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Injury in America : a continuing public health problem PDF

176 Pages·1985·3.579 MB·English
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Preview Injury in America : a continuing public health problem

i ee er book, not from thg, however, cannot bersion for attribution. IIIInnnnjjjjuuuurrrryyyy IIIInnnn AAAAmmmmeeeerrrriiiiccccaaaa pnv al pamattiative A Continuing Public Health Problem e origincific forauthorit osed from XML files created from thding styles, and other typesetting-speprint version of this publication as the NCaCotiomomnmaImnli tsRitsteiesetisu ooetnean r oocTnfhr aMLCuioemfdeua inSc cRicineilee sanencader csthhe been recompd breaks, heaease use the s orPl ginal work hane lengths, wally inserted. the original; liccident n of e orien a ohe w digital representatie breaks are true to thic errors may have b egp naa file: This ng files. Pme typogr PDF esettind so ut this nal typned, a National Academy Press ogiai Washington, D.C. 1985 Aboriret ii ee er book, not from thg, however, cannot bersion for attribution. NNotfNhofaOaer St t aiTcicoopoIinnepCmanraElmocl : RpeA isTrteti,cseh ataeeteheda er preb ecNrmsaohplaj yaCoetni cnPooctsnu reitaenb.hlscla esAit l 2f,ic so1wa r0td hht1eheo m eCsse yuro e bmnopjfseeo tEcmritttn buowgetfiier nostrhe neaei srcAre ihrn veodgepsr,naeo awunrnt e nfdw,o fNtrarh sotWeh ma eIp n iWtrpsh rtseaiopt svuceheotceidiun a onblgf cytc iMo oltsnmh e,oe dpDf iG ect.thiCoenevn.e ecN.2 reT0ans4thi ian1eong8 nmd aB lewo mAiatrbchdae rdroesefg m oatfhryde pnv This report has been reviewed by a group other than the authors according to procedures al pamattiative aenpcperos,v tehde bNya ati oRneaplo Artc Radeevmieyw oCf oEmnmgiinteteeer icnogn, sainstdi nthge o Ifn msteitmutbee orsf oMf ethdeic Ninaet.ional Academy of Sci- e origincific forauthorit Tainshgseo k cNniaoattweio ltenhdaegl beRr aeonsaedda corcofh ma dCmvouiusninnictgyil towhfe as sfce iedesnetarcabel l aigsnohdve deter bnchymn teohnleto .Ng Tyah tweio iCnthao lut hAnecc iAal dcoeapmdeeryam toeyfs 'sS i ncpi uaercnpccooesrsed sian on 1fc 9ef1 uw6rti httoher- been recomposed from XML files created from thd breaks, heading styles, and other typesetting-speease use the print version of this publication as the g1tSmAMATtisiTSLIPFdiinni8eccironhhiocceegtrbienii6ngeieaasnnnnee dsre3trt.u ddtantnta oI inrei,,riTPeeclnrcca f sead wyttmmiyrcseelhhhphtn i thissiiehpeoneoeiyieonn ate dio aaft r uCng cphwirs ott nnlnCtta mh huieofieewaddecgls aebou r neSre is,oSla ttlenen smdUtruchhiMsftsh tgecc i aee eea ntbM es,pirdnss hoab lepineNDrat edtyeflsohaeerocenit aae ssbtpdsfeaendI1dh r tp hnrslaisoCsi md9 iecmaS oe.tsrisfb 8h iaberts nBethpniitem5tead idntmaeauteloct u hiliedlese buoot cteowecddysA elnmkanig ii i n Aadelco bctcto eNs oCn.efcaay1fco rtIat dlcu aaA9bfiM h ntrh eCfamdrh6eTee midmnate ec4eo, hbra r dpm d eN narytAnieaa reerisnto ryn niucirr,oscan sct daeidm0etahfdapncacdh a-dsevoei1Eebt3 erp er niir.9acen 