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Injury and Violence Prevention

According to the CDC’s National Center for Injury Prevention and Control, nearly 30 million emergency room visits and more than 180,000 deaths are attributable to injury and violence each year. In fact, injury is the leading cause of death for people ages 1 to 44 in the United States.  Millions more Americans are injured and survive, only to cope with lifelong disabilities. In a single year, injury and violence ultimately cost the United States $406 billion, including over $80 billion in medical costs and $326 billion in lost productivity. Preventing injuries is extremely cost effective, and it is imperative that innovative and effective injury and violence prevention programs work to prevent premature deaths, particularly among vulnerable populations of children, young families, and older adults.

Local health departments (LHDs) play an important role in coordinating the broader public health system’s efforts to address the causes of injury and violence. LHDs are well suited to unite community partners to address the causes of injury- and violence-related inequities through policy, environment, and system change.

NACCHO’s Injury and Violence Prevention (IVP) Program strengthens the capacity of LHDs to effectively address the causes of injury and violence in their communities by creating learning opportunities, developing tools and resources, providing technical support, and facilitating peer exchange.

In the Spotlight

WHO recommends that naloxone be made available to people likely to witness an opioid overdose, as well as training in the management of opioid overdose.

WHO recommends the use of a range of treatment options for opioid dependence which include psychosocial support, opioid maintenance treatments such as methadone and buprenorphine, supported detoxification and treatment with opioid antagonists such a naltrexone. WHO supports countries to introduce such treatment programs where they do not exist.

WHO supports countries in monitoring trends in drug use and related harm, to better understand when opioid dependence and opioid overdose is occurring. WHO supports countries to use medicines rationally, including medicines under international control such as strong opioids, to ensure the optimal of availability for medical purposes and minimization of their misuse and non-medical use.

WHO recommends a stepped approach to the use of opioids in the management of cancer pain in adults – the WHO Cancer Pain Ladder, which recommends the initial use of non-opioids, then weak opioids, then strong opioids as pain increases. In the management of persisting pain in children, WHO recommends that weak opioids not be used, due to the variable metabolism of codeine in children. When prescribing opioids, WHO recommends measures to reduce the risk of misuse and diversion of opioids, including careful patient selection, and supervision of dosing where necessary.


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New York City Invests Over $12 Million in Cure Violence Model

New York Mayor Bill de Blasio and the New York City Council announced an expanded citywide initiative to reduce gun violence, which essentially triples the Cure Violence program in New York City. This $12.7 million initiative—funded jointly by the de Blasio administration and the City Council—expands Cure Violence from 5 to 14 precincts which account for 51% of shootings in the city More »

Archived Webinar: Implementing Triple P - Positive Parenting Program at the Local Level

Triple P – Positive Parenting Program is an evidence-based system of interventions that enhance parental knowledge, skills, and confidence to prevent and address behavioral, emotional, and developmental problems in children. The Triple P Implementation Project is a multi-year initiative of the National Association of County and City Health Officials (NACCHO) that aims to learn how the Triple P system can be implemented and coordinated at the community level through partnerships between local health departments and federally qualified health centers (FQHCs). This webinar, hosted on August 25, 2014, provided an overview of Triple P and its implementation framework, and described local examples from two implementation sites: Berrien County (MI) and Pitt County (NC). Visit the IVP Resources page for additional archived webinars. More »