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 children and youth (ages 0-24 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) CHILD & YOUTH 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 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 RATES 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 RATES 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 -- Child & Youth 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 children and youth (ages 0-24 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  Children and youth injury cases were approximately 46.7% of all injury cases presenting to EDISS.  The average annual injury rate among children and youth injury cases presenting to EDISS was 103.9 per 1,000 population.  Males out numbered females in injury related visits to the emergency department in every children and youth age group.  Children and youth aged 15 to 19 years incurred the most injury related visits to the emergency department.  The highest number of injury-related visits to the emergency department occurred on weekends.  The highest number of injury-related visits to the emergency department occurred during the summer months of May, June or July.  Falls, Struck by Object, Cutting/Piercing were among the leading causes of injury.  Home and Sports/Athletic Area were among the leading place of occurrence of injury.  Leisure and Informal Sports were among the leading activities when injured.  Leading types of injuries included Open Wound and Superficial injury. EDISS -- Child & Youth 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. Child & Youth 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 -- Child & Youth Injury Report, 2001- 2003 Page 5 Number of Injuries by Age Groups & Sex, Children and Youth (Ages 0-24 years), EDISS, 2001-2003020004000600080001000012000 0-4 5-9 10-14 15-19 20-24Age group (years)Number of InjuryMaleFemaleThis section of the report examines injury cases among children and youth (ages 0-24 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, 55,648 children and youth injury cases were classified into these first three levels of the visit disposition:  54,068 (97.2%) treated and released  1,516 (2.7%) left without being seen  64 (0.1%) left against medical advise or refused treatment 1) Total number of injury cases Of the total children and youth injury cases:  35,730 were males (64.2%)  19,911 were females (35.8%)  7 cases of sex unknown (0.01%) Among the children and youth injuries, ages 15 to 19 years had the highest percentage of injury (27.2%), followed by ages 10-14 years (21.8%), and 20-24 years (21.4%). EDISS Overall 2001-2003 EDISS -- Child & Youth Injury Report, 2001- 2003 Page 6 Average Annual Injury Rate per 1,000 by Age Group & Sex, Children and Youth (Ages 0-24 years), 2001-2003 0501001502000-4 5-9 10-14 15-19 20-24Age group (year)Injury rate per 1,000MaleFemaleTotalLeading Number of Injuries by Cause of Injury & Sex, Children and Youth (Ages 0-24), EDISS, 2001-20030 2000 4000 6000 8000 10000 12000Fire, Flames & Hot SubstancesForeign BodyEnvironmentalNon-MV Pedal CycleInflicted InjuryOverexertionMotor Vehicle-OccupantCutting/PiercingStruck by ObjectFallsInjury CauseNumber of InjuryMaleFemale2) Average annual injury rates per 1,000 For all the children and youth injury cases presenting to the EDISS, the average annual injury rate per 1,000 population was 103.9. The injury rate was highest for ages 15 to 19 years (135.0), followed by ages 20-24 years (112.4), and 10-14 years (108.3). The average injury rate was higher for males (137.0) than females (72.5). 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 children and youth injury cases presenting to the EDISS, top ten leading causes of injury were: 1. Falls (28.0%) 2. Struck by Object (25.7%) 3. Cutting/Piercing (8.6%) 4. Motor Vehicle-Occupant (6.9%) 5. Overexertion (6.6%) 6. Inflicted Injury (5.2%) 7. Non-MV Pedal Cycle (3.6%) 8. Environmental (2.8%) 9. Foreign Body (2.8%) 10. Fire, Flames & Hot substances (1.5%) 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 -- Child & Youth Injury Report, 2001- 2003 Page 7 Number of Injuries by Place of Occurrence & Sex, Children and Youth (Ages 0-24 years), EDISS, 2001-20030 2000 4000 6000 8000 10000 12000FarmResidential InstitutionIndustrial & construction areaTrade & service areaSchool, other institution & public areaOther specified placeStreet & highway areaSports & athletics areaHomePlace of OccurrenceNumber of InjuryMaleFemaleNumber of Injuries by Activity when Injured & Sex, Children and Youth (Ages 0-24), EDISS, 2001-20030 2000 4000 6000 8000 10000Health CareVital and Personal ActivityUnpaid WorkPaid WorkEducationTravelOrganized SportsOther Specified ActivityInformal SportsLeisureActivity when InjuredNumber of InjuryMaleFemale4) Leading Places of Occurrence Of all the children and youth injury cases presenting to the EDISS, leading places of occurrence of injury were: 1. Home (33.9%) 2. Sports/Athletics area (16.9%) 3. Street/Highway area (9.3%) 4. Other Specified Place* (9.1%) 5. School, Other Institution, Public Area (8.6%) 6. Trade/Service Area (5.2%) 7. Industrial/Construction Area (2.3%) 8. Residential Institution (0.3%) 9. Farm (0.2%) 10. Unspecified Place (14.1%) *Other Specified Place includes:  Park (amusement) (public)  Derelict house  Public places NOS  Zoo  Military training ground 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 children and youth injury cases presenting to the EDISS, top ten leading activities when injured were: 1. Leisure (22.7%) 2. Informal Sports (11.6%) 3. Other Specified (10.8%) 4. Organized Sports (9.7%) 5. Travel (8.3%) 6. Education (7.1%) 7. Paid Work (6.2%) 8. Unpaid Work (2.8%) 9. Vital & Personal Activity (2.3%) 10. Health Care (1.0%) For detailed definitions of each activity when Injured category, refer to Appendix C: Activity When Injured Coding System Child & Youth 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 -- Child & Youth Injury Report, 2001- 2003 Page 11 This section of the report examines injury cases among children and youth (ages 0-24 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, 35,737 children and youth cases were classified into these first three levels of the visit disposition:  34,764 patients (97.3%) were treated and released  960 patients (2.7%) left without being seen  13 patients (0.04%) left against medical advice or refused treatment 1) Total Number of Injury Cases Of the total 35,737 children and youth injury cases presenting to the Fraser South Health Area:  64.9% were males  35.1% were females  0.01% were sex unknown Among the children and youth injuries, ages 15-19 years had the highest percentage of injury (26.3%), followed by ages 20-24 years (21.5%) and 10-14 years (21.5%). Of the total 35,737 children and youth injury cases presenting to the Fraser South Health Area:  15,458 cases (43.3%) were injury-related visits to the emergency department of Surrey Memorial Hospital  9,591 cases (26.8%) were injury-related visits to the emergency department of Langley Memorial Hospital  6,056 cases (16.9%) were injury-related visits to the emergency department of Delta Hospital  4,632 cases (13.0%) 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* 0-4 3,457 2,541 5,998 5-9 3,037 1,945 4,983 10-14 4,900 2,779 7,679 15-19 6,364 3,014 9,381 20-24 5,427 2,268 7,696 Total* 23,185 12,547 35,737 *Includes 5 cases of sex unknown HSDA #23 – Fraser South 2001-2003 EDISS -- Child & Youth Injury Report, 2001- 2003 Page 12 Of total cases presenting to Surrey Memorial Hospital:  63.9% were males  36.1% were females  0.01% were sex unknown  Ages 15-19 years had the highest percentage of injury (24.2%), followed by ages 20-24 years (22.6%), and 0-4 years (20.6%). Of total cases presenting to Langley Memorial Hospital:  65.2% were males  34.8% were females  Ages 15-19 years had the highest percentage of injury (28.8%), followed by ages 10-14 years (22.4%), and 20-24 years (21.5%). Of total cases presenting to Delta Hospital:  68.4% were males  31.6% were females  0.02% were sex unknown  Ages 15-19 years had the highest percentage of injury (27.0%), followed by ages 10-14 years (26.6%), and 20-24 years (18.9%). Of total cases presenting to Peace Arch Hospital:  63.1% were males  36.8% were females  0.04% were sex unknown  Ages 15-19 years had the highest percentage of injury (26.7%), followed by ages 10-14 years (23.7%), and 20-24 years (21.4%). Table 2: Surrey Memorial Hospital, 2001-2003 Age Group Males Females Total* 0-4 1,834 1,349 3,183 5-9 1,392 822 2,214 10-14 1,785 1,029 2,814 15-19 2,465 1,279 3,746 20-24 2,394 1,107 3,501 Total* 9,870 5,586 15,458 *Includes 2 cases of sex unknown Table 3: Langley Memorial Hospital, 2001-2003 Age Group Males Females Total 0-4 780 601 1,381 5-9 745 493 1,238 10-14 1,328 824 2,152 15-19 1,918 842 2,760 20-24 1,479 581 2,060 Total 6,250 3,341 9,591 Table 4: Delta Hospital, 2001-2003 Age Group Males Females Total* 0-4 467 315 782 5-9 541 336 877 10-14 1,081 532 1,613 15-19 1,182 455 1,638 20-24 870 276 1,146 Total* 4,141 1,914 6,056 *Includes 1 case of sex unknown Table 5: Peace Arch Hospital, 2001-2003 Age Group Males Females Total* 0-4 376 276 652 5-9 359 294 654 10-14 706 394 1,100 15-19 799 438 1,237 20-24 684 304 989 Total* 2,924 1,706 4,632 *Includes 2 cases of sex unknown HSDA #23 – Fraser