0N nsatmIgp T7hrago9pln oir1 0,tyhir8-rnso oi.n 90,aioe t5 etp fvuiDenr7o3 ne-eteNaeneud60 5s.rTrttsrdits 0 4aaheipeneNbientt9,5eoed g iiyrgaHn9 -oncn u f 7ct o9ctngtescih2htionnda svae2feam lp etoe -tug iarrhNA8lromneaouy e4ntnadclft,h u - h.itcaceguCteinoodyr,oon i -rene snbvtd0oiixmedtaoeee7fylaul rtrsfy8 b mhn c-.Aot 1 og mtohIfti ctothn ofewh eia vie aftE ncsdis e ttt tAhth inehrahco amnegad ceontr inimaihNntyn nrdoedeg geiar sofe nrie tNemtmfoepiirsr ossifoSav eynt snotltecimi'giihawcsoroic leeeebnayn1 n nsdAenaN a8 cm irtldlj6cnoes a o cAaa3hist tihtitdht niiochtCtpaeaeeotanerl mt or cdy Itiasegnevnoe ly nbropgesrm lpyt veoroiiiesyro efntfbttsu rra o-onatdieft--nih so--f s orPl ginal work hane lengths, wally inserted. STFFSSeiieohfxcvuittroherhdtnn hP PdtP hrrP riP inirPnnrittrinitininintnntiggintg,ni,g ,n gM M,Ag ,M ,apO aArryacci urlht1 cog 19h1bu98 9es1898rt96 81189978895 n of the orie original; lien accident ENTeiignnhtthhth PP Prriirnninttiitnninggg,, ,FJ Naenbourvuaearmyry b1 e19r99 9121989 ohe w digital representatie breaks are true to thic errors may have b egp naa file: This ng files. Pme typogr PDF esettind so ut this nal typned, a ogiai Aboriret iii ee er book, not from thg, however, cannot bersion for attribution. SWUISLALNIA MP .H B. FAOKEEGRE, , VCCihcoaemi-rCmmhaainitr,t mCeaeenn o,t enTrs hT feor raJ Douhimsnesaa s HeR oCeposkneintarsor lcU, hAntilvaenrtsai,t yG eSocrhgoiaol of pnv al pamattiative JOHNH Hyg. iDenAeV aISn, dT Phueb lUicn iHveearsltihty, Boaf ltVimeromreo, nMt aCroylllaengde of Medicine, Burlington, e origincific forauthorit PARKV eErm. oDnItETZ, Schools of Law and Medicine, University of Virginia, osed from XML files created from thding styles, and other typesetting-speprint version of this publication as the LRJRADBJOAEORIOLHMCOIEBNAHNENREACICNA ST RsFL Roh lTBODI.SaD na. RMn. . 'rKnS N GRdl.e.oEU I R.McENLtG LtSStLGOLeiWCA,Nc,BAs MNIuYBIvENCnNRtDi,iKEsl T,oEUlEu ,SeRe BKrVOn,n,a Ir NVNigUenov,,ticw i enenrAerrigenY svarIei imnennaUtryrslisieensan't oiid gAittvf yu FUC de tCooemrensh rfnifiic ivotMntceyeeriasr,s ri g H,sctIR roiWnhiath gsyitMgotaih ioaydtwenSunneda t,c eM ieIyhAc sS ooaleSntalfodaa n nClPtif edcAeae a tUotnHrylhf btn,Co oe oiWrlsevMro,pn, eg CaitMretysesahdhr,ilii it,i,cWcc yn WhaPi,gn giarDtgeasoooa,shev,n hn tiiI,rnidN lonDlgeiigetnnt.owt,Coc onMe i.n,s, , iHD cRDha.hC.viCog.eda.nne, been recompd breaks, heaease use the DCW.A ITLVLIHTDIAOe CMMxa. A sAVS T.I AHSNOPOME,N PGCSOEeRnN,e, rSTaulh reMg iIocntaoslt riAst usRtseeo scfeioaarrt ecRsh, e LThaaubblsoialri,at atOotikroilenas h,ao Wnmdaa rRreens,e aMrcichh, iHgaonuston, ginal work has ne lengths, worally inserted. Pl SJUtaLIfAfBNu rlAin. gtoWnA, LVLeErRm, onTthe University of Vermont College of Medicine, the original; liccident RAINCDHRAERWD MD.. TPHOOPEM, ASSt,a Pffr oOjeffcitc Derirector n of e orien a LESLYE GIESE, Associate Staff Officer w digital representatioe breaks are true to thhic errors may have be NORMAN GROSSBLATT, Editor egp naa