title: Fatal and hospitalised childhood injuries in Fiji (TRIP Project-3).
abstract: OBJECTIVE
  Although childhood injury rates in low- and middle-income countries are known to be high, contemporary data on this topic from Pacific Island countries and territories are scant. We describe the epidemiology of childhood injuries resulting in death or hospital admission in Fiji using a population-based registry.
  
  
  METHODS
  A cross-sectional analysis of the Fiji Injury Surveillance in Hospitals system investigated the characteristics associated with childhood injuries (<15 years) in Viti Levu, resulting in death or hospital admission (≥12 h) from October 2005 to September 2006.
  
  
  RESULTS
  The 496 children meeting the study eligibility criteria corresponded to annual injury-related hospitalisation and death rates of 265.4 and 15.3 per 100,000, respectively. Most (82%) deaths occurred prior to hospitalisation. The death and hospitalisation rates were highest among the <5- and 5- to 9-year groups, respectively. Males and indigenous Fijian children were at increased risk of injury. The leading causes of injury death were road traffic injury (29%), choking (25%) and drowning (18%). Major causes of hospital admission were falls (48%), burns (13%), road traffic injury (11%) and being hit by a person or object (10%). Fractures and head injuries were the most common types of injury.
  
  
  CONCLUSIONS
  The findings support the need for a national strategy that builds capacity and mobilises resources to prevent childhood injuries in Fiji. Priority actions should include investment in technical support and research to identify local contextual and social determinants that inform the development and implementation of effective injury prevention interventions as a child health survival strategy.
authors.affiliation: College of Medicine, Nursing and Health Science, Fiji National University, Suva, Fiji.
authors.forename: Asilika
authors.initials: A
authors.lastname: Naisaki
authors.forename: Iris
authors.initials: I
authors.lastname: Wainiqolo
authors.forename: Berlin
authors.initials: B
authors.lastname: Kafoa
authors.forename: Bridget
authors.initials: B
authors.lastname: Kool
authors.forename: Mabel
authors.initials: M
authors.lastname: Taoi
authors.forename: Eddie
authors.initials: E
authors.lastname: McCaig
authors.forename: Shanthi
authors.initials: S
authors.lastname: Ameratunga
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D005260:Female; D005367:Fiji / Q000453:epidemiology; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D011159:Population Surveillance; D011446:Prospective Studies; D012042:Registries; D012307:Risk Factors; D014947:Wounds and Injuries / Q000453:epidemiology* / Q000209:etiology / Q000401:mortality