michael bauer, m.s.* sarah sperry, m.s.* leah hines, m.p.h.* stephanie willing, m.p.h.* joyce...

Communicating the Benefits of Back Seat Restraint: Data to

Action in New YorkMichael Bauer, M.S.*

Sarah Sperry, M.S.*Leah Hines, M.P.H.*

Stephanie Willing, M.P.H.*Joyce Pressley, Ph.D.**

*New York State Department of HealthBureau of Occupational Health and Injury Prevention

**Columbia University

IntroductionThe New York State Department of Health

(NYSDOH), Bureau of Occupational Health and Injury Prevention (BOHIP) is the lead agency for the Crash Outcome Data Evaluation System (CODES) and Child Injury Policy Subgroup (CIPS).

The BOHIP receives Federal grant funds through the Centers for Disease Control and Prevention and the NY State Highway Safety Office for motor vehicle surveillance, epidemiology, and safety.

NYS Vehicle Safety Restraint LawsNew York State laws require:

Children ages 0-7 years to be restrained in the appropriate child restraint system and children ages 8-15 years to use a seatbelt. These laws do not specify a seating position.

Ages 16 and older are required to use a seatbelt in the front seat. (Primary law) No seatbelt requirement when riding in the back

Back Seat Safety Belt Laws by State

New York is one of the states that does not have a back seat seatbelt law covering ALL Teens.

Back seat seatbelt lawsdoes cover all teens

Back seat seatbelt lawsdoes not cover all teens

Covered by Law and Primary Enforcement Not Covered by LawAge Groups

Backseat occupants are more likely to use restraints when required by law!

National Data Fatal Analysis Report System (FARS)

Closing the Gap in NYLegislation to address the gap in the motor

vehicle law has been proposed for several years.

It seeks to extend coverage to all back seat passengers, regardless of age.

What is CODES?NYS CODES matches police and motorist

crash report data to hospitalization, emergency department, and emergency medical services data.

The CODES database provides medical and financial outcome information about injuries that occurred as a result of motor vehicle crashes.

The CODES database is used to conduct studies that examine the incidence, risk factors, and societal costs for traffic crashes and injuries.

Unrestrained Back Seat Passengers 16 years and older, New York 2010

3,558 New Yorkers were injured.

1,475 of them received outpatient emergency department treatment.

215 of them required an inpatient hospital stay.

Unrestrained Back Seat Passengers 16 years and Older Compared to those Restrained, New York 2010

Four times more likely to require hospitalization following a crash.

Annual total of hospital and ED charges is $18 million.

$21,000 more expensive for average hospital charges.

12% of associated hospital charges are billed to public funds.

Two times more likely to suffer a traumatic brain injury.

NYS CODES Partners/Advisory BoardNYSDOH, Bureau of Occupational Health and

Injury PreventionNYSDOH, Bureau of Emergency Medical ServicesNYSDMV, Bureau of Program Analysis and Data

ServicesGovernor’s Traffic Safety Committee (NYS

Highway Safety Office)Traffic Records Coordinating CommitteeNYS Association of Traffic Safety BoardsThe Institute for Traffic Safety Management and

Research

Partnership with the NYS Highway Safety OfficeSince 2010 the Governor’s Traffic Safety Committee

(GTSC) requested CODES data to assist with their efforts to support legislation to require back seat safety belt use for persons aged 16 years and older.

A fact sheet on injuries sustained to passengers aged 16 and older riding in the back seat of a motor vehicle during a crash was developed.

The fact sheet:Illuminated the increased risk of injuries and costs

associated with not using a seat belt in the back seat.Was included in the DMV’s legislative liaison's

educational packet.

Child Injury Policy Subgroup (CIPS)The CIPS, formed in 2009, is a subgroup of the

larger NYS Injury Community Planning Group. Over 20 organizations are represented, including:

Columbia UniversityNYS Association of Traffic Safety BoardsNYS Department of Motor VehiclesNYS Governor’s Traffic Safety Committee (the State

Highway Safety Office)NYS Office of Fire Prevention and ControlNYS Safe KidsNorth Shore LIJ Health SystemUniversity at Albany, School of Public Health

Coordinated Approach• CODES and CIPS, both lead by the BOHIP,

have overlapping:• Partners

• Primarily the NYSDMV, GTSC, Traffic Safety Professionals

• Priorities• Back seat safety belt use• Children ages 12 and younger riding properly

restrained in the back seat only

CODES Activities: 2012-2014• Provide fact sheet for the legislative sessions. • Provided the fact sheet to motor vehicle

policy advocates across the state for educational activities.• Distributed to CIPS members.

