Disease burden of animal injury in China, 1990-2016 / 中华流行病学杂志

Objective To analyze the disease burden of animal injury in China between 1990 and 2016.Methods Data obtained from the Global Burden of Disease 2016 were used to analyze the age and gender specific disease burden of animal injury in China,using the incidence and disability adjusted of life years (DALYs) rate.Relative and annual changes were evaluated.Results In 2016,the age-standardized incidence and DALYs rate of animal injury in China showed as 245.05 per 100 000 people and 12.73 per 100 000.The age-standardized incidence of non-venomous animal injury was significantly higher than that of venomous animal injury,but the differences in age-standardized incidence and DALYs rate between venomous animal injury and non-venomous animal injury were not significant.Between 1990 and 2016,there was a significantly decreasing trend in the age-standardized incidence and DALYs rate of animal injury,and obvious decline could be seen in the incidence of non-venomous animal injury,compared with venomous animal injury.The incidence and DALYs rate of animal injury declined in both males and females and in different age groups.The obvious decline of incidence and DALYs rate could be found in children aged 5-14 years and aged ＜ 5 years.Conclusions Between 1990 and 2016,there was a significant alleviation of the disease burden of animal injury in China.Young children were most prone to animal injury,resulting in serious disability and death,indicating more attention should be paid to this population at high risk and in animal injury prevention and control programs.

Disease burden of animal injury in China, 1990-2016 / 中华流行病学杂志

Objective To analyze the disease burden of animal injury in China between 1990 and 2016.Methods Data obtained from the Global Burden of Disease 2016 were used to analyze the age and gender specific disease burden of animal injury in China,using the incidence and disability adjusted of life years (DALYs) rate.Relative and annual changes were evaluated.Results In 2016,the age-standardized incidence and DALYs rate of animal injury in China showed as 245.05 per 100 000 people and 12.73 per 100 000.The age-standardized incidence of non-venomous animal injury was significantly higher than that of venomous animal injury,but the differences in age-standardized incidence and DALYs rate between venomous animal injury and non-venomous animal injury were not significant.Between 1990 and 2016,there was a significantly decreasing trend in the age-standardized incidence and DALYs rate of animal injury,and obvious decline could be seen in the incidence of non-venomous animal injury,compared with venomous animal injury.The incidence and DALYs rate of animal injury declined in both males and females and in different age groups.The obvious decline of incidence and DALYs rate could be found in children aged 5-14 years and aged ＜ 5 years.Conclusions Between 1990 and 2016,there was a significant alleviation of the disease burden of animal injury in China.Young children were most prone to animal injury,resulting in serious disability and death,indicating more attention should be paid to this population at high risk and in animal injury prevention and control programs.

Road traffic injury happened on the way to school, among primary and secondary school students in Mengzi city, Honghe prefecture, Yunnan province in 2018 / 中华流行病学杂志

Objective@#To understand the current situation of road traffic injuries among primary and secondary school students in Mengzi city.@*Methods@#Using the cluster random sampling method, more than 9 000 primary and secondary school students from 20 primary and secondary schools in Mengzi city, were randomly sampled. A questionnaire survey was conducted on the occurrence of road traffic injuries in school students.@*Results@#A total of 9 197 students were surveyed, including 150 from road traffic injuries. The incidence rates of road traffic injuries was 1.63% among students in Mengzi city and 2.85% among junior high school students, with the high incidence in May. The leading places of injuries were village roads (38.00%), city roads (33.33%) and district roads (12.67%), respectively. 26.67% of the traffic injuries occurred on the way to or from schools, with riding on electric bicycle (52.00%) as the major cause and contusion/abrasion (75.33%) appeared as the major signs. Both lower and upper limbs plus multiple parts were accounting for 45.51%, 22.16% and 16.17%, respectively of all the injuries. 70.67% of all the cases with road traffic injuries in children, recovered after treatment. Children with road traffic injuries would stay in the hospital for up to 90 days but spent less than 30 000 Yuan.@*Conclusion@#The incidence of road traffic injuries among students in Mengzi city seemed relatively high, with junior high school students reached the highest. Riding electric bicycle appeared as the leading cause for traffic injuries in children in Mengzi city of Yunnan province.

