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Reducing the societal and economic burden of injury in British Columbia ANNUAL REPORT 2014-2015

ANNUAL REPORT 2014-2015...BCIRPU ANNUAL REPORT 2014-2015 5 Message from PHSA PHSA, in partnership with the BC Ministry of Health (MoH), Child and Family Research Institute (CFRI),BC

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Page 1: ANNUAL REPORT 2014-2015...BCIRPU ANNUAL REPORT 2014-2015 5 Message from PHSA PHSA, in partnership with the BC Ministry of Health (MoH), Child and Family Research Institute (CFRI),BC

Reducing the societal and economic burden of injury in British Columbia

ANNUAL REPORT2014-2015

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2 BCIRPU ANNUAL REPORT 2014-2015

AcknowledgementsWe gratefully acknowledge the province-wide partnership between the BC Ministry of Health (MOH), Provincial Health Services Authority (PHSA), Child and Family Research Institute (CFRI), Developmental Neurosciences and Child Health (N2N), BC Children’s and Women’s Health Centre, and the Department of Pediatrics, University of British Columbia (UBC) for their integral participation and contribution to the BC Injury Research and Prevention Unit (BCIRPU). Their continued involvement and support allows BCIRPU to continue to be a leader in the development of evidence-based prevention initiatives that build capacity in health authorities and that contributes to the improved health, well-being, and safety of British Columbians.

www.injuryresearch.bc.caCover Photos:Photo 1: Monkey Business Images/ShutterstockPhoto 2: Monkey Business Images/ShutterstockPhoto 3: Tom Wang/Shutterstock

Photo Page 24: Jozef Sowa/Shutterstock

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3 BCIRPU ANNUAL REPORT 2014-2015

Support Services

Surveillance

Research

Knowledge Synthesis, Translation & Public Education

Networks & Coalitions

Reducing the societal and economic burden of injury in British Columbia

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4 BCIRPU ANNUAL REPORT 2014-2015

Message from Director and Associate Director

Injury prevention is about the practices of populations, communities

and individuals that minimize the risk of injury in order to safeguard

their health and wellbeing and to reduce the need for health care

services. It is recognized that individual and collective choices are

strongly influenced by the social, economic and physical conditions

where people live, work, learn and play. In order that injury

prevention choices become a reality, enabling and supportive policy,

programs and practices, and education must be in place at all levels

in these environments.

In the 2014-15 operating period, BCIRPU continued its successful

program of injury surveillance and research. Highlights during

this operating period included the completion of the report on the

Economic Burden of Injuries in BC, detailing the significant human

and financial costs of injury in our province. As well, significant

progress was made on the Injury Prevention Casebook - making the

case for investment in injury prevention as part of the promotion and

development of healthier individuals, families and communities in

BC. BCIRPU also continued its leading-edge work on the Concussion

Awareness Training Tool (CATT), completing modules for parents,

coaches and athletes, as well as significant progress on the module

for teachers and educators. BCIRPU also continued significant input

to the completion of the PHO Report on Motor Vehicle Injuries in BC.

We would like to thank the Provincial Health Services Authority and

the Ministry of Health for their guidance and support of the Unit.

Dr. Ian Pike, Director Dr. Shelina Babul, Associate Director

We would also like to thank the Health Authorities for their ongoing

cooperation, collaboration and input throughout the year. We extend

our gratitude to the Department of Pediatrics, University of British

Columbia and the Child and Family Research Institute for providing

the environment and ongoing resources that support our research

efforts. Finally, we thank the various injury prevention networks,

research institutes and NGOs for their collaboration and continuous

support as key partners in building capacity to better address injury

prevention in BC and beyond.

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5 BCIRPU ANNUAL REPORT 2014-2015

Message from PHSA

PHSA, in partnership with the BC Ministry of Health (MoH), Child

and Family Research Institute (CFRI),BC Children’s Hospital and the

University of British Columbia (UBC), continues to provide oversight

and support to the BC Injury Research and Prevention Unit (BCIRPU)

to ensure that the work plan and activities articulated in the

memorandum of understanding between the MoH and PHSA were

successfully completed.

The work of BCIRPU aligns with the PHSA’s strategic direction of

Promoting Healthier Populations, with the aim to prevent and reduce

chronic conditions, diseases and injury. BCIRPU aligns with the

PHSA Population and Public Health (PPH) Program which focuses

on a collaborative model to provide leadership towards identifying,

developing, implementing and evaluating collaborative primary and

primordial prevention initiatives to prevent chronic disease. This

partnership with BCIRPU expands the scope of the PPH program to

include the important area of injury prevention.

BCIRPU has taken a leadership role in supporting PHSA to identify

priorities and actions for the prevention of unintentional injury,

including an active role in the discussions around the surveillance

health indicators, health equity and healthy weights. PPH has

also supported and partnered with BCIRPU in two areas. First

to disseminate information from previous reports and create

partnerships with the research community so that the relationships

between healthy weights promotion and injury would be considered

for further study and secondly to develop safe sleep messaging for

Lydia Drasic, Executive DirectorBCCDC Operations & Chronic Disease Prevention,

BC Centre for Disease ControlProvincial Health Services Authority

parents of infants. This resource was developed through multiple

consultations and in partnership with the Frist Nations Health

Authority.

This annual report represents the considerable accomplishments

in injury surveillance, research, knowledge translation and public

information by the BCIRPU throughout the 2014-2015 year. PHSA is

pleased to be a partner that supports BCIRPU in its mission to reduce

the societal and economic burden of injury in BC, and looks forward

to continued collaboration on the opportunities ahead.

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6 BCIRPU ANNUAL REPORT 2014-2015

Our VisionTo be leaders in the production and transfer of injury prevention knowledge and integration of prevention practices in the daily lives of British Columbians.

Our MissionSaving lives, reducing disability and promoting prevention.

BackgroundBCIRPU is located at BC Children’s Hospital and is a core research program within the Developmental Neurosciences and Child Health, Child & Family Research Institute. BCIRPU also serves as a training centre, and the staff at the Unit may hold faculty appointments at the University of British Columbia. BCIRPU was established as a strategic entity, blending the need for research and evidence with best practices and the development of policies and programs to reduce injury in BC.

Our RoleTo serve as a provincial ‘hub’ to provide research-based leadership and coordination to stakeholders in order to reduce the societal and economic burden of injury among all age groups in British Columbia.

Key objectives include:

» Reducing the burden of injury in BC.

» Leading research and knowledge development.

» Improving surveillance.

» Guiding evidence-based prevention.

» Supporting professionals and practitioners.

» Providing awareness, education and public information.

Strategic Focus » Surveillance

» Research

» Knowledge Synthesis & Translation

» Public Information

Statistics » Presentations Given: 51

» Newsletters Published: 6

» Articles/Reports Published: 35

» Media Requests: 76

» Average Number of Teleconference Participants: 25

» Website Visits: 10,103 unique visitors

» Collaborative Grants Awarded (per year): $5,370,625

» Collaborative Grants Awarded (total): $24,840,758

Funding & SupportBCIRPU operates as a province-wide partnership between the BC Ministry of Health (MoH), Provincial Health Services Authority (PHSA), Developmental Neurosciences and Child Health at the Child and Family Research Institute (CFRI), BC Children’s and Women’s Health Centre, and the University of British Columbia (UBC). BCIRPU is supported by core funding from MOH under an MOU with PHSA, and competes for peer reviewed grants and contracts.

BcIRPU At A glAnce

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7 BCIRPU ANNUAL REPORT 2014-2015

Support Services

Strategic Areas of FocusSurveillance

Activities are reasonably consistent year to year, but will increase as new databases (e.g. BC Trauma Registry data) are incorporated into the surveillance system. Significant time and attention is required to clean and maintain the databases, to ensure security and utility, and to ensure that the data functions to serve the BCIRPU Injury Data Online Tool (iDOT ©).

Research

Activities are planned in advance through the grant writing process. Successful grants include sufficient resources for the required personnel and equipment and are undertaken to support the core deliverables work of the BCIRPU. Oversight and management for research is provided by BCIRPU principal investigators.

Knowledge Synthesis & Translation

Activities are ongoing and significant investments are made to gather and synthesize research evidence and develop meaningful communications for health authorities and other injury prevention researchers, practitioners and policy makers. Key activities to support knowledge synthesis include systematic reviews of the relevant literature, environmental scanning and meta-analyses. Translating the research evidence and information includes peer-reviewed publication, conference presentation, workshops and seminars, and face-to-face meetings. Translational research includes pilot testing and modeling.

Public Information

Activities include information and messages for the media and the general public. BCIRPU currently utilizes its website to convey this information and messaging, and has created a strategic alliance with The Community Against Preventable Injuries (Preventable) to develop and implement professional social marketing campaigns.

Supporting injury prevention profeSSionalS

Photo: Pan Xunbin/Shutterstock

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8 BCIRPU ANNUAL REPORT 2014-2015

Support Services

A Provincial HubBCIRPU serves as the hub, providing leadership and coordination, for injury prevention initiatives in BC, and is directly aligned to support the needs of the MoH Service Plan in BC, the public health core model program needs of health authorities, the PHSA Population and Public Health priorities, as well as the needs of other stakeholders. BCIRPU provides ongoing support to BC health authorities, the BC Injury Prevention Policy Advisory Committee (BC IP-PAC) initiated in early 2014, and members of the BC Injury Prevention Alliance (BCIPA) in the development, implementation and evaluation of injury prevention plans and evidence-based initiatives in a way that best serves the client in order to enable cost-effective, evidence-based and targeted injury prevention policies, strategies and interventions.

BCIRPU assists health authorities and other stakeholders with:

» Injury prevention program planning, development and evaluation.

» Identification of key trends, issues and best practices.

» Co-ordination and facilitation of injury surveillance.

» Expert training in injury and falls prevention.

» Research design, methods and analysis.

» Research literature searches and synthesis.

» Grant application development.

BCIRPU helps health authorities and other stakeholders successfully meet the needs of the injury prevention program in public health, and to plan and implement injury prevention programs and initiatives.

Office of the Provincial Health Officer Report on Road Traffic Injury and Death in BCTraffic collisions continue to be a major cause of injury and death among British Columbians, and are a major burden on our health care system in terms of emergency treatment, chronic care and rehabilitation.

In preparation for this report, BCIRPU provided continued coordination and support to the Office of the Provincial Health Officer and Health Authorities in the development and production of key components of the report. Specifically, BCIRPU provided:

» negotiated a data sharing and stewardship agreement with the Insurance Corporation of BC for the Traffic Accident System data for BC, which provided essential data for the report;

» data and analysis services to health authorities in the development of regional reports;

» data collection, cleaning and analysis services to the Office of the Provincial Health Officer in the production of the overall report; and

» created tables and charts for depicting trends and patterns using various available data sources.

BCIRPU was involved in compiling and writing a draft of the report using information from key stakeholders as well as evidence-based best practices on road safety, including completing the overall data analysis for the report. Support for the report is ongoing and BCIRPU continues to work with the Office in providing additional information as required.

Supporting injury prevention profeSSionalS

Photo: Syda Productions/Shutterstock

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9 BCIRPU ANNUAL REPORT 2014-2015

Support Services

PHSA Population and Public HealthMembers of BC Injury Research and Prevention Unit (BCIRPU) and representatives of BC Health Authorities guided the design and development of the Injury Prevention Casebook in 2014/15. Funded by the Provincial Health Services Authority, the Injury Prevention Casebook assists Health Authorities (and other injury stakeholders) in the decision-making, priority setting and planning processes within the Unintentional Injury Prevention Core Model Program in Public Health in BC.

The target audiences for this resource are those with the responsibility for decision-making, priority setting, planning and resource allocation to support Public Health in BC – this includes those primarily in government and NGO sectors. Because effective injury prevention also includes effective policy, the Injury Prevention Casebook is aimed at politicians, senior bureaucrats and executive leaders in provincial and municipal government.

It is a highly visual, online resource with useful charts and infographics that help make the case for injury prevention. It includes 10 chapters that make the case for injury prevention in BC and 9 case studies that provide examples of injury prevention successes. The Casebook will be widely disseminated and evaluated in 2015/16.

Supporting injury prevention profeSSionalS

The Centre of Excellence on Mobility, Fall Prevention and Injury in Aging / Centre for Hip Health and Mobility (CEMFIA) The Centre of Excellence on Mobility, Fall Prevention and Injury in Aging (CEMFIA) falls under the Centre for Hip Health and Mobility (CHHM). CEMFIA is supported with funding by CHHM through a grant provided by the British Columbia Ministry of Health (BC MoH) and focuses on ongoing collaboration across leading researchers in BC and internationally on seniors’ mobility issues, falls and injury prevention.

featured projects:

Strategies and Actions for Independent Living First Nation Adaptation (SAIL FN Adaptation)

This project integrates the Strategies and Actions for Independent Living (SAIL) and the Elder Safety Program (ESP) in partnership with the First Nations Health Authority (FNHA), the Aboriginal Healthy Living Activities (AHLA), BCIRPU, and Home Support leaders working in First Nations communities across BC. The foci are on fall prevention and fire safety using a train-the-trainer approach to provide services to frail older adults living at home. The project includes iterative evaluation and is scheduled for completion in March 2017. The final product will include a modified version of the SAIL materials and “An Elder’s Guide to Fall and Fire Prevention” for the First Nations Communities.

