Medicine, Faculty of
Pediatrics, Department of
DSpace
B.C. Injury Research and Prevention Unit
Children's Hospital (Vancouver, B.C.). Research Institute
Bawa, Hansdeep
Brussoni, Mariana
De Gagne, Dan
Han, Guanghong
Smith, Dorry
This report examines injury cases among adults (ages 25-64 years) from April 1, 2001 to March 31, 2003. Only cases treated and released, left without being seen, or refused treatment are presented in this report.
Emergency Department Injury Surveillance System (EDISS) ADULTS INJURY DATA REPORT 2001-2003 March 2004 Foreword The BC Injury Research and Prevention Unit (BCIRPU) was established by the Minister of Health and the Minister’s Injury Prevention Advisory Committee in August 1997. It is housed within the Centre for Community Child Health Research at the Children’s & Women’s Health Centre of BC and supported by the BC Research Institute for Children’s & Women’s Health. BC Injury Research and Prevention Unit L408-4480 Oak Street Vancouver, BC V6H 3V4 E-mail: injury@cw.bc.ca Tel: (604) 875-3776 Fax: (604) 875-3569 Webpage: www.injuryresearch.bc.ca Authors (listed in alphabetical order by surname): Hansdeep Bawa Mariana Brussoni Dan De Gagne Guanghong Han Dorry Smith Acknowledgements: The production of this report has been made possible by a financial contribution from Health Canada, the BC Ministry of Children and Family Development, and the BC Ministry of Health Services. Disclaimer: Reproduction, in its original form, is permitted for background use for private study, educational instruction and research, provided appropriate credit is given to the BC Injury Research and Prevention Unit. Citation in editorial copy, for newsprint, radio and television is permitted. The material may not be reproduced for commercial use or profit, promotion, resale, or publication in whole or in part without written permission from the BC Injury Research and Prevention Unit. The information presented in this report is released in accordance with the signed data sharing agreements with the Health Areas, and in accordance with the provisions of the Freedom of Information Act and the Privacy Impact Assessment conducted by the Office of the Information and Privacy Commissioner for British Columbia at the inception of the BC Emergency Department Injury Surveillance System project. March 2004 Table of Contents INTRODUCTION___________________________________________________________________ 1 REPORT HIGHLIGHTS _____________________________________________________________ 1 CAVEATS AND CAUTIONS _________________________________________________________ 2 EDISS OVERALL, 2001-2003__________________________________________________________ 3 1) TOTAL NUMBER OF INJURY CASES _____________________________________________ 5 2) AVERAGE ANNUAL INJURY RATE PER 1,000______________________________________ 6 3) LEADING CAUSES OF INJURY __________________________________________________ 6 4) LEADING PLACES OF OCCURRENCE ____________________________________________ 7 5) LEADING ACTIVITIES WHEN INJURED __________________________________________ 7 HSDA #23 – FRASER SOUTH HEALTH AREA, 2001-2003 _______________________________ 9 1) TOTAL NUMBER OF INJURY CASES ____________________________________________ 11 2) AVERAGE ANNUAL INJURY RATE PER 1,000_____________________________________ 13 3) TIME DISTRIBUTION OF INJURY ______________________________________________ 14 4) CAUSE OF INJURY __________________________________________________________ 15 5) PLACE OF OCCURRENCE OF INJURY____________________________________________ 18 6) ACTIVITY WHEN INJURED ___________________________________________________ 21 7) TYPE OF INJURY____________________________________________________________ 24 8) TOP 5 LEADING CAUSES OF INJURY BY ACTIVITY WHEN INJURED ___________________ 27 9) TOP 5 LEADING CAUSES OF INJURY BY PLACE OF OCCURRENCE ____________________ 28 HSDA #14 – THOMPSON HEALTH AREA, 2001-2003__________________________________ 29 1) TOTAL NUMBER OF INJURY CASES ____________________________________________ 31 2) AVERAGE ANNUAL INJURY RATE PER 1,000_____________________________________ 33 3) TIME DISTRIBUTION OF INJURY ______________________________________________ 34 4) CAUSE OF INJURY __________________________________________________________ 35 5) PLACE OF OCCURRENCE OF INJURY____________________________________________ 37 6) ACTIVITY WHEN INJURED ___________________________________________________ 39 7) TYPE OF INJURY____________________________________________________________ 41 8) TOP 5 LEADING CAUSES OF INJURY BY ACTIVITY WHEN INJURED ___________________ 43 9) TOP 5 LEADING CAUSES OF INJURY BY PLACE OF OCCURRENCE ____________________ 44 HSDA #51 – NORTH WEST HEALTH AREA, 2001-2003 ________________________________ 45 1) TOTAL NUMBER OF INJURY CASES ____________________________________________ 47 2) AVERAGE ANNUAL INJURY RATE PER 1,000_____________________________________ 49 3) TIME DISTRIBUTION OF INJURY ______________________________________________ 50 4) CAUSE OF INJURY __________________________________________________________ 51 5) PLACE OF OCCURRENCE OF INJURY____________________________________________ 54 6) ACTIVITY WHEN INJURED ___________________________________________________ 57 7) TYPE OF INJURY____________________________________________________________ 60 8) TOP 5 LEADING CAUSES OF INJURY BY ACTIVITY WHEN INJURED ___________________ 63 9) TOP 5 LEADING CAUSES OF INJURY BY PLACE OF OCCURRENCE ____________________ 64 Appendix A: Harvard Categories for Injuries – Reconstructed for ICD-10 Appendix B: Place of Occurrence Coding System – BCIRPU & ICD-10-CA Appendix C: Activity When Injured Coding System Appendix D: Rate Calculation & Population Estimates by Each Health Area EDISS -- Adult Injury Report, 2001- 2003 Page 1 Introduction The BC Emergency Department Injury Surveillance System (EDISS), funded by the Ministry of Health Services, is operated under the BC Injury Research and Prevention Unit (BCIRPU). The main purpose of EDISS is to provide local injury information that can be used to plan and evaluate community injury prevention programs. Information regarding first presentation of all injuries, either intentional or unintentional, was abstracted, coded and transmitted to BCIRPU for analysis and interpretation. EDISS data elements capture both patient and injury event information: Patient:  Chart number (scrambled for confidentiality)  Personal health number (scrambled for confidentiality)  Postal code  Sex  Date of birth Injury event:  Date of visit  Cause of injury  Place of occurrence  Activity when injured  Narrative statement  Main diagnosis  Other diagnosis  Visit disposition This report examines injury cases among adults (ages 25-64 years) from April 1, 2001 to March 31, 2003. Only cases treated and released, left without being seen, or refused treatment are presented in this report. Report Highlights  Adult injury cases were approximately 46.4% of all injury cases presenting to EDISS.  Among adult injury cases presenting to EDISS, the average annual injury rate per 1,000 population was 64.6.  Among the adult age groups, the injury rate was highest for ages 25-34 years, and decreased significantly with age for both males and females.  Falls, Struck by Object and Cutting/Piercing were among the leading causes of injury.  Home, Street/Highway Area and Industrial/Construction Area were among the leading places of occurrence of injury.  Paid Work, Unpaid Work and Other Specified Activity were among the leading activities when injured. EDISS -- Adult Injury Report, 2001- 2003 Page 2 Caveats and Cautions Caution should be used in interpreting the data presented in this report. Accuracy and consistency of the data cannot be totally assumed because health professionals responsible for diagnosing and coding differ in their skills and practices. There may be some variations which are difficult to control for. Furthermore, due to data quality and errors, some cases were eliminated from the data analysis; as a result, the data presented in this report may not reflect all the injury-related visits to the Emergency Departments. This report is meant to promote further discussion. The intent is not to compare the three Health Areas with each other, nor to comment on the significance of differences or similarities between the three Health Areas. When comparing injury numbers among Health Areas, one should consider the differences in size and characteristics of the population in each of the Health Areas. In this report, rates are calculated using populations estimates by age and sex from the BC Stats. Since rates are based on the population of the Health Area, when population numbers and injury numbers are low, small fluctuations in either will be reflected as a large change in the injury rate. Also, the EDISS data provides information about injury-related visits to the Emergency Department of the participating hospitals in the Health Areas – this data may not reflect all the injuries. There are instances where people with injuries go to walk-in clinics or their physician’s office or to other hospitals not participating in the EDISS. Conversely, there may be injury-related visits to the Emergency Department of the participating hospitals by people not residing in the Health Area. Adults Injury EDISS Overall, 2001-2003 51. North West • Bulkley Valley District Hospital • Kitimat General Hospital • Mills Memorial Hospital • Prince Rupert Regional Hospital 14. Thompson • Royal Inland Hospital • Lillooet District Hospital 23. Fraser South • Delta Hospital • Langley Memorial Hospital • Peace Arch Hospital • Surrey Memorial Hospital EDISS Overall 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 5 Number of Injuries by Age Group & Sex, Adults (Ages 25-64 years), EDISS, 2001-20030200040006000800010000120001400025-34 35-44 45-54 55-64Age GroupNumber of InjuryMaleFemaleThis section of the report examines injury cases among adults (ages 25-64 years) presenting to the ten hospitals participating in the EDISS from April 1, 2001 to March 31, 2003. The ten participating hospitals, located across three different health areas, are: ¾ Fraser South Health Area:  Surrey Memorial Hospital  Langley Memorial Hospital  Delta Hospital  Peace Arch Hospital ¾ Thompson Health Area:  Royal Inland Hospital  Lillooet District Hospital ¾ North West Health Area:  Prince Rupert Regional Hospital  Bulkley Valley District Hospital  Mills Memorial Hospital  Kitimat General Hospital Only cases treated and released, left without being seen, or refused treatment are presented in this report. In total, 55,292 adult injury cases were classified into these first three levels of the visit disposition:  53,681 (97.1%) treated and released  1,503 (2.7%) left without being seen  108 (0.2%) left against medical advice or refused treatment 1) Total Number of Injury Cases Of the total adult injury cases:  34,764 were males (62.9%)  20,522 were females (37.1%)  6 cases of sex unknown (0.01%) Among the adult injuries, ages 25-34 years had the highest percentage of injury (33.9%), followed by ages 35-44 years (32.8%), and 45-54 years (21.6%). EDISS Overall 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 6 Average Annual Injury Rate per 1,000 by Age Group & Sex, Adults (Ages 25-64 years), EDISS, 2001-20030.020.040.060.080.0100.0120.0140.025-34 35-44 45-54 55-64Age GroupInjury rate per 1,000MaleFemaleTotalLeading Number of Injuries by Cause of Injury & Sex, Adults (Ages 25-64 years), EDISS, 2001-20030 1000 2000 3000 4000 5000 6000 7000 8000Machinery in OperationPostoperative ComplicationsEnvironmentalInflicted InjuryForeign BodyOverexertionMotor Vehicle-OccupantCutting/PiercingStruck by ObjectFallsInjury CauseNumber of InjuryMaleFemale2) Average Annual Injury Rate per 1,000 For all the adult injury cases presenting to the EDISS, the average annual injury rate per 1,000 population was 64.6. The injury rate was highest for ages 25-34 years (89.5), and decreased significantly with age for both males and females. The average injury rate was higher for males than females in all adult age groups. For detailed definitions on rate calculation and population estimates used in calculating rate, refer to Appendix D. 3) Leading Causes of Injury Of all the adult injury cases presenting to the EDISS, top ten leading causes of injury were: 1. Falls (19.9%) 2. Struck by Object (17.2%) 3. Cutting/Piercing (15.4%) 4. Motor Vehicle-Occupant (9.6%) 5. Overexertion (8.7%) 6. Foreign Body (5.3%) 7. Inflicted Injury (5.2%) 8. Environmental (3.8%) 