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Johns Hopkins International Injury Research Unit

A World Health Organization Collaborating Center for Injuries, Violence and Accident Prevention

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Keyword: burden of injuries

 

Injury prevention work is not currently fulfilling mandate of a true public health approach in low- and middle-income countries (LMICs). That’s the proposal from JH-IIRU director, Adnan Hyder, who recently published an editorial in the journal, Injury, on the lack of attention paid to injuries as a global health burden.

More than 90% of deaths from injuries occur in LMICs, yet even within the health and development sectors, there is a lack of attention being paid to this burden. To this end, Dr. Hyder proposes that a re-conceptualization of injuries as a “complex, global health issue” that needs both human and financial resources as a prerequisite to preventing more lives lost is a necessity.

Dr. Hyder goes on to propose six potential solutions which can help to re-position injury prevention in the developing world on the global health agenda, including stronger and newer collaborations that involve both health and non-health sectors, capacity development over a range of functions such as research and policy development, as well as policy-friendly evidence to help convince decision makers and donors the importance of allocating funds and resources to injury prevention interventions.

 

The publication coincides with the annual Global Road Safety Week which has been mandated by the United Nations to raise awareness of the issue of road traffic injuries to a global level.

Read the editorial here: http://www.sciencedirect.com/science/article/pii/S0020138313000533

“Injuries in Low- and Middle-Income Countries: A Neglected Disease in Global Public Health,” an editorial, can be found in the May 2013 issue of Injury.

The Johns Hopkins International Injury Research Unit (JH-IIRU) is pleased to announce that associate director, Abdulgafoor M. Bachani, is a 2012 Johns Hopkins Center for Global Health faculty pilot grant recipient.

The grant, entitled, “Understanding the long-term health, social, and economic impact of injuries: A pilot study using e-Health technologies in Malaysia” seeks to develop novel methods to understanding the immediate and long-term health, social, and economic impact of injuries. The project, which includes JH-IIRU colleagues, associate director Kent Stevens and senior technical advisor, David Bishai, as well as collaborators from Perdana University and Universiti Putra Malaysia, has three specific objectives.

First, the project seeks to develop and pilot-test a electronic e-tool to examine the long-term health (prevalence, severity and duration of disability), social, and economic impact of traumatic non-fatal injuries; second, researchers aim to develop and implement an e-data collection and monitoring module using the new tool for capturing traumatic injuries and following individuals over time, for use in low- and middle-income countries (LMICs); and finally, the study will document the burden of traumatic non-fatal injuries in Kajang, Malaysia.

Findings from the proposed work will lead to the development of a multi-country pilot of the newly developed methods in Africa, Asia and Latin America.

According to the Center for Global Health, the primary purpose of the Faculty Grants is to strengthen the winners' abilities to secure extramural funding. This year, twenty-five applicants competed for the grants, and eight faculty members received awards to enable and support their proposed global health research projects. 

This is the sixth year the Center for Global Health has offered the grant program. All funded projects relate to some aspect of global health.

The Johns Hopkins International Injury Research Unit is pleased to unveil its newly re-designed website, featuring enhanced information about our research and projects, such as the Road Safety in 10 Countries (RS-10) project and Chronic TRIAD. The new site has special sections for upcoming events and spotlighted information, like the launch of the special issue of Traffic Injury Prevention, so visitors can keep up with the latest JH-IIRU happenings.

The website also now allows readers to comment on news items, making visiting the site a much more interactive experience than before. We hope visitors will take advantage of this new aspect, along with access to our Twitter feed, to create and promote an ongoing dialogue about the burden of injuries around the world.

www.jhsph.edu/iiru

JH-IIRU welcomes you to the new site. Let us know what you think of it!

In 2009, Bloomberg Philanthropies launched the Road Safety in 10 Countries project, a five-year, $125 million effort to reverse global deaths and injuries from road traffic crashes.  The initiative is implementing 12 different road safety interventions in specific sites within 10 low- and middle-income countries.  As part of the project, which is the largest international road safety initiative undertaken to date, JH-IIRU has been tasked with monitoring and evaluating the interventions in all participating countries. Part of this responsibility includes examining the economic impact of the project, because, while it’s well-established that road traffic injuries (RTIs) are one of the leading causes of death and disability in the developing world, what is often overlooked is the economic cost of such a high burden of injury.

“Projecting the Health and Economic Impact of Road Safety Initiatives: A Case Study of a Multi-Country Project,” JH-IIRU senior technical advisor, David Bishai, along with colleagues from the Johns Hopkins Bloomberg School of Public Health, examined how many lives RS-10 can potentially save in selected sites, using two different economic approaches: Investment per life-years saved ($/LYS) and value of statistical life (VSL). $LYS calculations reflect traditional cost-effectiveness estimates. VSL calculations estimate how much society would be willing to pay to achieve the risk reductions promised by the RS-10 interventions.

The results of the study indicate that RS-10 benefits would have to be 20-fold less than those projected for its costs to outweigh the benefits and given such a high margin, it is very likely that RS-10 will be worth the money invested.

To read the full article and learn more about the methods used, click here: http://www.tandfonline.com/toc/gcpi20/13/sup1

As part of the Road Safety in 10 Countries project (RS-10), in 2012, JH-IIRU published “Public Health Burden of Road Traffic Injuries: An Assessment from Ten Low- and Middle-Income Countries,” a special issue of Traffic Injury Prevention. This landmark publication includes 11 scientific papers jointly authored with 50 colleagues from JH-IIRU and their in-country collaborators that contribute much-needed new knowledge to the burgeoning issue of road traffic injuries in low- and middle- income countries.

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