• Provide county-level fact sheets for GTSC’s education of Buckle Up NY, Click It…Or Ticket.• 2014 Mobilization was May 19 through June 1,

Using Seatbelts Saves Lives, Reduces Injuries, and Saves Money!

Schenectady

St. Lawrence

Clinton

Franklin

Montgomery

Herkimer

Hamilton

Warren

Fulton

Oneida

Oswego

Jefferson

Putnam

Albany

Saratoga

Madison

Onondaga

WayneMonroeOrleans

Niagara

Ontario

Chautauqua

Wyoming

Genesee

Tompkins

Chemung

Schuyler

BroomeTioga

SchoharieOtsegoChenango

Orange

Sullivan

Ulster

DelawareCattaraugus Allegany Steuben

Rockland

Suffolk

QueensKingsRichmond

New York

Click on a county name to view a fact sheet on restraint use for that county.

Greene

ConclusionsThrough the CODES/CIPS partnerships, the

BOHIP has successfully brought together stakeholders with a similar interest in injury prevention.

Educational materials, in particular, a fact sheet on the safety benefits of riding restrained in the back seat were disseminated to our partners.

Our partners used the materials in their own efforts to educate decision makers on the benefits of safety belt use while riding in the back seat.

Questions?Michael Bauer

Michael.Bauer@health.ny.gov

Albany County 2011

In 2011, every month an average of 12 motorists in Albany County who did not wear a seatbelt were injured severely enough to require hospital treatment; two of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 149 motorists in Albany County who did not wear a seatbelt were treated

at a hospital for their injuries.

o Treatment of these injuries resulted in over $2 million in emergency department and hospitalization charges.

o 23% (almost half a million dollars) of the hospitalization and ED charges was

charged to public funds. Among motorists who were involved in a crash, those who were unrestrained

almost eight times more likely to require hospitalization than those who buckled up. The resulting average hospital charge is over $30 thousand higher for those unrestrained.

Unrestrained motorists involved in a crash are over four times as likely to suffer a

traumatic brain injury compared to those wearing a seatbelt.

Source: NYS Department of Health Bureau of Occupational Health and Injury Prevention

Crash Outcome Data Evaluation System (CODES) www.health.ny.gov/prevention/injury_prevention

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Allegany County 2011

In 2011, every month an average of three motorists in Allegany County who did not wear a seatbelt were injured severely enough to require hospital treatment; some of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 38 motorists in Allegany County who did not wear a seatbelt were

treated at a hospital for their injuries.

o Treatment of these injuries resulted in almost $130 thousand in emergency department and hospitalization charges.

Unrestrained motorists involved in a crash are over four times as likely to suffer

a traumatic brain injury compared to those wearing a seatbelt.

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Bronx County 2011

In 2011, every month an average of 31 motorists in Bronx County who did not wear a seatbelt were injured severely enough to require hospital treatment; five of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 368 motorists in Bronx County who did not wear a seatbelt were

o Treatment of these injuries resulted in $4.6 million in emergency department and hospitalization charges.

o 25% (over $1.1 million) of the hospitalization and ED charges was charged

to public funds. Among motorists who were involved in a crash, those who were unrestrained

six times more likely to require hospitalization than those who buckled up. The resulting average hospital charge is over $39 thousand higher for those unrestrained.

Unrestrained motorists involved in a crash are over two times as likely to suffer

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Broome County 2011

In 2011, every month an average of 11 motorists in Broome County who did not wear a seatbelt were injured severely enough to require hospital treatment; two of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 128 motorists in Broome County who did not wear a seatbelt were

o Treatment of these injuries resulted in over $1.6 million in emergency department and hospitalization charges.

o 4.5% (over $74 thousand) of the hospitalization and ED charges was

were nine times more likely to require hospitalization than those who buckled up. The resulting average hospital charge is $13 thousand higher for those unrestrained.

