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Injury Prevention 2008;14:106-112; doi:10.1136/ip.2007.016824
Copyright © 2008 by the BMJ Publishing Group Ltd.

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METHODOLOGIC ISSUES

Feasibility of standardized injury surveillance and reporting: a comparison of data from four Asian nations

S Nakahara1, A U Jayatilleke2, M Ichikawa3, A Marasinghe4, A Kimura5, K Yoshida1

1 Department of Preventive Medicine, St Marianna University School of Medicine, Kawasaki, Japan
2 Department of International Community Health, University of Tokyo, Tokyo, Japan
3 Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Japan
4 Department of Management and Information Systems Engineering, Nagaoka University of Technology, Nagaoka, Japan
5 Department of Emergency Medicine, Traumatololgy and Toxicology, International Medical Center of Japan, Tokyo, Japan

Dr S Nakahara, 2-16-1 Sugao, Miyamae-ku, Kawasaki, Kanagawa, 216-8511 Japan; snakahara{at}marianna-u.ac.jp

Background: To address the increasing number of injuries in developing countries, the World Health Organization (WHO) encourages the establishment of hospital-based surveillance systems and systematic data collection. Although a computerized system is preferable in terms of efficiency, many developing countries have difficulty accessing the appropriate resources.

Objectives: To assess the possibility of comparing and sharing data among countries, and then to discuss the possibility of establishing an international data management system through the internet.

Methods: A point-by-point comparison of data directories from injury surveillance systems in Thailand, Cambodia, Sri Lanka, and Japan was conducted using guidelines published by WHO as the standard.

Results: Thailand, Cambodia, and Sri Lanka used data items that are comparable to each other and to WHO guidelines, with few, readily amenable, differences. The Japanese system used quite different data items.

Conclusions: Data comparability suggests the feasibility of a global data management system that can store data from various countries. Such a system, if made accessible over the internet, would benefit resource-constrained countries by providing them with a ready-made framework to implement a surveillance system at low cost.








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