South 2001-2003 EDISS -- Child & Youth Injury Report, 2001- 2003 Page 13 Average Annual Injury Rate per 1,000 by Age Group & Sex,Children and Youth (Ages 0-24 years), Fraser South, 2001-2003 0501001500-4 5-9 10-14 15-19 20-24Age group (year)Injury 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 86.2. The injury rate was highest for ages 15 to 19 years (110.4), followed by ages 20-24 years (93.0), and 10-14 years (89.7). The average injury rate was higher for males (109.0) than females (62.2). For detailed definitions on rate calculation and population estimates used in calculating rate, refer to Appendix D. HSDA #23 – Fraser South 2001-2003 EDISS -- Child & Youth Injury Report, 2001- 2003 Page 14 Number of Injury-Related Visits by Month & Sex, Ages 0-24 years Fraser South Health Area, 2001-200305001000150020002500300035004000JAN FEBMARAPRMAYJUN JULAUGSEPOCTNOVDECMonthNumber of InjuryFemaleMaleNumber of Injury-Related Visits by Day of Week & Sex, Ages 0-24 years, Fraser South Health Area, 2001-200301000200030004000500060007000SUN MON TUE WED THU FRI SATDay of WeekNumber of InjuryFemaleMale3) Time Distribution of Injury Among the children and youth age groups in the Fraser South Health Area, the highest number of injury-related visits to the emergency department occurred in May (10.0%), closely followed by June (9.9%) and July (9.1%). The highest number of injury-related visits to the emergency department occurred during weekends: Sunday (17.6%) and Saturday (16.6%). HSDA #23 – Fraser South 2001-2003 EDISS -- Child & Youth Injury Report, 2001- 2003 Page 15 4) Cause of Injury Between April 1, 2001 and March 31, 2003, Struck by Object (27.8%) and Falls (27.6%) were the leading causes of injury among the children and youth in the Fraser South Health Area. Falls were the leading cause of injury for ages 0 to 9 years. For ages 10 to 24 years, Struck by Object was the leading cause of injury. Fraser South Health Area, 2001-2003 Age Total Cause of Injury 0-4 5-9 10-14 15-19 20-24 # % Struck by Object 1415 1381 2696 2832 1610 9934 27.8% Falls 2664 2058 2511 1570 1057 9860 27.6% Cutting/Piercing 258 317 441 917 1056 2989 8.4% Motor Vehicle-Occupant 199 170 192 1034 1097 2692 7.5% Overexertion 225 181 587 795 596 2384 6.7% Inflicted Injury 12 18 136 884 845 1895 5.3% Non-MV Pedal Cycle 69 282 402 216 129 1098 3.1% Foreign Body 388 180 84 158 266 1076 3.0% Environmental 171 182 205 176 229 963 2.7% Fire, Flames & Hot Substances 221 40 50 111 94 516 1.4% Poisoning 173 20 14 62 65 334 0.9% Other Transport 6 22 81 74 49 232 0.6% Self-Inflicted * * 28 112 78 224 0.6% Motor Vehicle-Pedestrian 12 22 39 85 34 192 0.5% Machinery in Operation 7 * 8 56 112 187 0.5% Motorcyclist * 7 30 60 88 186 0.5% Adverse Effects 40 14 13 16 26 109 0.3% Postoperative Complications 17 12 * 21 44 97 0.3% Motor Vehicle-Pedal Cycle Rider * 13 33 23 24 96 0.3% Off-Road Motor Vehicle * 5 9 18 25 58 0.2% Other Miscellaneous Causes 17 12 24 64 58 175 0.5% Other/Unspecified 98 39 93 97 113 440 1.2% Total 5998 4983 7679 9381 7696 35737 100.0% * Less than 5 cases HSDA #23 – Fraser South 2001-2003 EDISS -- Child & Youth Injury Report, 2001- 2003 Page 16 Number of Injuries by Cause of Injury & Sex, Ages 0-24 years, Langley Memorial Hospital, 2001-2003 0 500 1000 1500 2000 2500Fire, Flames & Hot SubstancesForeign BodyEnvironmentalNon-MV Pedal CycleInflicted InjuryOverexertionMotor Vehicle-OccupantCutting/PiercingFallsStruck by ObjectCauseNumber of InjuryMaleFemaleNumber of Injuries by Cause of Injury & Sex, Ages 0-24 years, Surrey Memorial Hospital, 2001-2003 0 500 1000 1500 2000 2500 3000Fire, Flames & Hot SubstancesEnvironmentalNon-MV Pedal CycleForeign BodyOverexertionInflicted InjuryCutting/PiercingMotor Vehicle-OccupantStruck by ObjectFallsCauseNumber of InjuryMaleFemale Of all the children and youth injury cases presenting to Surrey Memorial Hospital, the leading causes of injury were:  Falls (27.2%)  Struck by Object (23.1%)  Motor Vehicle-Occupant (8.3%) Among males, the leading causes of injury were:  Falls (26.0%)  Struck by Object (25.5%)  Inflicted Injury (8.9%) Among females, the leading causes of injury were:  Falls (29.2%)  Struck by Object (18.9%)  Motor Vehicle-Occupant (11.6%) Of all the children and youth injury cases presenting to Langley Memorial Hospital, the leading causes of injury were:  Struck by Object (30.0%)  Falls (26.5%)  Cutting/Piercing (9.2%) Among males, the leading causes of injury were:  Struck by Object (32.6%)  Falls (24.3%)  Cutting/Piercing (10.6%) Among females, the leading causes of injury were:  Falls (30.6%)  Struck by Object (25.1%)  Motor Vehicle-Occupant (13.0%) HSDA #23 – Fraser South 2001-2003 EDISS -- Child & Youth Injury Report, 2001- 2003 Page 17 Number of Injuries by Cause of Injury & Sex, Ages 0-24 years, Delta Hospital, 2001-2003 0 500 1000 1500 2000Fire, Flames & Hot SubstancesInflicted InjuryEnvironmentalForeign BodyNon-MV Pedal CycleMotor Vehicle-OccupantOverexertionCutting/PiercingFallsStruck by ObjectCauseNumber of InjuryMaleFemaleNumber of Injuries by Cause of Injury & Sex, Ages 0-24 years, Peace Arch Hospital, 2001-2003 0 200 400 600 800 1000 1200Fire, Flames & Hot SubstancesForeign BodyEnvironmentalNon-MV Pedal CycleInflicted InjuryMotor Vehicle-OccupantCutting/PiercingOverexertionFallsStruck by ObjectCauseNumber of InjuryMaleFemaleOf all the children and youth injury cases presenting to Delta Hospital, the leading causes of injury were:  Struck by Object (33.5%)  Falls (29.3%)  Cutting/Piercing (9.0%) Among males, the leading causes of injury were:  Struck by Object (35.0%)  Falls (27.9%)  Cutting/Piercing (10.0%) Among females, the leading causes of injury were:  Falls (32.4%)  Struck by Object (30.0%)  Overexertion (7.7%) Of all the children and youth injury cases presenting to Peace Arch Hospital, the leading causes of injury were:  Struck by Object (31.7%)  Falls (29.0%)  Overexertion (7.3%) Among males, the leading causes of injury were:  Struck by Object (35.0%)  Falls (27.3%)  Cutting/Piercing (7.7%) Among females, the leading causes of injury were:  Falls (32.1%)  Struck by Object (26.0%)  Motor Vehicle-Occupant (11.4%) HSDA #23 – Fraser South 2001-2003 EDISS -- Child & Youth Injury Report, 2001- 2003 Page 18 5) Place of Occurrence of Injury Between April 1, 2001 and March 31, 2003, Home (35.9%) and Sports/Athletics Area (15.7%) were the leading places of occurrence of injury among the children and youth in the Fraser South Health Area. With the exception of ages 15 to 19 years, Home was the most common place of occurrence of injury. For ages 15 to 19 years, Sports/Athletics Area was the most common place where injuries occurred. Fraser South Health Area, 2001-2003 Age Total Place of Occurrence of Injury 0-4 5-9 10-14 15-19 20-24 # % Home 4541 2639 2226 1828 1609 12843 35.9% Sports & Athletics area 82 437 1928 2205 959 5611 15.7% Street & Highway area 204 299 645 1410 1298 3856 10.8% School, Other institution & Public area 180 624 1300 745 202 3051 8.5% Other Specified place 218 370 693 872 680 2833 7.9% Trade & service area 157 77 66 668 930 1898 5.3% Industrial & construction area * 11 17 300 711 1041 2.9% Farm 5 5 12 24 21 67 0.2% Residential Institution * * 7 7 19 40 0.1% Unspecified place 605 518 785 1322 1267 4497 12.6% Total 5998 4983 7679 9381 7696 35737 100.0 * Less than 5 cases HSDA #23 – Fraser South 2001-2003 EDISS -- Child & Youth Injury Report, 2001- 2003 Page 19 Number of Injuries by Place of Occurrence and Sex, Ages 0-24Surrey Memorial Hospital, 2001-2003 0 1000 2000 3000 4000 5000FarmResidential InstitutionIndustrial & construction areaOther specified Trade & service areaSchool, other institution, public areaSports & athletics areaStreet & highway areaHomePlace of OccurrenceNumber of InjuryMaleFemaleNumber of Injuries by Place of Occurrence and Sex, Ages 0-24Langley Memorial Hospital, 2001-20030 500 1000 1500 2000 2500Residential InstitutionFarmIndustrial & construction areaTrade & service areaSchool, other institution, public areaStreet & highway areaOther specified Sports & athletics areaHomePlace of OccurrenceNumber of InjuryMaleFemaleOf all the children and youth injury cases presenting to Surrey Memorial Hospital, the leading places of occurrence of injury were:  Home (41.1%)  Street/Highway Area (12.9%)  Sports/Athletics Area (12.0%) Among males, the leading places where injuries occurred were:  Home (39.0%)  Sports/Athletics Area (13.7%)  Street/Highway Area (11.9%) Among females, the leading places where injuries occurred were:  Home (44.9%)  Street/Highway Area (14.7%)  Sports/Athletics Area (8.9%) Of all the children and youth injury cases presenting to Langley Memorial Hospital, the leading places of occurrence of injury were:  Home (36.6%)  Sports/Athletics Area (17.7%)  Other Specified Place (11.1%). Among males, the leading places where injuries occurred were:  Home (33.4%)  Sports/Athletics Area (19.9%)  Other Specified Place (11.8%) Among females, the leading places where injuries occurred were:  Home (42.6%)  Street/Highway Area (14.1%)  Sports/Athletics Area (13.6%) HSDA #23 – Fraser South 2001-2003 EDISS -- Child & Youth Injury Report, 2001- 2003 Page 20 Number of Injuries by Place of Occurrence and Sex, Ages 0-24Delta Hospital, 2001-20030 200 400 600 800 1000 1200Residential InstitutionFarmIndustrial & construction areaTrade & service