Unrestrained motorists involved in a crash are over three times as likely to

suffer a traumatic brain injury compared to those wearing a seatbelt.

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Cattaraugus County 2011

In 2011, every month an average of five motorists in Cattaraugus County who did not wear a seatbelt were injured severely enough to require hospital treatment; one of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 61 motorists in Cattaraugus County who did not wear a seatbelt were

o Treatment of these injuries resulted in almost half a million dollars in emergency department and hospitalization charges.

Among motorists who were involved in a crash, those who were unrestrained

were 12 times more likely to require hospitalization than those who buckled up. The resulting average hospital charge is over $6 thousand higher for those unrestrained.

Unrestrained motorists involved in a crash are six times as likely to suffer a

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Cayuga County 2011

In 2011, every month an average of four motorists in Cayuga County who did not wear a seatbelt were injured severely enough to require hospital treatment; one of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 46 motorists in Cayuga County who did not wear a seatbelt were

o 19% ($168 thousand) of the hospitalization and ED charges was charged

were 13 times more likely to require hospitalization than those who buckled up.

Unrestrained motorists involved in a crash are seven times as likely to suffer a

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Chautauqua County 2011

In 2011, every month an average of nine motorists in Chautauqua County who did not wear a seatbelt were injured severely enough to require hospital treatment; one of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 103 motorists in Chautauqua County who did not wear a seatbelt were

o 8% (over $47 thousand) of the hospitalization and ED charges was

were 20 times more likely to require hospitalization than those who buckled up. The resulting average hospital charge is almost $9 thousand higher for those unrestrained.

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Chemung County 2011

In 2011, every month an average of nine motorists in Chautauqua County who did not wear a seatbelt were injured severely enough to require hospital treatment; one of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 103 motorists in Chautauqua County who did not wear a seatbelt were

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Chenango County 2011

In 2011, every month an average of two motorists in Chenango County who did not wear a seatbelt were injured severely enough to require hospital treatment; one of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 28 motorists in Chenango County who did not wear a seatbelt were

o Treatment of these injuries resulted in $347 thousand in emergency department and hospitalization charges.

were four times more likely to require hospitalization than those who buckled up. The resulting average hospital charge is $14 thousand higher for those unrestrained.

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Clinton County 2011

In 2011, every month an average of three motorists in Clinton County who did not wear a seatbelt were injured severely enough to require hospital treatment; some of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 34 motorists in Clinton County who did not wear a seatbelt were

o Treatment of these injuries resulted in over $237 thousand in emergency department and hospitalization charges.

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Columbia County 2011

In 2011, every month an average of two motorists in Columbia County who did not wear a seatbelt were injured severely enough to require hospital treatment; one of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 24 motorists in Columbia County who did not wear a seatbelt were

were six times more likely to require hospitalization than those who buckled up. The resulting average hospital charge is over $24 thousand higher for those unrestrained.

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Cortland County 2011

In 2011, every month an average of two motorists in Cortland County who did not wear a seatbelt were injured severely enough to require hospital treatment; one of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 26 motorists in Cortland County who did not wear a seatbelt were

were almost 12 times more likely to require hospitalization than those who buckled up. The resulting average hospital charge is over $7 thousand higher for those unrestrained.

Unrestrained motorists involved in a crash are almost five times as likely to

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Delaware County 2011

In 2011, every month an average of two motorists in Delaware County who did not wear a seatbelt were injured severely enough to require hospital treatment; one of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 29 motorists in Delaware County who did not wear a seatbelt were

were almost nine times more likely to require hospitalization than those who buckled up. The resulting average hospital charge is almost $83 thousand higher for those unrestrained.

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Dutchess County 2011

In 2011, every month an average of 12 motorists in Dutchess County who did not wear a seatbelt were injured severely enough to require hospital treatment; five of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 150 motorists in Dutchess County who did not wear a seatbelt were

were nine times more likely to require hospitalization than those who buckled up. The resulting average hospital charge is almost $19 thousand higher for those unrestrained.

