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This paper offers a New Zealand perspective on disability and rehabilitation, as seen by an American resident. Three major themes are noted: the importance of the concept of accidents in New Zealand society, Maori ideas about interdependence, and the social systems and social change approach as compared with the clinical treatment approach to rehabilitation. (JDD)

Background: Falls and fall-related injuries are a problem for many adults with intellectual disability. Most previous studies have collected falls data retrospectively, using organisational incident reports. We developed tools to specifically collect fall-related data and potential fall risk data. This paper reports on the development of these tools and the fall-related data collected in 3 prospective studies. Method: Consultations with 33 stakeholders representing 29 organisations and 5 focus group discussions were used to develop 2 tools for gathering information. Studies in 3 cities applied the tools to explore their acceptability, utility, and cultural appropriateness. Results: Two simple tick box forms were developed; both were easy and quick to complete. In the studies, 135 individuals participated (70 males, 65 females, aged 45 [SD = 11] years), of whom 27% experienced a fall; 39% of these resulted in an injury. Injuries were mostly bruises (30%) and grazes (28%), particularly to the facial area (42%). The 6-month period prevalence of falls was 0.76%. Most falls occurred indoors and during the daytime. Individuals appeared more likely to experience a fall if they had had previous falls and/or fractures, epilepsy, orthopaedic-related conditions, and problems with gait and balance. Conclusion: A robust process ensured the acceptability, utility, face and content validity, and cultural safety of our data collection tools. Falling is a serious problem for many people with intellectual disability, but the reasons for falling appear multifaceted and complex, complicating the development of fall prevention programs.

This paper provides analysis on the frequency and nature of accidents and near accidents that have occurred in larger outdoor education centres in New Zealand. This is the first time that information of this type has been collected and analysed in New Zealand. All 25 of the known outdoor education organisations employing three or more full-time staff were invited to participate in a study that would extract and review data from their records about accidents and near accidents. Twelve agreed to participate.The data collected is analysed in the context of various myths that are often heard referred to by the outdoor education community. These are that: (1) focusing on minor incidents prevents major accidents occurring, (2) selecting activities with high perceived risk but low real risk reduces exposure to accidents, (3) more accidents occur while under the supervision of male rather than female instructors, (4) accidents are more likely in the afternoon than the morning, and (5) outdoor education is dangerous compared to other risks in life. The results lend some support to the factual nature of "myths" iii and iv, but help consign "myths" i, ii and v to the category of folklore. These results provide insights that may assist in developing strategies to improve safety in outdoor education. In view of the current size and importance of the outdoor education sector in New Zealand and its likely future growth, one of the main recommendations arising from this study is for the establishment of a national system to formally record and report incidents and accidents. (Contains 11 tables and 5 figures.)

Accessible Summary: What is known on the subject: Police and ambulance staff are increasingly asked to help people experiencing mental health crises, but they often feel under‐prepared.The single frontline service approach is time‐intensive and risks a coercive pathway to care.The emergency department is the default location for transfers by police or ambulance involving a person involved in a mental health crisis, despite being viewed as suboptimal. What the paper adds to existing knowledge: Police and ambulance staff struggled keeping up with the mental health demand, reporting inadequate mental health training, little enjoyment and negative experiences when trying to access help from other services.Most mental health staff had adequate mental health training and enjoyed their work, but many experienced difficulties getting help from other services.Police and ambulance staff found it hard to work with mental health services. What are the implications for practice: The combination of limited training, poor interagency referral processes, and difficulties accessing support from mental health services means that when police and ambulance services attend mental health crises alone, distress may be heightened and prolonged. Enhanced mental health training for first responders and more streamlined referral processes may improve process and outcomes.Mental health nurses have key skills that could be utilized in assisting police and ambulance staff who attend 911 emergency mental health calls.New models such as co‐response teams, whereby police, mental health clinicians and ambulance staff respond conjointly should be trialled and evaluated. Introduction: First responders are increasingly called to assist people experiencing mental health crises but little research exists canvassing multi‐agency perspectives of such work. Aim/Question: To understand the views of police officers, ambulance and mental health staff attending mental health or suicide‐related crises in Aotearoa New Zealand and to discover how they experience current models of cross‐agency collaboration. Methods: A descriptive cross‐sectional survey involving mixed methods. Quantitative data were analysed using descriptive statistics and free text by content analysis. Results: Participants included 57 police officers, 29 paramedics and 33 mental health professionals. Mental health staff felt adequately trained, but only 36% described good processes for accessing inter‐agency support. Police and ambulance staff felt undertrained and unprepared. Accessing mental health expertise was considered difficult by 89% of police and 62% of ambulance staff. Discussion: Frontline services struggle managing mental health‐related 911 emergencies. Current models are not working well. Miscommunication, dissatisfaction and distrust exist between police, ambulance and mental health services. Conclusion: The single‐agency frontline response may be detrimental to service users in crisis and under‐utilizes the skills of mental health staff. New ways of inter‐agency cooperation are required, such as co‐located police, ambulance and mental health nurses responding in partnership. [ABSTRACT FROM AUTHOR]

