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State of Alaska

Health Indicator Report of Unintentional Injury Mortality Rate (HA2020 Leading Health Indicator: 16)

Unintentional injuries include motor vehicle crashes (passenger and pedestrian); accidental drownings, poisonings and firearm injuries; injuries due to fire or burns; and falls. Alaska experiences one of the highest unintentional injury rates in the nation, ranking 8th among states in 2014.^1^ In 2016, unintentional injury was the 3rd leading cause of death for all Alaskans, with accidental poisonings and exposure to noxious substances accounting for the highest number of unintentional injury deaths.^2^ Unintentional injuries disproportionately affect the younger population and are a leading cause of death among children and young adults and the leading cause of years of potential life lost in Alaska.[[br]] [[br]] ---- {{class .SmallerFont 1. U.S. Centers for Disease Control and Prevention (CDC). National Center for Health Statistics. Accident Mortality by State: 2014. [http://www.cdc.gov/nchs/pressroom/sosmap/Accident.htm]. Updated January 19, 2016. Accessed October 4, 2016. 2. Alaska Department of Health and Social Services, Division of Public Health, Health Analytics and Vital Records Section. Alaska Vital Statistics 2016 Annual Report. [http://dhss.alaska.gov/dph/VitalStats/Documents/PDFs/VitalStatistics_Annualreport_2016.pdf]. Accessed June 20, 2018. }}

Notes

Data are age adjusted to U.S. 2000 standard population. Unintentional injury is defined by ICD-9 codes E800-E869, E880-E929 and ICD-10 codes V01-X59, Y85-Y86. Does not include legal intervention.   Rates are age-adjusted to the 2000 U.S. standard population.

Data Sources

  • [http://dhss.alaska.gov/dph/VitalStats/Pages/default.aspx Health Analytics and Vital Records Section (HAVRS)], Division of Public Health, Alaska Department of Health and Social Services
  • National Center for Injury Prevention and Control's Web-based Injury Statistics Query and Reporting System (WISQARS)

Data Interpretation Issues

[http://live.laborstats.alaska.gov/pop/index.cfm Alaska population estimates] provided by the State Demographer in the [http://laborstats.alaska.gov/ Research and Analysis Section] of the [http://labor.alaska.gov/ Alaska Department of Labor and Workforce Development].

Definition

Age-adjusted rate of unintentional injury deaths due to all causes (ICD-10 codes V01-X59, Y85-Y86) per 100,000 population.

Numerator

Number of unintentional injury deaths in the resident population in a specified time period.

Denominator

Mid-year resident population for the same calendar year in a specified time period.

Healthy People Objective: Reduce unintentional injury deaths

U.S. Target: 36.4 deaths per 100,000 population
State Target: Healthy Alaskans 2020 Target: 54.8 per 100,000 population

How Are We Doing?

In 2016, Alaskans had an unintentional injury mortality rate of 61.9 per 100,000, exceeding the Healthy Alaskans 2020 goal of 54.8 per 100,000. The rate for Alaska Native people was over 175% higher at 115.1 per 100,000. Unintentional injuries (including unintentional poisonings) are the 3rd leading cause of death in Alaska. In 2016, unintentional injuries claimed the lives of 428 Alaskans. More Alaskans died from unintentional poisoning and exposure to noxious substances than any other type of unintentional injury; 125 deaths or 29.1% of all unintentional injury deaths.^2^ Among the leading causes of death in Alaska, unintentional injuries ranked first in total years of potential life lost with 12,195 years lost. On average, 28.4 years of life were lost prematurely for each unintentional injury death.^2^ Since 2007, the crude rate for unintentional injuries has increased 11.1%. During this same time period, the age-adjusted rate has increased 9.4%.^2^ The northern region (Nome census area, North Slope Borough, and Northwest Arctic Borough) and southwest Alaska (Dillingham census area, Kusilvak census area, Lake and Peninsula Borough, Yukon-Koyukuk census area) exhibited high rates of unintentional injury mortality.[[br]][[br]] ---- {{class .SmallerFont 2. Alaska Department of Health and Social Services, Division of Public Health, Health Analytics and Vital Records Section. Alaska Vital Statistics 2016 Annual Report. [http://dhss.alaska.gov/dph/VitalStats/Documents/PDFs/VitalStatistics_Annualreport_2016.pdf]. Accessed June 20, 2018. }}

How Do We Compare With the U.S.?