Disease burden on falls among 0-19 years old population in China, in 1990 and 2017 / 中华流行病学杂志

Objective@#To analyze and compare the disease burden of falls in Chinese population aged 0-19, in 1990 and 2017.@*Methods@#Indicators including number of deaths, mortality rates, years of life lost due to premature mortality (YLL), years lived with disability (YLD) and disability-adjusted of life years (DALY), on falls, were gathered from the Global Burden of Disease (GBD) 2017 and used to describe the disease burden and corresponding parameters on falls, between 1990 and 2017, in China.@*Results@#In 2017, number of death, YLLs, YLDs, DALYs caused by falls were 5 321, 0.43 million person years, 0.14 million person years and 0.57 million person years respectively, among aged 0-19 group. Rates on standardized mortality, YLLs, YLDs and DALYs on falls were 1.76/100 000, 141.49/100 000, 46.99/100 000, and 188.48/100 000, respectively. The burden of falls decreased with the increase of age. Compared with 1990, disease burden of falls decreased in all age groups, both in male and female, with more seen in the lower age groups. Compared with 1990, the number of deaths, rates on YLLs, YLDs and DALYs caused by falls decreased by 65.08%, 46.63%, 47.38% and 36.33% respectively, in 2017. However, the YLDs rate increased by 73.31% between 1990 and 2017. The ratio of YLLs to DALYs decreased from 90.84% in 1990 to 75.07% in 2017, with a proportion as 17.36%.@*Conclusion@#Compared with 1990, although the disease burden of falls among aged 0-19 group showed a decreasing trend, falls still caused serious disease burden for the aged 0-19 group. Research that targeting prevention on falls, should be continued.

Disease burden on falls among elderly aged 70 and over in the Chinese population, in 1990 and 2013 / 中华流行病学杂志

Objective To analyze the disease burden of falls in Chinese population aged 70 and over,in 1990 and 2013 and to provide evidence for the development of prevention strategies on falls in the elderly.Methods Indicators including mortality rate,years of life lost due to premature mortality (YLL),years lived with disability (YLD) and disability-adjusted of life years (DALY) on falls,were gathered from the results of Global Burden of Disease 2013 and used to describe the disease burden of falls in China by calculating the changing rates on corresponding parameters in 1990 and 2013.Results In 2013,the number of deaths,YLLs,YLDs,DALYs caused by falls among Chinese population aged 70 and over were 48 800,0.44 million person years,0.30 millions person years,and 0.74 million person years,respectively.The standardized mortality rate,rates on YLLs,YLDs and DALYs of falls were 561.71 per 100 000,55.87 per 100 000,373.98 per 100 000 and 929.85 per 100 000,respectively.The burden of falls increased along with the increase of age.Compared with 1990,the number of deaths,YLLs,YLDs and DALYs caused by falls increased by 308.80％,161.01％,54.67％ and 104.47％,respectively,in 2013,more seen in males than in females.The standardized mortality rate,YLLs and DALYs caused by falls increased by 63.67％,38.54％ and 73.08％,respectively,during 1990 and 2013.However,the standardized YLDs rate fell by 17.90％ during the same period.Conclusion Falls caused heavy disease burden which increased in 1990 and 2013 among the Chinese population aged 70 and over.

Disease burden on road injury in the Chinese population, in 1990 and 2013 / 中华流行病学杂志

Objective To explore the disease burden of road injuries in China.Methods The results of Global Burden of Disease 2013 including death rate,disability-adjusted of life years (DALY),years of life lost due to premature mortality (YLL),years lived with disability (YLD),were used to describe the burden caused by road injuries in 2013 and the trends from 1990 to 2013,in China.Results In 2013,there were 313 676 deaths caused by traffic accidents in China.Death rate,rates on DALY,YLL and YLD were 22.52 per 100 000,1 076.54 per 100 000,971.21 per 100 000 and 105.34 per 100 000,respectively.Rates on deaths,YLL and YLD appeared higher in males,pedestrians than in females and other types of road travelers.Burden of injuries caused by traffic accidents was seen higher in those aged 15 to 49-year-old.From 1990 to 2013,the overall death rate on road injuries increased by 0.54 per 100 000 in China,with an increase of 2.34 per 100 000 and 0.81 per 100 000,respectively in males and pedestrians.The rates on DALY,YLL and YLD decreased by 164.21 per 100 000,115.06 per 100 000 and 49.06 per 100 000,respectively.Conclusions During the past 20 years,achievements had been made on road injury prevention and control,with the decrease of disease burden caused by road accidents.Males,young adults and pedestrians should be called for more attention to prevent road injuries.