areaStreet & highway areaSchool, other institution, public areaOther specified Sports & athletics areaHomePlace of OccurrenceNumber of InjuryMaleFemaleNumber of Injuries by Place of Occurrence and Sex, Ages 0-24Peace Arch Hospital, 2001-20030 100 200 300 400 500 600 700 800Residential InstitutionFarmIndustrial & construction areaTrade & service areaOther specified School, Other institution & public areaStreet & highway areaSports & athletics areaHomePlace of OccurrenceNumber of InjuryMaleFemale Of the children and youth injury cases presenting to Delta Hospital, the leading places of occurrence of injury were:  Home (29.6%)  Sports/Athletics Area (19.1%)  Other Specified Place (13.3%) Among males, the leading places where injuries occurred were:  Home (27.0%)  Sports/Athletics Area (20.4%)  Other Specified Place (13.9%) Among females, the leading places where injuries occurred were:  Home (35.2%)  Sports/Athletics Area (16.1%)  Other Specified Place (11.9%) Of the children and youth injury cases presenting to Peace Arch Hospital, the leading places of occurrence of injury were:  Home (25.5%)  Sports/Athletics Area (19.6%)  Street/Highway Area (7.6%) Among males, the leading places where injuries occurred were:  Home (22.8%)  Sports/Athletics Area (22.4%)  Street/Highway Area (8.6%) Among females, the leading places where injuries occurred were:  Home (30.1%)  Sports/Athletics Area (14.8%)  Street/Highway Area (5.8%) HSDA #23 – Fraser South 2001-2003 EDISS -- Child & Youth Injury Report, 2001- 2003 Page 21 6) Activity When Injured Between April 1, 2001 and March 31, 2003, Leisure (24.0%) was the leading activity when injured among children and youth in the Fraser South Health Area. There were, however, variations in the leading activity when injured among the age groups. Leisure was the leading activity when injured for children aged 0 to 14 years. For youths aged 15 to 19 years, Organized Sports was the leading activity when injured. For youths aged 20 to 24 years, Paid Work was the leading activity when injured. Fraser South Health Area, 2001-2003 Age Total Activity when injured 0-4 5-9 10-14 15-19 20-24 # % Leisure 2611 2162 1882 1161 748 8564 24.0% Informal Sports 55 429 1451 1260 661 3856 10.8% Organized Sports 8 161 1291 1550 620 3630 10.2% Other Specified Activity 868 453 514 884 747 3466 9.7% Travel 186 204 310 1186 1225 3111 8.7% Paid Work 6 * 24 825 1526 2384 6.7% Education 37 525 1168 576 34 2340 6.6% Unpaid Work 55 92 148 291 409 995 2.8% Vital & Personal Activity 302 141 95 126 116 780 2.2% Being Taken Care of 435 25 * * * 463 1.3% Health Care 65 26 15 39 66 211 0.6% Travel to and from Work * * * 9 17 27 0.1% Unspecified Activity 1370 761 780 1472 1527 5910 16.5% Total 5998 4983 7679 9381 7696 35737 100.0 * Less than 5 cases HSDA #23 – Fraser South 2001-2003 EDISS -- Child & Youth Injury Report, 2001- 2003 Page 22 Number of Injuries by Activity when Injured & Sex, Ages 0-24, Surrey Memorial Hospital, 2001-2003 0 500 1000 1500 2000 2500Travel to and from WorkHealth CareBeing Taken Care ofVital & Personal ActivityUnpaid WorkPaid WorkOrganized SportsEducationInformal SportsTravelOther Specified ActivityLeisureActivity when InjuredNumber of InjuryMaleFemaleNumber of Injuries by Activity when Injured & Sex, Ages 0-24, Langley Memorial Hospital, 2001-2003 0 500 1000 1500 2000Travel to and from WorkHealth CareBeing Taken Care ofVital & Personal ActivityUnpaid WorkEducationTravelOther Specified ActivityPaid WorkInformal SportsOrganized SportsLeisureActivity when InjuredNumber of InjuryMaleFemaleOf all the cases presenting to Surrey Memorial Hospital, the leading activities when injured among all the children and youth age groups were:  Leisure (21.2%)  Other Specified Activity (10.4%)  Travel (10.0%) Among males, the leading activities when injured were:  Leisure (20.6%)  Informal Sports (10.9%)  Other Specified Activity (9.8%) Among females, the leading activities when injured were:  Leisure (22.4%)  Travel (12.9%)  Other Specified Activity (11.3%) Of all the cases presenting to Langley Memorial Hospital, the leading activities when injured among all the children and youth age groups were:  Leisure (28.2%)  Organized Sports (11.1%)  Informal Sports (10.3%) Among males, the leading activities when injured were:  Leisure (26.9%)  Organized Sports (12.9%)  Paid Work (12.0%) Among females, the leading activities when injured were:  Leisure (30.6%)  Travel (13.0%)  Other Specified Activity (10.3%) HSDA #23 – Fraser South 2001-2003 EDISS -- Child & Youth Injury Report, 2001- 2003 Page 23 Number of Injuries by Activity when Injured & Sex, Ages 0-24,Delta Hospital, 2001-2003 0 200 400 600 800 1000 1200Travel to & from WorkHealth CareBeing Taken Care ofVital & Personal ActivityUnpaid WorkTravelPaid WorkEducationOther Specified ActivityOrganized SportsInformal SportsLeisureActivity when InjuredNumber of InjuryMaleFemaleNumber Injuries by Activity when Injured & Sex, Ages 0-24, Peace Arch Hospital, 2001-20030 100 200 300 400 500 600 700Travel to and from WorkHealth CareBeing Taken Care ofUnpaid WorkVital & Personal ActivityPaid WorkEducationOther Specified ActivityTravelInformal SportsOrganized SportsLeisureActivity when InjuredNumber of InjuryMaleFemale Of all the cases presenting to Delta Hospital, the leading activities when injured among all the children and youth age groups were:  Leisure (24.9%)  Informal Sports (14.8%)  Organized Sports (14.2%) Among males, the leading activities when injured were:  Leisure (23.7%)  Informal Sports (16.6%)  Organized Sports (15.6%) Among females, the leading activities when injured were:  Leisure (27.3%)  Other Specified Activity (13.1%)  Organized sports (11.2%) Of all the cases presenting to Peace Arch Hospital, the leading activities when injured among all the children and youth age groups were:  Leisure (23.2%)  Organized Sports (15.7%)  Informal Sports (12.3%) Among males, the leading activities when injured were:  Leisure (21.0%)  Organized Sports (18.3%)  Informal Sports (14.1%) Among females, the leading activities when injured were:  Leisure (26.9%)  Travel (12.7%)  Organized Sports (11.3%) HSDA #23 – Fraser South 2001-2003 EDISS -- Child & Youth Injury Report, 2001- 2003 Page 24 7) Type of Injury Between April 1, 2001 and March 31, 2003, Open Wound (26.5%) was the most common type of injury among the children and youth in the Fraser South Health Area. With the exception of ages 10 to 14 years, Open Wound was the leading type of injury among the children and youth age groups. For those aged between 10 to 14 years, Fracture was the most common type of injury. Fraser South Health Area, 2001-2003 Age Total Type of Injury 0-4 5-9 10-14 15-19 20-24 # % Open wound 2035 1569 1301 2276 2288 9469 26.5% Superficial 854 776 1470 1618 1212 5930 16.6% Fracture 529 1059 2042 1338 804 5772 16.2% Sprain/Strain 160 398 1316 1772 1226 4872 13.6% Other 535 295 413 577 443 2263 6.3% Foreign Body 365 164 69 112 202 912 2.6% Muscle/Tendon 35 62 131 243 278 749 2.1% Dislocation 208 18 84 197 147 654 1.8% Burn/Corrosion 235 52 63 148 139 637 1.8% Poisoning/Toxic 192 58 72 130 135 587 1.6% Concussion 50 58 165 187 81 541 1.5% Eye 73 78 67 126 127 471 1.3% Intra-cranial 123 52 70 70 42 357 1.0% Crushing 30 20 18 38 58 164 0.5% Complications of Medical Care 28 17 8 24 48 125 0.3% Dental 36 27 21 22 15 121 0.3% Other Miscellaneous 31 21 16 46 65 179 0.5% Unspecified 480 259 356 461 391 1947 5.4% Total 5998 4983 7679 9381 7696 35737 100.0 HSDA #23 – Fraser South 2001-2003 EDISS -- Child & Youth Injury Report, 2001- 2003 Page 25 Number of Injuries by Type of Injury & Sex, Ages 0-24, Surrey Memorial Hospital, 2001-2003 0 500 1000 1500 2000 2500 3000 3500DislocationPoisoning/ToxicBurn/CorrosionForeign BodyMuscle/TendonOtherSprain/StrainSuperficialFractureOpen woundInjury TypeNumber of InjuryMaleFemaleNumber of Injuries by Type of Injury & Sex, Ages 0-24, Langley Memorial Hospital, 2001-2003 0 500 1000 1500 2000EyeBurn/CorrosionOtherForeign BodyDislocationIntra-cranialSprain/StrainFractureSuperficialOpen woundInjury TypeNumber of InjuryMaleFemaleOf all the cases presenting to Surrey Memorial Hospital, the leading types of injuries among all the children and youth age groups were:  Open Wound (27.6%)  Fracture (13.6%)  Superficial (12.5%) Among males, the most common types of injuries were:  Open Wound (31.7%)  Fracture (14.6%)  Superficial (12.0%) Among females, the most common types of injuries were:  Open Wound (20.6%)  Other (14.1%)  Sprain/Strain (13.6%) Of all the cases presenting to Langley Memorial Hospital, the leading types of injuries among all the children and youth age groups were:  Open Wound (26.2%)  Superficial (20.5%)  Fracture (18.2%) Among males, the most common types of injuries were:  Open Wound (29.8%)  Superficial (18.9%)  Fracture (18.4%) Among females, the most common types of injuries were:  Superficial (23.5%)  Open Wound (19.4%)  Fracture (18.0%) HSDA #23 – Fraser South 2001-2003 EDISS -- Child & Youth Injury Report, 2001- 2003 Page 26 Number of Injuries by Type of Injury & Sex, Ages 0-24, Delta Hospital, 2001-2003 0 200 400 600 800 1000 1200 1400Poisoning/ToxicEyeBurn/CorrosionDislocationConcussionForeign BodyFractureSprain/StrainSuperficialOpen woundInjury TypeNumber of InjuryMaleFemaleNumber of Injuries by Type of Injury & Sex, Ages 0-24, Peace Arch Hospital, 