Safe Kids Bear River Community Needs Assessment, 2007 by Christi Fisher

Community Needs Assessment November 30, 2007

Table of Contents

Introductionâ&#x20AC;Ś..................................................................................................................................3 Demographic Data ...........................................................................................................................3 Injury Data .......................................................................................................................................5 Risk Factors .....................................................................................................................................6 Community Experience in Injury Prevention ..................................................................................7 Contact Information .......................................................................................................................12 10 Leading Causes of Death, Utah ................................................................................................13 10 Leading Causes of Death, United States...................................................................................14

Accidental injury is the number one cause of death among children ages 1-14 years in Utah. Each year approximately 80,000 Utah children need professional medical attention for an accidental injury. The majority of childhood injuries can be prevented. Safe Kids Bear River is part of Safe Kids Worldwide, a global network of organizations whose mission is to prevent accidental childhood injury, a leading killer of children 14 and under. More than 450 coalitions in 15 countries bring together health and safety experts, educators, corporations, foundations, governments and volunteers to educate and protect families. The organization was founded in 1987 by Children's National Medical Center with support from Johnson & Johnson. Safe Kids Bear River models the worldwide organization. Together, the coalition builds community partnerships to prevent accidental childhood injury. This report will document the priority injury areas the coalition will focus on from November 2007 to November 2010.

I. Demographic Data

Box Elder

Cache

Rich

The Safe Kids Bear River Coalition covers the three northern counties in Utah; Box Elder, Cache, and Rich. Geographically, Box Elder is the largest county. However, Cache is the largest populated county with an estimated total population of 98,662. Box Elder is the second largest with an estimated total population of 47,197. And Rich is the smallest with an estimated total population of 2,040 (Source: U.S. Census Bureau). Box Elder and Rich County are the more rural parts of the Bear River District. The coalitions lead agency is the Bear River Health Department, which has a main office in Cache County, two satellite offices in Box Elder County and one small office in Rich County. Box Elder, Cache, Logan, and Rich are the four school districts. Box Elder County includes the majority of the Great Salt Lake and Rich County includes the lower section of Bear Lake. Cache County includes Utah State University which has extension offices in Box Elder. 1. Total Number of children ages 14 and under in the geographical coverage area: 41,595 Ages <1 Ages 1-4 Ages 5-9 Ages 10-14 TOTAL:

3,301 12,739 13,870 11,685 41,595 3

Data Source: Retrieved Mon. Nov. 5, 13:08:38 MST 2007 from Utah Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web Site: http://ibis.health.utah.gov 2. Racial makeup of the geographic area shown by percentage Box Elder 96.8% 0.3% 1.1% 0.0% 1.0% 7.2% 0.8% 89.9%

White Black Asian Native Hawaiian and Other Pacific Islander American Indian or Alaskan Native Hispanic Persons reporting two or more races White persons not Hispanic

Cache 95.4% 0.5% 2.3% 0.3% 0.6% 8.1% 0.9% 87.7%

Rich 99.6% 0.0% 0.4% 0.0% 0.0% 2.0% 0.0% 97.7%

State of Utah 93.8% 1.0% 1.9% 0.7% 1.3% 10.9% 1.3% 83.5%

Data Source: U.S. Census Bureau: Sate and County Quick Facts (2005) 3. The top three non-English languages spoken: 1. Hispanic 2. Asian 3. American Indian or Alaskan Native 4. Income Income in 1999 Households

Box Elder

Cache

Rich

13,211

100.0

27,597

100.0

653

100.0

Less than $10,000

710

5.4

2,066

7.5

6.4

$10,000 to $14,999

635

4.8

1,664

6.0

5.8

$15,000 to $24,999

1,546

11.7

3,957

14.3

14.5

$25,000 to $34,999

1,832

13.9

4,518

16.4

111

17.0

$35,000 to $49,999

2,699

20.4

5,314

19.3

131

20.1

$50,000 to $74,999

3,455

26.2

5,795

21.0

140

21.4

$75,000 to $99,999

1,482

11.2

2,168

7.9

7.5

$100,000 to $149,999

702

5.3

1,372

5.0

4.3

$150,000 to $199,999

0.7

391

1.4

1.7

$200,000 or more

0.4

352

1.3

1.2

1999 Median household income (dollars)

44,630

(X)

39,730

(X)

39,766

(X)

