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Instal the new Trials of Fire2/25/2024 ![]() ![]() To date, there have been no studies comparing different methods of accessing homes to provide smoke alarms at the community level. Thus, the contribution of CHWs to promoting smoke alarm canvassing programs is unclear. ![]() Gielen et al 14 found that a single CHW home visit after a pediatric health care visit had no effect on smoke alarm use. 13, 14 Almost two decades ago, Schwartz et al 13 found that a CHW intervention addressing multiple home safety behaviors increased smoke alarm coverage by 14%. However, a recent systematic review found mixed evidence of their effectiveness, 12 and only two studies involving home injury prevention. How to implement such a program to maximize community participation remains uncertain.Ĭommunity health workers (CHWs) are often turned to for community promotion. 11 The program recommends installing 10-year lithium battery smoke alarms on each level of a home, educating the resident about smoke alarm maintenance and fire safety, and community promotion. The CDC-sponsored Smoke Alarm Installation and Fire Safety Education (SAIFE) program has been found to increase smoke alarm coverage in high-risk communities. 8 Rates of working smoke alarms on every level of a home, the recommended standard, range between 22%-40% in high risk urban communities. 7 Almost two-thirds (63%) of all residential fire deaths occur in homes without working smoke alarms. Smoke alarms substantially reduce the risk of death in the event of a fire, and increasing their use is a national health objective in the United States. 4 Injuries due to fire disproportionately affect those with lower incomes and living in poor urban environments. ![]() ![]() 2, 3 The lifetime costs generated in a single year by hospitalizations due to fires and burns is an estimated $1.2 billion. 1 There are more than 2,000 deaths due to residential fires every year, and in 2009, fire and other burns led to 381,012 medical visits. Fire departments in the United States respond to approximately 374,000 residential fires each year. ![]()
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