2001-2003 0 200 400 600 800 1000Burn/CorrosionPoisoning/ToxicForeign BodyDislocationConcussionOtherSprain/StrainSuperficialFractureOpen woundInjury TypeNumber of InjuryMaleFemaleOf all the cases presenting to Delta Hospital, the leading types of injuries among all the children and youth age groups were:  Open Wound (25.9%)  Superficial (20.6%)  Sprain/Strain (17.8%) Among males, the most common types of injuries were:  Open Wound (28.4%)  Superficial (19.2%)  Fracture (17.9%) Among females, the most common types of injuries were:  Superficial (23.6%)  Sprain/Strain (21.6%)  Open Wound (20.5%) Of all the cases presenting Peace Arch Hospital, the leading types of injuries among all the children and youth age groups were:  Open Wound (24.1%)  Fracture (18.6%)  Superficial (16.8%) Among males, the most common types of injuries were:  Open Wound (26.7%)  Fracture (19.5%)  Superficial (15.7%) Among females, the most common types of injuries were:  Open Wound (19.4%)  Superficial (18.6%)  Sprain/Strain (17.9%) HSDA #23 – Fraser South 2001-2003 EDISS -- Child & Youth 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 children and youth 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 Struck by Object was the cause of injury, 27.0% were involved in Organized Sports when injured, followed by 21.4% in Leisure and 12.3% in Informal Sports. Fraser South Health Area, 2001-2003 Cause of Injury Activity when Injured Struck by Object Falls Cutting/ Piercing Motor Vehicle-Occupant Overexertion Organized Sports 27.0% 3.5% 0.3% 0.1% 19.3% Leisure 21.4% 37.4% 13.5% 0.9% 23.7% Travel 0.3% 0.8% 0.3% 92.3% 0.5% Paid Work 5.1% 2.5% 28.4% 0.9% 6.9% Informal Sports 12.3% 17.7% 0.7% 0.0% 19.4% Other Specified Activity 9.4% 8.8% 11.7% 1.4% 6.8% Education 9.8% 8.2% 3.2% 0.3% 11.6% Unpaid Work 1.2% 0.8% 18.4% 0.3% 1.8% Vital and Personal Activity 1.0% 3.3% 1.8% 0.0% 1.4% Being Taken Care of 0.7% 2.9% 0.3% 0.2% 0.8% Health Care 0.0% 0.1% 0.0% 0.0% 0.1% Travel to and from Work 0.0% 0.0% 0.0% 0.6% 0.1% Unspecified Activity 11.7% 14.1% 21.5% 3.0% 7.6% Total 100.0% 100.0% 100.0% 100.0% 100.0% HSDA #23 – Fraser South 2001-2003 EDISS -- Child & Youth 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 children and youth in the Fraser South Health Area, and the place where injury occurred for each of the leading causes. For example, among all cases where Struck by Object was the cause of injury, 35.2% of injuries occurred in the Sports and Athletics Area, followed by 33.6% at Home and 11.7% at School, Other Institution and Public Area. Fraser South Health Area, 2001-2003 Cause of Injury Place of Occurrence Struck by Object Falls Cutting/ Piercing Motor Vehicle-Occupant Overexertion Sports & athletics area 35.2% 11.1% 1.3% 0.1% 29.9% Home 33.6% 47.4% 51.0% 2.6% 27.7% Street & highway area 1.8% 6.0% 1.3% 80.9% 3.3% School, other institution & public area 11.7% 10.6% 4.5% 0.4% 14.2% Other specified place 5.1% 12.0% 6.4% 1.3% 7.5% Trade & service area 3.5% 3.5% 14.8% 0.6% 4.2% Industrial & construction area 2.4% 0.9% 11.6% 0.4% 2.6% Farm 0.1% 0.1% 0.2% 0.0% 0.0% Residential Institution 0.1% 0.1% 0.1% 0.0% 0.2% Unspecified place 6.5% 8.3% 8.8% 13.8% 10.4% Total 100.0% 100.0% 100.0% 100.0% 100.0% Child & Youth Injury HSDA #14 – Thompson Health Area, 2001-2003 14. Thompson • Royal Inland Hospital • Lillooet District Hospital HSDA #14 – Thompson 2001-2003 EDISS -- Child & Youth Injury Report, 2001- 2003 Page 31 This section of the report examines injury cases among children and youth (ages 0-24 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, 11,551 children and youth cases were classified into these first three levels of the visit disposition:  11,127 patients (96.3%) were treated and released  419 patients (3.6%) left without being seen  5 patients (0.04%) left against medical advice or refused treatment 1) Total Number of Injury Cases Of the total 11,551 children and youth injury cases presenting to the Thompson Health Area:  63.2% were males  36.8% were females  0.01% were sex unknown Among the children and youth injuries, ages 15-19 years had the highest percentage of injury (29.9%), followed by ages 20-24 years (23.6%) and 10-14 years (22.5%). Of the total 11,551 children and youth injury cases presenting to the Thompson Health Area:  10,833 cases (93.8%) were injury-related visits to the emergency department of Royal Inland Hospital  718 cases (6.2%) were injury-related visits to the emergency department of Lillooet District Hospital Table 1: Thompson Health Area, 2001-2003 Age Group Males Females Total* 0-4 812 605 1417 5-9 781 574 1355 10-14 1616 985 2601 15-19 2305 1144 3450 20-24 1791 937 2728 Total* 7305 4245 11551 *Includes 1 case of sex unknown HSDA #14 – Thompson 2001-2003 EDISS -- Child & Youth Injury Report, 2001- 2003 Page 32 Of total cases presenting to Royal Inland Hospital:  63.4% were males  36.6% were females  0.01% were sex unknown  Ages 15-19 years had the highest percentage of injury (30.0%), followed by ages 20-24 years (24.0%), and 10-14 years (22.3%). Of total cases presenting to Lillooet District Hospital:  61.3% were males  38.7% were females  Ages 15-19 years had the highest percentage of injury (27.6%), followed by ages 10-14 years (25.8%), and 20-24 years (18.2%). Table 2: Royal Inland Hospital, 2001-2003 Age Group Males Females Total* 0-4 755 559 1,314 5-9 729 525 1,254 10-14 1,515 901 2,416 15-19 2,175 1,076 3,252 20-24 1,691 906 2,597 Total* 6,865 3,967 10,833 *Includes 1 case of sex unknown Table 3: Lillooet District Hospital, 2001-2003 Age Group Males Females Total 0-4 57 46 103 5-9 52 49 101 10-14 101 84 185 15-19 130 68 198 20-24 100 31 131 Total 440 278 718 HSDA #14 – Thompson 2001-2003 EDISS -- Child & Youth Injury Report, 2001- 2003 Page 33 Average Annual Injury Rate per 1,000 by Age Group & Sex,Children and Youth (Ages 0-24 years), Thompson, 2001-2003 0501001502002503000-4 5-9 10-14 15-19 20-24Age group (years)Injury rate per 1,000MaleFemaleTotal2) Average annual injury rates per 1,000 In the Thompson Health Area, the average annual injury rate per 1,000 population was 166.5. The average annual injury rate was highest for ages 15 to 19 years (218.4), followed by ages 20-24 years (182.1), and 10-14 years (173.7). The average injury rate was higher for males (206.2) than females (125.0). For detailed definitions on rate calculation and population estimates used in calculating rates, refer to Appendix D. HSDA #14 – Thompson 2001-2003 EDISS -- Child & Youth Injury Report, 2001- 2003 Page 34 Number of Injury-Related Visits by Month & Sex, Ages 0-24 years, Thompson Health Area, 2001-2003020040060080010001200JANFEBMARAPRMAYJUN JULAUGSEPOCTNOVDECMonthNumber of InjuryFemaleMaleNumber of Injury-Related Visits by Day of Week & Sex, Ages 0-24 years, Thompson Health Area, 2001-200305001000150020002500SUN MON TUE WED THU FRI SATDay of WeekNumber of InjuryFemaleMale3) Time distribution of injury Among the children and youth age groups, the highest number of injury-related visits to the emergency department occurred in April (9.8%), closely followed by May (9.5%) and June (9.5%). The highest number of injury-related visits to the emergency department occurred during weekends: Sunday (17.1%) and Saturday (17.0%). HSDA #14 – Thompson 2001-2003 EDISS -- Child & Youth Injury Report, 2001- 2003 Page 35 4) Cause of Injury Between April 1, 2001 and March 31, 2003, Falls (29.2%) and Struck by Object (21.1%) were the leading causes of injury among the children and youth in the Thompson Health Area. Falls were the leading cause of injury for those aged between 0 to 14 years and 20 to 24 years. For ages 15 to 19 years, Struck by Object was the leading cause of injury. Thompson Health Area, 2001-2003 Age Total Cause of Injury 0-4 5-9 10-14 15-19 20-24 # % Falls 670 548 915 712 531 3376 29.2% Struck by Object 225 309 715 780 403 2432 21.1% Cutting/Piercing 61 96 144 313 354 968 8.4% Overexertion 61 42 174 327 224 828 7.2% Motor Vehicle-Occupant 41 44 57 338 299 779 6.7% Inflicted Injury 15 5 42 239 252 553 4.8% Non-MV Pedal Cycle 19 87 184 158 109 557 4.8% Environmental 83 79 77 61 63 363 3.1% Foreign Body 71 29 28 47 72 247 2.1% Other Transport 8 31 54 46 37 176 1.5% Motorcyclist * 6 36 60 53 155 1.3% Postoperative Complications 19 17 18 42 51 147 1.3% Self-Inflicted * * 17 66 56 140 1.2% Fire, Flames & Hot Substances 41 6 20 32 35 134 1.2% Poisoning 49 6 5 18 25 103 0.9% Off-Road Motor Vehicle * * 13 20 22 57 0.5% Adverse Effects 12 10 5 19 11 57 0.5% Motor Vehicle-Pedestrian * * 8 22 12 47 0.4% Machinery in Operation * * * 11 22 37 0.3% Undetermined Intent * * * 7 11 28 0.2% Other Miscellaneous Causes 14 7 16 18 28 83 0.7% Other/Unspecified 22 23 67 114 58 284 2.5% Total 1417 1355 2601 3450 2728 11551 100.0 * Less than 5 cases HSDA #14 – Thompson 2001-2003 EDISS -- Child & Youth Injury Report, 2001- 2003 Page 36 Number of Injuries by Cause of Injury & Sex, Ages 0-24, Royal Inland Hospital, 2001-2003 0 500 1000 1500 2000Other TransportForeign BodyEnvironmentalInflicted InjuryNon-MV Pedal CycleMotor Vehicle-OccupantOverexertionCutting/PiercingStruck by ObjectFallsCauseNumber of InjuryMaleFemaleNumber of Injuries by Cause of Injury & Sex, Ages 0-24, Lillooet District Hospital, 2001-2003 0 50 100 150Other TransportForeign BodyNon-MV Pedal CycleMotor Vehicle-OccupantEnvironmentalOverexertionInflicted InjuryCutting/PiercingStruck