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Indian Health Service The Federal Health Program for American Indians and Alaska Natives

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Injury Death Rates American Indians and Alaska Natives: U.S. All Races, 1973-2008 (Per 100,000) AI / AN: 225 - 95 All US: 60 - 40


Injuries are the leading cause of death among American Indians and Alaska Natives (AI/ANs) between the ages of 1 and 44 years of age.


The Indian Health Service (IHS) Injury Prevention Program is based on the same public health principles that have been used to effectively control infectious diseases. Collaborative efforts in describing the factors amenable to change have led to implementation of successful community-specific solutions to the injury epidemic. Increasing the understanding that injuries are not "accidents" but predictable and preventable events has been an integral part of the IHS Injury Prevention Program's mission, which is to decrease the incidence of severe injuries and death to the lowest level possible and increase the ability of Tribes to prevent injuries within their communities.


American Indians and Alaska Natives experience injury mortality rates that are 2.4 times greater than other Americans.

  • Annually, injuries account for 43 percent of the years of productive life lost for AI/ANs.
  • More than $350 million is expended annually for the treatment of injuries.
  • Implementation of effective injury prevention programs can improve the quality of life for AI/ANs and redirect the use of limited health care funds to the treatment of other health conditions.
  • Unintentional injury deaths to AI/ANs have decreased by 58 percent between 1973 and 2008.


Risk factors that contribute to the disproportionately higher injury rates among AI/ANs include a greater proportion of young adults as compared to other Americans, rural environments and lack of traffic safety legislation, and a greater number of alcohol-related incidents.


The IHS Injury Prevention Program promotes building the capacity of Tribes and communities by increasing understanding about the injury problem, sharing effective solutions, and assisting communities in implementing programs. Community-based injury prevention coalitions directed by tribal members and supported by tribal governments are becoming more visible throughout the IHS service areas. The IHS fosters competitive grant programs to build tribal capacity, to enhance existing public health infrastructure, and to implement effective community-based strategies to prevent injuries.


For referral to the appropriate spokesperson, contact the IHS Public Affairs Staff at 301-443-3593.

January 2015

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