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Injury Control and Emergency Health Services
Section Newsletter
Spring 2004

Notes from the Chair

I'm very pleased that the section was able to field contested slates forall leadership openings. Not every section has been able to do this, nor have we always accomplished it in the past. My hearty thanks to the hard-working Nominations Chair, Janet Holden, and to all who put theirnames forward and offered to run for election. Unlike some elections, we promise no negative campaigns, no barrage of political advertisements,
and no Supreme Court involvement! Now it will be up to section membersto cast your ballots next month.

As always, I welcome your involvement with and opinions of the section. Why did you join? What do you hope to get out of it? Where do you think we should be heading? E-mail me your thoughts.

Anara Guard


Please note the upcoming dates and deadlines for APHA and ICEHS.
Watch future issues of the newsletter and your email for details.

MAY 30

MAY 14 - JUNE 15


NOVEMBER 6-10, 2004

- Anara Guard

Members Making News!

Don’t miss ICEHS Archivist Les Fisher’s upcoming publications in the June issue of the American Journal of Public Health and in a forthcoming issue of Injury Prevention (commentary on community -based programming).

Any news in your life? Promotions? New and exciting jobs?
Send your tidbits to: <>.


Time is drawing near for the 7th World Conference on Injury Prevention and Safety Promotion, which will be held June 6 -9 2004, in Vienna, Austria, Europe. Information about the conference can be found at <>.
Take a moment to browse the site and note all the satellite meetings taking place!

Sincerely yours,
Conference Team Vienna
Ölzeltgasse 3 / Postfach 190, A-1031 Vienna, Austria, Europe
Tel: +43 1 715 66 44 0, Fax: +43 1 715 6644 30


Johns Hopkins Bloomberg School of Public Health Summer Institute
The Center for Injury Research & Policy 13th Annual Summer Institute: Principles and Practice of Injury Prevention, July 11-16, 2004, Baltimore, Maryland

This one-week intensive training program is offered each summer to a class of 60 students interested in studying injury prevention and control. This year, the Institute is being held in July at the Johns Hopkins Bloomberg School of Public Health. The Institute uses a problem-solving paradigm to organize lectures, discussions and small group activities. At the beginning of the week, students are given an injury problem of particular relevance or interest to them. Lectures subsequently address behavioral, biomechanical, environmental, epidemiological, legislative, policy and community partnership approaches to injury prevention and control. Throughout the week students utilize the skills, tools and knowledge gained from the presentations and interaction with the faculty to develop strategies for addressing real world injury problems. Students who choose to attend the Institute for academic credit will be evaluated on their participation in group exercises and a final paper. For those who do not choose to apply for academic credit, a certificate of attendance is distributed at the end of the week. CHES credits are also available.
Please see the Center’s Web site for additional information about the Summer Institute: <>.

For a schedule and application please contact:
Sharon Cullinane, Co-Director
Tel: (410) 955-2636 Fax: (410) 614-2797
Center for Injury Research and Policy
624 N. Broadway, HH 548
Baltimore, MD 21205

- Amy Woodward

National Occupational Safety Researchers Convene in 2004

Related Files:

Harborview Injury Research Course, September 2004

The Harborview Injury Prevention and Research Center is offering an intensive one-week course designed to provide participants with the necessary skills and knowledge needed to conduct injury prevention research including study design, developing research questions, using injury literature, evaluating injury research studies, and working with human subjects. The course will be offered Sept. 20-24, 2004, on the
University of Washington campus. Course instructors include PeterCummings, Frederick Rivara, David Grossman, Thomas Koepsell, Christine Beahler andnd Helen McGough.

This course is appropriate for emergency physicians, trauma surgeons, health care providers, traffic safety and public health personnel, and epidemiologists with an interest in injury prevention. The course syllabus
can be found at <>
For more information, please contact Jim Stretch at (206) 685-6403 or via e-mail at <> or Marni Levy at (206) 521-1249 or <>.

Luann C. D'Ambrosio, MEd
Manager, Professional Education Programs
Harborview Injury Prevention and Research Center
University of Washington
325 9th Avenue Box 359960
633 Yesler Way KOBE Park Suite 332
Seattle, WA 98104-2499
Ph: (206) 521-1534
Fx: (206)521-1562

Don't Miss What's New at the CDC

Dear Injury Prevention Colleagues,

We invite you to read about the latest news for injury prevention by
clicking on the link to the current edition of What's New at CDC's
Injury Center on our Web site at

The April 2004 edition includes:

CDC Observes World Health Day: Family Road Safety, April 7, 2004

Injury Center Director Sue Binder, MD, Announces Retirement:

New Funding Announcements Released

CDC, Association of Schools of Public Health (ASPH) Offer Six Injury

CDC, Society for Public Health Education (SOPHE) Offer Student
Fellowship In Injury:

CDC's Injury Center Investigates New Year's Eve Celebratory Gunfire
Deaths in Puerto Rico:

April Is Sexual Assault Awareness Month:

April Is Child Abuse Prevention Month:

Second Edition of State Injury Indicators Report Released:

