Canadian Journal of Public Health

, Volume 89, Issue 1, pp 57–61 | Cite as

The Effect of a Community-based Police Surveillance Program on Snowmobile Injuries and Deaths

  • Brian H. Rowe
  • Sandra A. Therrien
  • Jennifer A. Bretzlaff
  • Vic S. Sahai
  • K. V. Nagarajan
  • Gary W. Bota


Serious snowmobile injuries are preventable and associated with late-night travel, alcohol use, and speed. We studied the effectiveness of a community-based policing (STOP) program in the prevention of serious injuries related to snowmobile trauma in Sudbury, Ontario. Volunteers were trained in police protocol and were appointed special constables to increase policing on snowmobile trails from 1993–95. Snowmobile admissions and deaths in Sudbury were examined; the pre- (1990–1992) and post- (1993–1995) STOP seasons were compared.

In the pre-STOP period, 102 injuries, 87 admissions, and 15 deaths occurred compared to 57 injuries (p=0.0004), 53 admissions (p=0.00001) and 4 deaths (p=0.13) in the post- STOP period. All other event and demographic features of the crashes remained similar. Significant economic savings were realized from this intervention; acute care costs savings exceeded $70,000/year and costs from death decreased by $5 million. An intervention involving enforcement on snowmobile trails can reduce the incidence of injuries from snowmobile-related trauma.


Les blessures graves en motoneige sont évitables et associées aux déplacements en fin de soirée, à la consommation d’alcool et à la vitesse. Nous avons étudié l’efficacité d’un programme communautaire de surveillance (STOP) pour la prévention de blessures graves liées à des accidents de motoneige à Sudbury, en Ontario. Des bénévoles ont été formés au protocole policier et nommés comme agents de police spéciaux pour renforcer la surveillance policière sur les pistes de motoneige de 1993 à 1995. Les hospitalisations et les décès suites à des accidents en motoneige à Sudbury ont été examinés; des comparaisons ont également été faites entre les périodes précédant (1990–1992) et suivant (1993–1995) l’application du programme STOP.

Pour la période précédente, il y a eu 102 blessures, 87 hospitalisations et 15 décès, par comparaison à 57 blessures, (p = 0,0004), 53 hospitalisations (p = 0,00001) et 4 décès (p = 0,13) pour la période ultérieure. Tous les autres facteurs et caractéristiques démographiques des accidents sont apparus similaires. D’importantes économies ont pu être réalisées grâce à cette intervention; les économies au plan des soins intensifs ont dépassé 70 000 $ par an et les coûts associés aux décès ont diminué de 5 millions. Une intervention visant à renforcer la surveillance sur les pistes de motoneige permet de réduire l’incidence de blessures résultant d’accidents liés à des motoneiges.


