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Injuries are the result of an acute exposure to exhort of energy or a consequence of a deficiency in a vital element that exceeds physiological thresholds resulting threatens life. They are classified as intentional or unintentional. Injuries are considered a global health issue because they cause more than 5 million deaths per year worldwide and they are an important contributor to the burden of disease, especially affecting people of low socioeconomic status in low- and middle-income countries. A common misconception exists where injuries are thought to be the same as accidents; however, accidents are largely used as chance events, without taken in consideration that all these are preventable. This review discusses injuries and accidents in the context of road traffic and emphasizes injuries as preventable events. An understanding of the essence of injuries enables the standardization of terminology in public use and facilitates the development of a culture of prevention among all of us.



Francisco J. Bonilla-Escobar, Cisalva Institute, Faculty of Health, Universidad del Valle, Cali

Research Assistant, Auxiliary Profesor, Faculty of Health, School of Public Health, Universidad del Valle, Cali, Colombia

Maria Isabel Gutierrez Martinez, Cisalva Institute, Faculty of Health, Universidad del Valle, Cali

Director, Cisalva Institute, Professor, Faculty of Health, Universidad del Valle, Cali, Colombia
Bonilla-Escobar, F. J., & Gutierrez Martinez, M. I. (2014). Injuries are not accidents: Towards a culture of prevention. Colombia Medica, 45(3), 132–135.

Peden M, McGee K, Sharma G. The injury chart book. Geneva: Department of Injuries and Violence Prevention, Noncommunicable Diseases and Mental Health Cluster, World Health Organization; 2002.

Pan American Health Organization . Preventing injuries and violence: Washington, D.C: Pan American Health Organization -

Regional Office of the World Health Organization; 2008.

Krug EG. World report on violence and health. Geneva: World Health Organization; 2002.

Peden M. World report on road traffic injury prevention. Washington, D.C: World Health Organization; 2004.

World Health Organization [30 Aug 2014];Global health observatory. 2008 a Available from:

Injury Prevention Web . Injuries have causes: 2012. Aug . 2014.

Baker SP, O’Neill B, Karpf RS. The injury fact book.Lexington, Mass: Lexington Books; 1984.

Stevenson A. Oxford Dictionary of English. 3. UK: Oxford University Press; 2010.

República de Colombia . Poder Público - Rama Legislativa. Ley 769 de 2002. Bogota D.C.: 2002.

Injury Prevention Web [30 Aug 2014 ];Injury Prevention Policy. 2000 a Available from:

Heinrich HW. Industrial accident prevention. New York and London: McGraw-Hill; 1941.

Godoy LA, Escaudar C, Jaca R, Pinto F. Critical review of some theories of accidents associated with infrastructure. Rev Int Desastres Naturales Accidentes Infraestructura Civil. 2001; 1(2): 127–39.

Gordon JE. The epidemiology of accidents. Am J Public Health Nations Health. 1949; 39(4): 504–15.

Haddon W., Jr Advances in the epidemiology of injuries as a basis for public policy. Public Health Rep. 1980; 95(5): 411–21.

King BG. Accident prevention research. Public Health Rep. 1949; 64(12): 373–82.

De Haven H. Mechanical analysis of survival in falls from heights of fifty to one hundred and fifty feet. 1942. Inj Prev. 2000; 6(1): 62–8.

De Haven H. Miraculous safety. Air Facts. 1970; 33: 62–7.

Gibson JJ. The contribution of experimental psychology to the formulation of the problem of safety. Behavioral approaches to accident research. Association for the Aid of Crippled Children, editor; New York: 1961. pp. 77–89.

Leavell HR, Clark EG. Preventive Medicine for the Doctor in His Community. 3. New York: McGraw-Hill; 1979.

Robertson LS, Heagarty MC. Medical sociology. a general systems approach: Nelson-Hall Publishers; 1975.

Baker SP. Prevention of childhood injuries. Med J Aust. 1980; 1(10): 8–70.

Haddon W Jr. Cars that don’t protect you in a crash. Business Society Rev. 1978; 28: 28–35.

Christoffel T, Gallagher SS. Injury Prevention and Public Health. ed: Jones and Bartlett Publishers; 2006.

Runyan CW. Using the Haddon matrix: introducing the third dimension. Inj Prev. 1998; 4(4): 302–7.

The National Committee for Injury Prevention and Control Injury prevention: meeting the challenge. The National Committee for Injury Prevention and Control. Am J Prev Med. 1989; 5(3 Suppl): 1–303.

Houk VN. Injuries are not accidents. Public Health Rep. 1986; 101(2): 124.

Gemmell MK, Houk VN. The possible dream: accident prevention and injury control--a conference to chart advances and plan strategy. Public Health Rep. 1985; 100(6): 557–9.

Andersson R. The role of accident theory in injury prevention - time for the pendulum to swing back. Int J Inj Contr Saf Promot. 2012; 19(3): 209–12.

Karolinska Institutet.WHO Collaborating Centre on Community Safety Promotion. 2012. [Accessed 30 Aug 2014]; Available from:

Schelp L. Epidemiology as a basis of evaluation of a community intervention on accidents. Sweden: Karolinska Institute, Department of Social Medicine, Kronan Health Centre; 1987.

Svanström L, Ekman R, Schelp L, Lindström A. The Lidköping Accident Prevention Programme--a community approach to preventing childhood injuries in Sweden. Inj Prev. 1995; 1(3): 169–72.

Houk VN, Brown ST, Rosenberg ML. One fine solution to the injury problem. Public Health Rep. 1987; 102(6): 576.

Wisner B. At Risk: Natural Hazards, People's Vulnerability and Disasters: Routledge; 2004.

Davis RM, Pless B. BMJ bans “accidents”. BMJ. 2001; 322: 1320–1.

Belin MA, Tillgren P, Vedung E. Vision Zero--a road safety policy innovation. Int J Inj Contr Saf Promot. 2012; 19(2): 171–9.


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Received 2014-08-30
Accepted 2014-09-26
Published 2014-09-30