file: This ng files. Pme typogr PDF esettind so ut this nal typned, a ogiai Aboriret iv ee er book, not from thg, however, cannot bersion for attribution. pnv al pamattiative e origincific forauthorit osed from XML files created from thding styles, and other typesetting-speprint version of this publication as the been recompd breaks, heaease use the s orPl ginal work hane lengths, wally inserted. the original; liccident n of e orien a ohe w digital representatie breaks are true to thic errors may have b egp naa file: This ng files. Pme typogr PDF esettind so ut this nal typned, a ogiai Aboriret PREFACE v ee er book, not from thg, however, cannot bersion for attribution. Preface pnv al pamattiative osed from XML files created from the originding styles, and other typesetting-specific forprint version of this publication as the authorit rupiailimmnonnenrnljsfaajidneuumesjd neocr resoayicttrIIT eulif rnnie eosh ndipi sjhls usru ep1ysatseo starho9 n,aae uy trer6dlh rdy gtt m6pb uehii.htass,r an oio eryoantea etuatnobhraxl stdeeulndel peead n tiae lmhnsrupiggace fidcr ntsaoeciaemetti dnfthondtn e coatarld sdhiioyr ttn p pk e nb,wtija rci onguyrelaNi tf er ldhnieelypvati e cf.t.cutti fh b toittbEeioFyoaeuotclxn.bw osicu tcedcalrsIhsoe n il i t m,h amd oi Rirtpenimnnhieosaregneve eeslas ia at otvsoejho tdsolhea po fveerhenr ppf, vecead t orbdeahvcn torul,bh aecd tbotCleuuro. lpey i anesnoTn,ew enm isudtjathsdihuionn d ee rrcrcide seyonloia r dye,lf mutal , eocAt nbAretoo eet tlmruhdmnryapnineiort oeeafeilydifrrsnityfrti aiet, iu ecv, cbcr aineaesodanlAds te nenrae tic toaostsinaqcoin t advndiu httjdtdahhou aua seayeiietkr shdnen; i he ec aatdty aiasooavib tetv.l tpn els ataeebr teDrti f eeno.nbbf ve etluaBeeailetcno—eeehnuttnnddhnestt been recompd breaks, heaease use the alihinnatjtvdulee r yDdp iicresooadgnb frtirrelooistmlsy :o h irnTa jadhup erpbi eleNyse eisnngi gnlme cwceat hedthdaeat tDiw nrie aspsee oiaktrshtne ewo rwo afesn x .iM psMsloiucdoeaerdteri.n nt ghS aotnhc ei2e .t5syc ,mi ednioltlciifouincm eAansmtpeeedcr itchs aonowsf s orPl ginal work hane lengths, wally inserted. DNreaesetpiaaoIrrnnctam hl e1Asn9htc8 oa3oud,fl ed m CTbyroae non gfsdr poeSosncrseit e antteiocno eanslc e,t atetorodn rdeameq teoulrreamesw,ti n aaena duwst tuhhwdoahtyr ia izstoi nnkag nr rtoratwanhugneme amasb eeo(cnuirtntes jt iuantrrhjyyue) r yfob,e fydw ehttrhhaaeetl n of the orie original; lien accident grNceooaslvptliaeoobrnnnosamrela etRintooetn sc ethoawaurcitlt dhha uCutthsoheeuo nrtIicozni als'ittsnii otcCunrteo,e am tshoemef i asMCnsidooe mdnii mmcoipnintr etoLe.v eief Te oh tnShis ec T irekrenanpcuooemwrst,a,l e wdtRhageese s eerosaeftrsa cubihlnlt,ij suohirnfey d. tt hhIinnee ohe w digital representatie breaks are true to thic errors may have b ccupcooornomnuabtclmrdlcToe eyimlhpt itieet en atlec hdbr'osae lae mtc n.dea m enTfulftinih etbytpeceeer tersaeta i rcbmatseiel odaell nien Aeshndv,mat eeisrdsde ee rc vtpinohciutemaaibwftn eilsieis nc s faj othufnhruerde