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  1. 1.
    Martyn, JW. Snowmobiling accidents. Can Med Assoc J 1969;101:33–37.Google Scholar
  2. 2.
    Hamdy CR, Dhir A, Cameron B. Snowmobile injuries in Northern Newfoundland and Labrador: An 18 year review. J Trauma 1988;28:1232–37.CrossRefGoogle Scholar
  3. 3.
    Bauer M, Hemborg A. Snowmobile accidents in Northern Sweden. Injury 1979;10:178–82.CrossRefGoogle Scholar
  4. 4.
    Rowe BH, Bota, GW. Serious snowmobile trauma in a Northern Ontario community: A case series. Ann RCPS (Canada) 1991;24(7):501–5.Google Scholar
  5. 5.
    Rowe B, Johnson C, Milner R, Bota G. Snowmobile fatalities in Ontario: A five year review. CMAJ 1992;146:147–52.PubMedPubMedCentralGoogle Scholar
  6. 6.
    Waller JA, Lamborn, KR. Snowmobiling characteristics of owners, patterns of use and injuries. Accid Anal Prev 1975;7:213–23.CrossRefGoogle Scholar
  7. 7.
    Eriksson A, Bjornstig U. Fatal snowmobile accidents in Northern Sweden. J Trauma 1982;22:977–82.CrossRefGoogle Scholar
  8. 8.
    Withington RL, Hall, LW. Snowmobile accidents: A review of injuries sustained in the use of snowmobiles in Northern England during the 1968–1969 season. J Trauma 1970;10:760–63.CrossRefGoogle Scholar
  9. 9.
    Bjornstig U, Eriksson A, Melbring G. Snowmobiling injuries: Types and consequences. Acta Chir Scand 1984;150:619–24.PubMedGoogle Scholar
  10. 10.
    Letts RM, Clearly J. The child and the snowmobile. CMAJ 1975;113:1061–63.Google Scholar
  11. 11.
    Erskine, AL. The epidemiology of snowmobile trauma. J Trauma 1970;10:804–10.CrossRefGoogle Scholar
  12. 12.
    Rowe B, Johnson C, Milner R, Bota G. The association of alcohol and night driving with fatal snowmobile trauma: A case-control study. Ann Emerg Med 1994;24:842–48.CrossRefGoogle Scholar
  13. 13.
    Wenzel F, Peters R. A ten-year survey of snowmobile accidents, injuries, fatalities in Wisconsin. Physician Sportsmed 1986;14:140–49.CrossRefGoogle Scholar
  14. 14.
    Dominici RH, Drake, EH. Speed on snow: The motorized sled. Am J Surg 1970;119:483–86.CrossRefGoogle Scholar
  15. 15.
    Gabert T, Stueland, DT. Recreational injuries and deaths in northern Wisconsin: Analysis of injuries and fatalities from snowmobiles over 3 years. Wisconsin Med J 1993;92(12):671–75.Google Scholar
  16. 16.
    International Classification of Disease, Ninth Revision, Clinical Modification. DHHS publ. no. (PHS) 91–01260. Washington, DC: US Department of Health and Human Services, 1989.Google Scholar
  17. 17.
    Committee on Injury Scaling. The Abbreviated Injury Scale: 1990 Revision. Des Plaines, Association for the Advancement of Automotive Medicine; 1995.Google Scholar
  18. 18.
    Petrucelli E, States JD, Hanes LN, et al. The AIS: Evolution, usage, and future adaptability. Accid Anal Prev 1981;13:29–35.CrossRefGoogle Scholar
  19. 19.
    Reginar G, Sicard C, Goulet C. Economic impact of a regulation imposing full-face protectors on adult recreational hockey players. Int J Cons Safety 1995;2:191–207.CrossRefGoogle Scholar
  20. 20.
    Rice DP, Cooper, BS. The economic value of human life. Am J Public Health 1967;57(11):1954–56.CrossRefGoogle Scholar
  21. 21.
    Hartunian NS, Smart CN, Thompson, MS. The incidence and economic costs of cancer, motor vehicle injuries, coronary heart disease and stroke: A comparative analysis. Am J Public Health 1980;70(12):1249–60.CrossRefGoogle Scholar
  22. 22.
    Evans, RG. Strained Mercy: The Economics of Canadian Health Care. Toronto: Butterworths, 1984;246–47.Google Scholar
  23. 23.
    Schlesselman, JJ. Case-control Studies: Design, Conduct, Analysis. New York: Oxford University Press, 1982.Google Scholar
  24. 24.
    Hargarten SW, Kalrson T. Injury control: A crucial aspect of emergency medicine. Emerg Med Clin N Amer 1993;11:255–62.Google Scholar
  25. 25.
    Rowe BH, Caverson R, Therrien SA, et al. Snowmobilers in a northeastern Ontario community: A survey of characteristics, injury profiles, and strategies for injury prevention. Toronto: Addiction Research Foundation, 1994.Google Scholar
  26. 26.
    Payne SR, Waller, JA. Trauma registry and trauma center biases in injury research. J Trauma 1989;29:225.CrossRefGoogle Scholar
  27. 27.
    Waller JA, Skelly JM, Davis, JH. Pitfalls in collection and analysis of trauma centre data. The Second World Conference on Injury Control. 1993;110–111 [Abstract].Google Scholar

Copyright information

© The Canadian Public Health Association 1998

Authors and Affiliations

  • Brian H. Rowe
    • 1
    • 2
  • Sandra A. Therrien
    • 1
  • Jennifer A. Bretzlaff
    • 1
  • Vic S. Sahai
    • 3
  • K. V. Nagarajan
    • 4
  • Gary W. Bota
    • 4
  1. 1.Sudbury General Hospital Lead Trauma ProgramCanada
  2. 2.Division of Emergency MedicineUniversity of Alberta Hospital, Faculty of Medicine and Oral Health SciencesEdmontonCanada
  3. 3.Northern Health Information PartnershipCanada
  4. 4.Laurentian University Department of Economics and School of Commerce and AdministrationCanada

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