Burn-related burden among Chinese population from 1990 to 2013 / 中华流行病学杂志

Objective To analyze the burden and changes caused by burns among Chinese population,from 1990 to 2013.Methods Using the G20 data and the China national and subnational data from GBD2013,this study deemed to comprehensively show the burden caused by burns and the change from 1990 to 2013,using the indicators of death and DALY.Results In 2013,the standardized mortality of burns in Chinese was 0.88/100 000,with the standardized DALY rate of burn as 30.58/100 000.The ratio of DALY between males and females was 1.85 ∶ 1.Among the G20 countries,China ranked 16 for the standardized DALY rate,according to the top down order.The highest death rate was seen in the age group of 70 and over,followed by age group of 5,which had the highest DALY rate and followed by the 70 or older age group.In different provinces,Guizhou presented the highest DALY rate (50.24/100 000),with Aomen area the lowest (6.16/100 000).From 1990 to 2013,the burden of burn reduced generally.Both the standardized rates on death and DALY reduced by 68.10％ and 76.95％ respectively,more in females than in males.Standardized rates on death and DALY reduced among all the age groups,with the rates of reduction increasing by age.From 1990 to 2013,the DALY rate decreased in all the provinces.Conclusions The burden of burn decreased in Chinese population during 1990-2013.However,the burden of burn among children,elderly and males were still relatively high that called for closer attention.

Disease burden on falls among elderly aged 70 and over in the Chinese population, in 1990 and 2013 / 中华流行病学杂志

Objective To analyze the disease burden of falls in Chinese population aged 70 and over,in 1990 and 2013 and to provide evidence for the development of prevention strategies on falls in the elderly.Methods Indicators including mortality rate,years of life lost due to premature mortality (YLL),years lived with disability (YLD) and disability-adjusted of life years (DALY) on falls,were gathered from the results of Global Burden of Disease 2013 and used to describe the disease burden of falls in China by calculating the changing rates on corresponding parameters in 1990 and 2013.Results In 2013,the number of deaths,YLLs,YLDs,DALYs caused by falls among Chinese population aged 70 and over were 48 800,0.44 million person years,0.30 millions person years,and 0.74 million person years,respectively.The standardized mortality rate,rates on YLLs,YLDs and DALYs of falls were 561.71 per 100 000,55.87 per 100 000,373.98 per 100 000 and 929.85 per 100 000,respectively.The burden of falls increased along with the increase of age.Compared with 1990,the number of deaths,YLLs,YLDs and DALYs caused by falls increased by 308.80％,161.01％,54.67％ and 104.47％,respectively,in 2013,more seen in males than in females.The standardized mortality rate,YLLs and DALYs caused by falls increased by 63.67％,38.54％ and 73.08％,respectively,during 1990 and 2013.However,the standardized YLDs rate fell by 17.90％ during the same period.Conclusion Falls caused heavy disease burden which increased in 1990 and 2013 among the Chinese population aged 70 and over.

Disease burden on road injury in the Chinese population, in 1990 and 2013 / 中华流行病学杂志

Objective To explore the disease burden of road injuries in China.Methods The results of Global Burden of Disease 2013 including death rate,disability-adjusted of life years (DALY),years of life lost due to premature mortality (YLL),years lived with disability (YLD),were used to describe the burden caused by road injuries in 2013 and the trends from 1990 to 2013,in China.Results In 2013,there were 313 676 deaths caused by traffic accidents in China.Death rate,rates on DALY,YLL and YLD were 22.52 per 100 000,1 076.54 per 100 000,971.21 per 100 000 and 105.34 per 100 000,respectively.Rates on deaths,YLL and YLD appeared higher in males,pedestrians than in females and other types of road travelers.Burden of injuries caused by traffic accidents was seen higher in those aged 15 to 49-year-old.From 1990 to 2013,the overall death rate on road injuries increased by 0.54 per 100 000 in China,with an increase of 2.34 per 100 000 and 0.81 per 100 000,respectively in males and pedestrians.The rates on DALY,YLL and YLD decreased by 164.21 per 100 000,115.06 per 100 000 and 49.06 per 100 000,respectively.Conclusions During the past 20 years,achievements had been made on road injury prevention and control,with the decrease of disease burden caused by road accidents.Males,young adults and pedestrians should be called for more attention to prevent road injuries.

