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Department of Hygiene & Epidemiology University of Athens Secretariat of the Working Party on Accidents and Injuries CEREPRI Center for Research and Prevention of Injuries CEREPRI, University of Athens, Medical School, Dept. of Hygiene and Epidemiology Mikras Asias 75, Athens, 115 27, Greece Telephone: + 30 210 –7462 187 Fax: + 30 210 -7462 105 www.euroipn.org 1 Final Technical Implementation Report Coordination and Administration of the Working Party on Accidents and Injuries 2004-2006 Prepared for the European Commission By CE.RE.PRI, University of Athens, Greece August 2006

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Page 1: Coordination and Administration of the European Injury ... · CEREPRI, University of Athens, Medical School, Dept. of Hygiene and Epidemiology Mikras Asias 75, Athens, 115 27, Greece

Department of Hygiene & Epidemiology University of Athens

Secretariat of the Working Party on Accidents and Injuries

CEREPRI Center for Research and Prevention of Injuries

CEREPRI, University of Athens, Medical School, Dept. of Hygiene and Epidemiology Mikras Asias 75, Athens, 115 27, Greece Telephone: + 30 210 –7462 187 Fax: + 30 210 -7462 105

www.euroipn.org

1

Final Technical Implementation Report

Coordination and Administration of the Working Party on Accidents and Injuries

2004-2006

Prepared for the European Commission By CE.RE.PRI, University of Athens, Greece

August 2006

Page 2: Coordination and Administration of the European Injury ... · CEREPRI, University of Athens, Medical School, Dept. of Hygiene and Epidemiology Mikras Asias 75, Athens, 115 27, Greece

CEREPRI, University of Athens, Medical School, Dept. of Hygiene and Epidemiology Mikras Asias 75, Athens, 115 27, Greece Telephone: + 30 210 –7462 187 Fax: + 30 210 -7462 105

www.euroipn.org

Coordination and Administration of the Working Party on Accidents and Injuries (WP-AI) Grant Agreement Number: 2003313 (SI2.379687) Final Technical Implementation Report 01/04/2004 – 30/06/2006 Prepared by: Eleni Petridou, MD, MPH Stephanie Anast Delia Alexe, MD Stergios Palamas, PhD Unit of Preventive Medicine, Department of Hygiene and Epidemiology, Medical School, University of Athens, Greece Address for correspondence: Centre for Research and Prevention of Injuries (CE.RE.PRI) Unit of Preventive Medicine, Department of Hygiene and Epidemiology Medical School, University of Athens Greece Tel: + 30 210 746-2187 / 2201 Fax: +30 210 746-2105 Email: [email protected] / [email protected]

Page 3: Coordination and Administration of the European Injury ... · CEREPRI, University of Athens, Medical School, Dept. of Hygiene and Epidemiology Mikras Asias 75, Athens, 115 27, Greece

CEREPRI, University of Athens, Medical School, Dept. of Hygiene and Epidemiology Mikras Asias 75, Athens, 115 27, Greece Telephone: + 30 210 –7462 187 Fax: + 30 210 -7462 105

www.euroipn.org

1

Contents

Executive Summary.......................................................................................2

Accomplishments at a Glance......................................................................3

1.0 Introduction..............................................................................................5

2.0 Injury Statistical and Epidemiological Data...........................................7 2.1 Development of an Injury Statistics Portal ..............................................7 2.2 Top ten causes of injuries in the EU.....................................................11

3.0 Communication......................................................................................12 3.1 Internal communication ........................................................................12 3.2 External communication .......................................................................13 3.3 CD-Rom: Structure and activities of WP-AI ..........................................18 3.4 Electronic directory of “who is who” in injury prevention.......................19 3.5 Multi-disciplinary communication..........................................................19 3.6 Communication strategy.......................................................................21

4.0 Programme Management and Support ................................................22 4.1 Overview of injury prevention projects (2003 to 2005) .........................22 4.2 Inventory of injury prevention projects (2000 to 2003)..........................26

5.0 Strategic Planning .................................................................................27 5.1 Actions for a safer Europe....................................................................27 5.2 Priorities and actions for injury prevention in the EU ............................28 5.3 Contribution to annual Work Plans .......................................................31 5.4 Childhood injury prevention strategy plan in Cyprus ............................31

6.0 Contribution to Task Forces .................................................................32 6.1 Burden of Injuries Task Force ..............................................................32 6.2 Road Safety Task Force.......................................................................33 6.3 Indicators Task Force...........................................................................34 6.4 Communication Task Force..................................................................34 6.5 Strategic Planning Task Force .............................................................34 6.6 Work Health Task Force.......................................................................34

7.0 Pre-event of the European Conference................................................36

8.0 Secretarial Support................................................................................39

9.0 Conclusions and Discussions ..............................................................41

Appendix I: WP-AI memos ..........................................................................43

Appendix II: Newsletter mailing list............................................................66

Appendix III: Evaluation ..............................................................................79 WP-AI Newsletter .......................................................................................79 WP-AI Website ...........................................................................................83

Appendix IV: Meeting minutes....................................................................86

Page 4: Coordination and Administration of the European Injury ... · CEREPRI, University of Athens, Medical School, Dept. of Hygiene and Epidemiology Mikras Asias 75, Athens, 115 27, Greece

CEREPRI, University of Athens, Medical School, Dept. of Hygiene and Epidemiology Mikras Asias 75, Athens, 115 27, Greece Telephone: + 30 210 –7462 187 Fax: + 30 210 -7462 105

www.euroipn.org

2

Executive Summary

Injuries are a serious health issue and are responsible for more than 235 000 victims

annually in the European Union, of which approximately 50 000 are due to road

traffic injuries. Hospitalisations for non-fatal injuries exceed 6.7 million cases in EU25

(hospitalisation rate, deducted from discharge data provided by WHO Health for All

Database: 1500 per 100 000 people). This is equivalent to more than 640 deaths due

to all types of injuries per day or 27 fatal injuries per hour. Children and senior

citizens are considered the most vulnerable age groups. Specifically, injuries are the

leading cause of death among children and young adults, whereas senior citizens

contribute about 40% of the total number of deaths due to injuries.

To meet the current injury prevention challenges, the Working Party on Accidents

and Injuries (WP-AI) has been established for the duration of the Public Health

Programme (PHP) 2003-2008 of the European Commission to provide a forum for

discussion, exchange of views and experiences on developing better information and

knowledge on injuries and their causes, and thus to contribute to the improvement

and promotion of good health1.

As of April 1, 2004, the Centre for Research and Prevention of Injuries (CE.RE.PRI)

of the Department of Hygiene and Epidemiology of the Medical School at the

University of Athens was granted the responsibility of ‘Coordination and

Administration (Secretariat) of the Working Party on Accidents and Injuries’ within the

framework of the PHP. The overall vision of the Secretariat was to strengthen and

expand the Working Party on Accidents and Injuries, with special emphasis on the

smooth integration of the new member states. The Secretariat contributed to the

creation of an Injury Statistics Portal, development of a coherent strategy for injury

prevention, supported project leaders in regards to financial and administrative

requirements as well as project reporting. Moreover, the Secretariat assisted with the

dissemination of information stemming from projects and activities to the WP-AI, EC

and interested stakeholders.

This final technical implementation report presents the actions carried out within the

context of the project Coordination and Administration (Secretariat) of the Working

Party on Accidents and Injuries {Grant agreement: 2003313 (SI2.379687)}.

Summarizing, all tasks have been successfully completed as planned within the

approved timeframe and budget.

1 Mandate of Working Party on Accidents and Injuries adopted December 2003 in Luxembourg

Page 5: Coordination and Administration of the European Injury ... · CEREPRI, University of Athens, Medical School, Dept. of Hygiene and Epidemiology Mikras Asias 75, Athens, 115 27, Greece

CEREPRI, University of Athens, Medical School, Dept. of Hygiene and Epidemiology Mikras Asias 75, Athens, 115 27, Greece Telephone: + 30 210 –7462 187 Fax: + 30 210 -7462 105

www.euroipn.org

3

Accomplishments at a Glance

Injury Statistical and Epidemiological Data

Development of a single entry point Injury Statistics Portal (www.euroipn.org/stats_portal), which allows direct comparisons among EU

member states. An information booklet containing tutorials on how to use the

Injury Stats Portal was produced in 7 EU languages and disseminated to 2000

persons.

Development of a unified list of the top causes of deaths due to accidents for the

EU, based on adjusted and statistically processed mortality data available by

WHO.

Communication (internal and external components) Development of WP-AI web-board (an internal electronic communication tool) to

facilitate open forums and discussions between members.

Planning of content, restructuring and production of six newsletters, providing

readers with a modernised layout and text on injury prevention in the EU. In total,

13 807 newsletters have been distributed.

Creation of new website on accidents and injuries for the Working Party on

Accidents and Injuries (www.actiononinjuries.org).

Initiation of a comprehensive communication strategy for the promotion and

dissemination of key messages and contribution to the respective task force.

Information in CD-Rom format presenting injury prevention information about the

WP-AI and running activities, and electronic directory of WP-AI members.

Disseminated to over 100 persons.

Collaboration with ANEC regarding the intervention for the protection of the EU

consumer with regards to a hazardous toy product (electric toy scooter), which in

turn resulted in a modification of the legislation in a member state.

Programme Management and Support Creation of templates for uniform progress reports and presentation formats for

project leaders to complete contributing to the sharing of injury prevention

experiences, knowledge and achievements.

Inventory of past injury prevention projects funded between years 2000 to 2003,

highlighting tools developed, messages and recommendations.

Page 6: Coordination and Administration of the European Injury ... · CEREPRI, University of Athens, Medical School, Dept. of Hygiene and Epidemiology Mikras Asias 75, Athens, 115 27, Greece

CEREPRI, University of Athens, Medical School, Dept. of Hygiene and Epidemiology Mikras Asias 75, Athens, 115 27, Greece Telephone: + 30 210 –7462 187 Fax: + 30 210 -7462 105

www.euroipn.org

4

Strategic Planning Contribution to the development of a long-term coherent strategy through a series

of web-based Delphi technique surveys used to derive feasible cost-effective

injury prevention actions.

Contribution to the Work Plan 2005 and 2006 of the Public Health Programme by

encouraging WP-AI members to comment on the proposed injury priorities.

Comments were gathered and forwarded to the European Commission.

Participation in the 3 member Advisory Committee established to develop the 5-

year childhood injury prevention strategy plan in Cyprus.

Burden of Injuries Task Force Coordination of task force: Drafted and edited report portraying the burden of

fatal injuries in the European Union.

Pre-event: Towards a Safer Europe: Time for Action Organisation and hosting of the Pre-event of the European Conference on Injury

Prevention and Safety Promotion, scheduled from September 29 to October 1,

2005 in Greece, with special emphasis on the active participation of new member

states.

Secretarial Support Organisation and coordination of three meetings of the Working Party on

Accidents and Injuries in Luxembourg. This included the facilitation of the needs of

the entire Working Party on Accidents and Injuries before, during and after

meetings by preparing agenda, drafting minutes, assisting with contact lists, as

well as briefing members about recent activities and outcomes from the meetings

of the Network on Working Party Leaders.

Coordination of task forces and respective meetings.

Creation of a forum for each task force and running project on the WP web-board

to facilitate the exchange of views and open discussions.

Page 7: Coordination and Administration of the European Injury ... · CEREPRI, University of Athens, Medical School, Dept. of Hygiene and Epidemiology Mikras Asias 75, Athens, 115 27, Greece

CEREPRI, University of Athens, Medical School, Dept. of Hygiene and Epidemiology Mikras Asias 75, Athens, 115 27, Greece Telephone: + 30 210 –7462 187 Fax: + 30 210 -7462 105

www.euroipn.org

5

1.0 Introduction

Injuries are a major problem impairing the health and welfare of citizens of the

European Union. They are responsible for approximately 235 000 victims annually, of

which about 50 000 are due to road traffic injuries2. Although the European Union

could be considered one of the safest regions in the world, there is still great potential

for reducing the large numbers of injuries. There is a need to quantify and address

the drastic inequalities that exist between and within member states in terms of injury

risk, socio-economic class, ethnic groups and age groups.

To meet the current injury prevention challenges, the Working Party on Accidents

and Injuries (WP-AI) has been established for the duration of the Public Health

Programme (PHP) 2003-2008 of the European Commission to provide a forum for

discussion, exchange of views and experiences on developing better information and

knowledge on injuries and their causes, and thus to contribute to the improvement

and promotion of good health3.

As of April 1, 2004, the Centre for Research and Prevention of Injuries (CE.RE.PRI)

of the Department of Hygiene and Epidemiology of the Medical School at the

University of Athens was granted the responsibility of Coordination and

Administration (Secretariat) of the Working Party on Accidents and Injuries within the

framework of the Public Health Programme. The primary role of the Secretariat was

to be the central focus point for better coordination of the WP-AI members and

external stakeholders. Furthermore, the Secretariat was linked to Working Party on

Accidents and Injuries and contributed to the organisation of meetings and

preparation of documents4.

Key objectives during the two-year term as described in the contract were to:

Provide secretarial support for the Working Party on Accidents and Injuries

Develop and use of programme management tools

Promote and disseminate results derived from WP-AI activities

Contribute to the development of a coherent strategy

Develop, maintain and update a central website

2 Burden of fatal injuries report by the Task Force on the Burden of Injuries 3 Mandate of Working Party on Accidents and Injuries adopted December 2003 in Luxembourg 4 Ibid

Page 8: Coordination and Administration of the European Injury ... · CEREPRI, University of Athens, Medical School, Dept. of Hygiene and Epidemiology Mikras Asias 75, Athens, 115 27, Greece

CEREPRI, University of Athens, Medical School, Dept. of Hygiene and Epidemiology Mikras Asias 75, Athens, 115 27, Greece Telephone: + 30 210 –7462 187 Fax: + 30 210 -7462 105

www.euroipn.org

6

Pilot test and promote an interactive web based injury statistics query

Develop a layout package with pertinent injury prevention information

Produce newsletters with updates on WP-AI activities

Develop an electronic directory of “who is who” in injury prevention

In the above roles, the Secretariat made every effort to ensure transmission of

information to the Commission for its supervisory role, to the WP-AI members as well

as to the project leaders.

In addition to the above-mentioned objectives, the Secretariat’s overall vision was to

maintain and expand the Working Party, strengthen communications among

members and respond to the challenge of accession of the ten new member states

(MS) that joined the EU in May 2004. One of the main activities targeted at the

smooth integration of these new member states was the organisation of the Pre-

event entitled ‘Towards a safer Europe: Time for action’. This event was hosted by

the Secretariat of the Working Party on Accidents and Injuries (WP-AI) in

collaboration with DG SANCO of the European Commission and with the co-

sponsorship of the World Health Organisation Regional Office for Europe. It also

served as an excellent opportunity to enhance and energize active participation of

health professionals and stakeholders from both old and new member states. “These

meetings are a great way to energize new comers. The networking aspect cannot be

underestimated. Networking aids the subsequent exchange of information between

relative strangers.”5 Chapter 7.0 provides further information on this event.

5 Bless I B, Rivara F P. Do world conferences live up to their promises? Inj Prev 2004;10:12-130

Page 9: Coordination and Administration of the European Injury ... · CEREPRI, University of Athens, Medical School, Dept. of Hygiene and Epidemiology Mikras Asias 75, Athens, 115 27, Greece

CEREPRI, University of Athens, Medical School, Dept. of Hygiene and Epidemiology Mikras Asias 75, Athens, 115 27, Greece Telephone: + 30 210 –7462 187 Fax: + 30 210 -7462 105

www.euroipn.org

7

2.0 Injury Statistical and Epidemiological Data

2.1 Development of an Injury Statistics Portal In the field of accident and injury prevention, the importance of reliable statistics is

unquestionable. Through the years, a large number of initiatives and projects have

resulted in the availability of a noteworthy number of national and global sources of

data and statistics of varying detail, quality, accessibility and codification.

On behalf of the EC and the WP-AI, the Secretariat launched an ambitious project for

the development of an Injury Statistics Portal data in close consultation with the

Commission Services. The main aim of the Injury Statistics Portal was to become a

single entry point for accident statistics by integrating, under a user-friendly and

intuitive interface, many different European and international accident data sources.

The functionality of the Portal includes:

• Step-by-Step Filtering and Retrieval of Statistics, supported by a collection of different data-sources integrated under an intuitive and user-friendly interface

• Simple and quick access to a selection of important statistics: Using a few mouse-clicks users, even the non-experts, will be able to access meaningful and important statistics (data and charts) covering a wide range of fields

• User-Guide and Links to the various existing data-sources, combined with evaluation, guidelines, availability and accessibility information

• Access to a collection of ‘best-practices’ documents • Categorized, organized and rated links to relevant sites • Forums for discussion with other users and field-experts • Calendar of upcoming events • News, articles and polls • Distribution of an electronically released newsletter to the registered users

Apart from the statistics produced in the context of DG SANCO funded projects on

accidents and injuries the following data-sources had been considered for integration

in the Portal:

• Community Road Accident Database (CARE): database on road accidents resulting in death or injury (no statistics on damage - only accidents)

• World Health Organization Statistical Information System (WHOSIS): injury mortality data by age and sex and specific cause of injury death

Page 10: Coordination and Administration of the European Injury ... · CEREPRI, University of Athens, Medical School, Dept. of Hygiene and Epidemiology Mikras Asias 75, Athens, 115 27, Greece

CEREPRI, University of Athens, Medical School, Dept. of Hygiene and Epidemiology Mikras Asias 75, Athens, 115 27, Greece Telephone: + 30 210 –7462 187 Fax: + 30 210 -7462 105

www.euroipn.org

8

• EUROSTAT (New Cronos database): hospital discharges from injuries by country

• World Health Organisation European Health for All databases provided by the WHO European Office (HFA-D and HFA-M): injury mortality data (standardized death rates by country, gender and injury cause and discharges by country and gender for accidents for the due to injury and poisoning.

• Injury DataBase (IDB) & Emergency Department Injury Surveillance System (EDISS): Supplementary to the other hospital discharge data sources, basic tables and charts for each kind of accident (as provided on the EHLASS reports)

Current status of development The Injury Statistics Portal was developed utilising open source software (content

management system, operating system and database) and has become a single

entry reference point for injuries statistics. The first version of the portal, publicly

accessible since October 2005 at http://www.euroipn.org/stats_portal, features all the

above-mentioned functionality and efforts were concentrated on the integration of the

mentioned data-sources under the portal’s user interface. Injury related mortality

data, acquired by the WHO mortality database (WHOSIS), were statistically

processed and transformed to meaningful information easily accessible through the

portal’s intuitive user interface. The data uploaded on the portal cover the period from

1996 to 2002, the EU25 countries as well as accession and candidate countries,

intentional and unintentional causes (ICD9 and ICD10 classified) and ages from 0 to

95+ grouped in many different ways. Mortality rates were calculated (using

population data provided by WHO) making possible the comparison between

different countries and years.

Page 11: Coordination and Administration of the European Injury ... · CEREPRI, University of Athens, Medical School, Dept. of Hygiene and Epidemiology Mikras Asias 75, Athens, 115 27, Greece

CEREPRI, University of Athens, Medical School, Dept. of Hygiene and Epidemiology Mikras Asias 75, Athens, 115 27, Greece Telephone: + 30 210 –7462 187 Fax: + 30 210 -7462 105

www.euroipn.org

9

Picture 1: The Injury Statistics Portal’s user interface: The query parameter definition page.

The user is able to define step-by-step all the available parameters like the countries

of interest (distinct countries or groups of countries e.g. EU15, EU25, candidate

countries, etc.), years (distinct years or groups of years e.g. last 3 available years),

causes (distinct causes or groups of causes e.g. Falls, Poisoning, Transport), age-

groups (detailed or more wide age groups), type of data (e.g. numbers, average of

last 3 years, mortality rates) and get back the matching records.

Since February 2006, data from the CARE database (a European database featuring

traffic accidents mortality data) had been integrated in the statistics portal, providing

a more in depth insight on traffic accidents. The CARE and WHO mortality

databases are both accessible though the portal’s integrated user interface

demonstrating one of the major benefits of the portal: access to data from different

databases under a single, integrated and user friendly querying interface.

The integration of morbidity data from the Greek EDISS (Emergency Department

Injury Surveillance System) has been processed and became available in July 2006.

Page 12: Coordination and Administration of the European Injury ... · CEREPRI, University of Athens, Medical School, Dept. of Hygiene and Epidemiology Mikras Asias 75, Athens, 115 27, Greece

CEREPRI, University of Athens, Medical School, Dept. of Hygiene and Epidemiology Mikras Asias 75, Athens, 115 27, Greece Telephone: + 30 210 –7462 187 Fax: + 30 210 -7462 105

www.euroipn.org

10

Picture 2: Sample of results obtained by querying the WHO Mortality Data

Dissemination activities A comprehensive set of tutorials were developed in English featuring commented

videos introducing to the utilisation of the portal in order to perform various injury data

researching tasks. Over 2000 tutorials have been distributed to various networks of

the Secretariat partners in the form of a multimedia CD-ROM and accompanying

leaflet, translated into six EU languages (Greek, Maltese, Latvian, Czech, Spainish,

and Italian). Two hundred tutorials (English version) were disseminated at the first

European Conference on Injury Prevention, in Vienna, Austria.

