Using the public health model to address unintentional injuries and TBI: A perspective from the Centers for Disease Control and Prevention (CDC)
- PMID: 27497467
- PMCID: PMC10856806
- DOI: 10.3233/NRE-161366
Using the public health model to address unintentional injuries and TBI: A perspective from the Centers for Disease Control and Prevention (CDC)
Abstract
Traumatic brain injury (TBI) can have long term effects on mental and physical health, and can disrupt vocational, educational, and social functioning. TBIs can range from mild to severe and their effects can last many years after the initial injury. CDC seeks to reduce the burden of TBI from unintentional injuries through a focus on primary prevention, improved recognition and management, and intervening to improve health outcomes after TBI. CDC uses a 4-stage public health model to guide TBI prevention, moving from 1) surveillance of TBI, 2) identification of risk and protective factors for TBI, 3) development and testing of evidence-based interventions, to 4) bringing effective intervention to scale through widespread adoption. CDC's unintentional injury prevention activities focus on the prevention of sports-related concussions, motor vehicle crashes, and older adult falls. For concussion prevention, CDC developed Heads Up - an awareness initiative focusing on ways to prevent a concussion in sports, and identifying how to recognize and manage potential concussions. In motor vehicle injury prevention, CDC has developed a tool (MV PICCS) to calculate the expected number of injuries prevented and lives saved using various evidence-based motor vehicle crash prevention strategies. To help prevent TBI related to older adult falls, CDC has developed STEADI, an initiative to help primary care providers identify their patients' falls risk and provide effective interventions. In the future, CDC is focused on advancing our understanding of the public health burden of TBI through improved surveillance in order to produce more comprehensive estimates of the public health burden of TBI.
Keywords: Traumatic brain injury; injury causes; injury prevention; unintentional injury.
Conflict of interest statement
Conflict of interest
The authors have no conflict of interest to report.
References
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- CDC Compendium of Effective Fall Interventions: What Works for Community-Dwelling Older Adults, 3rd Edition. Available at: http://www.cdc.gov/homeandrecreationalsafety/falls/compendium.html. Accessed 3/14/2016.
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- Centers for Disease Control and Prevention, National Center for Injury Prevention and Control (2005). Web-based Injury Statistics Query and Reporting System (WISQARS) [online]. (2005) [cited 2016 Mar 8]. Available from URL: www.cdc.gov/injury/wisqars
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- Centers for Disease Control and Prevention (2015a), About CDC’s Injury center, accessed on 12-22-15 at http://www.cdc.gov/injury/about/index.html.
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- Centers for Disease Control and Prevention (2015b). Traumatic Brain Injury in the United States: Fact Sheet [Internet]. CDC.gov.Atlanta (GA): CDC; [updated 2015 Jan 12]. Available from: http://www.cdc.gov/traumaticbraininjury/get_the_facts.html.
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