Category Archives: 2011

UK & IRELAND: NEW IOBI ANALYSES OF INPATIENT DATA FOR SERIOUS INJURIES

IOBI have produced new analyses comparing the incidence of serious injury in the five IOBI countries and nine English regions by comparing emergency hospital admissions for serious injury. By focusing on serious injuries – injuries that are very likely to be admitted to hospital – IOBI have been able to minimise differences in hospital admission thresholds and produce more comparable international data for the incidence of serious injury. Furthermore, serious injuries are associated with greater risk of mortality, disability and increased costs.

PREVENTING VIOLENCE AND KNIFE CRIME AMONG YOUNG PEOPLE REPORT

Countries Covered: Europe
Date: 
2011

This report describes the burden that violence imposes on the Region, particularly its poorer countries and groups; risk factors and their interactions; factors that can protect young people from violence; and the evidence supporting the efficacy of preventive action. The report concludes by calling for greater investment in prevention and mainstreaming of the objective of preventing violence among young people into other areas of health and social policy.

VIOLENT BRITAIN: PEOPLE, PREVENTION AND PUBLIC HEALTH

Countries Covered: Europe
Date: 
2011

Report identifying the extent, costs and impacts of interpersonal violence in Britain, the risk factors for victims and perpetrators, interventions that can be effective in reducing violence and how these fit into national policy.  Each Chapter describes the extent and impacts of violence in Britain today, and identifies those most at risk of becoming either victims or perpetrators.

A&E CASUALTIES’ POLICE TIP-OFFS HELP CUT CARDIFF CRIME

Countries Covered: Wales
Date: 
2011

Information gathered from casualties admitted to A&E has been helping police target crime “hotspots” in Cardiff, reducing cases of violence. A four-year study saw 42% fewer woundings in the city compared with 14 similar cities in England and Wales. The World Health Organisation (WHO) is now calling for the project to be rolled out in other countries.

STREET LEVEL CRIME MAPS

Countries Covered: England and Wales
Date: 2011

New online crime maps for England and Wales have been launched, allowing users to see which offences have been reported in their local streets.

CONSULTATION ON DOMESTIC VIOLENCE DISCLOSURE SCHEME

Countries Covered: England and Wales
Date: 
2011

The Home Office has launched a consultation asking whether the protection of victims of domestic violence can be improved by the establishment of a national domestic violence disclosure scheme and, if so, how such a scheme could work in practice.

WHO RELEASES NEW SERIES OF SHORT COURSES ON VIOLENCE AND INJURY PREVENTION

Countries Covered: World
Date: 
2011

Violence and Injury prevention short courses provide a complete training resource for facilitators around the world. Each course addresses a specific injury or violence area and is designed to be delivered over 2-5 days.

CORONER INCREASING NARRATIVES AND THEIR IMPACT ON SUICIDE RATES

Countries Covered: England and Wales
Date: 
2011

The Office for National Statistics have conducted a recent
analysis and conclude: ‘Since 2001 narrative verdicts have been more widely used by coroners. In some cases it can be difficult to code the underlying cause of death from the information provided by the coroner in the narrative. ONS and other organisations have been concerned about the impact of narrative verdicts on the quality of the statistics on cause of death. The increase in the use of narrative verdicts has not had a statistically significant impact on published suicide rates in England and Wales and so no revision to these rates is needed. However, if current trends in the use of narrative verdicts continue, the effect on mortality rates may become large enough to affect the reliability of National Statistics.’

INJURY AND POISONING MORTALITY, 2009

Countries Covered: England and Wales
Date: 
2011

The latest national level report on injury and mortality was released by the Office for National Statistics on 1 March 2011.

To access the statistical bulletin and accompanying national trend data tables for 2005 to 2009 please click on the following link.

DEATHS RELATED TO DRUG POISONING IN ENGLAND AND WALES, 2011

Countries Covered: England and Wales
Date: 
2011

The Office for National Statistics have released their latest figures on deaths related to drug poisoning in England nd Wales for the last five years.

FIRE FUTURES REPORTS: GOVERNMENT RESPONSE

Countries Covered: UK
Date: 
2011

The Fire Futures Government Response outlines how the Government intends to take forward with the sector the public service reform agenda in the context of fire and rescue services at the local level and in terms of national resilience.