Additional dissemination activities include the presentations of the Injury Statistics

Portal at the Pre-event of the First European Conference, Eretria, Greece, in

September 2005 as well as at the meetings of the Network of Working Party Leaders

and Working Party on Accidents and Injuries.

Page 13: Coordination and Administration of the European Injury ... · CEREPRI, University of Athens, Medical School, Dept. of Hygiene and Epidemiology Mikras Asias 75, Athens, 115 27, Greece

CEREPRI, University of Athens, Medical School, Dept. of Hygiene and Epidemiology Mikras Asias 75, Athens, 115 27, Greece Telephone: + 30 210 –7462 187 Fax: + 30 210 -7462 105

www.euroipn.org

11

2.2 Top ten causes of injuries in the EU In order to serve the stated vision of the WP-AI: to reduce all types of injuries year

upon year and ensure that the EU is a safe place; created during the WP-AI meeting

in April 2004 and to be able to “tailor” future injury prevention strategies accordingly,

it was requested that all participants determine what the top ten injuries in their

countries are and send this information to the Secretariat by the end of May, 2004.

During this process, many member states provided their lists in different forms and

based on different criteria and data-sources of varying quality and detail. In order to

facilitate the development of a comparable combined list, the statisticians of the

Secretariat worked on collecting the individual lists provided by the member states,

comparing and combining them with mortality data collected by the World Health

Organisation (WHO). The new lists were approved by WP-AI participants and

through this process a unified list had been produced for each EU member state,

allowing for comparisons among countries and the compilation of a single list. The list

is available through the WP-AI web-board (Forum: Functions of the WP-AI

Secretariat -> Function I: Statistics). This list can be used as a tool to identify the

major causes of deaths due to injuries in each member state and Europe at large.

Lastly, the statisticians explored other existing data sources to illustrate the burden of

injuries in the EU. These sources include proportional indicators derived from the IDB

(Injury Database) as well as morbidity data. These sources are being further

examined and exploited within the framework of Work Package 2: Burden of Injuries

of the APOLLO project.

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CEREPRI, University of Athens, Medical School, Dept. of Hygiene and Epidemiology Mikras Asias 75, Athens, 115 27, Greece Telephone: + 30 210 –7462 187 Fax: + 30 210 -7462 105

www.euroipn.org

12

3.0 Communication

The Secretariat had been contracted to ensure passage of information to the

Commission as well as to WP-AI members and other interested stakeholders. To this

effort, the following communication channels were created:

3.1 Internal communication Development of the WP-AI web-board Web-boards, also known as internet forums or bulletin boards, are one of the most

widely used means of electronic communication and discussion. Some of their

significant features are:

• The ability to host conversations organised in thematic groups • The archiving of the exchanged messages and the ability to perform searches

among them • The hosting of different user-groups and define various levels of access rights

In order to ensure the effective flow of pertinent injury prevention information, the

WP-AI Secretariat developed a web-board using popular, proven and freely available

(open source) development tools minimizing the time, effort and cost of development.

The WP-AI web-board can be visited at the following link: http://www.euroipn.org/web_board. In total, 147 registered users of the web-board,

with 22 forums and 231 posted articles/messages.

Picture 3: WP-AI web-board home page

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CEREPRI, University of Athens, Medical School, Dept. of Hygiene and Epidemiology Mikras Asias 75, Athens, 115 27, Greece Telephone: + 30 210 –7462 187 Fax: + 30 210 -7462 105

www.euroipn.org

13

WP-AI Memo The WP-AI Memo was an internal communication tool used to brief WP-AI members

and extended network including the different sectors of the European Commission

about recent news, events, updates and other relevant information regarding injury

prevention and WP-AI activities. In total, 8 memos were distributed to a wide

network of approximately 90 recipients. The memos were also distributed to the

Greek network. In addition, these memos were posted on the WP-AI web-board.

Memos can be view in Appendix I.

3.2 External communication Newsletter: Action on accidents and injuries As communication patterns should respond to emerging challenges and new

requirements, the Secretariat together with the Consumer Safety Institute (CSI) from

the Netherlands, contracted as chief editors, and the Principal Administrator of the

EC redesigned the existing injury prevention newsletter (former IPP Newsletter)

broadening the scope and target audience. The aim was to produce a practical and

effective communication tool to promote injury prevention and disseminate key

information, good practices and results to a broader group of interested parties:

policy makers, government departments, private organisations including business,

injury prevention practitioners and European citizens. The Secretariat in collaboration

with the Consumer Safety Institute was contracted to produce and publish 6

newsletters during its term.

The main changes from the former IPP Newsletter to the new newsletter included the

following:

• A lead article (FOCUS) attributed to a different injury prevention priority

each issue (eg. child safety, elderly safety), supported by statistical data

and photographs.

• An interview with key persons or political figures working in the different

domains of injury prevention (eg. Commissioner)

• A section on national news as a means to interactively involve all WP-AI

members by presenting the injury prevention and safety promotion

activities, policies and programmes taking place in their countries.

• A section entitled New member state in the spotlight aimed at providing a

brief account of the injury prevention efforts in a new member state with a

particular focus on the non-data collection side.

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CEREPRI, University of Athens, Medical School, Dept. of Hygiene and Epidemiology Mikras Asias 75, Athens, 115 27, Greece Telephone: + 30 210 –7462 187 Fax: + 30 210 -7462 105

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14

• Editorials providing updates about the recent activities of the Secretariat

and WP-AI.

• Injury prevention projects (DG Sanco) updates focusing on results and

messages (as oppose to administrative information).

An overview of the focus articles, interviews and timeframe:

Issue Focus article Interview Published Vol. 1 Issue 1

Child Safety By Joanne Vincenten, Director, European Child Safety Alliance

n/a February 2005

Vol. 1 Issue 2

Elderly Safety By Janice Cave, Royal Society for the Prevention of Accidents, UK and EUNESE project team

Markos Kyprianou Commissioner EC DG SANCO

June 2005

Vol. 1 Issue 3

Vulnerable road users By Frazer Goodwin, Policy Officer, European Transport Safety Council (ETSC)

Brigitte Chaudhry, President of FEVR

Sept. 2005

Vol. 1 Issue 4

Violence-related injuries By Ingrid Bellander Todino, Daphne Programme Manager, European Commission, Directorate General Justice, Freedom and Security

Inge Baumgarten, Technical Officer, Prevention of Violence from the WHO Regional Office for Europe

Dec. 2005

Vol. 2 Issue 1

Home Safety By Martin Hugi, Home, Leisure and Product Safety Officer at BFU, the Swiss Council for Accident Prevention

Gabriele Ellsäßer, Head of the Brandenburg Public Health Institute in Germany

March 2006

Vol. 2 Issue 2

Work Safety By Elke Schneider, European Agency for Health and Safety at Work

Meni Malliori Deputy Chair of the Management Board of the European Centre for Disease Prevention and Control (ECDC)

May 2006

An Editorial Board was established on a voluntary basis to ensure accuracy and

completeness of the scientific content with regards to injury prevention activities.

Members of the Editorial Board included injury prevention professionals from a wide

representation of EU member states and disciplines:

1. Professor Eleni Petridou, Preventive Medicine, University of Athens, Greece

2. Dr. Eva Negri, Head of Unit of Epidemiologic Methods, Istituto Di Ricerche

Farmocologiche "Mario Negri", Italy

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www.euroipn.org

15

3. Dr. Olga Kalakouta, Principal Medical Officer, Ministry of Health, Cyprus

4. Dr. Bertrand Thelot, Medical Epidemiologist, Institute de Veille Sanitaire, France

5. Mr. Yousif Rahim, Health Economist, Karolinska Institutet, Sweden

Distribution

ISSUE Sent by e-mail

Sent by post

Extra copies distributed

Via Safe Comm. Net. * TOTAL

Vol. 1, Issue 1 350 150 40 - 540 Vol. 1, Issue 2 511 130 40 1900 2581 Vol. 1, issue 3 514 130 200 1900 2744 Vol. 1, issue 4 519 166 100 1900 2685 Vol. 2, issue 1 525 166 30 1900 2621 Vol. 2, issue 2 540 166 30 1900 2636

* As from issue 2 of the newsletter 1900 copies have been distributed to members of the European Safe Communities Network.

Total number of newsletters distributed In total 13 807 newsletters had been distributed during the Secretariat term. Mailing list -recipients

The newsletter was distributed to approximately 50 government officials across

Europe. The specific number of practitioners receiving the newsletter is unknown

although it is estimated to be the largest group of recipients. The remaining recipients

were mostly researchers or policy-makers. The newsletter mailing list can be viewed

in Appendix II.

Evaluation In April 2006, 540 evaluation forms were sent to the recipients of the newsletter, who

are on the electronic mailing list, to evaluate both the newsletter and the website.

Only 35 forms were returned within the three week deadline (a response rate of 6.5

%). The evaluation survey was developed by the Secretariat and Consumer Safety

Institute. The distribution of the survey, analysis of results and evaluation report were

carried out by the Consumer Safety Institute.

Despite the low response rate the evaluation clearly showed that the newsletter was

positively received and had developed into an effective communication tool to

promote injury prevention. Sixty percent responded that they further disseminated the

newsletter to colleagues and other organisations, contributing to the objective of

efficiently promoting injury prevention to a wider network. The respondents were

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spread across a broad range of professions and disciplines which reflected the target

audience of the newsletter. Reaching the European citizen remains a challenge and

continuing improving the readability remains a priority. An electronic newsletter was

preferred over the printed version.

To view the evaluation form and results, reference Appendix III.

Website: Action on accidents and injuries The advantages of cost and outreach enable through the Internet are of the main

factors for developing a comprehensive website that would target a broad on-line

audience including public health practitioners and academic researchers as well as

the general public. The Secretariat together with the Consumer Safety Institute (CSI)

from the Netherlands -contracted to create the website, and under the guidance of

the EC, developed a website (www.actiononinjuries.org) aimed to optimise and

centralise the on-line dissemination of information and promotion of results for all

project-related information pertaining to both the former Injury Prevention

Programme (IPP) (1999-2002) and the current Public Health Programme (PHP)

(2003-2008) of the European Commission.

The website was launched in October 2005 with the following features:

• Integration of information on the existing database websites (Euro-IPN central

research database (GR) and the European Injury Research Database (DK)).

• User-friendly and sustainable –therefore in the event that EC funding stops,

the site will continue.

• Platform for the Secretariat (and future Secretariats) to disseminate field-

related information, news and events on injury prevention and safety

promotion.

• Who-is-who list - contact details of Working Party members, National Data

Administrators and field-related institutes.

• Information about the Working Party (vision, strategy), current and finalised

injury prevention projects supported by the European Commission.

• Reference library with up to date published articles and papers on injury

prevention as well as practical information on best practice strategies and

interventions.

• ‘Action on Accidents and Injuries' Newsletter on-line.

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Picture 4: Home page of the website

On average, each month there were 1 765 visitors.

Number of visitors per month

1366

1397

1734

17851901

1931

1986

2024October 2005 November 2005December 2005January 2006February 2006March 2006April 2006May 2006

Evaluation In April 2006, 540 evaluation forms were sent to the recipients of the newsletter, who

are on the electronic mailing list, to evaluate both the newsletter and the website.

Only 35 forms were returned within the three week deadline (a response rate of 6.5

%). The evaluation survey was developed by the Secretariat and Consumer Safety

Institute. The distribution of the survey, analysis of results and evaluation report were

carried out by the Consumer Safety Institute.

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Despite the low response rate the evaluation showed that the website has been

positively received and many useful suggestions have been made to develop and

improve the website further. Comments and suggestions were directed to the

challenge of developing a website that communicates injury prevention to many

different target groups. As is the case with the newsletter, the greatest challenge

remains reaching the European citizen.

To view the evaluation form and results, reference Appendix III.

3.3 CD-Rom: Structure and activities of WP-AI In efforts to contribute to the dissemination of injury prevention information to the

WP-AI and interested persons, the Secretariat developed an information package in

the form of a CD-Rom. This package included information on the following topics:

• Public health problem of injury

• WP-AI vision, objectives, priorities, task forces and current projects

• History of WP-AI and data collection

• Public Health Programme (2003-2008)

• Brief overview of the other EC Working Parties and the theoretical overlaps

between working parties

• C2 Unit of DG Sanco

• Contact list (who is who) of WP-AI members: biosketches and photographs

• Collaboration with WHO (World Health Organisation)

Primary target audience of the CD-Rom was members of the WP-AI from the new

member states as well as persons outside of the WP-AI who expressed an interest in

the activities of the WP-AI. It also did target members of the WP-AI from ‘old’

member states since they too had inquiries about the WP-AI activities taking place.

The material was developed with the support of the Steering Committee of the Pre-

event and over 100 CD-Roms were distributed at the Pre-event. Moreoever, as the

CD-Rom was developed prior to the launch of the website, much of the gathered

information was then transferred to the web-pages of the website.

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3.4 Electronic directory of “who is who” in injury prevention On the website Action on Accidents and Injuries, a contact directory has been

developed listing all WP-AI members, National Data Administrators and other active

injury prevention practitioners. In addition, the CD-Rom mentioned in section 3.3

included a ‘who is who’ contact list, presenting small biographies, contact details and

photographs of WP-AI members. This information was distributed at the Pre-event.

3.5 Multi-disciplinary communication Participation in Network of Working Party Leaders (NWPL) meetings The EC hosted semi-annual meetings with the leaders of the working parties of the

Public Health Programme in order to facilitate synergies and exchange information

on the progress and outcomes of the activities and projects taking place within the

context of each working party. The WP-AI Secretariat participated in all scheduled

NWPL meetings, totalling 5 during its term. In preparation for each NWPL meeting, it

was requested that each leader complete a progress report presenting the

developments and activities that had taken place over a six month period, of which

the Secretariat did and sent to the NWPL Secretariat. In addition, task force leaders

were requested to complete progress reports as well, of which the Secretariat

facilitated the procedure. During each meeting, the Secretariat (Prof Eleni Petridou)

presented the progress of the Working Party on Accidents and Injuries.

(Presentations can be found on the website of the European Commission

>Implementing structures >Network of Working Party Leaders,

http://ec.europa.eu/health/ph_information/implement/nwpl/nwpl_en.htm.)

NWPL meeting dates were the following:

1. July 5-6, 2004, Luxembourg

2. January 18-19, 2005, Luxembourg

3. July 4-5, 2005, Luxembourg

4. February 7-8, 2006, Luxembourg

5. July 5-6, 2006, Luxembourg

Participation in other multi-disciplinary activities

The first (November 25-26, 2003) and second (September 22-23, 2004)

meetings of the Mental Health Working Party in the Luxembourg were

attended by Professor Petridou, representing the WP-AI Secretariat.

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Following the meeting, respective information was distributed to the WP-AI

and wider network.

The WP-AI Secretariat participated in the Evidence Based Task Force of the

Mental Health Working Party and provided feedback on the draft paper on

evidence based mental health. (Sept 16, 2004)

An initiative was made to collaborate with ESTAT with regards to availability

of injury data and a meeting was held on April 30, 2004 in Luxembourg with

the Statistic Office, Antti Karjalainen and Didier Dupre.

Tsunami condolences letters were drafted and sent to the respective

embassies in Athens (Indonesia, Somalia, Sri Lanka, Malaysia, Bangladesh,

Thailand, India and Maldives) following the tragic tsunami disaster in

December 2004, on behalf of the Working Party on Accidents and Injuries.

An initiative was made to collaborate with DG Consumer, Mr. Daskaleros,

providing them with an overview of the IDB, which included the past, current

and future status.

In response to an injury in Greece with an electric toy scooter, the Secretariat

immediately contacted the Hellenic Ministry of Development to notify them of

the dangers of this product. A press release was published in all major

newspapers informing parents about the hazards of this toy. In addition,

scientific collaborators of CE.RE.PRI informed the public about this product

through television and radio interviews. Electric scooters were sold on the

market as a toy, yet have the ability to reach 30km/hour, therefore, surpass

the toy standard speed limit. The Secretariat notified the European

Association for the Coordination of Consumer Representation in

Standardisation (ANEC) about this product requesting advice and information

about this product in other countries and dissemination of hazards. Following

the Secretariat’s intervention, the Hellenic Ministry of Development performed

an inspection of this product resulting in a decision that youth fourteen years

and older should be permitted to use it and that it should not be considered a

toy. The Ministry of Development in collaboration with the Hellenic Ministry of

Transportation have considered the electric toy scooter as a vehicle when

used on public roads, which means the rider must possess an appropriate

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21

licence, and the product must have a permit from the Ministry of

Transportation.

Collaboration with the Working Party on Indicators took place. Professor Eleni

Petridou attended the first meeting in October 2005 presenting the

contribution of WP-AI projects to the health information system. A further

detailed presentation was also prepared and presented at the second meeting

in May 2006. The Secretariat has worked closely with this working party for

the development of indicators. (Presentations can be found on the EC

website, web-pages attributed to the Working Party on Indicators:

http://ec.europa.eu/health/ph_information/implement/wp/indicators/indicators_

en.htm.)

3.6 Communication strategy The Secretariat volunteered to draft a proposal, which was not part of the contract,

aimed at creating a comprehensive communication strategy for the promotion and

dissemination of key messages derived from the work of the WP-AI, in close

collaboration with the WP-AI experts. This proposal was presented during the WP-AI

meeting in Luxembourg on February 1-2, 2005. Thereafter, a Task Force on

Communication Planning was set up by the Principal Administrator to exemplify the

communication strategy. A draft ‘Commission Communication followed by a Council

Recommendation’ was then developed by the Commission Services aimed at

creating public awareness about the general injury problem, presenting the burden

as well as the high potential for the prevention of injuries.

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22

4.0 Programme Management and Support

A main task of the Secretariat, as stated in the contract, was to develop close

collaborations with project leaders and assist them with any financial and

administrative requirements they may have had. In addition, the Secretariat was to

ensure the Commission would receive accurate information regarding the progress

achieved and potential challenges of the currently running projects (upon request of

the Principal Administrator). In fulfilling this role, web-based project management

tools were widely used to further strengthen the execution of these tasks, including

the electronic database (www.euroipn.org) developed within the framework of the

IPP programme ‘Cost-benefit analysis of the Injury Prevention Programme 1999-

2003 and final project evaluation’. Furthermore, the WP-AI web-board (see:

Communication) was developed and used to present the progress of current projects,

granting all members the opportunity for discussion and the exchange of information.

The Secretariat developed a template for the uniform progress reports and

presentation formats for project leaders to complete allowing for the sharing of injury

prevention experience, knowledge and achievements. This template was approved

by the Principal Administrator. Each project leader was requested to complete this

report four weeks prior to the WP-AI meetings. The reports were then forwarded to

the Principal Administrator and uploaded on the WP-AI web-board for all members to

view. In addition, the results from the progress reports were presented by the

Secretariat to the Network of Working Party Leaders to contribute to the

dissemination of relevant information to this group.

4.1 Overview of injury prevention projects (2003 to 2005)

Ten injury prevention projects have been funded by the Commission as of 2003. The

EC financial contribution attributed to these projects was 7 149 049€. Below,

projects are listed by funding year. For further information about the goals and

deliverables of each project, please visit WP-AI website www.actiononinjuries.org.

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23

Work Plan 2005 Within the framework of the Work Plan 2005 of the Public Health Programme of the

European Commission, the following two injury prevention projects were accepted for

funding and are in progress:

Title Main Partner MS Budget

SafeStrat: Implementation of the European

Strategy for Injury Prevention and Safety Promotion

EuroSAFE NL Total: 1 645 703 € EU grant: 987 422€

Adrisk: Community Action on Adolescents and Injury risk – European situation analysis, strategy

plan and community actions KfV AT Total: 1 524 000 €

EU grant: 914 400 €

The total European Commission funding contribution for injury prevention for the year

2005 was 1 901 822 €.

Work Plan 2004 Within the framework of the Work Plan 2004 of the Public Health Programme of the

European Commission, the following three injury prevention projects were accepted

for funding and are in progress:

Title Main Partner MS Budget

Development Of A European Work-Related

Health Report And Establishment Of Mechanisms For Dissemination And Co-Operation In The

Acceding And Candidate Countries (Workhealth II)

Federal Association Of Company Health Insurance Funds

DE Total: 939 301 € EU grant: 563 581 €

APOLLO: Strategies And Best Practices For Reduction Of Injuries

Center for Research and Prevention of Injuries University of Athens

GR Total: 2 495 703 €

EU grant: 1 497 422 €

Best Practices in Prevention of skiing accidents in Europe: the new challenge

Azienda ULSS 20 Verona IT Total: 360 395 €

EU grant: 216 237 €

The total European Commission funding contribution for injury prevention for the year

2004 was 2 277 240 €.

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24

Work Plan 2003 Within the framework of the Work Plan 2003 of the Public Health Programme of the

European Commission, the following five injury prevention projects were accepted for

funding and are in progress:

Title Main Partner Country Budget

EUNESE - European Network for Safety among Elderly

Center for Research and Prevention of

Injuries University of Athens

GR Total cost: 876 286 € EU grant: 525 772 €

Maintenance, Development and Promotion of the ISS Hospital Survey in the current and enlarged

EU (ISS DATA) Kuratorium fur Schutz

und Sicherheit A

Total cost:

1 865 494 € EU grant:

1 119 296 €

Strategic and action planning to enhance policy actions for child safety in 18 European Countries

European Child Safety Alliance NL

Total cost: 877 228 € EU grant: 526 336 €

Healthy Work in Ageing Europe European network for

Workplace Health Promotion

A

Total cost: 548 884 € EU grant: 329 330 €

Coordination and Administration of the European Working Party on Accidents and Injuries

Center for Research and Prevention of

Injuries University of Athens

GR

Total cost: 782 089 € EU grant: 469 253 €

The total European Commission funding contribution for injury prevention for the year

2003 was 2 969 987€.

