# Presentation: 181768

## The Injury Prevention Programof the European Commission 

- Helmut Friza
- EC-DG Sanco G.3

## Need for action in Europe!

- 80.000 death and 40 Million injured persons per year in Europe due to home and leisure accidents
- 230 Billions EURO costs per year (calculated by the Consumer Safety Institute - Netherlands)
- and in addition
- over 40.000 death due to suicide (more than due to road accidents!!) and  4.000 death due to violence (not very much less than due to workplace accidents!!)

## The General Goal of the Injury Prevention Program

- To reduce the Incidence of injuries, for instance of home and leisure injuries
- To support for this purpose the epidemiological monitoring and reporting of injuries
- To support the information exchange about the use of these activities
**To achieve this, a commonly accepted set of indicators (basic data set) is a precondition**

## The main Objective of the exercise

- Is that all Member States and participating countries have a common understanding about minimum requirements of
**Quality**
**Representativity**
**Compatibility**
- of the minimum data set

## Community Requirements: Up to the year 2004 all Member States and participating countries should fulfill...

- The Reporting of Injuries within the framework of the European Union Public Health Information Network (EUPHIN) should be in function
- The basis for an encompassing inventory about the burden caused by injuries in Europa (Morbidity, Mortality, Disablement, Costs) should be established

## The Position of Injury Information in the current EUPHIN Programme 

**Notes:**
1) Injury is based on achievements of the former EHLASS system.
2) The collection of data will be done by using the EUPHIN backbone (European Union Public Health Information Network) 
3) EUPHIN backbone consists already of 2 systems 
   a) HSSCD (Health Surveillance System for Communicable Diseases)
 - Consultation of data by a restricted list of users (from the member states) through predefined and dynamic reporting on 3 remote  statistical databases.
	= ENAADS:European Non Aggregated Aids Data Set  (Paris -CESES)
= EWGLI: European  Working group on legionella infection (Londen -CDSC)
= Enter-net: Salmonella (Paris -CESES)
- Early warning system to sent messages/warnings to a secured mailing list. E.g. outbreaks of epidemics
- Descriptive databases 
   b) HIEMS (Health Information Exchange and Monitoring System) 	
- Information on data dictionary (System data dictionary, descriptive information=metadata)
- Consultation/exploitation of statistical database by secured users through free queries, predifined and dynamic reports
- Exchange of information (electronic mail, bulletin board, transfer from and into the databases by means of flatfiles

## Time Frame and Finances available

- 14 Millions EURO
- 1999 - 2004

## Projects up to now

- (**IN ADDITION TO THE DATA COLLECTION PROJECTS IN **
**14**
** ****MEMBER STATES)**

## Austrian projects

- Development, testing and Diffusion of a common Software for Quality Control of Home and Leisure Accident data
-  -To review the potential of the current data available on Home and Leisure Accidents as a means of improving product safety
- Comprehensive view on European Injury Data
- 	-To establish a comprehensive Injury Database and to combine and link all available data sources relevant to injury within the EUPHIN system at EU level

## Belgian project

- Data collection in burn centers
- 	-The purpose is, to streamline the collection of data informing about burns in European burn centers
- 	-To define the necessary preconditions for a Europe wide data collection system

## British Project

- The EUROSAVE Project
- The aim is to strenghten and support the community epidemiological network for monitoring suicide and violence by
- 	-Literature survey
- 	-Epidemiological survey
- 	-Development of data collection methods for EU-wide monitoring

## Danish Projects

**Co-ordination of information and data, and improvement of the quality and representativeness of the data**
**	****-To improve the quality and representativeness of the data**
**	****-To update the EHLASS - coding manual according to the new requirements and to improve the quality of the data **
**Collection of data on intentional injuries**
**	****-The aim is to improve the knowledge of violence in Europe, and to integrate the collected data in the EUPHIN system **

## Dutch projects

**Developing Minimum Data Sets for Injury Surveillance in the EU**
**	****-To provide an instrument for minimal monitoring of injuries based upon ICECI**
**Information network**
**	****-To ensure a regular exchange of high quality information in the IPP program**
**A surveillance based Assessment of Medical Costs of Injury in Europe**
**	****-To estimate the medical costs of injury and of Home and Leisure Accidents in particular in each participating country using an uniform methodology**

## French Project

- Data Mining tools
- It provides tools to help analyse data and to help in the decision making process

## German Project

- Transformation of EHLASS Data for 1997-1999 and for latecomers for 1986-1996
- To ensure that data uploaded in the EUPHIN database have a comparable structure

## Greek Projects

**Preparation of the EU candidate countries for contribution into the IPP database**
** ****	****-To pilot-test the feasibility ****of establishment of a monitoring system of HLA in four of the EU candidate states (Czech Republic, Cyprus, Hungary and Poland), which are joining this project**
**Sports injuries in the EU in view of the 2004 Olympics,**
**	**** ****Part 1 and 2**
**	****-To explore the ability of the data base to register sports injuries, to define problems and solutions and to enhance a common language**
**	****-To define the burden of sports injuries in the EU**
**	****-To define specific risks of special types of sport**
**	****-To propose policy-making strategies in this field**
** ****	**

## The New Public Health Programme of the European Union

- It is in the interservice consultation, the European Parliament and the Council are currently working on it
- The future is not foreseeable
- It might be endorsed End of the year 2001

## The New Public Health Program will have three main pillars

**(KNOWLEDGE IMPROVEMENT):** To improve information and knowledge for the development of Public Health
**(RAPID REACTION):** To enhance the possibilities responding rapidly and in a co-ordinated fashion to threats to health
**(HEALTH MONITORING):** To address health determinants through health promotion and dieseas prevention

## What do we need?

- We need information on injuries, which are
- 	-representative
- 	-comparable and compatible
- and
- 	-appropriate
- 	available and accessible.

## And what now??

- There is a major need to do concerted Public Health action:
- FIRST: To disseminate the knowledge about promotion of save environment, risk reduction and  injury prevention in the public and to inform the politicians  about the possible benefit in years of life and ability gained and in reduction of sorrow and burden to persons, families and society in general and about the probability of success of interventive activities.

## And what else ??

- SECOND: Interventive studies should be designed in order to help priority setting of safety promotion and injury prevention actions

## More??

- THIRD: to continue our efforts on Comparability, Representativeness and Compatibility of data, also in facilitating accessibility to the citizen (a major step will be achieved, if in all countries the new International Classification of External Causes of Injuries will be used (ICECI)

## My promise

- I will personally do my best that product and services safety information will be integrated in the data set
- if, in case of adoption of the New Public Health Program of the European Union
- the Injury Prevention Program will be integrated in the Health Monitoring Program

## IN THIS SENSE

**I WISH YOU TO HAVE A SUCCESSFUL MEETING**
**AND**
**A REWARDING VISIT TO MY HOME TOWN**