PREVENTION OF CHILDHOOD INJURES - PHASE I INJURY SURVEILLANCE

作为“NIH/DC降低婴儿死亡率倡议”的一个组成部分， 解决伤害和忽视的威胁的研究计划， 婴儿和幼儿在哥伦比亚特区已经发展起来。 的 研究分为两个阶段。在一号电话中，一个全面的，城市- 将建立广泛的伤害监测系统。 这个监控 将包括目标年龄组（出生至两岁）的所有伤害 年），导致急诊室就诊，住院治疗或死亡。 还将从家庭服务部获得信息 虐待和忽视的证据 第一阶段获得的资料将指导具体的 将在第二阶段实施和评价的有针对性的干预措施。 当地社区实体（街区）的随机干预试验 或病房），其中流行病学为基础的环境 干预措施适用于一组，基于行为的干预措施 防止虐待和忽视第二组和流行病学 单独监视第三组。 作为伤害的基本组成部分 预防，伤害监测系统将继续为所有三个 整个第二阶段。 本报告的其余部分重点介绍第一阶段的监测情况 作为干预阶段详细计划的活动取决于 监测的结果，因此尚未制定。

As one component of the "NIH/DC Initiative to Reduce Infant Mortality" a program of research addressing the threat of injuries and neglect to infants and toddlers in the District of Columbia has been developed. The study is divided into two phases. During phone one a comprehensive, city- wide injury surveillance system will be established. This surveillance will include all injuries in the target age group (birth through two years) that result in an emergency room visit, hospitalization or death. Information will also be obtained from the Department of Family Services on substantiated cases of abuse and neglect. The information obtained in phase I will guide the design of specific targeted interventions that will be implemented and evaluated in phase II. A randomized intervention trial of local community entities (neighborhoods or wards) is proposed in which epidemiologically based environmental interventions are applied to one group, behaviorally based interventions to prevent abuse and neglect to a second group and epidemiologic surveillance alone to a third group. As an essential component of injury prevention, injury surveillance system will continue for all three throughout phase II. The remainder of this report focuses on the phase I surveillance activities as detailed plans for the intervention phase are dependent on the results of the surveillance and thus have not yet been developed.