The Performance of Safe Community Promotion Committee of Neyriz District

The performance of safe community promotion committee Of Neyriz district

Title………………………………………………………………………………...... Page -An introduction to Neyriz………………………………………………………………………………. 1

-Indicator no1………………………………………………………………………………………………5

Efforts taken place toward to indicator no 1:………………………………………………………………………………5 The chairman of safe community committee …………………………………………………………………………….6 The Clerk of the committee…………………………………………………………………………………………………..6 Tasks of committee members…………………………………………………………………………………………….6 Method of follow up and harmonizing the activities…………………………………………………………………….7

- Indicator 2…………………………………………………………………………………………...... 8 Efforts taken places toward to indicator no 2………………………………………………………………………………8 Intervention in places………………………………………………………………………………………………………. …11 Traffic passage…………………………………………………………………………………………………………………..11 Works places……………………………………………………………………………………………………………………14 Kindergartens and schools……………………………………………………………………………………………………14 Homes……………………………………………………………………………………………………………………………16 Sport places…………………………………………………………………………………………………………………….17 Recreational Places…………………………………………………………………………………………………………..18 Efforts taken place for age group…………………………………………………………………………………………..19 Efforts taken place for o-14 age group…………………………………………………………………………………….19 Efforts taken place for 14-24 age group……………………………………………………………………………………20 Efforts taken place for 25-64 age group…………………………………………………………………………………….22 Efforts taken place for 65< age group………………………………………………………………………………………24 -Indicator no 3………………………………………………………………………………………… 26 Motorcycle riders…………………………………………………………………………………………………………26 Suicide………………………………………………………………………………………………………………………28 Burn………………………………………………………………………………………………………………………….28 -Indicator no 4…………………………………………………………………………………………………………….....30 Efforts taken for indicator no 4…………………………………………………………………………………………….30 The sources of collecting the statistics of injuries involving…………………………………………………………..30 The sources of collecting data of mortalities……………………………………………………………………………..31 The sources of disabilities ' data- collecting……………………………………………………………………………..31 The sources of collecting the data of other accidents & injuries ……………………………………………………..31 -Indicator no 5……………………………………………………………………………………………………………… 38 Efforts taken place for indicator no5……………………………………………………………………….. 38 -Indicator no 6…………………………………………………………………………………………..45

- Others activity…………………………………………………………………………………………………..46

An introduction to Neyriz: Neyriz is located in the longitude of 19o54' and the latitude of 12o29'.Its area is about 10630 square kilometers and has consist of 8.6 percent of the whole area of the province to itself and it is 1600 meters above the sea level. This township is located in the east part of Fars province and is surrounded by Arsanjan and Bavanat cities north, to Shiraz and Estahban west to Darab and Estahban south and to Kerman province from the east. Neyriz is 200 km far from Shiraz (center of Fars province). Since this district is close to Kerman and Hormozgan province, there is the transiting the products of this region to Bandar Abbas port approximately seven- hour road distance. The average annual temperature of the area is 17.8o centigrade which varies from 4.5 to 38 degrees centigrade. The maximum relative humidity is 47 percent and its minimum range is 24 percent, the number of annual cold period is 42 days and the average range of raining is about 180 mm. This is includes AbadehTashk and Meshkan cities, 3 part and 455 villages. According to the census of 2008 its population is about 112339. Tourism attractive centers: Jam Kabir mosque, S.P.R castle, the shrine of Hassan and Hosein, the shrine of khaje Ahmad Ansari, the shrine of kameledin Ardebili ( Pire Morad) , the shrine of sultan seyyed Ebrahim, Neyriz caravansary, Bakhtegan lake and its protected region, Narges island , Tarom waterfall, Bahrame- goor protectec region and …..

Fig.1. Jam Kabir mosque Fig.2.productions of Neyriz

Table 1: General Population Information of Neyriz District

Table1: 52.6%of population lives in urban areas &47.4%live in rural areas

Table 2: General Information of Elementary To High School Students in Neyriz District

Level of School Total Number of School Total Number of Students

● Elementary School 49 8414 ● Mid School 58 5356

● High School 42 5622 Total 194 19392

Table 2: Describes 43% of students were elementary (The most of them), 28% mild school and 29%high school.

Table 3: Total Number of University and Total Number of College Students Population at Neyriz District Total Number of College

Total Number of University Students

● Azad Islamic University 3000

Scientific- Professional University 1800 ●

● Paiam-E-Nour University 1032 ● Fazl- E-Neyriz School-Academy 380 Total 6212

Table 4: Situation of In and Out City Road of Neyriz District

Description Length Accessible Roads (KM)

● Freeway 5 ● Main Road 147

● Wide Minor Road Branch With Asphalt surface 226 ● Village Road With Asphalt surface 244

● Village Road With sub base surface 92 ● Village Road Without sub base surface 292

Total 1006

Table4: 85% of Neyriz district roads are rural route.

Table 5: Total Number of Sport Fields of Neyriz District

Description City Village Total

● Total Number of Covered Sport Stadium 19 1 20

● Total Number of Sport Places with Grass covered 3 0 3 ● Total Number of Sport Field without Grass covered 4 30 34 ● Total Number of Male Sport Board 30 30 60 ● Total Number of Female Sport Board 25 25 50

3 The status of local &suburb Neyriz district industries: Neyriz is considered as an industrial township having 5 factories such as white cement, steel company, sport Ring company, Sirik Rah company, Mazrea Sabz factory ) 6 mines , 150 stone cutting firms , 200 furnaces of baking bricks and about 4000 workers.

Table6: Indicated the situations of Health Service Centers Neyriz District Description Present Situation ● Population ( Person) 112339 ● Community with age Less than 5 years old 8835 ● Rate of Fertility( per 1000 Person) 17.1 ● Rate of Mortality( per 1000 Person ) 4.5 ● Population Growth ( per 1000 Person) 12.6 2 ● Population density ( per Km ) 10.6 ● City Community (Percent :% ) 51.2 ● Rural Community (Percent :% ) 48.8 ● Total Number of Governmental Hospital 1.0 ● Total Number of Governmental Health 11.0 centers ● Total Number of the Rural Health Centers 40.0 ● Total Number of Private Practice Sectors: General Practitioner 14.0 Specialize Physician 13.0 Dentist 7.0 Midwifery 3.0 Nutritionistِ 1.0 Optician 1.0 Optometry 1.0 Physical Therapy 2.0 Dentistry 4.0 ● Total Number of Private (Non- Government& Government) Polyclinic: Detoxify &T.C. Centers 1.0 Laboratory 2.0 Radiology 1.0 Sonography 1.0 Pharmacy 9.0 Emergency Service Centers 4.0 Ambulance Vehicles 5.0 Emergency Communication Dispatch Centers 1.0

Government Polyclinic 1.0 Government Physical therapy 1.0

● Hospital : 1.0 Total Number of Beds 90.0 Rates of Occupied Bed 69% Active Departments ER, CCU, OR (♀& ♂) Pedi, Internist, Delivery Dept. Hemodialysis, Thalassemia,

Table6: explain centers of health services. In this table almost of the inpatients served by government owned hospital and outpatients services by both private & government sectors. 4

1-Indicator no1: 1. An infrastructure based on partnership and collaborations, governed by a cross- sectional group that is responsible for safety promotion in their community;

1- 1-Efforts taken place toward to indicator no 1: Accidents are considered as the main cause of death, allocating 19.24 percent of the whole mortalities, after heart disease as the second cause of death based upon fact, accidents have distinctive, cause and possible to prevention that requires paying attention to this problem and the collaboration of all related organizations play role in its effective groups, therefore establishing a effective group prevention is necessary in this issues. . Neyriz Health Centre has started the prevention of accidents with applying safe community model. In late 2004 it was introduced to the ministry of health and medical education in order to perform the "safe community" program. According to multi-activities of the" safe community" were followed more strictly since 2005.