9. Postoperative Complications (2.1%) 10. Machinery in Operation (1.7%) For detailed definitions of each cause of injury category, refer to Appendix A: Harvard Categories for Injuries – Reconstructed for ICD-10 EDISS Overall 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 7 Number of Injuries by Place of Occurrence & Sex, Adults (Ages 25-64 years), EDISS, 2001-20030 2000 4000 6000 8000 10000 12000FarmResidential InstitutionSchool, other institution & public areaTrade & service areaSports & athletics areaOther specified placeIndustrial & construction areaStreet & highway areaHomePlace of OccurrenceNumber of InjuryMaleFemaleNumber of Injuries by Activity & Sex, Adults (Ages 25-64 years), EDISS, 2001-20030 2000 4000 6000 8000 10000 12000EducationVital and Personal ActivityHealth CareOrganized SportsInformal SportsLeisureTravelOther Specified ActivityUnpaid WorkPaid WorkActivity when InjuredNumber of InjuryMaleFemale4) Leading Places of Occurrence Of all the adult injury cases presenting to the EDISS, leading places of occurrence of injury were: 1. Home (32.7%) 2. Street & Highway Area (10.8%) 3. Industrial & Construction Area (9.3%) 4. Other Specified Place (8.7%) 5. Sports & Athletics Area (8.4%) 6. Trade & Service Area (7.7%) 7. School, Other Institution & Public Area (4.2%) 8. Residential Institution (0.6%) 9. Farm (0.5%) 10. Unspecified Place (17.2%) For detailed definitions of each Place of Occurrence category, refer to Appendix B: Place of Occurrence Coding System – BCIRPU & ICD-10-CA 5) Leading Activities When Injured Of all the adult injury cases presenting to the EDISS, top ten leading activities when injured were: 1. Paid Work (22.4%) 2. Unpaid Work (12.3%) 3. Other Specified Activity (11.1%) 4. Travel (11.1%) 5. Leisure (8.9%) 6. Informal Sports (5.5%) 7. Organized Sports (4.8%) 8. Health Care (2.6%) 9. Vital & Personal Activity (2.6%) 10. Education (0.2%) For detailed definitions of each Activity when Injured category, refer to Appendix C: Activity When Injured Coding System Adults Injury HSDA #23 – Fraser South Health Area, 2001-2003 23. Fraser South • Delta Hospital • Langley Memorial Hospital • Peace Arch Hospital • Surrey Memorial Hospital HSDA #23 – Fraser South 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 11 This section of the report examines injury cases among adults (ages 25-64 years) presenting to Delta Hospital, Langley Memorial Hospital, Peace Arch Hospital, and Surrey Memorial Hospital in the Fraser South Health Area from April 1, 2001 to March 31, 2003. Only cases treated and released, left without being seen, or refused treatment are presented in this report. In total, 34,595 adult cases were classified into these first three levels of the visit disposition:  33,561 patients (97.0%) were treated and released  998 patients (2.9%) left without being seen  36 patients (0.1%) left against medical advice or refused treatment 1) Total Number of Injury Cases Of the total 34,595 adult injury cases presenting to the Fraser South Health Area:  63.5% were males  36.5% were females Among the adult injuries, ages 25-34 years had the highest percentage of injury (34.1%), followed by ages 35-44 years (32.6%) and 45-54 years (21.5%). Of the total 34,595 adult injury cases presenting to the Fraser South Health Area:  15,576 cases (45.0%) were injury-related visits to the emergency department of Surrey Memorial Hospital  8,461 cases (24.5%) were injury-related visits to the emergency department of Langley Memorial Hospital  5,994 cases (17.3%) were injury-related visits to the emergency department of Delta Hospital  4,564 cases (13.2%) were injury-related visits to the emergency department of Peace Arch Hospital Table 1: Fraser South Health Area, 2001-2003 Age Group Males Females Total* 25-34 8,053 3,744 11,799 35-44 7,396 3,895 11,292 45-54 4,322 3,100 7,423 55-64 2,192 1,889 4,081 Total 21,963 12,628 34,595 *Includes 4 cases of sex unknown HSDA #23 – Fraser South 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 12 Of total cases presenting to Surrey Memorial Hospital:  62.9% were males  37.1% were females  Ages 25-34 years had the highest percentage of injury (36.7%), followed by ages 35-44 years (32.8%), and 45-54 years (20.4%) Of total cases presenting to Langley Memorial Hospital:  66.3% were males  33.7% were females  Ages 25-34 years had the highest percentage of injury (34.8%), followed by ages 35-44 years (34.1%), and 45-54 years (19.8%) Of total cases presenting to Delta Hospital:  65.2% were males  34.8% were females  Ages 35-44 years had the highest percentage of injury (32.1%), followed by ages 25-34 years (30.0%), and 45-54 years (23.8%) Of total cases presenting to Peace Arch Hospital:  58.0% were males  42.0% were females  Ages 35-44 years had the highest percentage of injury (30.3%), followed by ages 25-34 years (29.4%), and 45-54 years (25.1%) Table 2: Surrey Memorial Hospital, 2001-2003 Age Group Males Females Total* 25-34 3,808 1,909 5,718 35-44 3,300 1,805 5,105 45-54 1,842 1,335 3,177 55-64 847 729 1,576 Total 9,797 5,778 15,576 *Includes 1 case of sex unknown Table 3: Langley Memorial Hospital, 2001-2003 Age Group Males Females Total 25-34 2,106 835 2,941 35-44 1,958 926 2,884 45-54 993 684 1,677 55-64 553 406 959 Total 5,610 2,851 8,461 Table 4: Delta Hospital, 2001-2003 Age Group Males Females Total 25-34 1,270 526 1,796 35-44 1,302 620 1,922 45-54 886 538 1,424 55-64 453 399 852 Total 3,911 2,083 5,994 Table 5: Peace Arch Hospital, 2001-2003 Age Group Males Females Total* 25-34 869 474 1,344 35-44 836 544 1,381 45-54 601 543 1,145 55-64 339 355 694 Total* 2,645 1,916 4,564 *Includes 3 cases of sex unknown HSDA #23 – Fraser South 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 13 Average Annual Injury Rate per 1,000 by Age Group & Sex, Adults (Ages 25-64 years), Fraser South Health Area, 2001-2003 02040608010012025-34 35-44 45-54 55-64Age GroupInjury Rate per 1,000MaleFemaleTotal2) Average Annual Injury Rate per 1,000 In the Fraser South Health Area, the average annual injury rate per 1,000 population was 52.3 The injury rate was highest for ages 25-34 years (71.9), and decreased significantly with age for both males and females. The average injury rate was higher for males than females among all adult age groups. For detailed definitions on rate calculation and population estimates used in calculating rate, refer to Appendix D. HSDA #23 – Fraser South 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 14 Number of Injury-Related Visits by Day of Week & Sex, Adults (Ages 25-64 years), Fraser South Health Area, 2001-20030100020003000400050006000SUN MON TUE WED THU FRI SATDay of WeekNumber of InjuryFemaleMaleNumber of Injury-Related Visits by Month & Sex, Adults (Ages 25-64 years), Fraser South Health Area, 2001-200305001000150020002500300035004000JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DECMonthNumber of InjuryFemaleMale3) Time Distribution of Injury Among the adult age groups in the Fraser South Health Area, the highest number of injury-related visits to the emergency department occurred in July (9.8%), closely followed by August (9.5%) and June (9.0%) The highest number of injury-related visits to the emergency department occurred during weekends: Sunday (16.1%) and Saturday (15.1%) HSDA #23 – Fraser South 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 15 4) Cause of Injury Between April 1, 2001 and March 31, 2003, Falls (19.0%) and Struck by Object (18.3%) were the leading causes of injury among adults in the Fraser South Health Area. Struck by Object was the leading cause of injury for ages 25 to 44 years. For ages 45 to 64 years, Falls were the leading cause of injury. Fraser South Health Area, 2001-2003 Age Group Total Cause of Injury 25-34 35-44 45-54 55-64 # % Falls 1,713 1,919 1,663 1,268 6,563 19.0% Struck by Object 2,494 2,191 1,161 468 6,314 18.3% Cutting/Piercing 1,895 1,841 1,261 610 5,607 16.2% Motor Vehicle-Occupant 1,411 1,170 763 476 3,820 11.0% Overexertion 1,037 1,044 639 267 2,987 8.6% Foreign Body 578 699 430 193 1,900 5.5% Inflicted Injury 811 613 253 80 1,757 5.1% Environmental 352 386 343 225 1,306 3.8% Machinery in Operation 179 227 138 76 620 1.8% Non-MV Pedal Cycle 164 197 115 53 529 1.5% Fire, Flames & Hot Substances 153 154 120 49 476 1.4% Postoperative Complications 111 99 103 102 415 1.2% Poisoning 132 85 66 42 325 0.9% Other Transport 80 142 62 31 315 0.9% Motorcyclist 112 86 41 14 253 0.7% Self-Inflicted 107 70 39 5 221 0.6% Motor Vehicle-Pedestrian 65 68 39 23 195 0.6% Adverse Effects 37 46 40 22 145 0.4% Off-Road Motor Vehicle 40 33 16 7 96 0.3% Motor Vehicle-Pedal Cycle Rider 36 29 12 6 83 0.2% Other Miscellaneous Causes 82 66 25 19 192 0.6% Other/Unspecified 210 127 94 45 476 1.4% Total 11,799 11,292 7,423 4,081 34,595 100.0% HSDA #23 – Fraser South 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 16 Number of Injuries by Cause of Injury & Sex, Adults (Ages 25-64 years), Surrey Memorial Hospital, 2001-20030 200 400 600 800 1000 1200 1400 1600 1800Fire, Flames & Hot SubstancesPostoperative ComplicationsEnvironmentalForeign BodyInflicted InjuryOverexertionMotor Vehicle-OccupantStruck by ObjectCutting/PiercingFallsCause of InjuryNumber of InjuryMaleFemaleNumber of Injuries by Cause of Injury & Sex, Adults (Ages 25-64 years), Langley Memorial Hospital, 2001-20030 200 400 600 800 1000 1200 1400Other TransportMachinery in OperationInflicted InjuryEnvironmentalForeign BodyOverexertionMotor Vehicle-OccupantCutting/PiercingFallsStruck by ObjectCause of InjuryNumber of InjuryMaleFemale Of all the adult injury cases presenting to Surrey Memorial Hospital, the leading causes of injury were:  Falls (18.4%)  Cutting/Piercing (15.1%)  Struck by Object (14.2%) Among males, the leading causes of injury were:  Cutting/Piercing (16.7%)  Struck by Object (16.3%)  Falls (15.2%) Among females, the leading causes of injury were:  Falls (23.9%)  Motor Vehicle-Occupant (17.8%)  Cutting/Piercing (12.3%) Of all the adult injury cases presenting to Langley Memorial Hospital, the leading causes of injury were:  Struck by Object (20.8%)  Falls (18.4%)  Cutting/Piercing (17.5%) Among males, the leading causes of injury were:  Struck by Object (23.6%)  Cutting/Piercing (19.8%)  Falls (14.5%) Among females, the leading causes of injury were:  Falls (26.0%)  Motor Vehicle-Occupant (16.5%)  Struck by Object (15.4%) HSDA #23 – Fraser South 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 17 Number of Injuries by Cause of Injury & Sex, Adults (Ages 25-64 years), Delta Hospital, 2001-20030 200 400 600 800 1000 1200Non-MV Pedal CycleInflicted InjuryMachinery in OperationEnvironmentalForeign BodyMotor Vehicle-OccupantOverexertionCutting/PiercingFallsStruck by ObjectCause of InjuryNumber of InjuryMaleFemaleNumber of Injuries by Cause of Injury & Sex, Adults (Ages 25-64 years), Peace Arch Hospital, 2001-20030 100 200 300 400 500 600 700Non-MV Pedal CyclePostoperative ComplicationsInflicted InjuryEnvironmentalForeign BodyOverexertionMotor Vehicle-OccupantCutting/PiercingStruck by ObjectFallsCause of InjuryNumber of InjuryMaleFemale Of all the adult injury cases presenting to Delta Hospital, the leading causes of injury were:  Struck by Object (23.3%)  Falls (19.8%)  Cutting/Piercing (18.5%) Among males, the leading causes of injury were:  Struck by Object (26.5%)  Cutting/Piercing (19.5%)  Falls (15.8%) Among females, the leading causes of injury were:  Falls (27.4%)  Struck by Object (17.2%)  Cutting/Piercing (16.8%) Of all the adult injury cases presenting to Peace Arch Hospital, the leading causes of injury were:  Falls (20.9%)  Struck by Object (20.7%)  Cutting/Piercing (14.7%) Among males, the leading causes of injury were:  Struck by Object (24.0%)  Falls (17.1%)  Cutting/Piercing (16.3%) Among females, the leading causes of injury were:  Falls (26.1%)  Struck by Object (16.2%)  Cutting/Piercing (12.4%) HSDA #23 – Fraser South 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 18 5) Place of Occurrence of Injury Between April 1, 2001 and March 31, 2003, Home (33.4%) was the leading place of occurrence of injury among adults in the Fraser South Health Area. Fraser South Health Area, 2001-2003 Age Group Total Place of Occurrence 25-34 35-44 45-54 55-64 # % Home 3,320 3,730 2,768 1,732 11,550 33.4% Street & highway area 1,678 1,443 951 549 4,621 13.4% Industrial & construction area 1,443 1,350 726 279 3,798 11.0% Sports & athletics area 1,327 909 354 121 2,711 7.8% Trade & service area 1,029 851 518 222 2,620 7.6% Other specified place 785 811 472 254 2,322 6.7% School, other institution & public area 347 458 391 165 1,361 3.9% Residential Institution 36 37 37 26 136 0.4% Farm 27 55 33 17 132 0.4% Unspecified place 1,807 1,648 1,173 716 5,344 15.4% Total 11,799 11,292 7,423 4,081 34,595 100.0% HSDA #23 – Fraser South 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 19 Number of Injuries by Place of Occurrence & Sex, Adults (25-64 years), Langley Memorial Hospital, 2001-20030 500 1000 1500 2000Residential InstitutionFarmSchool, other institution & public areaTrade & service areaSports & athletics areaOther specified placeStreet & highway areaIndustrial & construction areaHomePlace of OccurrenceNumber of InjuryMaleFemaleNumber of Injuries by Place of Occurrence & Sex, Adults (25-64 years), Surrey Memorial Hospital, 2001-20030 500 1000 1500 2000 2500 3000 3500FarmResidential InstitutionOther specified placeSchool, other institution & public areaSports & athletics areaIndustrial & construction areaTrade & service areaStreet & highway areaHomePlace of OccurrenceNumber of InjuryMaleFemaleOf all the adult injury cases presenting to Surrey Memorial Hospital, the leading places of occurrence of injury were:  Home (34.1%)  Street/Highway Area (17.5%)  Trade/Service Area (9.1%) Among males, the leading places where injuries occurred were:  Home (31.3%)  Street/Highway Area (15.1%)  Industrial/Construction Area (13.6%) Among females, the leading places where injuries occurred were:  Home (38.9%)  Street/Highway Area (21.6%)  School, Other Institution/Public Area (8.1%) Of all the adult injury cases presenting to Langley Memorial Hospital, the leading places of occurrence of injury were:  Home (35.4%)  Industrial/Construction Area (14.8%)  Street/Highway Area (13.0%) Among males, the leading places where injuries occurred were:  Home (31.4%)  Industrial/Construction Area (21.0%)  Other Specified Place (11.7%) Among females, the leading places where injuries occurred were:  Home (43.2%)  Street/Highway Area (18.6%)  Other Specified Place (8.8%) HSDA #23 – Fraser South 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 20 Number of Injuries by Place of Occurrence & Sex, Adults (25-64 years), Delta Hospital, 2001-20030 200 400 600 800 1000 1200Residential InstitutionFarmSchool, other institution & public areaTrade & service areaStreet & highway areaSports & athletics areaOther specified placeIndustrial & construction areaHomePlace of OccurrenceNumber of InjuryMaleFemaleNumber of Injuries by Place of Occurrence & Sex, Adults (25-64 years), Peace Arch Hospital, 2001-20030 100 200 300 400 500 600 700 800FarmResidential InstitutionOther specified placeTrade & service areaIndustrial & construction areaSchool, other institution & public areaStreet & highway areaSports & athletics areaHomePlace of OccurrenceNumber of InjuryMaleFemaleOf the adult injury cases presenting to Delta Hospital, the leading places of occurrence of injury were:  Home (31.9%)  Industrial/Construction Area (15.6%)  Other Specified Place (11.3%) Among males, the leading places where injuries occurred were:  Home (26.8%)  Industrial/Construction Area (21.9%)  Sports/Athletics Area (13.2%) Among females, the leading places where injuries occurred were:  Home (41.3%)  Street/Highway Area (14.2%)  Other Specified Place (9.4%) Of the adult injury cases presenting to Peace Arch Hospital, the leading places of occurrence of injury were:  Home (29.2%)  Sports/Athletics Area (10.8%)  Street/Highway Area (5.0%) Among males, the leading places where injuries occurred were:  Home (27.5%)  Sports/Athletics Area (13.6%)  Industrial/Construction Area (7.5%) Among females, the leading places where injuries occurred were:  Home (31.6%)  School, Other Institution/Public Area (9.1%)  Sports/Athletics Area (6.8%) HSDA #23 – Fraser South 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 21 6) Activity when Injured Between April 1, 2001 and March 31, 2003, Paid Work (23.6%) and Unpaid Work (12.6%) were the leading activities when injured among adults in the Fraser South Health Area. Fraser South Health Area, 2001-2003 Age Group Total Activity when Injured 25-34 35-44 45-54 55-64 # % Paid Work 2,895 2,872 1,728 662 8,157 23.6% Unpaid Work 1,104 1,407 1,168 693 4,372 12.6% Travel 1,564 1,321 884 553 4,322 12.5% Other Specified Activity 1,160 1,069 708 428 3,365 9.7% Leisure 953 1,044 674 466 3,137 9.1% Informal Sports 721 569 265 97 1,652 4.8% Organized Sports 857 532 182 37 1,608 4.6% Vital and Personal Activity 239 260 244 144 887 2.6% Health Care 150 141 138 131 560 1.6% Education 23 15 23 5 66 0.2% Travel to and from Work 15 14 13 * 44 0.1% Being Taken Care of * * * * 6 0.0% Unspecified Activity 2,115 2,047 1,394 863 6,419 18.6% Total 11,799 11,292 7,423 4,081 34,595 100.0% * Less than 5 cases HSDA #23 – Fraser South 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 22 Number of Injuries by Activity when Injured & Sex, Adults (Ages 25-64 years), Surrey Memorial Hospital, 2001-20030 500 1000 1500 2000 2500 3000EducationHealth CareOrganized SportsVital and Personal ActivityInformal SportsLeisureUnpaid WorkOther Specified ActivityTravelPaid WorkActivity when InjuredNumber of InjuryMaleFemaleNumber of Injuries by Activity when Injured & Sex, Adults (Ages 25-64 years), Langley Memorial Hospital, 2001-20030 500 1000 1500 2000EducationHealth CareVital and Personal ActivityOrganized SportsInformal SportsOther Specified ActivityTravelUnpaid WorkLeisurePaid WorkActivity when InjuredNumber of InjuryMaleFemale Of all the cases presenting to Surrey Memorial Hospital, the leading activities when injured among all the adult age groups were:  Paid Work (20.9%)  Travel (15.0%)  Other Specified Activity (11.1%) Among males, the leading activities when injured were:  Paid Work (25.7%)  Travel (12.3%)  Unpaid Work (10.7%) Among females, the leading activities when injured were:  Travel (19.4%)  Other Specified Activity (13.2%)  Paid Work (12.7%) Of all the cases presenting to Langley Memorial Hospital, the leading activities when injured among all the adult age groups were:  Paid Work (28.0%)  Leisure (14.7%)  Unpaid Work (14.0%) Among males, the leading activities when injured were:  Paid Work (33.7%)  Unpaid Work (14.7%)  Leisure (11.7%) Among females, the leading activities when injured were:  Leisure (20.8%)  Paid Work (16.6%)  Travel (16.6%) HSDA #23 – Fraser South 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 23 Number of Injuries by Activity when Injured & Sex, Adults (Ages 25-64 years), Delta Hospital, 2001-20030 200 400 600 800 1000 1200 1400 1600Health CareEducationVital and Personal ActivityInformal SportsOrganized SportsTravelOther Specified ActivityLeisureUnpaid WorkPaid WorkActivity when InjuredNumber of InjuryMaleFemaleNumber of Injuries by Activity when Injured & Sex, Adults (Ages 25-64 years), Peace Arch Hospital, 2001-20030 100 200 300 400 500 600Travel to and from WorkHealth CareVital and Personal ActivityInformal SportsLeisureOrganized SportsOther Specified ActivityTravelUnpaid WorkPaid WorkActivity when InjuredNumber of InjuryMaleFemale Of all the cases presenting to Delta Hospital, the leading activities when injured among all the adult age groups were:  Paid Work (29.7%)  Unpaid Work (15.8%)  Leisure (11.5%) Among males, the leading activities when injured were:  Paid Work (36.5%)  Unpaid Work (16.2%)  Organized Sports (9.1%) Among females, the leading activities when injured were:  Leisure (17.2%)  Paid Work (16.8%)  Unpaid Work (14.9%) Of all the cases presenting to Peace Arch Hospital, the leading activities when injured among all the adult age groups were:  Paid Work (16.7%)  Unpaid Work (15.1%)  Travel (12.8%) Among males, the leading activities when injured were:  Paid Work (19.0%)  Unpaid Work (17.9%)  Organized Sports (11.2%) Among females, the leading activities when injured were:  Travel (15.8%)  Paid Work (13.4%)  Unpaid Work (11.2%) HSDA #23 – Fraser South 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 24 7) Type of Injury Between April 1, 2001 and March 31, 2003, Open Wound (28.0%) was the most common type of injury among adults in the Fraser South Health Area. Fraser South Health Area, 2001-2003 Age Group Total Type of Injury 25-34 34-44 45-54 55-64 # % Open wound 3,373 3,159 2,096 1,064 9,692 28.0% Superficial 1,743 1,626 1,009 647 5,025 14.5% Sprain/Strain 1,787 1,609 997 466 4,859 14.0% Fracture 1,210 1,362 1,059 733 4,364 12.6% Other 596 513 320 169 1,598 4.6% Muscle/Tendon 531 547 336 179 1,593 4.6% Foreign Body 484 572 325 158 1,539 4.4% Eye 279 314 207 76 876 2.5% Poisoning/Toxic 242 232 170 101 745 2.2% Burn/Corrosion 237 205 152 73 667 1.9% Dislocation 218 203 102 64 587 1.7% Complications of Medical Care 109 111 112 97 429 1.2% No Injury 129 85 57 32 303 0.9% Concussion 93 83 62 28 266 0.8% Crushing 86 75 47 17 225 0.7% Amputation 52 54 42 19 167 0.5% Intra-cranial 50 47 20 18 135 0.4% Dislocation/sprain/strain 28 25 21 8 82 0.2% Nerve/Blood 17 14 14 * 49 0.1% Other Miscellaneous Types 41 26 22 8 97 0.3% Unspecified 494 430 253 120 1,297 3.7% Total 11,799 11,292 7,423 4,081 34,595 100.0% * Less than 5 cases HSDA #23 – Fraser South 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 25 Number of Injuries by Type of Injury & Sex, Adults (Ages 25-64 years), Surrey Memorial Hospital, 2001-20030 500 1000 1500 2000 2500 3000 3500Burn/CorrosionEyePoisoning/ToxicForeign BodyMuscle/TendonOtherFractureSuperficialSprain/StrainOpen woundInjury TypeNumber of InjuryMaleFemaleNumber of Injuries by Type of Injury & Sex, Adults (Ages 25-64 years), Langley Memorial Hospital, 2001-20030 500 1000 1500 2000Poisoning/ToxicBurn/CorrosionDislocationMuscle/TendonEyeForeign BodyFractureSprain/StrainSuperficialOpen woundInjuryTypeNumber of InjuryMaleFemale Of all the cases presenting to Surrey Memorial Hospital, the leading types of injuries among all the adult age groups were:  Open Wound (27.0%)  Sprain/Strain (11.7%)  Superficial (10.8%) Among males, the most common types of injuries were:  Open Wound (31.5%)  Fracture (10.7%)  Superficial (10.2%) Among females, the most common types of injuries were:  Open Wound (19.5%)  Sprain/Strain (14.8%)  Superficial (11.9%) Of all the cases presenting to Langley Memorial Hospital, the leading types of injuries among all the adult age groups were:  Open Wound (28.3%)  Superficial (20.0%)  Sprain/Strain (15.0%) Among males, the most common types of injuries were:  Open Wound (31.9%)  Superficial (18.6%)  Fracture (13.6%) Among females, the most common types of injuries were:  Superficial (22.7%)  Open Wound (21.2%)  Sprain/Strain (19.8%) HSDA #23 – Fraser South 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 26 Number of Injuries by Type of Injury & Sex, Adults (Ages 25-64 years), Delta Hospital, 2001-2003 0 200 400 600 800 1000 1200 1400Poisoning/ToxicDislocationBurn/CorrosionMuscle/TendonEyeForeign BodyFractureSuperficialSprain/StrainOpen woundInjury TypeNumber of InjuryMaleFemaleNumber of Injuries by Type of Injury & Sex, Adults (Ages 25-64 years), Peace Arch Hospital, 2001-20030 100 200 300 400 500 600 700 800 900EyeComplications of Medical CarePoisoning/ToxicMuscle/TendonForeign BodyOtherFractureSuperficialSprain/StrainOpen woundInjury TypeNumber of InjuryMaleFemale Of all the cases presenting to Delta Hospital, the leading types of injuries among all the adult age groups were:  Open Wound (30.8%)  Sprain/Strain (18.1%)  Superficial (16.9%) Among males, the most common types of injuries were:  Open Wound (33.2%)  Superficial (15.4%)  Sprain/Strain (14.9%) Among females, the most common types of injuries were:  Open Wound (26.4%)  Sprain/Strain (24.0%)  Superficial (19.6%) Of all the cases presenting Peace Arch Hospital, the leading types of injuries among all the adult age groups were:  Open Wound (27.2%)  Sprain/Strain (14.9%)  Superficial (14.0%) Among males, the most common types of injuries were:  Open Wound (31.6%)  Sprain/Strain (13.0%)  Fracture (12.6%) Among females, the most common types of injuries were:  Open Wound (21.1%)  Sprain/Strain (17.5%)  Superficial (16.2%) HSDA #23 – Fraser South 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 27 8) Top 5 Leading Causes of Injury by Activity when Injured Table below highlights the top 5 leading causes of injury among adults in the Fraser South Health Area, and the activity they were involved in when injured for each of the leading causes. For example, among all cases where Falls were the cause of injury, 17.4% were involved in Paid Work when injured, followed by 16.7% in Leisure and 15.8% in Other Specified Activity. Fraser South Health Area, 2001-2003 Cause of Injury