2006 Median Household Income (dollars)

N/A

$43,059

N/A

II. Injury Data Emergency Department Injury Encounters 2003-2005 Reason for ED Encounter Cut/Pierce Drowning/Submersion Fall Fire/Flame/Smoke

<1 15 **

** 211

Hot Object/Substance, Caustic Substance Firearm Machinery Motor Vehicle, Traffic - Occupant Injured

Age Group 1-4 5-14 172 491 ** 1,511 1,858 6 17 114

** **

49 **

9 105

7 243

Motor Vehicle, Traffic - Motorcyclist Injured

189 ** ** 394

Motor Vehicle, Traffic - Pedal Cyclist Injured Motor Vehicle, Traffic - Pedestrian Injured Motor Vehicle, Traffic - Other and Unspecified Pedal Cyclist - MV Non-Traffic and Other Pedestrian - MV Non-Traffic and Other Oth. Motor Vehicle - Non-Traffic (Not Pedal, Pedestrian)

Total 678 5 3,580 23

20 32

** **

10 44 7

22 326

46 ** 44 32 **

12 128

Other Land Transport - Non-Traffic, Not MV

17 85 102 Other Transport (Air, Space, Water, etc.) ** ** ** Natural / Environmental 10 196 261 467 Overexertion 13 139 300 452 Poisoning 18 167 62 247 Struck By or Against 39 625 1,184 1,848 Suffocation ** ** ** 11 Other Specified and Unspecified 54 439 479 972 Other Injury Causes (None of the above) ** ** ** 9 Total 444 3,611 5,625 9,680 **The count or rate in certain cells of the table has been suppressed either because 1) the observed number of events is very small and not appropriate for publication, or 2) it could be used to calculate the number in a cell that has been suppressed. The information provided above is from the Utah Department of Health's Center for Health Data IBIS-PH web site (http://ibis.health.utah.gov). The information published on this website may be reproduced without permission. Please use the following citation: "Retrieved Mon Nov 05 12:00:57 MST 2007 from Utah Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.utah.gov".

Injury Deaths 1999-2005 (We had to query from 1999 to get a number that was large enough to be reported, and even then there are a number of boxes in the table with **.) Injury Causes of Death Drowning/Submersion Fall Fire/Flame/Smoke Motor Vehicle, Traffic - Occupant Injured Motor Vehicle, Traffic - Pedestrian Injured

1-4

Age group 5-9

** ** ** **

** **

10-14 ** ** ** ** **

Total 5 ** ** 8 6

Motor Vehicle, Traffic - Other and Unspecified

** 5 ** 8 Oth. Motor Vehicle - Non-Traffic (Not Pedal, Pedestrian) ** ** ** Other Transport (Air, Space, Water, etc.) ** ** Poisoning ** ** ** Struck By or Against ** ** Suffocation 5 ** ** 9 Other Specified and Unspecified ** ** ** ** 5 Total 7 20 11 14 52 **The count or rate in certain cells of the table has been suppressed either because 1) the observed number of events is very small and not appropriate for publication, or 2) it could be used to calculate the number in a cell that has been suppressed. The information provided above is from the Utah Department of Health's Center for Health Data IBIS-PH web site (http://ibis.health.utah.gov). The information published on this website may be reproduced without permission. Please use the following citation: "Retrieved Mon Nov 05 12:00:57 MST 2007 from Utah Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.utah.gov".

Top 5 Injury Risk Areas: 1. 2. 3. 4. 5.

Motor Vehicle Occupant Airway Obstruction/Suffocation Pedestrian Drowning Falls

6. Bicycle Related 7. Fire and Burns 8. Struck by or against

III. Risk Factors 1. Who is at high risk? Utah and National Data both indicate that suffocation is the leading cause of death for children under 1 and that Unintentional Motor Vehicle Traffic injuries are the leading cause of death for 6

children ages 1-4, 5-10, and 10-14. Drowning is ranked second for Utah and the United States as a leading cause of death for children 1-4 and 5-9 years old. 2. What reasons can you identify puts these groups at higher risk? Mountain passes and Interstate I-15 are two reasons why motor vehicles may be a leading cause of death. As mentioned earlier in the report, the Bear River Health District contains two major bodies of water used for recreational purposes. These increase the risk for drowning.

