The Provincial Health Officer has recommended that HIV be nominally reportable and that a well-funded partner notification system be established. However, he also recommended that people be allowed to choose non-nominal HIV testing.
Despite important advances in the prevention and treatment of trauma, preventable injuries continue to impact the lives of millions of people. Motor vehicle collisions and violence claim close to 3 million lives each year worldwide. Public health agencies have promoted the need for systematic and ongoing surveillance as a foundation for successful injury control. Surveillance has been used to quantify the incidence of injury for the prioritization of further research, monitor trends over time, identify new injury patterns, and plan and evaluate prevention and intervention efforts. Advances in capability to handle spatial data and substantial increases in computing power have positioned geographic information science (GIS) as a potentially important tool for health surveillance and the spatial organization of health care, and for informing prevention and acute care interventions. Two themes emerge in the trauma literature with respect to GIS theory and techniques: identifying determinants associated with the risk of trauma to guide injury prevention efforts and evaluating the spatial organization and accessibility of acute trauma care systems. We review the current literature on trauma and GIS research and provide examples of the importance of accounting for spatial scale when using spatial analysis for surveillance. The examples illustrate the effect of scale on incident analysis, the geographic variation of major injury across British Columbia's health service delivery areas (HSDAs) and the rates of variation of injury within individual HSDAs.
Cites: Stat Med. 1999 Sep 15-30;18(17-18):2377-9910474147
Dr. John O'Brien-Bell, a past president of the CMA, recently chaired the Advisory Committee on Youth Violence in Surrey, BC. It studied issues such as the incidence of violence, the evolution taking place in the city and society, and the erosion of traditional social values. In its final report, the committee recommended 78 possible steps for reducing violence among young Canadians.