The Secretariat made all efforts to participate in the milestone meetings of the

respective projects and offer its expertise towards their smooth and coherent

progress (e.g. voluntarily reviewed the latest coding manual that was developed by

the CSI and offered comments and concerns about feasibility issues related to its

implementation for all types of injuries and contributed to the debate on the viability of

the current version of detailed IDB that mainly aims to identify hazardous consumer

products to also serve as an injury morbidity database).

Contact was made with the project leaders informing them that the Secretariat is at

their disposal for any communication and programme support they may require. An

individual forum for each of these projects was created on the WP-AI web-board.

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Picture 5: WP-AI web-board: projects

Other Secretariat activities related to injury prevention projects include the below:

As requested by the Commission, the final report Grant No. SI2.322744 from

the institute Azienda ULSS 18, Rovigo, Regione Veneto was reviewed and

commented on regarding the content and format. Comments were sent

directly to the Principal Administrator, Mr. Kloppenburg. (July 12, 2004)

As requested by the Commission, the report developed by the Consumer

Safety Institute in the NL regarding the Injury Database (IDB) Coding system

was reviewed and commented on. Comments were sent directly to the

Principal Administrator, Mr. Kloppenburg. (July 13, 2004)

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Provided the Commission with a thorough description about the technical and

functional features about the electronic database developed for monitoring

the progress of ongoing EU funded projects (www.euroipn.org). Information

was conveyed on July 18, 2004 via email.

4.2 Inventory of injury prevention projects (2000 to 2003) In response to a request by the Principal Administrator, the Secretariat together with

the former Secretariats, namely Consumer Safety Institute, Netherlands, National

Institute of Public Health, Denmark and Kuratorium für Verkehrssicherheit (KfV),

Austria, conducted an inventory of past injury prevention projects, summarising

developments (tools developed, key messages, and outcomes) in a simple and

comprehensive way. This task was not part of the contract.

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5.0 Strategic Planning

5.1 Actions for a safer Europe Headed by the Principal Administrator of the Working Party on Accidents and Injuries

(WP-AI), a task force was created to develop a strategic plan for injury prevention

among the EU-25 member states. A vision for injury prevention in the European

Union was created in April 2004 by the WP-AI during a meeting. The vision was ‘to

reduce all types of injuries year upon year and ensure that the EU is a safe place’.

The task force met two times (on June 7 and July 7, 2004) to draft objectives,

challenges and strategies for reaching the vision. The Secretariat facilitated the

preparation for both meetings by assisting with minutes and other relevant

documents. Furthermore, a strategy document entitled ‘Actions for a safer Europe’

was prepared by the Principal Administrator. To include the expertise of the WP-AI,

this document was uploaded on the WP-AI web-board on Monday, November 8,

2004 by the Secretariat and an email was sent to all WP-AI members inviting them to

provide comments on this document by November 30, 2004. The Secretariat

presented the comments provided by WP-AI experts regarding the strategic

document during the WP-AI meeting on Feb 1-2, 2005. A final draft version of the

strategic document was uploaded on the WP-AI web-board on May 20, 2005. The

top priorities for injury prevention as listed in the strategic document are the following:

1. Consumer safety 2. Safety of children and adolescents 3. Falls among senior people 4. Vulnerable road users 5. Sport injuries 6. Self harm 7. Interpersonal violence

Following the developments of the strategic document, a communication from the

Commission to the Council of Ministers and the European Parliament was created as

well as the Council Recommendation (white paper) - a legal act of the European

Commission on injury prevention and safety promotion, which provides information to

the member states on setting up arrangements for injury prevention and the

reduction of injury related risks, however, it is not legally binding for the member

states. Both documents were adopted by the college of the Commission on Friday,

June 13th, 2006.

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5.2 Priorities and actions for injury prevention in the EU The Secretariat was contracted to contribute to the development of a coherent

strategy. Therefore, in efforts to continue and further expand upon the work initiated

by the Commission, two web-based Delphi surveys were used to derive feasible

cost-effective injury prevention actions for the development of a policy document in

the European Union. The results derived from these surveys aim to serve as a

valuable asset to the European Commission in regards to future developments.

The first survey, entitled ‘Key injury prevention priorities in the European Union’, was

developed into two rounds and run from November 2004 to April 2005. The objective

was to poll worldwide injury prevention experts and members of the Working Party on

Accidents and Injuries to define the key injury prevention priorities in the EU.

Selected individuals were contacted through email and invited to participate.

Background materials were developed to provide all experts with a visual

presentation of the scope of the injury problem in the EU, which included the unified

list of top ten causes of injuries in EU and a document providing a synoptic overview

of the burden of injuries in the EU. In addition, participants were provided with three

criteria to be considered when making their selection. Those who accepted (32 world

experts and 17 WP-AI members) were given an electronic link to the survey website.

After systematizing all responses provided by participants, the following topics were

listed as most important in injury prevention in the EU:

By international experts:

Motor vehicle injuries Fall related injuries Unintentional drowning injuries Suicide and self inflicted injuries Injuries related to alcohol use Injuries caused by fire/ flames/ hot

liquids Poisoning Homicide-Injuries purposely inflicted

by other persons Increase injury research/data

collection/awareness Violence

By WP-AI members

Motor vehicle injuries Fall related injuries Violence Suicide and self inflicted injuries Unintentional drowning injuries Injuries among children (in general) Injuries caused by fire/ flames/ hot

liquids Occupational injuries Poisoning Injuries related to alcohol use

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In the second round, all participants were asked to rank each injury prevention key

priority area from one (1) to five (5) (1= least important, 5= most important) according

to their importance. Experts pointed out that falls among the elderly represent the

“top priority”, followed by injuries related to alcohol use and motor vehicle injuries.

Increasing the funds for and the injury research itself was also mentioned as an

important priority. WP-AI members considered injuries among children as a top

priority, followed by falls among the elderly, motor vehicle injuries and injuries related

to alcohol use.

Results are presented below:

Priority By international experts

Mean score

Priority By WP-AI members

Mean score

Falls among the elderly 4.28 Injuries among children 4.67 Injuries related to alcohol use 3.97 Falls among the elderly 4.33 Motor vehicle, occupant 3.78 Motor vehicle occupant 4.13 Pedestrian injuries 3.78 Injuries related to alcohol use 4.13 Increase injury research 3.78 Pedestrian injuries 4.07 Drowning among children 3.34 Injuries sustained by two wheelers 3.87 Domestic violence 3.31 Suicide among youth 3.67 Suicide among youth 3.25 Violence in general 3.40 Homicide 3.13 Drowning among children 3.40 Injuries sustained by two wheelers

3.09 Injuries caused by fire/flames/hot liquids

3.20

These results were sent to the President and Members of the Committee of the

Environment, Public Health and Food Safety of the European Parliament for their

consideration.

The second survey, entitled ‘Actions for injury prevention in the EU’, was developed

and run from September 2005 to December 2005. It was designed to identify actions

for each of the priorities of injury prevention chosen by all participants during the first

survey, deemed to be both effective and cost-effective. The second survey was

addressed to all 92 experts who were contacted in the first survey and a similar

method to that of the first survey (two rounds) was utilised.

During the first round of the second survey, participants were asked to propose up to

5 effective and up to 5 cost-effective actions for each of the 13 priorities eventually

identified by both panels, based on their expertise. The respondents of the first round

were 25 world experts and 13 members of the WP-AI; the respondents in the second

round were 22 and 10, respectively. The actions were grouped using a frequency

level-scale to create a matrix with two axes: one concerned the frequency level an

action was perceived as effective (high, medium, low), the other represented the

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frequency level an action was perceived as cost-effective (high, medium, low). During

the second round of this survey, the panel received all but those actions which

clustered in the low effectiveness/low cost-effectiveness cells in the above indicated

matrix; they were then asked to score the actions in producing the best benefit at the

population level, in terms of injury reduction in the burden for any given cost from 1

(least cost-effective) to 5 (most cost-effective). Average scores were then computed

for each action. Outcomes

This study aimed to investigate experts’ perceptions on what are the most important

areas of injury prevention to be tackled in the EU and what actions are advisable

from the policy point of view. Common key injury prevention priorities proposed by

both panels were: ‘falls among the elderly’; ‘injuries related to alcohol use’; ‘motor

vehicle injuries, occupant’; ‘pedestrian injuries’; ‘drowning among children’; ‘suicide

among youth’; and ‘injuries sustained by two-wheelers’. The 5 higher scored (>3.5)

priorities by the panel of international experts were: ‘falls among the elderly’, ‘injuries

related to alcohol use’, ‘motor vehicle injuries, occupant’, ‘pedestrian injuries’ and

‘increase injury research/data collection/ injury awareness’, whereas the 5 higher

scored (>4.0) priorities by the WP-AI members included ‘childhood injuries in

general’, as the first priority followed by the same first four issues chosen by the

former panel.

Regarding cost-efficient actions, legislative actions and enforcement were generally

regarded as cost-effective in tackling motor vehicle injuries, whereas traffic calming

measures, relatively recently commented as effective in reducing pedestrian injuries

(Bunn, Collier, Frost, Ker, Roberts & Wentz, 2003), were nevertheless low frequency

ranked in the experts’ responses in terms of cost-effectiveness. It is of interest that a

few passive prevention initiatives seem to have also been adopted as cost efficient

for the prevention of intentional injuries by the responding experts. On the contrary,

programmes to raise injury awareness or other educational efforts were generally not

recommended in terms of cost-effectiveness, in line with scientific evidence

(Duperrex, Roberts & Bunn, 2002; Roberts & Kwan, 2001). Reducing exposure to a

variety of consumer products appears to be a sound strategy for injury prevention,

although missing information on actual exposure patterns hinders most of the

standardisation work and prevents effective initiatives springing from it. The panellists

nicely summarised current opinions on environmental modifications and exercise

programmes pertaining to the prevention of fall injuries among the elderly and

pointed out a didactic paradigm concerning the uptake by the population at large of

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an otherwise effective measure for the protection of hip fractures Parker, Gillespie &

Gillespie, 2005).

In conclusion, a hierarchical list of priorities and actions for injury prevention was

produced aiming at contributing to the development of the most efficient policies

strategic plan of the EU. It is hoped that Delphi technique generated results can also

facilitate member states of the EU to adopt those actions and initiatives that are

deemed to curb the injury epidemic.

This study was published in the African Safety Promotion Journal in 2006 with title

‘Delphi Technique as a tool in assessing injury priorities and actions for injury

prevention in the European Union’.

5.3 Contribution to annual Work Plans To assist the Commission to decide upon which injury prevention activities should be

included in the annual work plans (2005 and 2006) of the Public Health Programme

of the EU, the Secretariat communicated with all WP-AI members to inform them of

the proposed priorities and invited them to identify injury prevention needs and

priorities. Draft work plans were distributed by email and posted on the WP-AI web-

board encouraging members to openly discuss their ideas. Comments were

gathered by the Secretariat and sent to Mr. Kloppenburg, Principal Administrator of

the WP-AI, to facilitate the Commission in developing the necessary priorities for the

upcoming year.

5.4 Childhood injury prevention strategy plan in Cyprus The WP-AI Secretariat contributed to the development of a national strategic plan for

the prevention of unintentional childhood injuries in Cyprus by providing expertise on

assessing the burden of child injuries in Cyprus and developing objectives and cost-

effective policies to reduce the current burden. In addition, the Secretariat, together

with the World Health Organisation, participated in a workshop that took place on

November 24-25, 2004 in Nicosia, Cyprus and was organised by the Ministry of

Health, Republic of Cyprus.

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6.0 Contribution to Task Forces

Task forces were established on an ad hoc basis to work on specific injury prevention

issues within the framework of the Working Party on Accidents and Injuries of the

European Commission. The experts within these task forces collaborated on a

voluntary basis to produce the reports developed. The following task forces were

developed:

1. Burden of Injuries 2. Road Safety 3. Indicators 4. Communication 5. Strategic Planning 6. Work Health

The Secretariat supported these task forces in the following ways:

Creation of a forum for each task force on the WP web-board to facilitate the

exchange of views and open discussions as well as archive documents. Participation in the meeting with task force leaders to present the status of the

Burden of Injuries Task Force and to provide feedback regarding the next

steps for each task force. The preparation meeting was held in Vienna,

Austria on February 26-27, 2004. Participation in two meetings of the Task Force of Strategic Planning assisting

with the drafting of minutes, invitations, presentations and communicating the

outcomes to the WP-AI.

Participation in the Communication Task Force on March 10, 2005 in

Luxembourg.

Comments and feedback on draft versions of reports.

Communication with task force leaders, ensuring them that the Secretariat is

available to offer them further assistance when needed.

6.1 Burden of Injuries Task Force The Burden of Injuries Task Force was established to produce a synoptic report

(Burden of fatal injuries in the EU) for the Working Party on Accidents and Injuries to

portray the burden of fatal injuries in the European Union, targeting policy oriented

people in the EU. The leader of this task force was Professor Petridou from the WP-

AI Secretariat (CE.RE.PRI).

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Outcomes in brief

Injuries are responsible for a high public health burden and are one of leading causes

of death and YPLL (years per life lost). Motor vehicle accidents, falls, suicide and

self-inflicted injuries affect a large segment of population. Among the ages 1-24 years

old, unintentional injuries constitute the leading cause of death in both EU15 and new

member states (10). Elderly people represent more than 40% of injury victims

overall. By type of major groups of injuries, elderly people account for the highest

burden of deaths due to falls, while motor vehicle injuries, suicide and violence are

also major causes of injury death among elderly. There are important disparities

between EU15 and the new member states concerning injury mortality, possible one

of the consequences of the lower GDP in this region. There are still major gaps in

knowledge. Much work has inevitably concentrated on fatal injuries because of the

greater availability of data. Much less is known about the long-term consequences of

non-fatal injuries.

6.2 Road Safety Task Force The Road Safety Task force was established to provide recommendations regarding

road safety issues from a public health perspective to the European Commission,

National Competent Authorities, the European Parliament and the European Council.

The leader of this tasks force was Dr. Rupert Kisser from Kuratorium für

Verkehrssicherheit, Austria.

As a member of this task force, the Secretariat provided feedback and advice on the

scientific content and technical layout of the draft report versions. The final version

was uploaded on the WP-AI web-board in April 2005 (Forum: Task Forces -> Road

Safety). An acknowledgement to the Secretariat and WHO for their substantial

contribution has been included in the first page of the report.

Outcomes in brief

Children, elderly people and physically/mentally challenged people were the focus of

this report. More than half of the total number of traffic victims are vulnerable road

users, yet limited research and policy attention have been attributed to this group at

both a national and international level.

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6.3 Indicators Task Force The main goal of the Indicators Task Force was to define four to five injury indicators.

The leader of this task force was Dr. Birthe Frimodt-Moller from the National Institute

of Public Health in Denmark. This task force collaborated with the ECHI-2 partners

on the cross-cutting themes along with WHO, OECD and the Working Parties.

Outcomes in brief

Several indicators have been proposed by the coordinator, Dr. Birthe Frimodt-Moller

in collaboration with the task force members and WP-AI as well as the WP-AI

Secretariat, upon request by the EC. Work Package 2 (Burden of injuries) of the

APOLLO project will expand further on morbidity related indicators.

6.4 Communication Task Force

The Communication Task Force was set up to build upon the communication

strategy initiative of the Secretariat. The objective of this task force was to develop a

strategy to facilitate the internal and external communication of the Working Party on

Accidents and Injuries. This strategy would raise awareness of the injury issue at

local, regional, national and EU levels. The leader of this task force was the Principal

Administrator, Horst Kloppenburg of the European Commission. And the three

person drafting team included J. Vincenten, M. Arrien and M. Sector.

Outcomes

A report was drafted entitled ‘Communication strategy 2005-2008’ which was sent

out to all WP-AI members for comments. This report assisted the Principal

Administrator in drafting the communication plan from the Commission to the Council

of Ministers and the European Parliament.

6.5 Strategic Planning Task Force Please reference Chapter 5.0 Strategic Planning – Actions for a safer Europe

6.6 Work Health Task Force The Work Health Task Force was established within the context of the EC co-funded

project ‘WORKHEALTH II - Development Of A European Work-Related Health

Report And Establishment Of Mechanisms For Dissemination’. The leader of this

task force was Dr. Wolfgang Bödeker, from Bundesverband der

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Betriebskrankenkassen (BKK), Germany. The objectives were to develop a policy

oriented report on work and health, presenting the situation in new member states

and candidate countries, and provide recommendations for work-related health

monitoring and implementations.

Outcomes in brief

This task force has contributed to the development of a concept for a work-related

European public health report, which will focus on diseases with high public health

importance. These diseases are addressed by analyzing their impact in the working

environment and the role of the workplace for prevention and health promotion. This

task force is still in progress.

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7.0 Pre-event of the European Conference

From September 29 to October 1, 2005, the Secretariat of the Working Party on

Accidents and Injuries (WP-AI) in collaboration with DG SANCO of the European

Commission and with the co-sponsorship of the World Health Organisation Regional

Office for Europe hosted a conference for the new member states and candidate

countries aimed at fostering their active participation in the efforts targeting the

reduction of injuries. This conference was also the Pre-event of the First European

Conference on Injury Prevention and Safety Promotion convened at the end of June

2006 in Austria.

The primary aim of this conference was to enhance and strengthen the active

participation of the new member states and candidate countries (Bulgaria, Romania,

and Turkey) towards the reduction of injuries. The vision of the Working Party on

Accidents and Injuries is to reduce all types of injuries year upon year to ensure that

the EU is a safe place. To achieve this all member states need to acknowledge the

problem and place it on their political agenda. In addition, they need to ensure that

the key principles will be incorporated into their national injury prevention strategic

plans. This event provided an opportunity for all to work together towards this

common goal.

It was an excellent opportunity for all EU member states (old and new), EFTA

(Iceland, Liechtenstein and Norway) and candidate countries (Bulgaria, Romania,

and Turkey) to exchange information on injury prevention actions initiated over the

years by the Commission, WP-AI experts and other relevant organisations as well as

encourage ongoing cooperation between all EU member states, EFTA-EEA countries

(Iceland, Liechtenstein and Norway) and interested stakeholders.

The event was well attended by over 160 participants from the EU and EFTA

countries, USA, Australia and South Africa. Representatives from WHO, European

Commission and EUPHA (European Public Health Association) were present as well

as members from the other EC Working Parties (Mental Health, Environment, and

Health Systems).

The three major themes of this event were: Towards developing information systems

on injuries; addressing the top priority areas in injuries and; implementing prevention

strategies in member states.

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This event offered a two-way approach: on the one side, participants were provided

with the opportunity to further acquaint themselves with the vision, objectives,

activities and policies of the European Commission. This was achieved by bringing

experts from ‘old’ member states that have been committed to injury prevention to

share their developments and achievements with new member states. On the other

side, participants from new member states had an opportunity to share their

experiences; challenges they are facing; illustrate their present practices and

priorities; and recommend ways on how the European Commission, Working Party

on Accidents and Injuries and other interested stakeholders can support their specific

needs.

Evaluation

An on-line evaluation form was used to assess whether aims of the Pre-event were

met. This included four questions that rated the goals and activities on a 5-point

scale assessing whether the conference met the main objective to enhance and

strengthen active participation of the new member states and candidate countries,

did it provided a platform for exchange and discussion, if the balance between

workshops and plenary sessions was adequate, and if there were sufficient

opportunities to network with colleagues and to meet new ones. Five (5) being

‘agree’ and one (1) being ‘disagree’. Two open-ended questions were also included,

one requesting to list areas that would be helpful to the new member states in view of

the First European Conference on Injury Prevention and two requesting for

comments in general. An email was distributed to all Pre-event participants that had

provided the organisers with an email address, totaling 135 participants, of which 37

responded (~30 % response rate).

The Pre-event’s main objective was achieved, as well it provided a platform for

discussion on injury prevention information and experiences, as the response mean

score was 4.0 and 4.4, respectively. The balance between workshops and plenary

sessions was quite satisfactory with a response mean score of 4.3. Respondents

expressed great appreciation for the excellent balance between the structure and

content in the open-ended question. Lastly, the Pre-event provided an excellent

opportunity for all participants to network with colleagues and to meet new ones,

response mean score of 4.7.

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Injury prevention and safety promotion on child, elderly, occupational and traffic

injuries were listed by respondents from new member states as areas that would be

helpful to focus on in view of the First European Conference on Injury Prevention.

Areas related to data collection systems included injury monitoring and

harmonisation, effective collection methods, mortality and morbidity sources and the

European Injury Database (IDB). Other areas that would assist the new member

states included information on cost effectiveness of injury prevention programmes,

experiences of effective involvement of politicians and key persons regarding injury

prevention legislations, cross-cutting activities contributing to injury prevention within

the public health sector, implementation of national plans, and centres of excellence.

In conclusion, the Pre-event was a successful conference attracting a wide audience

including academics, researchers, health practitioners, statisticians, and

policymakers.

For further information about the Pre-event, please visit the website:

www.cc.uoa.gr/health/socmed/hygien/pre_event.

