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International Classification of External Causes of Injury
  1. L A Fingerhut1,
  2. J Harrison2,
  3. S Mulder3
  1. 1Chair, International Collaborative Effort on Injury Statistics, National Center for Health Statistics, 3311 Toledo Road, Hyattsville, MD 20782, USA;
  2. 2Research Centre for Injury Studies, Flinders University of South Australia, Bedford Park, Australia
  3. 3Consumer Safety Institute, Amsterdam, The Netherlands

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    Leff et al report on the results of a telephone survey in Colorado that used the NOMESCO classification to code activity at time of injury, place the injury occurred, and the events that caused the injury.1 We would like to point out that a new classification known as the International Classification of External Causes of Injury (ICECI) was recently adopted as a related classification into the family of classifications by the World Health Organization (WHO) in October 2003 at the annual meeting of the WHO Center Heads for Classification in Cologne. By way of background, in the 1980s and early 1990s efforts including NOMESCO were identified to improve upon the International Classification of Diseases classification of external causes of injury for the purposes of injury prevention. Under the auspices of the WHO, injury professionals from all over the world have worked to develop ICECI, an improved tool for capturing injury data. Version 1.1a is the most recent. Complete documentation on the ICECI can be found at