Definition

Injury deaths among children aged 0-19 due to all causes per 100,000 children (ICD-10 codes V01-Y36, Y85-Y87, Y89, *U01-*U03)

Numerator

Number of injury deaths among children aged 0-19 (ICD-10 codes V01-Y36, Y85-Y87, Y89, *U01-*U03)

Denominator

Total number of children aged 0-19 in the population of Utah

Why Is This Important?

Child injury death has devastating impacts on our communities and is often preventable. From 2011 to 2020, injury deaths accounted for 1,502 (31%) of the 4,911 deaths among children aged 0-19. In addition to these deaths, thousands of other children were injured and treated in hospitals, doctor's offices, clinics, emergency departments, homes, schools, and work sites. From 2011 to 2020, the leading causes of injury death for children aged 0-19 in Utah were suicide, motor vehicle crashes, suffocation/safe sleep, firearms, poisoning, drowning/submersion, and falls. Prevention is key. All Utah children should have safe, stable, and nurturing environments and relationships. Safe behaviors should be taught, safety equipment should be utilized, and obeying safety laws should be the expectation. High-priority prevention areas include: suicide prevention, motor vehicle safety, choking awareness/safe sleep education, and firearm safety.

Available Services

Utah Department of Health, Violence and Injury Prevention Program [[br]]801-538-6141 [[br]][http://health.utah.gov/vipp/] Utah Poison Control Center [[br]]801-581-7504 (for general information) [[br]]1-800-222-1222 (emergency hotline) [[br]][https://poisoncontrol.utah.edu/] Use Only As Directed [[br]][http://useonlyasdirected.org/] Utah Fire Marshal [[br]]801-284-6350 [[br]][http://firemarshal.utah.gov/] Utah SAFE KIDS Coalition [[br]]801-538-6852 [[br]][https://www.safekids.org/coalition/safe-kids-utah] Primary Children's Hospital [[br]]801-588-2000 [[br]][https://intermountainhealthcare.org/locations/primary-childrens-hospital/] Utah Office of Highway Safety [[br]]801-293-2480 [[br]][https://highwaysafety.utah.gov/] Utah Safety Council [[br]]801-262-5400 [[br]][http://www.utahsafetycouncil.org] Intermountain Injury Control & Research Center [[br]]801-581-6410 [[br]][http://medicine.utah.edu/pediatrics/critical_care/research/iicrc.php] Utah AAA [[br]]801-364-5615 [[br]][https://mountainwest.aaa.com/] ===National Resources:=== National Center for Injury Prevention and Control [[br]][http://www.cdc.gov/injury/] National Highway Transportation Safety Administration [[br]][http://www.nhtsa.dot.gov/] National SAFE KIDS Campaign [[br]][http://www.safekids.org/] Children's Safety Network [[br]][http://www.childrenssafetynetwork.org/] U.S. Consumer Product Safety Commission [[br]][http://www.cpsc.gov/] [[br]] ==Health Program Information== The VIPP collaborates with the Utah Office of Highway Safety, Zero Fatalities campaign, and local health departments to conduct educational campaigns which target 16- to 19-year-old drivers, young pedestrians, law enforcement, etc. as funding allows. The Utah SAFE KIDS Coalition works to prevent unintentional injuries among children through raising community awareness, influencing policies, promoting safety, and establishing private/public partnerships. Inspections and instructions on the proper use of car seats, booster seats, and bicycle helmets are offered routinely to the public with car seat checkpoints and helmet education and distribution statewide. The Violence and Injury Prevention Program (VIPP) is a trusted and comprehensive resource for data related to violence and injury. Through education, this information helps promote partnerships and programs to prevent injuries and improve public health. The VIPP goals are to a) focus prevention efforts on reducing intentional and unintentional injury, b) conduct education aimed at increasing awareness and changing behaviors that contribute to the occurrence of injury, c) strengthen local health department capacity to conduct local injury prevention programs, d) promote legislation, policy changes, and enforcement that will reduce injury hazards and increase safe behaviors, e) collaborate with private and public partners, and f) improve the Utah Department of Health capacity to collect mortality and morbidity data from multiple sources and conduct injury epidemiology for use in prevention planning, implementation, and evaluation.

Relevant Population Characteristics

The rate of child injury death was nearly two times higher in males aged 0-19 compared to females aged 0-19 between 2010 and 2019 (85.5 per 100,000 males vs. 43.4 per 100,000 females).

