Keall, Michael D., Ormandy, David and Baker, Michael G.. (2011) Injuries associated with housing conditions in Europe : a burden of disease study based on 2004 injury data. Environmental Health, Vol.10 (No.1). p. 98. ISSN 1476-069X

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Abstract

Background The authors recently undertook a study for the World Health Organization estimating the European burden of injuries that can be attributed to remediable structural hazards in the home. Such estimates are essential for motivating injury prevention efforts as they quantify potential health gains, in terms of injuries prevented, via specific environmental interventions. Methods We combined exposure estimates from existing surveys and scenarios with estimates of the exposure-risk relationship obtained from a structured review of the literature on injury in the home and housing conditions. The resulting attributable fractions were applied to burden of injury data for the WHO European Region. Results This analysis estimated that two specific hazards, lack of window guards at second level and higher, and lack of domestic smoke detectors resulted in an estimated 7,500 deaths and 200,000 disability adjusted life years (DALYs) per year. In estimating the environmental burden of injury associated with housing, important deficiencies in injury surveillance data and related limitations in studies of injury risk attributable to the home environment were apparent. The ability to attribute proportions of the home injury burden to features of the home were correspondingly limited, leading to probable severe underestimates of the burden. Conclusions The burden of injury from modifiable home injury exposures is substantial. Estimating this burden in a comprehensive and accurate manner requires improvements to the scope of injury surveillance data and the evidence base regarding the effectiveness of interventions.