SAIL FN Adaptation – Tai Chi Video

The goal of this pilot is to determine if a Tai Chi group exercise program will improve the mobility and balance of participating seniors. The pilot includes creating a video of Elders in a Tai Chi class for dissemination to older adults. The exercises are based on eight “Yang”-style moves, adapted from the US Centres for Disease Control’s “Moving for Better Balance” program1 which is designed to improve mobility and balance for seniors and reduce falls.

1 Tai Chi Moving for Better Balance: A Guide for Program Implementation (2011). US Centres for Disease Control National Centre for Injury Prevention and Control.

18 | The BC Casebook for Injury Prevention

08 Potential Return on Investment/Business CaseCHAPTER

Chapter 8: Potential Return on Investment/Business Case | 19

Upstream investment in injury prevention translates to injury costs avoided and financial resources available for reallocation to other important health care areas.

Investing in prevention provides an opportunity for positive change: we can save lives, reduce disabilities and save health care resources.

The Office of the BC Provincial Health Officer, the Canadian Public Health Association and the US Centers for Disease Control argue that investments “upstream”, in programs and interventions that focus on prevention and health promotion, will result in decreased demand for “downstream” acute care health facility-based services, reducing the need for costly treatment.1-3 Investing in prevention and keeping people healthy can save health care resources.1,3

Forecasted Cost SavingsParachute, Canada’s national charitable organization dedicated to preventing injuries and saving lives, developed a report in 2015 titled The Cost of Injury in Canada.4 Parachute worked with The Conference Board of Canada to provide forecasts outlining the proportion of injuries that will not occur if specific preventative interventions are in place.

Example #1: Falls Intervention for Community-Based Older Adults

It is conservatively estimated that interventions which include a multifactorial falls risk assessment and a management program tailored to an individual’s risk factors and setting will result in a 20% reduction in falls among older adults by 2035.4 Increasing the number of older adults who receive environmental assessments from health care professionals that include: a) modifications of fall risks identified in the home, b) an evaluation of daily activities, and c) an intervention to promote safe performance of those activities is forecasted to reduce injury due to falls.5 Over 5 years, this will result in a savings of over $28 million.6 Over 20 years, this will result in a savings of well over $146 million.6

Example #2: Alcohol Consumption Interventions

Persons under the influence of alcohol are more likely to be injured, and when injured are more likely to sustain serious injuries.7 There are many best practice interventions, such as regulating the cost of alcohol and the hours of sale, that have an impact on the opportunity for excessive alcohol consumption.7, 8 Data to support alcohol cost savings is currently unavailable, however based on the evidence, it is conservatively forecasted that an investment in alcohol-related injury prevention will reduce alcohol-related injury by 9%, also resulting in cost savings.6, 9, 10

Example #3: Helmet Use

Helmets used when cycling or engaging in snow sports reduce the risk of head injury.11-13 There is a forecasted 25% reduction

in risk of head injury if bicycle helmets are worn correctly.11, 12 There is a forecasted 35% reduction in risk of head injury if ski and snowboard helmets are used.6, 13 Over 5 years, this will result in a savings of over $28 million.6 Over 20 years, this will result in a savings of well over $125 million.6

Example #4: Traffic Speed Control

Speed-cameras, speed calming such as lowered speed limits, and environmental modifications such as road bumps are effective at reducing speed-related injury and death.14-20 It is forecasted that speed calming efforts will result in 30% fewer transport-related deaths and 50% fewer injuries.20, 21 Speed cameras result in a forecasted reduction of 15% of speed-related injury and death.17, 19 These reductions rely on an investment in environmental modifications and enforcement of road safety laws, however the benefit of lives saved and injuries avoided is more than four times the cost of enforcement.18 Over 5 years, over $61 million will be saved with these investments.6 Over 20 years, well over $266 million will be saved.6

Why Invest in Injury Prevention?There is clear evidence that these interventions can reduce the number of people requiring health care services for the treatment of injuries. Prevention reduces the load on the health care system. Upstream investment in injury prevention translates into injury costs avoided and financial resources available for reallocation to other important health care areas.1-3 Investing in prevention provides a potential solution to the rising costs of health care.

20%can reduce4 falls by

$146 million

Falls riskintervention

generating a savings over 20 years of

35%

or snowboardhelmet

Wearing a ski

can reduce4 head injury by

$125 milliongenerating a savings over 20 years of

over 20 years4$266 million

speed calmingReducing death and

injury through

eorts will result in a savings of

Estimated cost savings by select child injury intervention, 200922

Every dollar spent on: ...saves society

Childproof Cigarette Lighter $80

Booster Seat $71

Bicycle Helmet $45

Child Safety Seat $42

Zero Alcohol Tolerance, Driver Under 21 $25

Smoke Alarm $18

Poison Control Centre $8

Photo: Tom Wang/Shutterstock

Photo: altanaka/Shutterstock

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10 BCIRPU ANNUAL REPORT 2014-2015

Support Services

Map of ServicesThe role of BCIRPU is to coordinate communication among all the injury prevention leads within the Health Authorities and to support opportunities for networking and communication. BCIRPU is represented on the new Health Authority Injury Prevention Working Group, specifically in the coordination of injury-themed newsletter submissions.

During the 2014-15 operating period, BCIRPU provided the following support services to BC Health Authorities:

Fraser Health Authority » Regular participation in the Unintentional

Injury Prevention Priority Action Committee.

» Supported collaboration between FH and Preventable.

» Participated in successful grant application to the Peach Arch Hospital Foundation to support expanded Preventable campaign in FH.

» Ongoing support for the revised SAIL.

Interior Health Authority » Ongoing support for fall and general injury

prevention.

» Working with the injury prevention committee to develop an injury prevention strategy for Interior Health.

» Attended an in-person injury prevention stakeholder meeting to identify key priorities for injury prevention in Interior Health.

» Participated in working groups for the development of the injury prevention strategy.

Island Health Authority » Ongoing support for fall and general injury

prevention.

northern Health Authority » Ongoing support for fall and general injury

prevention.

Vancouver Coastal Health Authority » Regular participation in the VCH Regional

Injury Prevention Committee.

» Regular participation in the North Shore Injury Prevention Community Action Community.

» Responded to requests for data/information.

» Ongoing support for the revised SAIL.

» Provided support to Program Lead for Injury Prevention with Trauma Services.

» Supported the connection between VCH and BC Children’s Hospital regarding ED Data.

Provincial Health services Authority » Membership on the Population and

Public Health Steering Committee.

» Participation and committee membership on Population and Public Health Surveillance, Reducing Health Inequities Strategy – Health Equity Indicators, Aboriginal Sub-committee and Trauma Injury Surveillance.

Northern Health Authority Vancouver Coastal Health Authority Island Health Authority Interior Health Authority Fraser Health Authority

Supporting injury prevention profeSSionalS

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11 BCIRPU ANNUAL REPORT 2014-2015

Support Services

Supporting injury prevention profeSSionalS

The Community Against Preventable Injuries (preventable)The Community Against Preventable Injuries (Preventable) is a province-wide, multi-partner social marketing organization designed to raise awareness, transform attitudes, and ultimately change behaviours. Its goal is to significantly reduce the number and severity of preventable injuries in BC.

BCIRPU is a founding strategic partner of Preventable, and provides the evidence, the research and the evaluation behind its injury prevention social marketing campaign. Dr. Ian Pike serves as the spokesperson for Preventable and Drs. Shelina Babul and Mariana Brussoni have served as expert spokespersons on specific injury issues like concussion and play-related injuries.

In 2014/15, Preventable’s campaign continued to utilize its, “Have a Word With Yourself” platform. Out-of-home activations and mass media advertising included efforts to address the overarching attitude that leads to injury – that injuries won’t happen to me – through specific scenarios including distracted driving, water safety and lifejacket use, preventable poisoning, falls prevention and ladder safety, electrical safety, and helmet safety and head injury prevention. The campaign continued to resonate with British Columbians, and those citizens who saw the campaign scored significantly better on injury prevention awareness, attitudes and behaviours, than those who did not. Based upon the compelling results of the campaign in British Columbia, the Government of Alberta has adopted the campaign to change attitudes and behaviours, and to reduce serious injuries among Albertans.

Photo: Preventable

Photo: Preventable

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12 BCIRPU ANNUAL REPORT 2014-2015

Surveillance

according to their needs. Numbers, rates and age-adjusted rates can be presented. Longitudinal and cross-sectional comparative data is available and can be further broken down by multiple specific parameters such as age, sex, region and injury type. The iDOT© also provides information on the number of hospital days, and the costs related to hospital treatment. Additions to the iDOT© include road safety data from the Traffic Accident Statistics (TAS) database provided by the Insurance Corporation of BC (ICBC); the inclusion of sports-related data using the Discharge Abstract Database, and the CHIRPP BC emergency department data. Data have been updated to the most recent years available.

www.injuryresearch.bc.ca/resources/injury-data-online-tool-idot

Google Analytics for the iDOT©April 1, 2014 - March 31st, 2015:

Page Views: 2,143

Unique Page Views: 1,403

Average Time on Page: 2:00

Understanding Injury Trends & PatternsInjury surveillance is the ongoing collection, analysis, interpretation and timely dissemination of injury data. Surveillance is an important first step in reducing the burden of injuries and provides data necessary for government, health authorities and other stakeholders to understand the trends and patterns of injury in BC, for the purpose of informing injury prevention decisions and actions. It is important that a comprehensive, up-to-date and standardized surveillance system be maintained so that effective injury prevention initiatives can be developed and implemented.

BCIRPU operates the BC Injury Reporting System, providing injury statistics and information to the BC Ministry of Health, the members of the BC Injury Prevention and Leadership Action Network, the members of the BC Injury Prevention Policy Advisory Committee, as well as the Health Authority Injury Prevention Committee. BCIRPU conducts on-going collection, analysis, interpretation and dissemination of high quality injury statistics and information related to emerging trends, identified gaps in the evidence, best practices and best buys. Data sharing agreements with various agencies and organizations ensures a comprehensive view of injury in BC, and the interactive Injury Data Online Tool (iDOT ©) allows direct interface with the surveillance data by users to produce customized tables, charts and maps.

CHIRPPBCIRPU operates the BC component of the Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP) – an injury surveillance system funded by the Public Health Agency of Canada and operating at 14 hospitals across Canada. The program continues to amass extensive data and information on child and youth injury, which is used to inform injury prevention policy and programs.

Injury Data Online ToolAvailable via the BCIRPU website, the Injury Data Online Tool (iDOT ©) provides up-to-date surveillance data and information. Users select from multiple pull down menus to choose parameters and create the customized view of the injury mortality and injury hospitalization data

BCIRPU provides proactive advice to government, health authorities and other stakeholders regarding the trends and patterns of injury in BC.

improving injury SurveillanCe

Tra�ic Accident System Tool »

Injury Related Deaths Tool »

Injury Hospitalizations Tool »

Sports Related Injuries Tool »

Injury ER Visits Tool »

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13 BCIRPU ANNUAL REPORT 2014-2015

Surveillance

improving injury SurveillanCe

Injury Surveillance Data Cards BCIRPU creates informative data cards using the most recent data available to depict leading causes of injury death and hospitalization by age group and gender.