ECONOMIC INCENTIVES TO IMPROVE SAFETY AT WORK

Countries Covered: Europe
Date: 
2011

Newly published research by the European Agency for Safety and Health at Work (EU-OSHA) suggests that economic incentive schemes encouraging companies to invest in risk prevention are a cost-effective option for governments looking to cut the numbers of work-related accidents and illnesses. The EU-OSHA report on economic incentives was launched at a conference of the International Occupational Hygiene Association (IOHA) ‘Health, Work and Social Responsibility’ in Rome on 29 September 2010.

SAFETY CHECKLISTS FOR SPORTS COACHES

Countries Covered: UK
Date: 
2011

SafeSport-UK web site has published a safety check list for sport coaches. SafeSport was formed to offer a unique reference point on playing sport safely. SafeSport examines a wide rnage of popular sports and explains how to reduce the risk involved.

WATER DEATHS AND INJURIES DATA PUBLISHED

Countries Covered: UK
Date: 
2011

A new resource has been launched to collect and share better data on fatal and non-fatal drownings, injuries and near misses. The Water Incident Database (WAID) has been developed by the National Water Safety Forum to address the lack of data and information on water-related deaths and injuries.

SWISS SNOW SPORTS SAFETY CAMPAIGN

Countries Covered: Switzerland
Date: 
2011

The Swiss Council for Accident Prevention (bfu) conducted a snow sports safety campaign from 2007—2010 with the slogan “1000 Accidents a Day”. The major aim of the campaign was to promote helmet wearing among skiers and snowboarders. The campaign was particularly targeted at novice snow sport men and women aged 18-25 years. The evaluation confirmed that the campaign concept had a strong impact and succeeded in reaching the target groups and achieving acceptance of the main campaign message.

For further information: o.bruegger@bfu.ch

EVALUATION OF THE NEIGHBOURHOOD ROAD SAFETY INITIATIVE

Countries Covered: England
Date:
 2011

The Department for Transport established the Neighbourhood Road Safety Initiative (NRSI) in 2002. Fifteen Local Authorities (LAs) in England were funded to develop schemes to reduce road casualties in their most disadvantaged areas. A team led by the University College London (UCL) evaluated the impacts of the NRSI using a mixed methods approach. The evaluation showed a significant reduction in casualties during the NRSI.

THE IMPACT OF 20 MPH TRAFFIC SPEED ZONES ON INEQUALITIES IN ROAD CASUALTIES IN LONDON

Countries Covered: England
Date:
 2011

Conclusions: The implementation of 20 mph zones targeted at deprived areas has mitigated widening socioeconomic differentials in road injury in London and to some degree narrowed them, but there is limited potential for further gain.

Citation: Rebecca Steinbach, Chris Grundy, Phil Edwards, Paul Wilkinson, Judith Green. J Epidemiol Community Health doi:10.1136/jech.2010.112193.

DELIVERY OF LOCAL ROAD SAFETY: ROAD SAFETY RESEARCH REPORT NO. 124

Countries Covered: UK
Date: 
2011

The Department for Transport commissioned AECOM, in
association with the Tavistock Institute, to design and deliver a
three-year independent evaluation of the delivery of local road
user safety.  The evaluation was commissioned to consider the following objectives: to evaluate the different strategies and plans for delivering road user safety; to assess what is being delivered, the key processes and how efficient local authority practices are; and to identify lessons and areas of good practice in road user safety investment.

ROAD SAFETY EVALUATION WEBSITE

Countries Covered: UK
Date: 
2011

free website to help road safety practitioners evaluate their education, training and publicity activities was launched today by the Royal Society for the Prevention of Accidents and the Department for Transport. At the heart of the Road Safety Evaluation website is E-valu-it – an interactive toolkit which helps practitioners evaluate their road safety work.

IN-VEHICLE DRIVER DISTRACTION

Countries Covered: Europe
Date: 
2011

The European Transport Safety Council (ETSC) has published a new report on minimising in-vehicle distraction, which is part of ETSC’s PRAOSE project, “Preventing Road Accidents and Injuries for the Safety of Employees”. Vehicles are increasingly becoming “moving offices”, an environment in which employees are likely to receive or make phone calls, check text messages or even check their e-mails, without appreciating the enormous road risk that this type of behaviour poses while driving to work.

