If information were gold, there is a whole mine out there to
prospect through for nuggets called the Internet. And just like a gold mine, public health
surveillance in Canada tends to be filled with buried nuggets – not the ones
that are shiny and easily found. It is
even more perturbing when the Public Health Agency of Canada documents, are
transplanted and hidden in other locations and not readily available on the
PHAC website.
Today’s goldmine is a 2012 injury report spotlighting road
and traffic safety amongst youth and young adults that was just released from
PHAC in conjunction with several groups
like SafeKids, Traffic Injury Research Foundation and Transport Canada.
If you go to the PHAC site, you can order the document
because it is not available there on-line PHAC
ordering information or a short
summary is available at PHAC
posted html summary .
Thankfully it has been posted in a few other locations traffic
injury research foundation, Transportation Research Board;
and summaries at Safekids.
So, can somebody please tell us why PHAC remains cloistered -
doing great work in behind the scenes, and yet has this incredible cone of
silence when it comes to communicating, and a shyness on promoting its own
excellent work? Leave an comment,
anonymous or otherwise.
Fortunately there are a few effective prospectors out there
that track down the nuggets and share the wealth. This one surfaced quietly
through a Twitter posting.
While the focus of the injury report is on youth to age 25,
the message is clear. For the most part,
we are doing well in reducing injury related health consequences associated
with transportation. The graphic shows mortality rates extending back to 1950
and peaking in the 70’s. Since then, and
with the concerted efforts looking at vehicle and road engineering, as well as
directed interventions on enforcement and driving behaviours, mortality and
hospitalization rates have continued to decline.
The gains have been less impressive over the last decade,
despite the substantive increases in gasoline prices which are often thought to
modify vehicle use behaviours.
One might also be disappointed with the proportion of
alcohol related crashes as not having improved over the past decade despite
several interventions.
Whether much
stiffer penalties as implemented in several provinces in the last couple of
years will again begin to move the curve downwards is yet to be
determined. Quite notable are the
differences in alcohol use by type of vehicle.
Finally is the not too surprising impact of injury from
off-road vehicles highlighting the increasing importance of ATVs as a dangerous
mode of transportation for youth and supporting the CPS and others call for age
limits on ATV use.
For any golddiggers out there, if you come across other
nuggets, please drop a line to drphealth@gmail.com. Share the wealth. Information is a major driver of change. Protecting information is merely a way to express
power over others and not in keeping with public health principles.
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