Leading Causes of Injury Hospitalization, British Columbia, 2013-14, Males and Females Combined Counts (Crude hospitalization rate per 100,000)

<1 1-4 5-9 10-14 15-24 25-34 35-44 45-54 55-64 65+ All Ages

1 Other

Unintentional 51 (116.2)

Fall 277 (155.9)

Fall 462 (205.2)

Fall 414 (179.1)

Fall 969 (162.7)

Fall 1,048 (167.7)

Fall 1,096 (179.1)

Fall 1,921 (277.9)

Fall 2,868 (453.5)

Fall 15,524 (2,040.6)

Fall 24,628 (536.0)

2 Fall 49 (111.7)

Foreign Body 105 (59.1)

Transport-related

87 (38.6)

Transport-related

189 (81.7)

Transport- related

929 (156.0)

Transport- related

861 (137.8)

Transport- related

831 (135.8)

Transport -related

1,052 (152.2)

Transport- related

853 (134.9)

Other Unintentional 1,009 (132.6)

Transport- related

5,828 (126.8)

3 Assault 25 (57.0)

Other Unintentional

66 (37.2)

Other Unintentional

68 (30.2)

Struck by Object 181 (78.3)

Attempted Suicide

779 (130.8)

Attempted Suicide

538 (86.1)

Attempted Suicide

466 (76.1)

Attempted Suicide

512 (74.1)

Other Unintentional

404 (63.9)

Transport- related

1,000 (131.5)

Other Unintentional 3,366 (73.3)

4 Suffocation/

Choking 16 (36.5)

Unintentional Poisoning 57 (32.1)

Foreign Body 61 (27.1)

Attempted Suicide

123 (53.2)

Struck by Object 667 (112.0)

Struck by Object 501 (80.2)

Other Unintentional

422 (69.0)

Other Unintentional

448 (64.8)

Attempted Suicide

343 (54.2)

Unintentional Poisoning 429 (56.4)

Attempted Suicide

2,978 (64.8)

5 Unintentional

Poisoning 13 (29.6)

Struck by Object 31 (17.4)

Struck by Object 60 (26.6)

Other Unintentional

92 (39.8)

Other Unintentional

425 (71.4)

Assault 381 (61.0)

Overexertion 412 (67.3)

Overexertion 423 (61.2)

Overexertion 277 (43.8)

Foreign Body 313 (41.1)

Struck by Object 2,470 (53.8)

6 Foreign Body

13 (29.6)

Fire, Flame and Hot Substance

26 (14.6)

Fire, Flame and Hot Substance

19 (8.4)

Overexertion 59 (25.5)

Overexertion 373 (62.6)

Other Unintentional

381 (61.0)

Struck by Object 311 (50.8)

Struck by Object 275 (39.8)

Unintentional Poisoning 272 (43.0)

Overexertion 305 (40.1)

Overexertion 2,225 (48.4)

7 Fire, Flame and Hot Substance

7 (16.0)

Transport Related

26 (14.6)

Cutting/ Piercing 15 (6.7)

Foreign Body 31 (13.4)

Assault 365 (61.3)

Overexertion 372 (59.5)

Assault 257 (42.0)

Unintentional Poisoning 269 (38.9)

Struck by Object

209 (33.1)

Struck by Object 230 (30.2)

Unintentional Poisoning

1,685 (36.7)

8 Struck by Object

5 (11.4)

Environmental/Natural Factor

17 (9.6)

Environmental/Natural Factor

11 (4.9)

Unintentional Poisoning 21 (9.1)

Unintentional Poisoning 198 (33.3)

Unintentional Poisoning 227 (36.3)

Unintentional Poisoning 190 (31.0)

Assault 259 (37.5)

Foreign Body 164 (25.9)

Attempted Suicide

216 (28.4)

Assault 1,498 (32.6)

9 Environmental/Natural Factor

*

Suffocation/ Choking 17 (9.6)

Unintentional Poisoning

9 (4.0)

Environmental/Natural Factor

20 (8.7)

Cutting/ Piercing

163 (27.4)

Cutting/ Piercing

185 (29.6)

Cutting/ Piercing

123 (20.1)

Foreign Body 146 (21.1)

Machinery 126 (19.9)

Environmental/ Natural Factor

114 (15.0)

Foreign Body 1,092 (23.8)

10 Unknown Intent *

Drowning/ Submersion

8 (4.5)

Suffocation/ Choking 5 (2.2)

Cutting/ Piercing 13 (5.6)

Unknown Intent 117 (19.6)

Unknown Intent 135 (21.6)

Machinery 113 (18.5)

Machinery 131 (19.0)

Assault 113 (17.9)

Machinery 94 (12.4)

Cutting/ Piercing

723 (15.7)

*Suppressed due to small number of cases. Postoperative Complications, Misadventure and Adverse Effects have been excluded from these tables due to their heterogeneous nature. Extraction of the data is based on all hospitalizations for all levels of care, Acute, Rehab and Day Surgery

Source: Discharge Abstract Database, BC Ministry of Health Services, 2015

Fall776 (126.3)

Fall823 (131.8)

Fall2,494 (373.2)

Fall10,475 (2,582.5)

Fall14,568 (630.0)

AttemptedSuicide

677 (110.2)

AttemptedSuicide

617 (98.8)Transport683 (102.2)

Transport458 (112.9)

Transport1,997 (86.4)

Transport374 (60.9)

Transport482 (77.2)

AttemptedSuicide

487 (72.9)

UnintentionalPoisoning258 (63.6)

AttemptedSuicide

1,898 (82.1)

Injury HospitalizationsLeading Causes, Counts (Crude Rate per 100,000 pop.), Sex & Age Group, British Columbia, 2013/14

0 to 24 yrs 25 to 44 yrs 45 to 64 yrs 65+ yrs All Ages

Fall1,395 (211.7)

Fall1,320 (215.4)

Fall2,295 (350.2)

Fall5,048 (1,421.5)

Fall10,088 (440.7)

Transport857 (130.1)

Transport1,209 (197.3)

Transport1,222 (186.5)

Transport542 (152.6)

Transport3,830 (167.8)

Struck byObject

751 (114.0)

Struck byObject

632 (103.1)Overexertion

469 (71.6)

ForeignBody

203 (57.2)

Struck byObject

1,894 (83.0)

Source: Discharge Abstract Database, BC Ministry of Health Services, 2015

INJURY DEATH Leading Causes, Counts (Crude Rate per 100,000 pop.), Sex & Age Group, British Columbia, 2010

0 to 24 yr

25 to 64 yr

65+ yr

All Ages

1

Suicide 55 (8.2)

Suicide 282 (22.3)

Fall 211 (67.8)

Suicide 402 (17.9)

2

Transport 48 (7.2)

Poisoning 204 (16.1)

Suicide 65 (20.9)

Fall 262 (11.7)

3

Poisoning 21 (3.1)

Transport 165 (13.0)

Transport 45 (14.5)

Transport 258 (11.5)

1

Transport 28 (4.5)

Poisoning 102 (7.9)

Fall 282 (77.1)

Fall 290 (12.7)

2

Suicide 17 (2.7)

Suicide 67 (5.2)

Transport 29 (7.9)

Transport 119 (5.2)

3

Poisoning 8 (1.3)

Transport 62 (4.8)

Suicide 18 (4.9)

Poisoning 117 (5.1)

Source: BC Vital Statistics, 2013

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Research and Knowledge Development ServicesWith expertise in injury epidemiology, health promotion and education, psychology, kinesiology, preventive medicine and public health, BCIRPU provides applied injury research and knowledge development leadership and support to government, health authorities, PHSA Population & Public Health, and other stakeholders. As well as its continuing program of injury research and knowledge translation, BCIRPU assists health authorities and stakeholders with:

1. Research design, methods and analysis.

2. Research literature searches and knowledge synthesis.

3. Identification of key trends, issues and best practices.

4. Grant application development and review.

5. Injury prevention program planning, development and evaluation.

The CIHR Team in Child and Youth Injury Prevention (CIHR funded project)The CIHR Team in Child and Youth Injury Prevention (C&Y Team) is a unique collaboration of interdisciplinary researchers and partners who have a common purpose—to generate new knowledge for stakeholders who develop and deliver policy and programs, and advocate for children and youth in Canada. Drs. Ian Pike and Alison Macpherson (York) are the Co-Principal Investigators, with Pike as the Nominated PI and Ms. Shannon Piedt providing the team management, coordination and administrative support (http://childinjuryprevention.ca/).

The C&Y Team has used a public health approach to address unintentional child and youth injury along the continuum from the individual to the population level through five specific studies. Currently starting their final year, many study objectives have been completed or are nearly completed. Since 2010, the C&Y Team has published 71 papers (+10 more accepted), 5 chapters, 4 technical reports, and delivered >100 invited presentations to stakeholders, and national/international academic conferences. Outcomes include: evidence-based products and tools; knowledge-user partnerships; provision of injury data to practitioners and policy makers; capacity building, nurturing and collaboration across the injury prevention community; effective KT; and an extensive trainee mentorship and training program (more than 50 trainees supported since 2010). The C&Y Team led the creation of the Canadian Injury Research Network , which engaged all CIHR Strategic Teams in Applied Injury Research. Working together, this Network produced: 1) the first Injury Methodology course for trainees and new investigators; 2) a new association, the Canadian Injury Prevention Trainee Network; and 3) the first graduate level Canadian Injury Textbook.

Team results, as well as national and provincial injury data, are available to those working in the field of injury prevention via an interactive online Atlas of Child and Youth Injury Prevention (to launch in fall 2015).

CIHR Team inCHILD & YOUTHINJURY PREVENTION

BCIRPU works with health authorities and other injury stakeholders to plan, implement and undertake injury research and evaluation projects.

Photo: Rawpixel/Shutterstock

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The Atlas will provide researchers, policy makers and practitioners critical information to assess how the injury prevention system is performing and will reveal where and how to take appropriate action to reduce injuries.

The C&Y Team’s action-to-solution approach has generated high quality research outputs:

» Developing 34 injury indicators for children and youth led the co-principal investigators to identify a need for an indicator of injury severity (manuscript submitted). This indicator is currently being used to assess trends in pediatric trauma systems in BC and advance quality of injury care.

» Developing 27 indicators for First Nations & Inuit children and youth led to the investigation the importance of building relationships with Indigenous partners within a cultural context and resulted in a published article in a Special Issue of the American Journal of Public Health (rated strong by Health Evidence registry).

» Strong partnerships were built with Ahkwesahsne Mohawk Board of Education to analyze 2011-14 injury reports to describe contributing factors and identify elements of a prevention strategy which will lead to decreased injuries.

» Collaboration between the Health Behaviour in School-aged Children Study (HBSC) Canada, the Public Health Agency of Canada and the STAIR C&Y Team resulted in an adolescent injury report titled Injury among Young Canadians: A national study of contextual determinants. This comprehensive and useful report focusing on injury, severe injury, individual risk factors and adolescent contextual factors such as home, school, peer group and neighbourhood environments has led to the development of seven manuscripts.

» A research program in injury prevention in youth sport and recreation continues to focus on the implementation and evaluation of neuromuscular training strategies to prevent sport and recreational injury in youth (Sport Injury Prevention Research Centre). Studies have used validated prospective injury

surveillance methods to evaluate the preventative effects of injury prevention programs in a variety of youth sport and recreation settings (i.e. soccer, junior high school). In addition strategies to improve adherence to such programs have been examined. There have been 44 publications arising from this work since 2014.

» The objectives of the Child and Youth Burden of Injury research study were to better understand the impact of childhood injuries of varying severity on health related quality of life (HRQoL) and to identify demographic and diagnostic variables associated with a large impact on HRQoL. The study sample included 378 British Columbian children aged 0 to 16 with a primary injury diagnosis identified in the BC Children’s Hospital wards and emergency department and their guardians. Most injured children recuperate quickly regardless of injury severity, with no significant differences with pre-injury status by four months post-injury. Seventeen percent of parents reported that their child was still affected by the injury after one year. The results can be used to identify the small portion of children at high risk of experiencing ongoing diminished HRQoL resulting from injury. This can be used to inform post-injury care, ensuring families can access resources to facilitate recovery.

Furthermore, the impressive results of the C&Y team have demonstrated potential impacts on health, health systems and decision making in the areas of child pedestrian safety, including developing a novel virtual reality system (the only one of its kind in the world), teen driving, bicycle helmet laws, booster seat laws, helmet use, ski resort terrain planning, cycling environmental infrastructure, ski and snowboard terrain park planning, and body-checking and return to play policies for child and youth hockey players, risky or challenging outdoor play and pediatric trauma system access.

guiding evidenCe-baSed prevention

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Road Safety and Motor Vehicle Injury Traffic collisions continue to be a major cause of injury and death among British Columbians. Research to reduce traffic related injuries and deaths, and to reduce the burden on our health care system is essential. BCIRPU has been engaged in a number of initiatives to reduce motor vehicle crashes in BC and Canada.

These include:

1. Evaluation of traffic safety interventions in BC – to assist in understanding the impact of BC traffic safety laws on safety improvements in terms of injury and fatality reduction.

2. Actively involved with the Office of the Superintendent of Motor Vehicles (OSMV) to achieve a set of motor vehicle crash reduction targets in BC for 2015.

3. Currently engaged with the Canadian Council of Motor Transport Administrators (CCMTA) to create best evidence recommendations to enhance vulnerable road user safety.

4. The AUTO21 Network of Centres of Excellence funded projects:

» Fatal child injuries in real world crashes (more details in page 20).

» The “ejection stereotype” project, a collaboration with the Laboratory for Rational Decision Making at Cornell University, seeks to explain why some parents underestimate the benefit of booster seats.

5. Knowledge dissemination of the Saskatchewan child safety seat evaluation program.

6. Collaboration with the Canadian Association of Road Safety Professionals (CARSP) to co-host the 24th CARSP Conference – June 1-4, 2014 – aimed at everyone who works in road safety including health professionals, engineers, government officials, researchers, and more.

Seniors’ Fall and Injury PreventionBC Falls and Injury Prevention Coalition (BCFIPC) – The Coalition subgroup of Health Authority Leads meeting was held February 23-24, 2015 in Vancouver to share information on current activities and new developments. Dr. Vicky Scott also provided an update on the SAIL – First Nation Adaptation initiative. With the retirement of Dr. Vicky Scott, Dr. Fabio Feldman, Fraser Health Authority Lead, was voted by accolade to the position of Coalition Chair on March 13, 2015. He formally assumed this role April 1, 2015. Weekly communications are disseminated to the coalition members with planning for the Fall Prevention Week 2015 to start early May 2015. New and on-going fall and fall-related injury prevention projects are conducted and shared among coalition members.