Activity when Injured Falls Struck by Object Cutting/ Piercing Motor Vehicle-Occupant Overexertion Paid Work 17.4% 28.1% 36.5% 4.4% 30.7% Unpaid Work 8.7% 7.5% 37.1% 0.6% 11.8% Travel 2.1% 0.6% 0.1% 90.7% 1.7% Other Specified Activity 15.8% 10.3% 5.3% 1.1% 9.6% Leisure 16.7% 8.7% 3.5% 0.5% 12.8% Informal Sports 6.7% 9.5% 0.2% 0.1% 11.9% Organized Sports 1.8% 19.1% 0.0% 0.1% 7.3% Vital & Personal Activity 4.0% 1.1% 1.6% 0.1% 2.8% Health Care 0.2% 0.1% 0.1% 0.0% 0.1% Education 0.3% 0.3% 0.1% 0.0% 0.3% Travel to and from Work 0.1% 0.0% 0.0% 0.7% 0.0% Being Taken Care of 0.0% 0.0% 0.0% 0.0% 0.0% Unspecified Activity 26.2% 14.7% 15.5% 1.6% 10.9% Total 100.0% 100.0% 100.0% 100.0% 100.0% HSDA #23 – Fraser South 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 28 9) Top 5 Leading Causes of Injury by Place of Occurrence Table below highlights the top 5 leading causes of injury among adults in the Fraser South Health Area, and the place where injury occurred for each of the leading causes. For example, among all cases where Falls were the cause of injury, 46.8% of injuries occurred at Home, followed by 8.8% at Other Specified Place and 8.1% at the Trade and Service Area. Fraser South Health Area, 2001-2003 Cause of Injury Place of Occurrence Falls Struck by Object Cutting/ Piercing Motor Vehicle-Occupant Overexertion Home 46.8% 30.7% 53.3% 1.9% 28.5% Street & highway area 6.5% 1.6% 0.5% 81.8% 4.7% Industrial & construction area 7.3% 14.4% 17.9% 0.9% 9.3% Sports & athletics area 6.4% 26.5% 0.3% 0.1% 15.3% Trade & service area 8.1% 8.0% 9.5% 0.5% 9.2% Other specified place 8.8% 6.6% 3.9% 1.8% 8.7% School, other institution & public area 3.2% 3.6% 5.5% 0.3% 9.3% Residential Institution 0.5% 0.4% 0.4% 0.0% 0.4% Farm 0.3% 0.3% 0.4% 0.1% 0.2% Unspecified place 12.1% 7.9% 8.5% 12.5% 14.5% Total 100.0% 100.0% 100.0% 100.0% 100.0% Adults Injury HSDA #14 – Thompson Health Area, 2001-2003 14. Thompson • Royal Inland Hospital • Lillooet District Hospital HSDA #14 – Thompson 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 31 This section of the report examines injury cases among adults (ages 25-64 years) presenting to the Royal Inland Hospital and Lillooet District Hospital in the Thompson Health Area from April 1, 2001 to March 31, 2003. Only cases treated and released, left without being seen, or refused treatment are presented in this report. In total, 12,056 adult cases were classified into these first three levels of the visit disposition:  11,634 patients (96.5%) were treated and released  406 patients (3.4%) left without being seen  16 patients (0.1%) left against medical advice or refused treatment 1) Total Number of Injury Cases Of the total 12,056 adult injury cases presenting to the Thompson Health Area:  61.4% were males  38.6% were females Among the adult injuries, ages 25-34 years had the highest percentage of injury (34.0%), followed by ages 35-44 years (32.4%) and 45-54 years (21.8%). Of the total 12,056 adult injury cases presenting to the Thompson Health Area:  11,362 cases (94.2%) were injury-related visits to the emergency department of Royal Inland Hospital  694 cases (5.8%) were injury-related visits to the emergency department of Lillooet District Hospital Table 1: Thompson Health Area, 2001-2003 Age Group Males Femvales Total* 25-34 2,674 1,420 4,094 35-44 2,424 1,478 3,903 45-54 1,494 1,133 2,627 55-64 814 618 1,432 Total* 7,406 4,649 12,056 *Includes 1 case of sex unknown HSDA #14 – Thompson 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 32 Of total cases presenting to Royal Inland Hospital:  61.2% were males  38.8% were females  Ages 25-34 years had the highest percentage of injury (34.2%), followed by ages 35-44 years (32.1%), and 45-54 years (21.8%). Of total cases presenting to Lillooet District Hospital:  64.8% were males  35.2% were females  Ages 35-44 years had the highest percentage of injury (36.9%), followed by ages 25-34 years (30.5%), and 45-54 years (21.9%). Table 2: Royal Inland Hospital, 2001-2003 Age Group Males Females Total* 25-34 2,531 1,351 3,882 35-44 2,255 1,391 3,647 45-54 1,405 1,070 2,475 55-64 765 593 1,358 Total* 6,956 4,405 11,362 *Includes 1 case of sex unknown Table 3: Lillooet District Hospital, 2001-2003 Age Group Males Females Total 25-34 143 69 212 35-44 169 87 256 45-54 89 63 152 55-64 49 25 74 Total 450 244 694 HSDA #14 – Thompson 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 33 Average Annual Injury Rate per 1,000 by Age Group & Sex, Adults (Ages 25-64 years), Thompson Health Area, 2001-20030.050.0100.0150.0200.0250.025-34 35-44 45-54 55-64Age GroupInjury Rate per 1,000MaleFemaleTotal2) Average Annual Injury Rate per 1,000 In the Thompson Health Area, the average annual injury rate per 1,000 population was 101.4. The injury rate was highest for ages 25-34 years (153.6), and decreased significantly with age for both males and females. The average injury rate was higher for males than females among all adult age groups. For detailed definitions on rate calculation and population estimates used in calculating rate, refer to Appendix D. HSDA #14 – Thompson 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 34 Number of Injury-Related Visits by Day of Week & Sex, Adults (Ages 25-64 years), Thompson Health Area, 2001-200305001000150020002500SUN MON TUE WED THU FRI SATDay of WeekNumber of InjuryFemaleMaleNumber of Injury-Related Visits by Month & Sex, Adults (Ages 25-64 years), Thompson Health Area, 2001-20030200400600800100012001400JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DECMonthNumber of InjuryFemaleMale3) Time Distribution of Injury Among the adult age groups, the highest number of injury-related visits to the emergency department occurred in July (10.3%), closely followed by August (10.0%) and June (9.6%). The highest number of injury-related visits to the emergency department occurred during weekends: Saturday (16.0%) and Sunday (15.5%). HSDA #14 – Thompson 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 35 4) Cause of Injury Between April 1, 2001 and March 31, 2003, Falls (22.1%) were the leading causes of injury among adults in the Thompson Health Area. Thompson Health Area, 2001-2003 Age Total Cause of Injury 25-34 35-44 45-54 55-64 # % Falls 731 802 666 463 2662 22.1% Struck by Object 706 597 345 165 1813 15.0% Cutting/Piercing 514 482 375 196 1567 13.0% Motor Vehicle-Occupant 347 322 227 128 1024 8.5% Overexertion 377 364 206 75 1022 8.5% Inflicted Injury 292 214 75 21 602 5.0% Foreign Body 153 225 120 65 563 4.7% Postoperative Complications 151 137 135 91 514 4.3% Environmental 135 151 126 79 491 4.1% Non-MV Pedal Cycle 146 93 38 11 288 2.4% Fire, Flames & Hot Substances 61 67 37 25 190 1.6% Self-Inflicted 87 57 40 * 187 1.6% Other Transport 61 60 43 14 178 1.5% Motorcyclist 66 63 29 * 161 1.3% Poisoning 50 54 31 17 152 1.3% Machinery in Operation 32 38 29 37 136 1.1% Off-Road Motor Vehicle 41 33 21 * 98 0.8% Adverse Effects 15 26 24 18 83 0.7% Motor Vehicle-Pedestrian 14 17 10 * 42 0.3% Legal Interventions 10 12 5 * 28 0.2% Other Miscellaneous Causes 26 32 15 7 80 0.7% Other/Unspecified 79 57 30 9 175 1.5% Total 4,094 3,903 2,627 1,432 12,056 100.0% * Less than 5 cases HSDA #14 – Thompson 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 36 Number of Injuries by Cause of Injury & Sex, Adults (Ages 25-64 years), Lillooet District Hospital, 2001-20030 20 40 60 80 100Fire, Flames & Hot SubstancesPoisoningInflicted InjuryEnvironmentalMotor Vehicle-OccupantOverexertionForeign BodyStruck by ObjectFallsCutting/PiercingCause of InjuryNumber of InjuryMaleFemaleNumber of Injuries by Cause of Injury & Sex, Adults (Ages 25-64 years), Royal Inland Hospital, 2001-20030 200 400 600 800 1000 1200 1400 1600Non-MV Pedal CycleEnvironmentalForeign BodyPostoperative ComplicationsInflicted InjuryOverexertionMotor Vehicle-OccupantCutting/PiercingStruck by ObjectFallsCause of InjuryNumber of InjuryMaleFemale Of all the adult injury cases presenting to Royal Inland Hospital, the leading causes of injury were:  Falls (22.5%)  Struck by Object (15.1%)  Cutting/Piercing (12.6%) Among males, the leading causes of injury were:  Falls (19.5%)  Struck by Object (17.5%)  Cutting/Piercing (13.6%) Among females, the leading causes of injury were:  Falls (27.2%)  Struck by Object (11.4%)  Motor Vehicle-Occupant (11.4%) Of all the adult injury cases presenting to Lillooet District Hospital, the leading causes of injury were:  Cutting/Piercing (19.7%)  Falls (15.9%)  Struck by Object (13.4%) Among males, the leading causes of injury were:  Cutting/Piercing (19.6%)  Struck by Object (15.6%)  Falls (14.7%) Among females, the leading causes of injury were:  Cutting/Piercing (20.1%)  Falls (18.0%)  Poisoning (9.8%) HSDA #14 – Thompson 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 37 5) Place of Occurrence of Injury Between April 1, 2001 and March 31, 2003, Home (30.6%) was the leading place of occurrence of injury among adults in the Thompson Health Area. Thompson Health Area, 2001-2003 Age Group Total Place of Occurrence of Injury 25-34 35-44 45-54 55-64 # % Home 1,077 1,132 888 588 3,685 30.6% Other specified place 561 553 363 172 1,649 13.7% Sports & athletics area 629 448 207 100 1,384 11.5% Trade & service area 449 392 206 91 1,138 9.4% Industrial & construction area 206 208 134 59 607 5.0% School, other institution & public area 112 155 125 54 446 3.7% Street & highway area 88 76 55 25 244 2.0% Residential Institution 37 36 24 9 106 0.9% Farm 15 24 19 17 75 0.6% Unspecified place 920 879 606 317 2,722 22.6% Total 4,094 3,903 2,627 1,432 12,056 100.0% HSDA #14 – Thompson 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 38 Number of Injuries by Place of Occurrence & Sex, Adults (Ages 25-64 years), Royal Inland Hospital, 2001-20030 500 1000 1500 2000FarmResidential InstitutionStreet & highway areaSchool, other institution & public areaIndustrial & construction areaTrade & service areaSports & athletics areaOther specified placeHomePlace of OccurrenceNumber of InjuryMaleFemaleNumber of Injuries by Place of Occurrence & Sex, Adults (Ages 25-64 years), Lillooet District Hospital, 2001-20030 20 40 60 80 100 120Residential InstitutionFarmStreet & highway areaSchool, other institution & public areaSports & athletics areaIndustrial & construction areaTrade & service areaOther specified placeHomePlace of OccurrenceNumber of InjuryMaleFemaleOf all the adult injury cases presenting to Royal Inland Hospital, the leading places of occurrence of injury were:  Home (31.0%)  Other Specified Place (13.3%)  Sports/Athletics Area (12.0%) Among males, the leading places where injuries occurred were:  Home (26.3%)  Other Specified Place (15.5%)  Sports/Athletics Area (13.8%) Among females, the leading places where injuries occurred were:  Home (38.3%)  Other Specified Place (9.9%)  Sports/Athletics Area (9.2%) Of all the adult injury cases presenting to Lillooet District Hospital, the leading places of occurrence of injury were:  Home (24.1%)  Other Specified Place (19.5%)  Trade & Service Area (6.9%) Among males, the leading places where injuries occurred were:  Home (22.2%)  Other Specified Place (22.2%)  Industrial & Construction Area (8.4%) Among females, the leading places where injuries occurred were:  Home (27.5%)  Other Specified Place (14.3%)  Trade & Service Area (11.9%) HSDA #14 – Thompson 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 39 6) Activity when Injured Between April 1, 2001 and March 31, 2003, Paid Work (19.9%) was the leading activity when injured among adults in the Thompson Health Area. Thompson Health Area, 2001-2003 Age Group Total Activity when Injured 25-34 35-44 45-54 55-64 # % Paid Work 765 846 563 227 2,401 19.9% Other Specified Activity 603 571 365 189 1,728 14.3% Unpaid Work 316 366 297 216 1,195 9.9% Travel 380 379 278 142 1,179 9.8% Informal Sports 483 315 160 72 1,030 8.5% Leisure 316 239 173 84 812 6.7% Organized Sports 358 238 80 24 700 5.8% Health Care 162 162 159 108 591 4.9% Vital and Personal Activity 44 66 43 37 190 1.6% Education 15 6 * * 22 0.2% Travel to and from Work * 6 * * 13 0.1% Unspecified Activity 649 709 506 331 2,195 18.2% Total 4,094 3,903 2,627 1,432 12,056 100.0% * Less than 5 cases HSDA #14 – Thompson 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 40 Number of Injuries by Activity when Injured & Sex, Adults (Ages 25-64 years), Royal Inland Hospital, 2001-20030 500 1000 1500 2000EducationVital and Personal ActivityHealth CareOrganized SportsLeisureInformal SportsUnpaid WorkTravelOther Specified ActivityPaid WorkActivity when InjuredNumber of