yta tu lhopitrensher oe arrn gee oaprtstneuueis orabwsnnrl .cih tchthi oc han hteea aeadhldndtahs sri .e npsbvrseoe ebtsnhtlme ismm epn awrtdo ehibn ol iesnreme sit eno—ajlurl cr iyhas egp naa file: This ng files. Pme typogr WCHILALIRIAMMA HN. FOEGE PDF esettind so ut this nal typned, a ogiai Aboriret ACKNOWLEDGMENTS vi ee er book, not from thg, however, cannot bersion for attribution. Acknowledgments pnv al pamattiative osed from XML files created from the originding styles, and other typesetting-specific forprint version of this publication as the authorit sBFOMinhilm niaatchrkcmheekeTTda al,fes hhyiGtleeeiae nSl r,idcff netooo og,Do lrmtoClmfooar mh,ivywa nSai.tij idirttunDotle eergnpayRes ,hh c acMneloribonoellien,l tsl eTertloagresLeuogr ,ra wr,lue Ec wTwetier,tsrh i hiae ctom ihnnhrnmde c a lDge boatDe rosnaer otRguiMthan -bo ttla,ohti,s h mlreeRdera ,e io pnTsp ladBi,fru ns uSebstEenetrilepnxnkricpepgpae shri eyatnoder .ngit fnndi e sWS Nretpc,h: eirh JelillravE siismoaaeuumtnvlbeea,es j resGH ,BeFc aactli Grdetnoyotdgofc ro Nhshrtndh aeog,oimr bse,na nl,r M epee,ESrpi ioAocmmonuhryiiestatlu.lehieyberl, been recompd breaks, heaease use the s orPl ginal work hane lengths, wally inserted. the original; liccident n of e orien a ohe w digital representatie breaks are true to thic errors may have b egp naa file: This ng files. Pme typogr PDF esettind so ut this nal typned, a ogiai Aboriret CONTENTS vii ee er book, not from thg, however, cannot bersion for attribution. Contents pnv al pamattiative e origincific forauthorit Executive Summary 1 osed from XML files created from thding styles, and other typesetting-speprint version of this publication as the 21 EInpjuiDHPEEEdrrlxpeauyoeiimtCtm:mdsdai oMtaueiaieonunmcnnalsstg otg,i Fas ogInVt alniyoiocoetj ftugunoh oadirfircny cesI l n UISeainjn,nusu j aedrurInvsin reC deyjosui hf:lESr layTIaunrn narhvCjvcceiuareet roeNu iySlrnsl eiyaaDmsetnstdiaietcocet nefasnmto ,aSo rsl fy M aFstnhtaoedecrm tePTo rrA hsoe dbiinerle q LImuniamjuteirtya- 21223235868093 been recompd breaks, heaease use the 3 PreRGveeencnoteimroanml oAefnp Idpnarjotuiaorcynh se s to Injury Prevention 333677 ginal work has ne lengths, worally inserted. Pl 4 InjuSPRrrteyaec tvBuoesmin ootmmifo eeInnnc dojhuafar tnSyiio-pcPnessr cae i nvfidecn tTthiyoep nPe Prse rovofeg nIrnatijmounrsy oa fn dIm Rpeasceta Irnchju ry 44446158 the original; liccident SMtaetceh oanf iIsnmjusr yo fB Iinojmureyc hanics Research 4489 n of e orien a Research Needs 53 ohe Conclusions 57 w digital representatie breaks are true to thic errors may have b 5 TreRPHCartehoemcashopreoaminscttapmt eli treCainsla dtCriaecat s ir oeon f sI n juries That Require Treatment 6666652579 egp Conclusions 72 naa file: This ng files. Pme typogr Recommendations 73 PDF esettind so ut this nal typned, a ogiai Aboriret CONTENTS viii ee er book, not from thg, however, cannot bersion for attribution. 