Canadian Falls Prevention Curriculum (CFPC) – Offered as a five week on-line course through the University of Victoria, the CFPC was held in April, May, September and October in 2014, as well as in February 2015. In-person workshops are also planned and delivered, including the First Nation Adaptation initiative as part of the SAIL program. The course textbook, Fall Prevention Programming: Designing, Implementing and Evaluating Fall Prevention Programs for Older Adults (2012) is under revision with an anticipated publication date of late 2015. The CFPC website is available and includes promotional flyers and dates of upcoming e-learning sessions: http://www.canadianfallprevention.ca/.

Photo: Zeynep Demir/Shutterstock

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Strategies and Actions for Independent Living First Nation Adaptation (SAIL FN Adaptation)

This project integrates the Strategies and Actions for Independent Living (SAIL) and the Elder Safety Program (ESP) in partnership with the First Nations Health Authority (FNHA), the Aboriginal Healthy Living Activities (AHLA), BCIRPU, and Home Support leaders working in First Nations communities across BC. The foci are on fall prevention and fire safety using a train-the-trainer approach to provide services to frail older adults living at home. The project includes iterative evaluation and is scheduled for completion in March 2017. The final product will include a modified version of the SAIL materials and “An Elder’s Guide to Fall and Fire Prevention” for the First Nations Communities.

Primary Care Fall Prevention Multimedia Training - Ongoing distribution of a multimedia package for family physicians and clinicians. This is available on the General Practices Service Committee website for physician training resources in BC under “Fall Prevention Resources” at http://www.gpscbc.ca/psp-learning/chronic-disease-management/tools-resources

National Fall Prevention Conference (May 16-17, 2016, Calgary) - The BC Injury Research and Prevention Unit (BCIRPU) is a member of the planning committee. The First National Fall Prevention conference was held in Vancouver, British Columbia in 2010, and the second in Toronto, Ontario in 2014. Both conferences were sold out with attendees from North America, Europe, Africa, and Australia. Planning for the third National Conference is underway with the conference to be held in 2016. The evaluation report for the 2014 conference is available at: http://www.oninjuryresources.ca/online-resources/item/852

The high-calibre event brings together experts from across Canada and around the world to share research excellence, clinical advances and policy innovations in fall and injury prevention among older adults. It was an exceptional opportunity for those who work with older adults in all settings: researchers, practitioners and policymakers in the field of seniors’ health and injury prevention.

Strategies and Actions for Independent Living (SAIL)

The Strategies and Actions for Independent Living (SAIL) fall prevention program is an evidence based fall prevention program designed for community health workers (CHWs) and home health professionals (HHPs) who provide support to clients who receive publicly funded home support services. The goals of the SAIL program are to promote the independence and quality of life for home support service clients by reducing their risk of falling and sustaining an injury, and to integrate a comprehensive approach to fall prevention into regular practice.

The rollout of SAIL continued within the Regional Health Authorities during 2014/15. Lead by Kelly Wilson (Interior Health), a working group consisting of SAIL leads within the Regional Health Authorities worked on the development of SAIL Provincial Clinical Practice Standards.

An adapted version of the SAIL Checklist and Action Plan for First Nations communities was completed through a collaborative process with four First Nations Bands. The Elder Safety Plan (ESP) Checklist and Action Plan© has been developed. The ESP materials are being actively distributed as part of a project adapting the SAIL program for First Nations communities.

A dissemination report on the revised version of the home and community care fall prevention program was completed at the end of the fiscal and included details on the progress of this program in each of the health authorities.

Data and Program Support to BC Regional Health Authorities

On-going support continues with the health authorities in seniors’ fall and injury prevention. Contact is ongoing with Health Authority Fall Prevention leads, and participation of health authority data representatives at the BC Fall and Injury Prevention Coalition (BCFIPC).

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Parenting and Injury PreventionCHILDS Play (Creating Health Inspiring Landscape Designed Spaces for Play)

Risky play meets nature play (funded by the UBC Hampton Fund) involved an intervention study where we modified two childcare playgrounds to include natural elements and risky play opportunities. By collecting data on the same 45 children before and after the intervention, we examined how the changes influenced children’s play activities, health and well-being. Play worth remembering (funded by the Peter Wall Institute for Advanced Studies), a survey study with 600 participants, examined adults’ perceptions of their favourite play memories, as well as their attitudes toward contemporary play spaces. Levelling the playing fields (funded by CIHR) was a planning grant that facilitated international partnership development and collaboration on risky play opportunities and ultimately led to a funded CIHR grant application.

Further research on risky play has included extensive guest lectures and workshops, as well as a national collaboration to develop a Position Statement on Active Outdoor Play that has resulted in the publication of two systematic reviews. The Position Statement was released as part of ParticipACTION’s 2015 annual report card on Physical Activity for Children and Youth.

Canadian Fathering and Unintentional Injury Prevention (funded by CIHR)

We interviewed fathers and mothers from 60 families living in urban and rural BC and Quebec to examine their attitudes and approaches to children’s injury prevention and risk engagement. We explored the influence of perceptions of masculinity, gender roles and contextual factors. To date, 5 peer-reviewed papers have been published, and another is under review.

Fathers Risk Engagement and Protection Survey (REPS) (funded by BCCH Telethon)The purpose of this study is to develop and validate a survey instrument to provide a risk engagement and protection profile for fathers in their

approach to injury prevention of their children. Fathers of children 6-12 who have attended BC Children’s Hospital are recruited. Survey questions addressed fathers’ attitudes and practices towards protective strategies to reduce injury risks.

Research: Long Term Sequelae of InjuryChild & Youth Burden of Injury Study (funded by CIHR and MSFHR)

This study examined the burden of injury among Canadian children and youth, and post-injury experiences from individual, health services, economic and societal perspectives. Questionnaires assessing injury and health related quality of life were collected at four different time points over the period of one year. A total of 360 families of children who had attended BC Children’s Hospital for an injury participated in this study. Findings indicate that 40% of children are still affected by their injury one month later, but by four months post-injury, health related quality of life had returned to pre-injury state for 89% of participants, regardless of injury severity. The results highlight children’s resilience to injury and the need to focus prevention efforts on a small subset of serious childhood injuries, while continuing to encourage active lifestyles.

Exploring the impact of post-traumatic stress on the family system following a child’s injury (funded by BCCH)

Using qualitative methods, this study explored the impact of injury on emotional, psychological and social functioning of 25 children (ages 5-12 years) who had attended BC Children’s Hospital for an injury, and their families. Parents are interviewed separately from children who are interviewed using a “Draw and Write” method. Findings confirm the resilience of children to injury experience, but indicate that parents may need support in managing their own stress related to the child’s injury experience.

Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP) (funded by PHAC) The CHIRPP Injury Surveillance System is ongoing surveillance of data at BC Children’s Hospital. It was established in 1990 and is part of a national surveillance system that includes 17 hospitals across the country.

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Sport and Recreation Injury PreventionConcussion Awareness Training Toolkit for Medical Professionals (CATT MP)

CATT MP has been extensively promoted through various advertising media such as professional newsletters and websites, invited presentations, and conference presentations. Since its launch on April 15, 2013 to the end of March, 2015 there were 35,109 visits to the website. Of these, 68.6 per cent were unique visits with the remainder being repeat visitors to the site. CATT MP was funded by the BC Children’s Hospital Foundation and Child Health BC, and developed in collaboration with the BC Medical Association (now Doctors of BC).

Concussion Awareness Training Toolkit for Parents, Players and Coaches (CATT PPC)

CATT PPC was launched in July 2014, and underwent an evaluation among parents with a child registered in organized sport. Parents were found to have significantly improved concussion knowledge after visiting the CATT website. Since its launch in July 2014 to the end of March 2015, there were 8,763 visits to the website. Of these, 70.3 per cent were unique visits with the remainder being repeat visitors to the site. Funding for this project was provided by the Ministry of Health and LIFT Philanthropy Partners.

Concussion Awareness Training Toolkit for School Professionals (CATT School Professionals)

Launching in the Fall of 2015, the Concussion Awareness Training Tool for School Professionals (CATT School Professionals) began development in 2014-15 to provide school professionals the necessary resources for supporting a concussed student in his/her integration back to school. This resource is being developed in partnership with the BC Ministry of Health, Ministry of Education and the GF Strong Rehabilitation Centre, and will undergo evaluation in 2015-16.

CRIO Hockey Research Study - Evaluating the effect of body-checking policy change in youth ice hockey players

The Collaborative Research and Innovation Opportunities (CRIO) study is one of the largest multi-centre concussion research studies in Canada. Involving UBC, U of Calgary and U of Alberta, this study seeks to evaluate concussion risk in youth ice hockey. Last year, Hockey Canada passed a policy change to delay body checking until the Bantam (13-14 years old) level of play throughout Canada, which removed body checking from youth hockey at the Pee Wee (11-12 years old) level starting in the fall of 2013. Implemented in the 2012/2013 season, BC Hockey has banned body checking in non-elite levels in Pee Wee through Midget.

The goal of this study is therefore to evaluate a significant policy change, prospectively, in non-elite leagues including a broader age group (11-17 year-olds), where participation rates are high and the public health burden is the greatest. Serving as a satellite site for the study along with Edmonton and Kelowna, we were successfully able to recruit 29 Bantam hockey teams from the Vancouver lower mainland during 2014/2015 minor hockey season. In the upcoming 2015/2016 season we will seek to recruit Midget hockey teams in the lower mainland.

Other Research PartnershipsThe Period of PURPLE Crying Program - Shaken Baby Syndrome Prevention

The Period of PURPLE Crying® program has been implemented in British Columbia province-wide since January, 2009. PURPLE program education

Photo: Click Images/Shutterstock

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and materials are delivered to parents of BC’s nearly 45,000 annual births via three doses: 1) maternity services, 2) public health services and a 3) public education campaign which launched in June, 2010..

The PURPLE program has been institutionalized in 49 birthing hospitals, 112 public health units, several midwifery clinics and various provincial community agencies including pregnancy outreach, infant development, Aboriginal support, foster parent support and adoption groups.

Program updates as of March 31, 2015:

» 18 BC foster parent associations continued to provide PURPLE program training to foster parents through in-services and compact discs;

» 1,677 foster parents completed PURPLE program training via online modules;

» 955 MCFD staff completed training via online modules and compact disc;

» 7 adoption, 103 child care resource and referral, 40 early childhood, 19 family resources, 135 infant development, 129 pregnancy outreach, 273 HealthLink and 14 Red Cross personnel completed program training;

» 919 nursing, midwifery and community support students from 13 post-secondary institutions completed training online as part of their required assignments;

» 130 First Nations communities received program resources; and,

» 4,160 maternity and public health nurses have completed PURPLE program training.

The BC program is currently being evaluated through active and passive surveillance, as well as parent, maternity and public health nurse surveys. Since its full implementation in January 2009, the Period of PURPLE Crying program has been monitoring the number of abusive head trauma (due to shaken baby syndrome) cases in BC infants, ages 0-2 years. Results have been encouraging. The program has helped reduce the number of “crying” cases presenting to the Emergency Room by 29%.

The PURPLE program has been generously sponsored by the BC Ministry of Children and Family Development, BC Ministry of Health Services and BC Children’s Hospital.

BC Coroner’s ServiceThe Canadian Agricultural Injury Reporting (CAIR) Program

CAIR is an integrated national surveillance project of the Canadian Agricultural Safety Association that guides and informs the national Agricultural health and safety agenda. The objectives of CAIR are to develop a coordinated system with all provinces for the assembly of provincial agricultural injury surveillance data and to ensure that the collected information is interpreted and communicated in forms that are useful to potential data users in the agricultural industry. BCIRPU represents the BC collaborative and works in conjunction with the BC Coroner’s Service to collect fatality data on agricultural deaths.

The AUTO21 Network of Centres of Excellence Project

The study aims to establish a methodology to collect data on child fatalities resulting from Motor Vehicle Collisions, and to build a computer model to simulate fatal injuries in real world crashes. Data on child passenger and pedestrian fatalities have been abstracted from reports by the Office of the Chief Coroner for Ontario and the British Columbia Coroners Service. Analysis is currently underway. In addition, data on BC fatalities involving motorcycles or young drivers are being collected and analyzed at the request of the Child Death Review Unit (CDRU) of the British Columbia Coroner’s Service. The University of Toronto, Western University and the University of Windsor are partners in this study.

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Knowledge Synthesis, Translation & Public Education

improving injury awareneSS & Knowledge

OverviewWith expertise in injury epidemiology, health promotion and education, psychology, kinesiology, preventive medicine and public health, BCIRPU keeps current of the best prevention practices in BC, throughout Canada, and in other countries around the world by reviewing literature on injury prevention interventions and by networking with local, regional, national and international injury prevention partners. BCIRPU completes in-depth analyses of current interventions in order to identify those with proven success and transfers this knowledge to government, health authorities, the PHSA, and other stakeholders.