Box 1: Members of " Safe Community " in Neyriz District Organization Involve tthis program Official Member Un-Official Member

Head of Local Gas department 1 City Governor(Head of Organization) 2 Head of Local Islamic Cultural & Head of Local Health Organization (Secretariat) Guidance 3 Head of Local Civil, Road Construction & Transportation Office Head of Local Sport Offices 4 Local Police Department Head of Local Agricultural Offices 5 Head of Local Educational Department Head of Local Guild Affairs 6 Local Mayor Head of Local Media Station 7 Head of Local Cultural & Head of Local Labor Department & Social Services Tourism Industry 8 Head of Local City Councilor Head of Local Insurance Office

9 Public Prosecutor Chief Commander of Local National Guard 10 Representative of Martyrs Hospital Representative of Local Welfare Office 11 Head of Local The Red Crescent

12 Representative of Local Islamic Revolution House Foundation 13 Head of Local Techno-Profession Center 14 Head of Local Department of Motor Vehicles (DMV) 15 Chief Commander of Highway Patrol Police

16 Head of Local House & town Foundation

17 Local Representative of Islamic Parliament

18 Head of Local Electrical Power Department

19 Local Representative of Islamic Educational Organization

1-2-The chairman of safe community committee: The county governor is the chairman of safe community committee and his /her tasks are as follows: - Active attendance in all of the meetings. - Supervising the process of performing the activities. - Identify the supervising group. - Making decisions on the schedule of the meeting. - Financial support of the safe community program. - Reporting the efforts taken place to administrators and safe community committee of the province.

Fig.3.SafeCommunity Committee meeting

1-3-The Clerk of the committee: The chief of health centre is the clerk of the committee member and his/her tasks are as fallows: - Organizing & forming the Committee meetings according regularly. - Establishing coordination between the members. - Collecting the statistics of accidents and analyzing data. - Providing comprehensive reports about the performance of the committee members to the province one annually. - Organizing the schedule of the meetings by harmonizing the members. - Organizing the final operation program of the committee. - Harmonizing in order to regulate the operation program of other members. - Notifying the determined tasks of the members in the committee. 1-4-Tasks of committee members: - Identifying the reasons and risky spots of the activity field of each member. - Determining the priorities of operational programs considering safety according to the region's condition. - Offering the operational program of the field of activity. - Surveying the needs and educational programming for different groups. - Programming in order to cover promoting the safety of whole environment. - Supervising and estimating all the programs connected with safety issue within the under controlled region. - Providing the operational program financially. - Performing research programs within the region. - Communication with other safe communities.

1-5-Method of follow up and harmonizing the activities: The program of the committee have meetings' timetable with specific date and place announce by the city governor monthly base for one year period .The meeting process confirm by county governor & inform by the secretariat A week in advance and invites all the permanent members and temporary ones( if necessary) according to the schedule of the meeting. The meeting's resolutions are notified to the members after the governor’s approval. The members are charged to perform the resolutions within the determined the progress and results during period of time to the secretariat clerk responsible for report the performance related to previous resolutions for assessment by the committee members.

Table 7: Functional Process of " Safe Community" in Neyriz District

َ Annual Confirm Applied Confirm Not Applied Present Average Year Meeting Decision Decision Confirm Applied Attendance of Decision Confirm Invited People Decision (%)

2005 8 50 48 0 2 96% 2006 10 94 93 0 1 98%

2007 14 145 140 0 5 96% 2008 18 175 123 10 42 97%

Total 50 464 404 10 50 96.5%

Table7: illustrates increasing trend of safe community committee performance during 2005_2008.

2- Indicator 2: Long-term sustainable programs covering genders and all ages, environments, and situations; 2-1-efortse taken places toward to indicator no 2: A three –year operational program for all age & gender, different environments and also some priorities in the district accidents such as suicide, burn, and motorcycle rider’s crush is provided with the collaboration of all the related organizations.

Box 2: Titles of Prepared Practical Programs and Percent Progress Rates Based upon Gant'sTable, Neyriz District Safe Community (Secretariat) Description Prepared by Responsible Situation on 2008 Organization Predicted progress

● Increase accident Prevention Safe Community(Secretariat) "Safe Community" 7% 7% Upon High risk Age Group Family Health Group (Children, Elderly, School Age School Health ●Increase workplace Safeties Safe Community(Secretariat) "Safe Community" 15% 15% Occupational Health Group Environment Health ●Increase Burn Prevention Health Center "Safe Community" 10% 10% Group ●Increase Motorcycle Drivers Safeties Health Center "Safe Community" 10% 10% Department of Motor Vehicle Group ●Increase School Safeties Health Center "Safe Community" 20% 20% Safe Community(Secretariat) Group ●Increase Kindergartens Safeties Safe Community(Secretariat) "Safe Community" 20% 20% Group ● Prevention of Suicides Safe Community(Secretariat) "Safe Community" Program started on Health Center Group 2009 ●Increase Safeties of Parks Mayor "Safe Community" 20% 20% Safe Community(Secretariat) Group ●Increase Safeties of Residential Home Safe Community(Secretariat) "Safe Community" 3% 3% Group ●Increase Public Cooperation Health Center "Safe Community" Program started on Safe Community(Secretariat) Group Summer 2009 Local Civil, Road Construction "Safe Community" ●Increase Safeties of outer-city in process Passages & Transportation Manager Group ●Decrease Outer-City Road Accidents Police of Highway Patrol, "Safe Community" in process Neyriz – Sirjan Cities Group ●Increase Awareness of Public Related Head of Local Electrical "Safe Community" in process to Accidents of Electrical shock Power Department Group ●Increase Awareness of Public Related Head of Local The Red "Safe Community" in process to Rescue Issues Crescent Group

●Increase Public Discipline & Descries Police of Department of Motor "Safe Community" in process Inner -City Accidents Vehicle Group

●Increase Safeties of inner-city Passages Mayor "Safe Community" in process Group ●Increase Safeties of Sport's Places Physical Education "Safe Community" in process Departments Group

Box 3: Goals and Strategic Purposes of “Safe Community" in Neyriz District

Goals: Increase Prevention & control of Accident Boost Safeties Features in Neyriz District.

Strategic Issues

●Encourage Inner Group For more Cooperation ●Increase Public Cooperation ●Process Educational Activities of Public Cooperation ●Indicate Environment Safeties Features ●Indicate Executive Priorities ●Indicate Assessments and Evaluation Process

Box 4 A: Some special Goals and Purposes of “Safe Community “in Neyriz District

Goals Responsible Group

1 Decrease of Mortality Rate Related to Accidents From 95 to 80% per "Safe Community " Group 100,000person by the end of 2010. 2 Decrease of Injuries Rate Related to Home Accidents From 650 to 350 per "Safe Community " Group 100,000person by the end of 2010. 3 Decrease of Injuries Rate Related to Traffic Accidents From 1730 to 1200 per "Safe Community " Group 100,000person by the end of 2010. 4 Decrease of Injuries Rate Related to Workplace Accidents From 420 to 200 Labor Department per 100,000person by the end of 2010. "Safe Community " Group

5 Decrease of Injuries Rate Related to Suicide Attempts From 145.9 to 120 per "Safe Community " Group 100,000person by the end of 2010. 6 Increase Safeties of Residential Home 22% by the end of 2008 Health Center, Hosing Foundation , Mayor 7 Increase Safeties of School 15% by the end of 2008 Education Office, Health Center 8 Increase Safeties Rates of Workplace 20% by 2010 Labor Department "Safe Community " Group 9 Identifying 100% of Dangerous & Risky Spots of Outer-City Roads by 2009 Local Civil, Road Construction & Transportation Manager 10 Identifying 100% of Dangerous & Risky Spots of Inner-City Roads by 2009 Mayor 11 Correction & Reconstruction of 65%of Dangerous & Risky Spots of Outer- Local Civil, Road Construction City Roads by 2009 & Transportation Manager