6 RehRCRaeoebscnieolciamltruacmsthiiooe Innnsdss ua teiso nans d Needs 88994012 pnv al pamattiative 7 Current Federal Expenditures for Injury-Related Research 99 e origincific forauthorit 8 AdCmriinteisrtiraa ftioorn O orfg Iannjiuzriyn gR Iensjeuarryc hR esearch 110190 osed from XML files created from thding styles, and other typesetting-speprint version of this publication as the A Appppeennddiixx AB CRRoeecfmFALCeouoorgmmencnRRenicamncteectttldiisseueeooaeeesnsnnaa idB orrooaccnitffhhosi o aag a nrFFnasdeep fdd hoReeirerre aaascllno CC mIneemjnnuttereenyrrd ttRaoote iAAsoenddasmmr c iihnn iiassntteedrr TIInnrajjuuinrryying 111111141311591929 been recompd breaks, heaease use the Index 155 s orPl ginal work hane lengths, wally inserted. the original; liccident n of e orien a ohe w digital representatie breaks are true to thic errors may have b egp naa file: This ng files. Pme typogr PDF esettind so ut this nal typned, a ogiai Aboriret CONTENTS ix ee er book, not from thg, however, cannot bersion for attribution. List of Tables and Figures pnv al pamattiative e origincific forauthorit osed from XML files created from thding styles, and other typesetting-speprint version of this publication as the Tab765241l------e111111s FSSESMetuuxaadmmaFTIStjenumoitrmmrsjasreaupc taaaoClerla trreyfsSlmayy s .,aut1 eeMooonp9ngfffdp8 e to KKDo 3cDrfr.iohnnateera ootsff anwwIi o ocniNrsnnifj tm Rue sIaaer nesnniydjns.dd.use R raNNfyroe ceeDrhhee aIedd nboaeejintddulh i rItsIIyannn t ijffSinuooo ur1nrryrmm9-v,R 8eEaa2eittpliil looiaiadnnntnee tcRRdmhe eeeR.i ggoUeaalsorrneddgiatiiyernn cdigghn. 9754481---976023890130 been recompd breaks, heaease use the 77--32 FFeeddB1ee9irro8aam3ll .SSeuucpphppanooirrctt sff ooinrr RRFieesssceeaaalrr 1cchh9 8oo3nn. IInnjjuurryy,, MPreecvheanntiiosnm isn a Fnidscal 110034 s orPl ginal work hane lengths, wally inserted. 77--54 FFeeddbFeeiirrlsiaactllaa SStli uuo1ppn9pp 8ooo3frr. ttt hffeoo rrI nRRjueessreeedaarr iccnhh Fooinns cLAaolc nu1gt9e-8 TC3e.arrme oCfa trhee a Inndju Rreedh ain- 110056 the original; liccident Figures n of e orien a 1-1 Percentages of deaths from injury and other causes in the 19 ohe w digital representatie breaks are true to thic errors may have b 144---212 PTStehrrreUhocetereecn anc hirptto teaor ndidgfnt ieavScssieeitn paoasmatssfeel eey sl,mn eciatane anor cnd1sfh 9tooabe8fntlah 0oiprse,o o tmrbdit sedy.s sn Oi uoasteegipfa aep(ilsm.p oelasipsfri eantbi cgaelto lf f iostonetrr jeatcuo rear sysignh .eajo cu6wrr5oyn.s,) s c wvanietschse elrol, scsan 255001 egp cause shear injury (complete tear shown) with or without naa file: This ng files. Pme typogr 4-3 Vesllaoscesesls ro abfte ibonlneo aootdfh . sskkiinn, creasnu bltein tgo min bbyr usitsree,t cohr ocor nshtuesairo nw.ithout 53 PDF esettind so 7-1 Preerxetpierenmdietunrt eyse faorrs mofa ljiofre cloausts easn nouf adlelya tahn idn ftehdee Uranl irteesde Sartacthes. 108 ut this nal typned, a 8-1 SugCgeenstteerd f loorc Iantijounry a Cndo notrrgoal.nizational structure of proposed 117 ogiai Aboriret

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