VI. Community Experience in Injury Prevention Safe Kids Bear River Coalition: Community coalition started in 1996 targeting the prevention of unintentional injuries to youth 0-14. Coalition conducts needs assessment, prioritizes risks, assesses community resources, advocates for injury prevention to community key leaders, and evaluated effectiveness of programs. Bicycle Rodeo’s: PTA’s (parent teacher association)/school representatives can rent a bicycle rodeo kit with a training manual that instructs them how to implement bicycle rodeos and additional resourced related to bicycle safety. Buckle Up Events: Car seat checks are made available during WIC (Women Infants Children) clinics at the health department. Clients sign up for the checks ahead of time and are educated on proper child safety seat installation. No car seats are sold or distributed during this event. Safe at Home Assessments: Home health nurses from the Bear River Health Department assess specific areas in clients homes related to injury prevention. If an injury prevention need is identified, the nurse has been given resources to meet the client’s needs. For example, if a client doesn’t have smoke alarms, then one is provided. Or, if a client is in need of a baby gate, one will be provided. Pedestrian Safety: Walk This Way and Green Ribbon Month are two pedestrian safety promotions that take place every October in our area. Both include teaching parents and students about safe pedestrian practices. Risk Watch: A Fire safety curriculum implemented in elementary grades focused on preventing fires in the home. Gear up Games. Interactive injury prevention games that educates elementary age youth about fire safety, water safety, bicycle safety, seat belt safety, and how to dial 911. Fire Safety. Collaboration with local fire departments to educate community and install smoke alarms.

PTA Health & Safety Commissioner Training: This annual training provides PTA health and safety commissioner’s goals and objectives, resources, and direction on planning, implementing, and evaluating effective injury prevention programs to youth in grades K-5. Hispanic Health Coalition: Grassroots coalition to identify needs, prioritize resources, and link injury prevention services to Hispanic/Latino population. Community partners that coalition currently works with: Community Partner Axtel-GM Dealership - Logan

Length of relationship

Describe Relationship

8 years

11 years

Partner to implement child passenger safety buckle up events Partner to implement child passenger safety buckle up events Partner to implement child passenger safety buckle up events Coalition member

7 years

Coalition member

Hansen Motor GM 5 years Dealership – Brigham City Crump GM Dealership 5 years - Tremonton Logan Regional Hospital Bear River Head Start

Community events held together Buckle Up Events

Buckle Up Events

Coalition meetings, health fairs. Buckle up events

State and local laws PFD (Recreational Boating)-Safety Equipment Required To Be On Board Vessel Utah Code: 73-18-8 Target Population: All ages Summary Each person on board must have one personal flotation device. Each flotation device must be:  In serviceable condition  Legally marked with U.S. Coast Guard approval number  Be appropriate size for the person who is wearing it For vessels 16 feet or more in length, there must also be on board one Type IV throw able personal flotation device which is approved for this use by the U.S. Coast Guard. Each vessel must display navigation lights when the vessel is on the waters between sunset and sunrise. Each vessel must have fire extinguishing equipment on board. A person may not operate or give permission for the operation of a vessel which is not properly equipped as outlined above.

Boating Safety for Youth to Operate Personal Watercraft Utah Code: 73-18-1.2 Target Population: 16 and under Summary A person under 16 years of age may not operate a motorboat on the waters of this state unless the person under 16 years of age on-board is under the direct supervision of a person who is at least 18 years of age. Boating Safety for Youth to Operate Personal Watercraft Utah Code: 73-18-1.2 Target Population: 12-15 years-old Summary A person who is at least 12 years of age or older but under 16 years of age may operate a personal watercraft if s/he:  Is under the direct supervision of a person who is at least 18 years of age a. “direct supervision” means oversight at a distance within which visual contact is maintained  Completes a boating safety course approved by the boating division  Has in his/her possession a boating safety certificate issued by the boating safety course provider A person who is at least 16 years of age but under 18 years of age may operate a personal watercraft, if the person:  Completes a boating safety course approved by the division  Has in his/her possession a boating safety certificate issued by the boating safety course provider Owner of Boat Livery-Duties Utah Code: 73-18-10 Target Population: Boat Livery Owners Summary Owner of a boat livery must keep a record of the following:  The name and address of the person hiring any vessel  Identification number of the vessel  The vessel’s departure date and time  The vessel’s expected time of return  The record must be preserved for one year 9