InjuryMaleFemaleNumber of Injuries by Activity when Injured & Sex, Adults (Ages 25-64 years), Lillooet District Hospital, 2001-20030 20 40 60 80 100 120Travel to and from WorkHealth CareVital and Personal ActivityOrganized SportsInformal SportsTravelLeisureOther Specified ActivityUnpaid WorkPaid WorkActivity when InjuredNumber of InjuryMaleFemale Of all the cases presenting to Royal Inland Hospital, the leading activities when injured among all the adult age groups were:  Paid Work (19.8%)  Other Specified activity (14.5%)  Travel (9.9%) Among males, the leading activities when injured were:  Paid Work (24.4%)  Other Specified activity (12.2%)  Unpaid Work (10.9%) Among females, the leading activities when injured were:  Other Specified activity (18.1%)  Travel (13.0%)  Paid Work (12.6%) Of all the cases presenting to Lillooet District Hospital, the leading activities when injured among all the adult age groups were:  Paid Work (21.8%)  Unpaid Work (19.0%)  Other Specified activity (11.7%) Among males, the leading activities when injured were:  Paid Work (24.7%)  Unpaid Work (21.1%)  Leisure (10.0%) Among females, the leading activities when injured were:  Paid Work (16.4%)  Unpaid Work (15.2%)  Other Specified activity (15.2%) HSDA #14 – Thompson 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 41 7) Type of Injury Between April 1, 2001 and March 31, 2003, Open Wound (25.6%) was the most common type of injury among adults in the Thompson Health Area. Thompson Health Area, 2001-2003 Age Group Total Type of Injury 25-34 35-44 45-54 55-64 # % Open wound 1,047 978 693 372 3,090 25.6% Superficial 706 654 422 231 2,013 16.7% Sprain/Strain 711 588 373 159 1,831 15.2% Fracture 366 372 299 203 1,240 10.3% Complications of Medical Care 137 137 136 89 499 4.1% Foreign Body 134 204 105 53 496 4.1% Poisoning/Toxic 122 99 79 29 329 2.7% Muscle/Tendon 82 102 84 40 308 2.6% Other 95 95 56 24 270 2.2% Dislocation 101 91 45 33 270 2.2% Eye 70 82 46 30 228 1.9% Burn/Corrosion 73 74 44 31 222 1.8% Further Review 57 81 37 25 200 1.7% No Injury 60 66 36 24 186 1.5% Concussion 52 32 25 15 124 1.0% Crushing 22 16 13 5 56 0.5% Other Miscellaneous Types 48 39 27 16 130 1.1% Unspecified 211 193 107 53 564 4.7% Total 4,094 3,903 2,627 1,432 12,056 100.0% HSDA #14 – Thompson 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 42 Number of Injuries by Type of Injury & Sex, Adults (Ages 25-64 years), Royal Inland Hospital, 2001-20030 500 1000 1500 2000 2500DislocationOtherMuscle/TendonPoisoning/ToxicForeign BodyComplications of Medical CareFractureSprain/StrainSuperficialOpen woundInjury TypeNumber of InjuryMaleFemaleNumber of Injuries by Type of Injury & Sex, Adults (Ages 25-64 years), Lillooet District Hospital, 2001-20030 50 100 150 200EyePoisoning/ToxicNo InjuryMuscle/TendonBurn/CorrosionSprain/StrainFractureForeign BodySuperficialOpen woundInjury TypeNumber of InjuryMaleFemale Of all the cases presenting to Royal Inland Hospital, leading types of injuries among all the adult age groups were:  Open Wound (25.1%)  Superficial (17.2%)  Sprain/Strain (15.8%) Among males, the most common types of injuries were:  Open Wound (28.5%)  Superficial (15.9%)  Sprain/Strain (13.5%) Among females, the most common types of injuries were:  Open Wound (19.8%)  Superficial (19.3%)  Sprain/Strain (19.3%) Of all the cases presenting to Lillooet District Hospital, the leading types of injuries among all the adult age groups were:  Open Wound (34.0%)  Superficial (7.8%)  Foreign Body (6.6%) Among males, the most common types of injuries were:  Open Wound (37.3%)  Foreign Body (9.8%)  Superficial (7.3%) Among females, the most common types of injuries were:  Open Wound (27.9%)  Superficial (8.6%)  Poisoning/Toxic (7.4%) HSDA #14 – Thompson 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 43 8) Top 5 Leading Causes of Injury by Activity when Injured Table below highlights the top 5 leading causes of injury among adults in the Thompson Health Area, and the activity they were involved in when injured for each of the leading causes. For example, among all cases where Falls were the cause of injury, 27.2% were involved in Other Specified Activity when injured, followed by 14.4% in Paid Work and 12.4% in Informal Sports. Thompson Health Area, 2001-2003 Cause of Injury Activity when Injured Falls Struck by Object Cutting/ Piercing Motor Vehicle-Occupant Overexertion Paid Work 14.4% 28.8% 34.6% 4.3% 31.1% Other Specified Activity 27.2% 9.5% 8.8% 0.4% 11.8% Travel 2.4% 0.5% 0.2% 94.3% 0.6% Unpaid Work 5.4% 7.4% 29.5% 0.0% 14.0% Informal Sports 12.4% 6.0% 0.1% 0.2% 12.1% Leisure 9.9% 4.7% 2.2% 0.2% 10.7% Organized Sports 4.0% 20.6% 0.0% 0.1% 13.3% Health Care 0.1% 0.0% 0.0% 0.0% 0.0% Vital & Personal Activity 2.7% 0.8% 0.8% 0.0% 0.6% Education 0.1% 0.3% 0.2% 0.0% 0.8% Travel to and from Work 0.3% 0.0% 0.1% 0.1% 0.0% Unspecified Activity 21.1% 21.5% 23.5% 0.4% 5.0% Total 100.0% 100.0% 100.0% 100.0% 100.0% HSDA #14 – Thompson 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 44 9) Top 5 Leading Causes of Injury by Place of Occurrence Table below highlights the top 5 leading causes of injury among adults in the Thompson Health Area, and the place where injury occurred for each of the leading causes. For example, among all cases where Falls were the cause of injury, 37.4% of injuries occurred at Home, followed by 17.7% at Other Specified Place and 16.2% at the Sports and Athletics Area. Thompson Health Area, 2001-2003 Cause of Injury Place of Occurrence Falls Struck by Object Cutting/ Piercing Motor Vehicle-Occupant Overexertion Home 37.4% 28.0% 49.0% 0.1% 23.3% Other specified place 17.7% 13.0% 12.3% 0.2% 15.4% Sports & athletics area 16.2% 27.3% 1.0% 0.0% 24.1% Trade & service area 9.8% 10.6% 13.8% 0.0% 11.4% Industrial & construction area 3.1% 9.1% 8.5% 0.2% 5.6% School, other institution & public area 2.7% 4.2% 7.0% 0.0% 10.0% Street & highway area 4.6% 0.9% 0.4% 0.0% 2.2% Residential Institution 0.9% 0.7% 0.9% 0.0% 0.8% Farm 0.2% 0.4% 0.4% 0.0% 0.9% Unspecified place 7.3% 5.7% 6.6% 99.5% 6.5% Total 100.0% 100.0% 100.0% 100.0% 100.0% Adults Injury HSDA #51 – North West Health Area, 2001-2003 51. North West • Bulkley Valley District Hospital • Kitimat General Hospital • Mills Memorial Hospital • Prince Rupert Regional Hospital HSDA #51 – North West 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 47 This section of the report examines injury cases among adults (ages 25-64 years) presenting to Prince Rupert Regional Hospital, Bulkley Valley District Hospital, Mills Memorial Hospital, and Kitimat General Hospital in the North West Health Area from April 1, 2001 to March 31, 2003. Only cases treated and released, left without being seen, or refused treatment are presented in this report. In total, 8,641 adult cases were classified into these first three levels of the visit disposition:  8,486 patients (98.2%) were treated and released  99 patients (1.1%) left without being seen  56 patients (0.6%) left against medical advice or refused treatment 1) Total Number of Injury Cases Of the total 8,641 adult injury cases presenting to the North West Health Area:  62.4% were males  37.6% were females Among the adult injuries, ages 35-44 years had the highest percentage of injury (33.8%), followed by ages 25-34 years (33.1%) and 45-54 years (21.8%) Of the total 8,641 adult injury cases presenting to the North West Health Area:  3,121 cases (36.1%) were injury-related visits to the emergency department of Prince Rupert Regional Hospital  2,315 cases (26.8%) were injury-related visits to the emergency department of Bulkley Valley District Hospital  2,110 cases (24.4%) were injury-related visits to the emergency department of Mills Memorial Hospital  1,095 cases (12.7%) were injury-related visits to the emergency department of Kitimat General Hospital Table 1: North West Health Area, 2001-2003 Age Group Males Females Total* 25-34 1,815 1,047 2,863 35-44 1,829 1,090 2,919 45-54 1,172 710 1,882 55-64 579 398 977 Total* 5,395 3,245 8,641 *Includes 1 case of sex unknown HSDA #51 – North West 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 48 Of total cases presenting to Prince Rupert Regional Hospital:  62.9% were males  37.1% were females  Ages 35-44 years had the highest percentage of injury (34.0%), followed by ages 25-34 years (32.7%), and 45-54 years (22.2%). Of total cases presenting to Bulkley Valley District Hospital:  62.3% were males  37.7% were females  Ages 35-44 years had the highest percentage of injury (36.0%), followed by ages 25-34 years (31.9%), and 45-54 years (21.5%). Of total cases presenting to Mills Memorial Hospital:  60.4% were males  39.5% were females  Ages 25-34 years had the highest percentage of injury (35.5%), followed by ages 35-44 years (32.1%), and 45-54 years (19.8%). Of total cases presenting to Kitimat General Hospital:  65.4% were males  34.6% were females  Ages 25-34 years had the highest percentage of injury (32.3%), followed by ages 35-44 years (31.7%), and 45-54 years (25.0%). Table 2: Prince Rupert Regional Hospital, 2001-2003 Age Group Males Females Total 25-34 638 384 1,022 35-44 673 388 1,061 45-54 436 257 693 55-64 215 130 345 Total 1,962 1,159 3,121 Table 3: Bulkley Valley District Hospital, 2001-2003 Age Group Males Females Total 25-34 477 261 738 35-44 509 325 834 45-54 308 189 497 55-64 148 98 246 Total 1,442 873 2,315 Table 4: Mills Memorial Hospital, 2001-2003 Age Group Males Females Total* 25-34 461 287 749 35-44 422 255 677 45-54 249 169 418 55-64 143 123 266 Total* 1,275 834 2,110 *Includes 1 case of sex unknown Table 5: Kitimat General Hospital, 2001-2003 Age Group Males Females Total 25-34 239 115 354 35-44 225 122 347 45-54 179 95 274 55-64 73 47 120 Total 716 379 1,095 HSDA #51 – North West 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 49 Average Annual Injury Rate per 1,000 by Age Group & Sex, Adults (25-64 years), North West Health Area, 2001-20030.050.0100.0150.0200.0250.025-34 35-44 45-54 55-64Age GroupRate per 1,000MaleFemaleTotal2) Average Annual Injury Rate per 1,000 In the North West Health Area, the average annual injury rate per 1,000 population was 113.9. The injury rate was highest for ages 25-34 years (151.1), and decreased significantly with age for both males and females. The average injury rate was higher for males than females among all adult age groups. For detailed definitions on rate calculation and population estimates used in calculating rate, refer to Appendix D. HSDA #51 – North West 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 50 Number of Injury-Related Visits by Month & Sex, Adults (Ages 25-64 years), North West Health Area, 2001-20030100200300400500600700800900JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DECMonthNumber of InjuryFemaleMaleNumber of Injury-Related Visits by Day of Week & Sex, Adults (Ages 25-64 years), North West Health Area, 2001-20030200400600800100012001400160018002000SUN MON TUE WED THU FRI SATDay of WeekNumber of InjuryFemaleMale3) Time Distribution of Injury Among the adult age groups, the highest number of injury-related visits to the emergency department occurred in July (9.3%), closely followed by June (9.1%). The highest number of injury-related visits occurred during weekends: Saturday (19.9%) and Sunday (16.5%). HSDA #51 – North West 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 51 4) Cause of Injury Between April 1, 2001 and March 31, 2003, Falls (20.5%) were the leading cause of injury among adults in the North West Health Area. North West Health Area, 2001-2003 Age Group Total Cause of Injury 25-34 35-44 45-54 55-64 # % Falls 513 523 448 289 1,773 20.5% Struck by Object 498 486 269 125 1,378 15.9% Cutting/Piercing 430 441 323 165 1,359 15.7% Overexertion 272 289 163 58 782 9.0% Inflicted Injury 256 200 65 13 534 6.2% Foreign Body 119 174 120 46 459 5.3% Motor Vehicle-Occupant 154 129 97 64 444 5.1% Environmental 85 109 80 41 315 3.6% Postoperative Complications 47 80 60 34 221 2.6% Machinery in Operation 52 68 46 23 189 2.2% Fire, Flames & Hot Substances 57 64 40 15 176 2.0% Other Transport 35 36 23 13 107 1.2% Poisoning 37 38 17 11 103 1.2% Non-MV Pedal Cycle 41 28 13 * 85 1.0% Adverse Effects 19 27 15 16 77 0.9% Off-Road Motor Vehicle 27 22 11 * 61 0.7% Self-Inflicted 28 21 6 * 56 0.6% Motor Vehicle Traffic 23 20 6 * 52 0.6% Undetermined Intent 18 20 * * 44 0.5% Motor Vehicle-Pedestrian 18 6 6 * 32 0.4% Other Miscellaneous Causes 53 63 25 17 158 1.8% Other/Unspecified 81 75 45 35 236 2.7% Total 2,863 2,919 1,882 977 8,641 100.0% * Less than 5 cases HSDA #51 – North