# Presentation: 716296

## ICE Collaboration with EU 

**Anne Mette T. Johansen & Birthe Frimodt-Møller**

**www.niph.dk**

- Denmark

**International Collaborative Effort**** ****on Injury Statistics**
**May 11, 2002, Montreal, Canada**** **

- IPP meeting, Copenhagen April 2002

## The EU Injury Prevention Programme (IPP): 

**The aim of this programme is:**
- To reduce the incidence of injuries
- By promoting the epidemiological monitoring of injuries
- By exchange of information about the use of the data
- By reaching a common understanding about indicators, in order to exchange data and information on injuries.

## Visions for the IPP by 2004 

- The Member States should reach consensus on minimum requirements on quality, representativity and compatibility of data.
- Furthermore, Member States should meet the Community requirements for reporting of injuries within the framework of the EUPHIN telematic network.

## The IPP Network

- Established in 1999
- Each Member State nominates two experts in the field of HLA injuries and intentional injuries

## The Co-ordinating Secretariat for the IPP Network 

- acts as a link between the European Commission, the Network and other interested parties
- assists the Commission and the Network members in administrative and technical matters

## The IPP Projects

- The projects are categorized in two groups:
- Data collection projects
- Epidemiological projects.

## Data collection in the IPP

- Data collection on HLA (since 1986). A continuation of the former EHLASS
- Data collection at ED’s at approx. 75 hospitals in 12 Member StatesThree MS collect data through household surveys
- A common coding manual V2000 is used.The V2000 is based on the 3rd revised edition of NOMESCO

## Epidemiological projects

- Examples:
- Development of Minimum Data Sets on Injuries (NL)
- Decision-support tools for HLA data (data mining tools) (FR)
- Study on comparability and representativity of HLA data (DK)
- Sports injuries in EU countries (GR)

## Epidemiological projects (2)

- European review of suicide & epidemiology (UK)
- Collection of data on intentional injuries (DK)
- Medical costs of injury in Europe (NL)
- Common software for quality control of HLA data (AT)
- Social attitudes towards home and leisure risks in the EU (AT)

## Epidemiological projects (3)

- The European Commission will place final reports on IPP projects on its website:_http://europa.eu.int/comm/dg05/index_en.htm_

## The telematic network

- Interchange of Data between Administrations

**IDA**

- European Public Health Information Network

**EUPHIN**

- Health Information Exchange and Monitoring System

**HIEMS**

- ISS Injury Surveillance System (Including the former EHLASS)

- The Injury
- Prevention Programme

## The ISS Database

- Representativity:	Data must be population-based
- Classification:	Data must be delivered according to V2000
- Methodology:		Data must be collected at hospital level.	Household surveys are considered as	additional valuable information.

## Variables in the ISS database

- Country, Hospital-id, Case-id, Sex of patient, Age of patient
- Date and time of attendance
- Date and time of injury
- Treatment and follow-up, number of days hospitalized
- Place of occurrence, Activity at time of injury
- Sports-codes

## Variables in the ISS database (2)

- Mechanism of injury, Type of injury, Part of body injured
- Product involved in the injury,Product causing the injury,Other products
- Accident description

## Problems to overcome

- Representativity
- Comparability
- Definition of indicators

## Study on comparability and representativity of HLA data 

- 4 countries participated (NL, SE, UK and DK)
- Each MS gave an account for representativity
- Injury incidence-rates were compared

## Incidence of unintentional injury, men 

## Incidence of unintent. injury, fractures men 

## The New Public Health Programme 

**Improving health information and knowledge**, i.e. a comprehensive health information system to provide policy makers, health professionals and the general public with key health data.
**Responding rapidly to health threats**, i.e. develop effective rapid response capability to deal with threats to public health.

## The New Public Health Programme (2)

**Addressing health determinants**, i.e. improve health status of the population and reduce premature deaths in the EU by tackling underlying causes of ill health, through effective health promotion and disease prevention measures.

## Collaboration between ICE and EU 

- Compare statistics at aggregate level in HIEMS and/or at detailed level in ISS
- Develop robust indicators
- Gather information on household surveys including questions on injury

## Contact

- IPP SecretariatNational Institute of Public HealthSvanemollevej 25DK-2100 Copenhagen Oe-mail:	ipp@niph.dkweb:	www.niph.dk