Health Statistics Quarterly 32 - CDC

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Although deaths from injury and poisoning account for less than 5 per cent of all deaths in England and Wales1 it is important to examine them in more detail for ...
Health Statistics Quarterly 32

Winter 2006

Trends in injury and poisoning mortality using the ICE on injury statistics matrix, England and Wales, 1979–2004 Clare Griffiths, Oliver Wright and Cleo Rooney Office for National Statistics

This article shows trends in injury and poisoning mortality in England and Wales using a matrix of mechanism (e.g. fall, fire) by intent (e.g. accident, suicide) developed by the International Collaborative Effort (ICE) on injury statistics. Overall injury and poisoning mortality rates have declined for both males and females. Declines were greatest during the 1980s and early 1990s, with rates falling only slightly since. Rates were generally higher for males and were highest in the elderly. Transport death rates declined substantially. Death rates from falls declined to the mid 1990s but then increased. There were increases in death rates from drug abuse/dependence in both sexes and in homicide rates among males.

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Modifications of the matrix in our analysis

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Box one Secondary cause of death Deaths where the underlying cause is an external cause are also assigned at least one nature of injury code (from Chapter XIX, S00–T98). Thus, it is possible to have more than one nature of injury code for a single death. For example, a car occupant injured in a transport accident (V40–V49) may have suffered a fracture to the skull (S02) and femur (S72), as well as injuries of the spleen (S36). However, it is necessary to select which one of the nature of injury codes is to be identified as the one causing death. This one cause code is referred to by ONS as the secondary cause. To do this, WHO provides selection guidelines or ‘rules’ to ensure that the most useful information is derived from the death certificate and that it is done uniformly.14

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