BCIRPU assists health authorities and stakeholders with:

1. Literature searches and knowledge synthesis.

2. Identification of key trends, issues and best practices.

3. An interactive injury website (www.injuryresearch.bc.ca).

4. An online interactive injury surveillance data tool (iDOT©).

5. Injury prevention teleconference seminar series.

6. Customized injury prevention presentations, workshops and seminars.

7. Injury prevention fact sheets and public information tools.

8. Formal injury prevention training curricula (CIPC, CFPC).

The Canadian Injury Prevention Curriculum

The Canadian Injury Prevention Curriculum (CIPC) focuses on injury prevention, control theory and practice. It is the first curriculum of its kind that is targeted to community-based public health and injury prevention practitioners, and is built on Canadian content and uses Canadian examples to illustrate injury prevention concepts. The course is also available as a 2-day workshop geared towards researchers and injury prevention professionals who practice injury prevention in the community. In the 2014-2015 operating period, BCIRPU offered this course from October 15-16, 2015 which was held at the BC Children’s Hospital.

The Canadian Falls Prevention Curriculum

The Canadian Falls Prevention Curriculum (CFPC) focuses on the prevention of falls and fall-related injury in older adults. Developed, piloted and launched in BC, CFPC is the first curriculum of its kind that is targeted to community-based public health and injury prevention practitioners. The CFPC can be delivered as a 2 to 3-day workshop or as an e-learning on-line course. During the 2014-2015 operating period, BCIRPU coordinated the delivery of two CFPC e-learning courses and continued its ongoing national coordination of the program. In addition, BCIRPU coordinated the delivery of a CFPC course at the University of Northern BC (UNBC).

Canadian Injury Prevention Curriculum / Canadian Falls Prevention Facilitator Training Workshop

This workshop is geared to training and mentoring individuals who have taken either of the two curriculums so that they are able to facilitate and conduct their own workshops.

BCIRPU helps health authorities and other injury stakeholders successfully build capacity in education and training programs, conferences, seminars, workshops and public education and social marketing campaigns.

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BCIRPU WebsiteBCIRPU Website Google Analytics April 1, 2014 - March 31, 2015: (www.injuryresearch.bc.ca)

» 13,654 sessions/visits; 10,103 users

» 41,599 page views

» 2:18 average session duration

» 3.05 pages per session

» 72.0% (9,835) new visitor sessions

» 28.0% (3,819) returning visitor sessions

» 219 people visited the site 101-200 times within the year

Traffic Sources:

» Search engines/organic = 44.81%

» Direct traffic = 24.59%

» Referring sites = 29.40%

Pages with the Highest Traffic:

» Homepage (9,622 visits; average visit duration: 1:29 minutes)

» Quick Facts/Falls Prevention (1,666 visits; average visit duration: 2:02 minutes)

» Quick Facts/Motor Vehicle (1,152 visits; average visit duration: 2:38)

BCIRPU Webinar SeriesDuring the 2014-2015 operating period, BCIRPU continued to deliver an informative Injury Prevention Webinar Series. Seven seminars were provided by leading experts in the field, with a total of 180 participants joining by telephone to listen and discuss:

1. May 22, 2014 | Dr. Carol C. Irwin Swimming and Drowning Disparities: Challenges and Solutions

2. July 17, 2014 | Mr. Morris Green and Ms. Jennifer Heatley Alcohol and Youth: Stats and Stories

3. September 18, 2014 | Ms. Shelley Cardinal Creating Safe Environments in Aboriginal Communities

4. October 16, 2014 | Dr. Shelina Babul Protecting our Youth – Responsible Concussion Prevention, Diagnosis and Management

5. November 20, 2014 | Ms. Isobel McDonald Working in Partnership: Developing Falls Prevention Best Practices in First Nations Communities

6. January 22, 2015 | Dr. Roy Purssell and Ms. Emilie Gladstone Prescription Opioid-Related Harms and Opportunities for Intervention

7. March 18, 2015 | Mr. Takuro Ishikawa Why People Underestimate the Safety Benefits of Booster Seats

Seniors’ Fall Prevention Week 2014Seniors’ Fall Prevention Week was held November 3 to 9, 2014, with activities by the British Columbia Falls & Injury Prevention Coalition (BCFIPC) and the British Columbia Injury and Research Prevention Unit (BCIRPU) members including the webinar, ‘The Role of Vitamin D in Reducing Falls and Fractures in Residential and Community Settings’.

Over 120 individuals and organizations from across the country attended either in person or online, including representatives from all five health regions in BC, as well as Saskatchewan, Alberta, and Ontario. Planning is underway for the Fall Prevention Week 2015.

The first Fall Prevention Week was held in 2007. It has, subsequently, been held every year across British Columbia during the first week of November running from Monday to Sunday with participation from regions across BC. The Proclamation is approved and issued by the Lieutenant-Governor of British Columbia each year.

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Knowledge Synthesis, Translation & Public Education

Education and Public InformationSafe Kids Week in BC – Concussions

Now in its 19th year, Parachute’s Safe Kids Week is an annual campaign designed to raise awareness about the frequency and severity of preventable childhood injuries, which are the leading cause of death and disability amongst Canadian children. This year, the Safe Kids Week theme was concussion in communities across the country. Dr. Shelina Babul has served as the campaign media spokesperson in the province to support the campaign.

What’s New & Injury Insight

BCIRPU produces Injury Insight, a periodic injury prevention newsletter focused on injury issues of interest in BC. During the 2014-2015 period, fact sheets were produced on road safety among vulnerable road users, child’s play and why it’s time to pop the bubble wrap, and trampoline-related emergency room visits.

improving injury awareneSS & Knowledge

Injury Insight November 2014 | Page 1 of 3

Road Safety Among Vulnerable Road Users Vulnerable road users—typically including pedestrians, cyclists and motorcyclists—suffer disproportionate adverse consequences from motor vehicle collisions.

Hospitalizations among pedestrians more common in ages 15-24 and over age 65+, among cyclists more common in ages 10-14 and 15-19 and among motorcyclists increasing rates in older individuals.

In BC from 1996 to 2011, pedestrian fatalities were more prevalent during winter months, majority of cyclist fatalities occurred between June and September, with more than half of all cyclist collisions taking place at intersections, mostly occurring in daylight hours with a peak collision time from 3 p.m. to 6 p.m. The majority of motorcyclist fatalities occurred between May and September.

ICBC’s 2013 crash data for the North Central region is not yet fully available. BC and North Central totals for crash counts do not include a small number of incidents for November and December 2013.Motorcycle: Includes mopeds, limited speed motorcycles, scooters and trikes.

Sources: Business Information Warehouse (as of March 31, 2014) for incidents and injured victim counts. Police Traffic Accident System (as of July 31, 2013) for fatal victim counts.

Injury Insight

Note: Motorcyclist includes both driver and passenger.

Source: Discharge Abstract Database (DAD), Ministry of Health, BCIRPU Injury Data Online Tool, 2013.

2,400pedestrians were injured

58pedestrians died

1,400cyclists were

injured

1,500motorcyclists were

injured

2,300crashes occurred involving at least one pedestrian

1,400crashes occurred involving at least

one cyclist

2,200crashes occurred involving at least one motorcyclist

10cyclists died

35motorcyclists died

5 YEAR AVERAGE INCIDENTS FROM 2009-2013

Pedestrians

Cyclists

Motorcyclists

0

300

600

900

1200

1500

1800

NorthCentral

SouthernInterior

VancouverIsland

LowerMainland

Incidents by Region, BC, 5-Year Average, 2009-2013

Aver

age

Num

ber o

f Inc

iden

ts

Pedestrians

Cyclists

Motorcyclists

Hospitalization Rates by Age for Pedestrians, Cyclistsand Motorcyclists, 2006/07-2010/11

Age

Gro

up

0 10 20 30 40 50 60 70 80

85+

75-84

65-74

55-64

45-54

35-44

25-34

20-24

15-19

10-14

5-9

0-4

Rate Per 100,000 Population

Rush

Hou

r Dun

smui

r Bik

e La

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) Pau

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2.0

Injury Insight February 2015 | Page 1 of 2 | www.injuryresearch.bc.ca

Child’s play: why it’s time to pop the bubble wrapPlay enables children to learn creative, problem solving, socialization, cognitive, behavioural flexibility and autonomy skills as well as positive psychological well-being. Most of today’s playgrounds, with the now ubiquitous and colourful pre-fabricated play structures, simply don’t serve a child’s need to learn and develop these skills. This is because children need to manipulate their spaces to suit their own activities, something typical play structures make nearly impossible.

Risky play is defined as thrilling and exciting forms of play involving risk of physical injury.1 However, risks (situations in which a child can recognize and evaluate the challenge and decide on a course of action) have been equated with hazards (a source of harm that is not obvious to the child, such that the potential for injury is hidden), thus dismissing the benefits of risky play.

Developmental benefits of risky play:

• physical/motor competence• spatial orientation skills• environmental competence & literacy• self-worth & efficacy• promotion of cognitive and social development• reduction of fear through natural gradual exposure• helps children learn risk perception and management skills

which are important in developing an understanding of how to navigate risks and avoid injuries

Other benefits of risky play:

• promotion of physical activity• promotion of independence• reduction of mental illness and learning difficulties

A recent survey of the general public2 was conducted to gather opinions about typical playgrounds found today and to share memories of their favourite outdoor play space as a child.

Injury Insight

Survey results showed that 69% of 592 respondents found today’s playgrounds too safe, lacking challenge and offering limited play opportunities. 59% preferred natural play spaces and 14% preferred spaces designed for play.

Risky Play Systematic Review SummaryA systematic review3 on risky play that explored the relationship between risky outdoor play and health-related behaviours and outcomes in children found:

• an increase in physical activity• a decrease in sedentary behaviour• an increase in social and creative behaviour• overall positive effects of risky outdoor play on health

Risky Play SymposiumCanadian and international researchers, practitioners and play safety experts on child development, experts on play space design and playground safety, provision of recreation, and legal and societal perceptions of risk and hazard convened at a Risky Play Symposium4, held November 2013 in Montreal, Canada. Presenters provided multidisciplinary

59%

14%

69%say playgrounds

are too safeprefer natural

play spaces

prefer spaces designed for play

A survey of the general public on typical playgrounds found:

Photo: Christian Mueller/Shutterstock

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Networks, Coalitions & Partners

Co-operation and CollaborationIn order that injury prevention activity in BC is successful, a mutli-sectoral, interdisciplinary approach is necessary. BCIRPU is supported by a province-wide partnership between the Developmental Neurosciences and Child Health cluster at the Child and Family Research Institute (CFRI), BC Ministry of Health (MoH), Provincial Health Services Authority (PHSA), and the University of British Columbia (UBC). BCIRPU is accountable to each of these partners, as well as through the active participation and involvement of these and other clients and constituents it serves.

BCIRPU has established strong strategic relationships with many provincial, national and international agencies and organizations that allow it to draw on a wide variety of resources and expertise that builds capacity and better addresses injury prevention in BC.

BCIRPU serves as a hub, and plays a central role in coordinating and leading injury prevention initiatives throughout the province and across Canada. BCIRPU provides leadership and support to government, health authorities, and other stakeholders, including the extensive networks and coalitions that these organizations participate in.

Networks and CoalitionsIn addition to participating in strategic provincial, national and international networks, during the 2014-2015 operating period, BCIRPU directly supported:

Provincial Health Services Authority (PHSA) - Population & Public Health

BC Injury Prevention Policy Advisory Committee — providing coordination and secretariat support – Formerly the Health Authority Injury Coalition.

BC Injury Prevention Alliance (BCIPA) — providing coordination and secretariat support.

BC Falls and Injury Prevention Coalition — providing leadership and coordination.

Centre of Excellence on Mobility, Fall Prevention and Injury in Aging — providing leadership and coordination.

The Community Against Preventable Injuries (Preventable) — providing injury prevention expertise, leadership and spokesperson to the injury prevention social marketing campaign.

BC Sports and Recreation Injury Prevention Advisory Committee — providing leadership, coordination and secretariat support.

BC Concussion Advisory Network — providing leadership, coordination and secretariat support.

BC Motor Vehicle Injury Data Measurement Group — providing injury data analysis expertise.

Parachute (an amalgamation of Safe Communities Canada, Safe Kids Canada, SMARTRISK and ThinkFirst Canada) — providing provincial leadership and coordination under the renewed MOU.

Healthy Active Living & Obesity Research Group (CHEO)

ParticipACTION

Child & Nature Alliance of Canada

Supporting injury networKS & CoalitionS

BCIRPU serves as a hub, and plays a central role in leading and coordinating injury prevention networks and coalitions throughout British Columbia.

