The committee recommends that NCIPC establish an ongoing and open process for refining its research priorities in the areas of biomechanics, residential and recreational injuries, and suicide and violence prevention, in close coordination with its stakeholders and federal partners.


The committee reasserts the need for training of injury professionals and strongly recommends that NCIPC expand training opportunities for injury prevention practitioners and researchers.


The committee recommends that the NCIPC support the development of core injury prevention programs in each state's department of health and provide greater technical assistance to the states.


The committee recommends that the NCIPC continue to nurture the growth and development of the public health effort in injury prevention and treatment through information exchange, collaboration with injury practitioners and researchers, and leveraging available resources to promote the effectiveness of programs and research.


In 1985, Injury in America recommended that an injury center at the CDC be established to serve as a ''lead agency among federal agencies and private organizations" (NRC, 1985). By using this formulation, the 1985 report appears to have envisioned that the CDC would provide leadership in two ways: (1) by nurturing the public health community's commitment to and interest in the injury field and (2) by coordinating the efforts of the multiple federal agencies involved in injury prevention and treatment. The committee believes that the NCIPC should continue to be a focal point for the public health commitment to the injury field (see recommendation in Box 1). However, when Congress enacted the Injury Control Act in 1990, it properly recognized that no single agency could "lead" such a diverse federal effort, and instead authorized the CDC to create a program to "work in cooperation with other Federal agencies, and with public and nonprofit private entities, to promote injury control" (P.L. 101-558). Congress envisioned a cooperative effort because, as a practical matter, an agency in one cabinet department has no authority to direct other agencies in the same department, much less in other departments.

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