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Erie County 2011

In 2011, every month an average of 36 motorists in Erie County who did not wear a seatbelt were injured severely enough to require hospital treatment; eight of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 437 motorists in Erie County who did not wear a seatbelt were treated

o Almost 4% (over $169 thousand) of the hospitalization and ED charges

was charged to public funds. Among motorists who were involved in a crash, those who were unrestrained

Unrestrained motorists involved in a crash are almost four times as likely to

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Essex County 2011

In 2011, every month an average of four motorists in Essex County who did not wear a seatbelt were injured severely enough to require hospital treatment; some of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 42 motorists in Essex County who did not wear a seatbelt were treated

o Treatment of these injuries resulted in over half a million dollars in emergency department and hospitalization charges.

Unrestrained motorists involved in a crash are over nine times as likely to suffer

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Franklin County 2011

In 2011, every month an average of four motorists in Franklin County who did not wear a seatbelt were injured severely enough to require hospital treatment; some of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 45 motorists in Franklin County who did not wear a seatbelt were

Unrestrained motorists involved in a crash are almost eight times as likely to

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Fulton County 2011

In 2011, every month an average of three motorists in Fulton County who did not wear a seatbelt were injured severely enough to require hospital treatment; one of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 37 motorists in Fulton County who did not wear a seatbelt were

were 21 times more likely to require hospitalization than those who buckled up. The resulting average hospital charge is $11 thousand higher for those unrestrained.

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Genesee County 2011

In 2011, every month an average of four motorists in Genesee County who did not wear a seatbelt were injured severely enough to require hospital treatment; one of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 47 motorists in Genesee County who did not wear a seatbelt were

were eight times more likely to require hospitalization than those who buckled up.

Unrestrained motorists involved in a crash are five times as likely to suffer a

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Greene County 2011

In 2011, every month an average of four motorists in Greene County who did not wear a seatbelt were injured severely enough to require hospital treatment; two of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 50 motorists in Greene County who did not wear a seatbelt were

Unrestrained motorists involved in a crash are almost seven times as likely to

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Hamilton County 2011

In 2011, every month an average of one motorist in Hamilton County who did not wear a seatbelt was injured severely enough to require hospital treatment; some of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 15 motorists in Hamilton County who did not wear a seatbelt were

Unrestrained motorists involved in a crash are 17 times as likely to suffer a

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Herkimer County 2011

In 2011, every month an average of three motorists in Herkimer County who did not wear a seatbelt were injured severely enough to require hospital treatment; one of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 37 motorists in Herkimer County who did not wear a seatbelt were

were nine times more likely to require hospitalization than those who buckled up.

Unrestrained motorists involved in a crash are almost three times as likely to

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Jefferson County 2011

In 2011, every month an average of nine motorists in Jefferson County who did not wear a seatbelt were injured severely enough to require hospital treatment; one of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 112 motorists in Jefferson County who did not wear a seatbelt were

charged to public funds.

Among motorists who were involved in a crash, those who were unrestrained were almost four times more likely to require hospitalization than those who buckled up.

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Kings County 2011

In 2011, every month an average of 51 motorists in Kings County who did not wear a seatbelt were injured severely enough to require hospital treatment; seven of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 615 motorists in Kings County who did not wear a seatbelt were

o Treatment of these injuries resulted in $4 million in emergency department and hospitalization charges.

o 23% (almost $1 million) of the hospitalization and ED charges was

Among motorists who were involved in a crash, those who were unrestrained were over six times more likely to require hospitalization than those who buckled up. The resulting average hospital charge is almost $8 thousand higher for those unrestrained.

Unrestrained motorists involved in a crash are two times as likely to suffer a

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Lewis County 2011

In 2011, every month and average of two motorists in Lewis County who did not wear a seatbelt were injured severely enough to require hospital treatment; some of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 23 motorists in Lewis County who did not wear a seatbelt were treated

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Livingston County 2011

In 2011, every month an average of three motorists in Livingston County who did not wear a seatbelt were injured severely enough to require hospital treatment; one of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 36 motorists in Livingston County who did not wear a seatbelt were

were six times more likely to require hospitalization than those who buckled up.