Burn-related burden among Chinese population from 1990 to 2013 / 中华流行病学杂志

Objective To analyze the burden and changes caused by burns among Chinese population,from 1990 to 2013.Methods Using the G20 data and the China national and subnational data from GBD2013,this study deemed to comprehensively show the burden caused by burns and the change from 1990 to 2013,using the indicators of death and DALY.Results In 2013,the standardized mortality of burns in Chinese was 0.88/100 000,with the standardized DALY rate of burn as 30.58/100 000.The ratio of DALY between males and females was 1.85 ∶ 1.Among the G20 countries,China ranked 16 for the standardized DALY rate,according to the top down order.The highest death rate was seen in the age group of 70 and over,followed by age group of 5,which had the highest DALY rate and followed by the 70 or older age group.In different provinces,Guizhou presented the highest DALY rate (50.24/100 000),with Aomen area the lowest (6.16/100 000).From 1990 to 2013,the burden of burn reduced generally.Both the standardized rates on death and DALY reduced by 68.10％ and 76.95％ respectively,more in females than in males.Standardized rates on death and DALY reduced among all the age groups,with the rates of reduction increasing by age.From 1990 to 2013,the DALY rate decreased in all the provinces.Conclusions The burden of burn decreased in Chinese population during 1990-2013.However,the burden of burn among children,elderly and males were still relatively high that called for closer attention.

Study on child head-injuries through data derived from the National Injury Surveillance System of China, 2014 / 中华流行病学杂志

<p><b>OBJECTIVE</b>To understand the epidemiological characteristics of head injuries in children.</p><p><b>METHODS</b>Data was derived from the Chinese National Injury Surveillance System (NISS) in 2014. Method on descriptive analysis was applied to depict general information, injuries events and clinical characteristics of head injuries among children under 18 years of age.</p><p><b>RESULTS</b>A total number of 47 690 cases with child head injuries in 2014 were collected, including 32 542 males and 15 148 females. 43.47% of them were under 1-4 years of age. In October, 06:00 PM appeared the peak time for the injuries to happen. The three leading causes responsible for child head injuries were falls (69.57%), hit by blunt force (14.23%) or road traffic (11.01%). Main locations responsible for the head injuries to happen were:at home (44.98%), at public places (19.65%) or on roads/streets (15.81%). Recreation activates (77.88%), driving (7.32%), sports (5.72%) were the three major activities causing the injuries to take place. Majority of the cases happened unintentionally (95.35%), with bruise (71.69%) or mild injuries (85.27%) and went back home after treatment (90.25%).</p><p><b>CONCLUSIONS</b>In 2014, child head injuries were seen more in males than in females and mostly occured at home. The leading causes for head injuries would include falls, hit by blunt stuff or road traffic .</p>

Analysis on violence injury incidence and prevention in China / 中华流行病学杂志

<p><b>OBJECTIVE</b>To understand the incidence of violence injury and its prevention in China, and provide reference for the prevention and control of violence injury.</p><p><b>METHODS</b>The violence injury data in China were collected from national death surveillance data set (2006-2013) and national injury surveillance system (2013) for the descriptive epidemiological analysis on the incidence of violence injury and related death. The laws and policies about violence injury prevention, related data collection capacity and violence injury prevention programs in China were described.</p><p><b>RESULTS</b>The violence injury mortality declined by 46.3% during 2006-2013 from 1.21/100000 to 0.65/100000. The incidence of violence injury death in males peaked in age group 30-34 years (1.42/100000), and it was low in age group<15 years. Three peaks of violence injury death were found in females, i.e. 0.84/100000 in infants, 0.72/100000 in age group 30-34 years and 1.18/100000 in age group≥85 years. The laws and policies about violence injury prevention were imperfect, and the data about violence injury were limited. Most prevention programs were limited in scale and duration.</p><p><b>CONCLUSIONS</b>The crude and standardized violence injury mortality declined in China during 2006-2013. It is necessary to conduct gender specific prevention strategies and improve the related law and policy development, data collection and prevention service.</p>

