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Reducing the Burden of Injury: Advancing Prevention and Treatment (1999)
Institute of Medicine (IOM)

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. "7 State and Community Response." Reducing the Burden of Injury: Advancing Prevention and Treatment. Washington, DC: The National Academies Press, 1999.

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Reducing the Burden of Injury: Advancing Prevention and Treatment

TABLE 7.1 State and Local Government Agencies and Organizations

Agency or Organization

Infrastructure

Injury Focus

Examples of Funding Sources for Injury Activities

Child Death Review Teams (CDRTs)

All states have state and/or local CDRTs; some state teams are legislatively mandated

• Gather and analyze data on the circumstances surrounding child deaths

• Make recommendations on measures to prevent future childhood deaths

• Funding sources vary widely

Child Protective Services

State agencies

• Screen and investigate cases of child abuse and neglect; assist families in finding solutions

• State appropriations

Emergency Medical Services (EMS) Agencies

Transport services in every state; more than 600,000 regional or local EMS providers

• Care of the injured person at the scene and transportation to hospitals

• Preventative Health and Human Services block grants

• State appropriations

• EMS for Children grants

Fire Service Agencies

More than 31,500 county, city, local, or district fire departments

• Fire fighting and rescue operations

• Fire prevention programs, and broader fire and life safety education programs

• State and local taxes

Labor and Occupational Offices

25 states operate their own occupational safety and health agencies; the Occupational Safety and Health Administration (OSHA) runs the programs in other states

• Investigate injuries in the workplace

• Develop and implement prevention programs

• Provide input on regulations

• Multiple sources: OSHA, state appropriations

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