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8.0 Secretarial Support

The Secretariat had been contracted to assist the Commission with the organisation

of WP-AI and task force meetings. Adjacent to these meetings, the Secretariat was to

collaborate closely with the Commission during the preparatory stages of these

meetings. The Secretariat had undertaken the following key tasks:

Tasks linked to WP-AI meetings

Participation in the preparation meeting for the upcoming WP-AI meeting in

Vienna on February 25-27, 2004.

Meeting with Principal Administrator, Mr. Horst Kloppenburg in Athens on

March 29-30, 2004; Progress Update. (Minutes are included in Appendix IV) Facilitation of the needs of the EC and WP-AI during the WP-AI meetings in

Luxembourg (Minutes are included in Appendix IV). Meeting dates are the

following: o April 28-29, 2004

o February 1-2, 2005

o December 8, 2005

Responsibilities involved the following:

Assisting the EC with the development of agendas and list of

presences

Drafting minutes and collaborating with members and EC to

produce final versions

Presenting the progress of the Secretariat

Assisting with chairing of meetings, when requested by the EC

Gathering progress reports by project leaders and uploading on

WP-AI web-board and informing EC

Designing a presentation template for all project leaders to use in

order to ensure pertinent information was being presented in a

similar format

Uploading all meeting documents on WP-AI web-board (before and

after meetings) to ensure the rapid exchange of information

Responding to the various inquiries of the WP-AI members (help-

desk function)

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The Secretariat attended Information Day organised by the Commission on

February 4, 2005 where the Call for Proposal 2005 was presented. A memo

was distributed on February 18, 2005 informing recipients of the Call and that

the Secretariat would be at their disposal if they require assistance with

completing the application forms or information about the Call. Special

attention was given to a new member state to undertake a principal role as

work package leader for the organisation of an EU Conference on Injury

Prevention and Safety Promotion. Likewise, every effort was made to ensure

the smooth flow of information and serve as a help desk for projects that were

submitted by new member states.

Insertion of information about the running projects in the database of

www.euroipn.org

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9.0 Conclusions and Discussions

From April 1, 2004 to June 30, 2006, the Centre for Research and Prevention of

Injuries (CE.RE.PRI) of the Department of Hygiene and Epidemiology of the Medical

School at the University of Athens was granted the responsibility of ‘Coordination and

Administration (Secretariat) of the Working Party on Accidents and Injuries’ within the

framework of the Public Health Programme (PHP) 2003-2008 of the European

Commission. The Working Party on Accidents and Injuries has been established to

confront the injury epidemic since injuries are a serious health concern, responsible

for more than 235 000 victims annually in the EU. In brief, the Secretariat was

contracted to ensure timely exchange and promotion of information to both the

European Commission and WP-AI members, to provide on-going secretarial support

to the WP-AI, projects and task forces, to promote results and provide strategic

oversight.

The accurate and timely passage of information stemming from projects and

activities to potential users in injury prevention is essential so as to increase

synergies, to ensure efforts are not being duplicated and to strengthen continuity of

achievements. Working towards this goal, the Secretariat made every effort to

ensure WP-AI members were informed of activities being carried out by the

European Commission as well as by the members via diverse and modern

communication channels established by the Secretariat which included an internal

web-board (www.euroipn.org/web_board), newsletters, an information package in the

form of a CD-Rom, a newly created WP-AI website (www.actiononinjuries.org)

memos and emails. In addition, the Secretariat acted as a ‘help-desk’ answering to

the various inquiries of the members. The preferred method of communication was

email and electronic materials were desired as opposed to print.

The Secretariat participated in over 21 meetings during its term, of which three were

the meetings of the Working Party of Accidents and Injuries where the Secretariat

was responsible for the coordination and administration, five of the Network of

Working Party Leaders and four linked to the WP-AI task forces. Exchange of

information, promotion of WP-AI activities and cooperation existed with all working

parties of the Public Health Programme (2003-2008). Prior to each meeting it is

essential that all relevant documents are distributed by the Secretariat to participants

so as to provide them with the opportunity to prepare and contribute substantially to

discussions during meetings.

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To strengthen collaboration with project leaders and ensure immediate exchange of

information to the Commission and WP-AI members regarding the progress

achieved, web-based project management tools were utilised, such as the web-board

and the electronic database www.euroipn.org. The Secretariat facilitated the

progress reporting process of all running projects prior to each meeting of both the

Working Party of Accidents and Injuries and Network of Working Party Leaders.

An Injury Statistics Portal (www.euroipn.org/stats_portal) was created integrating

statistically processed mortality and morbidity data from the main European and

international injury related databases making it easy for users to make queries.

Meaningful and important statistics can be quickly and easily accessed by simply

using a few mouse-clicks. A fundamental tool since a single entry point for injury

statistics did not exist prior to this development. A comprehensive set of tutorials

were developed in English providing a step-by-step overview of how to use the

Portal, with an accompanying leaflet translated into six additional languages.

Over and beyond contractual obligations, an inventory of injury prevention projects

was carried out summarising significant information about the outcomes, developed

tools and policy recommendations of 30 projects co-funded by the EC between years

2000 to 2003. A main outcome was that it is necessary to shift from data collection

projects to actually applying the knowledge and developed tools through the

designing and carrying out of evidence-based and cost-effective interventions in

collaboration with stakeholders, policy makers and industry.

All tasks have been successfully completed as planned within the approved

timeframe and budget. In addition, the Secretariat carried out voluntary activities,

which were not stated in the contract, such as the initiation of a communication

strategy plan, in efforts to contribute to the strengthening of current links among the

activities of the Working Party on Accidents and Injuries.

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Appendix I WP-AI memos Internal communication

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Appendix I: WP-AI memos

Memo.1 Sent May 28, 2004 (a) About this memo (b) Web-board (c) Opportunities for scholarships and training supported by the Fogarty International Centre (WHO) (d) Basic Safety Training program (RAM) (e) Article on choking injuries from coins (f) Safer Environments for Children in Europe - (European Child Safety Alliance Workshop) For questions or comments: Secretariat WP-AI Center for Research and Prevention of Injuries Medical School, University of Athens 75 M. Asias, Athens 115 27, Greece Tel: +30 210 7462188 Fax: +30 210 7462105 email: [email protected]

(a) About this memo of the Working Party on Accidents and Injuries (WP-AI) This memo provides everyone with the opportunity to exchange information relevant to the Working Party. Simply send anything you would like us to distribute and we will be happy to share it with the WP members. Send information to Stephanie Anast via email [email protected]. If you do not want to receive this WP-AI memo, please notify Stephanie Anast via email.

(b) Web-board of the Working Party on Accidents and Injuries (WP-AI) The Secretariat is pleased to announce the opening of the WP-AI-Web-board. This new communication tool will facilitate a quick and easy way to discuss topics related to the WP as well as provide an open forum for the exchange of information and ideas. To illustrate, one can post the top ten injuries of their country on the relevant forum already created (link: April 28-29 2004, The 3rd Meeting in Luxembourg) and, as a result, all members would have immediate access to this information as well as be able to contribute to related discussions.This is a great way to gather each country's information and make it available for all members to view and comment on. Please find attached a short PowerPoint Presentation (UserGuide.ppt) demonstrating how to access and use the Web-board.

How to access the Web-board for the first time:

STEP 1:

Visit the Web-board Address:

http://www.cc.uoa.gr/socmed/hygien/WB/web_board.html

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STEP 2: Initial Login (Common for every user of the Web-board)

The Initial Login aims to prevent access to the Web-Board to people not related to the WP-AI. You have to provide the, common for every user, username and password:

• Username: wpaiwb (easy to remember, means: w(orking) p(arty) a(ccident) i(njury) w(eb) b(oard) )

• Password: wpai2004

STEP 3: Web-board registration

After you have successfully passed step 2, you will have to register in order to receive your personal username and password. It is essential that you create your own personal username to personalize your messages and comments posted in forums. Press the "registration" link located on the central page of the Web-board and fill-in the required information (please refer to the attached PowerPoint presentation).

IMPORTANT: use a username in the form of Name_Surname (e.g. Stergios_Palamas, Eleni_Petridou) and not an abbreviation (e.g. spalam, epetrid) so other users will be able to easily identify your messages on the board.

Once you fill-in the registration form, press the "submit" button. The submission will take a few seconds and a message will appear informing you on the success of the procedure. You will receive an e-mail confirming the registration.

IMPORTANT: Before you start to use the Web-board, your registration will be approved by the administrator for security reasons. An error message will appear if you try to access the forums before your registration has been approved. Registration applications are monitored on a regular basis and the approval will take place within maximum two working days.

For any further inquiries, please contact us by e-mail ([email protected]) or by posting your message in the forum Web-board support.

(c) Opportunities for scholarships and training supported by the Fogarty International Centre (WHO) We would like to bring to your attention a new programme of the Fogarty International Center awarding scholarships on research training programs for trauma and injury. The program aims specifically at establishing links between institutions and researches in countries with mature and emerging economies. It can be therefore a tool to support twinning arrangements and collaborations. Please, note that applications for the International Collaborative Trauma and Injury Research Training Program are due by August 25, 2004. Letters of intent are due by July 25, 2004. The Program Announcement for this program and relevant instructions and conditions may be found at: grants.nih.gov/grants/guide/pa-files/PAR-04-083.html. Additional information can be found at the FIC Website, www.fic.nih.gov. The attached press release ( Fogarty_Inter_Centre Russian.doc) in Russian is meant to facilitate the dissemination of information about this programme to Russian-speaking countries, although it should be noted that the language for submitting applications is English. Francesca Racioppi, Scientist- Accidents, Transport and Health, WHO Regional Office for Europe, European Centre for Environment and Health Via Francesco Crispi 10 - 00187 Rome, Italy, Tel: +39 06 4877 545 Fax: +39 06 4877599 e-mail: [email protected] web address: http://www.euro.who.int/transport

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(d) Basic Safety Training program (RAM) RAM is holding a two day Basic Safety Training Course in London on June 22-23, 2004. This course is appropriate for anyone involved in the production of products consumed by the general public. The content introduces key safety principles, and outlines the components necessary for companies and professionals to implement a process that will produce the safest products possible. This course features interactive lectures and activities addressing topics such as injury data analysis, foreseeable use, and human factors. Presented by leading safety experts, qualified international lawyers and product certification experts, Basic Safety Training identified and examines key issues involved with integrating safety into business process. For further information, please go to http://www.ramestraining.com.

(e) Article: Switching to euro-still hard to swallow? Injuries from ingestion (choking) of coins are common among children, with non-negligible morbidity, but indications that smaller coins increase the risk of choking are mostly anecdotal. This risk was evaluated using a natural experiment in Greece with the introduction of the Euro (€) in place of previously used larger coins. Please find attached (switching to euro-still hard to swallow.zip) an article on choking injuries from coins of which the analysis was conducted from data derived from the IDB and was published in the Archives of Diseases in Childhood.

(f) Safer Environments for Children in Europe - European Child Safety Alliance Workshop Preliminary Programme Announcement: Attached you will find the preliminary brochure for the forthcoming European Child Safety Alliance Workshop, "Safer Environments for Children in Europe". (See attached file: ESCA Workshop 2004.pdf) The workshop registration will be posted in the coming weeks, including hotel rates.

Attached to this memo was the following documents:

- User Guide for webboard.ppt - ECSA workshop 2004.pdf - Fogarty_Inter_Centre_Russian.doc - Switching to euro-still hard to swallow.zip

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Memo.2 Ref number 31/0704: Sent July 28, 2004 (a) About this memo (b) Update from the NWPL and NCA meeting (c) APOLLO: umbrella proposal (d) Task Forces of the WP-AI For questions or comments: Secretariat WP-AI Center for Research and Prevention of Injuries Medical School, University of Athens 75 M. Asias, Athens 115 27, Greece Tel: +30 210 7462188 Fax: +30 210 7462105 email: [email protected]

(a) About this memo of the Working Party on Accidents and Injuries (WP-AI) This memo provides everyone with the opportunity to exchange information relevant to the Working Party. Simply send anything you would like us to distribute and we will be happy to share it with the WP members. Send information to Stephanie Anast via email [email protected]. If you do not want to receive this WP-AI memo, please notify Stephanie Anast via email. This memo is also available on the WP-AI web-board under the section Functions of the WP-AI Secretariat and forum Function II: Dissemination

(b) Update from the NWPL and NCA meeting The joint meeting of the Network of Working Party Leaders and of the Network of National Competent Authorities took place in Luxembourg on July 5-6, 2004. Eleni Petridou from the Secretariat presented the recent activities of the WP-AI which can be viewed on the web-board under the forum Function II: Dissemination. Robert Bauer presented the importance of the Injury Database which was very well received. We recommend viewing his presentation on the web-board (under the forum General – IDB) for further information as well as for a good example of a thorough presentation about the IDB. Please post any additional comments you wish to share. Some key outcomes from this meeting were:

• The exchange of ideas between the different Working Parties in attempt to avoid duplication of works

• Presentation of the first draft of the Work Plan for 2005

• Presentation about the structure of EU Public Health Information and Knowledge System.

For information regarding the meeting documents (agenda, mandates, presentations, etc) please visit the below links: NWPL: http://europa.eu.int/comm/health/ph_information/ev_20040705_1_en.htm NCA: http://europa.eu.int/comm/health/ph_information/ev_20040705_en.htm

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(c) APOLLO We are excited to inform you that the umbrella proposal "Strategies & Best Practices for the Reduction of Injuries" (acronym: APOLLO) under the budget of 2004 within the framework of the Public Health Programme of the EC has been accepted by the European Commission. The Commission Services is drawing up the grant agreement and we will now proceed with a negotiation process. Please view the WP-AI web-board for further information about the APOLLO proposal under the Function IV: Project Monitoring.

(d) Task Forces of the WP-AI 1) Burden of Injuries: A questionnaire has been developed and will be disseminated to all members of the WP as a scoping exercise to to provide a useful primer to strengthen the policy case for injury prevention strategies, but also to act as a useful source of background material for future more extensive work. The participation of all member states would be greatly valuable. In addition, the outline of the report and presentation from the WP-AI meeting can be viewed on the web-board. We invite you to post relevant articles, reports and other publications. 2) Road Safety: The main objectives of this Task Force are to: define problem areas, summarize existing policies, and draft recommendations for contributions of the public health sector on national and community level. An outline has been drafted and will be readily available. Rupert Kisser’s presentation from the WP-AI can be viewed under the respective forum on the web-board. 3) Injury Indicators: Aim of this Task Force is to propose maximum five indicators based on commonly agreed definitions and available data in collaboration with the ECHI group. Birthe Frimodt Mollers presentation from the WP-AI can be viewed under the respective forum on the web-board. 4) Strategic Planning: The members of this Task Force have met two times to date, once during the Vienna World Conference and the second time in Luxembourg on July 7, 2004. The focus has been on defining the vision, goals and objectives for the WP and the progress has been prosperous. We would like to kindly remind all Task Force Coordinators and members that a forum has been opened on the web-board for each Task Force and we encourage you to post any relevant materials (outline, articles, etc) for all to view and discuss.

The Center for Research and Prevention of Injuries will be closed for the month of August due to the Olympic Summer Games in Athens, Greece. If you wish to contact us, please do so by email, as we will be checking email on a regular basis.

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Memo.3 Ref number: 32/0904 Sent: September 30, 2004 (a) About this memo (b) WHO Pre-Conference on Mental Health of Children and Adolescents (c) Second Meeting of the Mental Health Working Party (d) Reflection process for a new EU health strategy- request for comments (e) Work Plan 2005 (f ) ECSA – Workshop in Stockholm (g) Safetylit (h) WP-AI Newsletter (i ) WP-AI Web-board: new additions (j) European Transport Safety Council Newsletter For questions or comments: Secretariat WP-AI Center for Research and Prevention of Injuries Medical School, University of Athens 75 M. Asias, Athens 115 27, Greece Tel: +30 210 7462188 Fax: +30 210 7462105 email: [email protected]

(a) About this memo of the Working Party on Accidents and Injuries (WP-AI) This memo provides everyone with the opportunity to exchange information relevant to the Working Party. Simply send anything you would like us to distribute and we will be happy to share it with the WP members. Send information to Stephanie Anast via email [email protected]. If you do not want to receive this WP-AI memo, please notify Stephanie Anast via email. This memo is also available on the WP-AI web-board under the section Functions of the WP-AI Secretariat and forum Function II: Dissemination

(b) WHO Pre-Conference on Mental Health of Children and Adolescents A two-day WHO pre-conference took place on September 20-21, 2004 in Luxembourg and focused on what the EU and its Member States can do to promote positive mental health among children, adolescents and young people. The meeting was jointly organised by the European Commission, the WHO Regional Office for Europe and the Ministry for Health and Social Security of Luxembourg. Eleni Petridou from the WP-AI Secretariat participated in this conference and discussions which included the general overview of the mental health situation of youth, the existing services and the problems of alcohol, drug use and risk-taking behaviour. This conference was a pre-event to the WHO Ministerial Conference on Mental Health which will be held in Helsinki on January 12-15, 2005. The draft conclusions from the pre-conference are open for comments. This document has been uploaded on the WP-AI web-board under the forum: Announcements. We would value your feedback and therefore ask that you post comments no later than October 5, 2004. We will then combine all comments and send them to the Mental Health WP. Further information about the conference can be found at: http://europa.eu.int/comm/health/ph_determinants/life_style/mental/ev_20040921_en.htm

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(c) Second Meeting of the Mental Health Working Party Eleni Petridou from the WP-AI Secretariat participated in the Second meeting of the Mental Health Working Party in Luxembourg on September 22-23, 2004. During this meeting, the draft mandate of the Mental Health Working Party was formally approved. Key discussions focused on the following themes: mental health in the enlarged EU; the policy developments (Pre-conference on mental health and WHO Ministerial Conference, Work Plan 2005, Call for Proposals 2004); evidence and evaluation; and content of Mental Health in EU-Public Health. http://europa.eu.int/comm/health/ph_information/implement/wp/mental/ev_20040922_en.htm

(d) Reflection process for a new EU health strategy- request for comments The European Commissioner for Health and Consumer Protection, David Byrne, launched a reflection process on the EU health policy. This process will help shape the future EU health strategy. All public bodies and interested groups are invited to comment on the process by October 15, 2004. The paper has been uploaded on the WP-AI web-board under the forum Annoucements and we encourage you to participate by posting your comments by October 14, 2004 the latest. We will then send all comments to the Commission on behalf of the WP-AI. For further information, visit: http://europa.eu.int/comm/health/ph_overview/strategy/reflection_process_en.htm

(e) Work Plan 2005 Following the consultation with the different Working Parties, the Network of Competent Authorities and Network of Working Party Leaders, the Work Plan for 2005 has been drafted and is out for final comments. You can view the draft Work Plan on the WP-AI web-board under the forum Function III: Work Plans "Draft version of Work Plan 2005." We would appreciate your feedback by October 20, 2004.

(f) ECSA – Workshop in Stockholm Following the European Child Safety Alliance Workshop “Safer environments for children in Europe”, a draft manifesto was developed with recommendations on child injury prevention to WHO, the European Commission, the Member States, and stakeholders. This manifesto aims to be used as an advocacy tool at the National and European level to advance child injury prevention. ECSA has requested feedback on this document by October 13, 2004. To coordinate the comments of the WP-AI, this document has been uploaded on the WP-AI web-boardunder the forum Announcements and we encourage you to post your comments by October 11, 2004. We will then combine all comments and send it to ECSA on behalf of the WP-AI.

(g) SafetyLit Safetylit is an online source that provides recent information (weekly updated) about the occurrence and prevention of injuries, by examining more than 500 relevant journals and scoring the reports from government agencies and organization. We highly recommend you

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to sign up and receive current updates about recent injury prevention abstracts, as this information is most relevant for our work. We are happy to inform you that a commentary on the issues of the effectiveness of community based injury prevention interventions was recently published in the European Journal of Epidemiology and encourage you to view this article. Evaluation of Community Based Injury Prevention An Epidemiologist's Quandary We welcome you to send us recent publications to distribute with the next WP-AI Memo. http://www.safetylit.org

(h) WP-AI Newsletter The WP-AI Newsletter is in the process of being developed and will be disseminated in mid- November 2004. In order to ensure the timely passage and accurate exchange of information of projects, we would request that all project leaders who have completed an IPP project within the past 6 months draft a one page report describing briefly the main outcome of their final report. Please include the conclusions and concrete recommendations on how the processes of the project might be adapted for other projects and/or how to implement the actions described in the conclusions. Please send the one page report to Stephanie Anast, email [email protected] by October 29, 2004.

(i) WP-AI Web-board: New additions A new reference page has been created as an entry point to the WP-AI web-board providing some useful links to injury prevention websites. This has been developed to facilitate the need for a central information source until the WP-AI website will be created by the Consumer Safety Institute (NL). If you would like to recommend other relevant links and/or sources, please send an email to [email protected] APOLLO: The budgetary and technical forms of the APOLLO project submitted to the European Commission on April 26, 2004 within the framework of the Call for Proposal 2004 has been uploaded. Access is restricted to project partners and consultants.