Unrestrained motorists involved in a crash are over two times as likely to suffer

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Madison County 2011

In 2011, every month an average of three motorists in Madison County who did not wear a seatbelt were injured severely enough to require hospital treatment; one of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 33 motorists in Madison County who did not wear a seatbelt were

Unrestrained motorists involved in a crash are eight times as likely to suffer a

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Monroe County 2011

In 2011, every month an average of 34 motorists in Monroe County who did not wear a seatbelt were injured severely enough to require hospital treatment; six of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 403 motorists in Monroe County who did not wear a seatbelt were

o Treatment of these injuries resulted in almost $3.8 million in emergency department and hospitalization charges.

Among motorists who were involved in a crash, those who were unrestrained were almost 12 times more likely to require hospitalization than those who buckled up. The resulting average hospital charge is almost $9 thousand higher for those unrestrained.

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Montgomery County 2011

In 2011, every month an average of one motorist in Montgomery County who did not wear a seatbelt was treated at a hospital for their injuries; some of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 18 motorists in Montgomery County who did not wear a seatbelt were

treated at a hospital for injuries.

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Nassau County 2011

In 2011, every month an average of 45 motorists in Nassau County who did not wear a seatbelt were injured severely enough to require hospital treatment; 13 of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 538 motorists in Nassau County who did not wear a seatbelt were

o Over 7% (almost $726 thousand) of the hospitalization and ED charges

was charged to public funds.

Among motorists who were involved in a crash, those who were unrestrained were almost eight times more likely to require hospitalization than those who buckled up. The resulting average hospital charge is over $20 thousand higher for those unrestrained.

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New York County 2011

In 2011, every month an average of 39 motorists in New York County who did not wear a seatbelt were injured severely enough to require hospital treatment; five of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 466 motorists in New York County who did not wear a seatbelt were

o Treatment of these injuries resulted in almost $3 million in emergency department and hospitalization charges.

o Almost 7% ($192 thousand) of the hospitalization and ED charges was

Among motorists who were involved in a crash, those who were unrestrained were five times more likely to require hospitalization than those who buckled up.

Unrestrained motorists involved in a crash are three times as likely to suffer a

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Niagara County 2011

In 2011, every month an average of ten motorists in Niagara County who did not wear a seatbelt were injured severely enough to require hospital treatment; one of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 119 motorists in Niagara County who did not wear a seatbelt were

o 3% (almost $24 thousand) of the hospitalization and ED charges was

Among motorists who were involved in a crash, those who were unrestrained were seven times more likely to require hospitalization than those who buckled up. The resulting average hospital charge is $5 thousand higher for those unrestrained.

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Oneida County 2011

In 2011, every month an average of 11 motorists in Oneida County who did not wear a seatbelt were injured severely enough to require hospital treatment; four of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 127 motorists in Oneida County who did not wear a seatbelt were

Among motorists who were involved in a crash, those who were unrestrained were 13 times more likely to require hospitalization than those who buckled up. The resulting average hospital charge is almost $15 thousand higher for those unrestrained.

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Onondaga County 2011

In 2011, every month an average of 17 motorists in Onondaga County who did not wear a seatbelt were injured severely enough to require hospital treatment; four of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 199 motorists in Onondaga County who did not wear a seatbelt were

Among motorists who were involved in a crash, those who were unrestrained were 13 times more likely to require hospitalization than those who buckled up.

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Ontario County 2011

In 2011, every month an average of seven motorists in Ontario County who did not wear a seatbelt were injured severely enough to require hospital treatment; one of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 79 motorists in Ontario County who did not wear a seatbelt were

were eight times more likely to require hospitalization than those who buckled up. The resulting average hospital charge is over $38 thousand higher for those unrestrained.

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Orange County 2011

In 2011, every month an average of 20 motorists in Orange County who did not wear a seatbelt were injured severely enough to require hospital treatment; four of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 236 motorists in Orange County who did not wear a seatbelt were

were almost 11 times more likely to require hospitalization than those who buckled up. The resulting average hospital charge is over $78 thousand higher for those unrestrained.