Epidemiologic characteristics of fall in old population: Results from national injury surveillance in China, 2014 / 中华流行病学杂志

<p><b>OBJECTIVE</b>To understand the epidemiologic characteristics of fall in people aged ≥60 years in China and provide evidence for the development of prevention and control measures of fall in old population.</p><p><b>METHODS</b>Data of fall in people aged ≥60 years in China in 2014 were collected from National Injury Surveillance System (NISS) for the descriptive epidemiologic analysis.</p><p><b>RESULTS</b>A total of 41,073 fall cases were reported in people aged ≥60 years in 2014, accounting for 52.81% of total unintentional injuries in this population. The fall to unintentional injury ratio was higher in older age group. The gender ratio of fall cases was 0.77 and the proportion of females increased with age. Fall mainly occurred during 8:00-11:59 in the morning (33.31%). The top three places where fall might occur were home (55.66%), public residential places (20.52%) and roads (11.64%). Recreational activity (68.94%) and housework/study (16.14%) were the major causes for fall. The common injury sites were low limbs (29.28%), head (24.40%) and body (20.04%), while the common injuries caused by fall were bruise (45.76%) and fractures (29.52%), spain/strain (13.28%). The fall injuries were mainly mild (64.20%), while more moderate and serious fall injuries occurred in older age group.</p><p><b>CONCLUSION</b>Fall is the major cause of injury in old population in China, and the proportion of fall in unintentional injury in this population increased with age, indicating that the prevention of fall in old population should be strengthened.</p>

Distribution trends and characteristics analysis of non-motor road traffic injury cases monitored in China, 2006-2013 / 中华流行病学杂志

<p><b>OBJECTIVE</b>To describe the distribution characteristics of outpatient/emergency cases of non-motor road traffic injuries in China from 2006-2013.</p><p><b>METHODS</b>Cases of non-motor road traffic injuries were descriptively analyzed based on their data at the sentinel hospitals of the Chinese National Injury Surveillance System (NISS) from 2006 to 2013.</p><p><b>RESULTS</b>The proportion of non-motor road traffic injuries among the total road traffic injuries of the year from 2006 to 2011 was relatively stable, and the proportion in 2013 was higher than 2012 (χ² = 508.138, P < 0.001). In the non-motor road traffic injuries cases in 2013, male cases were higher than females (χ² = 41.018, P < 0.001), mostly found in 15 to 64 years old age groups. In urban areas, the proportion of non-motor road traffic injuries cases (52.11%) was higher than rural areas (47.89%) (χ² = 88.427, P < 0.001). Most injuries were found in lower limbs (29.08%) and head (24.82%). Injuries were mainly bruises (73.54%) and fractures (10.72%). The severities of injuries were mainly mitigated injury (80.49%), and most injuries ended with home return following treatment (82.34%).</p><p><b>CONCLUSION</b>The proportion of non-motor road traffic injuries among total road traffic injuries of the year as found from NISS remained stable from 2006 to 2011, with a slight rise in 2012-2013. Most of the non-motor road traffic injuries were suffered by young and middle aged men. Interventions should be made based on gender and age differences of non-motor road traffic injuries cases.</p>

Analysis on sports and recreation related injuries through data from the Chinese National Injury Surveillance System, 2009-2013 / 中华流行病学杂志