(j) European Transport Safety Council Newsletter ETSC is a Brussels-based independent non-profit making organization dedicated to the reduction of the number and severity of transport crash injuries in Europe. ETSC seeks to identify and promote effective measures on the basis of international scientific research and best practice in areas which offer the greatest potential for a reduction in transport crashes and casualties. It provides factual information in the form of scientific reports and briefings, newsletters and events in support of high safety standards in EU harmonization, the take up of best practice and transport safety research. To view the bi-monthly newsletter distributed only by email, visit: http://www.etsc.be/oldsite/new.htm

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Memo.4 Ref number: 15/1204 Sent December 13, 2004 (a) About this memo (b) Press Conference regarding safety among the elderly in the EU (c) Pre-event, September 2005 in Greece (d) APOLLO meeting (e) EU Projects Update (f) Upcoming meetings and events The Secretariat of the WP-AI would like to wish you a safe and Merry Christmas and all the best for a prosperous New Year. For questions or comments: Secretariat WP-AI Center for Research and Prevention of Injuries Medical School, University of Athens 75 M. Asias, Athens 115 27, Greece Tel: +30 210 7462188 Fax: +30 210 7462105 email: [email protected]

(a) About this memo of the Working Party on Accidents and Injuries (WP-AI) This memo provides everyone with the opportunity to exchange information relevant to the Working Party. Simply send anything you would like us to distribute and we will be happy to share it with the WP members. Send information to Stephanie Anast via email [email protected]. If you do not want to receive this WP-AI memo, please notify Stephanie Anast via email. This memo is also available on the WP-AI web-board under the section Functions of the WP-AI Secretariat and forum Function II: Dissemination

(b) Press Conference regarding safety among the elderly in the EU A press conference is taking place on the occasion of EUNESE (European Network of Safety Among the Elderly) project and is held by the European Commission representation in Greece (Director Mr. George Markopouliotis), the Department of Epidemiology, Athens Medical School (Director Dimitrios Trichopoulos) and the Center for Research and Prevention of Injuries (Director Eleni Petridou). The press conference aims to address safety among the elderly in the EU-25 and will take place on December 22, 2004 in Athens, Greece. For further information, please contact Dr. Terzidis at [email protected]

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(c) Pre-event to the First European Conference on Injury Prevention and Safety Promotion In efforts to enhance and strengthen the participation of the ten new member states as well as the Balkan countries, a Pre-event to the First European Conference on Injury Prevention and Safety Promotion has been planned for September 28 – Oct 1, 2005. A preparatory meeting was held on November 20, 2004 and discussions regarding the structure and potential content of the Pre-event took place. The minutes are on the WP-AI web-board along with a draft program. We welcome your comments.

(d) APOLLO meeting A decision making meeting for the umbrella proposal APOLLO: Strategies & Best Practices for the Reduction of Injuries under the budget of 2004 within the framework of the Public Health Programme of the EC took place in Athens on Nov. 20-21, 2004. The aim of the meeting was to reach a consensus regarding the reduction of the budget allocated by the EC and to review the deliverables in accordance with the new budget available. The outcome of the meeting was positive as a consensus was reached and each Work Package leader modified their Work Packages in relation to the budget change. The negotiations between the University of Athens, project leader, and the EC will enter into the final stages. The agenda of the meeting as well as the minutes and presentations are available on the WP-AI web-board under the section PHP Projects and forum APOLLO.

(e) EU Projects Update (Public Health Programme 2003) Maintenance, development and promotion of the Injury Database: The first kick off meeting of this EU project was successfully organized in Prague on October 11-12, 2004. Thirty-five (35) participants attended, of which 16 were National Data Administrators, to demonstrate their commitment to the goals and objectives of the project. During the meeting, the participants discussed and confirmed the work plan of the project, the implementation of respective task forces and the responsibilities of the steering committee members. For further information about the aims and expected deliverables, please visit www.euroipn.org or contact Dr. Robert Bauer from Austria: [email protected] EUNESE (European Network for Safety among the Elderly): The first EUNESE Meeting was successfully organized in Athens on November 22-23, 2004. The project, its management, structure and budget were presented as well as the five created working groups. Working group sessions were organized where members discussed the action plans, deliverables and tasks, as well as each member involvement. This project began July 1, 2004 and will run for 36 months. It involves over 30 partners representing 23 different EU countries and aims to reduce injuries among senior citizens. (Project Leader: University of Athens, Greece) The meeting agenda, minutes and presentations are available on the WP-AI web-board under the section PHP Projects and forum EUNESE. CSAP (Child Safety Action Plan): The 30 month initiative began officially on October 1, 2004 and will run to May 30, 2007 with the 18 country partners who committed to partner with ECSA. The aim of the CSAP project is to enable national and European level strategic and action planning for child safety. To achieve the overall aim of the project three aspects of strategic and action planning will be brought together to support the country level activities: child injury and action indicators, examples of best practice and a mentoring process to

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facilitate countries through assessment and planning processes. (Project Leader: ECSA-European Child Safety Alliance). The first meeting is pending.

(F) Upcoming meetings and events IMechE Conference: Vehicle Safety 2004: The "Vehicle Safety 2004" Conference will be held by IMechE (Institution of Mechanical Engineers), in London on December 14-15, 2004. This two day Conference will cover new research and development, and the outcome of new design solutions and their application, in the overall field of road vehicle safety. For further information, please visit the web-site:www.imeche.org.uk/conferencesandevents Meeting of the Network of Working Party Leaders: January 17-18, 2005 in Luxembourg Meeting of the Working Party on Accidents and Injuries: February 1-2, 2005 in Luxembourg

Memo.5 Ref number: 16/0205 Sent February 18, 2005 (a) About this memo (b) WP-AI meeting, February 1-2, 2005 (c) NWPL – NCA meetings January 18-19, 2005 (d) Call for Proposal 2005: Information Day (e) Recent project progress (f) Have you received a copy of the WP-AI Newsletter? (g) What’s new on the WP-AI Web-board? (h) NDA meeting For questions or comments: Secretariat WP-AI Center for Research and Prevention of Injuries Medical School, University of Athens 75 M. Asias, Athens 115 27, Greece Tel: +30 210 7462188 Fax: +30 210 7462105 email: [email protected]

(a) About this memo of the Working Party on Accidents and Injuries (WP-AI) This memo provides everyone with the opportunity to exchange information relevant to the Working Party. Simply send anything you would like us to distribute and we will be happy to share it with the WP members. Send information to Stephanie Anast via email [email protected]. If you do not want to receive this WP-AI memo, please notify Stephanie Anast via email. This memo is also available on the WP-AI web-board under the section Functions of the WP-AI Secretariat and forum Function II: Dissemination

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(b) Working Party on Accidents and Injuries (WP-AI) Meeting The WP-AI had their fourth meeting on February 1-2, 2005 in Luxembourg. The meeting was productive and informative as experts came together to discuss their recent activities and progress of task forces and projects. A key topic was the strategic document Actions for a Safer Europe created to act as the foundation for the group’s present and future direction. To compliment this document, a communication plan was also presented to the group and both documents are still open for comments. All documents have been posted on the WP-AI web-board: WP-AI Web Board Forum Index -> Feb 1-2 2005, The 4th Meeting in Luxembourg All documents will be available on the EC website: http://europa.eu.int/comm/health/ph_determinants/environment/IPP/ipp_en.htm

(c) Network of Working Party Leaders and National Competent Authority Meetings In efforts to target the need for linking the Working Parties and enhancing horizontal collaboration, the NWPL held their second meeting on January 17-18, 2005 in Luxembourg. The participants exchanged information about topics such as their respective WP progress and activities, task forces, and recent ECHI shortlist. The National Competent Authorities met on January 18-19, 2005 in continuation to the NWPL meeting where Rupert Kisser presented the importance of the IDB to the group requesting their support in this action. NCA are invited government workers who come together to provide information and advice on their situation and policies in their MS. Agenda topics included the Call for Proposal, EU Public Health Portal, EuroCDC, and EU Health Survey System and Registries. Participation lists, presentations and progress reports have been uploaded on the NWPL-NCA and WP-AI web-boards (under the announcement forum).

(d) Call for Proposal 2005: Information Day The Call for Proposals 2005 is out and all official documents (work plan, application forms, guides, etc) can be downloaded from the EC website. The deadline for proposal submission is April 15, 2005. The Commission organized an Information Day where the program’s objectives were presented together with the new technical and budgetary application forms. For more information on the proposed work packages, please contact the Secretariat ([email protected]). More specifically, those interest in the First European Conference proposal, please contact Dr. Costas Antoniades [email protected] or Dr. Olga Kalakouta at [email protected] Visit the following link to find view the documents: http://europa.eu.int/comm/health/ph_programme/programme_en.htm

(e) Recent project progress EUNESE (European Network for Safety among Elderly) Did you know that every year almost 100 000 elderly in the EU-25, that is more than 250 people die every day, only of this most preventable cause of death, namely injuries, whereas more than one third of the health care expenditure is spent during the last year of life. To disseminate this important fact together with the actions being carried out in the program EUNESE (European Network for Safety among Elderly), an informative brochure has been created and disseminated to a broad network. This project involves over 30 partners under

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the organization of CEREPRI (Center for Research and Prevention of Injuries) in Greece within the framework of the Public Health Program of the European Union. Please find attached the brochure for your review. For further information about the program, please contact: Eleni Petridou, email: [email protected] WORKHEALTH: Work-related health monitoring in Europe from a public health perspective Work is known to be one of the most important determinants of peoples’ health status. This should be reflected in European public health monitoring systems. The 2-year project "WORKHEALTH" (2002-2004), coordinated by BKK Bundesverband (Germany) and supported by the EU Commission, has therefore established indicators to show how work has an impact on public health and to facilitate the implementation of work-related health monitoring at European level. Experts from 14 European Countries participated in this project. The project was carried out through three work packages: first, a synopsis of existing work-related indicator sets (generic indicators) followed by an identification of areas still to be developed; then, the supplementation of new indicators for work-related health monitoring in order to identify data sources and data needs to improve implementation; finally the operational definitions for the indicators in order to assess the validity and reliability of indicators. Monitoring work-related health on EU level enables the collection of reliable and comparable data that serve the planning of health at work strategies and contribute to comparisons of the impact of actions taken in the different countries. Furthermore, they provide insight into the causal relationship between work and health. The report and additional information are available at [email protected] and www.bkk.de (search term: WORKHEALTH).

(f) Have you received a copy of the WP-AI Newsletter? The first issue of the Action on Accidents and Injuries, the newsletter of the Working Party on Accidents and Injuries has been published and presents the current issues of injury prevention together with the recent activities of the group. If you have not already received a copy of this newsletter and would like to, please contact Stephanie Anast ([email protected]) or Justin Cooper ([email protected]). In order to ensure that the newsletter is being disseminated to the widest possible network, all those interested in translating the newsletter into their language (or drafting a translated summary of the content) are encouraged to do so. This way, we can multiply the recipients. The newsletter will be available in the Greek language. If interested in receiving a copy in Greek, please contact the Secretariat. It is also can be found on the WP-AI web-board under the dissemination forum of the Secretariat and website of ECOSA: http://www.ecosa.org/csi/ecosa2003.nsf/news

(g) What’s new on the WP-AI Web-board? Subject: Presentations of the WP-AI meeting, February 2005. Forum: Meetings of the WP-AI -----> Feb 1-2 2005, The 4th Meeting in Luxembourg Added on: 10 Feb 2005 Subject: NWPL and NCA participation list Forum: Announcements --------> Meeting of NCA and NWPL Added on: 16 Feb 2005

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Subject: Presentations and progress reports for NWPL meetings Forum: Announcements --------> Meeting of NCA and NWPL Added on: January 24, 2005 Subject: Final Version Report of the Road Safety Task Force Forum: Road Safety->January 2005 Version Added on: 16 Feb 2005 Open for comments Subject: WEBSITE: Action on Accidents and Injuries Forum: WP-AI Web Board Forum Index -> Function II: Dissemination Added on: 17 Feb 2005 Open for comments

(h) NDA meeting The IDB Seminar has been postponed and is tentatively planned for June 20-21, 2005 in Luxembourg. For further information, please contact the Sr. Technical Administrator Mr. Kloppenburg ([email protected])

The EUNESE brochure was attached to this memo. Memo.6 Ref number: 09/0605 Sent: June 16, 2005 (a) About this memo (b) Pre-event: Registration is now available (c) NWPL – NCA meeting (d) Have you received a copy of the second WP-AI Newsletter? (e) Burden of Injuries Task Force report (f ) What’s new on the WP-AI Web-board? (g) Re-launch of the IDB Database For questions or comments: Secretariat WP-AI Center for Research and Prevention of Injuries Medical School, University of Athens 75 M. Asias, Athens 115 27, Greece Tel: +30 210 7462188 Fax: +30 210 7462105 email: [email protected] (a) About this memo of the Working Party on Accidents and Injuries (WP-AI) This memo provides everyone with the opportunity to exchange information relevant to the Working Party. Simply send anything you would like us to distribute and we will be happy to share it with the WP members. Send information to Stephanie Anast via email [email protected]. If you do not want to receive this WP-AI memo, please notify Stephanie Anast via email. This memo is also available on the WP-AI web-board under the section Functions of the WP-AI Secretariat and forum Function II: Dissemination

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(b) Pre-event: Registration is now available Registration for the Pre-event of the First European Conference on Injury Prevention and Safety Promotion September 29 - October 1 2005, Eretria, Greece is now available on line: http://www.cc.uoa.gr/health/socmed/hygien/pre_event/ For further information and registration please visit: http://www.cc.uoa.gr/health/socmed/hygien/pre_event/ or contact: [email protected]

(c) Network of Working Party Leaders and National Competent Authority Meeting The third meeting of the NWPL has been scheduled on July 4-5, 2005 in Luxembourg at the Jean Monnet Building. The agenda has been posted on the web-board (forum: announcements). Please inform the Secretariat if you have any concerns that you would like addressed during these meetings. In addition, at both previous Network Working Party Leader meetings there was a discussion on theoretical and practical overlap between WP and subsequent assignment of projects to WP, as well as on logical connections between WP. The partition into WPs is relatively new and not all members of the NWPL were aware of the reasons behind the Public Health Programme structure. The feeling at the January meeting was that a structured approach of these issues could help in discussing problems of overlap and project assignment. It was agreed that Pieter Kramers (as co-ordinator of ECHI-II and ad-hoc representative of WP7 on Indicators) and the Nivel Secretariat would produce a document presenting a theoretical basis or 'map' for the Working Parties structure. This document would form the basis for a discussion on both overlap and assignment. In addition, this document could also provide a basis for defining common ground within the WPs and facilitate synergies between projects. This document is out for comments and can be found on the web-board (Forum: Annoucements).

(d) Have you received a copy of the WP-AI Newsletter? The second issue of the newsletter Action on Accidents and Injuries has been published and presents the current issues of injury prevention together with the recent activities of the group. Amongst others, topics include:

- Interview with the Commissioner Kyprianou - FOCUS on elderly safety (EUNESE and Janice Cave) - Article on preventing farm injuries - Member in spotlight: Poland

If you have not already received a copy of this newsletter and would like to, please contact Stephanie Anast ([email protected]) or Justin Cooper ([email protected]). It is also can be found on the WP-AI web-board under the dissemination forum of the Secretariat and website of ECOSA: http://www.ecosa.org/csi/ecosa2003.nsf/news In order to ensure that the newsletter is being disseminated to the widest possible network, all those interested in translating the newsletter into their language (or drafting a translated summary of the content) are encouraged to do so. This way, we can multiply the recipients. Thank you.

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(e) Burden of Injuries Task Force report The first draft of the Burden of Injuries Task Force report BURDEN OF FATAL INJURIES IN EU is out for comments. Injuries are a major problem impairing the health and welfare of citizens of European Union. In response to this important issue, DG SANCO of the European Commission set up a Task Force on the Burden of Injuries (BOI) within the framework of the Working Party on Accidents and Injuries in December 2003. The main goal of this Task Force is to produce a brief report for the Working Party on Accidents and Injuries (WP-AI) on the burden of injuries in the European Union. Please visit forum: Burden of Injuries to view report. We welcome comments by June 28, 2005.

(f) What’s new on the WP-AI Web-board? Forum: Burden of Injuries Subject:First Draft of Final Report BURDEN OF FATAL INJURIES IN EU Posted: June 14, 2005 Forum: Announcements Subject:Agenda of the NWPL meeting July 2005. Posted: June 13, 2005 Forum: Announcements Subject: Meeting of NCA and NWPL July 4-5, 2005 Posted: June 13, 2005 Forum: Function II: Dissemination Subject: Newsletter:Actions on Accidents and Injuries: Issue II Posted: June 03, 2005 Forum: Announcements Subject: Injuries in the WHO European Region - Request for comments Posted: June 02, 2005 Forum: Announcements Subject: STRATEGIC PLAN FOR THE PREVENTION OF UNINTENTIONAL CHILDHOOD Posted: June 02, 2005 Forum: Strategic Planning Subject: FINAL: Actions for a Safer Europe Posted: May 20, 2005 Forum: Announcements Subject: New Health and Consumer Strategy and Programme Posted: May 17, 2005 Forum: Work-Program 2004: APOLLO, Scientific Coordinator: Eleni Petridou Subject: Email by Maria May 11, 2005 for WP2 Posted: May 12, 2005 Forum: Work-Program 2003: IDB - Scientific coordinator: Robert Bauer Subject: 1st AI- Data Collection Meeting, 14 - 15 april 2005, Vienna Posted: May 05, 2005 Forum: Work-Program 2003: IDB - Scientific coordinator: Robert Bauer Subject: Progress Report January 2005 Posted: April 27, 2005

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Forum: Work-Program 2003: CHILD SAFETY - Scientific coordinator: Joanne Vincenten Subject: Progress Report January 2005 Posted: April 27, 2005 Forum: Pre-event to the First European Conference on Injury Prevention and Safety Promotion Subject: Preliminary Program Posted: April 27, 2005 9:28 am Forum:Road Safety Subject: Report of the Road Safety Task Force. April 2005 Update Posted: April 25, 2005 Forum: General Announcements (EUNESE) Subject: Fall related and road traffic injuries in Greece Posted: April 14, 2005 Forum: Work-Program 2003: IDB - Scientific coordinator: Robert Bauer Subject: IDB-hospital network - Contacts to potential IDB-hospitals Posted: March 23, 2005 Forum: Work-Program 2003: IDB - Scientific coordinator: Robert Bauer Subject: IDB-Coding Manual, V. 1.1 Posted: March 23, 2005 Forum: General Announcements (EUNESE) Subject: EUNESE comparative mortality data Posted: March 15, 2005 Forum: Function II: Dissemination Subject: WP-AI Newsletter: ACTION ON ACCIDENTS AND INJURIES: Issue I Posted: March 15, 2005 Forum:General Announcements Subject: EUNESE Progress Report - February 2005 Posted: March 08, 2005 Forum: Work-Program 2004: APOLLO, Scientific Coordinator: Eleni Petridou Subject: Email by Maria Segui Gomez Posted: March 07, 2005 Forum: Road Safety Subject: March 2005 Final Version - Updated 23 March 2005 Posted: March 04, 2005 Forum: Function I: Statistics Subject: Potential reduction (%) of injuries mortality in 22 EU MS Posted: February 25, 2005

(g) Re-launch of the IDB Database The IDB workshop IDB re-launch has been scheduled for June 28-29, 2005 in Luxembourg at the Jean Monnet Building. The IDB new coding manual will be presented together with the coding tools. For further information, please contact Robert Bauer. Email: [email protected]

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Memo.7 Ref number: 17/1105 Sent: November 14, 2005 (a) About this memo (b) Next meeting of the Working Party on Accidents and Injuries (c) Pre-event: one month after (d) The new WP-AI website (e) Statistics Portal on Accident and Injuries (f ) Meeting of the Working Party on Health Indicators (g) What’s new on the WP-AI Web-board? (h) New additions of interest (i ) Brief news about the injury prevention projects For questions or comments: Secretariat WP-AI Center for Research and Prevention of Injuries (CEREPRI) Medical School, University of Athens 75 M. Asias, Athens 115 27, Greece Tel: +30 210 7462188 Fax: +30 210 7462105 Email: [email protected]

(a) About this memo of the Working Party on Accidents and Injuries (WP-AI) This memo provides everyone with the opportunity to exchange information relevant to the Working Party. Simply send anything you would like us to distribute and we will be happy to share it with the WP members. Send information to Stephanie Anast via email [email protected]. If you do not want to receive this WP-AI memo, please notify Stephanie Anast via email. This memo is also available on the WP-AI web-board under the section Functions of the WP-AI Secretariat and forum Function II: Dissemination

(b) Next meeting of the Working Party on Accidents and Injuries The next meeting of the Working Party on Accidents and Injuries has been scheduled on December 8, 2005 at 9:30 in room Glesener of the Jean Monnet Building in Luxembourg. The draft agenda can be viewed on the WP-AI web-board in the forum: Meetings of the WP-AI subject: December 8, 2005, The 5th Meeting in Luxembourg and we invite you to post your comments. The Commission has distributed invitations to members. All relevant documents will be distributed and posted on the web-board prior to the meeting. For further inquiries, please contact the Stephanie Anast from the WP-AI Secretariat by email [email protected].