Unrestrained motorists involved in a crash are four times as likely to suffer a

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Orleans County 2011

In 2011, every month an average of two motorists in Orleans County who did not wear a seatbelt were treated at a hospital for their injuries; some of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 19 motorists in Orleans County who did not wear a seatbelt were

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Oswego County 2011

In 2011, every month an average of five motorists in Oswego County who did not wear a seatbelt were injured severely enough to require hospital treatment; one of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 58 motorists in Oswego County who did not wear a seatbelt were

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Otsego County 2011

In 2011, every month an average of three motorists in Otsego County who did not wear a seatbelt were injured severely enough to require hospital treatment; one of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 34 motorists in Otsego County who did not wear a seatbelt were

were seven times more likely to require hospitalization than those who buckled up. The resulting average hospital charge is almost $13 thousand higher for those unrestrained.

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Putnam County 2011

In 2011, every month an average of four motorists in Putnam County who did not wear a seatbelt were injured severely enough to require hospital treatment; one of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 52 motorists in Putnam County who did not wear a seatbelt were

were almost eleven times more likely to require hospitalization than those who buckled up. The resulting average hospital charge is $48 thousand higher for those unrestrained.

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Queens County 2011

In 2011, every month an average of 47 motorists in Queens County who did not wear a seatbelt were injured severely enough to require hospital treatment; eight of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 569 motorists in Queens County who did not wear a seatbelt were

to public funds.

Among motorists who were involved in a crash, those who were unrestrained were six times more likely to require hospitalization than those who buckled up. The resulting average hospital charge is $20 thousand higher for those unrestrained.

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Rensselaer County 2011

In 2011, every month an average of six motorists in Rensselaer County who did not wear a seatbelt were injured severely enough to require hospital treatment; two of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 94 motorists in Rensselaer County who did not wear a seatbelt were

Among motorists who were involved in a crash, those who were unrestrained were 11 times more likely to require hospitalization than those who buckled up. The resulting average hospital charge is $46 thousand higher for those unrestrained.

Unrestrained motorists involved in a crash are over three times as likely to

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Richmond County 2011

In 2011, every month an average of 17 motorists in Richmond County who did not wear a seatbelt were injured severely enough to require hospital treatment; four of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 206 motorists in Richmond County who did not wear a seatbelt were

o 4% ($79 thousand) of the hospitalization and ED charges was charged to

public funds. Among motorists who were involved in a crash, those who were unrestrained

were almost five times more likely to require hospitalization than those who buckled up. The resulting average hospital charge is $15 thousand higher for those unrestrained.

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Rockland County 2011

In 2011, every month an average of 16 motorists in Rockland County who did not wear a seatbelt were injured severely enough to require hospital treatment; three of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 186 motorists in Rockland County who did not wear a seatbelt were

Among motorists who were involved in a crash, those who were unrestrained were almost nine times more likely to require hospitalization than those who buckled up. The resulting average hospital charge is $54 thousand higher for those unrestrained.

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Saratoga County 2011

In 2011, every month an average of 10 motorists in Saratoga County who did not wear a seatbelt were injured severely enough to require hospital treatment; three of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 118 motorists in Saratoga County who did not wear a seatbelt were

Unrestrained motorists involved in a crash are almost eight times as likely to

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Schenectady County 2011

In 2011, every month an average of eight motorists in Schenectady County who did not wear a seatbelt were injured severely enough to require hospital treatment; one of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 95 motorists in Schenectady County who did not wear a seatbelt were

Unrestrained motorists involved in a crash are almost six times as likely to

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Schoharie County 2011

In 2011, every month an average of two motorists in Schoharie County who did not wear a seatbelt were injured severely enough to require hospital treatment; some of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 18 motorists in Schoharie County who did not wear a seatbelt were

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Schuyler County 2011

In 2011, 13 motorists in Schuyler County who did not wear a seatbelt were treated at a hospital for their injuries; some of whom sustained injuries serious enough to require inpatient hospitalization.

o Treatment of these injuries resulted in almost $85 thousand in

emergency department and hospitalization charges.

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Seneca County 2011

In 2011, every month an average of one motorist in Seneca County who did not wear a seatbelt was injured severely enough to require hospital treatment; some of whom sustained injuries serious enough to require inpatient hospitalization.