Box 4 B: some special Goals and Purposes of “Safe Community “in Neyriz District

Goals Responsible Group

12 Correction & Reconstruction of 60% of Dangerous & Risky Spots of Outer- Mayor 89City Roads by 2010 13 Increase 75% Safeties Rate of Recreational center by 2010 Mayor 14 Increase 35% Safeties Rate of Sport Places by 2010 Physical Education Departments 15 Identifying 100% of People Prone To Different Risk Factors by 2010 Health Center 16 Public's Encouragements Toward To Prevention of 75% Different Accidents "Safe Community " Group by 2010 17 Increase Knowledge of 85% of All Age and Gender Groups To Prevent any "Safe Community " Group Types of Daily Base Accidents by End 2010 17-1 Increase Knowledge of 80% of Students ( Age: 6-18)To Prevent any Types of Education Office, Outside Home ( Street, School,...) Accidents by End 2010 Health Center 17-2 Increase Knowledge of 85% of House-wives To Prevent any Types of Home Health Center Accidents by End 2010 17-3 Increase Knowledge of 90% Other Professions To Prevent any Types of Merchant Office, Accidents by End 2010 Health Center 17-4 Increase Knowledge of 95% Supervisor & Worker to Prevent Workplace Labor Department, Accidents by End 2010 Techno-Profession Educational Center, Health Center 17-5 Increase Knowledge of 70% Motorcycle drivers to Prevent Traffic Accidents Department of Motor Vehicle, by End 2010 Health Center 17-6 Increase Knowledge of 70% Track drivers to Prevent Traffic Accidents by Department of Motor Vehicle End 2010 17-7 Increase Knowledge of 90% Taxi drivers to Prevent Traffic Accidents by Department of Motor End 2010 Vehicle, Mayor 17-8 Increase Knowledge of 75% of Elderly Related to Accidents Prevention by Health Center End 2010 17-9 Increase Knowledge of 40% of High School Students Related to Prevention Education Office, of Suicide by End 2010 Health Center 17-10 Increase Knowledge of 50% of College Students Related to Prevention of Universities, Health Center Suicide by End 2010 17-11 Train " First Aid Skill" To 50% of People 15 years or older by End 2010 Local The Red Crescent 18 Activate Disaster Centers of Neyriz City by End 2010 City Governor, Health Center 19 Organizing 100% of Specialized group Meeting For Accidents Prevention by City Governor, 2009 Health Center 20 Practically Increase 85% of Applicable Confirmed decisions Made by City Governor, "Safe Community " Group Untie 2010 Health Center 21 Cover up to 100% of Hospital Record Registry by End of 2008 Health Center 22 Increase Mortality Registry Related To Accidents 100% by End of 2008 Health Center, Highway Police Patrol, Mayor, inner city Police Department

10 2-2- Intervention in places: Since the first step of increase the safety of environments is assessing the primary status of safety checklists that are provided for most of the environments annual visits. Therefore, we prepare the checklists were completed in the environments.

Table8: Assessment of Safety Issues of Public & private places at in Neyriz District 2006-2008.

Percent( % ) Assessed during 2006-2008 Name of Place Total Number of Place 2006 2007 2008

School 220 100 100 100 Kindergarten 37 100 100 100 Home 12117 100 100 100 Park 6 100 100 100 20 Sport's Stadiums & 100 100 100 Sport Place 34 Regular Sport's Fields Traffic Passages 100 100 100

Table8: Safe Community Committee performance related to assessment of safety indicator as shown for six major public locations.

2-2-1-Traffic passages:

Fig.4.repair, reconstruction& construction

A team consisted of the city governor, traffic police, Road and transportation office, municipality and health care office was established in order to survey inner/outer city roads. This team evaluate based on the statistics of traffic accidents, in different places high risk spots according to the standards of the passages. Efforts taken place in the surveying team includes. 1- Determining the high risk spots and priorities in correcting those spots. 2- Determining the spots which need traffic signs, blinking lights, traffic & cross walk stripes, coating the asphalt, widening the roads and building bridges. 3- Reporting to the safe community committee:

11 The committee determines the priorities by necessary convening meetings with the members frequently. There is notified to the road & transportation office and the municipality to increase the safety of roads and streets based on the compiled operational program.

Table9: Indicates outer-traffic passages action taken place at Neyriz during 2006_2009

Accumulation of All Actions Taken place

Actions Description 2006 2007 2008 2009 Total Surface Asphalt ( Km ) 55 128.5 124.7 45 353.2 Prepared Base& Sub-base ( Km ) 57 53.5 22.2 5 137.7 Prepared Road Shoulder ( Km ) 35 55 45 50 185 Road Edge & Side Prepared ( m ) 1700 2000 0 0 3700 2 Road Repaired (m ) 3000 80000 2000 350 85350 Number of Bridge Construction 25 2 0 0 27 Number of Bridge Repaired & 4 33 70 0 107 Reconstruction Number of Road Signs & Signals 3600 4560 6120 1810 Installation 16090 Road White or Yellow 380 650 70 50 1150 Traffic Stripe (Km) Speed limit Bump 18 0 150 0 168 Construction (m) Number of Road Dangerous 5 27 5 0 Spots Correction & Reconstruction 37 Number of New Jersey Installation 150 0 300 0 450 Number of Road Side Parking 15 22 10 3 50 Construction Installation of Road Side Safe Guard 3200 8000 1380 0 Protection 12580 Number of Blinking Traffic Light 20 5 20 15 Installation 60 Establishment of lighting Tower 0 0 0 2 2 Leveling & Surfacing Rural Road and 600 450 480 250 Margin of Main & Branch Roads 1780

Table 10: Indicates Inner-City Traffic Passages Actions Taken place at Neyriz District During 2006-2009 •

Accumulation of All Actions Taken place Actions Description 2006 2007 2008 2009 Total Road Sub-base & Surface 75000 82000 90000 70000 317000 Asphalt ( Km ) 2 Road Sub-base(m ) 67300 94120 116800 90 278310 2 Road Surface Asphalt (m ) 75000 82000 120000 50000 327000 Construction of Canal( m) 580 670 2110 700 4060 Number of Bridge Construction 20 50 30 70 170 Number of Bridge Repaired & 37 43 51 200 331 Reconstruction Repaired &Reconstruction of Side 2 9000 12000 15000 5000 41000 by Brick(m ) walk

Boulevard Construction ( m ) 1850 2500 2100 1700 8150 Construction of Road 2500 3000 6700 3000 15200 Edge Canal( m) Repaired & Reconstruction 100 170 200 800 1270 of Canal( m) Number of Road Signs & Signals 100 80 100 70 350 Installation 2 Construction of Canal's (m ) 2500 1000 3000 3200 9700 Cover Street Pedestrian Crass - walk 400 500 700 820 2420 Stripe(m) Street White or Yellow 0 0 50000 0 50000 Traffic Stripe(m) Speed limit Bump 10 15 17 15 57 Construction (m) Number of Road Dangerous 35 39 47 51 172 Spots Correction & Reconstruction Number of Public Parking 0 1 1 2 Construction 0 Number of Road Side Parking 2 4 5 5 17 Construction Correction, Reconstruction of 5 8 15 11 39 Taxi – Cub & Shuttle Stations Painting the Street 0 0 27000 30000 57000 Canal's Marginal ( m) Establishment of lighting Tower 0 0 0 10 10

2-2-2-Works places According to the increasing process of establishing the industry in the Neyriz district specially the accident resulted from working in mines and stonecutting companies cause major portion of the annual incidence of injuries. This problem is considered as an important priority of prevention. 2-2-2-1-Eforts taken place in order to increase the safety of work places of Neyriz from 2006-2009 - Organizing the specialized committee of work place injury prevention. - Establishing monthly meetings of safety and technical protection committees in work places. - Supervising the newly established companies and assessing building plans in order to develop and correspond the project with the relevant regulations. - Periodic visits of companies and offering resolutions about correcting deficiencies. - Identifying self- protection devices corresponding and proportionate to the situation of each of the working environments. - Offering educational programs for employers and employees. - Building and installing safety alert signs in industries and mines. - Recording injuries accrued in industries and mines. - Organizing the maneuver of help, rescue and relief exercise in steel company.

Fig5. Safety of work places.

2-2-3-Kindergartens and schools: In the first step of safety feature issues (2006)several primary efforts were taken place with cooperation of education department .these include extinguisher, first aid box, stair and windows protection fences, pedestrian cross-walks street, standard heating systems, removing junk staffs and worn- out old trees in the school yards. Then through follow- up visits and training in this regard above issues explaining the subject in the meeting of safe community actions were taken to increase the safety of schools. In the second steps (2008) of the safety standards of school were determined through the guideline of the standard 14 Office and then the checklist of evaluating the status of safety were provided by the secretariat. This checklist was completed from the early 2009 for 194 schools and 37 kindergartens. Intervention actions will be started in order to promote the safety of schools by offering the results of analyzing the data in near future.

Table 11: Actions Taken Place for Purpose of Increasing Safeties of Educational Places in Neyriz District, 2006-2009.