Item Type:	Journal Article
Subjects:	R Medicine > RA Public aspects of medicine
Divisions:	Faculty of Social Sciences > School of Health and Social Studies
Library of Congress Subject Headings (LCSH):	Home accidents -- Europe, Wounds and injuries -- Europe
Journal or Publication Title:	Environmental Health
Publisher:	BioMed Central Ltd.
ISSN:	1476-069X
Date:	10 November 2011
Volume:	Vol.10
Number:	No.1
Page Range:	p. 98
Identification Number:	10.1186/1476-069X-10-98
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Open Access
References:	1. Keall MD, Guria J, Howden-Chapman P, Baker MG: Estimation of the social costs of home injury: a comparison with estimates for road injury. Accident Analysis & Prevention 2011, 43:998-1002. 2. KfV (Kuratorium für Verkehrssicherheit): Injuries in the European Union: a statistics summary 2003-2005. Vienna: KfV; 2007. 3. Sengoelge M, Hasselberg M, Laflamme L: Child home injury mortality in Europe: a 16-country analysis. Eur J Public Health , ckq047. 4. Preedy VR, Watson RR: Environmental Burden of Disease. Handbook of Disease Burdens and Quality of Life Measures Springer New York;4202-4202. 5. European Commission: Actions for the public health sector to improve road traffic safety. Working Party on Accidents and Injuries 2005. 6. CLG: Review of Health and Safety Risk Drivers. CLG. 2008. 7. Jacobs DE, Baeder A: Housing interventions and health: a review of the evidence. National Center for Healthy Housing; 2009. 8. Kerr K: Prevention of injuries at home. Inj Prev 2007, 13:141-141. 9. Lyons RA, Sander LV, Weightman AL, Patterson J, Jones SA, Lannon S, Rolfe B, Kemp A, Johansen A: Modification of the home environment for the reduction of injuries. Cochrane database of systematic reviews 2006, 4. 10. Spiegel CN, Lindaman FC: Children Can’t Fly: A Program to Prevent Childhood Morbidity and Mortality from Window Falls. Am J Public Health 1977, 67:1143-1147. 11. Ahrens M: Home Smoke Alarms: The Data as Context for Decision. Fire Technology 2008, 44:313-327. 12. Thompson DC, Rivara F: Pool fencing for preventing drowning in children. Cochrane Database of Systematic Reviews 1998, Reviews 1998. 13. Erdmann TC, Feldman KW, Rivara FP, Heimbach DM, Wall HA: Tap Water Burn Prevention: The Effect of Legislation. Pediatrics 1991, 88:572-577. 14. Naughton MP, Henderson A, Mirabelli MC, Kaiser R, Wilhelm JL, Kieszak SM, Rubin CH, McGeehin MA: Heat-related mortality during a 1999 heat wave in Chicago. American Journal of Preventive Medicine 2002, 22:221-227. 15. Keall MD, Baker M, Howden-Chapman P, Cunningham M: Association between the number of home injury hazards and home injury. Accident Analysis & Prevention 2008, 40:887-893. 16. Keall MD, Ormandy D, Baker MG: Housing conditions and home injury. In The Environmental Burden of Disease of inadequate housing: a method guide to the quantification of health impacts of selected housing risks in the WHO European Region. Edited by: World Health Organisation. Bonn: WHO; 2011:. 17. Kay D, Prüss A, Corvalán C: Methodology for assessment of Environmental burden of disease. Geneva: World Health Organization; 2000. 18. European Home and Leisure Accident Surveillance System: European Injury Database (IDB). 2009 [http://www.kfv.at/department-home-leisure-sports/ european-injury-database/]. 19. MacKay M, Vincenten J: Child Safety Summary Report Card for 18 Countries - 2007. Amsterdam: European Child Safety Alliance, Eurosafe; 2007. 20. Communities and Local Government: English House Condition Survey - Technical Report (2004 Edition). London: Communities and Local Government; 2006. 21. Bonnefoy XR, Braubach M, Moissonnier B, Monolbaev K, Röbbel N: Housing and Health in Europe: Preliminary Results of a Pan-European Study. American Journal of Public Health 2003, 93:1559-1563. 22. Rauchmelder retten Leben. [http://www.rauchmelder-lebensretter.de/ internationaler-vergleich.html]. 23. Feuerwehr-Jahrbuch (Fire Brigade Yearbook). [http://www. feuerwehrverband.de/statistik.html]. 24. Latest fire figures. [http://www.kiddefyrnetics.co.uk/utcfs/Templates/Pages/ Template-66/0,8070,pageId%3D34942%26siteId%3D405,00.html]. 25. Istre GR, McCoy MA, Stowe M, Davies K, Zane D, Anderson RJ, Wiebe R: Childhood injuries due to falls from apartment balconies and windows. Injury Prevention 2003, 9:349-352. 26. Lyons TJ, Oates RK: Falling out of Bed: A Relatively Benign Occurrence. Pediatrics 1993, 92:125-127. 27. Mayr JM, Seebacher U, Lawrenz K, Pesendorfer P, Berghold A, Baradaran S: Bunk beds - a still underestimated risk for accidents in childhood? European Journal of Pediatrics 2000, 159:440-443. 28. Office of the Deputy Prime Minister: Housing Health and Safety Rating System: Operating Guidance. London: Office of the Deputy Prime Minister; 2006. 29. American Housing Survey (AHS). [http://www.census.gov/hhes/www/ housing/ahs/ahs.html]. 30. Sethi D, Towner E, Vincenten J, Segui-Gomez M, Racioppi F: European report on child injury prevention. Rome: World Health Organization; 2008. 31. Vincenten JA, Sector MJ, Rogmans W, Bouter L: Parents’ perceptions, attitudes and behaviours towards child safety: a study in 14 European countries. International Journal of Injury Control and Safety Promotion 2005, 12:183-189. 32. Suarez-Garcia I, Sethi D, Hutchings A: Mortality due to injuries by place of occurrence in the European Region: analysis of data quality in the WHO mortality database. Injury Prevention 2009, 15:275-277. 33. Sethi D: Injuries and ratio between intentional and unintentional ones (personal communication). 2009. 34. Prüss-Üstün A, Bonjour S, Corvalán C: The impact of the environment on health by country: a meta-synthesis. Environmental Health 2008, 7:7.
URI:	http://wrap.warwick.ac.uk/id/eprint/42206

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