that age-adjusted death rates for unintentional injuries, suicide, and homicide decreased between 2002 and 2003

    Availability:

    The report is available at: http://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_15.pdf. (PDF)


  4. Martin JA, Kochanek KD, Strobino DM, Guyer B, MacDorman MF.
    Annual summary of vital statistics--2003.
    Pediatrics. 2005 March;115(3):619-634.

    This summary reveals that suicide rates for children 1 to 19 years old decreased by 8 percent Rates for unintentional injuries and homicide did not change significantly for children in this age group.

    Availability:

    email or hard copy


  5. Abellera J, Annest JL, Conn JM, Kohn M. (March, 2005).
    How states are collecting and using cause of injury data: 2004 update to the 1997 report.
    Atlanta: Centers for Disease Control and Prevention.

    This report summarized 2004 information about state-based injury surveillance and external-cause-of-injury coding guidelines and practices, as well as recommendations for improving the completeness and quality of this data, made by the Council of State and Territorial Epidemiologists, the APHA Injury Control and Emergency Health Services Section, and the State and Territorial Injury Prevention Directors Association. Several recommendations for improving the completeness and quality of external-cause-of-injury coded data in states are proposed.

    Availability:

    The report is available at: http://www.cste.org/pdffiles/newpdffiles/ECodeFinal3705.pdf


  6. National Center for Health Statistics. (2004).
    Health, United States, 2004, With chartbook on trends in the health of Americans.
    Hyattsville, MD: Author.
    This 28th edition of this report includes 153 trend tables organized around four subject areas: health status and determinants, health-care use, health-care resources, and health-care expenditures and also presents information on racial, ethnic, and socioeconomic disparities in health. The Chartbook included in the report assesses the state of the nation's health and how it has changed. Death rates according to sex, race and age for injuries can be found for motor vehicle-related injuries (Table 44), homicide (Table 45), suicide (Table 46) and firearms-related injuries (Table 47). Nonfatal injury rates can be found for topics including suicidal ideation and attempts among high school students (Table 59) and injury-related visits to emergency departments (Table 84).

    Availability:

    The report is available at http://www.cdc.gov/nchs/hus.htm


  7. Brener ND, Kann L, Kinshen SA, Grunbaum JA, Whalen L, Eaton D, Hawkins J, Ross JG.
    Methodology of the Youth Risk Behavior Surveillance System.
    Morbidity and Mortality Weekly Report. 2004 September;53(RR12);1-13.
    The Centers for Disease Control and Prevention developed the Youth Risk Behavior Surveillance System (YRBSS) to monitor six categories of priority health-risk behaviors among youth including behaviors that contribute to unintentional injuries and violence. These risk behaviors contribute markedly to the leading causes of death, disability, and social problems among youth and adults in the United States. This report describing the system's methodology is available at:

    Availability:

    http://www.cdc.gov/mmwr/PDF/rr/rr5312.pdf. (PDF)


  8. Pearson-Nelson BJ, Raffalovich LE, Bjarnason T.
    The effects of changes in the World Health Organization's International Classification of Diseases on suicide rates in 71 Countries, 1950-1999.
    Suicide and Life-Threatening Behavior. 2004 Autumn;34(3):328-336.
    This article presents an evaluation on the effects of International Classification of Diseases (ICD) form revisions on suicide rates for 71 countries. The changes between ICD-6, ICD-7, ICD-8, and ICD-9 did not have an overall effect on reported suicide rates. The transitions to ICD-8 and ICD-9 were associated with changes in the suicide rate in some countries. The change from ICD-9 to ICD-10 was associated with an overall change of -.73 suicides per 100,000 inhabitants. However, an examination by the National Center for Health Statistics concluded that mortality rates for suicide in the U.S. were not significantly altered by the change from ICD-9 to ICD-10.

    Availability:

    Hard copy only


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Injury Mortality Data Resources from CSN
  1. From E to VWXY Cause of Injury Codes

    This series of fact sheets describes the latest changes in coding and classification systems and how they impact work in the field of injury prevention. They explore the implications for trend analyses, the appropriate use of comparability ratios, importance of multiple causes of injury death codes, ICD-10's injury mortality framework, and other issues designed to help States find the best approach for adjusting for the affects of the switch to ICD-10. These fact sheets will be available on the HRSA publications website (http://www.ask.hrsa.gov/) sometime this summer.


  2. Tables: Incidence and costs of fatal injuries by age group, United States, 1999-2002.

    Tables with average incidences of fatal injuries from 1999-2002 and the cost categories (medical, work loss, quality of life, and total) in year 2004 dollars are now available. The tables are for the following age groups: (<1, 1-4, 5-9, 10-14, 15-19, 20-24 and total 0-24). These tables are available from the Children's Safety Network's Economics and Data Analysis Resource Center (EDARC). Contact Dexter Taylor: taylor@pire.org


* More detailed instructions for the WISQARS enhanced ICD-10 function: Go to the WISQARS homepage (http://www.cdc.gov/ncipc/wisqars/) and click on "Leading Causes of Death Reports" in the box labeled "WISQARS Fatal." Follow the instructions to create a Leading Cause of Death Table. Note: This function will only work with the default "All deaths - with drill-down to ICD codes" option. Click on any of the colored boxes (representing homicide, suicide, or unintentional injuries) in the resulting table to generate a bar graph depicting the causes of death within this category. Click on any of the bars in the Cause of Death graph (e.g. firearm, suffocation, or motor vehicle injuries) to generate a graph showing the ICD-10 codes used to produce this information. Placing the cursor on a bar in the ICD-10 graph will generate a pop-up box containing the definition of that ICD-10 Code. Note: If you use a pop-up blocker, you must instruct it to allow pop-up's on the CDC website in order to see these definitions. Instructions on how to download this data to a spreadsheet or print the graph without the online instruction lines are found at the bottom of the page.

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Next month's CSN Discuss Bulletin will focus on Young Worker Safety.

Please direct questions about this bulletin to Nilam Patel at:
Children's Safety Network Economics & Data Analysis Resource Center
http://www.edarc.org/
Phone: 602-896-4313
Fax: 602-896-4313
E-mail: npatel@projects.sdsu.edu