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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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Johns Hopkins International Injury Research Unit (JH-IIRU) scientists Drs. Qingfeng Li and Nino Paichadze conducted a workshop on advanced analytical methods for injury data on June 11 and 12, 2018 in Hanoi, Vietnam. Held as a product of the Johns Hopkins University-Hanoi School of Public Health Trauma and Injury Research Program in Vietnam (JHU-Hanoi-TRIP), the sessions welcomed about 50 participants from Hanoi Preventive Medicine Center, Hanoi Medical University, Hanoi School of Public Health (HUPH), among other institutions.

“This training workshop went quite well,” said JH-IIRU Associate Director Qingfeng Li, PhD, MHS. “Through our partnership with the Hanoi School of Public Health, we’ve been able to lead critical trauma and injury training sessions to passionate students and public health practitioners in Vietnam.”

Following opening remarks from Dr. Cuong Pham, director of the Center for Injury Policy and Prevention Research (CIPPR) at Hanoi University of Public Health, Dr. Li kicked off the training with a presentation on the principles of injury prevention before Dr. Paichadze held sessions on the risk factors for trauma and injuries, and data sources for trauma and injuries.

On the workshop’s second day, participants were engaged in group exercises to analyze sample injury data using statistical methods introduced by Dr. Li on day one. Each group made presentation on their work and received feedback from Dr. Li.

After the workshop Dr. Paichadze led a seminar on Information and communications technology (ICT) approaches for capacity building in public health.

JHU-Hanoi-TRIP spawned from a five-year grant on injury training in Vietnam from the Fogarty International Center of the National Institutes of Health (NIH). The grant builds on existing collaboration between the Johns Hopkins Bloomberg School of Public Health and HUPH and addresses global injury barriers through a collaborative training program. The program’s overall goal is to strengthen research capacity on injury and trauma in Vietnam, as well as its long-term health, economic, and societal consequences through an innovative model of sustainable capacity development.

To learn more about the program and grant, please click here.

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Instructors and participants join together for a picture at the conclusion of the workshop in Hanoi, Vietnam.

On May 14, 2018, the Johns Hopkins International Injury Research Unit (JH-IIRU) hosted a panel of trauma and emergency care experts at the Johns Hopkins Bloomberg School of Public Health as part of its ongoing 10th anniversary year. The event, “Trauma and Emergency Care across the Lifespan,” featured multidisciplinary trauma experts JH-IIRU associate director Amber Mehmood and senior technical advisor Junaid Razzak, as well as Safe Kids Worldwide founder Dr. Martin Eichelberger.

JH-IIRU director Adnan A. Hyder welcomed participants—watching both in-person and via a streaming webcast—to the event before deputy director Abdul M. Bachani introduced each panelist and facilitated discussion at the conclusion of each presentation.

Razzak led off the series of speakers with a presentation on emergency care in Pakistan. In his talk, he outlined the definition of an emergency care system and focused on Karachi, Pakistan—the third-largest city in the world.

Mehmood followed with a talk on trauma care in low-income countries and shared a case study on traumatic brain injury (TBI) across the lifespan in Uganda. She shared new results from a collaborative effort with JH-IIRU and Makerere University: a third of all patients presenting with TBI suffered a drop in the Glasgow Coma Scale (GCS), a critical indicator, during emergency department stay. This finding, Mehmood remarked, should lead to improved assessment and interventions.

Dr. Eichelberger, in the final presentation of the event, discussed pediatric trauma. From his work at Children’s National Medical Center and Safe Kids Worldwide, Dr. Eichelberger shared childhood injury statistics both domestically and globally.

In 2018, the Johns Hopkins International Injury Research Unit is celebrating its first decade of innovation and research in global injury prevention and control. To honor the anniversary, JH-IIRU is hosting a number of special events throughout the year. To learn more about the Unit and its 10th anniversary, please click here.

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Dr. Martin Eichelberger presents on pediatric trauma during JH-IIRU’s 10th anniversary event, “Trauma and Emergency Care across the Lifespan,” at the Johns Hopkins Bloomberg School of Public Health on May 14, 2018.

Johns Hopkins International Injury Research Unit (JH-IIRU) Associate Director and Assistant Scientist Amber Mehmood, MD represented the Unit and School at the Global Alliance for the Care of the Injured (GACI) meeting on May 7-8, 2018 at World Health Organization (WHO) headquarters in Geneva, Switzerland.

On behalf of the Unit, Mehmood presented JH-IIRU’s portfolio of research and work related to trauma and emergency care, including the development and implementation of trauma registries, capacity development, and assessment of trauma and emergency care systems.

“As a World Health Organization Collaborating Center for Injuries, Violence and Accident Prevention, our Unit is dedicated to responding to the growing burden of injuries worldwide,” said Mehmood. “Our affiliation with the Global Alliance for the Care of the Injured is key to meeting with other committed researchers to identify and implement effective solutions and influence public policy and practice in injury prevention across the globe.”