Number Responsible Organizations Description

Furnishing School With Fire Fighting 51 Education Department, Welfare Capsule Organization, Health Center Furnishing With First Aid Box 124 Education Department, Welfare Organization, Health Center Furnishing With Stair Protection Fence 46 Education Department, Welfare Organization, Health Center Traffic Road Stripe For Pedestrian 167 Education Department, Welfare Crossing Access way to Educational Organization, Health Center Centers Furnishing With Standard Heat System 70 Education Department, Welfare Organization, Health Center Omitted the Risk Factors 149 Education Department, Welfare (Old trees, old School Equipment...) Organization, Health Center Furnished With Safe Electrical Power 39 Education Department, Welfare System Organization, Health Center Complete Safeties Check List 194 Health Center

Fig. 6: Comparing Safeties Situations of Schools Based Upon Facilities in Neyriz District 2006 & 2008

120 95 96 100 80 75 63 65 70 58 75 45 60 60 48 43 2006 2008 40 20 0 0 0 1 2 3 4 5 6 7

1- Fire Fighting 2- First Aid Box 3- Stair Protection 4- Road Stripe For Pedestrian 5 Standard Heat System Capsule Fence 6 - Omitted any type of Risk Factors 7 Safe Electrical Power

Fig.6: There is numerous amounts improvement in safety of schools during 2006-_2008 15 2-2-4-Homes Approximately 35 percent of the accidents were happened at homes. Most people specially the elderly and children spend most of their time at homes, there fore one the important priorities of the safe community was determined to promote the safety of homes.

Table 12: Actions Taken Place for Purpose o f Increasing Safeties of Residential Places in Neyriz District, 2006-2009.

Years Description of Intervention Responsible Organization

Annual Evaluation of Residential Place Entrance Door Local Health Center Filling Check List Related to Safeties of Residential Places Local Health Center Face to Face Education Local Health Center Identifying Problems that exist Local Health Center Follow-up Actions to Solve Problems that exist Local Health Center Analyzing Check List Local Health Center 2006-2008 Paying Loan for the purpose of Repair of 3000 Rural Residential Housing Foundation Office Places Increasing Supervision for Construction of Residential Places Mayor( City Hall), Housing Foundation Office & "Safe Community " Group Education of Construction Skill Worker Related to Safeties of Islamic Hosing Foundation Residential Places Assemblies

Fig. 7:

Comparing Safeties Situations of Rural homes In Neyriz District 2008

93.4 95 86.7 86.2 87.8 90 80.9 Fig. 2: 85 78.4 Comparing80 Safeties Situations of Rural House At Nayriz City District 75 2008 70 1 2 3 4 5 6

1-Kitchen 2-Room 3-Stairway 4-Backyard, 5-Shawer 6-House Parking Balcony & Roof

Fig.9. Sport places are one of important goals for safety.

2-2-5-Sport places: The office of physical education compiled a three – year operational program with the cooperation of the safe community committee in order to increase the safety of sport, locations. Of Neyriz city the following efforts were taken place in sport issue. 2-2-5-1-Swimming pool:

- Furnisher covered pool with examination bed, oxygen capsule and first aid devices. - Attendance of a lifeguard while people swim. 2-2-5-2-Sport halls: Firstly the statuses of sport halls were assessed for the items such first aid kits, fire fighting capsule and lights by the physical education office. All the sport halls were equipped with first aid kits and light systems and 53 percent of the halls with fire extinguishers as well. 2-2-5-3-Rural regions: In rural regions, relative safety was considered by building one sport hall.

2-2-6- Recreational Places 2-2-6-1- Efforts taken place for safety promotion of recreational places. 1-Field evaluation by special check list. 2- Design and intervention parks with Safety indicators 3- Report result evaluation to municipality

Table13.Efforts taken place for purpose of safety promotion of Recreational places.

Accumulation of Function First Season Total 2006 2008 Improvement Description 2007 2009

Construct Creek (Canal) in Park (m) 3050 6200 6000 7150 22400 Construct Edge Border in Park (m) 3500 5500 6450 8250 23700 2 Lay out & Construct Mosaic in Park(m ) 2000 25000 2000 3600 32600 Provide a Number of Extra Light 80 105 170 180 532 Repair Park Benches 195 236 305 560 1296 Furnish New Park Benches 195 236 305 560 1296 Repair Old & Furnish Number of New Playing Tools 5 9 16 30 60 (Instruments ) of Park Installation Number of Alert Signs 20 40 60 70 190 Replace Old Playing Tools (Instruments ) of Park 5 9 16 30 60 Installation Number of New Free Phone Line 2 6 4 0 12 Improve & Make Safe Environment For Children 0 0 0 3 3 Playing Tools Construct Number of New Park 1 2 2 4 9 Repair& Improve Electrical Equipments Periodically 23 28 40 50 141

2-3-Efforts taken place for age group: 2-3-1-Efforts taken place for o-14 age group: In this age group most injured people are among those who had motorcycle accident, falls, hit, bit, pedestrian crash, and motorist crash. Fig.8. Traffic Educational programs for students Following actions are taken place: 1- combining educational programs of safety principals in the program of caring under 8 years children and training mothers in the field of falls, burns, 2- Training kindergarten educators for delivering the education to children. 3- Getting help from students in school's police and police assistant projects. 4- Organizing painting competitions among students about prevention of traffic accidents. 5- The presence of police and health stuff in schools for implementing educational programs.

Table 14: Indicates Programs Have Taken Place for Age-Groups 0-14

Description Target Group Number of Meeting Number of Responsible Year Attendance Organizations (Person)

2007 Prevention From Different Teachers 2 80 Health Center Accidents Kindergartens 2007 Prevention From Burn Instructors of Adult 2 220 Health Center Accidents School 2008 Prevention From Burn House-Wives 50 700 Instructors of Adult Accidents School 2008 Pedestrian Crossing Elementary Students 150 Meetings 5400 Department of Motor Vehicles (DMV) To board (get on) a .. Bus,. 2008 Prevention From Traffic Teachers 1 84 Department of Motor Accidents Kindergartens Vehicles (DMV) 2008 Prevention From Traffic Students Parents 15 Meetings 456 Department of Motor Accidents Vehicles (DMV) 2008 First Aid Janitors, Caretakers, 6 Meetings 248 The Red Crescent Principal&Asst. Principal 2008 Method of Using Fire Janitors& Face to Face 156 Fire Fighters Fighter Capsule Caretaker 2008 Prevention From Burn Elementary Students 180 Meetings 5400 Health Center Accidents 2008 Celebrate & Compete For Kindergartens 3 180 Department of Motor Art Painting With Purpose of Children Vehicles (DMV), Safeties Health Center

Fig . 10:

Rate of Accidents Related to Age Group (0- 14) in Neyriz District, Per 10,000 Person2008

45 40 38.4 35 30 27.9 25 23.7

20 16.6

15 10.2 10 4.1 5 1.9 0.37 0.75 0.75 0 0 1.1 0 1 2 3 4 5 6 7 8 9 10 11 12 13

1- Animal Attack 2- Scorpion & Snake bite 3-Burn 4- Drown 5-Electrical Shock 6-Fall 7 -Hit or Beat

8- Poisoning 9- Rudeness or Harshness 10-Suicide 11- Pedestrian Crash 12- Car Crash 13- Motorcycle Crash

Fig10: The most important of accident at this group is traffic accidents at first and then falling down.

2-3-2-efforts taken place for 15-24 age groups: n this age group most of the injured people suffer from motorcycle crush, violence, suicide, hit or beat, motorist crush and falls respectively. Following actions are taken place until now in order to increase safety in this group: 1- Organizing workshops for school administrators about prevention of traffic accidents in youngsters & younger adults. 2- Organizing educational programs to prevent traffic accidents through holing educational class, delivering the pamphlet of traffic accidents. 3- Organizing safe exhibition. Distributing articles about the safety of motorcycle riders and motorists. 4- Organizing educational courses for 20-24 age group who work in industries and mines about using safety self- protection devices 5- Consulting with groups in risk of suicide by a psychologist expert.

Table 15: Indicates Programs Have Taken Place for Age-Groups 15-24.