The paper presents findings from 39 detailed follow-up investigations of slips, trips and falls (STF) incurred by individuals working in New Zealand's dairy farming industry. The study sought to identify the key contributory risk factors for STF in this sector to provide evidence to support intervention design, and to determine the effectiveness of the investigative methodology used to achieve these objectives. Findings from the follow-up investigations included an analysis of factors related to the underfoot surface, underfoot hazard and footwear. Of note here was the propensity for STF-involved workers to not see or identify an underfoot hazard due to concurrent visual task distractions, and for workers to use footwear that both lacked effective tread and was unsuitable for the task and underfoot surface. Key latent risk factors and their interactions identified included problems associated with time pressure and related time-saving behaviours and the presence of design errors that, for example, required workers to climb onto equipment to view aspects of the task they were working on. The paper concludes that the potential resource and logistical problems associated with conducting detailed STF investigations are outweighed by the opportunity to collect rich data on key risk factors and their interactions in STF research. [ABSTRACT FROM AUTHOR]

BACKGROUND: The number of older workers is increasing throughout the industrialised world and older workers are known to be more frequent in the injury-prone agricultural sector. OBJECTIVE: This paper sought to extend knowledge by reviewing evaluated intervention studies intended to decrease risks and work injuries among older workers in agriculture. METHODS: A systematic literature review regarding: evaluated intervention projects on injury prevention, including participants aged 55 years and older, and working in agriculture. RESULTS: This review identified evaluated intervention projects regarding: i) intervention in injury prevention; ii) interventions to increase knowledge in health and safety tasks and practice; and iii) interventions to increase the use of safety equipment in work. The evaluations reviewed showed that the interventions were less successful in involving older agricultural workers than their younger counterparts. The evaluations also showed that the outcome of interventions was generally less positive or brought about no significant difference in risk awareness and behaviour change among older agricultural workers. CONCLUSIONS: Many articles and statistics describe injuries in agriculture. Especially older farm workers are one of the groups with most work injuries and deaths. Despite this, an important finding in this review was shortage of implemented and evaluated intervention studies orientated toward reduce injuries among older workers in agriculture. This review also found that no intervention project in the evaluations studied had a clear positive effect. Many intervention studies have problems with or lack of evaluation in the study design. Based on the results in this review, important future research tasks are to improve the design of interventions, devise implementation methods and formulate appropriate evaluation methods to measure the outcome of the interventions. Intervention programmes also need to involve older workers specific physical and cognitive age aspects in the design to increases their willingness to participate and to be successful to reduce injuries. [ABSTRACT FROM AUTHOR]

