International Collaborative Effort on
Injury Statistics Symposium
Holiday Inn, Georgetown
2101 Wisconsin Avenue, NW, Washington, DC 20007
Telephone 202-338-4600
June 2nd - 3rd, 1999
Wednesday, June 2
7:30-8:15 Registration
8:15-8:45 Introductions and Welcome
Edward J. Sondik, Director, National Center for Health Statistics (NCHS), US
Lois Fingerhut, Chair, ICE on Injury Statistics, NCHS, US
8:45-9:45 Keynote: Determining
priorities for injury surveillance John Langley, University of Otago, New Zealand
The talk will identify
priorities and key issues in injury surveillance from an international perspective,
including international comparisons, development of coronial databases and nonfatal injury
indicators, classification systems and narratives, and linkage of data sets.
9:45-10:00 Break
10:00-11:00 International
Classification of External Causes of Injury (ICECI)
Introduction to ICECI Wim Rogmans, Consumer Safety Institute, The Netherlands
Progress report on the ICECI
Saakje Mulder Consumer Safety Institute, The Netherlands
Derivative tools for surveillance:
short version of ICECI
Lee Annest, National Center for Injury Prevention and Control, CDC, US
View of WHO on ICECI as supplementary
data set, complementary to ICD
Andre LHours, WHO, Geneva
11:00-11:15 WHO health
behavior of school-aged children Mary Overpeck, National Institute of Child Health and Human Development, US
Will Pickett, Canada
Canada and the US have
developed activity codes for use with injury data from their nationally representative
school-based studies of adolescents for the WHO project. Conceptual and practical issues
that arose while assigning the activity codes to the ICECI injury mechanisms will be
described.
11:15-12:00 Minimum Data Set for
Injury Monitoring Johan Lund, Norwegian Safety Forum, Norway
Susan Mackenzie, Health Canada, Canada
Yvette Holder, National Center for Injury Prevention and Control, CDC, US
Background and model,
using experiences from Norway, Syria, Canada and the Caribbean, including a discussion of
the congruence with minimum data sets for other specialized injury surveillance systems
(e.g. neurotrauma and poisonings).
12:00-12:30 Open Discussion
12:30-1:30 Break for lunch
1:30-2:15 Mortality registration and
classification questionnaire results
Cleone Rooney, Office of National Statistics, England
The ICE Questionnaire
(completed for 20 countries) aims to define and clarify methods and terms used in
calculation of injury death rates in participating countries (including data capture,
inclusion/exclusion criteria and population information). The presentation will focus on
the practical implications of the answers given for interpreting the international
comparisons of death rates. We will also try to identify ways of producing injury death
rates which are more comparable, using information which is already collected (e.g. manner
of death and free text fields) but not used in routine publications.
2:15-3:00 Transitioning to
ICD-10 and ICD-10 CM Ken Kochanek, NCHS, US
Harry Rosenberg, NCHS, US
Donna Pickett, NCHS, US
The purpose of the
presentation is to identify the principal differences between ICD-9 and ICD-10 in the
processing and presentation of injury data for mortality. The emphasis will be on changes
in classification, changes in coding rules, evaluation of the standard certificate of
death and comparability studies.
The ICD-10 CM portion
of the presentation will highlight the modifications made to the injury and external cause
chapters. The expansions include six digit codes, the addition of laterality, and greater
specificity in open wound and superficial wounds in the injury chapter and 4th and fifth
digit expansions to the external cause codes. The increased detail is designed to
facilitate injury data reporting and analysis.
3:00-3:15 Break
3:15-3:45 International
Occupational Injury Mortality Comparisons Anne-Marie Feyer, University of Otago, New Zealand
Ann Williamson, University of South Wales, Australia
Nancy Stout, National Institute of Occupational Safety and Health, US
Tim Driscoll, National Occupational Safety and Health Commission, Australia
Background and results
of a project which compared the national data sets of work-related fatalities from three
countries, the US, Australia and New Zealand.
3:45-4:45 Automated Software for
mortality coding
Donna Glenn, NCHS, US
Many countries are
using automated software to code mortality statistics
What are the
implications for injury data?
4:45-5:30 Open Discussion
7:00- ICE Breaker - A time to
unwind.....
Home of Lois Fingerhut. See enclosed directions.
Thursday, June 3
8:30- 9:15 Open Discussion
9:15-10:30 Overview of morbidity
issues Branko Kopjar, National Institute of Public Health, Norway
Injury diagnosis morbidity
matrix Ellen MacKenzie, Johns Hopkins University, US
Howard Champion, University of Maryland, US
The importance of and approaches to
coding and presenting multiple injuries.
Vita Barell, Ministry of Health, Israel
Matrices of body part
by diagnosis based on the standard ICD-9 CM diagnostic codes; data will be presented from
Israel, Australia, New Zealand, Norway and the US. Injury diagnoses below ICD 800 as well
as V codes will be discussed in the context of the implications in excluding
them from the matrix.
10:30-10:45 Break
10:45-11:15 Morbidity classification
(Hospitalization) and questionnaire development
Pnina Zadka, Central Bureau of Statistics, Israel
The presentation will
focus on the development and pre-test of the questionnaire that aims to define and clarify
methods and terms used in the calculation of morbidity rates (including data capture and
population information).
11:15-12:15 Multiple cause of death and
Injury
Chris Cox, NCHS, US
Gordon Smith, The Johns Hopkins University, US
What injuries result
from external causes of death?
How can multiple cause
of death data be used to further identify injuries that are not captured by the underlying
cause of death?
12:15-1:30 Break for lunch
1:30-2:00 ICD-9 CM codes and the
definition of injury Donna Pickett, NCHS, US
The talk will focus on
identifying injuries in ICD-9 CM that are outside the range of Chapter 17, Injury and
Poisoning (800-999). The inclusion of these conditions will be discussed as a means of
improving injury data.
2:00-2:30 EURORISC- Partnering with
ICE On Injury
David Stone, Scotland
Anita Morrison, Scotland
EURORISC (European
Review of Injury Surveillance and Control) is a three year concerted action funded by the
European Commission. We will give an update of its progress, present some key findings and
suggest areas for possible future partnership with ICE.
2:30-2:45 The community action program
on injury prevention: the new approach on epidemiological monitoring of injuries at
European Union level
Bernard LeGoff Administrator, European Commission
2:45-3:15 WHO World Report on
Violence Etienne Krug, WHO, Geneva
International
epidemiological data on fatal and non-fatal violence, including recommendations for future
action toward prevention. The presentation will be followed by a discussion of possible
collaboration of ICE members in this project.
3:15-3:30 Break
3:30-4:00 5th World Injury
Conference, March 2000
Dinesh Mohan, New Delhi, India
4:00-4:30 General discussion
4:30-5:00 Concluding remarks
Lois Fingerhut, NCHS, US