West 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 52 Number of Injuries by Cause of Injury & Sex, Adults (25-64 years), Prince Rupert General Hospital, 2001-20030 50 100 150 200 250 300 350 400Other TransportFire, Flames & Hot SubstancesEnvironmentalForeign BodyPostoperative ComplicationsInflicted InjuryOverexertionStruck by ObjectCutting/PiercingFallsCause of InjuryNumber of InjuryMaleFemaleNumber of Injuries by Cause of Injury & Sex, Adults (25-64 years), Bulkley Valley District Hospital, 2001-20030 50 100 150 200 250 300Machinery in OperationPostoperative ComplicationsInflicted InjuryForeign BodyEnvironmentalMotor Vehicle-OccupantOverexertionStruck by ObjectCutting/PiercingFallsCause of InjuryNumber of InjuryMaleFemale Of all the adult injury cases presenting to Prince Rupert Regional Hospital, the leading causes of injury were:  Falls (19.6%)  Cutting/Piercing (15.9%)  Struck by Object (15.3%) Among males, the leading causes of injury were:  Struck by Object (17.8%)  Cutting/Piercing (17.3%)  Falls (16.4%) Among females, the leading causes of injury were:  Falls (25.0%)  Cutting/Piercing (13.4%)  Overexertion (11.7%) Of all the adult injury cases presenting to Bulkley Valley District Hospital, the leading causes of injury were:  Falls (19.6%)  Cutting/Piercing (15.4%)  Struck by Object (15.1%) Among males, the leading causes of injury were:  Falls (16.9%)  Struck by Object (16.6%)  Cutting/Piercing (16.3%) Among females, the leading causes of injury were:  Falls (24.1%)  Cutting/Piercing (14.0%)  Struck by Object (12.6%) HSDA #51 – North West 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 53 Number of Injuries by Cause of Injury & Sex, Adults (25-64 years), Mills Memorial Hospital, 2001-20030 50 100 150 200 250 300Machinery in OperationFire, Flames & Hot SubstancesEnvironmentalInflicted InjuryForeign BodyOverexertionMotor Vehicle-OccupantCutting/PiercingStruck by ObjectFallsCause of InjuryNumber of InjuryMaleFemaleNumber of Injuries by Cause of Injury & Sex, Adults (25-64 years), Kitimat General Hospital, 2001-20030 20 40 60 80 100 120 140PoisoningInflicted InjuryEnvironmentalMachinery in OperationMotor Vehicle-OccupantForeign BodyOverexertionCutting/PiercingStruck by ObjectFallsCause of InjuryNumber of InjuryMaleFemale Of all the adult injury cases presenting to Mills Memorial Hospital, the leading causes of injury were:  Falls (22.5%)  Struck by Object (18.4%)  Cutting/Piercing (16.8%) Among males, the leading causes of injury were:  Struck by Object (20.6%)  Falls (19.2%)  Cutting/Piercing (17.3%) Among females, the leading causes of injury were:  Falls (27.3%)  Cutting/Piercing (16.1%)  Struck by Object (15.0%) Of all the adult injury cases presenting to Kitimat General Hospital, the leading causes of injury were:  Falls (21.5%)  Struck by Object (15.1%)  Cutting/Piercing (14.0%) Among males, the leading causes of injury were:  Struck by Object (17.2%)  Falls (15.8%)  Cutting/Piercing (14.5%) Among females, the leading causes of injury were:  Falls (32.2%)  Cutting/Piercing (12.9%)  Struck by Object (11.1%) HSDA #51 – North West 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 54 5) Place of Occurrence of Injury Between April 1, 2001 and March 31, 2003, Home (32.7%) was the leading place of occurrence of injury among adults in the North West Health Area. North West Health Area, 2001-2003 Age Group Total Place of Occurrence 25-34 35-44 45-54 55-64 # % Home 848 926 679 375 2,828 32.7% Street & highway area 396 353 237 123 1,109 12.8% Other specified place 282 274 171 100 827 9.6% Industrial & construction area 216 268 206 64 754 8.7% Sports & athletics area 258 196 71 29 554 6.4% School, other institution & public area 157 169 136 57 519 6.0% Trade & service area 161 176 94 45 476 5.5% Residential Institution 27 28 26 8 89 1.0% Farm 13 21 12 5 51 0.6% Unspecified place 505 508 250 171 1,434 16.6% Total 2,863 2,919 1,882 977 8,641 100.0% HSDA #51 – North West 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 55 Number of Injuries by Place of Occurrence & Sex, Adults (25-64 years), Prince Rupert Regional Hospital, 2001-20030 100 200 300 400 500 600FarmResidential InstitutionTrade & service areaSports & athletics areaSchool, other institution & public areaOther specified placeIndustrial & construction areaStreet & highway areaHomePlace of OccurrenceNumber of InjuryMaleFemaleNumber of Injuries by Place of Occurrence & Sex, Adults (25-64 years), Bulkley Valley District Hospital, 2001-2003 0 50 100 150 200 250 300 350FarmResidential InstitutionTrade & service areaIndustrial & construction areaSports & athletics areaOther specified placeSchool, other institution & public areaStreet & highway areaHomePlace of OccurrenceNumber of InjuryMaleFemale Of all the adult injury cases presenting to Prince Rupert Regional Hospital, the leading places of occurrence of injury were:  Home (32.7%)  Street/Highway Area (14.9%)  Industrial/Construction Area (9.2%) Among males, the leading places where injuries occurred were:  Home (28.8%)  Street/Highway Area (15.3%)  Industrial/Construction Area (13.3%) Among females, the leading places were:  Home (39.4%)  Street/Highway Area (14.2%)  School, Other Institution, Public Area (11.6%) Of all the adult injury cases presenting to Bulkley Valley District Hospital, the leading places of occurrence of injury were:  Home (26.3%)  Street/Highway Area (14.0%)  School, Other Institution, Public Area (7.6%) Among males, the leading places where injuries occurred were:  Home (22.5%)  Street/Highway Area (14.4%)  Sports/Athletics Area (8.6%) Among females, the leading places were:  Home (32.6%)  Street/Highway Area (13.2%)  School, Other Institution, Public Area (8.6%) HSDA #51 – North West 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 56 Number of Injuries by Place of Occurrence & Sex, Adults (25-64 years), Mills Memorial Hospital, 2001-20030 100 200 300 400 500Residential InstitutionFarmSports & athletics areaSchool, other institution & public areaIndustrial & construction areaTrade & service areaStreet & highway areaOther specified placeHomePlace of OccurrenceNumber of InjuryMaleFemaleNumber of Injuries by Place of Occurrence & Sex, Adults (25-64 years), Kitimat General Hospital, 2001-20030 50 100 150 200 250FarmSchool, other institution & public areaResidential InstitutionStreet & highway areaTrade & service areaOther specified placeSports & athletics areaIndustrial & construction areaHomePlace of OccurrenceNumber of InjuryMaleFemale Of all the adult injury cases presenting to Mills Memorial Hospital, the leading places of occurrence of injury were:  Home (39.0%)  Other Specified Place (14.7%)  Street/Highway Area (13.9%) Among males, the leading places where injuries occurred were:  Home (34.0%)  Other Specified Place (17.0%)  Street/Highway Area (12.4%) Among females, the leading places where injuries occurred were:  Home (46.5%)  Street/Highway Area (16.2%)  Other Specified Place (11.3%) Of all the adult injury cases presenting to Kitimat General Hospital, the leading places of occurrence of injury were:  Home (34.2%)  Industrial/Construction Area (21.4%)  Sports/Athletics Area (10.0%) Among males, the leading places where injuries occurred were:  Industrial/Construction Area (29.6%)  Home (27.8%)  Sports/Athletics Area (11.9%) Among females, the leading places where injuries occurred were:  Home (46.2%)  Other Specified (10.8%)  Sports/Athletics Area (6.6%) HSDA #51 – North West 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 57 6) Activity when Injured Between April 1, 2001 and March 31, 2003, Paid Work (21.4%) and Unpaid Work (14.6%) were the leading activities when injured among adults in the North West Health Area. North West Health Area, 2001-2003 Age Group Total Activity when Injured 25-34 35-44 45-54 55-64 # % Paid Work 564 671 454 163 1,852 21.4% Unpaid Work 338 434 313 174 1,259 14.6% Other Specified Activity 395 363 200 114 1,072 12.4% Leisure 347 297 200 115 959 11.1% Travel 211 187 150 78 626 7.2% Informal Sports 151 139 44 22 356 4.1% Organized Sports 177 117 49 8 351 4.1% Vital & Personal Activity 94 111 73 56 334 3.9% Health Care 60 94 65 42 261 3.0% Travel to and from Work 6 7 8 5 26 0.3% Education 5 * * * 8 0.1% Being Taken Care of * * * * 8 0.1% Unspecified Activity 511 495 325 198 1,529 17.7% Total 2,863 2,919 1,882 977 8,641 100.0% * Less than 5 cases HSDA #51 – North West 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 58 Number of Injuries by Activity when Injured & Sex, Adults (25-64 years), Prince Rupert Regional Hospital, 2001-20030 100 200 300 400 500 600EducationInformal SportsOrganized SportsVital and Personal ActivityHealth CareTravelOther Specified ActivityLeisureUnpaid WorkPaid WorkActivity when InjuredNumber of InjuryMaleFemaleNumber of Injuries by Activity when Injured & Sex, Adults (25-64 years), Bulkley Valley District Hospital, 2001-2003 0 50 100 150 200 250 300 350 400Travel to and from WorkVital and Personal ActivityOrganized SportsHealth CareTravelOther Specified ActivityInformal SportsLeisureUnpaid WorkPaid WorkActivity when Injured Number of InjuryMaleFemale Of all the cases presenting to Prince Rupert Regional Hospital, the leading activities when injured among all the adult age groups were:  Paid Work (22.7%)  Unpaid Work (12.4%)  Leisure (11.3%) Among males, the leading activities when injured were:  Paid Work (27.7%)  Unpaid Work (14.4%)  Leisure (11.2%) Among females, the leading activities when injured were:  Paid Work (14.2%)  Leisure (11.6%)  Travel (9.7%) Of all the cases presenting to the Bulkely Valley District Hospital, the leading activities when injured among all the adult age groups were:  Paid Work (19.7%)  Unpaid Work (17.4%)  Leisure (10.3%) Among males, the leading activities when injured were:  Paid Work (24.6%)  Unpaid Work (17.6%)  Leisure (11.0%) Among females, the leading activities when injured were:  Unpaid Work (17.0%)  Paid Work (11.5%)  Other Specified Activity (10.2%) HSDA #51 – North West 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 59 Number of Injuries by Activity when Injured & Sex, Adults (25-64 years), Mills Memorial Hospital, 2001-20030 50 100 150 200 250 300Being Taken Care ofTravel to and from WorkOrganized SportsInformal SportsVital and Personal ActivityLeisureTravelPaid WorkUnpaid WorkOther Specified ActivityActivity when InjuredNumber of InjuryMaleFemaleNumber of Injuries by Activity when Injured & Sex, Adults (25-64 years), Kitimat General Hospital, 2001-20030 50 100 150 200 250 300Being Taken Care ofTravelHealth CareInformal SportsVital and Personal ActivityUnpaid WorkOrganized SportsLeisureOther Specified ActivityPaid WorkActivity when InjuredNumber of InjuryMaleFemaleOf all the cases presenting to Mills Memorial Hospital, the leading activities when injured among all the adult age groups were:  Other Specified activity (21.2%)  Unpaid Work (19.4%)  Paid Work (16.2%) Among males, the leading activities when injured were:  Unpaid Work (21.4%)  Paid Work (19.9%)  Other Specified activity (18.0%) Among females, the leading activities when injured were:  Other Specified activity (26.1%)  Travel (17.3%)  Unpaid Work (16.3%) Of all the cases presenting to Kitimat General Hospital, the leading activities when injured among all the adult age groups were:  Paid Work (31.7%)  Other Specified activity (21.4%)  Leisure (15.8%) Among males, the leading activities when injured were:  Paid Work (39.1%)  Other Specified activity (15.1%)  Leisure (14.7%) Among females, the leading activities when injured were:  Other Specified activity (33.2%)  Leisure (17.9%)  Paid Work (17.7%) HSDA #51 – North West 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 60 7) Type of Injury Between April 1, 2001 and March 31, 2003, Open Wound (29.0%) was the most common type of injury among adults in the North West Health Area. North West, 2001-2003 Age Group Total Types of Injury 25-34 35-44 45-54 55-64 # % Open wound 860 832 540 272 2,504 29.0% Superficial 513 495 335 191 1,534 17.8% Sprain/Strain 414 379 210 106 1,109 12.8% Fracture 178 185 151 102 616 7.1% Muscle/Tendon 119 144 85 38 386 4.5% Eye 104 125 69 35 333 3.9% Other 115 110 72 31 328 3.8% Foreign Body 73 120 90 33 316 3.7% Burn/Corrosion 66 65 44 21 196 2.3% Complications of Medical Care 37 67 55 34 193 2.2% Poisoning/Toxic 57 51 25 9 142 1.6% Dislocation 42 37 24 17 120 1.4% No Injury 17 29 16 17 79 0.9% Crushing 19 25 17 * 63 0.7% Further Review 24 23 7 5 59 0.7% Concussion 18 15 5 6 44 0.5% Other-CMC 7 15 * 7 33 0.4% Intra-cranial 9 * * * 19 0.2% Early complications * 6 5 * 17 0.2% Amputation * * 7 * 16 0.2% Other Miscellaneous Types 36 30 14 * 82 0.9% Unspecified 149 160 103 40 452 5.2% Total 2,863 2,919 1,882 977 8,641 100.0% * Less than 5 cases HSDA #51 – North West 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 61 Number of Injuries by Type of Injury & Sex, Adults (25-64 years), Prince Rupert Regional Hospital, 2001-20030 100 200 300 400 500 600 700Burn/CorrosionNo InjuryPoisoning/ToxicEyeForeign BodyComplications of Medical CareFractureSprain/StrainSuperficialOpen woundInjury TypeNumber of InjuryMaleFemaleNumber of Injuries by Type of Injury & Sex, Adults (25-64 years), Bulkley Valley Disctrict Hospital, 2001-20030 100 200 300 400 500DislocationOtherEyeComplications of Medical CareForeign BodyFractureMuscle/TendonSprain/StrainSuperficialOpen woundInjury TypeNumber of InjuryMaleFemale Of all the cases presenting to Prince Rupert Regional Hospital, the leading types of injuries among all the adult age groups were:  Open Wound (29.4%)  Superficial (16.7%)  Sprain/Strain (14.0%) Among males, the most common types of injuries were:  Open Wound (33.5%)  Superficial (15.7%)  Sprain/Strain (11.5%) Among females, the most common types of injuries were:  Open Wound (22.5%)  Superficial (18.3%)  Sprain/Strain (18.3%) Of all the cases presenting to the Bulkely Valley District Hospital, the leading types of injuries among all the adult age groups were:  Open Wound (28.0%)  Superficial (18.1%)  Sprain/Strain (11.4%) Among males, the most common types of injuries were:  Open Wound (30.7%)  Superficial (16.6%)  Sprain/Strain (10.5%) Among females, the most common types of injuries were:  Open Wound (23.6%)  Superficial (20.4%)  Sprain/Strain (12.9%) HSDA #51 – North West 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 62 Number of Injuries by Type of Injury & Sex, Adults (25-64 years), Mills Memorial Hospital, 2001-20030 100 200 300 400 500DislocationBurn/CorrosionEyeMuscle/TendonForeign BodyFractureOtherSprain/StrainSuperficialOpen woundInjury TypeNumber of InjuryMaleFemaleNumber of Injuries by Type of Injury & Sex, Adults (25-64 years), Kitimat General Hospital, 2001-2003 0 50 100 150 200Foreign BodyPoisoning/ToxicMuscle/TendonBurn/CorrosionFractureOtherEyeSprain/StrainSuperficialOpen woundInjury TypeNumber of InjuryMaleFemale Of all the cases presenting to Mills Memorial Hospital, the leading types of injuries among all the adult age groups were:  Open Wound (32.4%)  Superficial (18.3%)  Sprain/Strain (10.0%) Among males, the most common types of injuries were:  Open Wound (36.2%)  Superficial (16.2%)  Sprain/Strain (7.5%) Among females, the most common types of injuries were:  Open Wound (26.7%)  Superficial (21.7%)  Sprain/Strain (13.8%) Of all the cases presenting to Kitimat General Hospital, the leading types of injuries among all the adult age groups were:  Open Wound (23.1%)  Superficial (19.0%)  Sprain/Strain (17.9%) Among males, the most common types of injuries were:  Open Wound (26.0%)  Superficial (16.2%)  Sprain/Strain (14.5%) Among females, the most common types of injuries were:  Superficial (24.3%)  Sprain/Strain (24.3%)  Open Wound (17.7%) HSDA #51 – North West 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 63 8) Top 5 Leading Causes of Injury by Activity when Injured Table below highlights the top 5 leading causes of injury among adults in the North West Health Area, and the activity they were involved in when injured for each of the leading causes. For example, among all cases where Falls were the cause of injury, 16.0% were involved in Leisure when injured, followed by 15.7% in Paid Work and 14.2% in Other Specified Activity. North West Health Area, 2001-2003 Cause of Injury Activity when Injured Falls Struck by Object Cutting/ Piercing Overexertion Inflicted Injury Paid Work 15.7% 26.3% 24.6% 35.3% 2.2% Unpaid Work 5.8% 13.0% 41.6% 15.6% 0.6% Other Specified Activity 14.2% 12.0% 7.2% 9.8% 31.3% Leisure 16.0% 9.9% 4.9% 9.2% 22.1% Travel 10.8% 2.6% 1.0% 4.5% 0.4% Informal Sports 8.4% 6.2% 0.4% 7.0% 0.0% Organized Sports 2.6% 15.2% 0.1% 9.2% 0.2% Vital & Personal Activity 3.8% 1.6% 6.5% 2.9% 1.5% Health Care 0.1% 0.0% 0.1% 0.1% 0.0% Travel to and from Work 0.5% 0.0% 0.1% 0.1% 0.0% Education 0.1% 0.1% 0.1% 0.1% 0.0% Being Taken Care of 0.1% 0.1% 0.0% 0.1% 0.0% Unspecified Activity 22.0% 12.9% 13.4% 5.9% 41.8% Total 100.0% 100.0% 100.0% 100.0% 100.0% HSDA #51 – North West 2001-2003 EDISS -- Adult Injury Report, 2001- 2003 Page 64 9) Top 5 Leading Causes of Injury by Place of Occurrence Table below highlights the top 5 leading causes of injury among adults in the North West Health Area, and the place where injury occurred for each of the leading causes. For example, among all cases where Falls were the cause of injury, 36.1% of injuries occurred at Home, followed by 15.9% at Other Specified Place and 13.1% at the Street and Highway Area. North West Health Area, 2001-2003 Cause of Injury Place of Occurrence Falls Struck by Object Cutting/ Piercing Overexertion Inflicted Injury Home 36.1% 29.3% 53.2% 24.6% 30.5% Street & highway area 13.1% 6.5% 2.6% 10.6% 11.6% Other specified place 15.9% 10.2% 8.5% 7.8% 5.2% Industrial & construction area 5.3% 12.5% 8.5% 13.0% 0.2% Sports & athletics area 6.2% 18.9% 1.3% 13.2% 1.5% School, other institution & public area 5.0% 4.4% 3.7% 8.8% 6.9% Trade & service area 5.8% 4.9% 7.0% 8.1% 8.8% Residential Institution 1.0% 1.1% 0.8% 2.2% 1.7% Farm 0.2% 0.7% 0.5% 0.3% 0.2% Unspecified place 11.4% 11.5% 13.8% 11.5% 33.3% Total 100.0% 100.0% 100.0% 100.0% 100.0% Appendix A Harvard Categories for Injuries – Reconstructed for ICD-10 Motor Vehicle Traffic (Motor Vehicle-Occupant, Motor Vehicle-Pedal Cycle Rider, Motor Vehicle-Pedestrian, and Motorcyclist): Operator or passenger in motor vehicle; any person riding on a pedal cycle involved in a collision or non-collision injury associated with a motor vehicle; pedestrian walking or with pedestrian conveyance injured in any collision or non-collision traffic incident involving a motor vehicle; occupant of motorcycle involved in collision or non-collision traffic and non-traffic accident. Non-Motor Vehicle Pedal Cycle: Any person injured in a non-motor vehicle incident involving a pedal cycle. Off-road Vehicle: Non-traffic injuries involving off-road motor vehicles. Other or Unspecified Transport: All other transport injuries. Falls: Falls on same level, and from various heights and objects, fall or dropped while being carried, fall involving wheelchair, ice skates, skis, skateboard, etc., fall due to pushing or collision with other person, diving or jumping into water (if injury other than drowning). Excludes falls from animals, burning buildings, fire, water (with drowning), machinery, transport vehicles, and falls onto sharp objects. Struck by Object: Struck by falling object, striking against or struck by persons or objects caught unintentionally between objects. Excludes striking against person or object with a fall; injury involving operating machinery or motor vehicle; cutting or piercing instrument; incident resulting in drowning or submersion. Cutting/Piercing: Injury caused by cutting or piercing instrument or object; fall on sharp object; powered hand tools or appliances. Machinery in Operation: Injury caused by machinery in operation. Foreign Body: Foreign body in the eye, adnexa, or other orifice. Excludes corrosive liquids in eye. Fire, Flames & Hot Substances: Injuries caused by fire and flames; hot appliances, objects or liquids; steam; acid burns. Unintentional burning by fire, smoke and fumes asphyxia; burns due to contact with hot objects, substances or caustics. Excludes fire in machinery, non-stationary transport and other vehicles, watercraft fires, radiation burns and electric current. Drowning & Submersion: Accidental drowning or submersion involving watercraft, fall or activity in water. Excludes watercraft incident not involving drowning or submersions and all other transport injuries; injuries due to diving and striking pool. Suffocation: Inhalation and ingestion of food or objects causing obstruction or of respiratory passage or suffocation; unintentional mechanical suffocation. Smothering, choking. Excludes ingestion of a foreign body without respiratory obstruction. Poisoning: Unintentional poisonings by drugs, medicinals, biological substances, alcohol, cleansers, petroleum products, agricultural poison food and plants, gases, vapors and other solid or liquid substances. Includes solids, liquids, gases and vapors. Overexertion: Overexertion and strenuous movements from excessive physical exercise, recreation, lifting, pulling, and pushing. Adverse Effects: Drugs, medicinal and biological substances causing adverse effects in therapeutic use. Misadventure during Medical or Surgical Care: Misadventures to patients during surgical or medical care. Excludes unintentional overdose of drugs. Postoperative Complications (Medical or Surgical Care): Surgical and medical procedures as the cause of abnormal reaction without mention of misadventure at the time of the procedure. Excludes adverse reactions to drugs and anesthesia; infusion and transfusion reactions. Environmental: Excessive heat/sun, cold, air pressure changes, motion, hunger, thirst, exposure, injury caused by animals and venomous plants/insects/etc., lightning, storms, floods, avalanche, etc. Excludes ingestion of poisonous animals or plants, road vehicle accidents involving animals. Electricity: Injury caused by electrical currents. Firearms: Unintentional firearms. Explosives: Injury caused by explosion of pressure vessel or explosive material; fireworks. Excludes explosions due to or causing fire; explosions in transport vehicles or operating machinery. Suicide & Self-inflicted: Suicide and self-inflicted injuries. Homicide & Inflicted Injury: Injuries inflicted by another person with intent to injure or kill, by any means. Legal Interventions: Injuries inflicted by the police or other law enforcement agents on duty; includes legal execution by any method. Undetermined Intent: Injury undetermined whether unintentionally or intentionally inflicted. Wars: Injuries resulting from operations of war. Excludes training injuries. Late Effects (Sequelae): Late effects of accidents, assaults, injury undetermined as unintentional or intentional, legal interventions, suicide, war operations. Other/Unspecified: Other an unspecified environmental exposures and unspecified accidental causes; exposure to noise, vibration, radiation, weightlessness and accident NOS. Excludes exposure to sun. Appendix B Place of Occurrence Coding System – BCIRPU & ICD-10-CA Table: BCIRPU & ICD-10-CA coding system for Place of Occurrence. Coding Value Description ICD-10-CA 1 Home U98.0 2 Residential Institution U98.1 3 School, Other Education Institutions U98.2 4 Public Area U98.2 5 Medical Hospital or Other Health Services U98.2 6 Recreation or Cultural Area U98.2 7 Sports & Athletics Area U98.3 8 Transport Area: Street and Highway U98.4 9 Transport Area: Other U98.4 10 Commercial Area (non recreational) U98.5 11 Industrial or Construction U98.6 12 Farm & Other Place of Primary Production U98.7 13 Countryside U98.8 14 Other Specified Place of Occurrence U98.8 15 Unspecified Place of Occurrence U98.9 1. Home • Apartment • Non-institutional place of residence • Boarding-house • driveway to home (private) • Caravan [trailer] park, residential • garden to home (private) • Farmhouse (excludes working areas of farm) • yard to home (private) • Home premises • garage (private) • House (residential) • swimming-pool in private house or garden Excludes: ¾ working areas of farm (Farm and Other Place of Primary Production) ¾ derelict house (Other Specified Place of Occurrence) ¾ home under construction but not yet occupied (Industrial or Construction) ¾ institutional place of residence (Residential Institution) 2. Residential Institution • Children's home • Old people's home • Dormitory • Orphanage • Home for the sick • Pensioner's home • Hospice • Prison • Military camp • Reform school • Nursing home 3. School, Other Educational Institutions Building (including adjacent grounds): • campus • kindergarten • college • library (associated with a school) • day nursery • school (private)(public)(state) • institute for higher education • university Excludes: ¾ building under construction (Industrial or Construction) ¾ residential institution (Residential Institution) ¾ sports and athletics area (Sports & Athletics Area) 4. Public Area Building (including adjacent grounds) used by the general