(c) Pre-event: one month after On September 29 to October 1, 2005, the Working Party on Accidents and Injuries held the Pre-event aimed at fostering the active participation of the new member states and candidate countries towards efforts targeting the reduction of injuries in view of the First European Conference on Injury Prevention and Safety Promotion. It was an excellent opportunity for all EU member states (old and new), EFTA and candidate countries to exchange information

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about injury prevention and enhance cooperation. The event was well attended by over 160 participants from the EU and EFTA countries, USA, Australia and South Africa. Representatives from WHO, EC and EUPHA were present as well as members from the other EC Working Parties (Mental Health, Environment, and Health Systems). Presentations will be made available on the Pre-event website: http://www.cc.uoa.gr/health/socmed/hygien/pre_event. For further information, please contact the WP-AI Secretariat (Stephanie Anast, email: [email protected])

(d) The new WP-AI website For those of you who are not aware, the Secretariat of the Working Party on Accidents and Injuries in collaboration with the Consumer Safety Institute in the Netherlands has launched the WP-AI website: http://www.actiononinjuries.org Here you can find information about the vision and strategy, current and finalized injury prevention projects supported by the European Commission, events, contact details about WP-AI members, NDA and other relevant organizations as well as a comprehensive reference library. We invite you to visit this site and discover what is taking place in injury prevention in the EU. In addition, we value your comments and are interested to know what you think of this new site and if you find it useful. Please address all inquiries and comments to the WP-AI Secretariat (Stephanie Anast, email: [email protected]).

(e) Statistics Portal on Accident and Injuries On behalf of the EC and the Working Party on Accidents and Injuries (WP-AI), the Secretariat of the WP-AI (CEREPRI) has launched an ambitious project for the development of a Statistics Portal on Accident and Injuries data in close consultation with the Commission Services. The main aim of the Statistics Portal is to become a single-entry point for accident statistics by integrating, under a user-friendly and intuitive interface, many different European and international accident data sources. Current Status: - WHO Mortality Data - Already integrated - CARE Road Accident Mortality Data - To be released soon - EDISS Morbidity Data - Work On Progress The Pilot Version of the Portal is now publicly available at the following addresses: http://www.euroipn.org/stats_portal or http://www.keppa.gr (follow the link to the portal) and we invite you to use it! For further inquiries, please do not hesitate to contact Stergios Palamas, WP-AI Secretariat at [email protected]

(f) Meeting of the Working Party on Health Indicators The WP-AI Secretariat participated in the first meeting of the Working Party on Health Indicators on October 20, 2005 in Luxembourg. This WP is one of the seven working parties of the DG Sanco Public Health Programme and the main goal is to achieve comparability of health information in all Member States. In response to the request to exchange information about how the different European projects and activities could contribute to the Health Information System, Professor Eleni Petridou from the WP-AI Secretariat presented the current activities of the WP-AI and areas of potential collaboration. To view this presentation, together with the minutes and other relevant documents, please visit the EC website at the following address or contact the Working Party

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on Accidents and Injuries Secretariat (Stephanie Anast email: [email protected]): http://europa.eu.int/comm/health/ph_information/implement/wp/indicators/indicators_en.htm In addition, the International Compendium of Health Indicators part two (ICHI-2) website is available at www.healthindicators.org. The website gives access to the names and definitions of all ECHI-2 indicators, the health indicators from the WHO HFA database (2005), almost all indicators from the OECD Health Data 2005 database (a few purely financial indicators are not included), and a substantial part of the health-related indicators from the New Cronos (2005) website of Eurostat. The Eurostat indicators and definitions which are still missing will be included in the next release of the ICHI-2 website. Comments on both the design and the content of the website are welcomed and can be sent to the WP-AI Secretariat (Stephanie Anast email:[email protected])

(g) What’s new on the WP-AI Web-board? August-November 2005 Forum:Announcements Subject: Sigma magazine Posted: Wed Nov 09, 2005 Forum: Function II: Dissemination Subject: WEBSITE: Action on Accidents and Injuries (notice) Posted: Tue Nov 08, 2005 Forum: Work-Program 2004: APOLLO Subject: CONTRACT and ANNEX I of APOLLO Posted: Nov 08, 2005 Forum: Work-Program 2004: APOLLO Subject: Request for work plans for each work package (notice) Posted: Tue Nov 08, 2005 Forum: Burden of Injuries Subject: Second Draft of Final Report BURDEN OF FATAL INJURIES IN EU (comments from WP members) Posted: Fri Nov 04, 2005 Fourm: General Announcements Subject: EUNESE- Contract, Budget and Interim Report Posted: Tue Nov 01, 2005 Forum: Work-Program 2004: APOLLO Subject: message from Maria Gomez to WP2 colleagues: October 25, 2005 Posted: Wed Oct 26, 2005 Forum: December 8, 2005, The 5th Meeting in Luxembourg Subject: Draft agenda for meeting Posted: Tue Oct 25, 2005 Forum: Work-Program 2003: IDB Subject: 2nd IDB-Project Meeting, September 28, 2005, Posted: Mon Oct 24, 2005 Forum: General Announcements (EUNESE) Subject: Presentations of the EUNESE Meeting Oct 1- 2,2005, Eretria Posted: Thu Oct 20, 2005

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Forum: Communication Planning Subject: Communication Strategy 2005-2008 FIRST DRAFT Posted: Tue Sep 13, 2005 Forum: Function II: Dissemination Subject: Condolence letter to the USA embassy for Katrina Posted: Mon Sep 12, 2005 Forum: Other Informative Materials related to the Secretariat Subject: Interim Technical Report Posted: Fri Sep 09, 2005 Forum: Announcements Subject: WORK PLAN 2006 Posted: Fri Aug 26, 2005 Forum: Announcements Subject: WHO:55th session of the WHO Regional Committee (RC55) Posted: Fri Aug 05, 2005

(h) New additions of interest Worker Health Chartbook 2004 (NIOSH) Considered a great resource, the NIOSH Worker Health Chartbook 2004 is a descriptive epidemiologic reference on occupational morbidity and mortality in the United States. It presents an integrated view of occupational safety and health surveillance data and information from 19 surveillance programs and surveys of occupational injury and illness in the United States. The Chartbook includes more than 400 figures and tables describing the magnitude, distribution, and trends of the Nation’s occupational injuries, illnesses, and fatalities and can be accessed at: http://www.cdc.gov/niosh/docs/chartbook. Sigma magazine published by Eurostat The new issue of the Sigma magazine, published by Eurostat, has been published and focuses on health statistics. Interviews with Marleen De Smedt, Didier Dupre, John F. Ryan and other EC health information system actors are included in this month’s issue. The magazine Sigma will be published by Eurostat twice a year and is available in English, French and German. The magazine is available free of charge and can be downloaded from the Eurostat website: http://epp.eurostat.cec.eu.int/portal/page?_pageid=1073,46587259&_dad=portal&_schema=PORTAL&p_product_code=KS-BU-05-001 It is also possible to order copies from: Eurostat Press and Communication Team Bech A3/094 L-2920 Luxembourg [email protected]

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(i) Brief news about the injury prevention projects DG Sanco co-funded projects ECSA (European Child Safety Alliance): CSAP program: Meeting in Brussels Nov 9/10, 2005. Hearing on Child Safety with Commissioner Markos Kyprianou DG Sanco and MEP Philip Whitehead on November 9, 2005. (Main coordinator: ECSA, NL) EUNESE: The second project meeting took place on October 1/2, 2005 in Greece following the Pre-event. The presentations are available on the WP-AI web-board under the respective forum. The minutes will be available soon. (Main coordinator: CEREPRI, Greece) IDB: The second project meeting took place on September 28, 2005 in Greece prior to the Pre-event. The minutes and relevant documents are available on the WP-AI web-board under the respective forum. (Main coordinator: Sicher Leben, Austria) APOLLO: The APOLLO is finalizing the signing process and is planned to commence on the first day of the month following the date when the last party signs the agreement, so most likely the beginning of January 2006. (Main coordinator: CEREPRI, Greece)

Memo.8 Brief memo – sent only to WP-AI and not extended network Sent: March 29, 2006 Ref: 19/0306 (a) About this memo (b) Call for Proposal 2006 (c) Communication document (d) Injury Statistics Portal For questions or comments: Secretariat WP-AI Center for Research and Prevention of Injuries (CEREPRI) Medical School, University of Athens 75 M. Asias, Athens 115 27, Greece Tel: +30 210 7462188 Fax: +30 210 7462105 Email: [email protected]

(a) About this memo of the Working Party on Accidents and Injuries (WP-AI) This memo provides everyone with the opportunity to exchange information relevant to the Working Party. Simply send anything you would like us to distribute and we will be happy to share it with the WP members. Send information to Stephanie Anast via email [email protected]. If you do not want to receive this WP-AI memo, please notify Stephanie Anast via email. This memo is also available on the WP-AI web-board under the section Functions of the WP-AI Secretariat and forum Function II: Dissemination

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(b) Call for Proposal 2006 As you may know, the Commission has launched the Call for Proposal 2006. The deadline for proposal submissions is May 19, 2006. Further information about the call can be found at the following link: http://europa.eu.int/comm/health/ph_programme/howtoapply/call_for_propal_en.htm The Working Party on Accidents and Injuries has been invited to join the project ‘Bridging the Gap project (http://www.eurocare.org/btg/index.html) as a collaborating partner. Responsibilities would include participating in three meetings of the network (WP1), (expenses for one representative covered by the project) as well as the 2008 conference (WP7) and also assist in the completion of work package 10, perhaps by working with other country focal points to identify country-based policies and practices to reduce alcohol-related accidents and injuries. For further information about this project, please visit the WP-AI Web Board Forum Index -> Announcements under subject Implementing Co-ordinated Alcohol Policy in Europe or contact the WP-AI Secretariat: [email protected]

(c) Communication from the Commission to the Council of Ministers and the European Parliament on Actions for a Safer Europe This document is currently being reviewed and revised by all Services of the Commission with a view to aligning the health messages with Community policies. The adoption of both documents is expected by the end of April. After the adoption, documents will be available on EC website.

(d) Injuries Statistics Portal As you may know, the Secretariat of the WP-AI (CEREPRI) has developed in injury statistics portal in close consultation with the Commission Services. The Injury Statistics Portal is a web database that provides EU injury-related statistics through a user-friendly interface. It is a single-reference point for accidents and injuries statistics. Meaningful and important statistics can be quickly and easily accessed by simply using a few mouse-clicks. The Portal can be found at the following link: http://www.euroipn.org/stats_portal A tutorial has just been developed which provides a step-by-step overview of how to use the Portal and conduct queries. The Secretariat will be distributing the tutorial shortly. If you would like to obtain the tutorial on CD-Rom, please contact the Secretariat: [email protected]

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Appendix II Newsletter mailing list

CEREPRI, University of Athens, Medical School, Dept. of Hygiene and Epidemiology Mikras Asias 75, Athens, 115 27, Greece Telephone: + 30 210 –7462 187 Fax: + 30 210 -7462 105

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Appendix II: Newsletter mailing list Mrs. A. Williams, UK Mrs. A.G. Seay / NHTSA Dept of Transportation DC, USA Dr. S.L. Tillim M.D., USA Mrs. M. Drewry, UK Prof. R. Trindade Jr., USA Administration of Occupational Safety and Health,A. Asgeirsdóttir Agence Française de Sécurité Sanitaire Environmentale (AFSSE),M. Védrine Agence Nationale pour l'Amélioration des Conditions de Travail,M. Vallée Agència Catalana del Consum,J.L. Arias i Arias Agència Catalana del Consum,R. Gimeno Simon Andersen Corporation,Kathy Coen ANEC The European Consumer Voice in Standardisation,dr. G. Fabisch ANEC The European Consumer Voice in Standardisation,T. Vandenberghe APSI-Portuguese Association for Child Safety and Injury Control,H. Menezes Arbeidsforskningsinstituttet,S. Roed-Larsen Asociation Espanola de Neurosiquiatria,C. Escudero Association for the Psychosocial Health of Children and Adolescents,Asimopoulos Association for the Psychosocial Health of Children and Adolescents,J. Tsiantis Association for the Psychosocial Health of Children and Adolescents,M. Kolaitis Association of Manufacturers of Domestic Appliances,P. Carver Atatürk University,B. Erci Athens University Medical School,D. Alexe Athens University Medical School,dr. A. Terzidis Athens University Medical School,K. Petroulaki Athens University Medical School,N. Dessypris Athens University Medical School,Prof. dr E. Petridou Athens University Medical School,S. Anast Athens University Medical School,S. Palamas Athens University Medical School,Y. Matzavakis Ava Fine Work2Health,J. Griffiths Azienda Ospedaliera Salvini,dr. A. Barbato Azienda ULSS 18 Rovigo,A. Marcolongo MD Azienda ULSS 18 Rovigo,dr. G. Tessari Azienda ULSS 18 Rovigo,dr. L. Gallo Azienda ULSS 18 Rovigo,F. Fenzi Azienda ULSS 20 Verona International Relations Office,dr. C. Detogni Azienda ULSS 20 Verona International Relations Office,dr. L. Marchiori Azienda ULSS 20 Verona International Relations Office,dr. M. Ensunza Arrien Bar-llan University,Yossi Harel BARMER Hauptverwaltung,dr. Meierjürgens Basque Government,I. Valdivielso Berufsverband der Kinder- und Jugendärtze e.V.,S. Eßer BKK Bundesverband,W. Bödeker British Standards Institution,A. Pindar British Toy & Hobby Association Ltd.,D. Hawtin British Toy & Hobby Association Ltd.,K. Lister Brno University of Technology,V. Vesely Bucharest University ,dr. B. Chiritoiu Bundesarbeidsgemeinschaft für Sicherheit und Gesundheit bei der Arbeit (Basi) e.V.,B. Zwingmann Bundesarbeitsgemeinschaft (BAG) Mehr Sicherheit für Kinder e.V.,dr. S. Märzheuser Bundesarbeitsgemeinschaft (BAG) Mehr Sicherheit für Kinder e.V.,M. Abel Bundesverband der Årzte des Öffentlichen Gesundheitsdienstes e.V. ,dr. J. Guggenmos Bundeszentrale fur Gesundheitliche Aufklarung,dr. F. Lehmann Bundeszentrale fur Gesundheitliche Aufklarung,dr. M. von dem Knesebeck Bureau of Injury Prevention,Susan Hardman

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Appendix II Newsletter mailing list

CEREPRI, University of Athens, Medical School, Dept. of Hygiene and Epidemiology Mikras Asias 75, Athens, 115 27, Greece Telephone: + 30 210 –7462 187 Fax: + 30 210 -7462 105

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Bureau Veritas - Consumer Products Services UK Ltd.,A. Kirwilliam Bureau Veritas - Consumer Products Services UK Ltd.,I. Dalgetty Bureau Veritas- Consumer Products Services Inc.,dr. R. Janardhan Cardiff University Wales,Prof. J. R. Sibert Caribbean Epidemiology Centre (CAREC),M. Francis Centers for Disease Control and Prevention,dr. L.R. Cohen Barrios Centers for Disease Control and Prevention,Joanna Taliano Centraal Meldpunt voor Producten en Diensten,P. Van Driessche Central Statistic Officedr. B. Hajnal Ph.D. Central Statistic Office,E. Gárdos Central Statistic Office,J. Györke Central Statistic Office,J. Pruzsinski Central Statistical Office,L. Nowak MSc Central Union for Child Welfare in Finland,M. Upanne Centro experimentale per lEducazione Sanitaria,dr. L. Briziarelli CEREPRI-Centre for Research and Prevention of Injuries Among the Young,Prof. M. Dermitzakis CEREPRI-Centre for Research and Prevention of Injuries Among the Young,S. Kedikoglou Charles University 2,Alexander Martin Celko Charles University,dr M. Grivna MD MPH Charles University,M. Andrejskova Charles University,V. Benešová MD PhD Child Accident Prevention Trust (CAPT),dr. M. Hayes Child Accident Prevention Trust (CAPT),K. Phillips City of Edinburgh Council,M. Turley Ciudad Universitaria,Prof. A. Calcedo Barba Commission de la Sécurité des Consommateurs,F. Weill Commission de la Sécurité des Consommateurs,L. Machard Consumer Protection Board of Estonia,H. Aruniit Consumer Protection Board of Estonia,K. Pööra Consumer Risk Limited,G. Hayward Consumer's Association of Standardization of the Quality of Life (EKPiZO),A. Stravroulaki Consumer's Association of Standardization of the Quality of Life (EKPiZO),C. Sklavidis Consumer's Association of Standardization of the Quality of Life (EKPiZO),E. Alevritou-Goulielmou Consumer's Association of Standardization of the Quality of Life (EKPiZO),M. Kiriakopoulos Consumer's Association of Standardization of the Quality of Life (EKPiZO),V. Kosopoulous Consumers' Association,M. Bassett Consumers Defence Association of the Czech Republic,K. Pavlik COOP,M. Eppenberger Croatian National Institute of Public Health,V. Hrabak Zerjavic Cyprus Pediatric Society,dr. N. Persianis DAK,Kordt Danish Institute of Fire Technology,D. Westerman Danish Safety Technology Authority,G. Madsen B.Sc.E.E. Department of Health Information,dr. R.P. Pace Asciak Department of Health Promotion,dr. M. Spiteri Department of Tourism, Fair Trading and Wine Industry Development,D. Strachan Deutsche Gesellschaft für Gerontopsychiatrie,Prof. G. Stoppe Deutsche Gesellschaft für Kinderheilkunde und Jugend,dr. G. Olbrisch Deutsche Gesellschaft für Sozialpädiatrie und Jugendmedizin,Prof.dr. R. von Kries Deutsche Kinderhilfe Direkt e.V.,G. Ehrmann Deutsche Lebensrettungs-Gesellschaft e.V.,H. Stöhr Deutsche Verkehrswacht e.V.,m. Kraft Deutscher Verkehrssicherheitsrat e.V.,A. Bergmeier Deutsches Grünes Kreuz e.V., Forum Unfallprävention im Kilian.,K Afflerbach Deutsches Jugend-rotkreuz, Landesverband NRW e.V.,F. Danscher Direction de la Santé,dr. D. Hansen-Koenig Direction Générale de la Santé,dr. Martine Ruch Directorate for Civil Protection and Emergency Planning,G. Wold

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Appendix II Newsletter mailing list

CEREPRI, University of Athens, Medical School, Dept. of Hygiene and Epidemiology Mikras Asias 75, Athens, 115 27, Greece Telephone: + 30 210 –7462 187 Fax: + 30 210 -7462 105

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Directorate of Health,S. Haraldsdóttir DRESP, MGEN,Prof. V. Kovess DSI - Université Paris 5,dr. J.P. Darlot Dublin Healthy Cities Project Office,Ray Bateson East Hertfordshire NHS Trust,M.R. Barrow Ecole de Santé Publique,Prof. Emérite Michel Manciaux Education Development Center, Inc., S.S. Gallagher M.P.H. Electrolux Home Products,A. Blades Embedslaegeninstitutionen for Vejle Amt,A. Poulstrup Emory University,Prof. A.L. Kellermann MD/MPH EPHA EEN,Genon K. Jensen EPHA,J. Cave Erasmus Medisch Centrum, Instituut Maatschappelijke Gezondheidszorg,dr. E.F. van Beeck Erasmus Medisch Centrum, Instituut Maatschappelijke Gezondheidszorg,dr. M.L. Essink-Bot Erasmus Medisch Centrum, Instituut Maatschappelijke Gezondheidszorgdr. W.J. Meerding Erasmus Medisch Centrum, Instituut Maatschappelijke Gezondheidszorg,S. Polinder Estonian University,Prof. K. Katus EuroHealthNet,C. Costongs EuroHealthNet,C. Needle Eurolink Age Bulletin p/a Eurolink Age,Liz Morrall European Agency for Health and Safety at Work,E. Schneider European Child Safety Alliance,J. Vincenten European Child Safety Alliance,M. MacKay European Commission DG Research,P. Meriguet European Commission DG Sanco, Directorate B Consumer Affairs,A. Pantelouri European Commission DG Sanco, Directorate B Consumer Affairs,C. Billaux European Commission DG Sanco, Directorate B Consumer Affairs,E. Hansson European Commission DG Sanco, Directorate B Consumer Affairs,J. Vogelgesang European Commission DG-JRC,dr. C. Kirchsteiger European Commission, DG Sanco, Directorate C Public Health and Risk Assessment,F. Sauer European Commission, DG Sanco, Directorate C Public Health and Risk Assessment,H. Kloppenburg European Commission, DG Sanco, Directorate C Public Health and Risk Assessment,J.F. Ryan European Commission, DG Sanco, Directorate C Public Health and Risk Assessment,R. Kelterbaum European Commission, DG Sanco, Directorate C Public Health and Risk Assessment,T. Piha European Federation of Road Traffic Victims,B. Chaudhry European Free Trade Association (EFTA),K. Byrne European Men's Health Forum (EMHF),L. Lacains European Parliament,Å Westlund European Parliament,A. Adamou European Parliament,A. Doyle European Parliament,A. Ferreira European Parliament,A. Foglietta European Parliament,A. Kušis European Parliament,A. Poli Bortone European Parliament,A. Trakatellis European Parliament,A. Weisgerber European Parliament,A. Wijkman European Parliament,B. Lehideux European Parliament,B. Staes European Parliament,B.A. Sonik European Parliament,C. Davies European Parliament,C. Gutiérrez-Cortines European Parliament,C. Klass European Parliament,C. Schlyter European Parliament,C.F. Jackson European Parliament,D. Corbey European Parliament,D. Jørgensen European Parliament,D. Papadimoulis

