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. 2013 Sep 20:72.
doi: 10.3402/ijch.v72i0.21090. eCollection 2013.

Injuries in the North--analysis of 20 years of surveillance data collected by the Canadian Hospitals Injury Reporting and Prevention Program

Minh T Do  1 , Mylène Fréchette, Steven McFaull, Bryany Denning, Mike Ruta, Wendy Thompson
Affiliations

Injuries in the North--analysis of 20 years of surveillance data collected by the Canadian Hospitals Injury Reporting and Prevention Program

Minh T Do et al. Int J Circumpolar Health. .

Abstract

Background: Injury is a major public health concern, particularly for Canadians living in Arctic regions where the harsh physical and social conditions pose additional challenges. Surveillance data collected over the past 2 decades through the Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP) provide insights into the burden of injuries in certain parts of Canada.

Objectives: This study aims to summarize and compare patterns of injuries in the Northwest Territories (NWT) and Nunavut to other southern communities across Canada.

Methods: Analysis was based on CHIRPP data covering the period 1991-2010. Proportionate injury ratio (PIR) and its 95% confidence interval were used to summarize and compare the injury experience of Canadians living in the Arctic regions to other CHIRPP sites across Canada.

Results: Between 1991 and 2010, there were 65,116 reported injuries. Approximately 83% of the cases were unintentional in nature; however, significantly higher proportions were observed for assaults and maltreatment (PIR = 2.80, 95% CI: 2.72-2.88) among Canadians living in northern communities. Significantly higher proportions were also observed for crushing/amputations (PIR = 2.28, 95% CI: 2.14-2.44), poison/toxic effects (PIR = 1.21, 95% CI: 1.15-1.28), drowning/asphyxiations (PIR = 1.52, 95% CI: 1.33-1.74) and frostbites (PIR = 7.39, 95% CI: 6.60-8.28). The use of all-terrain vehicles or snowmobiles also resulted in significantly higher proportions of injuries (PIR = 1.93, 95% CI: 1.79-2.09).

Conclusions: This study contributes to the limited literature describing injuries in northern communities where the harsh physical and social climates pose additional challenges. Excesses in the proportions identified in this study could be useful in identifying strategies needed to minimize injury risks in northern communities within Canada.

Keywords: CHIRPP; Northwest Territories; Nunavut; injury; surveillance.

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Figures

Fig. 1
Fig. 1
Age and gender distributions of injuries reported to the Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP) from communities within the Northwest Territories (NWT) and Nunavut, 1991–2010.
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References

    1. Public Health Agency of Canada. Ottawa, Canada: Public Healthy Agency of Canada; 2012. Leading causes of death and hospitalization in Canada, Analysis of Statistics Canada mortality data.
    1. Statistics Canada. Potential years of life lost, by selected causes of death (ICD-10) and sex, population aged 0 to 74, Canada, provinces and territories, annual, CANSIM (database Table 102-0110) Statistics Canada Accessed: 2013 Apr 13.
    1. SMARTRISK. Toronto, ON: SMARTRISK; 2009. The economic burden of injury in Canada.
    1. Government of Yukon. Northern connections: a multi-modal transportation blueprint for the North; Canada: Yukon; 2008.
    1. Nunavut Tunngavik Incorporated. Nunavut's health system: annual report on the State of Inuit Culture and Society; Iqaluit, Nunavut: Tunngavik Incorporated; 2008.

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