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Networks, Coalitions & Partners

Key PartnershipsIn the 2014-2015 operating period, BCIRPU worked with the following key partners:

» Alberta Centre for Injury Control and Research

» BC Ambulance Service

» BC Automobile Association

» BC Coroners Service

» BC Drug and Poison Information Centre

» BC Falls and Injury Prevention Coalition

» BC Injury Prevention Centre

» BC Injury Prevention and Leadership Action Network

» BC Medical Association

» BC Ministry of Health

» BC Ministry of Public Safety and Solicitor General

» BC Regional Health Authorities

» BC Road Safety Foundation

» BC Sport and Recreation Injury Prevention Advisory Committee

» BC Concussion Advisory Network

» Brain Injury Association of Canada

» BrainTrust Canada

» Canadian Red Cross

» Canadian Standards Association

» First Nations and Inuit Health Branch

» Football BC

» Fortius Sport & Health

Supporting injury networKS & CoalitionS

» Health Canada

» Hockey BC

» Hockey Canada

» Insurance Corporation of British Columbia (ICBC)

» Occupational Health and Safety Agency for Healthcare

» Parachute

» Provincial Health Services Authority

» Public Health Agency of Canada

» RCMP E-Division

» Safe Communities

» Safe Start BC (BC Children’s Hospital)

» Safe Kids Canada

» Saskatchewan Government Insurance

» SportMedBC

» The Community Against Preventable Injuries (Preventable)

» The Djavad Mowafaghian Centre for Brain Health

» ThinkFirst BC (now Parachute)

» University of British Columbia

» University of Calgary – Sport Injury Prevention Research Center

» Vancouver General Hospital Trauma Services

» WorkSafeBC

» York University

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RevenUes & exPendItURes

Sources of Revenue Sources of Expenditure

32%MoH/PHSA Core Funding

49%

8%

11%Facilities/Operations and In-Kind Support

Child & Family Research Institute (CFRI)

Research Grants & Contracts

49%Research Grants & Contracts

2%Admin & Finance Services

2%Operating Costs11%

Facilities/Operations and In-Kind Support

28%MoH/PHSA Supported Salaries & Benefits

8%CFRI Supported Salaries & Benefits

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Research Awards & Grants » Babul, S. Evaluating the effect of body-checking policy change in youth

ice hockey players. University of Calgary. (2014-2016)

» Babul, S. Concussion Awareness and Management in British Columbia. LIFT Philanthropy Partners. (2013-2015)

» Babul, S., Pike, I. Concussion Awareness Toolkit for Health Practitioners in British Columbia. Child Health BC. (2012-2014)

» Brubacher, J. & Pike, I. (Co-I) Evaluations of Traffic Safety Interventions in BC. Canadian Institutes of Health Research. (2011-2015)

» Brussoni, M. Scholar Award. Michael Smith Foundation for Health Research. (2009-2015)

» Brussoni, M. Salary Award. Child & Family Research Institute. (2013-2018)

» Brussoni, M. Predictors of health related quality of life in injured children. (2014-2018)

» Brussoni, M. Canadian Hospitals Injury Reporting and Prevention Program – BC Site. Public Health Agency of Canada. (2014-2015)

» Brussoni, M., George, A., Maurice, P., Oliffe, J. Canadian fathering and child unintentional injury prevention. Canadian Institutes of Health Research. (2011-2014)

» Brussoni, M. & Herrington, S. Risky play meets nature play: The influence of school based outdoor play spaces and risky play on child development. UBC Hampton Fund. (2013- 2015)

» Brussoni, M., Herrington, S. Play worth remembering: Gaining public insights into memories of outdoor play spaces. Peter Wall Institute for Advanced Studies. (2013-2014)

» Brussoni, M., Herrington, S. Levelling the playing fields: Will the provision of risk and natural play opportunities provide more equitable playgrounds? Canadian Institutes of Health Research. (2013-2014)

» Brussoni, M., Olsen, L. Sub-Project of CIHR Team in Child and Youth Injury Prevention: Child and Youth Burden of Injury. Canadian Institutes of Health Research. (2010-2015)

» Brussoni, M., Pike, I., et al. The state of play: socio-ecological perspective on children’s outdoor play. CIHR: Operating grant. (2015-2020)

» Brussoni, M., Pike, I., Creighton, C., La Freniere, K., Pickett, W., Schuurman, N., Turner, H. Letter of Intent: Why do boys get hurt more? Masculinity and risk taking in the outdoors. (2014-2015)

» Brussoni, M., Wong, C. Summer studentship: Fathers injury prevention. BC Child & Family Research Institute. (2014)

» Creighton, G. Exploring the Impact of Post-Traumatic Stress on the Family System following a child’s injury. BC Children’s Hospital Foundation. (2012-2014)

» Emery, C., Babul, S., (Co-I) Meeuwisse, Scott, S., et al. Safe to Play: A Longitudinal Research Program to Establish Best Practice in the Prevention, Early Diagnosis and Management of Sport-Related Concussion in Youth Ice Hockey Players. Canadian Institutes of Health Research. (2013-2018)

» Emery, C., Hagel, B., Babul, S., Pike, I., (Co-I) et al. Alberta Program in Youth Sport and Recreational Injury Prevention. Collaborative Research and Innovative Opportunities. (2013-2018)

» McKay, H., Frank, L., Bryan, S., Ashe, M., Scott, V. (Co-I) et al. Mobility in Aging (MiA) Emerging Team Grant“ Walk the Talk: Transforming the Built Environment to Enhance Mobility in Seniors”. Canadian Institutes of Health Research. (2011-2016)

» Howard A., Pike, I., (Co-I) Snowdon, A. Altenhof, B. & Shkrum, M. Fatal Child Injuries in Real World Crashes. AUTO21 Network Centres of Excellence. (2012-2014)

» Khan, K., Marra, C., McKay, H., Liu-Ambrose, T., Li, L, Scott, V., (Co-I) et al. Emerging team grants: Alliances in mobility in aging. Canadian Institutes of Health Research. (2008-2014)

» Pike, I. BC Shaken Baby Syndrome Prevention Program (aka PURPLE). BC Ministry of Children & Family Development. (2015-2016)

» Pike, I., Babul, S. & Scott, V. BC Injury Research and Prevention Unit. Provincial Health Services Authority. (2010-2015)

» Pike, I., La Freniere, K. & Chin, C. A strategic alliance for the prevention of injuries through social marketing. The Community Against Preventable Injuries. (2014-2019)

» Pike, I., La Freniere, K., Chin, C., Turcotte, K., et al. Developing Safe Sleep Messages for New Parents in BC. Provincial Health Services Authority. (2014)

» Pike, I., Logan, L., & Fuselli, P. A strategic alliance for the prevention of injuries in Canada. Parachute. (2014-2019)

» Pike, I., Macpherson, A., Fuselli, P., Brussoni, M., Olsen, L., Babul, S., et al. CIHR Team in Child and Youth Prevention: Strategic Teams in Applied Injury Research. Canadian Institutes of Health Research. (2010-2015)

AwARds, gRAnts, PUBlIcAtIons & conFeRences: APRIl 1, 2014 - mARcH 31, 2015

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» Pike, I., Macpherson, A. & McDonald, R.A. Child and Youth Injury Indicators: Language Translation and Dissemination. Canadian Institutes of Health Research. (2010-2014)

» Pike, I., Macpherson, A., Brussoni, M., Babul, S., LaFreniere, K., et al. Child and Youth Injury Prevention. CIHR: Foundation on Program Grants.(2015-2022)

» Pike, I., Piedt, S., Turcotte, K. & Barnett, B. Injury Prevention Case Book. Provincial Health Services Authority. (2014-2016)

» Robinovitch, S., Khan, K., Payandeh, S., Scott, V., (Co-I) et al. Team grants: Strategic teams in applied injury research (STAIR) – Advances in the prevention of fall-related injuries in older adults through bioengineering. Canadian Institutes of Health Research. (2010-2014)

» Robinovitch, S., Scott, V., (Co-I). Feldman, F., et al. Emerging team grants: Alliances in mobility in aging (AiMiA) – Cause and prevention of falls in residential care. Canadian Institutes of Health Research. (2009-2014)

» Scott, V., Feldman, F., Foley, L., Yassin, Y. et al. Strategies and actions for independent living (SAIL) evaluation study. Canadian Institutes of Health Research. (2012-2015)

» Scott, V. Strategies and Actions for Independent Living (SAIL) – First Nation Adaptation (includes Tai Chi Video). Centre for Hip Health and Mobility (CHHM). (2014 – 2017).

» Warda, L., Pike, I., Macpherson, A., Pankratz, C., et al. Are Booster Seat and Bicycle Helmet Legislation Keeping Manitoba’s Children Safe? Canadian Institute of Health Research. (2014-2016)

Journal Articles » Bell, N., Kruse, S., Simons, R. K., & Brussoni, M. (2014). A spatial analysis

of functional outcomes and quality of life after pediatric injury. Injury Epidemiology, 1, 16. doi: 10.1186/s40621-014-0016-1 (Available at: http://www.injepijournal.com/content/1/1/16)

» Brubacher, J., Chan, H., Desapriya, E., Purssell, R., Asbridge, M., Schuurman, N., MacDonald, S., Erdelyi, S., Brasher, P. & Pike, I. (2014). Reduction in fatalities, ambulance calls and hospital admissions for road trauma following new traffic laws. American Journal of Public Health. DOI: 10.2105/AJPH.2014.302068.

» Brussoni, M., Brunelle, S., Pike, I., Sandseter, E. B. H., Herrington, S., Turner, H., Belair, S., Logan, L., Fuselli, P., Ball, D. J. (2014). Can child injury prevention include healthy risk promotion? Injury Prevention, O: 1-4.

» Brussoni, M., Brunelle, S., Pike, I., Sandseter, E. B. H., Herrington, S., Turner, H., Belair, S., Logan, L., Fuselli, P., Ball, D. J. (2014). Can

child injury prevention include healthy risk promotion? Injury Prevention. doi: 10.1136/injuryprev-2014-041241 (Available at: http://injuryprevention.bmj.com/content/early/2014/12/22/injuryprev-2014-041241.full)

» Brussoni, M., Gibbons, R., Gray, C., Ishikawa, T., Sandseter, E. B. H., Bienenstock, A., Chabot, G., Herrington, S., Janssen, I., Pickett, W., Power, M., Stranger, N., Sampson, M., & Tremblay, M. S. (2015). What is the relationship between risky outdoor play and health in children? A systematic review. International Journal of Environmental Research and Public Health.

» Brussoni, M., Jin, A., George, M. A., & Lalonde, C. (2015). Aboriginal community-level predictors of injury-related hospitalization in British Columbia, Canada. Prevention Science, 16(4), 560-567. doi: 10.1007/s11121-014-0503-1 (http://link.springer.com/article/10.1007%2Fs11121-014-0503-1)

» Brussoni, M., Wong, K., Creighton, G., & Olsen, L. L., (2014). Older motorcyclists as an emerging medical and public health concern. BC Medical Journal, 56, 402-406. (Available at: http://bcmj.org/articles/rise-injury-rates-older-male-motorcyclists-emerging-medical-and-public-health-concern)

» Creighton, G., Brussoni, M., Oliffe, J. L., & Olsen, L. L. (2014). Fathers on child’s play: Urban and rural Canadian perspectives. Men and Masculinities. doi: 10.1177/1097184X14562610

» Creighton, G., Brussoni, M., Oliffe, J., & Olsen, L. L. (2015). “It’s good for the kids”: Fathers consider risk and protection in their own and their children’s lives. Journal of Family Issues. doi: 10.1177/0192513X15584679

» Cripton, PA., Shen, H., Brubacher, JR., Chipman, M., Friedman, SM., Harris, MA., Winters, M., Reynolds, CCO., Cusimano, MD., Babul, S. & Teschke, K. Severity of urban cycling injuries and the relationship with personal, trip, route and crash characteristics: analyses using four severity metrics. BMJ Open 2015;5: e006654. doi:10.1136/ bmjopen-2014-006654.

» Desapriya, E., Giulia, S., Subzwari, S., Peiris, DC., Turcotte, K., Pike, I., Sasges, D. & Hewapathirane, DS. (2014). Does obesity increase the risk of injury or mortality in motor vehicle crashes? A systematic review and meta-analysis. Asia Pac J Public Health 26(5):447-60. PMID: 22186398. DOI: 10.1177/1010539511430720.

» Desapriya, E., Harjee, R., Brubacher, J., Chan, H., Hewapathirane, DS., Subzwari, S., Pike, I. (2014). Vision screening of older drivers for preventing road traffic injuries and fatalities. Cochrane Database Systematic Reviews. 2014 Feb 21;2:CD006252. [Epub ahead of print]

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» Dilley, B.L., Gray, M.S., Zecevic, A., Gaspard, G., Symes, B., Feldman, F., Scott, V., Woolrych, R., Sixsmith, A., McKay, H., Robinovitch, S., Sims-Gould, J. (2014). An educational video to promote multi-factorial approaches for fall and injury prevention in long-term care facilities BMC Medical Education, 14:102. DOI: 10.1186/1472-6920-14-102

» Ezzat, A. M., Brussoni, M., Whittaker, J., & Emery, C. (2015). The impact of knee joint injury on young adults’ perspectives of physical activity and osteoarthritis. Orthopaedic Division Review, 28(1).