Mehmood and her colleagues in GACI’s Data and Quality improvement workgroup convened for sessions in which they focused on minimal dataset for injuries and the finalization of metadata for a WHO trauma registry.

To learn more about GACI, please click here. To learn about JH-IIRU and its role as a WHO Collaborating Center for Injuries, Violence and Accident Prevention, please click here.

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World Health Organization Coordinator Dr. Nhan Tran presents on the United Nations Road Safety Collaboration at the meeting of the Global Alliance for the Care of the Injured on May 7-8, 2018 in Geneva, Switzerland.

On April 12-13, 2018, Johns Hopkins International Injury Research Unit (JH-IIRU) leadership, including Director Adnan A. Hyder and Deputy Director Abdul M. Bachani, attended the 25th meeting of the United Nations Road Safety Collaboration (UNRSC) at the United Nations (UN) Headquarters in New York City, New York.

In the meeting, road safety experts discussed implementation of UN General Assembly resolution A/RES/72/271, which aims to improve global road safety through a number of measures including the implementation of vehicle safety regulations of seat belts, airbags, and active safety systems as standard equipment.

“Our team has been integral to this effort over the past few years as a World Health Organization Collaborating Center,” said Dr. Hyder, who chairs one of the working groups of the UNRSC. “Generating evidence to influence global dialogue with our international colleagues has helped lead to this moment and it was a thrill to see these outcomes come to fruition from the UN General Assembly.”

The resolution’s measures will comply with a dozen previously agreed upon global road safety performance targets that align with the five pillars of the Global Plan for the Decade of Action: road safety management, safer roads and mobility, safer vehicles, safer road users, and post-crash response.

Following discussion of the resolution, UN Deputy Secretary-General Amina Mohammed announced the launch of the UN Road Safety Trust Fund. Aimed to continue road safety progress across the globe, the fund will focus on bridging the gaps in the allotment of resources for international action.

“The launch of the road safety fund is a testament to the years of efforts by all partners in UNRSC,” said Dr. Bachani. “We at the Johns Hopkins International Injury Research Unit are proud to be part of that process and of this story of change.”

In building the momentum that led to this resolution, Johns Hopkins International Injury Research Unit faculty co-edited world reports on road traffic injuries and child injuries. Through the Unit's previous work with the Road Safety in 10 Countries project, Unit researchers published a handful of papers on the global road safety climate. 

To learn more about JH-IIRU's work in global road safety, please click here.

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Drs. Hyder and Bachani attended meetings of the United Nations Road Safety Collaboration in New York City on April 12-13, 2018.

Interventions such as speeding enforcement and formal swimming lessons for young children could potentially save more than 250,000 lives a year if they were implemented across populations living in extreme poverty in low- and middle-income countries, according to a new study from researchers at the Johns Hopkins Bloomberg School of Public Health.

The review found the most successful safety measures involved road safety, with speed enforcement saving more than 80,000 lives per year and drunk-driving enforcement, saving more than 60,000 lives a year. The next category was child safety, with formal swimming lessons for children younger than 14 years saving more than 25,000 lives and the use of crèches, or playpens, to supervise children younger than 5 years, saving more than 10,000 lives 

The paper, published April 11 in Lancet Global Health, was led by researchers at the Johns Hopkins International Injury Research Unit, which is based at the Bloomberg School.

“With such critical lifesaving findings, this new research represents a real opportunity to reduce the global burden of preventable deaths among the world’s poorest and most in-need populations,” said Andres I. Vecino-Ortiz, MD, an assistant scientist at the Johns Hopkins International Injury Research Unit and the study’s lead author. “Where there is arguably the greatest need for help, this study shows something can be done.”

To estimate the effect of these interventions, the researchers targeted the poorest billion people worldwide in countries identified by The Lancet’s Non-Communicable Disease and Injury (NCDI) Poverty Commission. From the 102 countries in the NCDI commission, 18 were excluded due to absent or inadequate data.

Following a literature review of more than 500 publications, Vecino-Ortiz and his colleagues isolated 11 measures that had a significant effect on mortality. Six were for road traffic injuries, while the remaining five were for drowning. No data on mortality for interventions were found that addressed falls, burns or poisonings.

“In these 84 countries where the poorest billion people live, the burden of unintentional injuries is tragically increasing. But these interventions have the potential to save countless lives and make a significant impact on communities,” said Adnan A. Hyder, MD, director of Johns Hopkins International Injury Research Unit and a professor in the Bloomberg School’s Department of International Health. “With more support and a greater focus on studying injury interventions, global health researchers can save even more lives.”

This paper is a call to action for decision makers to implement evidence-based, effective safety measures to protect the lives of the most vulnerable. Also, this study reveals the concerning gaps in knowledge on the effectiveness of injury interventions in low- and middle-income countries.

“Effective interventions for unintentional injuries: a systematic review and mortality impact assessment among the poorest billion” was written by Andres I. Vecino-Ortiz, Aisha Jafri, and Adnan A. Hyder.

The research was supported by the Fogarty International Center of the US National Institutes of Health (#D43TW009284).

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