6/18/2014 1 Holly Billie, MPH Injury Prevention Specialist CDC National Center for Injury Prevention and Control Leanna Fox, MPH Public Health Advisor CDC National Center for Injury Prevention and Control CDC Tribal Motor Vehicle Injury Prevention Program Webinar Division of Unintentional Injury Prevention National Center for Injury Prevention and Control Webinar Schedule Program overview – Holly Billie, CDC Presenters: Hannah Harper – CO River Indian Tribes Gregory Sehongva – Hopi Tribe Danielle Lippert – CA Rural Indian Health Board Lesa Way – SE Alaska Regional Health Consortium Toni Short – Caddo Nation Richard Bracha – Rosebud Sioux Connie Johnson – Oglala Tribe Shannon White – Sisseton Wahpeton-Oyate Questions and answers Overview American Indians/Alaska Natives (AI/AN) 5.2 million AI/AN CA and OK have largest AI/AN population 566 federally recognized tribes • 230 in AK, 102 in CA, 38 in OK, 29 in WA • Sovereign governments • Some state laws are not applicable on tribal lands AI/AN Injuries Unintentional injuries - leading cause of death for ages 1 – 44 and 3 rd overall Leading injury type – motor vehicle crashes The American Indian and Alaska Native Population; 2010 Census Brief http://www.ihs.gov/aboutihs/ CDC WISQARS 05/14 2006–2010, US, Unintentional Injury Deaths Crude rates per 100,000, Ages 1–44, Both Sexes 26.56 28.65 22.28 35.22 8.02 0 10 20 30 40 50 60 All Races White Black AIAN Asian/PI CDC WISQARS 10/13 2006–2010 Unintentional Injury Deaths, US, AIAN ages 1–44, both Sexes 1.8% 1.9% 2% 2% 2% 3% 4% 26.7% 50.6% Suffocation Fire/burn Other land transport Pedestrian Fall Natural Env. Drowning Poisoning MV Traffic N=5028 CDC WISQARS 10/13
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Transcript
6/18/2014
1
Holly Billie, MPH
Injury Prevention Specialist
CDC National Center for Injury Prevention and Control
Leanna Fox, MPH
Public Health Advisor
CDC National Center for Injury Prevention and Control
CDC Tribal Motor Vehicle Injury
Prevention Program Webinar
Division of Unintentional Injury Prevention
National Center for Injury Prevention and Control
Webinar Schedule
Program overview – Holly Billie, CDC
Presenters:
Hannah Harper – CO River Indian Tribes
Gregory Sehongva – Hopi Tribe
Danielle Lippert – CA Rural Indian Health Board
Lesa Way – SE Alaska Regional Health Consortium
Toni Short – Caddo Nation
Richard Bracha – Rosebud Sioux
Connie Johnson – Oglala Tribe
Shannon White – Sisseton Wahpeton-Oyate
Questions and answers
Overview
American Indians/Alaska Natives (AI/AN)
5.2 million AI/AN
CA and OK have largest AI/AN population
566 federally recognized tribes
• 230 in AK, 102 in CA, 38 in OK, 29 in WA
• Sovereign governments
• Some state laws are not applicable on tribal lands
AI/AN Injuries
Unintentional injuries - leading cause of death for ages 1 – 44 and
3rd overall
Leading injury type – motor vehicle crashes
The American Indian and Alaska Native Population; 2010 Census Brief
http://www.ihs.gov/aboutihs/
CDC WISQARS 05/14
2006–2010, US, Unintentional Injury Deaths Crude rates per 100,000, Ages 1–44, Both Sexes
26.56 28.65
22.28
35.22
8.02
0
10
20
30
40
50
60
All Races White Black AIAN Asian/PI
CDC WISQARS 10/13
2006–2010 Unintentional Injury Deaths, US, AIAN ages 1–44, both Sexes
Reduce motor vehicle crash related injuries and deaths due to lack of seatbelt use and alcohol impaired driving.
TEEN Supplemental Goal:
Reduce alcohol-impaired driving among teens.
OBJECTIVE:
Reduce alcohol-related motor vehicle crash injuries and deaths by 15% by 2014
OBJECTIVE:
Increase adult seatbelt use rates by 20% by 2014
Activities:
• Enhanced Enforcement Events • Outreach events • DUI VIP Panels • Media • Officer Training • Developed Checkpoint Procedures • Community Safety Advisory Board Task Force for Code Revision
Enhanced Enforcement Activities Occupant Protection / DUI Prevention 7 Checkpoints 4 Saturation Patrols Media Activities
• Billboards, Theater Ads
• Radio Ads, Tribal Newspaper
• The Live Campaign
https://vimeo.com/778088811
Outreach Activities
School Events, Recreational Events,
Traditional/ Community Gatherings
KEY PARTNERS
• Law Enforcement
• CRIT Tribal Court
• CRIT Deterrence
• CRIT Attorney General
• Community Coalitions
• CRIT Tribal Injury Prevention Cooperative Agreement Program / Indian Health Service IP
Data Collection Methods & Results
◦ Seatbelt Observations using IHS/UNC protocol
35 locations
2011 – 1,265 obs.
