Trends in injury mortality among adolescents in Taiwan, 1965–94

Abstract

Objectives-To describe trends in injury mortality among adolescents in Taiwan for prioritising preventive interventions. Methods-Adolescent injury mortality data for Taiwan Conclusions-The increase in injury mortality rates among adolescents over the past three decades appears to be due largely to the increase in MVI mortality rates with males aged 15-19 years accounting for most of this increase. Priorities for adolescents in Taiwan are MVI (especially motorcyclists) and drownings. (Injury Prevention 1998;4:111-115)

Taking the long view: a systematic review reporting long-term perspectives on child unintentional injury

“…Two studies reported variable rates19 28 and one rising rates 24. The study by Mujkic and colleagues28 reported on a period of conflict, and so is arguably atypical.…”

“…Generally, mortality rates were also falling for specific types of injuries, where these were reported (particularly deaths from burns/fire, drowning and poisoning) (table 2). The notable exception was mortality from road traffic injury, where seven studies reported rising or variable road traffic injury mortality,19 23 24 30 35 40 41 particularly in older adolescents23 40 41 where this was specified. Greater variability in trends in injury mortality was seen in studies from the middle income countries compared with those from high income countries.…”

“…The remaining studies frequently made non-specific recommendations relating to the need to develop new or more effective injury prevention strategies, or to target groups that remained the most vulnerable, with adolescents specified as vulnerable in six studies19 20 24 27 40 41 (table 3). Two studies by Nakahara and Wakai29 and Jansson et al 18 prioritised recommendations relating to changing the environment of children to reduce injury occurrence, while two studies emphasised the need for adequate surveillance to monitor changing trends 35 36…”

“…Over time, previous male excess in injuries had disappeared in some age groups and cause categories, for example, in pedestrian injuries 34. The trend towards falling injury rates was not consistent across age groups in all countries, with rising rates for 15–19-year-olds for road traffic injuries,23 41 falls24 and burns,14 suggesting adolescence may be a further emerging area for targeted injury prevention.…”

Challenges in Emergency Medical Services in a ResourceLimited Setting in Sub-Sahara Africa; Perspectives from Cameroon: a Review Article

“…The burden of acute disease in sub-Saharan Africa is severely under-documented: Some data exist on the distribution of inpatient diagnoses in the region, but the actual range of acute presentations to health facilities is largely unknown (23,24,25) . 2.…”