» Ezzat, A., Brussoni, M., Schneeberg, A., & Jones, S. (2014). “Do as we say, not as we do”: Injuries among injury prevention professionals. Injury Prevention, 20, 172-176. doi:10.1136/injuryprev-2013-040913

» George, M. A., Jin, A., Brussoni, M., & Lalonde, C. (2015). Injury inequalities: Is the gap closing between Aboriginal and the general population in British Columbia? Health Reports, 26(1), 3-13. (Available at: http://www.statcan.gc.ca/pub/82-003-x/2015001/article/14131-eng.pdf)

» George, M. A., Jin, A., Brussoni, M., Lalonde, C., & McCormick, R. (2015). Injury risk in British Columbia, Canada: Are Aboriginal children and youth over-represented? Injury Epidemiology, 2(1), 7. doi: 10.1186/s40621-015-0039-2. (Available at: http://www.springer.com/-/3/77e27c6714824a288dca4da6b499dfc0)

» Gray, C., Gibbons, R., Larouche, R., Sandseter, E. B. H., Bienenstock, A., Brussoni, M., Chabot, G., Herrington, S., Janssen, I., Pickett, W., Power, M., Stranger, N., Sampson, M. S., & Tremblay, M. (2015). What is the relationship between outdoor time and physical activity, sedentary behaviour, and physical fitness in children? A systematic review. International Journal of Environmental Research and Public Health.

» Ishikawa, T., Oudie, E., Desapriya, E., Turcotte, K. & Pike, I. (2014). A Systematic Review of Community Interventions to Improve Aboriginal Child Passenger Safety. American Journal of Public Health: June 2014, Vol. 104, No. S3, pp. e1-e8. doi: 10.2105/AJPH.2013.301683.

» Jin, A., George, M. A., Brussoni, M., & Lalonde, C. (2014). Worker compensation injuries among the Aboriginal population of British Columbia, Canada: Incidence, annual trends, and ecological analysis of risk markers, 1987-2010. BMC Public Health, 14, 710. doi: 10.1186/1471-2458-14-710 (Available at: http://www.biomedcentral.com/1471-2458/14/710)

» Jin, A., Lalonde, C. E., Brussoni, M., McCormick, R., & George, A. (2015). Injury hospitalizations due to unintentional falls among Aboriginal population of British Columbia, Canada: Incidence, changes over time, and ecological analysis of risk markers, 1991-2010. PLOS ONE, 10(3), e0121694.(Available at: http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0121694)

» Korall, A.M.B., Feldman, F., Scott, V.J., Wasdell, M., Gillian, R., Ross, D., Thompson-Franson, T., Leung, P.M., Lin, L. (2015). Facilitators of and barriers to hip protector acceptance and adherence in long-term care facilities: A systematic review. Journal of the American Medical Directors Association, 16:3, 185-193. DOI: 10.1016/j.jamda.2014.12.004

» Kruse, S., Schneeberg, A., & Brussoni, M. (2014). Validity and reliability of the PedsQLTM among a pediatric injury population. Health and Quality of Life Outcomes, 12, 168. (Available at: http://www.hqlo.com/content/12/1/168)

» Lindsay, H., & Brussoni, M. (2014). Injuries and helmet use related to non-motorized wheeled activities in pediatric patients. Chronic Diseases and Injuries in Canada, 34, 74-81. (Available at: http://www.phac-aspc.gc.ca/publicat/cdic-mcbc/34-2-3/assets/pdf/CDIC_MCC_Vol34_2-3_02_Lindsay-eng.pdf)

» Olsen, L. L., Oliffe, J. L., Brussoni, M., & Creighton, G. (2015). Fathers’ views on their financial situations, father-child activities, and preventing child injuries. American Journal of Men’s Health, 9(1), 15-25. doi: 10.1177/1557988313515699 (Citations = 1)

» Pike, I., McDonald, RA., Piedt, S. & Macpherson, AK. (2014). Developing Injury Indicators for First Nations and Inuit Children and Youth in Canada: A Modified Delphi Approach. Chronic Disease and Injury in Canada, 34 (4): 203-209.

» Robinovitch, S., Feldman, F., Scott, V. (September 23, 2014). Comment: Home-safety modifications to reduce injuries from falls. The Lancet. Early Online Publication. http://dx.doi.org/10.1016/S0140-6736(14)61188-0

» Sibley, K.M., Howe, T., Lamb, S.E., Lord, S.R., Maki, B.E., Rose, D.J., Scott, V., Stathokostas, L., Straus, S.E., Jaglal, S.B. (2015). Recommendations for a core outcome set for measuring standing balance in adults populations: A consensus-based approach. PLoS One, 10:3 DOI: 10.1371/journal.pone.0120568

» Teschke, K., Frendo, T., Shen, H., Harris, MA., Reynolds, CCO., Cripton, PA., Brubacher, JR., Cusimano, MD., Friedman, SM., Hunte, G., Monro, M., Vernich, L., Babul, S., Chipman, M. & Winters, M. (2014). Bicycling crash circumstances vary by route type: a cross-sectional analysis. BMC Public Health, 14:1205.

» Tremblay, M. S., Gray, C., Babcock, S., Barnes, J., Bradstreet, C. C., Carr, D., Chabot, G., Choquette, L., Chorney, D., Collyer, C., Devane, S., Herrington, S., Janson, K., Janssen, I., Larouche, R., LeBlanc, C., Pickett, W., Power, M., Sandseter, E. B. H., Simon, B., & Brussoni, M. (2015). Position statement on active outdoor play. International Journal of Environmental Research and Public Health.

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» Yang, Y., Feldman, F., Leung, P.M., Scott, V., Robinovitch, S.N. (2015). Agreement between video footage and fall incident reports on the circumstances of falls in long-term care. Journal of the American Medical Directors Association, 16:5, 388-394. DOI: 10.1016/j.jamda.2014.12.003

Technical Reports » Bobovski S, Ishikawa, Rajabali F, Pike I. (2014). A Review of Deaths

Among Youth Drivers and Motorcyclists in British Columbia, 2004-2012. A report prepared for the BC Coroners Service Child Death Review Panel. Victoria, BC.

» Brunelle S, Coghlan R, Herrington S, Brussoni M. (2014). Play worth remembering. Vancouver, BC: Peter Wall Institute for Advanced Studies.

» Groff P, Scott V, Yenssen L, Fiala B. (2014). Watch Your Step: 2014 National Fall Prevention Conference. Toronto: Ontario. Injury Prevention Resource Centre.

» Scott V, Bornstei S, Kean R, O’Brien S, Gillam S. (2014). Fall Prevention for Seniors in Institutional Healthcare Settings in Newfoundland & Labrador. St. John’s, NL: Newfoundland & Labrador. Centre for Applied Health Research, Memorial University

» Pike I, et al. (2014). Communications Plan. A report prepared by the BC Injury Research and Prevention Unit for the Ministry of Health. Vancouver, BC.

» Pike, I et al. (2014). Health Authority Partnership Strategy and Action Plan. A report prepared by the BC Injury Research and Prevention Unit for the Ministry of Health. Victoria, BC.

» Pike I, et al. (2014). Website Activity Report. A report prepared by the BC Injury Research and Prevention Unit for the Ministry of Health. Vancouver, BC.

Conference/Symposium Proceedings » Babul S. The Online Concussion Awareness Training Tool (CATT)

and its impact on health practitioners and players/ parent/coaches. Society for Advancement of Violence and Injury Research (SAVIR) Conference. New Orleans, Louisiana, USA. March 11-13, 2015.

» Babul S. The Preventing Adverse Concussion Outcomes: The Online Concussion Awareness Training Toolkit (CATT). PlaySafe Symposium: Change, Challenge & Opportunity. Toronto, Ontario, Canada. February 4, 2015.

» Babul S. Preventing Adverse Concussion Outcomes: The Online Concussion Awareness Training Toolkit (CATT). Poster Presentation.

Traumatic Brain Injury Conference. Toronto, Ontario, Canada. January 30, 2015.

» Babul S. Online Concussion Awareness Training Toolkit for Health Practitioners (CATT). IOC World Conference Prevention of Injury and Illness in Sport. Monaco, France. April 11, 2014.

» Bell, N., Brussoni, M., Kruse, S., & Simons, R. K. Geographical analysis of functional health outcomes after pediatric injury using a spatial scan statistic. Paper presented at the American Public Health Association Annual Meeting and Exposition, New Orleans, Louisiana. November 2014.

» Bobovski, S., Ishikawa, T. & Pike, I. Fatal Injuries in Real World Crashes: Child Pedestrian Collision Deaths in British Columbia, 2007-2012. AUTO21 Annual Conference. Niagara Falls, ON. May 26-28, 2014.

» Brunelle, S., Coghlan, R., Herrington, S., & Brussoni, M. (2014). Play worth remembering. Vancouver, BC: Peter Wall Institute for Advanced Studies.

» Ezzat A. M., Brussoni, M., Whittaker, J., & Emery, C. “It’s part of who I am now:” The impact of knee joint injury on young adults’ perspectives of physical activity and osteoarthritis. World Congress of Osteoarthritis Research, Paris, France. April 2014.

» LaFreniere, K. & Pike, I. Preventable: Social Marketing to Reduce Preventable Injuries in BC. Society for Advancement of Violence and Injury Research (SAVIR) Conference. New Orleans, Louisiana, USA. March 11-13, 2015.

» Pike, I., Piedt, S., Davison, CM., Russell, K., Macpherson, AK. & Pickett, W. Youth injury prevention in Canada: Use of the Delphi method to develop recommendations. Society for Advancement of Violence and Injury Research (SAVIR) Conference. New Orleans, Louisiana, USA. March 11-13, 2015.

» Scott, V. Implementing Fall Prevention Evidence for Sustainable Interventions, EU Falls Festival, ProFouND Conference, Stuttgart, Germany, March 23-25, 2015.

» Scott, V., Metcalfe, S., Yassin, Y. Systematic review of fall and fall-related injury studies among older indigenous people in Australia, Canada, New Zealand, and the United State. National Fall Prevention Conference 2014. Toronto, Ontario. May 27-28, 2014.

» Scott, V., Yassin, Y., Gallagher, E.M. Elder Safety Program. National Fall Prevention Conference 2014. Toronto, Ontario. May 27-28, 2014.

» Scott, V., Yassin, Y. Knowledge Translation for Fall Prevention. National Fall Prevention Conference 2014. Toronto, Ontario. May 27-28, 2014.

» Scott, V. Fall Prevention for Seniors in Institutional Healthcare Settings: A CHRSP Dissemination Event. 2014.

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32 BCIRPU ANNUAL REPORT 2014-2015

Invited Presentations » Babul S. Concussions: An Invisible Epidemic. Concussion Seminar.

Yellowknife, NT. March 7th, 2015.

» Babul S. Concussions: An Invisible Epidemic. Concussion Café. Yellowknife, NT. March 6th, 2015.

» Babul, S. The Concussion Epidemic and Importance of Education. Richmond Girls Soccer Club (Board Members), Richmond, BC. March 2, 2015.

» Babul, S. Concussion: An Invisible Epidemic? Terry Fox Senior Secondary, Port Coquitlam, BC. January 21, 2015.

» Babul, S. Concussion Awareness in BC. Ontario Concussion Prevention Network. Concussion Project Advisory Group teleconference meeting. December 2, 2014.

» Babul, S. Concussion - An Invisible Epidemic. Sir Winston Churchill Secondary School Professional Development Day presentation. Vancouver, BC. November 28, 2014.

» Babul, S. Concussion – An Invisible Epidemic. Horse Trials BC. Harrison Hot Springs. November 15, 2014.

» Babul S. Concussion Education Awareness in BC. BC Injury Research and Prevention Unit webinar series. Vancouver BC. October 16, 2014.

» Babul S. Protecting today’s youth – responsible concussion prevention and management. Richmond Sports Council meeting. Richmond City Hall, Richmond BC. October 14, 2014.

» Babul S. Online Concussion Awareness Training Resources for parents, coaches, physicians and athletes. Fortius Sport & Health Community Concussion Education evening. Burnaby, BC. September 9, 2014.

» Babul S. Teaching – Protecting our Youth – Responsible concussion prevention, diagnosis and management. Doctor, Patient and Society 420 Course. Vancouver, BC. August 25, 2014.

» Babul S. Raising Awareness of Concussions in BC. BC School Sports AGM. Fortius Sport & Health. Burnaby, BC. May 10, 2014.

» Babul S. Identifying Linkages Between Injury Prevention and Promoting Healthy Weights. Population and Public Health Showcase, Provincial Health Services Association. Vancouver, BC, May 5, 2014.

» Babul S. Online Concussion Awareness Training Toolkit for Health Practitioners (CATT). IOC World Conference Prevention of Injury and Illness in Sport. Monaco, France. April 11, 2014.

» Brussoni, M. Popping the bubble wrap: The importance of risky play. Richmond municipal workshop, Richmond, BC. March 2015.

» Brussoni, M., & Pike, I. Promoting challenging play for child development. Lynn Valley Elementary School Parent Forum, North Vancouver, BC. January 2015.

» Brussoni, M. Parenting battles over risk and safety: Dispatches from the front. Developmental Neurosciences & Child Health Catalyst Rounds, Vancouver, BC. April 2014.

» Brussoni, M., & Turner, H. “Bubble-wrapped” recreation – Have we gone too far? BC Parks and Recreation Association Symposium, Kelowna, BC. April 2014.

» Brussoni, M. “If they never take risks, they won’t develop”: Fathers’ perspectives on child injury prevention. School of Population and Public Health Grand Rounds, Vancouver, BC. September 2014.

» Brussoni, M., & Pike, I. Unwrapping bubble-wrapped recreation. North Vancouver Recreation and Culture Commission Meeting, North Vancouver, BC. December 2014.

