PREVENTION OF CHILDHOOD INJURIES--PHASE 1 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， 在哥伦比亚特区的婴儿和幼儿已经开发。 的 研究分为两个阶段。 在第一阶段， 将建立全市伤害监测系统。 这 监测将包括目标年龄组（出生）的所有伤害 两年），导致急诊室就诊， 住院或死亡。 资料亦会从 家庭服务部处理经证实的虐待案件， 疏忽 第一阶段获得的资料将指导具体的 有针对性的干预措施，以预防伤害，这将是 在第二阶段实施和评价。 一项随机干预试验 地方社区实体（街区或病房）的建议，其中 基于流行病学的环境干预措施适用于一个 小组，行为为基础的干预措施，以防止虐待和忽视， 给予第二组，仅流行病学监测， 在第三组进行。 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 在整个第二阶段。 本报告的其余部分重点介绍第一阶段的监测情况 活动，因为干预阶段的详细计划取决于 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 phase 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, for the prevention of injuries, 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 are given to a second group, and epidemiologic surveillance alone is conducted in a third group. As an essential component of injury prevention, the injury surveillance system will continue for all three groups, 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.