By Prof.dr. R. M. Lapré, Dr. J. P. Mackenbach (auth.)

In order to chart the way in which for long term regulations within the box of public healthiness, the Dutch executive must have the absolute best perception into strength destiny developments and the issues to which those may possibly provide upward thrust. It was once as a way to compiling a couple of long-range reports that the self reliant steerage Committee on overall healthiness eventualities was once arrange in 1983. In 1985 the guidance Committee appointed a board of specialists to behavior a long-range examine of "Accidents and traumatology" (traumatology being that point of medication occupied with the remedy of coincidence victims). In shut session with this board, the Institute of Public future health and Social medication of the Erasmus college Rotterdam conducted a situation research, the result of that are in brief summarized lower than. 0.1 goals and procedure The examine had pursuits: To discover attainable "autonomous" advancements (in the feel of being self sustaining of presidency intervention) within the box of injuries and the remedy of twist of fate sufferers. To specify the results of attainable coverage measures, relating to either the prevention of injuries and enhancements within the deal with coincidence sufferers. The study was once exploratory instead of predictive. It didn't transcend the 12 months 2000, because it was once felt that the velocity of swap during this box governed out having a look a lot additional than ten to 15 years ahead.

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Extra info for Accidents in the Year 2000: Accident and Traumatology Scenarios 1985–2000 Commissioned by the Steering Committee on Future Health Scenarios

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The moped and motorcycle carry considerably higher accident risks. 4 Traffic accident victims per billion passenger kilometres, by mode of transport (1984) Total Passenger Motor- Car cycle Moped Bicycle Pedestrian Public Other transport Accident victims per billion 382 186 2241 8064 1235 938 15 150 passenger kilometres Source: Adaptation of data in "Statistiek van de verkeersongevallen op de openbare weg 1984" (Statistics on traffic accidents on public highways 1984) (CBS 1985) and "De mobiliteit van de Nederlandse bevolking in 1984" (The mobility of the Dutch population in 1984) (CBS 1985).

6). ) have a particularly high accident risk. It is estimated that approximately 660,000 home and leisure accident victims are treated annually in outpatient clinics. Most of these accidents (approximately 30%) are sustained in sports. Again, the majority of injuries are of a less serious nature: contusions (bruising), distortions (sprains) and cuts (collectively responsible for nearly 60% of injuries). A second and not unimportant category of injury, however, is occupied by fractures, in particular fractures of the hip, especially in the elderly.

Two main themes can be distinguished: Direct action at a regional level; each province needs to establish a regional body for traffic safety; premiums and prizes are offered to municipalities to encourage them to promote traffic safety. Selective campaigns at a national level concentrating on promising aspects such as the fight against drunk driving, encouraging the use of seat belts and crash helmets, improving attitudes towards speeding, solving accident "black spots", measures aimed at the young and the elderly, and improving national highways.

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