CRASHMAP: ROAD TRAFFIC ACCIDENT WEBSITE

Countries Covered: UK
Date: 
2011

To coincide with the publication of Road Casualties GB 2010, a new website has just been launched to allow members of the public to search for and look up details of every road traffic crash reported to police since 2005. Using a fully searchable map, users can locate crashes in a particular area, see what date they occurred on and how serious an incident it was; a detailed collision report can then be downloaded.

NEW STRATEGIC FRAMEWORK FOR ROAD SAFETY

Countries Covered: Great Britain
Date:
 2011

The Government’s new Strategic Framework for Road Safety was launched on 11 May 2011 to coincide with the launch of the UN Decade for Action on Road Safety. This sets out the Government’s approach to continuing to reduce killed and seriously injured casualties on Britain’s roads. The focus is on increasing the range of educational options for drivers who make genuine mistakes and can be helped to improve, while improving enforcement against the most dangerous and deliberate offenders. Additionally, at the local level, there will be an increase in the road safety information that is available to local citizens.

NEW DRINK-DRIVING LIMITS COME INTO EFFECT IN THE REPUBLIC OF IRELAND

Countries Covered: Ireland
Date: 
2011

New drink-driving limits came into effect in the Republic of Ireland on 27 October. The blood alcohol concentration limits were decreased from 80 milligrams (mg) to 20 mg for learner, novice and professional drivers,50 mg for all other drivers. The reductions bring Ireland’s drink-driving limits into line with other European countries.

NEW DATA SHOW THAT ROADS DEATHS IN IRELAND HALVED OVER THE PAST DECADE

Countries Covered: Ireland
Date: 
2011

New data published by the Road Safety Authority and An Garda Síochána show that the number of road deaths in Ireland decreased by 48% between 2001 and 2010. The number of people seriously injured decreased by 58% during the same period. The largest decreases in fatalities occurred among pedal cyclists (75%), motor cyclists (66%) and pedestrians (54%).

BARRIERS TO, AND FACILITATORS OF, THE PREVENTION OF UNINTENTIONAL INJURY IN CHILDREN IN THE HOME: A SYSTEMATIC REVIEW AND SYNTHESIS OF QUALITATIVE RESEARCH

Countries Covered: UK
Date: 
2011

The review highlights ways in which health inequalities affect the take up and success of home safety interventions, and how health workers can use this knowledge to facilitate future interventions.

Citation: Smithson J, Garside R, Pearson M. IP Online First, published on November 21, 2010 as 10.1136/ip.2010.026989.

THERMOSTATIC MIXING VALVES ARE PROVEN TO REDUCE BATH SCALDS

Countries Covered: UK
Date: 
2011

A recent study involving the Glasgow Housing Association, the NHS and several universities, led by Professor Denise Kendrick at the University of Nottingham, explored the effectiveness of TMVs in over 100 homes in Glasgow. The study found that TMVs and accompanying educational leaflets are effective at reducing bath hot tap water temperatures in the short and longer term and are acceptable to families. The research team strongly recommends that whenever a bath is being replaced, it should be fitted with a TMV.

EFFECT OF DRUG LAW ENFORCEMENT ON DRUG MARKET VIOLENCE: A SYSTEMATIC REVIEW

Countries Covered: UK
Date: 
2011

Conclusions: The report findings suggest that increasing drug law enforcement is unlikely to reduce drug market violence. Instead, the existing evidence base suggests that gun violence and high homicide rates may be an inevitable consequence of drug prohibition and that disrupting drug markets can paradoxically increase violence. In this context, and since drug prohibition has not meaningfully reduced drug supply, alternative regulatory models will be required if drug supply and drug market violence are to be meaningfully reduced.

Citation: Werb D, Rowell G, Guyatt G, Kerr T, Montaner J, Wood E. Int. J. Drug Policy 2011; ePub.

REDUCING HOME ACCIDENTS – A STRATEGIC APPROACH FROM NORTHERN IRELAND

Countries Covered: Northern Ireland
Date: 
2011

In 2004, the Northern Ireland Department for Health, Social Services & Public Safety (DHSS&PS) produced a five year Home Accident Prevention Strategy and Action Plan. The main objectives of the Strategy were to reduce home accidents, particularly in those most at risk (under 5s and over 65s); to raise awareness of the causes and promote effective preventative measures; to promote and facilitate effective training, skills and knowledge across all relevant organisation, groups and individuals.