by ObjectFallsCauseNumber of InjuryMaleFemale Of all the children and youth injury cases presenting to Royal Inland Hospital, the leading causes of injury were:  Falls (29.0%)  Struck by Object (21.2%)  Cutting/Piercing (8.2%) Among males, the leading causes of injury were:  Falls (27.0%)  Struck by Object (23.2%)  Cutting/Piercing (8.7%) Among females, the leading causes of injury were:  Falls (32.5%)  Struck by Object (17.7%)  Motor Vehicle-Occupant (9.8%) Of all the children and youth injury cases presenting to Lillooet District Hospital, the leading causes of injury were:  Falls (32.2%)  Struck by Object (18.7%)  Cutting/Piercing (10.7%) Among males, the leading causes of injury were:  Falls (30.9%)  Struck by Object (18.9%)  Cutting/Piercing (10.7%) Among females, the leading causes of injury were:  Falls (34.2%)  Struck by Object (18.3%)  Cutting/Piercing (10.8%) HSDA #14 – Thompson 2001-2003 EDISS -- Child & Youth Injury Report, 2001- 2003 Page 37 5) Place of Occurrence of Injury Between April 1, 2001 and March 31, 2003, Home (27.8%) and Sports/Athletics Area (24.8%) were the leading places of occurrence of injury among the children and youth in the Thompson Health Area. For ages 0 to 9 years and 20 to 24 years, Home was the leading place of occurrence of injury. For ages 10 to 19 years, Sports/Athletics Area was the leading place of occurrence of injury. Thompson Health Area, 2001-2003 Age Total Place of occurrence of Injury 0-4 5-9 10-14 15-19 20-24 # % Home 932 586 577 558 561 3214 27.8% Sports & athletics area 46 241 1009 1121 456 2873 24.9% Other Specified place 85 164 336 508 416 1509 13.1% Trade & service area 70 39 54 215 371 749 6.5% School, other institution & public area 52 140 286 186 64 728 6.3% Street & highway area * 16 38 74 50 181 1.6% Industrial & construction area * * * 21 118 139 1.2% Residential Institution * * * 17 31 51 0.4% Farm * * 8 17 11 41 0.4% Unspecified place 224 167 292 733 650 2066 17.9% Total 1417 1355 2601 3450 2728 11551 100.0 * Less than 5 cases HSDA #14 – Thompson 2001-2003 EDISS -- Child & Youth Injury Report, 2001- 2003 Page 38 Number of Injuries by Place of Occurrence & Sex, Ages 0-24, Royal Inland Hospital, 2001-2003 0 500 1000 1500 2000 2500FarmResidential InstitutionIndustrial & construction areaStreet & highway areaSchool, other institution, public areaTrade & service areaOther specified Sports & athletics areaHomePlace of OccurrenceNumber of InjuryMaleFemaleNumber of Injuries by Place of Occurrence & Sex, Ages 0-24, Lillooet District Hospital, 2001-2003 0 20 40 60 80 100Residential InstitutionFarmIndustrial & construction areaStreet & highway areaTrade & service areaSchool, other institution, public areaOther specified Sports & athletics areaHomePlace of OccurrenceNumber of InjuryMaleFemale Of all the children and youth injury cases presenting to Royal Inland Hospital, the leading places of occurrence of injury were:  Home (28.2%)  Sports/Athletics Area (25.6%)  Other Specified (13.2%) Among males, the leading places where injuries occurred were:  Sports/Athletics Area (27.9%)  Home (25.1%)  Other Specified (15.1%) Among females, the leading places where injuries occurred were:  Home (33.6%)  Sports/Athletics Area (21.6%)  Other Specified (9.9%) Of all the children and youth injury cases presenting to Lillooet District Hospital, the leading places of occurrence of injury were:  Home (22.3%)  Sports/Athletics Area (13.6%)  Other Specified (11.7%) Among males, the leading places where injuries occurred were:  Home (18.6%)  Sports/Athletics Area (15.5%)  Other Specified (12.5%) Among females, the leading places where injuries occurred were:  Home (28.1%)  Sports/Athletics Area (10.8%)  Other Specified (10.4%) HSDA #14 – Thompson 2001-2003 EDISS -- Child & Youth Injury Report, 2001- 2003 Page 39 6) Activity When Injured Between April 1, 2001 and March 31, 2003, Informal Sports (15.5%), and Leisure (13.3%), were the leading activities when injured among the children and youth age groups in the Thompson Health Area. There were, however, variations among the leading activity when injured among the age groups. Other Specified Activity, closely followed by Leisure, were the leading activity when injured among those aged between 0 to 4 years. Leisure was the top most activity when injured for children aged 5 to 9 years. For ages 10 to 19 years, Informal Sports were the leading activity when injured. For ages 20 to 24 years, Paid Work was the leading activity when injured. Thompson Health Area, 2001-2003 Age Total Activity when injured 0-4 5-9 10-14 15-19 20-24 # % Informal Sports 26 168 612 595 391 1792 15.5% Other Specified Activity 330 171 237 442 424 1604 13.9% Leisure 302 320 376 289 253 1540 13.3% Education * 198 549 452 25 1228 10.6% Organized Sports * 27 341 497 208 1075 9.3% Travel 46 55 75 369 330 875 7.6% Paid Work * * 8 209 472 689 6.0% Unpaid Work * 8 30 83 131 254 2.2% Vital and Personal Activity 78 34 30 30 40 212 1.8% Health Care 32 27 23 60 65 207 1.8% Being Taken Care of 37 * * * * 37 0.3% Travel to and from Work * * * * 5 7 0.1% Unspecified Activity 558 347 320 422 384 2031 17.6% Total 1417 1355 2601 3450 2728 11551 100.0 * Less than 5 cases HSDA #14 – Thompson 2001-2003 EDISS -- Child & Youth Injury Report, 2001- 2003 Page 40 Number of Injuries by Activity when Injured & Sex, Ages 0-24, Royal Inland Hospital, 2001-2003 0 200 400 600 800 1000 1200 1400Travel to and from WorkBeing Taken Care ofVital & Personal ActivityHealth CareUnpaid WorkPaid WorkTravelOrganized SportsEducationLeisureOther Specified ActivityInformal SportsActivity when InjuredNumber of InjuryMaleFemaleNumber of Injuries by Activity when Injured & Sex, Ages 0-24, Lillooet District Hospital, 2001-2003 0 20 40 60 80 100Travel to and from WorkHealth CareBeing Taken Care ofVital & Personal ActivityOrganized SportsPaid WorkUnpaid WorkTravelEducationInformal SportsOther Specified ActivityLeisureActivity when InjuredNumber of InjuryMaleFemaleOf all the cases presenting to Royal Inland Hospital, the leading activities when injured among all the children and youth age groups were:  Informal Sports (15.6%)  Other Specified activity (13.8%)  Leisure (12.9%) Among males, the leading activities when injured were:  Informal Sports (18.2%)  Other Specified activity (12.3%)  Leisure (12.1%) Among females, the leading activities when injured were:  Other Specified activity (16.4%)  Leisure (14.3%)  Informal Sports (11.2%) Of all the cases presenting to Lillooet District Hospital, the leading activities when injured among all the children and youth age groups were:  Leisure (20.1%)  Other Specified activity (14.6%)  Informal Sports (13.6%) Among males, the leading activities when injured were:  Leisure (18.4%)  Informal Sports (16.4%)  Other Specified activity (14.3%) Among females, the leading activities when injured were:  Leisure (22.7%)  Other Specified activity (15.1%)  Education (12.9%) HSDA #14 – Thompson 2001-2003 EDISS -- Child & Youth Injury Report, 2001- 2003 Page 41 7) Type of Injury Between April 1, 2001 and March 31, 2003, Open Wound (25.7%) and Superficial (20.2%) were the most common type of injuries among the children and youth in the Thompson Health Area. With the exception of ages 10 to 14 years, Open Wound was the leading type of injury among the children and youth age groups. For those aged between 10 to 14 years, Superficial injury was the most common type of injury. Thompson Health Area, 2001-2003 Age Total Type of Injury 0-4 5-9 10-14 15-19 20-24 # % Open wound 490 477 483 764 754 2968 25.7% Superficial 235 268 626 685 519 2333 20.2% Sprain/Strain 31 102 449 685 476 1743 15.1% Fracture 88 196 534 447 249 1514 13.1% Other 82 45 48 121 84 380 3.3% Poisoning/Toxic 59 27 36 72 59 253 2.2% Dislocation 56 10 24 81 79 250 2.2% Concussion 14 24 70 90 42 240 2.1% Foreign Body 77 30 27 33 63 230 2.0% Burn/Corrosion 46 6 25 51 50 178 1.5% Complications of Medical Care 19 15 18 41 48 141 1.2% Muscle/Tendon 5 12 26 49 36 128 1.1% Eye 11 7 20 30 33 101 0.9% Further Review 0 0 7 23 33 63 0.5% Crushing 11 8 9 12 12 52 0.5% Dental 8 10 7 10 6 41 0.4% Other Miscellaneous 9 5 10 23 28 75 0.6% Unspecified 176 113 182 233 157 861 7.5% Total 1417 1355 2601 3450 2728 11551 100.0% HSDA #14 – Thompson 2001-2003 EDISS -- Child & Youth Injury Report, 2001- 2003 Page 42 Number of Injuries by Type of Injury & Sex, Ages 0-24, Royal Inland Hospital, 2001-2003 0 500 1000 1500 2000 2500Burn/CorrosionForeign BodyConcussionDislocationPoisoning/ToxicOtherFractureSprain/StrainSuperficialOpen woundInjury TypeNumber of InjuryMaleFemaleNumber of Injuries by Type of Injury & Sex, Ages 0-24, Lillooet District Hospital, 2001-2003 0 50 100 150 200ConcussionPoisoning/ToxicMuscle/TendonBurn/CorrosionForeign BodyOtherFractureSprain/StrainSuperficialOpen woundInjury TypeNumber of InjuryMaleFemaleOf all the cases presenting to Royal Inland Hospital, leading types of injuries among all the children and youth age groups were:  Open Wound (25.2%)  Superficial (20.7%)  Sprain/Strain (15.6%) Among males, the most common types of injuries were:  Open Wound (28.2%)  Superficial (19.3%)  Fracture (14.8%) Among females, the most common types of injuries were:  Superficial (23.0%)  Open Wound (20.0%)  Sprain/Strain (19.1%) Of all the cases presenting to Lillooet District Hospital, the leading types of injuries