public or by a particular group of the public such as: • assembly hall • library (public) • church • post office • clubhouse • public hall • court-house Excludes: ¾ Campsite (Countryside) ¾ Caravan site NOS (Countryside) ¾ Dock NOS (Transport Area: Other) ¾ Harbour (Transport Area: Other) ¾ Park (amusement) (public) (Other Specified Place of Occurrence) ¾ Public place NOS (Other Specified Place of Occurrence) 5. Medical, Hospital or Other Health Services • hospital • clinic • medical office Excludes: ¾ Home for the sick (Residential Institution) ¾ Hospice (Residential Institution) ¾ Nursing home (Residential Institution) ¾ Old people's home (Residential Institution) 6. Recreation or Cultural Area Building (including adjacent grounds) used by the general public or by a particular group of the public such as: • cinema • music-hall • dancehall • opera-house • gallery • theatre • movie-house • youth centre • museum Excludes: ¾ Beach (Countryside) ¾ Mountain (Countryside) ¾ Campsite (Countryside) ¾ Park (amusement) (public) (Countryside) ¾ Caravan site NOS (Countryside) ¾ Sea (Countryside) ¾ Dock NOS (Transport Area: Other) ¾ Seashore (Countryside) ¾ Harbour (Transport Area: Other) ¾ Zoo (Other Specified Place of Occurrence) 7. Sports & Athletics Area • Baseball field • Riding-school • Basketball-court • Skating-rink • Cricket ground • Squash-court • Golf-course • Stadium • Gymnasium • Swimming-pool, public • Hockey (field)(arena) • Tennis-court Excludes: ¾ swimming-pool or tennis-court in private home or garden (Home) 8. Transport Area: Street and Highway • Freeway • Road • Motorway • Sidewalk • Pavement 9. Transport Area: Other • Canal • Parking-lot and parking-place • Dock NOS • Railway line • Harbour 10. Commercial Area (non recreational) • Airport • Petrol station • Bank • Radio or television station • Café • Restaurant • Casino • Service station • Garage (commercial) • Shop (commercial) • Gas station • Shopping mall • Grocery store • Station (bus)(railway) • Hotel • Store • Market • Supermarket • Office building • Warehouse Excludes: ¾ garage in private home (Home) 11. Industrial or Construction • Building [any] under construction • Mine • Tunnel under construction • Oil rig and other offshore installations • Dockyard • Pit (coal)(gravel)(sand) • Dry dock • Power-station (coal)(nuclear)(oil) • Factory: building, premises • Shipyard • Gasworks • Workshop • Industrial yard 12. Farm and Other Place of Primary Production • Farm: buildings, land under cultivation • Ranch Excludes: ¾ farmhouse and home premises of farm (Home) 13. Countryside • Beach • Pond or pool (natural) • Campsite • Prairie • Caravan Site NOS • River • Desert • Sea • Forest • Seashore • Hill • Stream • Lake • Swamp • Marsh • Water reservoir • Mountain 14. Other Specified place of occurrence • Park (amusement) (public) • Public place NOS • Derelict house • Zoo • Military training ground 15. Unspecified place of occurrence Appendix C Activity When Injured Coding System 1. Leisure Diverse activities undertaken mainly for pleasure, relaxation or leisure. May be passive (watching TV) or active (dancing at a party). May be undertaken alone (reading) or with other people (board game). May be commercial (attending an amusment park) or not (family picnic). May be formally organized (day-trip) or not (a child playing). Includes: • Unstructured play • Children's game (e.g. "hide and seek") • Hobby activity • Entertainment activity (e.g. watching movie or football match, dancing, partying, going to the theatre) • Recreational competitive activity without substantial physical component (e.g. club chess or bridge) • Walking the dog • Lying on the beach Excludes: • Organized sccor league: Organized Sports • Do-it-yourself (including carpentry, electrical, vehicle maintenance): Unpaid Work • Game of baseball at the park: Informal Sports 2. Organized Sports Organized physical activities undertaken under the auspices of a sports federation, club or similar organization. The activity is accompanied by a referee,trainer, or coach. Includes: • Associated training • Professional sport Excludes: • Board games (e.g., checkers, chess): Leisure • School sports: Education 3. Informal Sports Physical activities similar to competition sporting activity, but not under the auspices of a sports federation, club or similar organization. Activity recognizable as a form of sport but not satisfying definition of competition sporting activity. Includes: • Football in a yard/street • Roller blading/skating in street/park • Lunch-time volleyball • Individual jogging • Playing a round of golf alone Excludes: • Organized sports: Organized Sports • School sports: Education • Leisure: Leisure 4. Travelling To go from one place to another by any means of transport. Travel with the aim of reaching a specific destination as driver, passenger, rider or pedestrian, except for the purposes of going to paid work or school. This category is very dependant on the reasons for transportation, which may include travel, paid work, leisure, informal sport or organized sport. Includes: For the purposes of transport • Driver or passenger in a car • Driver or passenger on a motorbike • Passenger on a bus • Passenger on a subway/monorail/skytrain • Passenger on a train • Passenger on an airplane • Driver or passenger of a water transport other than Jet Ski • Driver or passenger on a three or four wheel ATV • Driver or passenger on a farm vehicle for transport • Riding bicycle for transport • Running/jogging for transport • Walking for transport • Travel to and from school Excludes: • Travel to and from paid work: Travel to and from Work • Driver or passenger on a motorbike: Paid Work or Leisure • Bus Driver: Paid Work • Subway/Monorail/Skytrain Worker: Paid Work • Train Worker: Paid Work • Pilot/Steward/etc.: Paid Work • Truck Driver: Paid Work • Driver or passenger of water transport other than Jet Ski: Paid Work or Leisure • Driver or passenger on a Jet Ski: Leisure • Driver or passenger on a three or four wheel ATV: Paid Work or Leisure • Driver or passenger on a farm vehicle: Paid Work or Leisure • Riding bicycle: Paid Work or Leisure • Running/jogging: Paid Work or Leisure • Walking: Paid Work or Leisure 5. Travelling to and from Paid Work Travel with the aim of going to paid work as driver, passenger, rider or pedestrian. Includes: • commuting • walking • boarding and alighting from a vehicle Excludes: • travelling in the course of paid work: Paid Work 6. Education Students participating in activities which are part of a formal educational course or program of instruction provided by a school, college, university, adult education institution, etc. Includes: • Classroom activities • Physical education class • Informal activities during school hours (e.g. playground activities during lunch break) • School sports • Off-site Activities (e.g. school/college excursion or camp) Excludes: • Organized sports under the auspices of a sports federation: Organized Sports • Travel to and from school: Travel 7. Paid Work Activity for which the person is paid or expects to be paid a salary, commission or other monetary income. Includes: • Driving in the course of paid work (e.g. truck driver, travelling sales representative) • Paid self-employment • Professional sporting activity (e.g. firemen doing sports exercise, professional soccer player) Excludes: • Travel to or from paid work: Travel to and from Work 8. Unpaid Work Activity for which a paid worker could be hired. Includes: • Unpaid housework or food preparation: shopping laundry cooking cleaning moving furniture moving household objects • Maintenance of own home or garden • Do-it-yourself (including carpentry, electrical, vehicle maintenance) • Unpaid work in a family business or on a family farm • Voluntary work (e.g. in a hospital, community organization, etc.) • Caring for children and relatives Excludes: • Travel to and from unpaid work: Travel 9. Vital and Personal Activity Includes: • Resting • Washing • Sexual activity • Sleeping • Showering or bathing • Other personal activity • Eating • Dressing • Drinking • Brushing hair Excludes: • Cooking: Unpaid Work • Household cleaning conducted by a professional: Paid Work • Sitting, Standing: Other Specified Activity 10. Being Taken Care of The person at risk of injury is directly in the hands of another person. Includes: • Being carried/moved/held etc by another person • Infant being held/carried by its parent or other care giver • Elderly person being bathed by a family care-giver Excludes: • Being taken care of by a health care professional: Health Care • Child playing under supervision of an adult: Leisure 11. Health Care Undergoing activities conducted by or at the direction of a health care professional. Includes: • Undergoing surgery or a diagnostic procedure • Being administered a medication • Being examined/moved/lifted/carried/washed/dressed etc. as part of health care • Home renal dialysis • Frail or disabled person being bathed by a nurse Excludes: • Health care activity not undertaken by or at the direction of a health care professional: Being Taken Care Of • First Aid care: Being Taken Care Of • Care initiated and undertaken by a relative or friend: Being Taken Care Of 12. Other Specified Activity Includes: • Wandering around the home • Body piercing/tattooing complications • Sitting • Standing 13. Unspecified Activity Appendix D Rate Calculation & Population Estimates by Each Health Area Rate Calculation: Rate per 1,000 = Total number of injury (2001-2003) /Total population (2001 & 2002) X 1,000 Number of Population by Age Group & Year, 2001-2003 North West* South Fraser** Thompson*** EDISS Total 2001 2002 Total 2001 2002 Total 2001 2002 Total 2001 2002 Total 25-29 4,450 4,245 8,695 38,113 38,436 76,549 6,377 6,415 12,792 48,940 49,096 98,036 30-34 5,180 5,078 10,258 44,017 43,515 87,532 6,962 6,891 13,853 56,159 55,484 111,643 35-39 5,944 5,659 11,603 51,110 50,043 101,153 8,365 8,029 16,394 65,419 63,731 129,150 40-44 6,260 6,081 12,341 51,382 52,027 103,409 9,364 9,302 18,666 67,006 67,410 134,416 45-49 5,657 5,646 11,303 46,552 47,874 94,426 8,807 8,946 17,753 61,016 62,466 123,482 50-54 4,859 4,873 9,732 42,015 42,589 84,604 8,199 8,142 16,341 55,073 55,604 110,677 55-59 3,450 3,648 7,098 31,375 34,275 65,650 6,244 6,763 13,007 41,069 44,686 85,755 60-64 2,349 2,486 4,835 23,422 24,720 48,142 4,983 5,161 10,144 30,754 32,367 63,121 Total 38,149 37,716 75,865 327,986 333,479 661,465 59,301 59,649 118,950 425,436 430,844 856,280 Number of Population by Age Group & Sex, 2001-2003 North West* South Fraser** Thompson*** EDISS Total M F Total M F Total M F Total M F Total 25-29 4,304 4,391 8,695 37,993 38,556 76,549 6,502 6,290 12,792 48,799 49,237 98,036 30-34 5,133 5,125 10,258 43,491 44,041 87,532 6,762 7,091 13,853 55,386 56,257 111,643 35-39 5,916 5,687 11,603 50,686 50,467 101,153 7,945 8,449 16,394 64,547 64,603 129,150 40-44 6,381 5,960 12,341 52,123 51,286 103,409 9,142 9,524 18,666 67,646 66,770 134,416 45-49 6,006 5,297 11,303 46,753 47,673 94,426 8,847 8,906 17,753 61,606 61,876 123,482 50-54 5,296 4,436 9,732 42,059 42,545 84,604 8,346 7,995 16,341 55,701 54,976 110,677 55-59 3,857 3,241 7,098 33,035 32,615 65,650 6,460 6,547 13,007 43,352 42,403 85,755 60-64 2,648 2,187 4,835 24,029 24,113 48,142 5,012 5,132 10,144 31,689 31,432 63,121 Total 39,541 36,324 75,865 330,169 331,296 661,465 59,016 59,934 118,950 428,726 427,554 856,280 * North West only includes population estimates from:  Prince Rupert  Smithers  Kitimat  Terrace ** South Fraser only includes population estimates from:  Langley  Delta  Surrey (includes White Rock) *** Thompson only includes population estimates from:  Kamloops  Lilooet Prepared by: Population Section, BC Stats Ministry of Management Services, Government of British Columbia PO Box 9410 Stn Prov Govt Victoria, BC Canada V8W 9V1 Notes: All figures as of July 1. Due to rounding the sum of age groups of gender may not add to totals. Figures have been adjusted to include estimates of non-permanent residents, returning Canadians and Census under-count. Figures subject to revision when Statistics Canada revises Provincial level figures. Last Update: Feb-03 Data: Retrieved from BC Stats WEB page at http://www.bcstats.gov.bc.ca
Report
eng
Unreviewed
Vancouver : University of British Columbia Library
Attribution-NonCommercial-NoDerivatives 4.0 International
Faculty
Researcher
Adults (20-64)
Injury policy and prevention
Emergency Department Injury Surveillance System (EDISS) : Adults Injury Data Report 2001-2003
Text