INVESTIGATION REVEALS DANGEROUS ELECTRIC BLANKETS ACROSS NORTHERN IRELAND

Countries Covered: Northern Ireland
Date: 
2011

Faulty electric blankets are putting too many people across Northern Ireland at risk of injury and fire, say accident prevention campaigners following a series of safety events.

FALLS PREVENTION GUIDELINES ISSUED BY THE BRITISH AND AMERICAN GERIATRICS SOCIETIES

Countries Covered: World
Date: 
2011

The British and American Geriatric Societies have issued the updated guideline ‘Clinical Practice Guideline: Prevention of Falls in Older Persons’ The Guideline for the Prevention of Falls in Older Persons was originally published in May 2001. The present publication updates the earlier guideline by evaluating evidence and analyses that have become available since 2001 and by providing revised recommendations based on these evaluations.

BENCHMARKING QUALITY OF CARE FOR FRAGILITY FRACTURES IN THE SOUTH CENTRAL STRATEGIC HEALTH AUTHORITY

Countries Covered: England
Date:
 2011

This pilot report commissioned by the South Central Quality Observatory for South Central Strategic Health Authority (SC SHA), aims to develop a health intelligence system that co-ordinates, collates and disseminates information on the local organisation of services and quality of care for fragility fractures.

CHILD HOME INJURY MORTALITY IN EUROPE: A 16-COUNTRY ANALYSIS

Countries Covered: Europe
Date: 
2011

Study Conclusions: Home injuries were the leading cause of injury death in children under 5 years of age in the countries under study and the inequalities found among the countries indicate potential for improvement. Evidence-based interventions exist to prevent these injuries and the barriers to their implementation ought to be determined and addressed.

Citation: Sengoelge M, Hasselberg M, Laflamme L. Eur J Public Health. 2011 Apr;21(2):166-70. Epub 2010 Apr 29.

NICE GUIDANCE ‘PREVENTING UNINTENTIONAL INJURIES AMONG UNDER-15S’

Countries Covered: UK
Date:
 2011

The National Institute for Health and Clinical Excellence (NICE) has recently published three guidance’s which aim to reduce unintentional injuries among the under 15’s. Please click on the link’s below for further information:

ALCOHOL AND YOUNG PEOPLE: A TOOLKIT

Countries Covered: England
Date:
 2011

As part of its commitment to supporting the development of health promotion and prevention approaches for young people ‘Calling Time’ – the South West Alcohol Improvement Programme has published Alcohol and Young People: A Toolkit, Supporting Vulnerable Young People at Risk of Alcohol Related Harm. This Toolkit has been produced in partnership with Alcohol Concern and aims to inform and guide professionals and carers, concerned with looked after children and young people with special educational needs.

HEALTHY NIGHTLIFE TOOLBOX

Countries Covered: Europe
Date: 
2011

The Healthy Nightlife Toolbox is an international initiative that focuses on the reduction of harm from alcohol and drug use among young people. The core of the online Toolbox is formed by three databases (evaluated interventions, literature, and details of experts within the field) and a Handbook providing guidance on creating a healthy and safe nightlife.

CHILDREN IN WALES: HOME SAFETY GUIDES

Countries Covered: Wales
Date: 
2011

Children in Wales have developed new bilingual home safety guides to help health visitors, practitioners, families and other organisations, prevent home accidents in children under 5 years. The guides have been specifically designed to prevent home accidents that commonly cause serious, fatal and disabling injuries in children under 5 years.

GUIDANCE FOR SAFEGUARDING CHILDREN AND VULNERABLE ADULTS IN GENERAL DENTAL PRACTICE

Countries Covered: Wales
Date: 
2011

Public Health Wales has published guidance on the roles and responsibilities of the dental team in promoting the safety and well being of children, young people and vulnerable adults they come into contact with during the course of their work. The guidance includes information on local arrangements for support and advice and contains a range of links to access further information.

TRL LAUNCHES NATIONAL DATABASE OF CHILD CAR SEATS

Countries Covered: Europe
Date: 
2011

The Transport Research Laboratory (TRL) is conducting a nationwide analysis of the use of child car seats, or restraints as they are often known to support road safety professionals. In sharing their data with road safety professionals, TRL’s objective is to help them use the data to inform their in-car child safety strategies. Additionally the information will enable TRL to feed into the  development of future policies relating to the regulation of child car passenger safety.