among all the children and youth age groups were:  Open Wound (33.3%)  Superficial (13.0%)  Sprain/Strain (7.0%) Among males, the most common types of injuries were:  Open Wound (35.7%)  Superficial (13.0%)  Fracture (6.6%) Among females, the most common types of injuries were:  Open Wound (29.5%)  Superficial (12.9%)  Sprain/Strain (11.2%) HSDA #14 – Thompson 2001-2003 EDISS -- Child & Youth 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 children and youth 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, 24.1% were involved in Informal Sports when injured, followed by 18.8% in Leisure and 17.7% in Other Specified Activity. Thompson Health Area, 2001-2003 Cause of Injury Activity when Injured Falls Struck by Object Cutting/ Piercing Overexertion Motor Vehicle-Occupant Informal Sports 24.1% 7.1% 0.6% 17.5% 0.3% Education 12.4% 20.0% 3.7% 22.0% 0.1% Organized Sports 4.1% 25.2% 0.6% 16.5% 0.1% Travel 0.7% 0.1% 0.0% 0.6% 97.6% Paid Work 2.3% 6.4% 24.8% 6.9% 0.6% Other Specified Activity 17.7% 10.6% 18.4% 8.7% 0.4% Leisure 18.8% 10.3% 5.4% 18.2% 0.1% Unpaid Work 0.5% 0.8% 16.2% 1.7% 0.0% Vital and Personal Activity 3.3% 0.5% 1.5% 0.8% 0.1% Health Care 0.0% 0.0% 0.0% 0.0% 0.0% Being Taken Care of 0.7% 0.2% 0.1% 0.5% 0.0% Travel to and from Work 0.0% 0.0% 0.0% 0.1% 0.4% Unspecified Activity 15.4% 18.8% 28.6% 6.4% 0.3% Total 100.0% 100.0% 100.0% 100.0% 100.0% HSDA #14 – Thompson 2001-2003 EDISS -- Child & Youth 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 children and youth 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, 34.7% of injuries occurred Home, followed by 29.8% at the Sports and Athletics Area and 13.6% at Other Specified Place. Thompson Health Area, 2001-2003 Cause of Injury Place of Occurrence Falls Struck by Object Cutting/ Piercing Overexertion Motor Vehicle-Occupant Home 34.7% 24.8% 50.0% 21.5% 0.3% Sports & athletics area 29.8% 45.4% 2.9% 44.4% 0.1% Other specified place 13.6% 7.7% 11.8% 10.4% 0.1% Trade & service area 5.2% 5.8% 17.5% 5.1% 0.0% School, other institution & public area 8.7% 9.1% 6.1% 7.2% 0.3% Street & highway area 2.1% 0.7% 0.6% 2.3% 0.0% Industrial & construction area 0.4% 1.6% 4.0% 1.4% 0.0% Residential Institution 0.1% 0.5% 0.2% 0.7% 0.0% Farm 0.1% 0.1% 0.2% 0.4% 0.0% Unspecified place 5.4% 4.4% 6.7% 6.5% 99.2% Total 100.0% 100.0% 100.0% 100.0% 100.0% Child & Youth 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 -- Child & Youth Injury Report, 2001- 2003 Page 47 This section of the report examines injury cases among children and youth (ages 0-24 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, 8,360 children and youth cases were classified into these first three levels of the visit disposition:  8,177 patients (97.8%) were treated and released  137 patients (1.6%) left without being seen  46 patients (0.6%) left against medical advice or refused treatment 1) Total Number of Injury Cases Of the total 8,360 children and youth injury cases presenting to the North West Health Area:  62.7% were males  37.3% were females  0.01% were sex unknown Among the children and youth injuries, ages 15-19 years had the highest percentage of injury (27.5%), followed by ages 10-14 years (22.5%) and 20-44 years (18.0%). Of the total 8,360 children and youth injury cases presenting to the North West Health Area:  2,812 cases (33.6%) were injury-related visits to the emergency department of Prince Rupert Regional Hospital  2,558 cases (30.6%) were injury-related visits to the emergency department of Bulkley Valley District Hospital  2,032 cases (24.3%) were injury-related visits to the emergency department of Mills Memorial Hospital  958 cases (11.5%) 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* 0-4 818 537 1,355 5-9 816 502 1,318 10-14 1,138 741 1,879 15-19 1,499 803 2,303 20-24 969 536 1,505 Total* 5,240 3,119 8,360 *Includes 1 case of sex unknown HSDA #51 – North West 2001-2003 EDISS -- Child & Youth Injury Report, 2001- 2003 Page 48 Of total cases presenting to Prince Rupert Regional Hospital:  62.7% were males  37.3% were females  Ages 15-19 years had the highest percentage of injury (26.1%), followed by ages 10-14 years (21.3%), and 20-24 years (20.7%). Of total cases presenting to Bulkley Valley District Hospital:  61.6% were males  38.4% were females  0.04% were sex unknown  Ages 15-19 years had the highest percentage of injury (29.4%), followed by ages 10-14 years (21.7%), and 20-24 years (18.4%). Of total cases presenting to Mills Memorial Hospital:  63.0% were males  37.0% were females  Ages 15-19 years had the highest percentage of injury (26.2%), followed by ages 10-14 years (24.4%), and 5-9 years (17.9%). Of total cases presenting to Kitimat General Hospital:  64.9% were males  35.1% were females  Ages 15-19 years had the highest percentage of injury (29.6%), followed by ages 10-14 years (23.8%), and 20-24 years (17.3%). Table 2: Prince Rupert Regional Hospital, 2001-2003 Age Group Males Females Total 0-4 275 171 446 5-9 294 157 451 10-14 345 254 599 15-19 461 274 735 20-24 387 194 581 Total 1,762 1,050 2,812 Table 3: Bulkley Valley District Hospital, 2001-2003 Age Group Males Females Total* 0-4 249 157 406 5-9 222 151 373 10-14 330 226 556 15-19 495 256 752 20-24 279 192 471 Total* 1,575 982 2,558 *Includes 1 case of sex unknown Table 4: Mills Memorial Hospital, 2001-2003 Age Group Males Females Total 0-4 205 149 354 5-9 219 144 363 10-14 316 180 496 15-19 354 178 532 20-24 187 100 287 Total 1,281 751 2,032 Table 5: Kitimat General Hospital, 2001-2003 Age Group Males Females Total 0-4 89 60 149 5-9 81 50 131 10-14 147 81 228 15-19 189 95 284 20-24 116 50 166 Total 622 336 958 HSDA #51 – North West 2001-2003 EDISS -- Child & Youth Injury Report, 2001- 2003 Page 49 Average Annual Injury Rate per 1,000 by Age Group & Sex, Children and Youth (Ages 0-24 years), North West, 2001-2003 0501001502002503000-4 5-9 10-14 15-19 20-24Age group (year)Injury rate 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 162.0. The average annual injury rate was highest for ages 15 to 19 years (202.1), followed by ages 20-24 years (178.4), and 10-14 years (161.4). The average injury rate was higher for males (196.9) than females (124.8). For detailed definitions on rate calculation and population estimates used in calculating rates, refer to Appendix D. HSDA #51 – North West 2001-2003 EDISS -- Child & Youth Injury Report, 2001- 2003 Page 50 Number of Injury-Related Visits by Month & Sex, Ages 0-24 years, North West Health Area, 2001-20030100200300400500600700800900JAN FEBMARAPRMAYJUN JULAUGSEPOCTNOVDECMonthNumber of InjuryFemaleMaleNumber of Injury-Related Visits by Day of Week & Sex, Ages 0-24 years, North West Health Area, 2001-20030500100015002000SUN MON TUE WED THU FRI SATDay of WeekNumber of InjuryFemaleMale3) Time Distribution of Injury Among the children and youth age groups, the highest number of injury-related visits to the emergency department occurred in June (10.0%), closely followed by May (9.6%) and July (9.0%). The highest number of injury-related visits to the emergency department occurred during weekends: Saturday (19.3%) and Sunday (16.5%). HSDA #51 – North West 2001-2003 EDISS -- Child & Youth Injury Report, 2001- 2003 Page 51 4) Cause of Injury Between April 1, 2001 and March 31, 2003, Falls (28.2%) and Struck by Object (23.4%) were the leading causes of injury among the children and youth in the North West Health Area. Falls were the leading cause of injury for those aged between 0 to 14 years. For ages 15 to 24 years, Struck by Object was the leading cause of injury. North West Health Area, 2001-2003 Age Total Cause of Injury 0-4 5-9 10-14 15-19 20-24 # % Falls 554 478 588 511 227 2358 28.2% Struck by Object 278 325 539 539 274 1955 23.4% Cutting/Piercing 81 129 149 242 212 813 9.7% Overexertion 28 36 123 186 110 483 5.8% Inflicted Injury 7 8 34 189 195 433 5.2% Motor Vehicle-Occupant 27 27 37 164 97 352 4.2% Non-MV Pedal Cycle 21 76 134 83 25 339 4.1% Environmental 54 59 56 44 38 251 3.0% Foreign Body 70 42 22 26 53 213 2.5% Fire, Flames & Hot Substances 65 22 22 31 30 170 2.0% Poisoning 40 10 * 22 11 87 1.0% Other Transport 5 13 29 22 17 86 1.0% Postoperative Complications 10 13 9 21 28 81 1.0% Adverse Effects 26 8 11 6 7 58 0.7% Off-Road Motor Vehicle 5 * 7 19 16 51 0.6% Self-Inflicted * * 6 23 19 49 0.6% Machinery in Operation * * 5 16 23 49 0.6% Motor Vehicle Traffic * 8 6 17 12 45 0.5% Undetermined Intent * * 7 13 12 40 0.5% Motor Vehicle-Pedestrian 8 9 * 13 5 39 0.5% Other Miscellaneous 18 15 30 47 39 149 1.8% Other/Unspecified 48 30 57 69 55 259 3.1% Total 1355 1318 1879 2303 1505 8360 100.0 * Less than 5 cases HSDA #51 – North West 2001-2003 EDISS -- Child & Youth Injury Report, 2001- 2003 Page 52 Number of Injuries by Cause of Injury & Sex, Ages 0-24, Prince Rupert Regional Hospital, 2001-20030 100 200 300 400 500Motor Vehicle TrafficFire, Flames & Hot SubstancesEnvironmentalForeign BodyNon-MV Pedal CycleOverexertionInflicted InjuryCutting/PiercingStruck by ObjectFallsCauseNumber of InjuryMaleFemaleNumber of Injuries by Cause of Injury & Sex, Ages 0-24, Bulkley Valley District Hospital, 2001-20030 100 200 300 400 500Fire, Flames & Hot SubstancesForeign BodyInflicted InjuryEnvironmentalNon-MV Pedal CycleMotor Vehicle-OccupantOverexertionCutting/PiercingStruck by ObjectFallsCauseNumber of InjuryMaleFemaleOf all the