In 2016, unintentional injury was the 3rd leading cause of death in the nation, with an age-adjusted rate of 47.4 per 100,000.^3^ Unintentional injury was also the 3rd leading cause of death in Alaska, accounting for 9.5% of all mortality and an age-adjusted rate of 61.9 per 100,000.^2^[[br]] [[br]] ---- {{class .SmallerFont 2. Alaska Department of Health and Social Services, Division of Public Health, Health Analytics and Vital Records Section. Alaska Vital Statistics 2016 Annual Report. [http://dhss.alaska.gov/dph/VitalStats/Documents/PDFs/VitalStatistics_Annualreport_2016.pdf]. Accessed June 20, 2018. 3. Kochanek KD, Murphy SL, Xu J and Arias E. U.S. Centers for Disease Control and Prevention (CDC). National Center for Health Statistics. Data Brief. Mortality in the United States, 2016. [https://www.cdc.gov/nchs/data/databriefs/db293.pdf]. Accessed June 20, 2018. }}

Evidence-based Practices

As part of the Healthy Alaskans 2020 health improvement process, groups of Alaska subject matter experts met over a period of months in a rigorous review process to identify and prioritize strategies to address the 25 health priorities. Public health partners around the state are aligning work around these approaches adapted to Alaska's unique needs. '''Strategy 1:''' [[br]]Develop and implement a collaborative approach to reducing fatalities resulting from falls by older Alaskans. '''Evidence Base:''' [[br]]Preventing falls to older adults takes a multi-partner, multi-intervention approach. Success requires home-modification, physical activities, vision correction, review of all of medications and multifaceted interventions. While any activity engaged in on its own might show slight impact, overall success requires a collaborative, multi-pronged approach. '''Source:''' [[br]][http://www.cdc.gov/HomeandRecreationalSafety/Falls/index.html CDC: Falls - Older Adults] [https://www.ncoa.org/healthy-aging/falls-prevention/ National Council on Aging- Fall Prevention] '''Strategy 2:''' [[br]]Form a task force to determine effective approaches to decreasing poisoning deaths and improve data collection. '''Evidence Base:''' [[br]]Unintentional poisoning deaths are increasing each year in Alaska and throughout the country. Promising practices for reducing prescription drug overdose deaths include implementing prescription drug monitoring programs, providing access to Naloxone, screening by physicians, and creating immunity laws. Other recommendations address childhood poisoning from household chemicals and carbon monoxide. However, there has not been a thorough multidisciplinary approach to poison prevention in Alaska, and there is insufficient information about the prescription drug poisoning problem in Alaska to assess how to address it. '''Sources:''' [[br]][http://www.ncsl.org/research/health/prevention-of-prescription-drug-overdose-andabuse.aspx Prevention of Prescription Drug Overdose and Abuse] [http://www.whitehouse.gov/ondcp/prescription-drug-abuse Office of National Drug Control Policy - Prescription Drug Abuse] [http://www.cdc.gov/homeandrecreationalsafety/Poisoning/laws/index.html Prescription Drug Overdose: State Laws] [http://www.cdc.gov/homeandrecreationalsafety/Poisoning/preventiontips.htm CDC Tips to Prevent Poisonings] '''Strategy 3:''' [[br]]Promote best practices for reducing transportation related deaths through enforcement of current laws, integration of public health strategies, public outreach, and education; and promotion of new safety technology through collaboration with safety and private sector organizations and cooperation with state and local governments. '''Evidence Base:''' [[br]]Transportation is a leading cause of injury and death in Alaska. Transportation injuries include those suffered on and off roadways and with motorized and non-motorized modes of transportation including cars, trucks, all-terrain vehicles (ATV's), snow machines, boats, bicycles and pedestrians. There are multiple Alaskan transportation strategic plans that include evidence-based action plans for key partners to focus on. '''Sources:''' [[br]]Alaska Department of Transportation & Public Facilities. [https://www.nhtsa.gov/sites/nhtsa.dot.gov/files/documents/ak_fy17hsp.pdf Strategic Highway Safety Plan] Alaska Traffic Records Coordinating Committee. [http://www.dot.state.ak.us/stwdplng/hwysafety/assets/pdf/FFY2018_ATRCC_Strategic_Plan.pdf Alaska Traffic Records Strategic Plan]. 2017. A listing of strategies, actions, and key partners on this measure can be found at: [http://hss.state.ak.us/ha2020/assets/Actions-Partners_16_UnintentionalInjury.pdf].

Available Services

Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion, Injury Prevention [http://www.dhss.alaska.gov/dph/Chronic/Pages/InjuryPrevention/default.aspx] Alaska Poison Control Center (for general information) 1-800-222-1222 (emergency hotline) Safe Alaskans (907) 929-3939 [http://safealaskans.org] Use Only As Directed [http://useonlyasdirected.org/] NATIONAL WEB SITES: National Center for Injury Prevention and Control [http://www.cdc.gov/injury/] National Highway Transportation Safety Administration [http://www.nhtsa.dot.gov/] National SAFE KIDS Campaign [http://www.safekids.org/] Children's Safety Network [http://www.childrenssafetynetwork.org/] U.S. Consumer Product Safety Commission [http://www.cpsc.gov/]
Page Content Updated On 09/06/2018, Published on 09/24/2018
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health (Ak-IBIS) web site (http://ibis.dhss.alaska.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Sun, 18 November 2018 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health web site: http://ibis.dhss.alaska.gov ".

Content updated: Tue, 25 Sep 2018 13:28:08 AKDT
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics AK-IBIS web site (http://ibis.dhss.alaska.gov/). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Sun, 18 November 2018 17:38:16 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Indicator-Based Information System for Public Health Web site: http://ibis.dhss.alaska.gov/ ".

Content updated: Tue, 25 Sep 2018 13:28:08 AKDT