Injury ICE: A discussion on the way forward

FacilitatorRonan Lyons

Chair, Injury ICE

Final AgendaDAY ONE SATURDAY 29thSEP 2012

• Welcome and overview 9-9:30 Ronan Lyons

• ICD-11 9.30-10.30 Chair: James Harrison – Progress to date and future plans– Injury and poisoning– External causes– Out of chapter injury/external cause aspects– ICECI implications

• MORNING TEA 10.30-11• Morbidity 11.00 -12.30 Chair: Belinda Gabbe

– Operational definition of serious injuries (20 mins) Gabrielle Davie– International diagnosis specific survival probabilities (20 mins) Holly Hedegaard– Population burden of injury (20 mins) Belinda Gabbe– (20 mins) Gordon Smith

• LUNCH 12.30-1.30

• Mortality 1.30-3.30 Chair: Holly Hedegaard – Alcohol-related mortality - data linkage (20 mins) Gordon Smith– WHO/MONASH mortuary based injury surveillance (20 mins) Joan Ozanne-Smith– Multiple causes of death (20 mins) Holly Hedegaad– Operational definition of an injury death (20 mins) Gabrielle Davie

• AFTERNOON TEA 3.30-4.00• Harmonizing different efforts 4.00-5.00 Chair: Ronan Lyons

– WHO data related activities (15 mins) Alex Butchart– European initiatives (15 mins) Ronan Lyons

• MEETING DINNER AT CAFE POLO

DAY TWO SUNDAY 30th SEP 2012:

• GBD project (30 mins) Kavi Bhalla and James Harrison

• BREAKOUT SESSIONS 9-10.30

• Disability. Facilitator: Belinda Gabbe• Severity, Facilitator: Gordon Smith

• Reporting back 10.30-11

• MORNING TEA 11-11.30

• Injury ICE, the way forward 11.30-1 Facilitator: Ronan Lyons

• LUNCH 1-2pm

• CLOSE

The way forward: discussion topics1. Is there still a need/interest in maintaining the ICE? 2. Proposed change to a “no-fee” membership structure rather than “invited

participant”. 3. Member endorsement (or changes) of the Steering Committee 4. How best to communicate between ICE meetings (email, Skype, regular

conference calls, calls as needed, etc.) 5. Possibilities for an in-person meeting in 2013 (satellite meeting to another

meeting?)6. Collaborative projects (how they get accomplished, how do we move forward to

the next step when the original project is completed, when is a body of work considered “ICE-related”, etc?)

7. Possibilities for funding to support the work of the ICE8. Outline a two-year plan for the ICE9. AOB: Relationship with Global Injury Prevention Network and mentoring:

http://www.childinjurypreventionalliance.org/GIPN.aspx

Injury ICE

• A collaboration open to all• Vision document: International Collaborative Effort

on Injury Statistics and Methods (Injury ICE) is an organisation dedicated to developing common standardised methods to compare injury statistics across the globe in order to support appropriate policy responses to the global burden of injury.

• Who participates?– Academia, Gov statistical agencies, NGOs?

Structure

• Steering Committee and Members• Membership: open to all who share the vision,

commit to collaborative working, and apply to the Secretary

• Steering Committee:– Ronan Lyons (Chair), Holly Hedegaard (Secretary), Kirsten

McKenzie (Social Secretary), James Harrison, Yvette Holder, Kidist Bartolomeos, Belinda Gabbe, Richard Matzopoulos

• Evolution to transparency and democracy– Vote now to change or endorse!

Activities

• Generation and sharing of knowledge and skills

• Research: academic rigour, peer-reviewed scientific publication

• Advocacy?: targeted to global BOI issues?• Any others?

Collaborative projects – ideas for discussion and augmentation

Themes: Disability metrics; Incidence; Severity; Data linkage

1. Accepting a serious injury definition and agreeing to create a paper showing time trends across countries. 2. Continue/extend the work on DSP methodologies3. Developing our proposals to continually improve upon burden of injury methodologies and metrics

1. New disability weights from Belinda’s NHMRC study2. Combining survey and hospital data to improve estimation of injury incidence – idea within Ronan’s CIPHER grant

from MRC. Build upon Kavi/James’ work for GBD and related projects3. Possibly updating the injury List of All Deficits theoretical paper: Lyons RA, Finch CF, McClure R, van Beeck E,

Macey S. The Injury LOAD Framework- conceptualising the full range of deficits and adverse outcomes following injury and violence. Int J Inj Contr Saf Promot. 2010;17(3):145-159. DOI: 10.1080/17457300903453104. http://www.tandfonline.com/doi/abs/10.1080/17457300903453104

4. The use of data linkage methodologies to answer specific questions e.g.1. The use of linked hospital separation and mortality data to redistribute X59 deaths and improve measurement of

cause-specific burden. Gabbe BJ, Lyons RA. X59: redistribution using linked data and the impact on YLL calculations. Inj Prev 2010:16(Suppl1):A47

2. Extend Gordon’s work on alcohol and injury3. Extend Belinda/Roonan’s work on head injury and educational attainment

5. Ideas from the series of mortality topics discussed at the meeting. 6. Any other ideas that arise in the meeting.

Funding activities

• Expectation that most projects are self funded or by grant income, e.g. Kavi and GBD/road injuries; Belinda and BOI meta-analysis

• Meetings: link to WIPC/SafetyXXXX meetings as Injury Forum/ICE satellites where there is strong local organisation, with use of small attendance fees

• What to do in 2013?• Holly came across review of materials from past ICE meetings, 2006

presentation that suggested applying to various foundations for funding support (e.g., The Rockefeller Foundation http://www.rockefellerfoundation.org/bellagio-center , The Gates Foundation http://www.gatesfoundation.org/Pages/home.aspx and other possible foundations identified from the Foundation Center http://foundationcenter.org/ ). – Something for a small workgroup to pursue? Of course, if most of us work for

government agencies or academic institutions, we might not be eligible.