Background: Drowning is a significant public health issue, with females accounting for one third of global drowning deaths. The rate of female drowning has not decreased within high-income countries and presentations to hospital have increased. This scoping review aimed to explore adult female unintentional drowning, including risk factors, clinical treatment and outcomes of females hospitalised for drowning.Methods: A systematic search of the literature following the PRISMA-ScR framework was undertaken. The databases OVID MEDLINE, Embase, CINAHL, OVID Emcare, Web of Science, Informit and Scopus were accessed. Study locations of focus were Australia, Canada, New Zealand, the United Kingdom, and the United States. Studies from January 2003 to April 2019 were included. The quality of evidence of included studies was assessed using GRADE guidelines.Results: The final search results included 14 studies from Australia (n = 4), Canada (n = 1), New Zealand (n = 1), United States (n = 6), United Kingdom (n = 1), and one study reporting data from both Australia and United States. Nine studies reported risk factors for female drowning including age, with the proportion of female drowning incidence increasing with age. Although females are now engaging in risk-taking behaviours associated with drowning that are similar to males, such as consuming alcohol and swimming in unsafe locations, their exposure to risky situations and ways they assess risk, differ. Females are more likely to drown from accidental entry into water, such as in a vehicle during a flood or fall into water. This review found no evidence on the clinical treatment provided to females in hospital after a drowning incident, and only a small number of studies reported the clinical outcomes of females, with inconsistent results (some studies reported better and some no difference in clinical outcomes among females).Conclusion: Adult females are a group vulnerable to drowning, that have lacked attention. There was no single study found which focused solely on female drowning. There is a need for further research to explore female risk factors, the clinical treatment and outcomes of females hospitalised for drowning. This will not only save the lives of females, but also contribute to an overall reduction in drowning. [ABSTRACT FROM AUTHOR]

Background: This article describes the process of rewriting the code of ethics for New Zealand physical therapists. There was concern that the previous code was no longer fit for purpose, due to confusing terminology, inconsistencies about the level of detail, and the development of new ethical concerns in clinical practice. To ensure that the code is relevant to today's clinicians, an appropriate methodology was utilized to ascertain their views. Objectives: To achieve a code that is grounded in the clinical ethical concerns of clinicians, and which expresses the professional values of the group. Findings: New Zealand physical therapists identified a range of ethical concerns that could be grouped into five themes: resource issues, clinical relationships, safety competency and accountability, support for physical therapists, and student specific issues. This paper reports on how the five themes arose through comments from participants in the research process. Conclusion: Through the process of engaging with clinicians, a code was written that reflects and provides guidance on identified ethical concerns. It is envisaged that a code that embodies concepts appropriate and compatible with the ethos of the group will result in wider acceptance of the final document. [ABSTRACT FROM AUTHOR]

Purpose - Injuries are influenced by individual attitudes and risk-taking behaviours and the identification of these factors is vital for the development of effective injury prevention strategies. This paper aims to examine the injury risk behaviours and attitudes towards injury prevention among young Asians in Auckland, New Zealand and their willingness to modify behaviours and attitudes.Design/methodology/approach - A total of four focus group discussions with Asian tertiary students were conducted to discuss injury-related issues and their preventions. Analysis used statements drawn from the focus group discussions and were summarised to draw conclusions.Findings - Injuries related to sports were the most frequently occurring, followed by domestic, workplace and traffic injuries. Cultural identity and family values were thought to have an influence on students' risk behaviours. Family convictism and positive peer pressure protects students from participating in risky sports and using recreational drugs. International students were vulnerable to risky behaviours due to isolation and were less likely to engage in health promotion and prevention activities. Family hierarchy and cultural orientations prevented some Asian students from discussing personal issues with parents and impeded gathering injury prevention skills.Research limitations/implications - Prioritisation of domestic injuries with suspected under-reporting, marginalisation and social isolation discourages sections of Asian youths from reporting injuries or seeking help. There is a paucity of knowledge about the mental health and suicidal behaviours of Asian students, which requires further investigation. More social research is warranted to understand the injury risk behaviours of Asian youths in order to develop an effective prevention strategy.Originality/value - This study demonstrates how family values generate protective attitudes against injury risk behaviours among young Asians. [ABSTRACT FROM AUTHOR]