Description Target Group Number of Number of Responsible Year Meeting Attendance Organizations (Person)

hrs Basic Training of High School Studentsُ 45 Periods 1200 The Red Crescent 32 2007, 2008 (Public (First Aid) 32 hrs General Training of Drivers 10 Periods 300 The Red Crescent 2007, 2008 Public (First Aid) 2008 Prevention From Burn High School Students 210 10000 Health Center Accidents 2008 Prevention From Traffic High School Students 120 9000 Department of Motor Accidents Vehicles (DMV) 2008 First Aid Janitors, Caretakers, 6 Meetings 248 The Red Crescent Principal&Asst. Principal 2008 Method of Using Fire Janitors& Caretakers Face to Face 156 Fire Fighters Fighter Capsule 2007, 2008 Celebrate For Memorial of Motorcycle Drivers 2 4500 Department of Motor Traffic Accidents Victim Vehicles (DMV), Health Center

Fig. 11 :

Rate of Accidents Related to Age Group( 15-24) in Neyriz District, Per 10,000 Person2008

200 186.2 180 160 140 120 100 80 60 40 34.4 29.4 19.5 23.8 23.5 20 10.6 3.6 1.6 2.3 0.3 1.6 3.6 0 1 2 3 4 5 6 7 8 9 10 11 12 13

1- Animal Attack 2- Scorpion & Snake bite 3-Burn 4- Drown 5-Electrical Shock 6-Fall 7 -Hit or Beat

8- Poisoning 9- Rudeness or Harshness 10-Suicide 11- Pedestrian Crash 12- Car Crash 13- Motorcycle Crash

Fig11: The most important accidents at this group are traffic accidents especially motorcycle accidents.

Fig.12. Maneuver of fire fighting operation by Red Crescent Organization Neryiz.

2-3-3-Efforts taken place for 25-64 age groups: In this age group, car crush, pedestrian accident and hit &beat trauma are more prevalent. Following actions are taken place in order to promote safety in this group: 1- Implementing educational programs of traffic accident- prevention. 2- Holding educational meetings, delivering pamphlets and installing signs in passages and holding fairs. 3- Educating workers about using self- protection devices with the cooperation of Labor and Social affairs office and vocational health part.

Table 16: Indicates Programs Have Taken Place for Age-Groups 25-64

Description Target Group Number Number of Responsible Year of Attendance Organizations Meeting (Person)

Department of Motor Vehicles 2007, 2008 Traffic Accidents Public 150 12000 (DMV), Health Center Celebrate For Memorial of 2008 Public 2 6500 Health Center Traffic Accidents Victim 2008 Technical Staff of Protection & Safety 120 hrs 200 Techno-Profession Center Education Department 2008 Protection & Safety Regular workers 120 hrs 120 Techno-Profession Center 2008 Organizing 2 Relief Public 17 Days 10000 The Red Crescent Equipments Exhibition 2008 Practicing Earthquake The Red Crescent & Public 2 Meeting 450 Maneuver Disaster Center 2008 Prevention of Workplace Mines & Factories 35 1400 Health Center Accidents Regular workers 2007,2008 32 hrs Basic Training of The Red Crescent Drivers 25 Times 1200 Public (First Aid) 2007, 2008 8hrs General Training The Red Crescent House-Wives 45 1600 (First Aid) 2008 Method of Using Fire Janitors &Caretakers The Red Crescent 2 Meeting 248 Fighter Capsule Department of Motor Vehicles 2008 Traffic Accidents Drivers 38 12000 (DMV), Health Center 2008 Electrical Power Risk Safeties Health Volunteer 1 55 Person Highway Patrol Police 2008 Prevention From Home Electrical Power Department, House-Wives 210 11000 Accidents Health Center

Fig . 13:

Rate of Accidents Related to Age Group(25-64) in Neyriz City District, Per10,000 Person 2008

90 79.9 80 70 60 50 40 31.1 30 22.6 20 18 10.7 10.3 10 0.81 3 2.2 0.2 1.4 1.8 0.81 0

1 2 3 4 5 6 7 8 9 10 11 12 13 1- Animal Attack 2- Scorpion & Snake bite 3-Burn 4- Drown 5-Electrical Shock 6-Fall 7 -Hit or Beat

8- Poisoning 9- Rudeness or Harshness 10 -Suicide 11- Pedestrian Crash 12- Car Crash 13- Motorcycle Crash

Fig 13: Traffic accidents are the most important at this group especially car accidents.

2-3-4-Actions taken for 65 + age group: In this age group falls, motorcycle and car accidents are more prevalent. Following actions are taken place to promote safety in this group till now: 1- Combining the education of safety principles in the program of caring the elderly in health centers. The elderly people are cared in health centers they are trained to prevent accidents & injuries. 2- Educating the families of elderly people about their safety and prevalent accidents and injuries in this group. 3- Face to face education at homes while evaluating the safety of houses. Programs aiming at promoting the safety of high – risk group, volunteers and environment.

Table 17: Indicates Programs Have Taken Place for Age-Groups Above 65

Year Description Target Number of Number of Responsible Group Meeting Attendance Organizations

Prevention From Traffic 2008 Elderly 30 2500 Health Center Accidents 2008 Prevention From Falls Elderly 50 2700 Health Center 2007,2008 Prevention From Burn Elderly 45 3200 Health Center

Table17: Determinates the collective accident data sources from diverse organization in different Period of time.

Fig. 14 :

Rate of Accidents Related to Age Group(65+)in Neyriz District, Per 10,000 Person 2008 70 59.9 60 50 40 31.6 30 21.6 20 11.6 10 8.3 8.3 5 3.3 3.3 0 0 0 1.7 0 1 2 3 4 5 6 7 8 9 10 11 12 13

1- Animal Attack 2- Scorpion & Snake bite 3-Burn 4- Drown 5-Electrical Shock 6-Fall 7 -Hit or Beat

8- Poisoning 9- Rudeness or Harshness 10-Suicide 11- Pedestrian Crash 12- Car Crash 13- Motorcycle Crash

Fig14: Illustrates traffic accidents are the first and falling down the second cause of injuries between elder ages.

Indicator no 3: Programs that target high-risk groups and environments, and programs that promote safety for vulnerable groups;

Identified priorities: increase the safety of motorcycle riders, Decrease in breaking out burn and suicide which are explained as follows: 1- Promoting the safety of motorcycle riders : Since the most rate of breaking injuries are consequence motorcycle riders therefore, this group is among most high risk group as result of prevention – program is compiled for them: 2- Suicide : By surveying the statistics of accident's injuries during recent years, the rate of committing suicide has an increasing process especially in 15-24 age groups, suicide – prevention is considered as a priority issue. 3- Burn : After traffic accidents approximately 21 percent of total accidents happen at homes and among them burn especially with hot water has the highest incidence and burn- prevention was determined as a priority. Actions taken place are as follows: 3-1- motorcycle riders: In order to assess the status of motorcycle safety and the awareness, about using helmets 5% of the motorcycle riders were evaluated.

Table 18 :Assessment of Increasing Safeties Issues among Motorcycle Riders

Description Rate (%)

1 Percentage People Use Helmet When They Used Motorcycle 4 2 Percentage Motorcycle Drivers They have Registration 28.1 3 Rate of awareness of Motorcycle Drivers About Usefulness of Helmet 80.0 4 Percentage of People, They Have a Positive Impression About Use of Helmet 35.0 5 Percentage of People, They Have a Negative Impression About Use of Helmet 43.0 6 Percentage of People, They Have a Helmet 37.4 7 Percentage of People, They Have a Motorcycle Driver License 19.5 8 Percentage of People, They Have a Car Driver License 29.8 9 Percentage of People, They Involved With Accidents When They Were 42.1 Driving Motorcycle 10 Percentage of People, When They Involved With Accidents They Wore Helmet 403

Table18: Motorcycle riders hardly ever use helmet and that is one of main socio-cultural problem at this group.

Fig.15.indicates this is motorcycle riders’ maneuver

3-1-1-Efforts in the process to achieve safety of motor cycle riders: 1-Compiling a 3-year operational program about reducing the incidence of motorcycle riders crush of Neyriz district during 2005-2008

2-In the operational program 3 main specific goals are considered as follows: 1- Promoting the level of knowledge and awareness of benefit wearing helmets during the use of motor cycle, 2- Promoting the level of awareness, of motorcycle riders about using other safety devices such as signal light , mirror , night lights, night reflected safety vest in the night activities . 3-Efforts in the process of performance of plane carrying out of training program as follows: 1- Providing and installing educational sign and Banners. 2- Providing and distribution of educational pamphlets. 3- Promoting education to the public knowledge by health agent of districts, organizations, health centers and local religious leaders. 4- Preparing the maneuver of safe motorcycle riders. 5- Establishing safety competitions and offering prize such as safety helmets and night light reflected safety vests. 6- Pursuing for construction of motor cycle riders practice field of Neyriz city. 4-Establishing inter-departmental coordination includes: 1- Pursuing for construction of motor cycle riders practice field of Neyriz city. 2- Facilitating easy access to standard helmets with reasonable prices within the sport shops. 3- Enforcing traffic regulations more strictly. 4- Evaluating the program.

