North Carolina (NC) is the 9th most populous state in the nation with over 10 million residents. Injury and violence morbidity and mortality and the resulting medical and work loss costs take a huge toll on the state?s economy. Unintentional injuries are the leading cause of death for North Carolinians aged 0-56 while homicides and suicides are in the top 5 causes of death for ages 10-44. There were 8,487 injury-related deaths in NC in 2019, including 2,108 traumatic brain injury (TBI)-related deaths, 1,567 unintentional motor vehicle traffic-related deaths, and 1,499 unintentional falls-related deaths. Unintentional falls were the leading mechanism of TBI deaths, hospitalizations, and emergency department (ED) visits among North Carolinians 55 and older, while motor-vehicle crashes are the 3rd leading cause of death and 2nd leading cause of hospitalizations and ED visits among all ages. North Carolina ranked 32nd in the nation for children with 2+ adverse childhood experiences (ACEs). Healthy North Carolina 2030 cites a baseline of 23.6% (2016-17) with a target of 18.0% of children having 2+ ACEs. On the Behavioral Risk Factor Surveillance System survey in 2014, 58.5% of adults reported at least 1 ACE and 22.8% experienced 3-8 ACEs.The goal of the NC Core State Injury Prevention Program (SIPP) is to continue strengthening NC?s injury prevention infrastructure by building on and expanding our internal and external partnerships; continuing data-informed decision making via surveillance, data analysis, and program evaluation; and developing and implementing specific strategies to prevent or reduce the incidence of traumatic brain injury (TBI), adverse childhood experiences (ACEs), and transportation injuries. The North Carolina Division of Public Health?s Injury and Violence Prevention Branch (NC DPH IVPB) has staff, expertise, capacity and a legacy of performing comprehensive surveillance, data analysis and translation. We engage a diverse networ
k of partners, leverage evidenced-based and evidence-informed practices for injury prevention, inform policy development, and provide leadership in statewide injury and violence prevention efforts. IVPB began incorporating a shared risk and protective factor (SRPF) framework to our work over six years ago; we coordinated a national systems thinking approaches and built the capacity of local teams to use systems thinking to prevent ACEs and suicides; and continue to apply a health equity lens to data analysis, partnership development, planning, and implementing and evaluating programs. We have a history of leveraging collaborations to develop IVP training with a SRPF approach for community teams and injury prevention practitioners across the state and region. We will continue to collect and analyze data from all 100 counties on both fatal and nonfatal injuries, including those resulting from falls, TBI, transportation, and violence, while continuing to identify data sources to better understand ACEs.