DEPARTMENT: Environmental Health/Behavioral Science and Health Education COURSE NUMBER: EH 580/BSHE 591M SECTION NUMBER: 000 SEMESTER: Fall 2016 CREDIT HOURS: 2 COURSE TITLE: Injury Prevention and Control LOCATION: Grace Crum Rollins, Room 115 MEETING TIME Mondays 3 - 4:50pm INSTRUCTOR NAME: Lisa Dawson, co-facilitator Mike Smith Syllabus last updated:160822 INSTRUCTOR CONTACT INFORMATION EMAIL: [email protected], [email protected] and [email protected] PHONE: 404-202-7555 SCHOOL ADDRESS OR MAILBOX LOCATION: N/A OFFICE HOURS: By appointment. I can usually meet before class and other times with some 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 student-generated case studies. The following book will be used in this course, but not required: Injury Prevention and Public Health: Practical Knowledge, Skills, and Strategies, 2nd 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 Communicate health education needs, concerns and resources Apply appropriate research principles and methods in health education Advance the profession of public health 1 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 and protective factors for groups for major causes Identify public health strategies for the primary 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. 3rd ) 20% Class participation (discussion in class and 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 COURSE TOPICS & READING ASSIGNMENTS Course Session 1 Topics: Readings Course Session 2 Topics: Readings August 22nd Lisa Dawson and Mike 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 Chapter 1, 2, August 29th – Lisa Dawson and Mike Smith 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 6 Course Session 3 Topics: September 12th – Mike Smith Injury Prevention in the Context of Environmental Health Define Environmental Health Approach Understand intersections with Injury Prevention and EH Identify EH and IP examples Utilize framework for remaining classes Readings Chapter 8 Course Session 4 Topics: September 19th – John Carter Injury Epidemiology and 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 Readings Injury Surveillance Guidelines, CDC & WHO, 2004 (on blackboard) 3 Course Session 5 Topics: Readings September 27th Course Session 6 Topics: Readings September 27th - Judy Stevens Unintentional Injuries - Falls among 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. Short Essay Assignment 1 posted October 3rd - Sara Patterson 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 Chapters 9,14 NYT, Saletan, W (2012), Why won’t they listen? “The Righteous Mind,” by Jonathan Haidt (on Blackboard) APHA, Injury and Violence Prevention: Policy Lessons from the Field (on Blackboard) October 10th Holiday Course Session 7 Reading: October 17th – 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 Chapter 5 Violence as a Public Health Risk, 2011 (on Blackboard) Course Session 8 Topics: October 24th - Adam Pomerleau Unintentional Injuries- Poisonings Understand the emerging epidemic of prescription drug 4 overdoses Describe the epidemiology of unintentional poisonings Describe various interventions for poisoning prevention and treatment Describe data sources for poisoning research and surveillance Reading Patterns of Drug Abuse, JAMA 2008 (on Blackboard) Drug Poisoning Deaths in the U.S. – 1980 - 2008 (on Blackboard) Pediatrics Brief Research report (on Blackboard) For reference/Optional Reading 2010 National Prescription Drug Abuse Prevention Strategy (on Blackboard) Short Essay Assignment 2 posted Course Session 9 Topic: October 31st – Bob Dallas 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 Readings Chapter 4 (review pages 79-83) Analysis of significant decline in motor vehicle fatalities (on blackboard) Trends in non-fatal traffic injuries (on blackboard) Course Session 10 Topics: Readings November 7th– 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, 5 Fiona Harris, Ruth Jepson. Scottish Government Social Research. Edinborough. 2008. http://www.scotland.gov.uk/Publications/2008/11/28141444/0 Goldsmith SK, Pellmar TC, Kleinman AM, Bunney WE, eds. Reducing Suicide: A National Imperative. Washington, DC: NationalAcademy Press: 2002. http://www.nap.edu/openbook.php?isbn=0309083214 – Read Executive Summary Krug EG, Dahlberg LL, Mercy JA, Zwi AB, Lozano R, eds. World Report on Violence and Health. Suicide Chapter. Geneva: World Health Organization; 2002. http://whqlibdoc.who.int/publications/2002/9241545615_eng.pdf Read Chapter 7 on self-directed violence Course Session 11 Topics: Readings November 14th– 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 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. 2005 Sep;62(9):588-97. (on Blackboard) 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. 2005 Jul;95(7):1213-9. (on Blackboard) Course Session 12 Topic: November 21st - Blog Entries by class and review and response by Liz Head, Victoria Helmly and Pat King Injuries to Older and Vulnerable Adults Understand the epidemiology of both intentional and unintentional injuries to this population in the US (by sex, age group, race/ethnicity, location, etc) Understand effective strategies for prevention 6 Reading: Understand the concept of self determination https://www.alz.org/documents/national/Fallsrestraints_litereview_II.pdf http://www.alz.org/documents_custom/public-health/ph-spotlight092013.pdf Course Session 13 Topics: November 28th –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 Readings MMWR – Racial/Ethnic Disparities in Drowning, 1999-2010 (on Blackboard) MMWR –Drowning, 2005-2009 (on Blackboard) AAP Technical report on the prevention of drowning – 2010 (on Blackboard) Male Drowning Victims Howland 1996 (on Blackboard) Griffin et al. 2006 AJSM (on Blackboard) Chapter 4 (review pages 84-85) Short Essay Assignment 3 posted; FINAL CRITICAL REFLECTION DUE December 5th Course Session 14 Topic: December 5th - 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 Readings MMWR - Nonfatal Traumatic Brain Injuries Related to Sports and Recreation Activities Among Persons Aged ≤19 Years --- United States, 2001—2009 (on Blackboard) MMWR - Sports-Related Injuries Among High School Athletes --7 United States, 2005--06 School Year (on Blackboard) Short Essay Assignment 3 posted; FINAL CRITICAL REFLECTION DUE December 5th 8
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