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9 Challenges and Opportunities
Pages 258-270

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From page 258...
... Future advances in the injury field depend on the continued development of the infrastructure of the field through public and private partnerships. Progress has been made not only in developing a scientific field and generating social investment in injury prevention, but also in reducing injury.
From page 259...
... Although the long-term trends are probably attributable largely to changes in work-force composition and technological improvements, it seems likely that occupational safety initiatives have played a contributing role (McGarity and Shapiro, 1993) · Residential fire death rates have also fallen substantially during this period, at least in part due to improvements in building codes, product safety improvements, and increased use of smoke detectors (U.S.
From page 260...
... So defined, the injury field is part of a broader array of people and agencies devoted to promoting safety, whose methods and perspectives differ from those of public health, including the tort system, criminal justice, alcohol control, and fire protection. One of the greatest challenges facing the leaders of the injury field is to develop creative and effective ways of coordinating their own efforts and promoting collaboration with agencies and constituencies outside the field.
From page 261...
... are well defined by the Occupational Safety and Health Act of 1970. There is little overlap between the missions of these agencies and other federal agencies; however, opportunities to translate knowledge from the occupational setting to other settings, and vice versa, should be improved (e.g., the work of NIOSH and OSHA in violence prevention)
From page 262...
... To change this pattern, federal agencies involved in injury prevention and treatment should establish partnerships that reflect joint understandings of the missions of the respective agencies and their strengths and limitations. STRENGTHENING CAPACITY FOR RESEARCH AND PRACTICE Resources devoted to injury prevention and treatment have increased significantly since 1985, especially when all of the public and private investment is taken into account.
From page 263...
... Although other factors, including scientific opportunity and portfolio diversification, must also be considered, the NIH investment in injury research appears to take inadequate account of the magnitude of He problem (see Table 9.1~. In 1996, unintentional injury was third leading cause of years of life lost before age 75, after heart disease and malignant neoplasms.
From page 264...
... Resource limitations make it even more imperative for federal leadership in injury prevention and treatment to transcend a strictly federal orientation and assume a broader commitment to the injury field. .v INTEGRATING Tow; FIELD Although remarkable progress has been made in developing the injury field over the past decade, continued efforts are needed to establish a common understanding of the mission and perspectives of the field, to promote greater cohesion, and to facilitate scientific interchange.
From page 265...
... NURTURING PUBLIC SUPPORT Ultimately, the level of social investment in the injury field depends on public recognition of the value and potential payoff from Be investment. One positive sign is that focused initiatives (e.g., prevention of drunk driving, spinal cord injury research)
From page 266...
... The value of discrete messages about safer storage of firearms, drunk driving, bicycle helmets, and smoke detectors might be enhanced by framing them as part of a broader safety message (that injures are preventable and that taking steps to reduce risks is worm Me effort and Me investment)
From page 267...
... Priority Sewing for Research and Social Action The committee has already noted the comparatively lower priority assigned to injury in the overall federal investment in health-related research and the comparatively lower priority assigned to prevention in public expenditures for health and public safety. Prevention and amelioration of injury should be given a higher priority in He allocation of monies for research and in the array of programs funded by public health and public safety agencies.
From page 268...
... NCIPC has also facilitated public involvement through its own efforts, although mechanisms for follow up have not been established. Despite differences in context and emphasis, many common questions arise in setting priorities for research and social action in the injury field.
From page 269...
... 1998. Scientific Opportunities and Public Needs: Improving Priority Setting and Public Input at the National Institutes of Health.


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