pered by federal and state funding constraints and a lack of awareness of injury prevention measures. The committee has identified five areas that, if successfully addressed, could optimize proven strategies for prevention: (1) strengthening the public health infrastructure; (2) building and encouraging collaboration and coalitions of state and local safety agencies and organizations; (3) improving training and technical assistance; (4) better translating of research findings into practice; and (5) increasing public awareness and advocacy.

Although it is difficult to quantify the total extent of government, community, and private-sector endeavors in the injury field, there is a wide range of ongoing efforts, many of which have begun or expanded within the past 20 years. Although the current response is impressive, it is also fragmented. A core injury prevention program is needed in each state that can implement (and assist other agencies and organizations in implementing) injury prevention interventions. State injury prevention programs require a sustained federal commitment to funding and to providing technical assistance to the states.

The committee recommends strengthening the state infrastructure in injury prevention by development of core injury prevention programs in each state's department of health. To accomplish this goal, funding, resources, and technical assistance should be provided to the states. Support for such programs should be provided by the NCIPC in collaboration with state and local governments.

Additionally, training opportunities for state and local injury prevention practitioners should be expanded. Consideration should be given by multiple federal agencies to the expansion of training opportunities for state and local injury prevention professionals.

The committee recommends the expansion of training opportunities for injury prevention practitioners by the relevant state and federal agencies (e.g., NCIPC, NHTSA, the Maternal and Child Health Bureau [MCHB], and NIOSH) in partnership with key stakeholders such as the State and Territorial Injury Prevention Directors' Association (STIPDA). Training should emphasize program development, implementation, and evaluation as well as participation in program research.

As new prevention interventions are developed and evaluated, ongoing information exchange between researchers and practitioners is needed that will facilitate the implementation of new interventions and the refinement of these interventions to meet real-world demands. A final component of strengthening the state and local response is raising public awareness and increasing advocacy efforts. Both the general public and policy makers need information on the effectiveness of injury prevention measures in order to make informed decisions and choices.

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