Bibliography of Behavioral Science Research in Unintentional Injury
Prevention Now Available:

TBI Data Collection Information Compiled to Help States Build Data

CDC Describes Homicide Trends and Characteristics--Brazil, 1980-2002:

Journal's Special Supplement Focuses on Prevention of Youth Violence:

American Journal of Health Behavior Publishes Special Issue on Injury

CDC's Injury Center, Office of Justice Programs' Office of Juvenile
Justice and Delinquency Prevention (OJJDP) Release Study of Juvenile

Injury Center Authors Nominated for CDC's Charles C. Shepard Science

CDC's Injury Center Wins Distinguished Technical Communication Award:

3rd National Sexual Violence Prevention Conference Releases Session
Topics, Opens Registration:

Audio Conference and Web Seminar to Focus on Youth Violence Prevention
and Public Health:

Injury Center Director Presents CDC's Vision for Research, Programs to
Injury Coalition:

Call for Abstracts: Society for Medical Decision Making's 26th Annual


NEW Health, United States, 2003 Web Site Features

Two new features to help locate data on the Health, United States, 2003 Web site are now available.
Data are grouped by population subgroups at
and organized by an expanded list of topics at

- Mitchell B. Pierre

DOT Releases Preliminary 2003 Highway Fatality Estimates

NHTSA annually collects crash statistics from 50 states and the District of Columbia to produce the annual report on traffic fatality trends. The final 2003 report, pending completion of data collection and quality control verification, will be available in August 2004. Summaries of the preliminary report are available on the NHTSA Web site at:


The Public’s Health and the Law in the 21st Century

Related Files:


Take a moment to browse online and review the new report from the Institute of Medicine of the National Academies, "Forging a poison prevention and control system." The report claims that poisoning is a much larger public health problem than has generally been recognized. The authors describe the specific activities and resources needed to create a national system for comprehensive poison prevention and control. The report calls on Congress to amend the current Poison Control Center Enhancement and Awareness Act of 2004 to provide sufficient funding for the proposed new national system. ICEHS Archivist Les Fisher reports that “one of the recommendations of the report is to establish and fund poison control coordinators in heath departments” …. “that was done some 60 years ago to help handle center reported stats !”

- Les Fisher

Medical Reserve Corps Volunteers Strengthen Local Public Health & Response Efforts

When community efforts to safeguard public health are constrained by limited resources, recruiting and utilizing volunteers may seem a logical solution to the problem. We can usually count on a surge of volunteers whenever a public health crisis or other disaster strikes close to home. But for public health and medical professionals wanting to lend their skills during times of community need, volunteering has been anything but easy.

The Medical Reserve Corps was created in response to the President’s call for all Americans to volunteer at least 4,000 hours of their time to community needs in his 2002 State of the Union Address, specifically to provide a more organized approach to utilizing public health and medical volunteers. Their skills and knowledge can be highly technical, which requires coordination with complex public health and medical emergency response systems. Yet with adequate training and preparation, this valuable community resource can be used when it is most needed.

The mission of the Medical Reserve Corps (MRC) is to strengthen communities by giving volunteers a means to offer their skills during times of need. The President placed the MRC under the leadership of Department of Health and Human Services Secretary Tommy G. Thompson, who housed the initiative in the office of U.S. Surgeon General Richard H. Carmona.

Secretary Thompson and Surgeon General Carmona are committed to helping community MRCs develop a reserve of volunteers who are ready to support public health and medical preparedness at the local level. MRC volunteers are trained specifically to follow local procedures while utilizing their own skills and knowledge.
In addition, MRC units expand local partnership networks because of the MRC’s commitment to community-wide coordination. For example, MRCs work with other organizations, such as hospitals, emergency responders, law enforcement offices, and fire departments. These new working relationships can facilitate other forms of collaboration that may be useful across a broad range of public health initiatives.
Another benefit for MRC sponsors has been the opportunity to improve their crisis communications skills as well as their understanding of the emergency procedures used by their response partners.

Since July 2002, when the Medical Reserve Corps was launched as a national, community-based program, the Surgeon General’s office has helped more than 175 MRC units form in 46 states.
President Bush has personally honored the work these public health-focused MRC volunteers have done in serving their communities, particularly Mark Asperilla of the Lee County, Florida MRC. Asperilla was instrumental in establishing a local biowarfare response team comprised of doctors, nurses, paramedics, and emergency managers, which later merged with the Medical Reserve Corps.

The Oak Park Department of Health MRC, located in Illinois, has set a goal for themselves to develop the medical response capacity in the Village of Oak Park. Their hope is to be able to respond rapidly in order to supplement the current emergency response capacity. They are doing this by developing a plan to recruit, train and credential volunteers, as well as developing a plan for evacuation.

In addition to preparing for emergencies, MRC units are helping communities deal with public health issues as guided by Thompson and Carmona’s charge for “Healthy People 2010.” The Sedgwick County Health Department MRC, headquartered in Wichita, Kansas, partnered with other medical professionals in the area to host a day dedicated to the “Diabetes Detection Initiative." The program serves to find the undiagnosed through community collaboration.