Neither the owner of the boat livery nor his agent or employee may permit any vessel to depart from the premises of the boat livery unless the owner has adequately equipped the vessel and has advised the renter of the vessel of all rules under this chapter which the renter must obey. Motor Assisted Scooters (applies to bicycle, moped, or motor-driven cycle) Utah Code: 41-6a-1115 Target Population: 15 and under Summary  A person under 15 years of age may not operate a motor assisted scooter unless the person is under the direct supervision of their parent or guardian.  A person under eight-years of age may not operate a motor assisted scooter on any public property, highway, path, or sidewalk  A person may not operate a motor assisted scooter: o In a public parking structure o On public property posted as an area prohibiting skateboards o On a highway consisting of a total of four or more lanes designated for regular motor vehicle traffic o On a highway with a posted speed limit greater than 25 miles per hour o While carrying more persons at one time than the number for which it is designed o That has been structurally or mechanically altered from the original manufacturer’s design  An owner may not authorize or knowingly permit a person to operate a motor assisted scooter in violation of this section.  Violations may result in a class C misdemeanor.

Motorcycle or Motor-Driven Cycle (Electric assisted bicycles, motor assisted scooters, personal motorized mobility devices)—Protective Headgear Utah Code: 41-6a-1505 Target Population: 18 and under Summary A person under the age of 18 may not operate or ride on a motorcycle or motor-driven cycle on a highway unless the person is wearing protective headgear which complies with specifications related to protective headgear for motorcycles (49 C.F.R. 571.218) and protective headgear for bicycles, motor assisted scooters, and personal motorized mobility (49 C.F.R. 1203).

Playgrounds and Recreational Facilities Utah Code: 11-2-1 Target Population: All ages Summary Local authorities may designate and acquire property for playgrounds and recreational facilities. The governing body of any city, town, school district, special district or county may designate and set apart for use playgrounds, athletic fields, gymnastics, swimming pools, camps, indoor recreation centers, television transmission and relay facilities, or other recreational facilities, any lands, buildings or personal property owned by such cities, towns, counties, special districts or school districts that may be suitable for playground and recreational use; and may be authorized and provided by law for the acquisition of lands or buildings for public purposes to acquire lands, buildings, and personal property therein for such use. Local authorities may equip, maintain, operate and supervise the same, employing leaders, recreation directors, supervisors and other employees as it sees necessary. Such attainment of lands, buildings and personal property and the equipping, maintaining, operating and supervision will be used for public, governmental, and municipal purposes.

Driver and Passengers—Seat Belt or Child Restraint Device Required Utah Code: 41-6a-1803 Target Population: 16 years of age and older Summary A person driving a motor vehicle on a highway is required to:  Wear a properly adjusted and fastened safety belt  Provide for the protection of each person younger than five years of age or less than 36 inches by using a child restraint device to restrain each person in the manner prescribed by the manufacturer of the device  Provide for the protection of each person five years of age up to 15 years of age by: 1. Using an appropriate child restraint device to restrain each person in the manner prescribed by the manufacturer of the device. 2. Securing a properly adjusted and fastened safety belt on each person.  A passenger who is 16 years of age or older of a motor vehicle operated on a highway must wear a properly adjusted and fastened safety belt.  If more than one person is not using a child restraint device or wearing a safety belt in violation of this section it is one offense and the driver may receive only one citation for a maximum of $45.  For a person 19 years of age or older who violates this section, enforcement by a state or local law enforcement officer will be a secondary action when the person has been detained for a suspected violation of Title 41, Motor Vehicles or for another offense. 

Contact information for completing needs assessment: Farrin Wiese Health Promotion Director, Coalition Coordinator Bear River Health Department 655 E. 1300 N. Logan, UT 84341 435-792-6522 fwiese@utah.gov November 30, 2007

10 Leading Causes of Unintentional Injury Deaths, Utah 1999 - 2004, All Races, Both Sexes

Age Groups Rank

1-4

5-9

10-14

15-24

25-34

35-44

45-54

55-64

65+

All Ages

Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Suffocation MV Traffic MV Traffic MV Traffic MV Traffic MV Traffic MV Traffic MV Traffic MV Traffic Fall MV Traffic 31 40 44 52 523 292 247 203 177 412 1,872

Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Other Land MV Traffic Drowning Drowning Poisoning Poisoning Poisoning Poisoning Fall MV Traffic Fall Transport 12 32 8 42 71 95 73 47 281 577 6

Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Pedestrian, Other Drowning Fall Drowning Drowning Fall Fall Poisoning Unspecified Poisoning Other Transport 4 3 5 37 24 37 22 276 326 21 22

Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Pedestrian, Other Other Other Suffocation Suffocation Fall Fall Drowning Suffocation Unspecified Other Transport Transport Transport 13 3 3 31 17 111 309 2 24 23 17

Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Other Spec., Unintentional Unintentional Unintentional Unintentional Other Spec., Unintentional Other Land Other Land Fire/burn Fire/burn Firearm Drowning Suffocation Suffocation Suffocation N N Transport Transport NEC NEC 1 7 3 20 16 15 221 28 17 2 26

Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Pedal cyclist, Natural/ Other Spec., Other Land Unspecified Fall Suffocation Fall Unspecified Fire/burn Drowning Other Environment classifiable Transport 1 4 12 16 12 19 148 2 3 14 15

Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Natural/ Pedestrian, Pedal cyclist, Natural/ Natural/ Natural/ Natural/ Natural/ Natural/ Other Environment Other Other Environment Environment Environment Environment Environment Environment Transport 3 2 2 11 15 13 12 8 19 110

Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Other Land Struck by Struck by Other Other Spec., Other Land Suffocation Fire/burn Fire/burn Poisoning Transport or Against or Against Transport classifiable Transport 12 9 6 19 3 2 2 11 12 91

Unintentional Poisoning 3

Four Tied 1

Two Tied 2

Four Tied 1

Unintentional Unintentional Struck by Suffocation or Against 2 10

Four Tied 6

Unintentional Other Spec., classifiable 9

Four Tied 6

Seven Tied 1

Unintentional Unintentional Unintentional Unintentional Unintentional Struck by Struck by Struck by Natural/ Drowning or Against or Against or Against Environment 14 8 9 6 84

Two Tied 7

Unintentional Unspecified 8

Two Tied 5

Produced By: Office of Statistics and Programming, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention â&#x20AC;&#x201C; CDC, WISQARS

Unintentional Unintentional Struck by Pedestrian, or Against Other 11 56

10 Leading Causes of Unintentional Injury Deaths, United States 1999 - 2004, All Races, Both Sexes

Age Groups Rank

1-4

5-9

10-14

15-24

25-34

35-44

45-54

55-64

65+

All Ages

Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional MV Traffic Drowning Drowning Drowning Poisoning Poisoning Poisoning Poisoning Fall MV Traffic Poisoning 883 2,781 977 958 9,423 17,434 32,929 25,601 6,542 43,816 96,978

Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Drowning Fire/burn Fire/burn Fire/burn Drowning Drowning Fall Fall Poisoning Unspecified Fall 394 1,518 977 530 3,659 2,413 3,859 5,963 6,199 32,709 93,796

Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Other Land Other Land Fire/burn Suffocation Suffocation Fall Drowning Fire/burn Suffocation Suffocation Unspecified Transport Transport 233 874 265 1,898 2,840 2,756 2,416 19,714 40,703 484 1,767

Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Pedestrian, Other Land Unspecified Suffocation Fall Fire/burn Fire/burn Suffocation Fire/burn Fire/burn Suffocation Other Transport 122 400 1,453 1,554 2,377 2,507 2,287 6,975 33,693 590 261

Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Natural/ Pedestrian, Other Fall Firearm Firearm Suffocation Drowning Unspecified Poisoning Fire/burn Environment Other Transport 261 250 1,241 1,948 2,298 2,148 4,750 20,421 109 187 1,305

Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Natural/ Other Spec., Other Spec., Natural/ Poisoning Fall Poisoning Fire/burn Unspecified Drowning Drowning Environment classifiable classifiable Environment 100 117 206 1,192 1,983 1,390 20,353 225 1,290 1,816 4,013

Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Other Spec., Struck by Pedestrian, Other Other Land Other Other Other Natural/ Fall Poisoning N or Against Other Transport Transport Transport Transport Transport Environment NEC 96 195 115 203 958 1,228 1,658 1,724 1,203 9,326 3,267

Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Other Spec., Struck by Other Other Other Spec., Natural/ Other Land Unspecified Suffocation Unspecified Drowning classifiable or Against Transport Transport classifiable Environment Transport 899 1,103 1,592 2,487 33 147 114 174 1,598 1,111 8,608

Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Unintentional Struck by Other Spec., Pedestrian, Pedestrian, Natural/ Other Spec., Other Land Other Unspecified Firearm Fall or Against classifiable Other Other Environment classifiable Transport Transport 128 95 163 26 898 934 1,338 1,427 958 1,462 8,177 Produced By: Office of Statistics and Programming, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention â&#x20AC;&#x201C; CDC, WISQARS