Background: Researchers have previously expressed concern about some national indicators of injury incidence and have argued that indicators should be validated before their introduction. Aims: To develop a tool to assess the validity of indicators of injury incidence and to carry out initial testing of the tool to explore consistency on application. Methods: Previously proposed criteria were shared for comment with members of the International Collaborative Effort on Injury Statistics (ICE) Injury Indicators Group over a period of six months. Immediately after, at a meeting of Injury ICE in Washington, DC in April 2001, revised criteria were agreed over two days of meetings. The criteria were applied, by three raters, to six non-Fatal indicators that underpin the national road safely targets for Canada, New Zealand, and the United Kingdom. Consistency of ratings were judged. Consensus outcome: The development process resulted in a validation tool that comprised criteria relating to: (1) case definition, (2) a focus on serious injury, (3) unbiased case ascertainment, (4) source data for the indicator being representative of the target population, (5) availability of data to generate the indicator, and (6) the existence of a full written specification for the indicator. On application of these criteria to the six road safety indicators, some problems of agreement between raters were identified. Conclusion: This paper has presented an early step in the development of a tool for validating injury indicators, as well as some directions that can be taken in its further development. [ABSTRACT FROM AUTHOR]

The growth of adventure tourism in New Zealand has contributed to its image as an activity destination, reflected in the growth of the adventure tourism sector since 1992. There has also been a growing concern over the safety and management of these activities within the New Zealand government and tourism industry. This paper examines the changing legal framework for tourism in New Zealand, where the no-fault accident compensation legislation no longer covers all tourist accidents and injuries within its scheme. The paper reviews both the accident compensation legislation, recent legal precedents as evidenced in court cases and judgements which challenge the perception that no-faults compensation covers all accident eventualities. The consequences for adventure tourism operators in relation to tourist accidents and injuries is discussed and implications for health and safety are highlighted. [Copyright &y& Elsevier]

This paper profiles the 1974 introduction of a new system for compensating individuals who suffer accidental injuries in New Zealand. It reviews the development of this scheme through the late 1980s and highlights the increase of political pressures for subsequent reform. Among the various difficulties identified in implementation are the operation of the 'no fault" principle, the effect of the duration of disability, the payment of lump-sum compensation and the question of indexing payments. Disputes about the detailed funding of the scheme and politically inspired changes in the revenue base are explained. The major dilemma posed by different levels of compensation for those disabled by accident or sickness is examined. The paper concludes by querying whether the identified problems are a reflection of weaknesses in the original scheme or a result of less-than-full implementation. [ABSTRACT FROM AUTHOR]

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In a systematic review of 39 studies published up to September 2021 investigating major trauma in New Zealand, Māori men had the highest incidence of both fatal and non-fatal trauma when viewed by ethnicity. Motor vehicle crashes and falls were the most common mechanism of injury among all trauma patients across all age groups. Patients with the highest injury severity scores had the longest hospital stays. The authors concluded that further analytical studies are needed to investigate factors impacting survival from major trauma. [ABSTRACT FROM AUTHOR]

Motorcyclists contribute significantly to road trauma around the world through the high incidence of serious injuries and fatalities. The role of roadside safety barriers in such trauma is an area of growing concern among motorcyclists, road authorities, and road safety researchers and advocates. This article presents a case series analysis of motorcyclists that were fatally injured following a collision with a roadside barrier during the period 2001 to 2006 in Australia and New Zealand. The crash mechanics of the fatal motorcycle–barrier collisions are detailed, with the aims of providing an understanding of the manner in which these types of crashes occur, informing motorcycle–barrier crash test protocols, and for crash reconstruction purposes. The detailed descriptions of the mechanics of the crashes include barrier and motorcycle types, crash postures, motorcyclist kinematics, precrash speeds, impact trajectory angles, and motorcyclist kinetic energy dissipation on the barrier. Recommendations are made with regards to appropriate motorcycle–barrier crash test protocols. [ABSTRACT FROM AUTHOR]

