Surveillance for injury in children aged 0-14 years in Tianjin,2015

Objective To understand the incidence of injury in children aged 0-14 years in Tianjin, and provide evidence for the intervention and safety education in children. Methods The incidence data of injury in children aged 0-14 years were collected by using the records of the first medical care seeking due to injury in hospitals at all level in Tianjin in 2015 reported through local disease surveillance system. Results In 2015, a total of 33 751 injury cases in children aged 0-14 years were reported in Tianjin, the incidence rate was 2 624.62/100 000, the male to female ratio of injury cases was 1.78:1, and the urban to rural ratio of the injury cases was 1.33:1. The top five causes were fall (13 971 cases, 41.39%), animal bite (8 562 cases, 25.37%), traffic accident (2 715 cases, 8.04%), strike (1 479 cases, 4.38%) and sharp instrument cut (1 432 cases, 4.24%). The mild, moderate, severe cases and deaths accounted for 73.91% (24 947 cases), 22.28% (7 520 cases), 3.54% (1 196 cases) and 0.26% (88 cases) of the total respectively, the difference was significant (2=50.22, P0.001), and the differences among different age groups had significance (P0.001). Boys and urban children were the key groups in injury prevention, while boys and rural children were the key groups in injury death prevention. Conclusion It is necessary to conduct targeted intervention in children with different characteristics to reduce the incidence of injury.