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European Parliament,D. Roth-Behrendt European Parliament,E. Estrela European Parliament,E. Tzampazi European Parliament,E.R.A. Kohola European Parliament,F. Grossetête European Parliament,F. Ries European Parliament,F.M.M. Brepoels European Parliament,G. Andrejevs European Parliament,G. Hegyi European Parliament,G. Sacconi European Parliament,H. Breyer European Parliament,H. Krahmer European Parliament,H. Schnellhardt European Parliament,J. Blokland European Parliament,J. Evans European Parliament,J. Maaten European Parliament,J. Sjöstedt European Parliament,K. Scheel European Parliament,K. Sinnott European Parliament,K.H. Florenz European ParliamentL. Aylward European Parliament,L. McVan European Parliament,M. Callanan European Parliament,M. De Vits European Parliament,M. Drar Murko European Parliament,M. Honeyball European Parliament,M. Matsakis European Parliament,M. Ouzký European Parliament,M. Sornosa Martínez European Parliament,M. Thyssen European Parliament,M. Vernola European Parliament,M.A. Isler Béguin European Parliament,M.N Lienemann European Parliament,N. Glante European Parliament,P. de Villiers European Parliament,P. Jonckheer European Parliament,P. Liese European Parliament,P. Olajos European Parliament,Ph. Busquin European Parliament,R. Musacchio European Parliament,R. Myller European Parliament,R. Seeber European Parliament,S.M. Hassi European Parliament,T. Ulmer European Parliament,V. De Keyser European Safe Community Network (ESCON),Y. Rahim European Transport Safety Council ETSC,J. Beckmann European Transport Safety Council ETSC,P. Lewis EuroSafe,dr. W.H.J. Rogmans Eurostat, Statistical Office of the European Commission,D. Dupré Experimental Centre for Health Education, Perugia,G. Pocetto Falkoping Municipality,Robert Ekman Ph.D. Federal Institute for Occupational Safety and Health,A. Siefer Federal Institute for Occupational Safety and Health,dr. K. Kuhn Federal Ministry of Health and Women,P. Brosch Federal Office of Consumer Affairs,M. Pichonnaz-Oggier Federale Overheidsdienst Economie,l. Pottie Federation des Entreprises de Belgique - FEB,Diane Struyven

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Finnish Consumer Agency,T. Lounema Flinders University,Prof. J. Harrison Fodor József National Center for Public Health,M. Bényi MD Fondation MAIF,C. Le Guen Forbrugerstyrelsen,A.L. Bunch Frederikborg General Hospital,Prof. P. Bech Fyns Amt,J. Wackes Gedraekt, the Iceland MH Promotion,D. Gudmunsdottir General Inspectorate for Consumer Protection,dr. A. Nagy General Inspectorate for Consumer Protection,dr. I. Geri General Inspectorate for Consumer Protection,E. Zentai General Inspectorate for Consumer Protection,L. Nagy General Inspectorate for Consumer Protection,M. Csonka General Inspectorate for Consumer Protection,M. Kojnok GGD Rotterdam en Omstreken,A.J.J. Voorham GGD Rotterdam en Omstreken,W.F.M. de Haes Ghent University,Prof.dr.ir. P. Vandevelde GIFAM,C. Mahe Glasgow University Hospitals / Yorkhill Hospital,C. Roulston Glasgow University Hospitals / Yorkhill Hospital,dr. D.H. Stone Government of the Northwest Territories,A. Langford Harvard School of Public Health,Ilana Lescohier PhD Health Canada Centre for Surveillance Coordination,A. Hotte Health Canada, Jeanne Mance Building,J. Toews Health Canada, Jeanne Mance Building,Jean-Pierre Lachaine Health Canada, Jeanne Mance Building,Simone Powell Health Canada, MacDonald BuildingM. Caris Health Promotion State Agency,I. Laidina Health Statistics and Medical Technology Agency,dr. J. Misins Health Statistics and Medical Technology Agency,Dr.med. J. Karaskevica Hebrew University Hadassah,dr. R. Gofin MD MPH Hellenic Organisation of Standardization (ELOT),F. Krokos Hellenic Society for Quality in Health Care,A. Stavropoulou RN PhD Hellenic Society for Quality in Health Care,dr. Y. Skalkidis MD PMH PhD FACS Hilfe für das verkerhrsgeschädigte Kin e.V.,A. Recino Hillerød Sygehus - Frederiksborg Amts Sundhedsvæsen,Claus Falck Larsen MD PhD Hospital S. Francisco Xavier,dr. A. Carvalho Hospital Sant Pau,dr. J. Picanyol Hospital Universario 12 de Octubre,dr. D.J. Parise Methol IKK-Bundesverband,M. Cryns Independent Quality Solutions Ltd.,J. Burnie Indian Institute of Technology,dr. D. Mohan Industrial Accident Prevention Association (IAPA),Michael H. Abromeit Injury Prevention Research Unit,C. Cryer Ph.D. Inspection du Travail et des Mines ITM,P. Ambrosini Inspection du Travail et des Mines ITM,P. Weber Inspection Generale de la Securite Sociale,Raymond Wagener Institut de Veille Sanitaire (INVS),B. Thélot M.D. Institut National de Prévention et d'Education pour la Santé (INPES),dr. P. Arwidson Institut National de Prévention et d'Education pour la Santé (INPES),H. Bourdessol Institut national de santé publique du Québec (INSPQ),Y. Robitaille Institute for Preventative Sports Medicine,D.H. Janda MD Institute of Mother and Child,J. Mazur Institute of Occupational Medicine and Environmental Health,dr. J. Czapla Institute of Psychiatry, King's College,Prof. R. Jenkins Institute of Public Health Bucharest (ISPB),dr. V. Gheorghiu Institute of Public Health of Belgrade,dr. M. Paunovic

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Institute of Public Health of the Republic of Slovenia,A. Marušic PhD MD MRCPych MSc BSc Institute of Public Health of the Republic of Slovenia,D. Moravec Berger Institute of Public Health of the Republic of Slovenia,dr. M. Rok-Simon Institute of Public Health of the Republic of Slovenia,J. Sesok MD Institute of Transport Economics,R. Elvik Instituto do Consumidor,M. do Céu Costa Instituto Nacional de Estatistica,dr Miguel Pereira International Neurotrauma Research Organization,dr.med. M. Rusnak CSc International Neurotrauma Research Organization,Prof.dr.med. W. Mauritz PhD International Society for Child and Adolescent Injury Prevention (ISCAIP) c/o Child Accident Prevention Trust,M.Michael Hayes Intertek Labtest,J.M. Crussell Intertek Labtest,P. Bullock Intertek RAM Ltd.,J. Mason Intertek Research & Testing Centre,W. Brown Jagiellonian University, Institute of Public Health,dr. M. Malinowska-Cieslik . Jagiellonian University, Institute of Public Health,K. Kissimova-Skarbek PdH. Jagiellonian University, Institute of Public Health,K. Szczerbinska PhD Karl-Franzens-Universität Graz,prof. H. Noack Karlstad University,dr. R. Andersson Karolinska Institute,B. Springfeldt Karolinska Institute,dr. L. Laflamme Karolinska Institute,M. Hasselberg Karolinska Institute,Prof. L. Svanström Karolinska University Hospital,Prof. H. von Holst KEPKA-Consumers Protection Centre,E. Kekeleki KEPKA-Consumers Protection Centre,N. Tsemperlidis Keurmerkinstituut,drs. W. van Weperen Kind en Gezin,C. Tierens Kind en Gezin,dr. E. van Kerschaver Kindererholungswerk e.V.,N. Kubis Klaipeda College,Ass. Prof. B. Strukcinskiene Klinikum der Johannes Gutenberg Universität Mainz,dr. O. Beck Kompan,J. Pedersen Konsumentverket/KOB.Sc. H. Nordin Konsumentverket/KO,J. Sjögren Konsumentverket/KO,L. Strindberg Konsumentverket/KO,S. Håkansson Krankenhaus St. Elisabeth und St. Barbara,dr. D. Schaper Kuratorium für Verkehrssicherheit,dr R. Bauer Kuratorium für Verkehrssicherheit,dr. Othmar Thann Kuratorium für Verkehrssicherheit,dr. R. Kisser Kuratorium für Verkehrssicherheit,G. Furian Kuratorium für Verkehrssicherheit,M. Moises Kuratorium für Verkehrssicherheit,M. Sengölge Kuratorium für Verkehrssicherheit,Mag. C. Körmer Laboratoire National D'Essais (LNE),F. Welvart Laboratoire National d'Essais (LNE),Jean-Marc Aublant Laboratory of the Government Chemist LGC,John Day Landesanstalt fur Arbeitsschutz Nordrhein-Westfalen,Dezernat 3.3 Landesinstitut fur den Öffentlichen Gesundheitsdienst NRW,dr. G. Murza Landesinstitut fur den Öffentlichen Gesundheitsdienst NRW,dr. H. Brand Landesinstitut fur den Öffentlichen Gesundheitsdienst NRW,PD dr. med. D. Bardehle Landesvereinigung für Gesundheit Niedersachsen e.V,T. Altgeld Landesvereinigung für Gesundheitsförderung Schleswig-Holstein e.V.,E. Rudolf dr. Latvian Consumer Rights Protection Centre,V. Jekabsone Leicester City Council,G. Mandora Lighter Association Inc., D. H. Baker

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Linkoping University,Vivian Arias-Vimarlund Lithuanian Health Information Centre,dr. A. Gaizauskiené Lithuanian Health Information Centre,dr. R. Meižiene Liverpool John Moores University,Z. Anderson Llandough Hospital and Community NHS Tru,dr. Alison Kemp Llandough Hospital, Academic Centre,T. Hardisty London School of Economics and Political Science,D. McDaid London School of Hygiene and Tropical Medicine,dr. D. Sethi London School of Hygiene and Tropical Medicine,prof. I. Roberts Loughborough University,L. Clift Loughborough University,V. Haines Lovells,R. Freeman Lydheilsustöp,H.L. Storgaard McDonald's Corporation - Consumer Product Safety ,R. Urbik McDonald's Corporation - Corporate Safety and Security Department,P. Schaefer Medical University of Lublin,L. Wdowiak Medical University of Warsaw,Ass. Prof. J.B. Karski Mental Health Association of Ireland,J. Hastings Ministere de la Sante et des Services sociaux,P. Maurice Ministère de la Santé,dr. Y. Wagener Ministère de la Santé, de la Famille et des Personnes handicapées,B. Thierry Ministère de la Santé, de la Famille et des Personnes handicapées,D. Louis Ministère de la Santé, de la Famille et des Personnes handicapées,E. Houdoin Ministère de la Santé, de la Famille et des Personnes handicapées,G. Badeyan Ministere des Affairs etrangeres,R. Loosli-Surrans Ministerie van Sociale Zaken en Werkgelegenheid,ir. A.P.C. van Duijn Ministerie van Volksgezondheid, Welzijn en Sport,A.M.P. van Bolhuis Ministerie van Volksgezondheid, Welzijn en Sport,ir. L.J.W. Hesemans Ministerie van Volksgezondheid, Welzijn en Sport,mr. S. Paul Ministério da Saude,T. Contreiras Ministerio de Sanidad y Consumo,dr. Teresa Robledo de Dios Ministerio de Sanidad y Consumo,M. Alfaro Latorre Ministerio de Sanidad y Consumo,N. Castro Gil Ministerio della Salute,dr. Gianfranco Costanzo Ministerio della Salute,V. Silano Ministerio della Salute,W. Bergamaschi Ministerio della Sanità,A. Pitidis Ministerio della Sanità,Prof. dr. Franco Taggi Ministry for Trade and Industry,E. Alexiev Ministry of Commerce, Industry and Tourism,E. Papachristoforou Ministry of Commerce, Industry and TourismL. Pericleous Ministry of Commerce, Industry and Tourism,M. Droushiotis Ministry of Consumer Protection,H. Perz Ministry of Development,K. Zisis Ministry of Economic Affairs and Communications,M. Pärtel Ministry of Economics,L. Duntava Ministry of Economy of the Slovak Republic,Z. Valkova Ministry of Economy,M. Krippler Ministry of Flanders,Dirk Dewolf Ministry of Health (Skipton House),H. Markowe Ministry of Health (Skipton House),S. Maisey Ministry of Health and Social Security,S. Magnusson Ministry of Health of Slovak Republic,J. Kralik Ministry of Health of Slovak Republic,R. Kovac Ministry of Health of Slovak Republic,R. Zajac Ministry of Health of the Czech Republic,dr. I. Truellova Ministry of Health of the Czech Republic,J. Vetyska Ministry of Health of the Czech Republic,M. Vit

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Ministry of Health of Vietnam,C. Mc Connell Ministry of Health Republic of Slovenia,dr.med. A. Brucan Ministry of Health,B. O'Neill Ministry of Health,dr K.R. Dobrovolskis Ministry of Health,dr. Ch.K. Kaisis MD Ministry of Health,dr. D. Greco Ministry of Health,dr. F. George Ministry of Health,dr. K. Vincenti Ministry of Health,dr. M. McDonnell Ministry of Health,dr. M.G. Lecce Ministry of Health,dr. N. Persianis Ministry of Health,dr. O. Kalakouta Ministry of Health,dr. P. Pavlou Ministry of Health,dr. P. Ribeiro da Silva Ministry of Health,G. Kaplan Ministry of Health,H. Magee Ministry of Health,J.A. Diniz Ministry of Health,K. Olszak Ministry of Health,K. Poleg Ph.D M.P.H. Ministry of Health,N. Yurt Ministry of Health,P. Ferrinho Ministry of Health,Prof. A. Sissouras Ministry of Health,R. Agnes Ministry of Health,T. Parchimowicz Ministry of Health, Social and Family Affairs,dr. J. Csehak Ministry of Health, Social and family Affairs,Krisztina Talas Ministry of Health, the Elderly and Community Care,dr. M.P. Micallef Ministry of Industry and Trade,I. Kocova Ministry of Industry and Trade,O. Pektas Ministry of Public Health,Chamaiparn Santikarn M.D. MPH. Ministry of Social Affairs and Health,M. Söderholm Ministry of Social Affairs of Estonia,A. Aaviksoo Ministry of Social Affairs of Estonia,A. Taal Ministry of Social Affairs of Estonia,dr. L. Rooväli Ministry of Social Affairs of Estonia,L. Sakkeus Ministry of Social Affairs of Estonia,M. Pomerants Ministry of Social Affairs of Estonia,S. Oviir Ministry of the Interior and Health,B. Thorsteinsson Ministry of the Interior and Health,J. Andersen Ministry of the Interior and Health,L. Brondum Ministry of the Interior and Health,S.S. Kristensen Ministry of the Interior,H. Olamo Ministry of the Interior,T. Mankkinen Ministry of Welfare,Andis Grospins Ministry of Welfare,Mr. V. Jaksons Minnesota Department of Health,Mark Kinde Mornington Product Safety ConsultancyD. Mornington Motor Transport Institute,M. Dabrowska-Loranc MSc ENG National Authority for Consumer Protection,M. Meiu National Board for Health and Welfare,M. Stenbeck National Board of Health,M. Hjulsager National Center for Emergency Health Care,D. Efthymiadis National Center for Health Statistics,D. Pickett National Center for Health Statistics,L.A. Fingerhut M.A. National Center for Injury Prevention & Control ,C. Jones MA National Center for Injury Prevention & Control ,S. Olson National Center for Injury Prevention & Control ,Sandra Bonzo National Centre for Suicide Research and Prevention of Mental Health,Prof. dr D. Wasserman

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National Centre of Health Informatics,A. Marinova-Bedrozova National Centre of Health Informatics,J.P. Arnaudov National Consumer Research Centre,Eila Kilpio National Health Information Centre (NHIC),prof T. Vassileva Cholakova National Highway Traffic Safety Administration (NHTSA),J.F. Frank National Highway Traffic Safety Administration (NHTSA),R. L. Medford National Insitute of Child Health,G. Páll National Institute for Health Development, Tervise Arengu Instituut,M. Harro National Institute for Psychosocial Factors and Health,H. Westerlund National Institute of Hygiene,dr. P. Gorynski National Institute of Occupational Health,G. Galgóczy PhD National Institute of Public Health,B. Frimodt-Møller M.D. National Institute of Public Health,dr. K. Helweg-Larsen National Institute of Public Health,H. Møller National Institute of Public Health,Karin A. Melinder National Public Health Institute,A. Aromaa National Public Health Institute,A. Lounamaa National Public Health Institute,S. Sihvonen National Research & Development Centre for Welfare and Health, STAKES,dr. I. Kiikkala National Research & Development Centre for Welfare and Health, STAKES,dr. J. Lavikainen National Research & Development Centre for Welfare and Health, STAKES,dr. M. Gissler National Safety Council,A. Richardson National School of Public Health,S. Gregory National Suicide Research Foundation,dr. E. Williamson National University of Ireland,M. Molcho Nederlandse Brandwonden Stichting (NBS),dr. D.P. Mackie Nederlandse Brandwonden Stichting (NBS),mr. J.F.G.Th. van Nassau Nicocia General Hospital,dr. C. Antoniades NIGZ (Nationaal Instituut voor Gezondheidsbevordering en Ziektepreventie),ir. J. Jansen NIKE World Head Quarters,L. Fuchs NIVEL,dr. F.G. Schellevis NOC*NSF,P.H. Mercus Nofer Institute of Occupational Medicine,Prof J.A. Indulski MD Phd Nordic Safety and Security Academy,M. Flygare North Lanarkshire Council,T. Murphy Norwegian Directorate for Health and Social Services,J. Linhave Norwegian Institute of Public Health,B. Kopjar MD Ph.D Norwegian Institute of Public Health,J. Wiik MD DCM Norwegian Institute of Public Health,L. Grotvedt Norwegian Safety Forum,dr. J. Lund Norwegian University of Science and Technology,I. Bentzen Occupational Health and Safety Authority,dr. M. Gauci Odense University Hospital,J. Lauritsen Odense University Hospital,L. Binderup Larsen Odense University Hospital,N.D. Röck Office for Competition and Consumers Protection,E. Ostrowska Office of Fair Trading,Ian Patterson Office of Social and Preventive Medicine,E.M. Hiebl Office of the Deputy Prime Minister,ir. J. Deconinck Office of the Director of Consumer Affairs,C. Lenihan OIVO-CRIOC,A. van Cutsem OIVO-CRIOC,ing. C. Renard OIVO-CRIOCKristien Heyde OIVO-CRIOC,L. Tooten OIVO-CRIOC,M. Vandercammen Ökologischer Ärtzebund e.V.,E. Petersen Opleiding en Advies PREVENT,K. Peirens Österreichische Vertretung Genf,dr. H. Friza

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Oulun Työterveys,Markku Pirinen Our Lady of Lourdes Hospital, department of paediatrics ,dr. A. Nicholson PARIM,Léon Nilles Paulinchen e.V., Elterninitiave brandverletzte Kinder e.V.,A. Gottwald Pier 1 Imports,Z.M. Juroch Polish Consumer Federation,M. Kazanecka PREVENT,Marc de Greef PREVENT,Veronique de Broeck Pro Familia Hungarian Found.,Eve Barko Pro Mente Austria,M. Nienhusmeier PSYTEL Ingénierie de l'information,M. Nectoux Public Health Agency of Barcelona (ASPB),C. Pérez Public Health Authority of the Slovak Republic,dr. B. Kvetdslava Public Health Authority of the Slovak Republic,J. Potúcková Purdue University,Prof. M.R. Lehto RAM Consulting,G. Rider RAM Consulting,J. Naujokas RAM Consulting,X. Chen Red Cross / EU Office,L. Henskens Regional Health Systems (PESY),D. Seremetis Regional Health Systems (PESY),G. Pangalos Regional Health Systems (PESY),G. Tsakos Regional Health Systems (PESY),I. Arsenopoulou Regional Health Systems (PESY),K. Pappas Regional Health Systems (PESY),K. Stergiopoulos Regional Health Systems (PESY),L. Liaropoulos Regional Health Systems (PESY),S. Kontos Republic Institute for Health Protection Skopje,F. Tozija MD PhD Republic Institute for Health Protection Skopje,Prim. B. Aleksoski Rheumatism Foundation Hospital,+ 358 3 849 11 M. Nenonen Riga Stradins University,dr A. Villeruša RIVM,J. Meulenbelt RIVM,P. Achterberg Road Safety and Traffic Engenering Devision,dr. P. Holló Ph.D.Sc. Robert Koch Institut,B.M. Kurth Robert Koch Institut,dr. H. Kahl Romanian National Institute,R. Dimitriu Royal Society for the Prevention of Accidents, RoSPA ,J. Cave Royal Society for the Prevention of Accidents, RosPA,C. Johnston Royal Society for the Prevention of Accidents, RosPA,E. Lumsden Royal Society for the Prevention of Accidents, RosPA,H. Leith Royal Society for the Prevention of Accidents, RoSPA,J. Bisp Royal Society for the Prevention of Accidents, RosPA,J. Isles Royal Society for the Prevention of Accidents, RosPA,Mary Reilly RPA Ltd (Risk & Policy Analysts),P. Floyd Ruhr-University,dr T. Henke SAFE KIDS Austria / Grosse schützen Kleine,G. Brandmayr SAFE KIDS,S. Whitlock Safety Technology Authority TUKES,H. Kuivalainen School of Public Health and Community Medicine,prof. A. Zwi Scientific Institute Public Health,D. Devroey Scientific Institute Public Health,P.J. Miermans Scientific Institute Public Health,V. van Casteren SGS Group Management Ltd.,F. Ng SGS United Kingdom Ltd.,D. Smith Shop Direct Group Ltd.,J. Caile Sikkerhedsstryrelsen,J. Roed South Lanarkshire Council,M. Brunton