This paper analyses the approach that is taken in New Zealand in determining coverage for pregnancies following failed sterilisations under the accident compensation scheme. The approach adopted in the recent decision of the Court of Appeal in ACC v D is criticised and an alternative approach for determining whether such claims ought to be within the accident compensation scheme is suggested. [ABSTRACT FROM AUTHOR]

The paper reports findings from a multidisciplinary programme of research, the major aims of which were to determine the nature and extent of the New Zealand adventure tourism injury problem. Analysis of hospital discharge and mortality data for a 15-year period identified adventure tourism-related activities as contributing to approximately 20% of overseas visitor injuries, and 22% of fatalities. Activities that commonly involve independent-unguided adventure tourism, notably mountaineering, skiing and tramping, contributed most to injury and fatality incidence. Horse riding and cycling activities were identified from hospital discharge data and adventure tourism operators' reported client injury-incidence, as the commercial adventure tourism activities most frequently involved in client injuries. Falls were the most common injury events, and a range of client, equipment, environmental and organisational risk factors were identified. Possible interventions to reduce injury risk among overseas and domestic adventure tourists are discussed. [ABSTRACT FROM AUTHOR]

This study uses/kid data and analysis of documents to identify the family implications of the New Zealand Accident Compensation Scheme and suggests how the adoption of the new social welfare principles underlying the implementing Act could impact family policy in the United States. Innovations were the attribution of accidents as a community responsibility, the definition of the family unit in terms of past economic support and the adaptation of common law principles to social provision. The paper recommends the consideration of these principles in present attempts in the United States to protect families from the consequences of sudden disability. [ABSTRACT FROM AUTHOR]

Abstract: Background and Aims: Studies have linked adolescent alcohol use with adverse consequences in adulthood, yet it is unclear how strong the associations are and to what extent they may be due to confounding. Our aim was to estimate the strength of association between different patterns of adolescent drinking and longer‐term psychosocial harms taking into account individual, family and peer factors. Design: Participant‐level data were integrated from four long‐running longitudinal studies: Australian Temperament Project, Christchurch Health and Development Study, Mater Hospital and University of Queensland Study of Pregnancy and Victorian Adolescent Health Cohort Study. Setting: Australia and New Zealand. Participants: Participants were assessed on multiple occasions between ages 13 and 30 years (from 1991 to 2012). Number of participants varied (up to n = 9453) by analysis. Measurements: Three patterns of alcohol use (frequent, heavy episodic and problem drinking) were assessed prior to age 17. Thirty outcomes were assessed to age 30 spanning substance use and related problems, antisocial behaviour, sexual risk‐taking, accidents, socio‐economic functioning, mental health and partner relationships. Findings: After covariate adjustment, weekly drinking prior to age 17 was associated with a two‐ to threefold increase in the odds of binge drinking [odds ratio (OR) = 2.14; 95% confidence interval (CI) = 1.57–2.90], drink driving (OR = 2.78; 95% CI = 1.84–4.19), alcohol‐related problems (OR = 3.04; 95% CI = 1.90–4.84) and alcohol dependence (OR = 3.30; 95% CI = 1.69–6.47) in adulthood. Frequency of drinking accounted for a greater proportion of the rate of most adverse outcomes than the other measures of alcohol use. Associations between frequent, heavy episodic and problem drinking in adolescence and most non‐alcohol outcomes were largely explained by shared risk factors for adolescent alcohol use and poor psychosocial functioning. Conclusions: Frequency of adolescent drinking predicts substance use problems in adulthood as much as, and possibly more than, heavy episodic and problem drinking independent of individual, family and peer predictors of those outcomes. [ABSTRACT FROM AUTHOR]

