Keeping Our Children Safe

Our role as doctors

Zulkifli Ismail
Past President, Malaysian Paediatric Association Chairman, Make It Safe for Kids (MISK) President, Asia Pacific Pediatric Association (APPA) drzulkifli.ismail@gmail.com

Conflict of Interest No conflict of interest as no company is interested in sponsoring injury prevention activities ! Outline Definition Some facts & figures What we have done Local resource material What else can be done

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Definition of Safe

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Definition of Safe
Vaccine-preventable Non-VP Indoor Outdoor Water Air Pollution Space Infection Intentional Unintentional

Safety
Injury
is

Not Just About Injury

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Leading Causes of Death aged 1-4 yrs

Rank
1 2 1980
Pneumonia Injury other than MVA Enteritis & diarrhoeal dis.

1985
Pneumonia Septicaemia

1990
Congenital anomalies Pneumonia

1995
Pneumonia Septicaemia

1998
Septicaemia Injury other than MVA Pneumonia

Congenital anomalies

Injury other than MVA

Injury other than MVA

4
5

Congenital anomalies
Infective & parasitic dis.

Injury other than MVA

Malignant neoplasms

Diseases of circ. system

Septicaemia

Diseases of circ. system

Congenital anomalies

Diseases of circ. system

Congenital anomalies

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Unintentional Injury Admissions

~ Malaysia ~

Source : Norlen Mohamed et al, Malaysian Institute of Road Safety Research

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Seat-belts, helmets, car seats, bicycle and pedestrian lanes, daytime running lights, speed limits, drinking & driving laws, and graduated driver licensing prevent road traffic injuries

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Ismail Norlen MohamedZulkifli et al, Malaysian Institute of Road Safety Research (MIROS)

Children in Road Injury - Malaysia

Source : Norlen Mohamed et al, Malaysian Institute of Road Safety Research

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Child Pedestrian Injury - Malaysia

Source : Norlen Mohamed et al, Malaysian Institute of Road Safety Research (MIROS)

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Reference

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The Child as a Pedestrian

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www.infosihat.gov.my (KCHS>1999>modul latihan)

www.infosihat.gov.my (KCHS>1999>modul latihan)

www.infosihat.gov.my (KCHS>1999>modul

Window guards, standards for playground equipment, and specially designed childrens products prevent falls

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Preventing Falls

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Head Injury in Children

HKL experience
335 / 388 Patients at A&E Home 183 Road 112 School 16 Recreation 12 Others 12 Total 335
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54.6% 33.4% 4.8% 3.6% 3.6% 100%

Rohana, Ong, A Hassan 1994 MJM Vol 53 (3) Sept 1998

Always keep a hand on baby, no matter what age Adult supervision

No adult
Parents Baby-sitter Friend Relative/older sibs

134
129 16 10 31

40.0%
38.5% 4.8% 3.0% 9.3%

Nursery / school
TOTAL

15
335

4.5%
100.0%

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www.infosihat.gov.my (KCHS>1999>modul latihan)

www.infosihat.gov.my (KCHS>1999>modul latihan)

Life jackets, fencing around swimming pools, covering water hazards and prompt first aid prevent drowning

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National Drowning Prevention Program in Thailand, Ministry of Public Health

Bureau of Non-Communicable Disease, Department of Disease Control, Ministry of Public Health

Slide courtesy of Prof Adisak Plitponkarnpim, Child Safety Promotion and Injury Prevention Research
www.Thaincd.com www.facebook.com/thaincd

Bureau of Non-Communicable Disease, Department of Disease Control, Ministry of Public Health

www.Thaincd.com www.facebook.com/thaincd

Slide courtesy of Prof Adisak Plitponkarnpim, Child Safety Promotion and Injury Prevention Research Centre (CSIP),

National Drowning Prevention Program in Thailand, Ministry of Public Health

Promoting drowning prevention through health personnel and MCH services

Slide courtesy of Prof Adisak Plitponkarnpim, Child Safety Promotion and Injury Prevention Research Centre (CSIP),

Trends of Drowning 2000 to 2011

Slide courtesy of Prof Adisak Plitponkarnpim, Child Safety Promotion and Injury Prevention Research Centre (CSIP),