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South West Health AuthorityR. Morton-Williams Bynoe SSDS, Inc.,Nicole S. Bell ScD MPH Stadt Rendsburg,M. Gröning Städtische Krankenanstalten,dr. M. Albrecht Standards Council of Canada,E. Nielsen Ph.D Statens väg- och transportforskningsinstitutw,G. Sörensen Statens väg- och transportforskningsinstitutw,T. Turbell Statistical Service of Cyprus,l. Makri Statistical Services of Cyprus,G.Chr. Georgiu Statistisches Bundesamt,S. Dittrich Stichting Consument en Veiligheid,C. Ch. Meijer Stichting Consument en Veiligheid,C. van der Sman Stichting Consument en Veiligheid,dr. ir. S. Mulder Stichting Consument en Veiligheid,dr. W.H.J. Rogmans Stichting Consument en Veiligheid,drs. H. Toet Stichting Consument en Veiligheid,H. Schouten Stichting Consument en Veiligheid,ir. A. Bloemhoff Stichting Consument en Veiligheid,S. van Eck Stichting Wetenschappelijk Onderzoek Verkeersveiligheid (SWOV),Bibliotheek Stichting Wetenschappelijk Onderzoek Verkeersveiligheid (SWOV),ir. F.C.M. Wegman Stichting Wetenschappelijk Onderzoek Verkeersveiligheid (SWOV),mr. P. Wesemann STIWA-Stiftung Warentest,P. Sieber Stockholm Gerontology Research Center,Prof. L. Andersson Storstrømmens Folkesundhedscenter,M. Rasmussen Sundhedsstyrelsen,T. Petersen Surrey County Council Trading Standards,P.C. Denard Swedish Rescue Services Agency/Raddingsverket,Prof. dr. L. Schelp Swedish National Road Administration,T. Lekander Swedish National Testing & Research Institute,L. Aronsson Swedish Rescue Services Agency/ Räddningsverket,J. Schyllander Swedish Rescue Services Agency/ Räddningsverket,T. Gell Swiss Council for Accident Prevention (BFU),dr. B. Buhmann Swiss Council for Accident Prevention (BFU),Dr. U. Ewert Swiss Council for Accident Prevention (BFU),M. Hugi Synergo AG,R. Meier TARIS Zeytinyagl,Z. Olmezoglu Techniker Krankenkasse,F. Loser Technische Universiteit Delft (Sectie Veiligheidskunde),L.H.J. Goossens Technischer Uberwachungsverein Wien,Dipl.-Ing. A Russold Test-Achats/Test-Aankoop,K. VandeKerckhove The Danish Healthy Cities Network,Søren Kølster The Finnish Association for Mental Health,K. Salonen The National Consumer Board of Denmark,Product Safety Coordinator The National Consumer Board of Denmark,Studer Christianssen The Swedish National Board for Health and Welfare,A. Aberg The Swedish National Board for Health and Welfare,C.L. Spetz The Warwick Medical School,Prof. Y. Carter TNO Automotive,dr. J. Wismans TNO Kwaliteit van Leven (Arbeid),dr. V.H. Hildebrandt TNO Kwaliteit van Leven, Gortergebouw,drs. G.J. Wijlhuizen Tokyo Memorial Clinic Hirayama,Prof. Takeshi Thomas Hirayama MD Trading Standards Institute,R. Gainsford Trimbos-instituut,Prof. J. de Lange Trimbos-instituut,R. van der Zanden TUV Rheinland Product Safety GmbH,M. Reitz TUV Rheinland,dr M. Lemmer U.S. Consumer Product Safety Commission, Headquarters,E. Tyrell U.S. Consumer Product Safety Commission, Headquarters,George W. Rutherford

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Appendix II Newsletter mailing list

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U.S. Consumer Product Safety Commission, Headquarters,J.P. Mohorovic U.S. Consumer Product Safety Commission, Headquarters,Pamela L. Weller UKK Institute, Research Center of Sports Medicine,dr. J. Parkkari M.D. PhD UNICEF, Innocenti Research Centre,G. Redmond Union Nationale pour la Prévention du Suicide,J.P. Soubrier Université Libre de Bruxelles,Prof.dr. A. Leveque Universiteit TwenteProf.mr.dr. A. Brack University College of Dublin,A. Staines University College of Dublin,P. Fitzpatrick University Hospital Ruzinov,md I. Mateffy University Hosptal Iceland,B. Mogensen University 'La Sapienza',M. Ammaniti University of Akdeniz,H. Yaman MD University of Auckland,dr. S. Ameratunga University of Bonn,C. Butsch University of Deusto ,Prof. J. Agustin Ozamiz University of Glasgow,E. Gray University of Jyväskylä,dr. R.L. Heikkinen University of Malta,dr. N. Azzopardi Muscat University of Manchester, School of Nursing, Midwifery and Social Work,D.A. Skelton University of Manchester, School of Nursing, Midwifery and Social Work,Prof. Ch. Todd University of Munich,T. Krafft University of Navarra, School of Medicine,dr. M. Seguí-Gómez M.D. Sc.D. University of Newcastle,S. Jarvis University of Nottingham,dr. C.M. Haslegrave University of Nottingham,dr. D. Kendrick University of Nottingham,Prof. J.R. Wilson University of Oslo,prof. dr. G. Tellnes University of Oslo,Prof. O.S Dalgard University of Otago,prof. J. Langley University of Oulu,H. Luukinen MD University of Perugia,G. Masanotti MD University of South Africa,Prof. M. Seedat University of Tartu,prof.dr. T. Kaasik University of Trnavska,M. Dubovská PhD University of Udine,dr. D'Anna Little University of Udine,prof. F. Barbone MD University of Wales Swansea,Prof. R.A. Lyons University of Washington,dr. F.P. Rivara M.D. MPH University of Western Australia, Injury Research Centre,J. Needle University of Zagreb Medical School ,dr. A. Mujkic University of Zagreb Medical School ,MD PhD A. Vorko-Jovíc US Army Research Institute of Environmental Medicine,dr. Paul Amoroso USITO Ergonomie, sécurité des produits et services grand public,B. Ruef Verband der Angestelten-Krankenkasse (VdAK) e.V.,L. Johanning Vlaams Instituut voor Gezondheidspromotie (VIG),M. van Laeken Voedsel en Waren Autoriteit (VWA),dr. J.J. Ende Voedsel en Waren Autoriteit (VWA),dr.ir. D. van Aken Voedsel en Waren Autoriteit/Keuringsdienst van Waren, Regionale dienst Zuidwest,drs. D.H. Meijer Voedsel en Waren Autoriteit/Keuringsdienst van Waren, Regionale dienst Zuidwest,F. van Duijne Voedsel en Waren Autoriteit/Keuringsdienst van Waren, Regionale dienst Zuidwest,ir. C. Postma-Koolen Voedsel en Waren Autoriteit/Keuringsdienst van Waren, Regionale dienst Zuidwest,ir. G. Heijne-Kloet Voedsel en Waren Autoriteit/Keuringsdienst van Waren, Regionale dienst Zuidwest,ir. J.M.C. van Leent Voedsel en Waren Autoriteit/Keuringsdienst van Waren, Regionale dienst Zuidwest,R. van Buuren Vrije Universiteit Amsterdam,Prof. dr. W. van Mechelen VTT Automation,Jouko Suokas Whirlpool Europe,E. Tagliabue

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Appendix II Newsletter mailing list

CEREPRI, University of Athens, Medical School, Dept. of Hygiene and Epidemiology Mikras Asias 75, Athens, 115 27, Greece Telephone: + 30 210 –7462 187 Fax: + 30 210 -7462 105

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Willis Polska SA,B. Matejuk Wissenschaftliches Institut der AOK,I. Küsgens Work Research Centre Ltd.,dr. R. Wynne World Health Organization, Regional Office for Europe, European Center for Environment and Health, N. Röbbel World Health Organization, Regional Office for Europe,A. Dumitrescu World Health Organization, Regional Office for Europe,dr. D. Sethi World Health Organization, Regional Office for Europe,dr. I. Baumgarten World Health Organization, Regional Office for Europe,F. Racioppi World Health Organization, Regional Office for Europe,J. Wallace

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Appendix III Evaluation: newsletter

CEREPRI, University of Athens, Medical School, Dept. of Hygiene and Epidemiology Mikras Asias 75, Athens, 115 27, Greece Telephone: + 30 210 –7462 187 Fax: + 30 210 -7462 105

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Appendix III: Evaluation

WP-AI Newsletter In April, 2006 540 evaluation forms were sent to the recipients of the newsletter, who are on the electronic mailing list, to evaluate both the newsletter and the website. Unfortunately, only 35 forms were returned within the three week deadline (a response rate of 6.5 %). The newsletter evaluation questions and the responses are listed below. In a few cases the respondent did not all of the nine questions. 1. The Newsletter meets the objective to disseminate injury prevention information stemming from the projects (EC co-funded) and WP-AI activities to WP-AI members and to experts, practitioners and policy makers in the broader public health field as to interested members of the general public.

Disagree 1 2 3 4x 11,4% 4 14x 40% 5 17x 48,6% Agree

2. The article and topics of the newsletter are relevant to the current concerns of injury prevention in the EU.

Disagree 1 2 3 4x 11,4% 4 14x 40% 5 16x 45,7% Agree

3. The articles/content are written in an informative way that is comprehensible and interesting to a variety of different target audiences (eg. WP-AI members, general public, politicians). Disagree 1 2 3 5x 14,3% 4 14x 40% 5 15x 42,9% Agree

4. The layout, logo and name of the newsletter are professional and appealing, making

it attractive and easy to read.

Disagree 1 2 3x 8,57% 3 4x 11,4% 4 12x 34,3% 5 15x 42,9% Agree

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Appendix III Evaluation: newsletter

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5. Please check which way you received the newsletter: 27 77,14% By email 5 14,29% by email from colleague or other 9 25,71 download from WP-AI website

6. Did you further disseminate the newsletter? Yes or No. If yes, please describe (e.g. colleagues at work, local and national networks, ministries)

14 40% No 21 60% Yes, description:

Colleagues at work (17) Organisations within our sphere (4) Local specific actors in safety (4)

We used data from your first newsletter on societal costs and on focus on child safety and we formed an article that we published in our

magazine "consumers' steps" referring the source of our information.

Safety Community Weekly News

7. Do you prefer the newsletter in print or electronically?

11 31,4 Print 25 71,4 Electronically

8. Please list your profession and age:

Psychologist 55, 46

Home safety officer 21 Doctor 32, 38, 49 Professor 64,? Government 47 Department manager 58 Prof./Epidemiologist 59, 41 Senior Researcher 65 Comm. Safety consultant 53, 60 Physician 45, 55 Communications Manager 38, ? MD 45, 49, ? Advisor 31 Director 49 Statistician 34, 48 Project manager 35 Assistant Prof. 30 Health economist 40 Product Safety Engineer 37

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Appendix III Evaluation: newsletter

CEREPRI, University of Athens, Medical School, Dept. of Hygiene and Epidemiology Mikras Asias 75, Athens, 115 27, Greece Telephone: + 30 210 –7462 187 Fax: + 30 210 -7462 105

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9. General comments: • An electronic newsletter should be disseminated, more actual, more frequent • Good informative information which has been needed for some time • Thanks • Newsletter difficult to understand for people who are not fully involved in the safety field

in Europe: too many initials, made for initiate people only • We have difficulties in dissemination: the people do not speak English, and we have not

enough capacity to translate everything. • This newsletter is very useful and needed • A very readable paper and keeps me up to date on the different subjects • The layout is not so attractive. Too much text with little free space. • Newsletter is very conductive to be "up-to-date" • In order for the newsletter to reach the target groups in the whole of Europe, translation

for main European languages as Russian, French and Spanish are highly recommended.

• Interfacing with product designers, I am always looking for information on sport injury

data trends and new sources of injury tracking to help identify safety features that could be improved or incorporated into future designs. I like reading about the EU activities in injury data collection but I would really like to see "spotlight" article every few issues that focuses on a part of the injury data base to highlight say injuries to the hand e.g. in sport or no, what sport, were they wearing glove, was it a blow from a ball, competitor or the ground, did it result in a sprain, abrasion or broken bone? If that's not possible maybe an article on how the best conduct searches of existing EU databases to obtain answers to these type of questions. Keep up the good work!

Evaluation Summary (CSI) Despite the low response rate the evaluation clearly shows that the newsletter is positively received and is developing into an effective communication tool to promote injury prevention. The respondents are spread across a broad range of professions and disciplines which reflect the target audience of the newsletter. Reaching the European citizen remains a challenge and continuing improving the readability remains a priority.

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Appendix III Evaluation: website

CEREPRI, University of Athens, Medical School, Dept. of Hygiene and Epidemiology Mikras Asias 75, Athens, 115 27, Greece Telephone: + 30 210 –7462 187 Fax: + 30 210 -7462 105

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WP-AI Website In April, 2006 540 evaluation forms were sent to the recipients of the newsletter, who are on the electronic mailing list, to evaluate both the newsletter and the website. Unfortunately, only 35 forms were returned within the three week deadline (a response rate of 6.5 %). The website evaluation questions and the responses are listed below. In a few cases the respondent did not all of the nine questions. 1. The WP-AI website meets the objectives as stated in the WP-AI Secretariat contract: to develop an interactive - comprehensive website to include pertinent injury prevention information, literature updates and links to other relevant websites

Disagree 1 2 3 8x 22,9% 4 13x 37,1% 5 14x 40,0% Agree

2. The content and information on the website are relevant to the current concerns of injury prevention in the EU, contributing to the promotion of injury prevention to a broad on-line audience.

Disagree 1 2 2x 5,7% 3 5x 14,3% 4 18x 51,4% 5 10x 28,6% Agree

3. The content and information has been written in an informative way that is comprehensible and interesting to a broad on-line audience

Disagree 1 2 1x 2,9% 3 8x 22,9% 4 15x 42,9% 5 11x 31,4% Agree

4. The logo, colours and layout of the website are professional and appealing, making it user-friendly

Disagree 1 2 3 9x 25,7% 4 10x 28,6% 5 15x 42,9% Agree

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Appendix III Evaluation: website

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5. The links and web-pages are functional Disagree 1 2 1x 2,9% 3 6x 17,1% 4 14x 40,0% 5 11x 31,4% Agree

6. The website provides sufficient information on the various aspects of injury prevention and WP-AI

Disagree 1 2 1x 2,9% 3 5x 14,3% 4 20x 57,1% 5 9x 25,7% Agree

7. If you disagree, what information do you think should be added to this site?

• Not clear who the customers are: researchers, public health professionals, ministries of health, safety practitioners? Most colleagues are specialists (traffic, workplace, consumer safety), they need specific information!

• Imagine you are the manufacturer, you want to know data about injuries with a kind of

product to make better products: database is no use for you. Where to send them?

• I miss some PR-related news as well as relevant data, facts and documents that the practitioners could use for the media.

8. Please list your profession and age:

Psychologist 55, 46 Home safety officer 21 Doctor 32, 38, 49 Professor 64,? Government 47 Department manager 58 Prof./Epidemiologist 59, 41 Senior Researcher 65 Comm. Safety consultant 53, 60 Physician 45, 55 Communications Manager 38, ? MD 45, 49, ? Advisor 31 Director 49 Statistician 34, 48 Project manager 35 Assistant Prof. 30 Health economist 40 Product Safety Engineer 37

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Appendix III Evaluation: website

CEREPRI, University of Athens, Medical School, Dept. of Hygiene and Epidemiology Mikras Asias 75, Athens, 115 27, Greece Telephone: + 30 210 –7462 187 Fax: + 30 210 -7462 105

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9. General comments:

• Very pleased that this action has taken place

• Thank you very much, for the professional work you perform since years. Thank you as well for the creativity and the motivation you always produce. Please keep going this way!

• The website is user-friendly but in general I more often use the Newspaper.

• Unfortunately I am not a frequent website user yet, but till now everything in it has satisfied me.

The website is user-friendly and it is easy to find necessary information.

• The website provides sufficient and conductive information. For the future I recommend an addition of National Injury Data and National Action Plan preparation / arrangement.

• It is difficult to communicate to many different target groups on the same site. You want to

communicate to the WP-AI members and experts in one end and to the general public in the other. I think the site mainly appeals to professionals in the field - the project and literature database supports this impression. I do not find the feel and look of the site or the type of information published to be directed to the general public. Maybe you could consider to make a special room on the site for this target group - with communication targeted specially to this group - e.g. communication of the magnitude of the injuries in Europe - the challenges to be faced - more storytelling.... and headline news.

• Link and overview over the existing institutions and networks working the area of IP needed.

List the education possibilities within Europe in the area of IP and violence prevention.

• It's a modern and useful website.

• More specific cause and effect information in injury prevention. For example, try to tell more than how many people were injured in sports activities but say how many injuries to rollerbladers, what % were wearing a helmet and protective pads, how many were on paths, in the street at the skate park and what were the injury trends noted. I think this kind of information will open even more eyes and help drive change in behaviours and legislation were needed.

Evaluation Summary Despite the low response rate the evaluation shows that the website has been positively received and many useful suggestions have been made to develop and improve the website further. On the positive side, the respondents are spread across a broad range of professions and disciplines reflecting the target audience of the newsletter. However, the comments and suggestions that have been made highlight the challenge of developing a website to meet the needs of all the different target groups. As is the case with the newsletter, the greatest challenge remains reaching the European citizen.

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Appendix III Meeting minutes

CEREPRI, University of Athens, Medical School, Dept. of Hygiene and Epidemiology Mikras Asias 75, Athens, 115 27, Greece Telephone: + 30 210 –7462 187 Fax: + 30 210 -7462 105

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Appendix IV: Meeting minutes

Minutes (key points): Meeting with Principal Administrator, Horst Kloppenburg Date: MARCH 29-30, 2004 Location: University of Athens, Greece

1. Report regarding the obstacles and potentials of the IDB Nick Dessypris is to draft a report on the major obstacles regarding the IDB (Injury Database) and the possible solutions in collaboration with John Mason. This report will be sent to Horst Kloppenburg after Easter and before the next WP on Accidents and Injuries meeting (April 28-29, 2004). 2. Secretariat tasks: Statistical strategies of the incoming Secretariat: A demo of an interactive web site was presented together with a web based statistical query that aims to link different data sources in order to facilitate the stakeholders and public. OECD will be included as one of the data sources. It was recommended that Stergios Palamas talk to the EC experts and request to see their feasibility studies regarding the Public Health Portal. Stergios will send a brief report to Horst Kloppenburg outlining the aim, structure and data sources of the website. Stergios should also present the demo sometime in September 2004. IT feasibility study: Secretariat is to possibly allocate some funds to develop an IT feasibility study. A letter must be drafted and sent to H. Kloppenburg for approval. S. Palamas to contact Rubin Saurez from RAM USA for further IT information. Communication Coordinator: The position will be advertised first in Greece in English newspapers, websites, etc. Six interested candidates will be selected and a one-day meeting will be scheduled where E. Petridou and J. Mason will interview these candidates in mid May. 3. Work Plan 2005 The Work Plan 2005 will be concrete and specific, concentrating on the implementation of IT information technology, with a secondary focus on violence (verbal abuse). If a strategic plan regarding the IDB report is devised, then the Work Plan 2005 will also focus on exploiting and making use of the IDB. In addition, Horst Kloppenburg will communicate with the Austrians to see if it is feasible to use funds from their program for further implementation of the IDB in the new member states. A questionnaire will be sent out to all experts of the WP-AI before the April 28-29 meeting. A discussion forum will also be set up for experts to further discuss their ideas.

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Appendix III Meeting minutes

CEREPRI, University of Athens, Medical School, Dept. of Hygiene and Epidemiology Mikras Asias 75, Athens, 115 27, Greece Telephone: + 30 210 –7462 187 Fax: + 30 210 -7462 105

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Incoming secretariat will draft two small paragraphs regarding violence (verbal abuse) and IT technology for the Work Plan 2005. 4. Ownership of data, rules of dissemination/confidentiality, data protection needs For this project, the emphasis should be on who the owner of these data is.

Elena Papaevangelou was advised to contact the ESTAT confidential unit and Mr. Karl Freese (email: [email protected]) from EPIC regarding the EPIC rules 5. Greek Public Health Representatives Susan Gregory is the main contact person for any common issues the representatives want to disseminate to the other WP members and to EC. The Greek representative, Alexandra Katsiri, will be attending the WHO meeting regarding the development of road traffic environment and health indicators. H. Kloppenburg advised E. Petridou to learn what WHO is planning regarding the indicators and to inform this person of the WP-IA has been done. 6. Agenda for WP-AI meeting in April 28-29,2004 S. Anast will make discussed changes to the draft version of the agenda and then send it to Claudia Koermer and Filomena Lopo, along with the comments regarding the project presentation template. E. Petridou will contact ESTAT (A. Montserrat) to inquire about the feasibility of including a question on product safety in the Eurobarometer

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This report was produced by a contractor for Health & Consumer Protection Directorate General and represents the views of thecontractor or author. These views have not been adopted or in any way approved by the Commission and do not necessarilyrepresent the view of the Commission or the Directorate General for Health and Consumer Protection. The EuropeanCommission does not guarantee the accuracy of the data included in this study, nor does it accept responsibility for any use madethereof.