The over-representation of young drivers in road crashes remains an important concern worldwide. Cluster analysis has been applied to young driver sub-groups, but its application by analysing crash occurrence is just emerging. We present a classification analysis that advances the field through a holistic overview of crash patterns useful for designing youth-targeted road safety programmes. We compiled a database of 8644 New Zealand crashes from 2002 to 2011 involving at least one 15–24-year-old driver and a fatal or serious injury for at least one road user. We considered crash location, infrastructure characteristics, environmental conditions, demographic characteristics, driving behaviour, and pre-crash manoeuvres. The analysis yielded 15 and 8 latent classes of, respectively, single-vehicle and multi-vehicle crashes, and average posterior probabilities measured the odds of correct classification that revealed how the identified clusters contain mostly crashes of a particular class and all the crashes of that class. The results raised three major safety concerns for young drivers that should be addressed: (1) reckless driving and traffic law violations; (2) inattention, error, and hazard perception problems; and (3) interaction with road geometry and lighting conditions, especially on high-speed open roads and state highways. [ABSTRACT FROM PUBLISHER]

Quad-bike incidents are a major cause of occupational injury and fatality on farms warranting health and safety attention. As part of a larger study, we carried out a face-to-face survey with 216 farmers in New Zealand. We quantitatively identified farmers’ propensity for risk-taking, unrealistic optimism, and fatalism as risk factors in quad-bike loss-of-control events (LCEs). The purpose of the analysis presented in this article was to use these same farmers’ recollections of LCEs to explore the a priori constructs in more detail using qualitative methods. Participants reporting one or more LCEs described their first LCE and any experienced in the previous 12 months. Participants provided open-text responses about what occurred at each LCE, their reflections, and general thoughts on LCE risk factors. Directed qualitative content analysis (QCA) was used to “unpack” risk-taking, unrealistic optimism, and fatalism whilst also delineating any additional concepts that farmers associate with LCEs. Risk-taking elements were more evident than unrealistic optimism or fatalism and more suggestive of farmers finding themselves in risky situations rather than engaging in risk-seeking behavior per se. Additional inductively derived categories of fatigue/stress, multitasking, inexperience, and quad-bike faults highlight the complex nature of LCEs and the importance of risk assessment covering these concepts as well as risky situations. [ABSTRACT FROM AUTHOR]

The current state of fire sprinkler effectiveness information has been found to be a limiting factor when comparing the fire risk for alternative building designs in New Zealand (Determination 2005/109: single means of escape from a high-rise apartment building. Department of Building and Housing, Wellington, ). Data on the past performance of systems in real fires is one of the best sources of information to estimate future performance, but there has not been a detailed study on sprinkler effectiveness data from fire incidents in New Zealand published since Marryatt's work (Fire: a century of automatic sprinkler protection-revised. Australian Fire Protection Association, Melbourne, ), which was last updated in 1986 and included data from Australia. The current research looks at the quality and quantity of data available on sprinkler effectiveness from New Zealand Fire Service (NZFS) incident reports over the period of 2001 to 2010 to evaluate the data's usefulness for risk-informed building fire safety design. A comparison is made between the number of sprinklers reported activated in the NZFS dataset, Marryatt's study, guidance from PD 7974-7:2003 (PD 7974-7:2003: the application of fire safety engineering principles to fire safety design of buildings. Probabilistic Risk Assessment, London, ), and NFPA data (U.S. experience with sprinklers and other automatic fire extinguishing equipment. National Fire Protection Association, Quincy, ). Proposals to improve the collection and reporting process to increase the informative value of future NZFS data for risk-informed fire safety design are presented. [ABSTRACT FROM AUTHOR]

The article offers information related to geology. It states that a group of miners in Chile were found alive 17 days after they were trapped inside the San Jose mine, which collapsed in August. It relates the occurrence of a magnitude 7.1 earthquake in Darfield, New Zealand on September 4, 2010 in which there was no loss of life however, few serious injuries were reported. It adds the various tubular shaped concretions from Miocene sediments found on North Island's East Coast in New Zealand.