children and youth injury cases presenting to Prince Rupert Regional Hospital, the leading causes of injury were:  Falls (26.7%)  Struck by Object (22.3%)  Cutting/Piercing (9.7%) Among males, the leading causes of injury were:  Falls (25.9%)  Struck by Object (24.3%)  Cutting/Piercing (10.3%) Among females, the leading causes of injury were:  Falls (28.1%)  Struck by Object (18.9%)  Cutting/Piercing (8.8%) Of all the children and youth injury cases presenting to Bulkley Valley District Hospital, the leading causes of injury were:  Falls (29.4%)  Struck by Object (21.7%)  Cutting/Piercing (9.6%) Among males, the leading causes of injury were:  Falls (29.1%)  Struck by Object (23.2%)  Cutting/Piercing (9.7%) Among females, the leading causes of injury were:  Falls (29.7%)  Struck by Object (19.2%)  Cutting/Piercing (9.4%) HSDA #51 – North West 2001-2003 EDISS -- Child & Youth Injury Report, 2001- 2003 Page 53 Number of Injuries by Cause of Injury & Sex, Ages 0-24, Mills Memorial Hospital, 2001-20030 100 200 300 400 500Inflicted InjuryFire, Flames & Hot SubstancesForeign BodyEnvironmentalOverexertionMotor Vehicle-OccupantNon-MV Pedal CycleCutting/PiercingStruck by ObjectFallsCauseNumber of InjuryMaleFemaleNumber of Injuries by Cause of Injury & Sex, Ages 0-24, Kitimat General Hospital, 2001-2003 0 50 100 150 200Fire, Flames & Hot SubstancesNon-MV Pedal CycleEnvironmentalForeign BodyInflicted InjuryMotor Vehicle-OccupantOverexertionCutting/PiercingStruck by ObjectFallsCauseNumber of InjuryMaleFemale Of all the children and youth injury cases presenting to Mills Memorial Hospital, the leading causes of injury were:  Falls (28.7%)  Struck by Object (27.4%)  Cutting/Piercing (9.7%) Among males, the leading causes of injury were:  Struck by Object (30.1%)  Falls (26.8%)  Cutting/Piercing (9.8%) Among females, the leading causes of injury were:  Falls (32.0%)  Struck by Object (22.8%)  Cutting/Piercing (9.6%) Of all the children and youth injury cases presenting to Kitimat General Hospital, the leading causes of injury were:  Falls (28.5%)  Struck by Object (22.7%)  Cutting/Piercing (10.2%) Among males, the leading causes of injury were:  Struck by Object (25.6%)  Falls (25.1%)  Cutting/Piercing (11.7%) Among females, the leading causes of injury were:  Falls (34.8%)  Struck by Object (17.3%)  Motor Vehicle-Occupant (8.9%) HSDA #51 – North West 2001-2003 EDISS -- Child & Youth Injury Report, 2001- 2003 Page 54 5) Place of Occurrence of Injury Between April 1, 2001 and March 31, 2003, Home (29.0%) was the leading place of occurrence of injury among the children and youth in the North West Health Area. North West Health Area, 2001-2003 Age Total Place of Occurrence of Injury 0-4 5-9 10-14 15-19 20-24 # % Home 929 562 460 486 387 2,824 33.8% Street & highway area 178 170 212 415 283 1,258 13.5% School, other institution & public area 89 131 246 404 255 1,125 12.3% Sports & athletics area 43 216 386 287 95 1,027 11.3% Other specified place 30 95 330 344 146 945 8.8% Trade & service area 52 108 197 221 154 732 2.9% Industrial & construction area 26 16 12 83 103 240 1.2% Residential Institution * * * 32 63 97 1.1% Farm 8 14 31 25 12 90 0.3% Unspecified place * 6 * 6 7 22 15.0% Total 1,355 1,318 1,879 2,303 1,505 8,360 100.0% * Less than 5 cases HSDA #51 – North West 2001-2003 EDISS -- Child & Youth Injury Report, 2001- 2003 Page 55 Number of Injuries by Place of Occurrence & Sex, Ages 0-24, Prince Rupert Regional Hospital, 2001-20030 100 200 300 400 500 600 700FarmResidential InstitutionIndustrial & construction areaTrade & service areaOther specified Sports & athletics areaStreet & highway areaSchool, other institution & public areaHomePlace of OccurrenceNumber of InjuryMaleFemaleNumber of Injuries by Place of Occurrence when Injured & Sex, Ages 0-24, Bulkely Valley District Hospital, 2001-20030 50 100 150 200 250 300 350FarmIndustrial & construction areaResidential InstitutionTrade & service areaSports & athletics areaOther specified Street & highway areaSchool, other institution & public areaHomePlace of OccurrenceNumber of InjuryMaleFemaleOf all the children and youth injury cases presenting to Prince Rupert Regional Hospital, the leading places of occurrence of injury were:  Home (35.7%)  School, Other Institution, Public Area (13.1%)  Street/Highway Area (12.9%) Among males, the leading places where injuries occurred were:  Home (34.3%)  Sports/Athletics Area (14.0%)  Street/Highway Area (13.5%) Among females, the leading places were:  Home (38.1%)  School, Other Institution, Public Area (15.0%)  Street/Highway Area (11.9%) Of all the children and youth injury cases presenting to Bulkley Valley District Hospital, the leading places of occurrence of injury were:  Home (22.9%)  School, Other Institution, Public Area (15.6%)  Street/Highway Area (14.5%) Among males, the leading places where injuries occurred were:  Home (21.1%)  Street/Highway Area (16.0%)  School, Other Institution, Public Area (15.3%) Among females, the leading places were:  Home (25.9%)  School, Other Institution, Public Area (16.1%)  Street/Highway Area (12.2%) HSDA #51 – North West 2001-2003 EDISS -- Child & Youth Injury Report, 2001- 2003 Page 56 Number of Injuries by Place of Occurrence & Sex, Ages 0-24, Kitimat General Hospital, 2001-2003 0 50 100 150 200 250FarmResidential InstitutionIndustrial & construction areaTrade & service areaStreet & highway areaSchool, other institution & public areaOther specified Sports & athletics areaHomePlace of OccurrenceNumber of InjuryMaleFemaleNumber of Injuries by Place of Occurrence & Sex, Ages 0-24, Mills Memorial Hospital, 2001-20030 100 200 300 400 500 600FarmIndustrial & construction areaResidential InstitutionTrade & service areaOther specified placeSports & athletics areaSchool, other institution & public areaStreet & highway areaHomePlace of OccurrenceNumber of InjuryMaleFemale Of all the children and youth injury cases presenting to Mills Memorial Hospital, the leading places of occurrence of injury were:  Home (43.3%)  Street/Highway Area (17.5%)  School, Other Institution & Public Area (10.7%) Among males, the leading places where injuries occurred were:  Home (21.4%)  Street/Highway Area (18.5%)  Sports/Athletics Area (12.0%) Among females, the leading places where injuries occurred were:  Home (50.3%)  Street/Highway Area (18.5%)  Other Specified (10.1%) Of all the children and youth injury cases presenting to Kitimat General Hospital, the leading places of occurrence of injury were:  Home (36.7%)  Sports/Athletics Area (19.1%)  Other Specified (13.8%) Among males, the leading places where injuries occurred were:  Home (33.1%)  Sports/Athletics Area (21.9%)  Other Specified (14.1%) Among females, the leading places where injuries occurred were:  Home (43.5%)  Sports/Athletics Area (14.0%)  Other Specified (13.1%) HSDA #51 – North West 2001-2003 EDISS -- Child & Youth Injury Report, 2001- 2003 Page 57 6) Activity when Injured Between April 1, 2001 and March 31, 2003, Leisure (30.2%) was the leading activity when injured a4mong the children and youth age groups in the North West Health Area. With the exception of those aged between 20 to 24 years, Leisure was the leading activity when injured among the all the children and youth age groups. For ages 20 to 24 years, Paid work was the leading activity when injured. North West Health Area, 2001-2003 Age Total Activity when injured 0-4 5-9 10-14 15-19 20-24 # % Leisure 680 630 565 438 212 2525 30.2% Other Specified Activity 206 111 166 276 193 952 11.4% Informal Sports 22 113 271 276 120 802 9.6% Organized Sports * 29 256 304 104 695 8.3% Travel 52 92 128 234 127 633 7.6% Paid Work * * * 125 247 378 4.5% Education * 79 183 102 * 368 4.4% Unpaid Work 11 25 55 98 119 308 3.7% Vital and Personal Activity 118 50 31 49 45 293 3.5% Health Care 27 17 18 23 30 115 1.4% Being Taken Care of 22 * * * * 26 0.3% Travel to and from Work * * * * * * 0.1% Unspecified Activity 211 170 202 375 303 1261 15.1% Total 1355 1318 1879 2303 1505 8360 100% * Less than 5 cases HSDA #51 – North West 2001-2003 EDISS -- Child & Youth Injury Report, 2001- 2003 Page 58 Number of Injuries by Activity when Injured & Sex, Ages 0-24, Prince Rupert Hospital, 2001-2003 0 100 200 300 400 500 600Travel to and from WorkBeing Taken Care ofEducationHealth CareVital & Personal ActivityUnpaid WorkPaid WorkTravelOther Specified ActivityInformal SportsOrganized SportsLeisureActivity when InjuredNumber of InjuryMaleFemaleNumber of Injuries by Activity when Injured & Sex, Ages 0-24, Bulkley Valley District Hospital, 2001-20030 100 200 300 400 500Travel to and from WorkBeing Taken Care ofHealth CareVital & Personal ActivityUnpaid WorkTravelOrganized SportsOther Specified ActivityPaid WorkEducationInformal SportsLeisureActivity when InjuredNumber of InjuryMaleFemaleOf all the cases presenting to Prince Rupert Regional Hospital, the leading activities when injured among all the children and youth age groups were:  Leisure (30.8%)  Organized Sports (9.2%)  Informal Sports (7.0%) Among males, the leading activities when injured were:  Leisure (32.1%)  Organized Sports (10.0%)  Informal Sports (8.5%) Among females, the leading activities when injured were:  Leisure (28.8%)  Organized Sports (7.9%)  Other Specified activity (7.5%) Of all the cases presenting to the Bulkely Valley District Hospital, the