Injury Epidemiology
Program Description
Injury, or trauma, is defined as any bodily damage resulting from sudden exposure to thermal, mechanical, electrical, or chemical energy. In the United States and around the world, injury is the leading cause of death for the first half of the human lifespan and a regular source of disability and disfigurement. Each day in the US more than 320,000 men, women, and children are injured severely enough to seek medical care. About 200 of these people will sustain a long-term disability due to their injuries and an additional 400 will die. Globally, some 16,000 people die from injuries each day and this incidence is growing.
Injury clearly deserves attention as a leading cause of death and disability in the US and around the world. Injury also deserves attention because it occurs as part of a unique disease process: violence, suicide, falls, and automobile crashes are all disease-generating events that can very suddenly kill or disable otherwise healthy people. This is in contrast to other leading diseases, which generally become noticeable only after months or years of risk exposure. Thus, injury develops in a fraction of a second, often after a similarly sudden exposure to one or more risk factors, making its epidemiologic study and prevention especially challenging.
Scientific investigations of injury, as a disease, have not generally been on par with those of other leading diseases. Contemporary injury research suffers from a pervasive lack of scientific rigor. Sound, yet highly innovative science is needed to better understand the unique disease process of injury and reduce its substantial burden to the public's health. In order to do this, injury research must move beyond isolated, disciplinary investigations to an interdisciplinary approach that addresses the full continuum of this disease: from its precursors and actual occurrence to its acute management and long-term consequences.
The pluralism of injury research – as evidenced by its close ties to at least three different cabinet-level agencies in the US, Health and Human Services, Justice, and Transportation – makes the development of "injury science" an important undertaking, so much so that it was one of three areas cited by the Institute of Medicine as highly suitable for interdisciplinary study. In this regard, the Department of Biostatistics and Epidemiology at the University of Pennsylvania is a leader in the scientific study of injury. Many prominent investigators conduct injury epidemiology research through the Department and contribute to a better understanding of injuries including those specifically related to children, the elderly, automobiles, motorcycles, firearms, intimate partner violence, playgrounds, suicide, alcohol, ARDS, trauma centers, emergency medical services, and the built environment.
Program Members
- Charles Branas, PhD (program leader)
- Wensheng Guo, PhD
- Justine Shults, PhD
- Jason Christie, MD, MSCE
- Dennis Durbin, MD, MSCE
- John H. Holmes, PhD
- William Holmes, MD, MSCE
- Douglas Wiebe, PhD
- Elizabeth R. Alpern, MD, MSCE
- Peter Cronholm, MD, MSCE
- Donald Schwarz, MD, MPH
- Kathy Shaw, MD, MSCE
- Lucy Wolf Tuton, PhD
