Research Papers

The Cost of Transport Injuries in Canada – The clock is ticking

Version 1
Date added June 29, 2016
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Category 2016 CARSP XXVI Halifax
Tags Research and Evaluation, Session 1C
Author/Auteur Jennifer Russell
Stream/Volet Research and Evaluation

Slidedeck Presentation Only (no paper submitted)

1C - Russell


Background/Context: Parachute published the Cost of Injury in Canada, 2015 in collaboration with the Conference Board of Canada and with support from the Public Health Agency of Canada. This Report quantifies the cost of injury to Canadian children, families, our health care system, and to Canadian society.

Aims/Objectives: The aim of the Report was to provide the most current national and provincial cost of injury in terms of economics, as well as, the human toll in terms of deaths, hospitalizations, emergency room visits and disabilities. The Report also provides forecasts that demonstrate the potential impact of inaction, as well as what can happen if known, effective interventions are broadly and comprehensively implemented across Canada.

Methods/Target Group: The analysis was conducted from a societal perspective, using an incidence costing, human capital approach. The population of Canadian residents injured in 2010 was costed over the lifetime of the injured individuals. The costs, both direct and indirect, were discounted to a present value in 2010 at 3% per annum. An Electronic Resource Allocation Tool (ERAT) was developed, combining existing data with variables from the literature in order to model full episodic costs for unintentional and intentional injuries.

Results/Activities: The overall findings demonstrated that preventable injuries resulted in 15,866 deaths and $26.8 billion in total economic costs. Furthermore, the Report unveiled notable findings in relation to road safety, highlighting that transport incidents are among the top three causes of death and the second leading cause of overall injury costs in Canada. In 2010, transport incidents, which include but are not limited to: motor vehicle, pedestrian, pedal cycle, ATV/snowmobile, railway, and streetcar incidents, resulted in:

• 2,620 deaths
• 28,350 hospitalizations
• 290,782 emergency room visits
• 7,903 Canadians either partially or permanently disabled
• $4.29 billion in total economic costs"

Discussion/Deliverables: From an injury prevention perspective, investing in road safety programs for which there is already strong evidence can have an impact on the emotional and financial burden that transport-related incidents have on Canadians. The Report examined the effects of speed reduction as an intervention that impacts the majority of road users – pedestrians, cyclists, and motor vehicle occupants.

It outlined two scenarios that recommend Canada-wide implementation of speed camera and speed calming interventions, both of which are effective at reducing speed-related injury and death. While the report provides more details, a targeted speed camera intervention could save 3,200 lives and a total of $11.4 billion between 2010 and 2035. A speed calming intervention could result in 6,300 lives saved and a total of $35 billion transport costs avoided between 2010 and 2035."

Conclusions: According to the findings from the Cost of Injury in Canada Report, transport injuries were a leading cause of death, hospitalizations and emergency room visits among the Canadian population in 2010. As our capacity to monitor, report on, and coordinate effective action to prevent injury grows, our rationale for inaction diminishes. Multisectoral collaboration and the implementation of system-wide road safety initiatives must be at the forefront order to achieve impactful change.

Pam Fuselli, Jennifer Russell