Program Focus Owner Partners

Sponsor

: Make it Safe for Kids : Child injury prevention programme : Malaysian Paediatric Association : Ministry of Transport Malaysia, Ministry of Health Malaysia : Johnson & Johnson
32

Activities 2004/5

Supported by J&J

MISK Technical Taskforce

Secretariat Support

MISK Booklet

Launch of MISK followed by Media Tutorial

PR Support

MISK Launch

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MISK Booklet

Entitled: Child Injury Prevention Guidelines for Malaysian Parents 56 pages, in three languages. Covers:
Prime Safety Tips In And Around The House Preparing For Babys Arrival When Baby Arrives Feeding Safety Toy Safety When Baby Begins To Explore When Child Is Able To Understand 15 Safety Tips You Can Teach Your Child Safety In The Living Room Safety In The Kitchen Safety In The Bedroom Safety In The Bathroom When You Are Not Around Recognising An Emergency First Aid Kit Must-haves Cardiopulmonary Resuscitation

MPA website : www.mpaweb.org

MPA website : www.mpaweb.org

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Sunday Mail, 13 Dec 2004

MISK Press Coverage

Berita Harian, 14 Dec 2004 (half page)

Harian Metro, 1 Dec 2004

37 37

Mother & Baby, January 2005

MISK Press Coverage

Berita Minggu 13 Feb 2005

Health Today, February 2005 Parenthood Magazine, January 2005

MISK Press Coverage

Three (3) article series in Berita Minggu Two (2) articles in Wanita (2 pages each for the months of Feb & March 2005)

Three (3) article series in Sin Chew Daily

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A Professionals-driven, Multi-faceted, Multiorganisational, Holistic Parent Education Initiative

Persatuan Pengasuh Malaysian MentalPersatuan Tadika LPPKN Berdaftar Malaysia Health Association Malaysia

Positive Parenting Magazine

Press
www.mypositiveparenting.org

Seminars Television

Fairs

Malaysian Parents

Target : Parents @ Clinics & Hospitals

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PPG Vol 1 - 2012:

Feature Article

PPG Vol 4 - 2012 Feature Article

PPG Vol 4 2009

PPG Vol 3, 2007

PPG Vol 2, 2008

PPG Vol 4, 2007

PPG Vol 4, 2006

PPG Vol 1, 2006 PPG Vol 3, 2006

PPG Vol 2 - 2006

PPG Vol 1 - 2006

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PPG Vol 2 - 2006

Engagement

47

Have we done enough?

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Smoke alarms, child-resistant lighters and hot-water temperature regulators prevent burns while dedicated burns centres reduce their consequences

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Keep children out of the Kitchen

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Burns Admissions HKL 2011

Age of patient < 1 month Frequency 1 Percentage (%) 0.8

1 month-1 year
> 1-3 years > 3-5 years

23
61 15

18.9
50 12.3

> 5-10 years

> 10 years

22
0

18
0

Total

122

100

Source: Sr Jumilah, Burns Unit, Paediatric Institute, HKL 2011

CAUSE OF BURN
Cause of burn Contact Electrical Flame/Fire Frequency 2 1 16 Percentage (%) 1.6 0.8 13

Hot liquid
Hot water Total

2
101 122

1.6
83 100
Source: Burns Unit, Paediatric Institute, HKL 2011

TOTAL BURN SURFACE AREA

TBSA
< 10%

Frequency
92

Percentage (%) 75 14
6 5

11-20%
21-30% 31-50%

17
7 6

> 50%
Total

0
122

0
100
Source: Burns Unit, Paediatric Institute, HKL 2011

Effective Child Injury Prevention

Ministry of Health
Press Media PR support
Ministry of Transport
Legislation

Welfare
Department

Paediatric / Medical Societies

Ministry of Housing

ICT expertise

Sponsors ($/RM)

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Spreading the message on keeping our children safe

Use all media available & all distribution channels
Press Dailies, Magazines, Pamphlets Internet / Facebook / Youtube

Continuous education / exposure

A child at risk of injury is born every minute/second

Incorporate injury prevention in other child health & parent education events School education system practical teaching ! Persistence, Commitment, Tenacity
Explore & experiment with different distribution channels parents new & old
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Secrets to Keeping Children Healthy

Safe Home Hand-washing Immunisation

Breastfeeding