Method: New Zealand national Accident Compensation Corporation injury data for the period 1999 to 2007 were searched for rugby league injury cases. Data were analysed by demographics, body region, nature/severity of injury, and medical procedure and costs. Results: A total of 5941 injury entitlement claims were recorded over the study period with a significant decrease observed in the injury rate between the 1999-2000 and 2002-2003 reporting years. The total cost of the injuries for the study period was $42 822 048 (equivalent to £15 916 072). The mean (SD) number of injury entitlement claims per year was 743 (271) and yearly cost was $5 352 760 (£1 989 880) ($2 485 535 (£923 994)). The knee was the most commonly reported injury site (225 per 1000 entitlement claims; $8 750 147 (£3 252 020)) and soft tissue injuries were the most common injury types (474 per 1000 entitlement claims; $17 324 214 (£6 438 599)). Accounting for only 1.8% of total injury entitlement claims, concussion/brain injuries accounted for 6.3% of injury entitlement costs and had the highest mean cost per claim ($25 347 (£9420)). The upper and lower arm recorded the highest mean injury site claim cost of $43 096 (£16 016) per claim. The 25-29 age group recorded 27.7% of total injury entitlement claims and 29.6% of total injury entitlement costs, which was slightly more than the 20-24 age group (27.3% claims; 24.7% costs). Nearly 15% of total moderate to serious injury entitlement claims and 20% of total costs were recorded from participants 35 years or older. Discussion: This study identified that the knee was the most common injury site and soft tissue injuries were the most common injury type requiring medical treatment, which is consistent with other international studies on rugby league epidemiology. This study also highlights that the rate of injury and the average age of injured rugby league players increased over time. The high cost of concussion/brain injuries is a cause for concern as it reflects the severity of the injuries. Conclusion: Injury prevention programmes for rugby league should focus on reducing the risk of concussion/brain injury and knee and soft tissue injury, and should target participants in the 20-30 years old age range. More longitudinal epidemiological studies with specific details on injury mechanisms and participation data are warranted to further identify the injury circumstances surrounding participation in rugby league activities. [ABSTRACT FROM AUTHOR]

Background: Injuries resulting in admission to hospital provide an important basis for determining priorities, emerging issues, and trends in injury. There are, however, a number of important issues to be considered in estimating person based injury incidence using such data. Failure to consider these could result in significant overestimates of incidence and incorrect conclusions about trends. Aim: To demonstrate the degree to which estimates of the incidence of person based injury requiring hospital inpatient treatment vary depending on how one operationally defines an injury, and whether or not day patients, readmissions, and injury due to medical procedures are included. Method: The source of data for this study was New Zealand's National Minimum Dataset. The primary analyses were of a dataset of all 1989-98 discharges from public hospital who had an external cause of injury and poisoning code assigned to them. Results: The results show that estimates of the incidence of person based injury vary significantly depending on how one operationally defines an injury, and whether day patients, readmissions, and injury due to medical procedures are included. Moreover the effects vary significantly by pathology and over time. Conclusions: (1) Those using New Zealand hospital discharge data for determining the incidence of injury should: (a) select cases which meet the following criteria: principal diagnosis injury only cases, patients with day stay of one day or more, and first admissions only, (b) note in their reporting that the measure is an estimate and could be as high as a 3% overestimate. (2) Other countries with similar data should investigate the merit of adopting a similar approach. (3) That the International Collaborative Effort on Injury Statistics review all diagnoses within International Classification of Diseases 9th and 10th revisions with a view to reaching consensus on an operational definition of an injury. [ABSTRACT FROM AUTHOR]

Many beach and holiday resorts experience major problems with alcohol-related public disorder. Following an escalation in alcohol-related incidents in the New Zealand beach community of Piha, a community-driven response to address issues of community well-being and safety was initiated by concerned residents. A case study evaluation reported on the development of a community coalition involving community and statutory stakeholders and the successful implementation of local community action strategies. These included a beach alcohol ban, extensive local publicity and a community policing presence over successive summers. An examination of the case study suggests that inter-sectoral collaboration, and multiple level strategies through policy, promotion and enforcement activities are key factors in enabling communities to successfully reduce alcohol-related harm. [ABSTRACT FROM AUTHOR]

The article reports that there has been a significant reduction in the incidence of drowning related deaths in New Zealand. The study reviewed the 1334 drowning related deaths over the 23 year study period. It identified that the areas needing further attention are pre-school drownings and drownings of males aged 15-19.