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Developing injury surveillance in accident and emergency departments
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Introduction |
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Injuries are the leading cause of death among children and young people in the industrialised world and are a major contributor to disability.1 2 In the early 1990s, both the UK Department of Health3 and the Scottish Office4 identified accidents as a priority area for action in their respective policy statements. However, efforts to formulate and implement local, national, and international preventive policies have been hindered, at least in part, by the paucity of reliable data on injury frequency, cause, and outcome.
Many countries compile routine data on injuries derived from mortality
statistics, occupational records, or through incident reporting
for
example, to police and fire departments.2 5-7 These data
are of variable relevance and quality, however, and are often
inaccessible. The establishment of specially designed injury
surveillance systems is widely advocated as a prerequisite for the
development and evaluation of injury prevention strategies, particularly at a local level.4 7 8
This paper reviews the
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