<p><b>OBJECTIVE</b>To understand the trend and characteristics of sports and recreation related injuries reported from National Injury Surveillance System (NISS) to provide basis for corresponding prevention strategies and decision-making.</p><p><b>METHODS</b>Descriptive analysis was applied to display the overall trend, general information, injury event and clinical characteristics of sports and recreation related injuries from 2009 to 2013.</p><p><b>RESULTS</b>The proportion of sports and recreation related injuries among all injuries increased from 2009 to 2013, with an annual increase exceeding 45% (46.21%, 47.32%, 48.14%, 52.00%, 53.65%, respectively). Sports and recreation related injuries mainly involved males, with 15-29 age groups, particularly in summer and autumn. Sports and recreation related injuries mostly occurred at home, with annual rates of proportion as 33.07%, 34.16%, 32.98%, 34.57 and 36.22%, mostly caused by falls (41.19%, 41.64%, 44.70%, 47.41%, 47.96%). Contusion and abrasion were the leading types of injuries (43.49%, 44.56%, 45.14%, 45.02%, 45.62%) with the serious leading types as fracture, concussion/cerebral contusion or laceration, and sharp force injury/bite/open wounds. Head was the part mainly involved (31.30%, 32.48%, 31.89%, 30.88%, 29.44%) in injuries. Most sports and recreation related injuries were minor and most of the patients headed home after treatment.</p><p><b>CONCLUSION</b>Sports and recreation related injury appeared a growing public health problem in China. Children and the elderly should be the target groups for intervention. Falls prevention in sports and the use of protection gears should be the focus countermeasures for prevention.</p>

Study on head injuries through data from the National Injury Surveillance System of China, 2013 / 中华流行病学杂志

<p><b>OBJECTIVE</b>To understand the epidemiological characteristics of head injuries through data from the Chinese National Injury Surveillance System (NISS).</p><p><b>METHODS</b>Descriptive analysis was applied to display the overall trend of head injuries in 2013 in NISS and to depict general information, events and clinical characteristics of head injuries with SPSS 19.0 software.</p><p><b>RESULTS</b>In 2013, 195 189 cases of head injuries were collected, males were twice higher than females, with 25.19% of them under 30-44 years of age. The three leading causes responsible for head injuries were falls (42.17%), blunt force injuries (27.46%) and road traffic injury (23.33%). Main locations causing head injuries were in road/street (31.41%), at home (25.02%) and public places (17.17%). Recreation activates (54.22%), driving (19.73%), paid work (12.95%) were the three major activities when injuries took place. Majority of the cases belonged to unintentional (86.79%) with bruise injuries (65.18%). Those mild injuries (78.87%) were treated and discharged (82.02%).</p><p><b>CONCLUSION</b>In 2013, head injuries were seen more in males than in females, mostly involved in labor force population on head injuries. The leading causes for head injuries were falls, blunt injuries and road traffic.</p>

Evaluation of performance of national injury surveillance in China, 2006-2012 / 中华流行病学杂志

<p><b>OBJECTIVE</b>To evaluate the performance of national injury surveillance in China and provide evidence for the utilization and interpretation of surveillance data and the improvement of injury surveillance.</p><p><b>METHODS</b>According to the national injury surveillance protocol, a retrospective analysis was conducted on the quality of injury surveillance carried out by the centers for disease control and prevention (CDCs) at all levels in China from 2006 to 2012. And related human resource and budget data in 2012 were collected for analysis.</p><p><b>RESULTS</b>From 2006 to 2012, the injury cases reported to national injury surveillance system increased by 1 time in China. The underreporting rate of injury cases and mis-filling rate of reporting cards decreased in 31 surveillance points (72.1%) and 23 surveillance points (53.5%) respectively. In 2012, the underreporting rates were less than 10% in 33 surveillance points (76.7%) , and the mis-filling rates were less than 10% in 39 surveillance points (90.7%) . Only 19 provincial CDCs (44.2%) and 32 county/district CDCs had full time staff engaged in injury surveillance. Three surveillance points (7.0%) never published their injury surveillance data, while 13 surveillance points shared injury surveillance data with other departments.</p><p><b>CONCLUSION</b>The quality of injury surveillance was greatly improved in China during 2006-2012, but more efforts are still needed for the further improvement of national injury surveillance, including the increase of human resources and fund investments and more use of surveillance data.</p>

Analysis on the characteristics of violence based on data from the Chinese National Injury Surveillance System from 2006 to 2013 / 中华流行病学杂志

