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Unintentional injuries among children under five years
&reducing risk of fire
1
• Unintentional injuries leading cause of preventable death for under 5s
• Major cause of ill health and serious disability
• 102 children & young people died annually between 2008 – 2012
• 62 of these are under 5
• 452,000 attend A&E
• 40,000 admitted to hospital as an emergency
Note: These figures are reflected within Somerset
2 Unintentional injuries among children under five
Background
Location
Home 32%
Residential institution 0%
School 8%
Sports 7%
Street / highway 3%
Trade / service area (shops, etc) 2%
Industrial / construction 1%
Farm 0%
Other 7%
Unspecified 40%
3 Unintentional injuries among children under five
Emergency hospital admissions for unintentional injuries among under 25s, by location, 2008 - 2012
Source: Hospital Episode Statistics (HES). Copyright © 2014 Re‐used with the permission of The Health and Social Care Information Centre. All rights reserved.
Unintentional injuries among children under five 3 Unintentional injuries among children under five
Risk factors• Child development
• Physical environment in the home
• Knowledge and behaviour of parents/carers (includes literacy)
• Overcrowding or homelessness
• Availability of safety equipment
• New consumer products in the home
4 Unintentional injuries among children under five
Identifying prioritiesHospital admissions for unintentional injuries 2008 – 2012 for under fives
5 Unintentional injuries among children under fiveUnintentional injuries among children under five
53%
23%
13%
6%
3%
1%
Falls
Struck by object
Poisoning
Heat/Hot substances
Struck by person or animal
Choking, suffocation, strangulation
Deaths from 2008 – 2012 for under fives
Unintentional injuries among children under five
Source: Hospital Episode Statistics (HES). Copyright © 2014 Re‐used with the permission of The Health and Social Care Information Centre. All rights reserved.
6 Unintentional injuries among children under five
50%
23%
9%
8%
7%4% Choking, suffocation,
strangulation
Drowning
Falls
Smoke, fire, flames
Struck by object
Poisoning
1. Choking, suffocation and strangulation
2. Falls
3. Poisoning
4. Burns and scalds
5. Drowning
7 Unintentional injuries among children under five
5 priorities
8 Unintentional injuries among children under five
2008 – 2013 fire deaths
• 88 deaths
• Estimated societal cost over £1.65 million
• £145 million total
• 7 risk factors identified
9 Unintentional injuries among children under five
Evidence
10 Unintentional injuries among children under five
Characteristics of families needing early help
39% Families have mental health difficulties
10% Physical health difficulties
28% Alcohol problems
32% Drug problems
30% Domestic abuse
2/3 of families have at least one of these problems
Source: Graham Allen Early Interventions: the next steps
11 Unintentional injuries among children under five
Somerset Public Health’s Safer homes initiative
We will offer:
• A safety assessment and fire safety visit
• Safety equipment (e.g. stair gates, window locks, blind cord safety clips)
• A fitting service
• Training for Getset staff through RoSPA