3-2-Suicide Evaluation of suicide problem in Neyriz district population indicates high among age group 15-29. In the primary assessment of suicide, 58 % were of women, 42 % men committed suicide. Among suicidal population of this district 89.5% attempted by over dose medication, 10.5 % by other methods. Only1 % of them attempted suicide were successfully ended to death, however, 99 % were unsuccessful.

3-2-1-Related to preventing suicide following approaches were conducted: 1-Safe community committee formed special suicide prevention group in Neyriz district. This group includes as follow: Local health department, city governor, hospital, city police, district attorney, education department, and scientific-professional Institute, Azad and Paiam-E-Nour universities. 2-Preventive intervention before attempted to commit suicide includes training families, schools and identifying high risk people and introducing them to consulting center. 3- Intervention after first time attempt to committing suicide, in order to prevent future once. 4 -Establishing the new center for psycho-behavior consulting in Valiasr health services and activating consulting sections in universities and schools. 3-3-Burn The results of a survey indicate that most injuries are related to burning happened hot liquids in less than 10 years old children and housewives in the living room and the kitchen. To prevent burn especially with hot liquids an operational program has been compiled. 3-3-1-Performed interventions: 1- Educating housewives women : Group and face to face education for house holds about the prevention of burn at homes. 2- Educating kindergartens and schools. With the presence of the experts in schools and kindergartens, students and children are educated in the field of burn prevention. 3- Educating kindergarten trainers and health liaisons. 4- Holding educational meeting for nurses and Behvarzes (health workers)

Fig. 16:

Trend of Burn in Neyriz District, Per 100,000 Person 2005 - 2008

1000 814

800 595 600 290 400 196

200 0 2005 2006 2007 2008

Fig16: Point out trend of burn decrease in the period of 2005-2008

Fig. 17:

Trend of Mortality Rate Burn in Neyriz District, Per100, 000 Person 2006 - 2008

4 3.72

2.72 2.7 2

0 2006 2007 2008

Fig.17 Illustrates little change in mortality related to burn 2006-2008

Fig. 18:

Trend of Comparing Burn at Home in Neyriz District, Per 100,000 Person2005 - 2008

4-Indicator no 4 : Programs that document the frequency and causes of injuries; Enjoying programs which register and document the number and cause of injuries. 80 63.4 60 42.7 40 19 15.1 20

0 2005 2006 2007 2008

Fig18: Describe major portion of burn occurred of home. However this trend has shown rates of burn decline as a result Of preventive intervention of safe community committee performance

4-Indicator no.4 4-1-Efforts taken for indicator no 4: To organize the treatment of injuries and disabilities, the committee of incorporating the statistics of accidents & injuries aiming at collecting and analyzing the statistics of accidents & injuries of the township is established and currently the status of registering the statistics is as follow: 4-1-1-The sources of collecting the statistics of injuries involving: 1- Registering and reporting the data of injuries from health & cure center and health houses: The number of all the injured clients is registered in a notebook and monthly period its statistics is reported to main health center. 2- Registering and reporting the statistics of injuries from hospitals: The whole number of injured clients is registered in a note book in the emergency section and monthly the statistics is sent to health center. 3-Registering and reporting the statistics of injuries in schools and kindergartens: The statistics of injured people in schools and kindergartens is registered in a notebook and at monthly the data is sent to health center by the welfare and education organizations. 4- Registering and reporting of data from different companies.

4-1-2-The sources of collecting data of mortalities: 1- Reporting the data of mortalities by Health & cure centers and health houses. 2- Reporting the data of mortalities by the hospital. 3- Reporting the data of mortalities (death rate) by the cemetery administrator and legal medicine organization. 4-1-3-The sources of disabilities ' data- collecting” 1- In cases in which the injured person has referred to the hospital or health & cure center and suffers from disability the data is registered in the form of injuries by the hospital or health & cure center. 2- By the welfare organization : When disabled person refers to the welfare organization for services he/she identified. 4-1-4-The sources of collecting the data of other accidents & injuries: The data of traffic accidents are registered by the traffic police based on the accidents’ locations.

Table 19: Sources of Data Collection Related to Different Accidents In Neyriz District,

Year Sources of Data Types of Data Responsible Period of Organizations Collection

2006 Health Centers Injuries Related to Health Center Monthly Base Home & Other Accidents 2000 Hospital Emergency Injuries Related to Health Center Monthly Base Accidents 2008 Health Centers, Death Related to Health Center Monthly Base Legal Medicine, Cemetery Offices Accidents

2008 School & Kindergartens Accidents At School & Welfare Monthly Base Kindergartens Organization, Department Educational 2008 Clients, Welfare People Disabilities Related to Welfare Organization, Yearly Base Accident Hospital 2008 Department of Motor Vehicles Inner-City Accidents Department of Motor Seasonal (DMV) Occurrence Vehicles (DMV) 2008 Neyriz- Highway Patrol Police Outer-City Accidents Highway Patrol Police Seasonal Sirjan Occurrence

Table19: Indicates normal frequencies mortality rate in Neyriz district however accidents by itself determinate second cause.

Table 20: Mortality Normal Distribution for All Types of Deaths In Neyriz District, 2008.

Age-Groups Cases Percent of total Deaths

1 Heart Diseases 242 47.5 2 Accidents 98 19.2 3 Cancers 51 10.0 4 Respiratory Diseases 31 6.1 5 Urinary Tract Diseases 13 2.5 6 Genetics disorders, Pregnancy, Delivery Complication 16 3.1 7 Central Nervous System Diseases 7 1.4 8 Metabolic Diseases 6 1.2 9 Infectious Diseases 6 1.2

Table20: Accidents are second cause of death after cardiovascular cause as first.

Fig. 19:

Rate of Injuries Related to Accidents in Neyriz District, Per100, 000 Person 2008

1200 962.6 1000 800 600 214.4 204.6 179.7 230.4 145.9 141.5 400 18.7 22.2 19.6 10.7 27.6 200 1.8

0 1 2 3 4 5 6 7 8 9 10 11 12 13

1- Animal Attack 2- Scorpion & Snake bite 3 -Burn 4- Drown 5-Electrical Shock 6-Fall 7 -Hit or Beat

8- Poisoning 9- Rudeness or Harshness 10-Suicide 11- Pedestrian Crash 12- Car Crash 13- Motorcycle Crash

Fig19: Illustrates that motorcycle accidents are the most important cause of injures.

Fig. 20:

Rate of Accidents Related to Gender in Neyriz District per 10,000 Person 2008

Female= 88.7

88.7 Male 339.8 Female

Male= 339.8

Fig. 21:

Rates of Accidents Related to Place of Episode in Neyriz District per 100,000 Person 2008

135.6 150 100 65.8 50 15.3 0 City Rural Out of City & Rural

Fig21: Has shown inner-city accidents’ involves rates of injures Involve high rate of injuries.

Fig. 22:

Rate of Accidents Related to Location of Episode in Nayriz District per10,000 Person 2008

1400 1231.3

1200

1000

800

600 400 381.7 270.4 162.8 200 17.8 48.9 47.1 7.1 0

1 2 3 4 5 6 7 8

1 - Home 2- School 3- Public Place 4-Sport& 5- Alley & Street 6- Highway & 7 - Workplace 8 -Others Recreation Road Places

Fig22: Mostly the injuries occur in alley-ways and streets and then related to homes as second.

Fig. 23:

Rate of Accidents Related to Age in Neyriz District per 1,000 Person 2008

36.1 40 31.8 28 30 20.4 20.4 16.6 16 15.5 12.8 13.7 20 9.5 12.4 11.2 10 0

0-4 10-14 20-24 30-34 40-44 50-54 60 5-9 15-19 25-29 35-39 45-49 55-59

Fig23: Explain high rates of accidents episode happen among age group 15-30 years old.

Fig. 24: Rate of Mortality Related to Type of Accidents in Neyriz District, Per 100,000 Person 2008

19.6 20

15.1 11.6 8 4.45 5.34 10 2.7 0.9 0.9 3.6 1.8 4.45 1.8 2.7 1.8

0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

1- Burn 2- Drown 3- Electrical Shock 4- Fall 5- Hit or Beat 6- Poisoning 7 - Rudeness or Harshness 8- Suicide

9- Pedestrian Crash 10-- Motorcycle Crash 11-Car Crash 12-Tractor Crash 13 -Drug Abuse 14--Gas Trap 15-Others

Fig24: illustrated mortality rates related to types of accidents per 100000 person. Car crash is the most.