2012 – 1,427 obs.
2013 – 1,138 obs.
◦ Written DUI & Seatbelt Surveys
Conducted in 2011 & 2013, total of 431 survey respondents
Seatbelt Survey Areas: A) Survey Respondent Information; B) Seat Belt Knowledge/Outlook; C) Seat Belt Enforcement Knowledge/Outlook; and D) Seat Belt Use Outreach
DUI Survey Areas: A) Survey Respondent Information; B) DUI Knowledge/Outlook; C) DUI Enforcement Knowledge/Outlook; D) DUI Prevention Outreach/Media; and E) DUI and Injury Prevention
◦ Police Crash Reports
Pre-project data baseline through current 2009-2014.
Seatbelt Warnings/Citations, CSS Warnings/Citations, DUI Arrests, MVCs, MVCs with either injuries or fatalities, Alcohol-involved MVCs.
• Annual Observational Restraint Use Surveys o 35 locations o Every year in June
• Community Awareness Surveys
o Seatbelt Use o DUI o Conducted in 2011 & 2013
• Police Department Records
o Seatbelt/Carseat Warnings and Citations o DUI Arrests o Crash Reports
6/18/2014
5
Year I-2011 (n=1454) Year II-2012 (n=1766) Year III 2013 (n=1172)
Driver 59.6% 66.3% 63.9%
Passenger 53.2% 63.2% 60.5%
Overall 58.2% 65.5% 63.1%
59.6%
66.3%63.9%
53.2%
63.2%60.5%
58.2%
65.5%63.1%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
CRIT TMVIPP Seatbelt Use Summary, 2011-2013
Major Changes:
While there was a slight decrease in overall seatbelt use from 2012 to 2013, the percent change (increase) from 2011 to 2013 was 8.4%
Major Changes:
28.9% change (decrease) in total crashes from 2011-2013
46.6% change (decrease) in MVCs with injuries from 2011-2013
Major Changes:
44.8% change (decrease) in MVCs that were alcohol involved (AI) from 2011-2013
56.25% change (decrease) in AI-MVCs with injury or fatality from 2011-2013
29.8% change (decrease) in DUI arrests from 2011-2013
27 29 28
16
0
11
16 17
7
84 87
94
61
0
10
20
30
40
50
60
70
80
90
100
Pre-Project (2009-2010) Year I (2010-2011) Year II (2011-2012) Year III (2012-2013) Year IV (2013-2014)
Nu
mb
er
Years
CRIT TMVIPP Alcohol-Impaired (AI) MVCs Total, AI-MVCs with either Injuries or Fatalities, and DUI Arrests 2010-2014
AI-MVCs Total AI-MVCs With either Injury or Fatality DUI Arrests (#)
Project Start
• Staff turnovers / shortages
• Limited administrative support (i.e. working on policy changes)
• Keeping key partners involved • Collecting certain data (i.e. written warnings that are not regularly tracked)
CHALLENGES
Project Sustainability
• Code Amendment Proposals:
‐ Create primary seat belt law and update child car seat law
‐ Adjust B.A.C. level to .08; Incorporate DUI graduated sentencing
• CRIT TIPCAP will include seat belt use
Lessons Learned
The most effective results in traffic safety
are obtained by incorporating all of the following:
Enforcement Education/outreach Media Policy change
Hannah Harper, Coordinator 26600 Mohave Road Parker, AZ 85344
Bi-weekly car seat clinics • Available on a regular basis for public • Opportunities for technicians participate • Not all technicians need to be on site
• Open to all community members • Child safety seats are provided free of charge • Expecting mothers encouraged to attend
6/18/2014
7
Partnerships
Hopi CHR Program
IHS Public Health Nursing
IHS Office of Environmental Health
Hopi Injury Prevention Coalition
Hopi Rangers
BIA Law Enforcement
IHS Outpatient Nursing
Short Stay Nursing
Use of Local Media
KUYI Hopi Radio ◦ House Calls
◦ PSA for Booster seats
◦ Community Calendar to announce events
Hopi Tutuveni (Hopi
newspaper)
◦ Announcements
◦ Event posters
Results 4 Law enforcement checkpoints w/ TMVIPP
◦ 2 checkpoints in conjunction with a car seat check event
◦ BIA & Rangers also conducted enforcement checkpoints
◦ Plans for Click it or Ticket events in May 2014
