DEPARTMENT: Environmental Health/Behavioral Science and Health Education. COURSE NUMBER: EH 580/BSHE 591M SECTION NUMBER: 000 SEMESTER: Fall 2014

Transcription

1 DEPARTMENT: Environmental Health/Behavioral Science and Health Education COURSE NUMBER: EH 580/BSHE 591M SECTION NUMBER: 000 SEMESTER: Fall 2014 CREDIT HOURS: 2 COURSE TITLE: Injury Prevention and Control LOCATION: Grace Crum Rollins, Room 115 MEETING TIME: Mondays 5-6:50pm INSTRUCTOR NAME: Shakiyla Smith INSTRUCTOR CONTACT INFORMATION lrsmit3@emory.edu PHONE: SCHOOL ADDRESS OR MAILBOX LOCATION: Grady Campus, SteinerBuilding, 68 Armstrong Street, Office # 114 OFFICE HOURS: By appointment. I can usually meet before class with advance planning. BRIEF COURSE DESCRIPTION EH 580/BSHE 591M is a basic course in injury prevention and control designed to introduce public health students to basic epidemiologic concepts of injury prevention and control, to the epidemiology of various types of injury, and to the public health approach to controlling or eliminating injuries using concepts of engineering, enforcement, and education (environmental modification and behavior modification). This class features content experts from CDC and other local agencies, as well as studentgenerated case studies.the following book will be used in this course: Injury Prevention and Public Health: Practical Knowledge, Skills, and Strategies, 2 nd Edition by Tom Christoffel and Susan Scavo Gallagher. There will be additional articles and readings, which will be posted on Blackboard. LIST SCHOOL LEVEL, DEPARTMENT, AND/ OR PROGRAM COMPETENCIES Describe environmental conditions, including biological, physical and chemical factors, that affect the health of individuals, communities and populations Describe major environmental risks to human health ranging from the local to global scale Design environmental health programs, policies, interventions and/or research intended to improve the health of individuals, communities, and populations Describe the use of epidemiology methods to study the etiology and control of disease and injury in populations Explain major policy issues in environmental health including regulatory frameworks Describe behavioral, social, and cultural factors that contribute to the health and well-being of individuals, communities and populations Plan effective health education programs Evaluate the effectiveness of health education programs Coordinate the provision of health education services Act as a resource person in health education 1 Communicate health education needs, concerns and resources Apply appropriate research principles and methods in health education

2 LIST LEARNING OBJECTIVES ASSOCIATED WITH THE COMPETENCIES Upon completion of the course, students will be able to: Describe the impact of injuries on health and on society in terms of mortality, morbidity, disability, and cost Discuss what is meant by the terms injury prevention and injury control Describe the epidemiology of unintentional and intentional injuries including etiology and risk groups for major causes Identify public health strategies for the prevention and control of injuries Apply injury prevention tools and principles towards the prevention and control of injuries, and other public health problems EVALUATION Students will be evaluated through (1) three short essay assignments based on class content and related readings, (2) an injury case study to be discussed in class, (3) a critical reflection essay related to your injury case study, (4) a final critical reflection assignment, and (5) participation. Refer to individual assignment instructions for guidance around completing assignments. Final course grades will be calculated as follows: 40% Essay Assignment Average (the average of the two highest grades will be used) 30% Injury Case Study (15%) and Case Study Critical Reflection (15%) 10% Final Critical Reflection (due Dec. 8 th ) 20% Class participation (discussion in classand attendance) ACADEMIC HONOR CODE The RSPH requires that all material submitted by a student in fulfilling his or her academic course of study must be the original work of the student. 2

3 COURSE TOPICS & READING ASSIGNMENTS September 1st- NO CLASS- LABOR DAY Course Session 1 September 8 th - Shakiyla Smith Introductions and Course overview Injury overview Describe why injuries are considered a public health problem Understand the difference between an injury and an accident Describe the differences between unintentional and intentional injuries Describe age, gender, ethnicity groups at risk Explain principle causes of injury Injury Epidemiology Understand public health approach to injury prevention and control Understand and explain Haddon Matrix Explain the injury pyramid Understand the interaction between the E s Chapter 1, 2, 6 Course Session 2 September 15 th Shakiyla Smith Injury Surveillance Define surveillance Understand data sources for injury surveillance Understand purposes and limitations of injury surveillance Understand differences in unintentional and intentional injury surveillance Chapter 3, 12 Injury Surveillance Guidelines, CDC & WHO, 2004 (on blackboard) Course Session 3 September 22nd Melissa White EMS/trauma care systems Identify key elements of an emergency medical system Describe the roles of a dispatcher, first responder, EMT, paramedic, field supervisor, medical director Describe landmarks in EMS system development Define categorization and the steps followed for trauma center development Distinguish between Level I, II, and III trauma centers WHO 2005: Prehospital trauma care systems- pages 1-31 (on 3