NEW CHILD INJURY PREVENTION BOOK PUBLISHED BY PROFESSOR DAVID H.STONE

Countries Covered: UK
Date: 
2011

‘Injury Prevention in Children’ published by Professor David H. Stone, provides an introduction to the key principles of child injury prevention, and how these may be translated most effectively into practice and policy making. Although the book is designed as an introductory text for graduates and undergraduate students; professionals and policy makers in the field of injury prevention will also find this an invaluable source.

NEW ONLINE VIDEO TO SHOW HOW WINDOW BLINDS CAN BE MADE SAFER

Countries Covered: Great Britain
Date:
 2011

The British Blind and Shutter Association’s (BBSA) film, produced in consultation with Child Accident Prevention Trust (CAPT) and RoSPA, clearly shows how looped cords can be a risk to young children. The film looks at alternative, safer designs and how to ensure that existing looped blind cords can be made safer.

CORDS ON WINDOW BLINDS: STANDARDISATION MANDATE TO CEN

Countries Covered: England and Wales
Date: 
2011

On 2nd December 2010 a joint press release was issued by ANEC (The European consumer voice in standardisation) and the European Child Safety Alliance. Window blind cords: Time for action. After a child died in the UK from strangulation by a window blind cord, the European safety standard, EN 13120 was improved in 2009, however there were still concerns that the safety standard did not cover some types of window blinds such as Roman shades.

DEPARTMENT FOR HEALTH ANNOUNCES EARLY IMPLEMENTER HEALTH VISITING SITES

Countries Covered: England and Wales
Date: 
2011

Twenty sites have been selected to lead the way in delivering the new health visiting service. The new service, announced in February 2011, will improve the health and well-being of children, families and communities, and health visitors will play a central role in making this happen. An extra 4,200 health visitors are being recruited over the next 4 years and ex-health visitors are being encouraged to return to the profession.

WORLD HEALTH ASSEMBLY ADOPTS RESOLUTION TARGETED AT SAVING THE LIVES OF CHILDREN FROM INJURY

Countries Covered: World
Date: 
2011

On 24 May 2011, the Sixty-fourth World Health Assembly adopted a resolution on child injury prevention, the first ever on the topic. The resolution, spurred by the WHO/UNICEF World report on child injury prevention, provides a platform to support action on preventing child injuries, which are the leading cause of death for children over the age of 5 years. More than 830,000 children die each year from road traffic crashes, drowning, burns, falls and poisoning.

EUROPEAN TOY SAFETY DIRECTIVE COMES TO FORCE

Countries Covered: Europe
Date: 
2011

The new European Toy Safety Directive, published in 2009, came into force on  the 20th July 2011. From this date, all Member States have to comply with new rules and safety requirements to protect children and reduce accidents with dangerous toys.

BABY WALKERS: NEW JOINT POSITION STATEMENT ILLUMINATES CONTINUED RISKS

Countries Covered: Europe
Date: 
2011

ECSA and ANEC have released a joint position statement and background paper about the risk of injuries to young children caused by baby walkers. The position statement is supported by ECSA and ANEC country partners, representing expert organisations from over 30 EU countries who are concerned about this product’s use.

WARNING ON SLEEP POSITIONERS

Countries Covered: World
Date: 
2011

The American Academy of Pediatrics (AAP) shares the concerns of Consumer Product Safety Commission (CPSC) and the Food and Drug Administration (FDA) on the safety of sleep positioners, and urges parents not to use these products. Sleep positioners are flat mats with side bolsters or inclined (wedge) mats with side bolsters. They can increase the risk of babies suffocating. The AAP also recommends that parents never use pillows, stuffed animals heavy blankets or other soft or puffy items in babies’ cribs. Soft bedding can end up over their face and block their breathing. Babies should have their own crib, with a firm mattress and a fitted sheet.

TAKE ACTION FOR FREE RANGE KIDS

Countries Covered: Great Britain
Date:
 2011

SUSTRANS defines ‘Free Range Kids’ as children and young people who experience freedom from their front door. They have the confidence to travel independently, play outdoors and explore their local community, and have the skills, opportunities and support to do so safely.  SUSTRANS are making sure that politicians know what the issues are through their Early Day Motion.

