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Marine Safety in Victoria Report 2007-2008 (PDF, 1.3 MB, 72 pp.)

Marine Safety in Victoria Report 2007-2008 (PDF, 1.3 MB, 72 pp.)

Marine Safety in Victoria Report 2007-2008 (PDF, 1.3 MB, 72 pp.)

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of data is coded us<strong>in</strong>g the fourth AM edition that <strong>in</strong>cludes detailed activity codes for sport and recreational<br />

activities <strong>in</strong>clud<strong>in</strong>g a list of codes for boat<strong>in</strong>g sports and adventure sports. Deaths recorded on VAED were<br />

excluded to avoid over count<strong>in</strong>g of fatalities.<br />

1.2.2.3 Emergency department presentation data<br />

In 2006/7 the <strong>Victoria</strong>n Emergency M<strong>in</strong>imum Dataset (VEMD) captured presentations to 38 hospital<br />

Emergency Departments (ED) represent<strong>in</strong>g all <strong>Victoria</strong>n public hospitals with a 24-hour ED service. ED<br />

presentations for <strong>in</strong>jury to private hospitals and public hospitals with limited provision of ED services<br />

(mostly small metropolitan and rural hospitals) are not captured on the VEMD.<br />

There are no codes to identify boat<strong>in</strong>g-related <strong>in</strong>jury ED presentations on the VEMD, so case narratives<br />

(descriptions) were searched to identify specific boat<strong>in</strong>g-related <strong>in</strong>jury cases. Keywords used <strong>in</strong> the search<br />

<strong>in</strong>cluded: biscuit, boat, canoe, catamaran, d<strong>in</strong>ghy, jet ski, kayak, kitesurf, kneeboard, parasail, PWC, sail,<br />

raft, row<strong>in</strong>g, runabout, t<strong>in</strong>ny, tube, wakeboard, waterski, w<strong>in</strong>dsurf and yacht (and spell<strong>in</strong>g variations of<br />

these terms).<br />

Injury cases related to aquatic activities that are out of scope for MSV were excluded such as <strong>in</strong>juries that<br />

occurred dur<strong>in</strong>g body and board surf<strong>in</strong>g, surf ski rid<strong>in</strong>g, scuba div<strong>in</strong>g, snorkell<strong>in</strong>g, and swimm<strong>in</strong>g (except<br />

swim to shore from a boat). Injury cases that occurred <strong>in</strong> boat sheds or when a person was work<strong>in</strong>g/<br />

repair<strong>in</strong>g a boat or boat build<strong>in</strong>g (model and otherwise) and non-specific ski<strong>in</strong>g <strong>in</strong>jury cases that occurred<br />

dur<strong>in</strong>g the official snow ski<strong>in</strong>g season (June to September) were also excluded.<br />

Deaths <strong>in</strong> the ED and cases that were subsequently admitted to hospital were excluded to avoid over<br />

count<strong>in</strong>g of cases. However, the case narrative data for hospital admissions recorded on the VEMD were<br />

analysed to provide additional <strong>in</strong>formation on the circumstances of the <strong>in</strong>jury, as the VAED conta<strong>in</strong>s no<br />

case descriptions (narratives). Boat<strong>in</strong>g-related ED presentations are underestimated <strong>in</strong> this report because<br />

the quality of case narrative data varies across participat<strong>in</strong>g hospitals.<br />

<strong>1.3</strong> Exposure data<br />

In study<strong>in</strong>g risk it is critical to know the level of relevant activity (or exposure to risk). For example, two<br />

deaths for every 1,000 hours of exposure to recreational boat<strong>in</strong>g reflect a better safety system than two<br />

deaths for every 500 hours of exposure. Unfortunately, there is almost no available ‘time at risk’ <strong>in</strong>formation<br />

on which to estimate the relative risk of <strong>in</strong>jury <strong>in</strong> the different types of mar<strong>in</strong>e activities, for example<br />

personal watercraft rid<strong>in</strong>g versus water ski<strong>in</strong>g.<br />

Some jurisdictions report mar<strong>in</strong>e <strong>in</strong>cidents per registered vessel as a substitute for exposure (usage)<br />

data, follow<strong>in</strong>g the precedent set <strong>in</strong> the road safety field. For recreational vessels however, usage is only<br />

<strong>in</strong>directly related to ownership. Other jurisdictions report <strong>in</strong>cidents per participant. Because of the<br />

unavailability of <strong>Victoria</strong>n boat<strong>in</strong>g participation and exposure data, population data were used to form the<br />

denom<strong>in</strong>ator <strong>in</strong> this study.<br />

Although frequency data (as reported here) are useful for priority sett<strong>in</strong>g, they are sub-optimal for plann<strong>in</strong>g<br />

and evaluation of prevention programs.<br />

14

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