» Brussoni, M. The RISC research project: Injury in BC’s First Nations Communities. Alberta Injury Prevention Network Meeting, Edmonton, AB. November 2014.

» Brussoni, M. Popping the bubble-wrap for child injury prevention. Community Action Program for Children (CAPC) Conference, Regina, SK. October 2014.

» Brussoni, M. Popping the bubble-wrap for injury prevention: Promoting nature-based risky play. Evergreen Brick Works National Forum, Toronto, ON. October 2014.

» Brussoni, M., & Pike, I. Risky play: An antidote to injuries? Not by Accident Ontario Injury Prevention Conference, London, ON. October 2014.

» Hancock, T., Brussoni, M., & Bienenstock, A. Risk prevention vs. joy prevention: The benefits and perceived risks of nature contact. Global Summit on Childhood, Vancouver, BC. April 2014.

» Brussoni, M., & Pike, I. Popping the bubble wrap: Risky play for children. Not by Accident Ontario Injury Prevention Conference, London, ON. October 2014.

» Pike, I. Preventable Injuries: They do Happen! Canadian Society of Safety Engineers, Lower Mainland Chapter. Burnaby, BC. April 24, 2014.

» Pike, I. Social Marketing for Injury Prevention. Canadian Society of Safety Engineering, BC Lower Mainland Chapter. Burnaby, BC. April 24, 2014.

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33 BCIRPU ANNUAL REPORT 2014-2015

» Pike, I. The Community Against Preventable Injuries: Part of the Solution to Prevent Agricultural-Related Injury? 20th Canadian Agricultural Safety Conference. Ottawa, ON. Oct 7-9, 2014.

» Pike, I. & Brussoni, M. Popping the Bubble-wrap: Risky Play for Children. Not by Accident Conference. South West Ontario Injury Prevention Association. London, ON. Oct 21, 2014.

» Pike, I. & Macpherson, A. Developing an Indicator for Serious Pediatric Injury. International Collaborative Effort on Injury Statistics Conference. Washington, DC. October 22-24, 2014.

» Pike, I. & Turner,H. Popping the Bubble-wrap: Risky Play for Children. North Shore Safety Council. North Vancouver, BC. Oct 29, 2014.

» Pike, I. and Lafreniere K. Social Marketing for Injury Prevention. The DGUV (German Social Accident Insurance), Vancouver, BC. Nov 20, 2014.

» Pike, I. Measurement and Indicators for Pediatric Injury. Parachute Board of Directors Meeting , Toronto, ON. Dec 4, 2014.

» Pike, I. & Brussoni, M. Popping the Bubble-wrap: Risky Play for Children. Lynn Valley Parent Advisory Committee. North Vancouver, BC. Jan 27, 2015.

» Pike, I. Pedestrian Visibility. Sapperton Community Safety Committee. New Westminster, BC. Feb 10, 2015.

» Pike, I. Preventable: A Social Marketing Response to a Provincial Epidemic. FIFA Women’s World Cup Canada 2015, Legacies for Canada, Injury Prevention Initiative Meeting. Public Health Agency of Canada, FIFA 11+ and Canada Sport for Life. Ottawa, ON. Mar 14-15, 2015.

» Pike, I. & LaFreniere K. Preventable: A Social Marketing Response to a Provincial Epidemic. Presentation to Ms. Sophie Dennis, Deputy Minister of Labour, Ontario Ministry of Labour, Government of Ontario. Toronto, ON. Mar 24, 2015.

» Scott, V. Implementing Fall Prevention Evidence for Sustainable Interventions, EU Falls Festival, ProFouND Conference, Stuttgart, Germany, March 23-25, 2015

» Scott, V. Better at Home: Falls & Fire Prevention Webinar, February 17, 2015

» Scott, V. First Nations Nursing Forum, Talk and booth. Richmond, BC, November 19, 2014

» Scott, V. Shopper’s Home Health Conference. Fall & Injury Panel Presentation. Toronto, ON, November 17-18, 2014

» Scott, V. Aboriginal Healthy Living: Regional Training Workshop. Nanaimo, BC, November 13, 2014

» Scott, V. Aboriginal Healthy Living: Regional Training Workshop. Vancouver, BC, October 23, 2014

» Scott, V. Aboriginal Healthy Living: Regional Training Workshop. Terrace, BC, October 9, 2014

» Scott, V. Better at Home Fall Prevention presentation. Burnaby, BC , October 2, 2014

» Scott, V. Fall Prevention for Seniors in Institutional Healthcare Settings: A CHRSP Dissemination Event. Newfound and Labrador Centre for Applied Health Research (NLCAHR). April 25, 2014

» Scott, V. Fall Prevention for Seniors in Institutional Healthcare Settings: A CHRSP Dissemination Event. Webinar, Newfoundland and Labrador Centre for Applied Health Research. April 25, 2014.

» Scott, V. Seniors’ Fall Prevention. BC Coroner’s Service. Victoria, BC. April 28, 2014.

» Scott, V. Canadian Osteoporosis Patient Network Fall Prevention Webinar : ‘You CAN Prevent Falls and the Injuries they Cause’. Webinar. April 02, 2014.

Workshops » Pike, I., Brussoni, M. & Babul, S. The Canadian Injury Prevention and

Control Curriculum Workshop. BC Injury Research and Prevention Unit, Vancouver, BC. October 15-16, 2014.

» Scott, V., Turcotte, K., Rajabali, R., Yassin, Y., Gallagher, E. SAIL – First Nations Adaptation Regional Workshop. Port Alberni, BC. January 21-22, 2015.

» Scott, V., Yassin, Y., Gallagher, E. SAIL – First Nations Adaptation Pilot Workshop. Haida Gwaii, BC. January 12-15, 2015.

» Scott, V., Yassin, Y., Gallagher, E. SAIL -First Nations Adaptation Regional Workshop. Boston Bar, BC November 5-7, 2014.

» Scott, V., Yassin, Y., Gallagher, E. SAIL – First Nations Adaptation Pilot Workshop. Cowichan, BC. September 25, 2014.

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34 BCIRPU ANNUAL REPORT 2014-2015

otHeR contRIBUtIons

Dr. Ian Pike » Member, Steering Committee: BC Shaken Baby Syndrome – Intentional

Injury Prevention Program » Member, Research Leadership Council, Child and Family Research

Institute » Academic Review Panel Member, UBC Faculty of Landscape

Architecture, LARC 502, Studio Review: redesign of Chief Mathias Joe Park in North Vancouver, LARC Annex Jury Room, UBC

» Fellow, International Society for Child and Adolescent Injury Prevention » Member, BC Injury Prevention Leadership Action Network » Member, Canadian Collaborating Centres on Injury Prevention and

Control » Member, Canadian Injury Prevention and Control Curriculum - Revisions

Committee » Member of the Board, BCAA Road Safety Foundation » Member, BC Injury Prevention Policy Advisory Committee » Member, Executive Steering Committee, BC Road Safety Strategy » Member, BC Population and Public Health Surveillance Steering

Committee » Member, Multidisciplinary Team, BC Representative for Children and

Youth » Member, International Collaborative Effort on Injury Statistics (ICES) » Member, Canadian Agricultural Injury Reporting Expert Committee » Member and Co-Editor, Canadian Injury Textbook Committee » Chair, Scientific and Knowledge Translation Advisory Board. Alberta

Program in Youth Sport & Recreational Injury Prevention » Member, Child Death Review Panel, BC Coroner’s Service » Chair, Expert Advisory (Scientific) Committee. Parachute Canada » Member, Economic Burden of Injury in Canada, Advisory Committee » Invited Member, OECD Expert Advisory Group for the Global Injury Data

Project » Member, Canadian Red Cross, BC Detention Monitoring Team » Member, Provincial Health Services Authority, Centres for Aboriginal

Health » Member, Provincial Health Services Authority, Centre for Children and

Youth

» Member, Provincial Health Services Authority, Population and Public Health, Advisory Committee

» Member, Health and Well‐being of Aboriginal Women in British Columbia –A Lifespan Approach, Advisory Committee

» Member, BC Concussion Action Network (BC CAN) » Member, BC Child & Youth Health and Well‐Being Indicators Project,

Advisory Committee » Member, Provincial Health Services Authority, Wellness Model Working

Group » Advisor, Healthy Peoples and Communities Steering Committee, F/P/T

Injury Prevention “Dashboard” Task Group » Co-Executive Director, The Community Against Preventable Injuries » Media Spokesperson, The Community Against Preventable Injuries

Dr. Vicky Scott » Chair, BC Fall and Injury Prevention Coalition » Leader, Canadian Fall Prevention Curriculum Education Collaborative » Member, BC Injury Prevention and Leadership Action Network » Member, Fraser Health Authority Fall and Fracture Prevention

Committee » Member, National Hip Fracture Toolkit Development Committee » Member, Osteoporosis Canada Advisory Board » Member, Prevention of Falls Network for Dissemination (ProFoND)

Dr. Shelina Babul » Chair, BC Concussion Advisory Network (BC CAN) » Co-Chair, BC Sport & Recreation Injury Prevention Advisory Committee » Member, Parachute National Concussion Awareness and Education

Committee (Chair: Dr. Charles Tator) » Member, BC Advisory, Canadian Standards Association » Member, BC Injury Prevention and Leadership Action Network (now

BCIPA) » Member, Provincial Health Services Authority, Population and Public

Health » Member, Canadian Collaborating Centres on Injury Prevention and

Control » Member, Canadian Academy of Sport & Exercise Medicine

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35 BCIRPU ANNUAL REPORT 2014-2015

» Member, BC Hockey Safety and Risk Management Committee » Member, Interdisciplinary Trauma Network of Canada » Director, ThinkFirst BC – Board of Directors » Member, American College of Sports Medicine » Media Spokesperson, The Community Against Preventable Injuries

(Preventable) » Member, Provincial Health Services Authority, Health Equity Indicators

Dr. Mariana Brussoni » Team Lead, UBC School of Population and Public Health Strategic Plan

» Member, Developmental Neurosciences & Child Health Advisory Committee

» Member, UBC Department of Pediatrics Appointments, Reappointments, Promotion and Tenures Committee

» Member, UBC Department of Pediatrics Merit Review Committee

» Member, UBC SPPH Recognition, Communications and Culture Committee

» Member, Child and Family Research Institute Clinical Research Council

» Member, UBC Department of Pediatrics Strategic Planning Advisory Group

» Member, Child & Family Research Institute Scholars of Excellence Advisory Group

» Member, Community Child Health Endowment Advisory Committee

» Member, Reference Group on Renewal of Provincial Women’s Health Strategy

» Member Scholar, International Institute for Qualitative Methodology

» Member, Canadian Public Health Association

» Member, Public Health Association of BC

» Board Member, International Society for Child and Adolescent Injury Prevention

» Member, International Society for Child and Adolescent Injury Prevention (ISCAIP), Conference Organising Committee

» Board Member, Child & Nature Alliance of Canada

» Editorial Board Member, Injury Epidemiology

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36 BCIRPU ANNUAL REPORT 2014-2015

oRgAnIzAtIonAl stRUctURe

BCIRPU PARTNERS ADVISORY COMMITTEE (2014-2015)

Dr. Vicky ScottSenior Advisor

(retired April 2015)

Kyle TodorukPolicy AnalystDawn Mount

Managing DirectorN2N

Mike GottenbosFinance Mgr

N2N

Julie ParsadHR Manager

N2N

Joanie MaynardAdministrative Support

Lydia DrasicPop & Public Health

PHSA

Dr. Tim OberlanderDev Neurosciences

& Child Health

Matt Herman/ Shelley Canitz

Ministry of Health

Dr. Wyeth WassermanExecutive Director

CFRI

Dr. Allison EddyDept. of Pediatrics

UBC

Mhairi NolanCHIRPP Coord.

Atousa ZargaraResearch Asst

(ended May 2014)

Dr. Lise OlsenResearch Associate

Dr. Gen CreightonPost Doc Fellow

Sami KruseResearcher

Yasmin YassinResearch Asst

(ended Nov 2014)

Cori ThompsonResearch Asst

Dian LeungResearch Asst.

Fahra RajabaliResearcher

Kate TurcotteResearcher

Aybaniz IbrahimovResearcher

(ended Aug 2014)

Dr. Alberta GirardiResearcher

Shannon PiedtResearch Coord.

Takuro IshikawaResearch Asst.

Bronwen BarnettComm. Coord.

Kurtis HarmsWeb Programmer

Marina WadaResearch Asst.

BCIRPU Management Team

BCIRPU Team Staff supported by the Ministry of Health/PHSA Annual Core Funding

Grad Students:Takuro IshikawaAlison EzzatHazen Al HazmiAmy SchneebergSara BrunelleMorgan Yates

Dr. Ian PikeDirector

Dr. Shelina Babul Associate

Director

Dr. Mariana BrussoniScientist

Grad Students:Desiree WilsonEmilie GladstoneSamar Al HajjWilson Luong

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www.injuryresearch.bc.ca

F508 - 4480 Oak StreetVancouver, BC Canada V6H 3V4

Phone: 604-875-3776Fax: 604-875-3569