In 2010, 14 motorists in Seneca County who did not wear a seatbelt were

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St. Lawrence County 2011

In 2011, every month an average of six motorists in St. Lawrence County who did not wear a seatbelt were injured severely enough to require hospital treatment; one of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 68 motorists in St. Lawrence County who did not wear a seatbelt were

were almost 12 times more likely to require hospitalization than those who buckled up.

Unrestrained motorists involved in a crash almost eight times as likely to suffer

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Steuben County 2011

In 2011, every month an average of eight motorists in Steuben County who did not wear a seatbelt were injured severely enough to require hospital treatment; one of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 93 motorists in Steuben County who did not wear a seatbelt were

Unrestrained motorists involved in a crash are five times as likely to suffer a

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Suffolk County 2011

In 2011, every month an average of 76 motorists in Suffolk County who did not wear a seatbelt were injured severely enough to require hospital treatment; 15 of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 916 motorists in Suffolk County who did not wear a seatbelt were

were eight times more likely to require hospitalization than those who buckled up. The resulting average hospital charge was over $23 thousand higher for those unrestrained.

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Sullivan County 2011

In 2011, every month an average of six motorists in Sullivan County who did not wear a seatbelt were injured severely enough to require hospital treatment; one of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 68 motorists in Sullivan County who did not wear a seatbelt were

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Tioga County 2011

In 2011, every month an average of two motorists in Tioga County who did not wear a seatbelt were injured severely enough to require hospital treatment; one of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 25 motorists in Tioga County who did not wear a seatbelt were treated

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Tompkins County 2011

In 2011, every month an average of three motorists in Tompkins County who did not wear a seatbelt were injured severely enough to require hospital treatment; some of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 41 motorists in Tompkins County who did not wear a seatbelt were

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Ulster County 2011

In 2011, every month an average of 12 motorists in Ulster County who did not wear a seatbelt were injured severely enough to require hospital treatment; four of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 150 motorists in Ulster County who did not wear a seatbelt were

were thirteen times more likely to require hospitalization than those who buckled up. The resulting average hospital charge is over $14 thousand higher for those unrestrained.

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Warren County 2011

In 2011, every month an average of five motorists in Warren County who did not wear a seatbelt were injured severely enough to require hospital treatment; one of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 62 motorists in Warren County who did not wear a seatbelt were

o Treatment of these injuries resulted in over half a million dollars in emergency department and hospitalization charges.

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Washington County 2011

In 2011, every month an average of three motorists in Washington County who did not wear a seatbelt were injured severely enough to require hospital treatment; one of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 35 motorists in Washington County who did not wear a seatbelt were

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Wayne County 2011

In 2011, every month an average of eight motorists in Wayne County who did not wear a seatbelt were injured severely enough to require hospital treatment; two of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 95 motorists in Wayne County who did not wear a seatbelt were

Unrestrained motorists involved in a crash are nine times as likely to suffer a

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Westchester County 2011

In 2011, every month an average of 25 motorists in Westchester County who did not wear a seatbelt were injured severely enough to require hospital treatment; six of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 305 motorists in Westchester County who did not wear a seatbelt were

o 14% (almost $1.2 million) of the hospitalization and ED charges was

Among motorists who were involved in a crash, those who were unrestrained were 11 times more likely to require hospitalization than those who buckled up. The resulting average hospital charge is over $26 thousand higher for those unrestrained.

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Wyoming County 2011

In 2011, every month an average of three motorists in Wyoming County who did not wear a seatbelt were injured severely enough to require hospital treatment; some of whom were injured severely enough to require inpatient hospitalization.

In 2011, 31 motorists in Wyoming County who did not wear a seatbelt were

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Yates County 2011

In 2011, every month an average of one motorist in Yates County who did not wear a seatbelt was injured severely enough to require hospital treatment; some of whom sustained injuries serious enough to require inpatient hospitalization.

In 2011, 15 motorists in Yates County who did not wear a seatbelt were treated

charged to public funds. Unrestrained motorists involved in a crash are six times as likely to suffer a

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michael bauer, m.s.* sarah sperry, m.s.* leah hines, m.p.h.* stephanie willing, m.p.h.* joyce...

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