4 MMWR EMS Field Triage Guidelines, 2011 (on Course Session 4 September 29 th - David Wright Traumatic Brain Injury (TBI) Describe the epidemiology of traumatic brain injury including the impact in terms of deaths, nonfatal injuries, costs and quality of life Identify biological, environmental, and behavioral TBI risk factors and populations at particular risk Describe the essential elements of effective TBI prevention interventions Describe emerging science and research around treatment of TBI The Epidemiology and Impact of TBI, 2006 (on Progesterone Review, 2008 (on MMWR- Surveillance for TBI-related Deaths, 2007 (on Short Essay Assignment 1 posted Course Session 5 October 6 th Bob Dallas Topic: Unintentional Injuries Motor Vehicle Collisions Describe the epidemiology of motor vehicle collisions Describe various interventions for transport injuries Describe data sources for transport injury research Describe the use and success of various engineering and policy interventions in the reduction of motor vehicle collisions Chapter 4 (review pages 79-83) Analysis of significant decline in motor vehicle fatalities (on blackboard) Trends in non-fatal traffic injuries (on blackboard) October 13 th - NO CLASS- FALL BREAK Course Session 6 Topic: October 20 th - Maureen Thompson Occupational Injuries Recognize occupations with high rates of serious injury and understand the complexity of common musculoskeletal injuries reported by workers Understand the principles of Workers' Compensation Compare and contrast the levels of occupational injury prevention, and understand why prevention interventions may not be effective Understand how occupational injury prevention works at the organizational level 4

5 Reading: Chapter 4 (review pages 88-89) Dembe AE, Erickson JB, Delbos RG, Banks SM. The impact of overtime and long work hours on occupational injuries and illnesses: new evidence from the United States. Occup Environ Med Sep;62(9): (on Smith GS, Wellman HM, Sorock GS, Warner M, Courtney TK, Pransky GS, Fingerhut LA. Injuries at work in the US adult population: contributions to the total injury burden. Am J Public Health Jul;95(7): (on Course Session 7 October 27 th Judy Stevens Unintentional Injuries-Fallsamong Older Adults Describe the epidemiology of falls including the impact in terms of deaths, nonfatal injuries, costs and quality of life. Identify 6 major fall risk factors and rate their relative importance. Identify the effective elements of a fall prevention program. Describe three challenges for older adults when considering a fall prevention program. Chapter 4 (with focus on pages 83-84) Dickinson A, Machen I, Horton K, Jain D, Maddex T. Fall prevention in the community: what older people say they need. British Journal of Community Nursing. 2011;16(4): (on Karlsson MK, Vonschewelov T, Karlsson C, Coster M, Rosengen BE. Prevention of falls in the elderly: a review. 2013, 41: (on Course Session 8 Reading November 3 th - Julie Gilchrist Unintentional injuries - Drowning Understand the epidemiology of drowning in the US (by sex, age group, race/ethnicity, location, etc) Understand effective strategies for drowning prevention Understand the burden, location, causes and prevention of drowning in the US vs. other countries MMWR Racial/Ethnic Disparities in Drowning, (on MMWR Drowning, (on AAP Technical report on the prevention of drowning 2010 (on Male Drowning Victims Howland 1996 (on Griffin et al AJSM (on 5

6 Course Session 9 November 10 th Julie Gilchrist Unintentional injuries - Sports and Recreational Injuries Understand the epidemiology of sports injuries and the role for prevention Describe various interventions for prevention of sports and recreational injuries Describe data sources for sports and recreational injuries Describe current research and research needs for sports and recreational injuries MMWR - Nonfatal Traumatic Brain Injuries Related to Sports and Recreation Activities Among Persons Aged 19 Years --- United States, (on MMWR - Sports-Related Injuries Among High School Athletes --- United States, School Year (on Short Essay Assignment 2 posted Course Session 10 November 17 th Tom Simon Intentional injuries- Interpersonal Violence Describe the magnitude of interpersonal violence Identify high risk groups for various types of interpersonal violence Understand the social ecology of risk and protective factors Cite examples of evidence-based interventions Reading: Chapter 5 Violence as a Public Health Risk, 2011 (on Course Session 11 Topic: November 24 th - Alex Crosby Intentional Injuries- Self-harm/suicide Describe the magnitude of suicidal behaviors Identify high risk groups for suicidal behaviors Identify risk and protective factors for suicide in various age groups Cite examples of useful interventions to prevent suicide Risk and Protective factors for Suicide and Suicidal Behaviour: a Literature Review. Joanne McLean, Margaret Maxwell, Stephen Platt, Fiona Harris, Ruth Jepson. Scottish Government Social Research. Edinborough Goldsmith SK, Pellmar TC, Kleinman AM, Bunney WE, eds. Reducing Suicide: A National Imperative. Washington, DC: NationalAcademy Press: Read Executive Summary 6

7 Krug EG, Dahlberg LL, Mercy JA, Zwi AB, Lozano R, eds. World Report on Violence and Health. Suicide Chapter. Geneva: World Health Organization; Read Chapter 7 on self-directed violence Course Session 12 December 1st Adam Pomerleau Unintentional Injuries- Poisonings/Rx Drug Overdoses Understand the emerging epidemic of prescription drug overdoses Describe the epidemiology of unintentional poisonings Describe various interventions for poisoning prevention and treatment Describe data sources for poisoning research and surveillance Chapter 4 (review pages 84-85) Patterns of Drug Abuse, JAMA 2008 (on Drug Poisoning Deaths in the U.S (on Pediatrics Brief Research report (on For reference/optional Reading 2010 National Prescription Drug Abuse Prevention Strategy (on Course Session 13 December 8 th - Sara Patterson/Mark Biagioni Injury control policy Understand the use of policy in injury prevention and control Describe the policy development and enactment process Understand the issues behind legislation Cite examples of effective injury control policies Chapter 9,14 NYT, Saletan, W (2012), Why won t they listen? The Righteous Mind, by Jonathan Haidt (on MMWR, Decline in Drug Overdose Deaths After State Policy Changes Florida, (on APHA, Injury and Violence Prevention: Policy Lessons from the Field (on Short Essay Assignment 3 posted; FINAL CRITICAL REFLECTION DUE 7