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While most developed countries have made progress in improving population health over the past two decades, reductions in the burden of mortality, morbidity and disability attributed to injury have been uneven. The objective of this study was to estimate changes in the incidence of occupational and non-occupational injury in Ontario over the period 2004–2011, for 15 prominent injury causes. An observational study was undertaken among adults aged 15–64 over the period 2004–11 to separately estimate the incidence of occupational and non-occupational injury in emergency department records from survey responses to five waves of a national health interview survey. Over the observation period, the annual percent change (APC) in the incidence of work-related injury was -5.9% (95% confidence interval [CI]: -7.3 to -4.6) in emergency department records and -7.4% (-11.1 to -3.5) among survey participants. In contrast, APC in the incidence of non-occupational injury was -0.3% (-0.4 to 0.0) in emergency department records and 1.0% (0.4 to 1.6) among survey participants. Among working-age adults, the per cent of all injuries attributed to work exposures declined from 20.0% in 2004 to 15.2% in 2011 in emergency department records and 27.7% (2001) to 16.9% (2010) among survey participants. Among working-age adults in Ontario, nearly all of the observed decline in injury incidence over the period 2004–11 is attributed to reductions in occupational injury.
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Presenter: Dr. Cameron Mustard
Dr. Mustard is a professor in the Dalla Lana School of Public Health, University of Toronto. He is also president and senior scientist, Institute for Work & Health. Dr Mustard is an experienced strategic leader, a strong communicator, and a productive scientist who currently leads an internationally respected research agency with a mandate to provide high-quality evidence on the effectiveness of prevention, treatment, and return-to-work in work-related disorders. The Institute for Work & Health has been ranked "among the top five research institutes in the world" focused on worker health protection. Dr Mustard is a past member of the Board of Directors of the Canadian Institute for Health Information, a Fellow of the Population Health Program of the Canadian Institute for Advanced Research, and a past recipient of a CIHR Scientist award.
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