Global Injury Work

Injury is a global problem.  Every day, the lives of more than 14,000 people worldwide are cut short as a result of an injury. This translates in five million injury deaths each year. These deaths account for 9% of the world’s deaths, nearly 1.7 times the number of fatalities that result from HIV/AIDS, tuberculosis, and malaria combined. Road traffic injuries (RTIs) are the leading cause of death worldwide among those aged 15 to 29 years and are predicted to go from its standing as the 9th leading cause of death currently to the 7th leading cause of death in 2030.  

The millions of deaths that result from injuries represent only a small fraction of those injured. Tens of millions of people suffer injuries that lead to hospitalization, emergency department, or general practitioner treatment, or treatment that does not involve formal medical care. University of Michigan Injury Center members are working to help address the burden of injury on a global scale.  These activities also provide an opportunity for an international experience for trainees. 

Dr. Ron Maio, original founder of the U-M Injury Center predecessor organization and global injury researcher, leads the Center’s activities related to global injury prevention efforts, seeking to bring together researchers with global opportunities and identifying funding opportunities to expand the Center’s reach and influence beyond the US.  

The University of Michigan has several international platforms from which it engages in international research, including health-related research.  Injury Center members are currently very active in the Brazil Platform and the Ghana Platform. UMIC members are also engaged in activities in Scandinavia, the United Kingdom, Eastern Europe, and Australia.

Brazil

Denise  G. Tate, PhD, Professor of Physical Medicine and Rehabilitation (PM&R) and Associate Chair for Research of PM&R, is leading investigators from the Medical School , the School of Public Health, and the University of Michigan Transportation Research Institute in a collaboration with the Faculdade de Medicina da Universidade de Sao Paulo, Brazil.  This collaboration includes research on building common metrics in rehabilitation care through the development of common datasets for spinal cord injury as well as improving assessments of the elderly to determine competence for driving motor vehicles. Tate and collaborators recently published a paper on Clinics on driving evaluation methods (Clinics 2015). 

Ghana

The Ghana Emergency Medicine Collaborative began in 2007 and is funded by the Medical Education Partnership Initiative of the National Institutes of Health Fogarty International Center, with additional support from the University of Michigan Department of Emergency Medicine and the University of Michigan Center for Global Health.   

The Ghana Emergency Medicine Collaborative includes the following partners: Kwame Nkrumah University of Science and Technology (KNUST), Komfo Anokye Teaching Hospital (KATH), Ghana College of Physicians and Surgeons, Ghana Ministry of Health, and the University of Michigan Department of Emergency Medicine

A spectrum of injury-related research has been conducted through the Collaborative including descriptive studies, trauma outcome studies, and development of a trauma registry.  Dr. Rocky Oteng, Instructor in Emergency Medicine at University of Michigan, conducted developed the trauma registry and conducted the trauma outcome study during his year as a Fogarty Research Fellow. His current focus of injury research in Ghana is the treatment and prevention of traumatic brain injury (TBI).  Recently a University of Michigan M-4, Andrew Gardner, completed a Fogarty Research Scholarship that consisted of a prospective observational to determine the frequency of positive alcohol tests and alcohol misuse among trauma patients in the ED. Current injury-related research foci of the collaborative are the treatment and prevention of TBI treatment and prevention of alcohol and drug related injuries and the prevention of Road Traffic Injuries (RTIs).   

Publications

Here you'll find selected publications by Center members related to global injury work.

  • Trajectory of intimate partner violence and healthcare seeking over the life course: study of Japanese women in the Tokyo metropolitan area, Japan.Kamimura, A., Yoshihama, M., & Bybee, D. Public Health, 127(10): 902-907.
  • Changing mobility patterns and road mortality among pre-license teens in a late licensing country: An epidemiological study. Twisk D., Bos, N., Shope, J. T., Kok, G.  BMC Public Health, 13: 333.