The Utah child injury death rate has consistently been lower than the national rate over the last 20 years, except for in 2014 when the national rate matched the Utah rate. From 1999 to 2020 the Utah rate of child injury death decreased 16.7%, while the national rate between 1999 and 2019 decreased 26.8%. Utah reached its lowest rate of child injury death in 2013 but since has had an increase of 26%, mostly due to the rising rate of youth suicide.

Data Notes

ICD-10 codes V01-Y36, Y85-Y87, Y89, *U01-*U03. [[br]]ICD Stands for International Classification of Diseases. It is a coding system maintained by the World Health Organization and the U.S. National Center for Health Statistics used to classify causes of death on death certificates and diagnoses, injury causes, and medical procedures for hospital and emergency department visits. These codes are updated every decade or so to account for advances in medical technology. The U.S. is currently using the 10th revision (ICD-10) to code causes of death.

The rate of unintentional child injury death during 2011-2020 was almost greater than the rate of all other categories combined. The category of unintentional injury death includes things like motor vehicle crashes, suffocation, poisoning, drowning/submersion, firearm accidents, and falls.

Data Notes

ICD-10 codes V01-Y36, Y85-Y87, Y89, *U01-*U03. [[br]]ICD Stands for International Classification of Diseases. It is a coding system maintained by the World Health Organization and the U.S. National Center for Health Statistics used to classify causes of death on death certificates and diagnoses, injury causes, and medical procedures for hospital and emergency department visits. These codes are updated every decade or so to account for advances in medical technology. The U.S. is currently using the 10th revision (ICD-10) to code causes of death.

Data Source

Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health

Along with the rate of overall child injury death, the intent of child injury death varies as children age. From 2011-2020, the youngest Utah children primarily died from unintentional injury death. As a child ages and reaches the teenage years, however, the rate of suicide death competes with unintentional injury and even surpasses it in the 15-17 age group. Infant (<1) and 18-19-year-old children also saw higher relative rates of homicide than the other child age groups.

Data Notes

ICD-10 codes V01-Y36, Y85-Y87, Y89, *U01-*U03. [[br]]*Use caution in interpreting; the estimate has a coefficient of variation >30% and is therefore deemed unreliable by Utah Department of Health standards. [[br]]**The estimate has been suppressed because 1) the relative standard error is greater than 50% or can't be determined or 2) the observed number of events is very small and not appropriate for publication.

Data Source

Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health

The rate of overall child injury death and type of child injury death varies as Utah children age. From 2011-2020, the rate of newborn/infant (0-1) injury death was higher than the rate of toddler-aged (1-4) or elementary/middle school-aged (5-14) child injury death. The higher rate of newborn/infant injury death was primarily due to the high rate of suffocation death in this population. The oldest teenagers, however, see by far the highest rate of child injury death. Suicide, motor vehicles, substances, and risky behavior all take part in those higher rates of child injury death.

Data Notes

ICD-10 codes V01-Y36, Y85-Y87, Y89, *U01-*U03. [[br]]*Use caution in interpreting; the estimate has a coefficient of variation >30% and is therefore deemed unreliable by Utah Department of Health standards. [[br]]**The estimate has been suppressed because 1) the relative standard error is greater than 50% or can't be determined or 2) the observed number of events is very small and not appropriate for publication.

American Indian/Native Alaskan children had the highest rate of child injury death during 2011-2020, a rate nearly three times that of the overall rate of child injury death in Utah. Also, when comparing 2011-2020 child injury death rates with the previous decade (2001-2010) for each race and ethnicity, the rates of death increased for the three most impacted races (American Indian/Native Alaskan, Black, and Pacific Islander), while the rates decreased for the other races and overall.

San Juan, TriCounty, Southeast, Central, and Tooele Health Districts had significantly higher rates of child injury death than the state during 2011-2020. Davis and Utah Health Districts had significantly lower rates of child injury death than the state.

Ben Lomond, Daggett and Uintah County, Duchesne County, Central (Other), San Juan County (Other), and Washington Co (Other) V2 were the Utah Small Areas with significantly higher rates of child injury death than the state during 2011-2020. Lehi, Saratoga Springs, and Provo/BYU were the Utah Small Areas with significantly lower rates of child injury death than the state.

Data Notes

A description of the Utah Small Areas may be found on IBIS at the following URL: [https://ibis.health.utah.gov/resource/Guidelines.html.] [[br]]Utah Small Area Data only available 2010-2020. [[br]]*Use caution in interpreting; the estimate has a coefficient of variation >30% and is therefore deemed unreliable by Utah Department of Health standards. [[br]]**The estimate has been suppressed because 1) the relative standard error is greater than 50% or can't be determined or 2) the observed number of events is very small and not appropriate for publication.