One big factor in checkpoint efficacy is the power of "general deterrence,"
i.e., that knowledge or expectation of a checkpoint will either have a
potential dui offender not drink and drive or simply not take the trip.
That's why it's so important to publicize the checkpoints.
Others more versed in the public health concept of deterrence, feel free to
jump in.
Phyllis
On Fri, Apr 6, 2012 at 6:48 PM, <h+t--friends-request(a)chrispy.net> wrote:
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Today's Topics:
1. Re: A public health approach to preventing injuries and
violence: Q&A with Linda Degutis for National Public Health Week
(Dellinger, Ann (CDC/ONDIEH/NCIPC))
----------------------------------------------------------------------
Message: 1
Date: Tue, 3 Apr 2012 16:11:51 +0000
From: "Dellinger, Ann (CDC/ONDIEH/NCIPC)" <amd1(a)cdc.gov>
Subject: Re: [H+T--Friends] A public health approach to preventing
injuries and violence: Q&A with Linda Degutis for National Public
Health Week
To: TRB Health and Transportation <h+t--friends(a)chrispy.net>
Message-ID:
<513D35B5D893E64EA5AA526B341709F2171EE22F(a)EMBX-CHAM4.cdc.gov>
Content-Type: text/plain; charset="utf-8"
Current seat belt use in the US is at 84%-85%, I wouldn?t call that very
high. Much higher in some states, much lower in others. Other high income
countries have gotten theirs up to the mid 90?s, it?s possible and
effective. The potential number of lives saved is more from the number
killed in fatal crashes who were not buckled, and the ability to save about
half given the effectiveness of seat belts. The effectiveness measures may
change given the crashworthiness of today?s vehicles, more airbags and the
like. We shall see.
The literature for the systematic review of sobriety checkpoints can be
found on the Community Guide website, along with methods, etc. A
scientifically sound process. An update of the review is in the works and
the 20% estimate will change, but it isn?t finished yet.
Ann M. Dellinger, PhD, MPH
Epidemiologist & Team Leader
Motor Vehicle Injury Prevention Team
Division of Unintentional Injury Prevention
CDC's Injury Center
From: h+t--friends-bounces(a)chrispy.net [mailto:
h+t--friends-bounces(a)chrispy.net] On Behalf Of mbrenman001(a)comcast.net
Sent: Tuesday, April 03, 2012 11:45 AM
To: TRB Health and Transportation
Subject: Re: [H+T--Friends] A public health approach to preventing
injuries and violence: Q&A with Linda Degutis for National Public Health
Week
I dunno, some exaggerations in this Q+A. For example, "We could have
saved 3,688 more lives in 2009 if everyone had buckled up." The rate of
seat belt use in the US is very high. Trying to get a few remaining
percentage points at the tail end would probably take as much energy as the
entire previous 90+ percent. Passive systems like multiple air bags, now
present in even very inexpensive new cars, are saving many lives. Relying
on seat belts as a solution is kinda old-fashioned. Been there, done that.
Second, "Sobriety checkpoints have been shown to cut alcohol-related
crashes and deaths by about 20 percent." I'd want to see the studies on
this, and find out what the assumptions and conditions were. If the author
means, "If sobriety checkpoints were set up on every corner in every town
in America every night, all night long," well, maybe. But a 20% crash and
death savings just from existing sobriety checkpoints? I'd don't believe
it. Maybe in one small town on one night with 100% saturation and stopping
all drivers.
It's important in our business to maintain our credibility by not
exaggerating what our initiatives can do and by being clear about the
limits and conditions of our studies.
Marc Brenman
Social Justice Consultancy
mbrenman001@comcast.net<mailto:mbrenman001@comcast.net>
________________________________
From: "Eloisa Raynault" <eloisa.raynault(a)apha.org<mailtomailto:
eloisa.raynault(a)apha.org>>
To: h+t--friends@chrispy.net<mailto:h+t--friends@chrispy.net>
Sent: Tuesday, April 3, 2012 8:14:41 AM
Subject: [H+T--Friends] A public health approach to preventing injuries
and violence: Q&A with Linda Degutis for National Public Health Week
A public health approach to preventing injuries and violence: Q&A with
Linda Degutis
As CDC's Injury Center celebrates its 20th anniversary, Linda Degutis, a
former APHA president, reflects on the significant advances that have been
made in the field of injury and violence prevention and her vision for
meeting some of the challenges that lie ahead. Read more at
http://www.publichealthnewswire.org/?p=2992
Q: What is the scope of injury and violence? Where does it rank in the
context of other public health problems?
Past CDC director Dr. William Foege said, ?Throughout history, the two
major causes of early death have been infectious disease and injury.?
Today, more people ages 1?44 die from injuries than from any other cause,
including cancer, HIV or the flu. The toll of injury and violence is
unacceptable. Those of us in the injury prevention and research field know
that this is a public health issue we are making great strides in, but
there are challenges ahead that we must work to address together. Here are
a few examples:
We could have saved 3,688 more lives in 2009 if everyone had buckled up.
Sobriety checkpoints have been shown to cut alcohol-related crashes and
deaths by about 20 percent.
Q: We commonly hear that injuries are not accidents. Can you give us some
examples of what that means?
Those of us in the injury field know that the terms ?accident,?
?unavoidable? or ?random act? are used too often to describe injuries and
violence.
It?s not random when a teen consumes alcohol, drives after dark with too
many passengers and crashes. It?s not an accident when a new parent is
frazzled by a crying baby and shakes the child out of frustration. An elder
person falling is often avoidable. We know what puts people at risk.
The field of injury prevention is providing scientific tools to reduce
injuries and violence-related injuries. For example, graduated drivers
licensing laws, positive parenting programs to help parents better
understand and handle stresses, and balance strengthening programs like Tai
Chi can help prevent falls among elders.
Q: How important is it for the center to build partnerships in the policy
and research it develops?
We value our partners? contributions to the field of injury and violence
prevention. Together, we move proven science-based evidence and research
from testing to practice. I believe that marrying science and partnerships
does result in policies that provide demonstrable improvements in public
health ? at the federal, state and local levels and globally. The goal of
our partner outreach is to create and maintain partnerships to support
these strategies.
Eloisa Raynault | American Public Health Association | 800 I Street, NW,
Washington, DC 20001 | Transportation, Health and Equity Program Manager |
o: 202-777-2487 |
http://www.apha.org/transportation
Please consider the environment before printing this e-mail.
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