Fig. 25:

Rate of Mortality Related to Accidents by Age in Neyriz District, Per100,000 Person 2008

20.9 25 20

20 15.6 13.04 10.8 15 10.1 9.6 7.6 8.2 7.2 10 4.53 5.51 1.2 2.1 5 0 10-14 20-24 30-34 40-44 50-54 60-64 0-4 5-9 15-19 25-29 35-39 45-49 55-59 65

Fig25: Death rates more distinguishable among age groups 50-64 years old as well as 20-30.

Fig. 26:

Rate of Accidents Related to Workplace in Neyriz District, Per 10,000 Person 2008

120 99.7 100 80

60 40.7 40 1.9 0.97 0.97 7.7 13.6 3.9 2.9 20 2.9 0

1 2 3 4 5 6 7 8 9 10

1-Animal 2- Scorpion & 3- Burn 4 – Drown 5- Electrical 6 – Fall 7- Hit or Beat 8-Rudeness or 9-Suicide 10-Motorcycle Attack Snake bite Shock Harshness crash

Fig26: Clearly describe hit& beat and falling down work places in compared to different once.

Fig. 27:

Rate of Injuries Related to Recreational Locations Based upon Type of Accidents in Neyriz City District, Per 100 Person 2008

21.4 25 20 15

10 7.1 8 4.4 4.4 0.9 5 0.9 0

1 2 3 4 5 6 7 Animal -1 2-Scorpion & 3-Burn 4 –Fall 5- Hit or Beat 6 - Rudeness or 7- Motorcycle - Attack Snake bite Harshness Crash

Fig27: Describes falling down is most cause of injures in recreational on compared to different ones

Table21.Rate of Diverse Accidental Phenomenon Correlate to Different Age-Groups per 1000 Neyriz Districts Population, Fars Province, Iran2008

Total Other Motorcycl Car Pedestrian Suicid Rudeness Poisoning Hit Fall Electrical Drown Burn Scorpion & Animal Type of s e Crash Crash Crash e or or Shock Snake bite Attack Accidents Harshness Beat Age-Group

95.1 0.0 20.4 9.0 15.8 0.0 1.13 10.2 15.8 21.5 0.0 0.0 1.13 0.0 0.0 0-4 123.9 0.0 32.2 11.1 38.4 0.0 0.0 0.0 8.7 32.2 0.0 0.0 0.0 1.2 0.0 5-9 155.0 0.0 59.9 10.3 18.6 3.1 4.1 2.1 23.8 30.0 0.0 0.0 1.0 1.0 0.0 10-14 318.1 0.0 185.2 16.5 12.4 29.1 30.3 2.1 19.3 19.9 1.4 0.0 1.4 2.1 4.3 15-19 423.9 0.0 187.1 29.9 8.9 34.4 38.2 5.1 28.0 19.1 1.91 0.64 3.2 1.3 3.8 20-24 280.2 0.82 118.9 34.4 6.5 22.9 30.3 3.3 31.1 21.3 1.64 0.0 4.1 3.3 1.64 25-29 204.0 0.0 73.1 30.5 9.8 13.1 21.8 3.3 30.5 17.4 2.2 0.0 1.1 1.1 0.0 30-34 203.6 0.0 75.1 36.9 8.2 13.7 15.0 0.0 17.8 25.9 1.4 1.4 4.1 2.7 1.4 35-39 128.2 0.0 43.8 35.4 13.5 1.7 10.1 1.7 13.5 5.0 0.0 0.0 0.0 3.4 0.0 40-44 165.8 3.7 72.6 20.5 9.3 3.7 7.4 0.0 26.1 16.8 0.0 0.0 0.0 3.7 1.9 45-49 160.1 0.0 71.1 28.9 13.3 0.0 8.9 2.2 13.3 13.3 4.4 0.0 0.0 4.4 0.0 50-54 112.4 3.2 35.3 19.3 9.6 0.0 9.6 0.0 9.6 16.1 0.0 0.0 3.2 6.4 0.0 55-59 151.9 0.0 61.4 31.4 31.4 0.0 15.7 0.0 10.4 26.2 0.0 0.0 5.2 0.0 0.0 60-64 154.87 0.0 59.9 11.6 21.6 1.7 6.7 0.0 3.3 31.6 0.0 0.0 3.3 5.0 8.3 65+ 216.7 0.3 96.3 23.0 14.1 13.0 18.0 2.7 20.5 21.4 1.1 0.2 1.9 2.2 1.9 Total

Indicator no5:

Efforts taken place for indicator no5: While compiling the operational program for all the environments, age groups, monitoring indicator and its evaluation have been determined in advance. The considered indicators of evaluation are as follow: 1- Compiling the checklist of evaluation for homes, schools, kindergartens and recreational places that are completed before and after intervention. 2- Assessing and analyzing the data of accidents and injuries collected from various sources and comparing them with the similar previous ones monthly, quarterly and annually. 3- Determining the tasks of the committee members for evaluation : For this purpose divers accident incidence regarding inner –city traffic suburban passages, schools and kindergartens , work places and mines in order to determine the effect of intervention by traffic police, Road police , health center, welfare organization and Labor office respectively will be assessed. 4- In some cases evaluation is performed by public reports.

Table 22: Described evaluation of Hospital Record Rates.

Description 2005 2008 Rate of Change

Hospital Record related to Accidents 85.0% 100.0% 15.0% Mortality Risk Factors Record 80.0% 100.0% 20.0%

Table23: Indicates Trend of Injuries Related to All Accidents Phenomenon, Per 100,000 Person of Neyriz, 2005&2008.

Description 2005 2008 Rate of Change (Declined)

Rates of Injuries Related to All Accidents 2935 2167.3 767.7 Phenomenon Rates of Injuries Related to Workplaces 397 162.8 234.2 Rates of Mortality Related to Traffic Accidents 1731.6 1234.9 496.7 Rates of Injuries Related to Home Accidents 635 381.7 253.3

Table23: Explain the decline rates of all types of accidents in 2005 compared to 2008.

Table24: Indicates Trend of Mortality Rates Related to All Accidents Phenomenon Per 100,000 Person of Neyriz, 2005&2008.

Description 2005 2008 Rate Change (Declined)

Rates of Mortality Related to Accidents 93.8% 87.2% 6.6% Phenomenon Rates of Mortality Related to Traffic Accidents 54.8% 35.6% 19.2%

Rates of Mortality Related to Burn 4.6% 2.7% 1.9%

Table24: illustrated mortality rates decrease for some of major causes of accidents in 2005 compared to 2008.

Table 25: Indicates Trend of Average Times, Para-medical Agents Arrived for Rescuing injured Person of Neyriz, 2005-2008.

Year 2005 2006 2007 2008 First Half of Year 2009

Average Times (Minutes & Seconds) 5 5 4 & 50 4 & 30 4& 18

Table25: Drastically average times of arriving Emergency medical services (EMS) to accident scene were reduced since 2005 to 2008.

Table 26: Indicates Trend of Average Times, Para-medical Agents Arrived for Rescuing injured Person Out-city of Neyriz District, 2005-2008.

Year 2005 2006 2007 2008 First Half of Year 2009

Average Times (Minutes & Seconds) 25 22 17 & 20 14 & 29 13& 9

Table26: Indicates trend of average times in which drastically decline by the timely accidents Emergency medical services (EMS) arriving to scene between 2005-2008

Table 27: Comparing the Safeties of School During 2006 to 2008

Description 2006 2008 Rate of Change(Increased)

Percentage of Furnishing School With Fire Fighting Capsule 75.0% 95.0% 20.0% Percentage of Furnishing School With First Aid Box 48.0% 96.0% 48.0% Percentage of Furnishing School With Stair Protection Fence 45.0% 63.0% 18.0% Percentage of School With Access Road Traffic Stripe 0.0% 65.0% 65.0% Percentage of Furnishing School With Standard Heat System 43.0% 70.0% 33.0% Percentage of School that Omitted the Previous Risk Factors 0.0% 58.0% 58.0% Percentage of School that Furnished With Safe Electrical Power System 60.0% 75.0% 15.0%

Table27:.illustrated remarkably increasing safety level comparing 2006to2008

Table 28: Comparing The Safeties of Sport’s places (Hall, Auditorium) 2006 to 2008.

Description 2006 2008 Rate of Change(Increased)

First Aid Box 47.0% 100.0% 53.0% Fire Fighting Capsule 0.0% 53.0% 53.0% Hall(Auditorium) Light (Brightness) 47.0% 100.0% 53.0%

Table28: Clearly has shown improvements of safeties feature at sport places comparing 2006 to 2008.