<p><b>OBJECTIVE</b>To understand the characteristics of victims under violence that were enrolled from clinic and emergency room of the hospitals, to provide basis for the development of violence prevention strategies.</p><p><b>METHODS</b>Data from the National Injury Surveillance Program between 2006 and 2013 were used to analyze: 1) trend of violence proportion in injuries, 2) socio-demographic characteristics of the cases, 3)basic and clinic information on related violence.</p><p><b>RESULTS</b>The proportion of victims of violence decreased during the past 8 years. The number of violence related cases in 2013 was 50 333, including 36 049 males and 14 284 females. Most cases had educational levels as junior (41.2%) or senior high schools (27.3%). 24.0% of the violence occurred between 22:00 PM and 02:59 AM. The proportions of domestic violence were 30.2% in the 0-4 age group and 28.5% in the 65- age group, both were higher than in the other age groups.</p><p><b>CONCLUSION</b>Interventions on violence including children abuse and elderly abuse should be paid attention to.</p>

Trend and current characteristics of road traffic injury in children based on data from the National Injury Surveillance System in China from 2006 to 2013 / 中华流行病学杂志

<p><b>OBJECTIVE</b>To understand the trend and current characteristics of children engaged in road traffic injury. Data was from the Nation Injury Surveillance System (NISS) and the results of the study would provide basis for corresponding intervention strategies and decision-making.</p><p><b>METHODS</b>Descriptive analysis was applied to display the trend of child road traffic injury from 2006 and 2013 and also to depict the general information, injuries event and clinical characteristics of child road traffic injuries in 2013.</p><p><b>RESULTS</b>The number of child road traffic injuries increased from 2006 to 2013 and ranking the second cause of child unintentional injuries during these years. However, the proportion of child road traffic injuries among child unintentional injuries decreased in the same period. In 2013, sex ratio appeared as 1.82, with 17- year-old age group accounting for 10.86% . Injuries caused by motor traffic vehicles accounted for 66.44% , with July/August, weekends and 17-18 PM as the peak period or time. Transportation related injuries accounted for 65.42% , with 73.53% as bruise. 33.81% of the injury involved in the head but 76.42% of injuries were minor, while 74.86% went home after the treatment.</p><p><b>CONCLUSION</b>Child road traffic injury should not be ignored. Age and sex differences should be taken into account when carrying out education programs on child road traffic safety. Male students at senior high school or preschool were target groups when carrying out child road traffic injury intervention programs.</p>

Analysis on data from Chinese National Injury Surveillance System, 2008-2013 on the characteristics of falls / 中华流行病学杂志

<p><b>OBJECTIVE</b>To analyze the trend and distribution of Falls, using the data from National Injury Surveillance System (NISS), 2008-2013, to provide basic information for Fall prevention.</p><p><b>METHODS</b>Data of Falls was descriptively analyzed from the Chinese NISS from 2008 to 2013.</p><p><b>RESULTS</b>In total, 1 223 905 cases of Falls were analyzed, that accounted for 32.94% of all the injury cases, with the gender ratio as 1.57. Both the number and the proportion of the cases showed an increasing trend. Labor population (15-64 years-old) accounted for 66.63% of the total 271 502 cases of Falls in 2013. Cases aged 0-4, 5-14 and over 65 accounted for 55.53%, 52.93% and 56.59% among all the types of injuries in each of their age group. Gender ratio appeared to be 1.54 but more females cases were seen with the increase of age. The peak hours that injuries took place were 10:00-10:59 AM (10.04% of total) and 14:00-20:59 PM (43.56% of total). The top three places that injuries took place were home (33.03%), public residents (22.79%) and on the roads (15.49%). Recreation activates (65.38%), paid jobs (13.01%) and housework (7.52%) were the three major ways causing the Falls to take place. The most common parts of body that injuries involved were head (30.41%), low limbs (27.43%) and upper limbs (21.93%), with bruise (54.60%), sprain/strain (16.87%), fractures (15.48%) most commonly seen. 77.76% of the cases were minor but the proportion of moderate and serious injuries increased along with the increase of age.</p><p><b>CONCLUSION</b>Fall was the main type of injury in this country, showing an increasing trend of proportion among all the types of injuries. Though labor-related Falls accounted for the biggest proportion, prevention programs targeting the elderly and children should also be prioritized.</p>