title: The occurrence of external causes in childhood in emergency care: epidemiological aspects, Brazil, 2014.
abstract: To describe emergency care for external causes in childhood, age group 0-9 years, in Brazilian capitals, collected from the Violence and Accident Surveillance System (VIVA) Survey in 2014.
  To review data from the VIVA survey conducted in public emergency services in 24 Brazilian capitals. Variables analyzed were gender, age group (0-1 years, 2-5 years and 6-9 years), race/skin color, type of events and injuries, aggressors and other.
  Eight thousand five hundred eighty-eight children received care, of which 8,164 (95%) were victims of accidents and 424 (5%) of violence. Boys suffered more accidents, most events occurred at home (65%) and discharge was the most frequent outcome. Falls were the most frequent accidents, followed by other accidents, road injury and burns. Neglect prevailed among the types of violence, followed by physical violence. The perpetrator was a child's relative in 72% of the cases, and women were the most frequent aggressors for children under 1 year, and men for children aged 6 to 9 years.
  Childhood accidents occurred mainly at home, and falls were the most frequent events. Family members and acquaintances perpetrated violence against children. Data point to the implementation of public prevention and child protection policies.
authors.affiliation: Departamento de Enfermagem Materno-Infantil e Saúde Pública, Escola de Enfermagem, Universidade Federal de Minas Gerais. Av. Alfredo Balena 190/Escola de Enfermagem/5º, Santa Efigênia. 30130-100 Belo Horizonte MG Brasil. dcmalta@uol.com.br.
authors.forename: Deborah Carvalho
authors.initials: DC
authors.lastname: Malta
authors.affiliation: Programa de Pós-Graduação em Saúde e Comunidade, Universidade Federal do Piauí. Teresina PI Brasil.
authors.forename: Márcio Dênis Medeiros
authors.initials: MD
authors.lastname: Mascarenhas
authors.affiliation: Universidade Federal de Goiás. Goiânia GO Brasil.
authors.forename: Marta Maria Alves da
authors.initials: MM
authors.lastname: Silva
authors.affiliation: Departamento de Vigilância de Doenças e Agravos Não Transmissíveis e Promoção da Saúde, Ministério da Saúde. Brasília DF Brasil.
authors.forename: Mércia Gomes Oliveira de
authors.initials: MG
authors.lastname: Carvalho
authors.affiliation: Departamento de Vigilância de Doenças e Agravos Não Transmissíveis e Promoção da Saúde, Ministério da Saúde. Brasília DF Brasil.
authors.forename: Laura Augusta
authors.initials: LA
authors.lastname: Barufaldi
authors.affiliation: Departamento de Estudos sobre Violência e Saúde Jorge Carelli, Escola Nacional de Saúde Pública, Fiocruz. Rio de Janeiro RJ Brasil.
authors.forename: Jovina Quintes
authors.initials: JQ
authors.lastname: Avanci
authors.affiliation: Faculdade de Saúde Pública, USP. São Paulo SP Brasil.
authors.forename: Regina Tomie Ivata
authors.initials: RT
authors.lastname: Bernal
mesh_terms: D000058:Accidental Falls / Q000706:statistics & numerical data; D000059:Accidents / Q000706:statistics & numerical data*; D000063:Accidents, Traffic / Q000706:statistics & numerical data; D017677:Age Distribution; D001938:Brazil / Q000453:epidemiology; D002056:Burns / Q000453:epidemiology; D002648:Child; D002649:Child Abuse / Q000706:statistics & numerical data*; D002675:Child, Preschool; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D017678:Sex Distribution; D011795:Surveys and Questionnaires; D014754:Violence / Q000706:statistics & numerical data; D014947:Wounds and Injuries / Q000453:epidemiology* / Q000209:etiology