40 Fig. 28:

Comparing Safeties Situations of Rural House At Neyriz 2000 & 2008

88 66

100 50

0 2000 2008

Fig28: Rural homes safeties have started sins 2000 before safe community. Point out the trend of safeties at rural home in 2000to2008

Fig. 29:

Compared Dangerous Spots of Neyriz Outer-City's Roads2005 & 2008

60 51

40 24 30

0 2005 2008

Fig29: Explain remarkable decline of dangerous spots of Neyriz outer-city roads from compared 2005to2008

Fig. 30:

Compared Dangerous Spots of Neyriz Inner-City's Roads2005&2008 320 350 300 250 200 128 150 100 50 0 2005 2008

Fig30: Explain remarkable decline of dangerous spots of Neyriz inner-city roads from compared 2005to2008.

Fig. 31A:

Compared Rate of Accidents Related to Location of Episode in Neyriz District 2006 to 2008

1200

1000

619.7 vs. 204.6 800

264. 8 vs214.4 2006 2008 13 vs. 10.7 600 0.93vs 1.8

59.5 vs19.6 400 76.2 vs 22.2 67.8 vs. 18. 200

1 2 3 4 5 6 7

1- Animal Attack 2- Scorpion & Snake bite 3-Burn 4- Drown 5-Electrical Shock 6-Fall 7 - Hit or Beat

Fig31A&B: Has shown changes in trends of different accident rates related to episode location and reduction of ones in 2008compared to 2006.

Fig. 31B:

Compared Rate of Accidents Related to Location of Episode in Neyriz District 2008

1200 1088.9 vs. 962.6

1000

800

145.9 vs 59.5 600 179.7vs 204.4 230.4 vs 234.1 124.5 vs. 141.5 400 109.6 vs. 27.6 2006 2008

200

8 9 10 11 12 13 14

8- Poisoning 9- Pedestrian Crash 10-car crash 11-violence 12--Suicide 13-Motorcycle Crash 14 - Others

44 5- Efforts taken for indicator no 6: Ongoing participation in national and international Safe Communities networks. 1- Oral presentation reports of the performance related to Neyriz safe community effort to Dr. Hendrickson and Dr.Mohammadi from karolinska Institute, (Sweden) and request for guides in order to improve implementation the program. 2- Sending the performance of Neyriz safe community to the global collaborate officiate safe community located at Sweden. 3- Establishing the web site of the safe community of Neyriz and providing communication with other communities. www.neyriz.sums.ac.ir/sc 4- Participating in the designation ceremony of Arsanjan, Fars and Bardeskan, Khorasan Razavi To safe community. 5- Visiting Arsanjan safe community program. 6- Shiraz University of Medical Sciences (SUMS) administrators visit from Neyriz safe community and proposing necessary guides. 7- Visiting the program and offering necessary guides by the experts of the ministry of health.

Fig.32: indicates site visits of WHO collaboration center from Karolinska Institute and Iranian Health ministry and Shiraz University of Medical Sciences administrative collaborative members from Neyriz safe community.

Others: The safe community committee has tried for some efforts for increasing participation another organization and people. Earth quack maneuver………….

Fig.33.field practice the quake maneuver

Table 29: Indicates Strategies of Public's Encouragements toward To "Safe Community” Plan & Programs & awareness of them in this Related.

Strategies

● Increase Number of Health-Oriented Volunteers from different Locations of Neyriz ● Increase Number of Health-Oriented Volunteers from different Clans (Aashyeir) ● Increase Number of Health-Oriented Volunteers from different Local Offices ● Increase Number of Health-Oriented Volunteers from different Local Workplaces, Factory, Mines ● Increase Capabilities of Health-Oriented Volunteers Related to different aspects of Workplaces & their Own Location ● Public's Encouragements Via: Religious Figures, Friday day pray Leaders, Islamic Assemblies& Public's Figures ● Increase Public's knowledge from different Method: Public Media, Neyriz Afternoon Local Weekly News, Khabar Jounoub Newspaper, Safe Community Pamphlet, Safe Community Site

Table29: Health-oriented volunteers have one of the most important role in safe community.

Table 30: Method of Informing Public about Safe Community Plan & programs

Target Year Group Type Inform Amount Responsible Organization

2002-2009 Public Announce in Neyriz Afternoon Local 12 Safe Community(Secretariat) Weekly News 2002-2009 Public Interview 4 City Governor, Secretariat& 2002-2009 Public Daily Reports From Accidents 30 Secretariat Phenomenon 2002-2009 Public Record in Safe Community Reports 10 Secretariat 2002-2009 Public Record Warning Related to Safe 15 Secretariat Community Confirm Reports that Need Previous inform 2002-2009 Public Friday Pray & Religious Meeting 62 Representative of supreme Leader Islamic Educator 2002-2009 Public Started Active Safe Community Site since - Secretariat Middle of Year 2008 2002-2009 Public Establishment of Exhibition for different 5 Local The Red Crescent Occasion 2002-2009 Public Installation of Inner-City Signs Related 7 Secretariat the Safe Community Goals & Information

Table30: Increasing public awareness is an important strategy for Neyriz safe community.

Table 31: Prepared Text Information of Education

Type of Target Description of Plan Activities Amount Years Groups Responsible Organizations

2007 Prevention of Children Pamphlet Safe Community(Secretariat) 6000 House Wives Burn 2007 Educate & Prevent Pamphlet Safe Community(Secretariat) Behavior of Reckless 4000 Drivers Drivers Safeties of Motorcycle Pamphlet Age- Groups 2008 5000 Safe Community(Secretariat) Drivers (15-40 Yrs) Pamphlet 2008 Prevention of Kitchen 6000 House Wives Safe Community(Secretariat) Burn General Needs of First 2009 Pamphlet Public Safe Community(Secretariat) Aid for Family 5000 Educate Children For Pamphlet Age- Groups 2008 3500 Safe Community(Secretariat) Safeties on Street (5-12 Yrs) Pamphlet Age- Groups 2008 Prevention of Youth 3500 Safe Community(Secretariat) For Drug Abuse (15-40 Yrs) 2008 Prevention For any Pamphlet 3500 Public Health Department Medication Poisoning Related to Bites(1) Expertise Prevention For any Pamphlet 3500 Public Health Department Medication 2008 Poisoning Related to Expertise Bites(2) 2008 Pamphlet Public Health Department Medication House Safeties From any 5000 Expertise Death is Neighbor of any Pamphlet 5 Public Safe Community(Secretariat) 2008 Motorcycle Drivers Without Helmet 2008 If He/She Had Worn Pamphlet 5 Public Safe Community(Secretariat) Helmet?!...... Reckless Behavior in Pamphlet 5 Public Safe Community(Secretariat) 2008 driving the Car Safe School Pamphlet School 2009 300 Safe Community(Secretariat) Principals 2009 Safe Community Pamphlet 40000 Public Safe Community(Secretariat)

Table31: Public education is strategic program that has down by safe community especially for children and high risk groups.

Table 32: Indicates Research Activities

Years Description of Plan Present Situation of Research

2004 Intervention to Increase Safeties For Motorcycle In Process Riders 2008 Intervention to Increase Safeties For Schools In Process 2008 Intervention to Increase Safeties For In Process Kindergartens 2008 Intervention to Increase Participation of Public in In Process Plan and Program of " Safe Community" 2008 Intervention to Increase Awareness of Public In Process about Plan and Program of " Safe Community" 2008 Plan to Evaluate & Assess Safeties of Parks In Process

Acknowledgment: We respect of everybody to participate for accumulation and arrangement especially Dr.M.H.Fallahzadeh, Dr.M.R.Haidary, Dr.N.Parsa (counselor&Translator), Dr.S.Mohammnadi, Dr.Zakeri, Dr.Joulae and Mr.Mohamad Taheri&Mrs. Mazidmoradi as Focal point safe community in Neyriz district. We also pleasure for well cooperation by Mrs.sh. Alinezhad, Mrs.M. Safari MD. Mrs.F. Foladband. Mrs.F. Rezae.Mrs.B.Malekzadeh. Mr.S.Nasiri.

Mostafa Medhati MD & Efat Hadizadeh. Shiraz University of Medical Sciences_ Health Department –Non communicable diseases group-Accident prevention section. +987112122449-+989171051194. [email protected]