Data presented at a South African Community Epidemiology ...
Data presented at a South African Community Epidemiology ...
Data presented at a South African Community Epidemiology ...
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
DACST Innov<strong>at</strong>ion Fund Project<br />
Violence & Injury Surveillance for<br />
Violence Prevention<br />
Substance abuse in 3 cities<br />
1999<br />
SACENDU report back 12/10/99
SAMPLE SIZES : 1999<br />
Cape Town 236<br />
Durban 205<br />
Port Elizabeth 311<br />
Total 752
ACUTE ALCOHOL-RELATEDNESS<br />
• Pts in CT and PE were<br />
forthcoming about alcohol<br />
drinking, not so in Durban<br />
• On average 58% alcohol positive<br />
• Mean alcohol level = 0.1 g/100ml<br />
• 71% of violence is alcohol-rel<strong>at</strong>ed<br />
• 50% of traffic collisions are<br />
alcohol-rel<strong>at</strong>ed<br />
100<br />
90<br />
80<br />
70<br />
60<br />
50<br />
40<br />
30<br />
20<br />
• 28% of accidents are alcoholrel<strong>at</strong>ed<br />
10<br />
0<br />
Violence Traffic Other<br />
'accidents'<br />
Durban Cape Town PE
CHRONIC ALCOHOL ABUSE<br />
• CAGE used<br />
• 2 taken as the cutoff for chronic<br />
alcohol abuse<br />
• about one-third scored 2+ in<br />
Cape Town but only 12% of<br />
p<strong>at</strong>ients in Durban<br />
• three-quarters of the trauma<br />
p<strong>at</strong>ients could be classified as<br />
alcohol dependant in Port<br />
Elizabeth<br />
PERCENTAGE<br />
90<br />
80<br />
70<br />
60<br />
50<br />
40<br />
30<br />
20<br />
10<br />
0<br />
0 1 2 3 4<br />
TOTAL CAGE SCORE<br />
Durban Cape Town PE<br />
CUT OFF POINT
DRUGS ABUSED BY<br />
TRAUMA PATIENTS<br />
Cape Town Durban PE<br />
THC 33% 34.2% 42.7%<br />
Mandrax 22% 11.4% 13.2%<br />
Cocaine 3% 2.5% 0<br />
Opi<strong>at</strong>es 7% 4.4% 0<br />
Methamphetamine 0 0.6% 0<br />
Amphetamine 0 0 0<br />
White Pipe 21% 10.2% 13.2%
ILLICIT DRUG USE :<br />
INTER-CITY DIFFERENCES<br />
60<br />
Used drugs prior to injury:<br />
• 47% of violence p<strong>at</strong>ients<br />
• one-third of traffic p<strong>at</strong>ients<br />
• 35% of accident p<strong>at</strong>ients<br />
50<br />
40<br />
30<br />
20<br />
10<br />
0<br />
Violence Traffic Other<br />
'accidents'<br />
Durban Cape Town PE
SUBSTANCE ABUSE IN TRAUMA<br />
Drugs & Alcohol<br />
26.4%<br />
None<br />
25.6%<br />
Drugs only<br />
14.3%<br />
Alcohol only<br />
33.7%