11 EVIDENCED BASED REVIEWS RELEASED BY THE UK VIOLENCE AND INJURY PREVENTION FOCAL POINT

Countries Covered: UK
Date: 
2011

The UK Violence and Injury Prevention Focal Point, have released 11 evidenced based reviews (covering on Burns, Child Maltreatment, Childhood Injuries, Elder Abuse, Falls in Older People, Intimate Partner Violence, Road Traffic Accidents, Self Harm and Suicide, Sexual Violence, Sports Injuries and Youth Violence) designed for the non-specialist.

ALCOHOL CONCERN FACTSHEET, ‘GRASPING THE NETTLE: ALCOHOL AND DOMESTIC VIOLENCE’

Countries Covered: UK
Date: 
2011

This Alcohol Concern factsheet is an updated overview of the research on the association between alcohol and domestic violence and a clear outline of the

GUIDE TO CALCULATE COST-EFFECTIVENESS AND COST-UTILITY OF INJURY PREVENTION INTERVENTIONS

Countries Covered: Europe
Date: 
2011

THE WHO regional office has published a guide for use of standardised methods to conduct cost-effectiveness and cost-utility analyse on injury prevention interventions. The guide is designed to assist public health experts, researchers and policy makers who are interested in estimating cost-effectiveness and cost-utility of injury prevention programmes.

TWO INJURY PROJECTS REMOVED FROM NICE WORK PROGRAMME

Countries Covered: UK
Date: 
2011

The Department of Health have decided that six topics, including two relating to accident prevention, previously referred to the National Institute for Health and Clinical Excellence (NICE), are not appropriate for NICE public health guidance and should be removed from its work programme.

THE NATIONAL AUDIT OF FALLS AND BONE HEALTH IN OLDER PEOPLE

Countries Covered: England, Wales, and Northern Ireland
Date: 
2011

There is unacceptable variation in the quality of NHS services for the care and prevention of falls and fractures, an audit reveals. The National Audit of Falls and Bone Health in Older People calls for more prevention in this area. It recommends that health and local authority commissioners should provide therapeutic exercise programmes for older people to prevent falls, and says emergency departments and minor injury units should introduce routine screening for falls risk and osteoporosis among older people presenting with falls and fractures.

ACCIDENT PREVENTION KEY RESPONSIBILITY FOR LOCAL AUTHORITIES

Countries Covered: UK
Date: 
2011

The Department of Health has published a progress report on the new approach to public health confirming that accidental injury prevention will be included within the new role and responsibilities of local authorities.

CHIEF MEDICAL OFFICER FOR WALES SUPPORTS INJURY PREVENTION

Countries Covered: Wales
Date: 
2011

Dr Tony Jewell’s 2010 Annual Report on the health of the people of Wales has recently been published. It is heartening to see the recognition of injury as a major public health issue and the support expressed throughout the Report for injury surveillance and targeted prevention initiatives.

EUROSAFE POLICY BRIEFINGS

Countries Covered: Europe
Date: 
2011

Eurosafe have produced 19 policy briefings covering all areas of injury prevention.

ACCIDENT AND EMERGENCY (A&E) ATTENDANCES IN ENGLAND 2009-10

Countries Covered: England
Date:
 2011

The report ‘Accident and Emergency Attendances in England (Experimental Statistics) 2009-10’ and accompanying summary data tables were published in January 2011. This is the third annual publication on A&E attendance data within Hospital Episode Statistics (HES). It covers the period 1 April 2009 to 31 March 2010 and draws on just over 15 million detailed records of attendance at major A&E departments, single specialty A&E departments, minor injury units and walk-in centres in England.

UPDATED LOCAL ALCOHOL PROFILES FOR ENGLAND

Countries Covered: England
Date:
 2011

The Local Alcohol Profiles for England (LAPE 2010) contain 23 alcohol-related indicators for every local authority and 24 for every primary care trust in England. This year, key Indicators in healthcare, criminal justice, benefits claimants, drinking patterns and life lost due to alcohol have been used in combination to identify and map those areas experiencing different overall levels of alcohol-related harms.

EXTERNAL CAUSES AND PLACE OF DEATH

Countries Covered: England
Date:
 2011

recent report examines variation in deaths by external cause in England in the years 2007-2009, with a particular focus on information relevant to end of life care. Variation is shown by age group, sex, external cause and place of death. The report ‘External Causes of Death’ was produced by the South West Public Health Observatory for the National End of Life Care Intelligence Network.