Volunteering and community service are at the heart of the Medical Reserve Corps, which is a specialized component of Citizen Corps, a national network of volunteers dedicated to making sure their families, homes, and communities are safe from terrorism, crime, and disasters of all kinds.

MRC volunteers are part of this network that encourages and values broad-based community coordination and ongoing skills development. MRC volunteers include professionals such as physicians, nurses, pharmacists, emergency medical technicians, dentists, veterinarians, epidemiologists, and infectious disease specialists. In addition, key support positions are filled by volunteer interpreters, chaplains, amateur radio operators, logistics experts, legal advisors, and others.
Every community uses its MRC volunteers somewhat differently. Some work with existing local emergency response programs. Others supplement existing local public health initiatives such as outreach and prevention, immunization programs, blood drives, and case management and care planning. The MRC emphasizes the importance of addressing local needs within the context of locally available resources.

The National Program Office of the Medical Reserve Corps is headquartered in the Office of the U.S. Surgeon General, functioning as a clearinghouse for community information and best practices. Our role is to help communities achieve their local visions for health and emergency preparedness and response.

If you would like more information on the Medical Reserve Corps, or want to find a unit near you, please visit us online at <>.

Tribute to Patricia Fossum Waller


Related Files:

Haddon's Matrix Applied to Leadership Leveraging

Examples of Haddon’s Matrix for Injury Control Applied to Leadership Leveraging

Any student of injury control can recite and hopefully apply Haddon’s sentinel matrix
of injury control strategies that prevents, limits and minimizes the effects of kinetic (chemical, mechanical, electrical, thermal) ‘energy gone wrong’, the causative agent of injury or any other condition.

Here’s a condensed application for leadership energy leveraging in: Fisher L. Shaping the Millennium. From the History of Child - Home Injury in the United States, in public health journals (1900 1975), to Applications of Leadership Systems, 2003 . Table 1 page 12., Members Only:

1. Prevent formation of energy
Stop manufacturing, sales or use of highly injurious products (certain guns, drugs of abuse, sharp or leaded toys); non pasteurize milk; leaded paint; lead gasoline; leaded or other toxins in food and drinking water

For leadership leveraging:
Seek archives and historical institutional memories; when feasible, "smoke -out" the full system’s real values and problems, plans and potential programming/ risks ; develop shared visions and cooperative efforts to devise and weigh more than ONE leveraging decision or policy option by using all essential and desireable criteria for solutions by essential crafts and compenencies (see my cited paper) Then only initiate programs and mandates which have resources, (technical, managerial, interpersonal and political" leadership “energy supply") or for which evidence of low cost/ high benefit is documented. Some criteria: weigh not only morbidity reduction but job losses, taxes, cost containment; reassess what can go wrong with any decision; trouble shoot. Live balanced life.

2. Reduce amount, modify the release of energy.
Household cleaners, medicines in lower nontoxic concentrations; lower scalding hot water heater temperatures; low lead solder for plumbing; enteric coated medicines; flame retardant children's nightwear and tentage; additives to roasting/ cooking bags; porperly installed and used car safety seats,. seat belts and airbags; short cord electrical appliances; always clean children's hands.

Phase in effective piloted programs but only related to funding expectations.

3. Separate the energy from the host or environment
Sewage from water & food supplies; install street electrical conduits above or below ground; drink hot beverages away from children; require two exits in mobile homes or trailers; store household poisons out of reach of young children, safety packaging . Require triplicate prescriptions scripts and a 30 day supply of certain controlled prescription drugs; use child safety gates on stairs/steps; require child resistant packaging on household hazardous substances; Prescribe less toxic or abusive products for same purpose; make crib slats too narrow to strangle child; stabilize unbalanced-tipping refuse bins.

Streamline, separate like leadership skills and crafts quadrant modes and leverage styles: Humanistic, Innovative, Director / Coordinate, Internal Controls Groups, Become more efficient and effective by enthusiastically by knowing the “True North”, dedication, and leveraging your leadership competencies - regardless of location or your job position; use veteran prior historical memory, expertise for assessing, developing policy options and problem solving. As feasible, involve the needs ( reduced production loss days; boosted profits, visibility ) of the injury control supportive business and industrial community as prevention and health care management creative partners. Hold landmark conferences acknowledging that public and private safety practices go hand in hand. Show effective marketing of public health and safety and watch

4. Minimize, Repair or Rehabilitate the Damage.
Proper EMS ED and rehab services
Out placement training; career and stress management; job information interviews; better press, communications and legislative relationships;
lateral transfers of skills and competencies ; taking vacations, new assignments, and professional courses in leadership, avocations or volunteer work.

These countermeasures are a mix of interventions ; and so must our leveraging of complimentary but competing values, power and influence leadership . And as above, it is not always clear where best to categorize any one approach ; but instead it is better to lead and act with the best available data for saving ‘lives and limbs’.

L. Fisher, Copyrighted 2004

Herons don't miss the rising sun.

"Every day starts with a new sunrise."