Preventing Injuries and Violence Setting up comprehensive Prevention

Preventing Injuries and Violence: Setting up comprehensive Prevention programmes Etienne Krug, MD, MPH Director, Violence and Injury Prevention and Disability WHO

Road traffic Burns Drowning Health Trans port Police Interior Falls Inter personal violence Suicide War

Road traffic Burns Drowning Falls Inter personal violence Suicide War Health Abuse of alcohol and drugs, Gender and social inequalities, Trans Firearm avialibility, Social norms, Law enforcement, economy port Role of the media, Urban planning, etc Road Design, Helmets, Seat belts, etc Police Norms, Person. Stoves, Swim. Geo Housing, Person- ality, fuel, ming, Interior Sports, ality, Design, politics, Clothes, fencing, etc stress etc etc

Road traffic Burns Drowning Falls Health Data collection Trans port Research Inter personal violence Policies, legislation Police Prevention and evaluation Interior Health and social services Advocacy War Suicide

Road traffic Burns Drowning Health Trans port Police Interior Health Police Welfare Police Interior Falls Inter personal violence Suicide War Health Justice Diplo macy Health Police Interior Health Defense Interior Police Welfare

Policies National public health plan - Infectious diseases - NCDs - Injuries and violence - etc

Policies National public health plan - Infectious diseases - NCDs - Injuries and violence - etc National plan for injuries and violence prevention Data Prevention Services etc Links with other sectors

Policies National public health plan - Infectious diseases - NCDs - Injuries and violence - etc National plan for injuries and violence prevention Data Prevention Services etc Links with other sectors National plan for Prevention of violence National Road Safety Strategy National plan for burns prevention

Legislation

Science based • Data on the magnitude

Science based • Data on the magnitude

Science based: evaluation Prevention Evaluation Discourage Encourage

Prevention: examples of effective interventions All injuries Reduce alcohol availibility Interpersonal violence Home visitation Training for parents Life skills training Preschool enrichment School based programmes to prevent dating violence Suicidal behaviour Restrict access to means Treat depression

Prevention: examples of effective interventions (2) Road traffic injuries Introduce and enforce legislation on BAC Graduated driver licensing Introduce and enforce legislation on seatbelts Introduce and enforce legislation on motor cycle helmets Burns Banning fireworks Smoke alarms Drowning Introduce and enforce legislation on pool fencing Teach how to swim

Services • Emergency trauma care and rehabilitation services • Integrated services: • mental health support • social services • legal support, etc

Building capacity