34 Child safety seat events/clinics
579 Child safety seats installed
0 0
63 29
92
0 49
17 26
92
23
156 122
94
395
23
205 202 149
579
Year I (2010-2011) Year II (2011-2012) Year III (2012-2013) Year IV (2013-2014) TOTAL
On-on-One Appts Group Classes Check/Instal Events Total
Occupant Restraint Use (before and after)
Percentage increase of 32.3%
Percentage increase of 36.9% overall
21.7% 31.3% 28.7%
0%
20%
40%
60%
80%
100%
Year II-2012
(n=120)
Year III 2013
(n=64)
Year IV (2014)
(n=101)
Percen
t U
se
Program Years
Hopi Tribe Child Safety Seat Use, 2012-2014
42.0%
53.4% 54.7% 56.0%
30.4% 39.0%
43.4% 45.0% 38.8%
49.6% 51.5% 53.1%
0%
25%
50%
75%
100%
Year I-2011(n=1,378)
Year II-2012(n=1,529)
Year III 2013(n=1,442)
Year IV (2014)(n=1,506)
Perc
ent
Program Year
The Hopi Tribe Seatbelt Use Summary, 2011-2014
Driver Passenger Overall
Changes in leadership while providing support for primary seat belt law
Lack of stakeholder participation (YR I-III)
Required paperwork not completed for CSS distribution
Differing interpretations of seat belt law by local law enforcement agencies
Enforcement and crash data
Lessons Learned/Next Steps
• Pursue opportunities to enhance data collection from law enforcement and other resources
• California Rural Indian Health Board (CRIHB) ▫ State-wide agency that serves member tribes ▫ Applies for and helps implement grants ▫ Located in Sacramento, CA ▫ 359 miles from the Yurok Reservation ▫ Plans activities and manages funding program
• Yurok Police Department ▫ Located on the Yurok Reservation in Klamath, CA ▫ Implements program activities/assist with data
collection locally
359 miles/6.5 hours driving Varied communication channels:
Phone Calls (regular) Emails (frequent) Site Visits (average 5/year)
Indian Highway Safety, Dept. of Public Safety, TIPCAP, TMVIPP, & invited guests discuss upcoming campaigns, seat belt use, distracted/impaired driving, and child safety seats
10.0% 12.0%
32.0%
45.0%
73.0% 72.1% 73.4%
83.0% 82.0% 84.0% 84.0%
87.0%
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
80.0%
90.0%
100.0%
2007 2009 2011 2013
Oglala Sioux Tribe Occupant Seat Belt Use, 2007-2013
Oglala Sioux South Dakota National
5 20 32 17 2
514
648 617
523
368
0
100
200
300
400
500
600
700
Pre-Project (2009-2010) Year I (2010-2011) Year II (2011-2012) Year III (2012-2013) Year IV (2013-2014)
Nu
mb
er
Program Years
Oglala Sioux Tribe Driving Under the Influence (DUI) Enforcement Activity Summary, 2010-2014
DUI Checkpoints DUI Arrests
Project Start
Partial Year
318 312 248
209
62 106 76 70 44 17
1039
1430
864 905
143
218
391
250
147
16
514
648 617
523
204
0
200
400
600
800
1000
1200
1400
1600
Pre-Project (2009-2010) Year I (2010-2011) Year II (2011-2012) Year III (2012-2013) Year IV (2013-2014)
Nu
mb
er
Program Years
MVCs Total, MVCs with Either Injuries or Fatalities, and Traffic Safety Enforcement Summary, 2010-2014
MVCs Total MVCs w/either Inj or Fatl Seatbelt Citations CSS Citations DUI Arrests
Project Start
Partial Year
6/18/2014
20
Staff turnover
Tribal Motor Vehicle Injury Prevention Program Coordinator (n=5 in four years)
Chief of Police
Managers
Financial Officer
Tribal Court Staff
Tribal Politics (proposed laws pending with committee)
Transportation
Documentation
Dedicated participants
Maintaining a strong coalition
Education to our tribe on “Issues of Importance”
Communication is our most valuable tool
Seat Belt & Child Safety Seat Traffic Codes ◦ Proposed, passed, and included raised fines
DWI/DUI: ◦ Proposing higher fines and penalties
Ongoing-Education, Outreach ◦ Billboards at all entrances onto the Pine Ridge reservation
◦ Will change every two years
MVC Fatality Banners ◦ Small signs displaying photos of lost crash victims