Syndromic Surveillance of Motor Vehicle Crash Related Injuries in Nebraska

Introduction Motor vehicle crashes (MVC) are a significant public health problem in Nebraska. These events cost Nebraska $1.6 billion a year, are the leading cause of injury death, and the fourth leading cause of injury hospital treatment in the state. Speeding, driving under the influence, distracted driving, and adverse weather are the main causes of MVC in Nebraska. Effective prevention efforts to reduce MVC related deaths and injuries depend greatly on a surveillance system that monitors the frequency of these events so stakeholders may ascertain the MVC related causes and impact on the state. Currently, the Nebraska Department of Health and Human Services (NDHHS) Crash Outcome Data Evaluation System (CODES) monitors MVC related death and injuries by linking the following databases statewide crash data, hospital discharge data (HDD), trauma registry, emergency medical system (EMS) data and death certificate data1. Although this system has been effective in identifying the causes of MVC-ralated injuries and supporting community based highway safety programs, it is limited by the lack of immediate availability of data. ‘An ED based SS system could potentially be used to enhance MVC injury surveillance by allowing the timely detection of clusters, anomalies and trends. Therefore, and ED SS system could be incorporated to support an efficient and rapid prevention response to MVC-related injuries.