leading activities when injured among all the children and youth age groups were:  Leisure (29.1%)  Informal Sports (13.6%)  Education (10.9%) Among males, the leading activities when injured were:  Leisure (29.1%)  Informal Sports (15.1%)  Education (10.5%) Among females, the leading activities when injured were:  Leisure (29.0%)  Education (11.6%)  Informal Sports (11.1%) HSDA #51 – North West 2001-2003 EDISS -- Child & Youth Injury Report, 2001- 2003 Page 59 Number of Injuries by Activity when Injured & Sex, Ages 0-24, Mills Memorial Hospital, 2001-2003 0 50 100 150 200 250 300 350Health CareTravel to and from WorkBeing Taken Care ofEducationPaid WorkVital & Personal ActivityUnpaid WorkOrganized SportsInformal SportsTravelOther Specified ActivityLeisureActivity when InjuredNumber of injuryMaleFemaleNumber of Injuries by Activity when Injured & Sex, Ages 0-24, Kitimat General Hospital, 2001-20030 50 100 150 200 250 300 350Being Taken Care ofHealth CareTravelTravel to and from WorkEducationUnpaid WorkVital & Personal ActivityInformal SportsPaid WorkOrganized SportsOther Specified ActivityLeisureActivity when InjuredNumber of InjuryMaleFemaleOf all the cases presenting to Mills Memorial Hospital, the leading activities when injured among all the children and youth age groups were:  Leisure (23.0%)  Other Specified activity (22.8%)  Travel (17.2%) Among males, the leading activities when injured were:  Leisure (23.0%)  Other Specified activity (21.9%)  Travel (16.5%) Among females, the leading activities when injured were:  Other Specified activity (24.4%)  Leisure (23.0%)  Travel (18.2%) Of all the cases presenting to Kitimat General Hospital, the leading activities when injured among all the children and youth age groups were:  Leisure (46.6%)  Other Specified activity (16.5%)  Organized Sports (13.4%) Among males, the leading activities when injured were:  Leisure (46.3%)  Organized Sports (15.4%)  Other Specified activity (14.1%) Among females, the leading activities when injured were:  Leisure (47.0%)  Other Specified activity (20.8%)  Organized Sports (9.5%) HSDA #51 – North West 2001-2003 EDISS -- Child & Youth Injury Report, 2001- 2003 Page 60 7) Type of Injury Between April 1, 2001 and March 31, 2003, Open Wound (28.1%) and Superficial injury (22.9%) were the most common type of injuries among the children and youth in the North West Health Area. With the exception of ages 10 to 14 years, Open Wound was the leading type of injury among all the age groups. For those aged between 10 to 14 years, Superficial injury was the most common type of injury. North West Health Area, 2001-2003 Age Total Type of Injury 0-4 5-9 10-14 15-19 20-24 # % Open wound 430 458 419 577 461 2345 28.1% Superficial 361 291 473 505 287 1917 22.9% Sprain/Strain 35 120 359 433 218 1165 13.9% Fracture 63 147 221 188 100 719 8.6% Other 85 57 92 114 76 424 5.1% Burn/Corrosion 69 25 25 36 41 196 2.3% Foreign Body 70 36 13 21 35 175 2.1% Muscle/Tendon * 12 31 67 41 155 1.9% Eye 20 24 15 29 39 127 1.5% Poisoning/Toxic 40 19 12 31 23 125 1.5% Concussion 20 25 24 37 10 116 1.4% Dislocation 13 * 17 39 26 98 1.2% Complications of Medical Care 13 14 15 17 20 79 0.9% Intra-cranial 14 10 9 11 8 52 0.6% Dental 10 12 * 5 * 34 0.4% Crushing 8 * * 7 10 31 0.4% Other Miscellaneous 25 10 18 27 23 103 1.2% Unspecified 75 53 129 159 83 499 6.0% Total 1355 1318 1879 2303 1505 8360 100.0 * Less than 5 cases HSDA #51 – North West 2001-2003 EDISS -- Child & Youth Injury Report, 2001- 2003 Page 61 Number of Injuries by Type of Injury & Sex, Ages 0-24, Prince Rupert Hospital, 2001-2003 0 100 200 300 400 500 600EyeForeign BodyPoisoning/ToxicIntra-cranialBurn/CorrosionOtherFractureSprain/StrainSuperficialOpen woundInjury TypeNumber of InjuryMaleFemaleNumber of Injuries by Type of Injury & Sex, Ages 0-24, Bulkley Valley District Hospital, 2001-2003 0 100 200 300 400 500Poisoning/ToxicBurn/CorrosionForeign BodyConcussionMuscle/TendonOtherFractureSprain/StrainOpen woundSuperficialInjury TypeNumber of InjuryMaleFemaleOf all the cases presenting to Prince Rupert Regional Hospital, the leading types of injuries among all the children and youth age groups were:  Open Wound (28.5%)  Superficial (20.7%)  Sprain/Strain (13.9%) Among males, the most common types of injuries were:  Open Wound (32.2%)  Superficial (19.8%)  Sprain/Strain (12.8%) Among females, the most common types of injuries were:  Open Wound (22.3%)  Superficial (22.3%)  Sprain/Strain (15.8%) Of all the cases presenting to the Bulkely Valley District Hospital, the leading types of injuries among all the children and youth age groups were:  Superficial (24.7%)  Open Wound (24.6%)  Sprain/Strain (15.4%) Among males, the most common types of injuries were:  Open Wound (27.9%)  Superficial (23.2%)  Sprain/Strain (13.6%) Among females, the most common types of injuries were:  Superficial (27.0%)  Open Wound (19.3%)  Sprain/Strain (18.2%) HSDA #51 – North West 2001-2003 EDISS -- Child & Youth Injury Report, 2001- 2003 Page 62 Number of Injuries by Type of Injury & Sex, Ages 0-24, Mills Memorial Hospital, 2001-20030 100 200 300 400 500 600DislocationEyeMuscle/TendonForeign BodyBurn/CorrosionOtherFractureSprain/StrainSuperficialOpen woundInjury TypeNumber of InjuryMaleFemaleNumber of Injuries by Type of Injury & Sex, Ages 0-24, Kitimat General Hospital, 2001-2003 0 50 100 150 200ConcussionForeign BodyPoisoning/ToxicBurn/CorrosionEyeFractureOtherSprain/StrainSuperficialOpen woundInjury TypeNumber of InjuryMaleFemaleOf all the cases presenting to Mills Memorial Hospital, the leading types of injuries among all the children and youth age groups were:  Open Wound (32.6%)  Superficial (23.4%)  Sprain/Strain (10.9%) Among males, the most common types of injuries were:  Open Wound (37.5%)  Superficial (21.3%)  Sprain/Strain (8.8%) Among females, the most common types of injuries were:  Superficial (26.9%)  Open Wound (24.4%)  Sprain/Strain (14.4%) Of all the cases presenting to Kitimat General Hospital, the leading types of injuries among all the children and youth age groups were:  Open Wound (26.3%)  Superficial (23.8%)  Sprain/Strain (16.6%) Among males, the most common types of injuries were:  Open Wound (30.4%)  Superficial (23.5%)  Sprain/Strain (14.3%) Among females, the most common types of injuries were:  Superficial (24.4%)  Sprain/Strain (20.8%)  Open Wound (18.8%) HSDA #51 – North West 2001-2003 EDISS -- Child & Youth 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 children and youth 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, 40.0% were involved in Leisure when injured, followed by 16.9% in Informal Sports and 8.4% 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 Leisure 40.0% 28.0% 22.6% 23.6% 23.1% Other Specified Activity 8.4% 11.7% 12.4% 7.0% 31.6% Organized Sports 5.6% 19.2% 0.9% 26.7% 0.7% Informal Sports 16.9% 11.6% 0.7% 11.8% 0.5% Travel 6.0% 1.9% 3.4% 5.0% 2.1% Paid Work 2.0% 4.0% 12.1% 6.8% 1.4% Education 5.3% 7.2% 3.6% 7.7% 1.2% Unpaid Work 1.0% 2.6% 18.7% 2.7% 0.0% Vital and Personal Activity 4.0% 1.4% 7.3% 1.7% 0.9% Health Care 0.0% 0.0% 0.0% 0.0% 0.0% Being Taken Care of 0.6% 0.2% 0.0% 0.4% 0.5% Travel to and from Work 0.0% 0.0% 0.0% 0.0% 0.0% Unspecified Activity 10.3% 12.3% 18.3% 6.6% 38.1% Total 100.0% 100.0% 100.0% 100.0% 100.0% HSDA #51 – North West 2001-2003 EDISS -- Child & Youth 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 children and youth 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, 37.0% of injuries occurred Home, followed by 15.5% at School, Other Institution and Public Area and 13.7% at Other Specified Place. North West Health Area, 2001-2003 Cause of Injury Place of Occurrence Falls Struck by Object Cutting/ Piercing Overexertion Inflicted Injury Home 37.0% 35.4% 52.2% 20.7% 19.4% Sports & athletics area 11.3% 21.5% 3.7% 29.0% 1.4% Street & highway area 9.1% 4.2% 5.9% 8.1% 19.2% School, other institution & public area 15.5% 17.0% 7.3% 19.0% 9.0% Other specified place 13.7% 6.8% 8.6% 6.0% 6.7% Trade & service area 2.2% 2.7% 5.4% 3.3% 8.1% Industrial & construction area 0.4% 1.0% 2.8% 1.4% 0.0% Residential Institution 1.1% 1.5% 0.6% 1.4% 1.2% Farm 0.2% 0.3% 0.4% 0.2% 0.0% Unspecified place 9.6% 9.5% 13.2% 10.8% 35.1% 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 North West South Fraser Thompson EDISS Total 2001 2002 Total 2001 2002 Total 2001 2002 Total 2001 2002 Total 0-4 4,639 4,508 9,147 37,531 36,815 74,346 5,344 5,117 10,461 47,514 46,440 93,954 5-9 5,565 5,422 10,987 43,662 43,071 86,733 6,699 6,473 13,172 55,926 54,966 110,892 10-14 5,831 5,810 11,641 42,339 43,314 85,653 7,453 7,524 14,977 55,623 56,648 112,271 15-19 5,614 5,784 11,398 42,306 42,629 84,935 7,898 7,898 15,796 55,818 56,311 112,129 20-24 4,171 4,266 8,437 40,772 41,961 82,733 7,351 7,630 14,981 52,294 53,857 106,151 Total 25,820 25,790 51,610 206,610 207,790 414,400 34,745 34,642 69,387 267,175 268,222 535,397 * 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
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Attribution-NonCommercial-NoDerivatives 4.0 International
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Children and youth (0-19)
Adults (20-64)
Injury policy and prevention
Emergency Department Injury Surveillance System (EDISS) : Child & Youth Injury Data Report 2001-2003
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