Burns in Nepal: A population based national assessment

Gupta, Shailvi; Mahmood, Umbareen; Gurung, Sunita; Shrestha, Sunil; Kushner, Adam L.; Nwomeh, Benedict C.; Charles, Anthony

doi:10.1016/j.burns.2014.11.012

Cited by 37 publications

(27 citation statements)

References 27 publications

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“…14,16,17,22,23 A recent population-based study in Nepal showed 60.4% of burns were due to hot liquid and/or hot objects, and 39.6% due to open fire or explosion. 10 Scalds and contact burns in adults are usually less severe than flame burns, which explains the lower proportion of scalds in this and other adult hospital reports, 21 compared with community and paeditaric hospital reports. 18,27 Males were more likely to experience electrical burns than females, and the proportion of electrical burns in this study (13%) is significantly higher than that observed in high-income countries, for example, 2.9% of burn admissions in Western Australia.…”

Section: Discussionmentioning

confidence: 92%

Descriptive Epidemiology of Unintentional Burn Injuries Admitted to a Tertiary-Level Government Hospital in Nepal

Sharma¹,

Duke

Lama³

et al. 2015

Asia Pac J Public Health

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This study describes the epidemiology of unintentional adult burn injury admissions in a tertiary hospital in Nepal, from 2002 to 2013, focusing on gender-specific patterns. Chi-square tests and Wilcoxon Rank Sum tests were performed. There were 819 unintentional burn admissions: 52% were male and 58% younger than 35 years. The median percentage total body surface area burned (interquartile range) was greater in females than in males (P < .001): 28% (17-40) versus 20% (12-35), and female mortality was higher (32% vs 11%). A higher proportion females were illiterate than males (48% vs 17%). Burns occurred at home (67%), work (28%), and public places (5%); gender-specific patterns were observed. Flame burns accounted for 77%, electricity 13%, and scalds 8%. Kerosene (31%) and biomass (27%) were the major fuels. Cooking, heating, and lighting were the main activities associated with burn injury. Results support interventions to reduce the use of open fires and kerosene and to promote electrical safety.

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Section: Discussionmentioning

confidence: 92%

Descriptive Epidemiology of Unintentional Burn Injuries Admitted to a Tertiary-Level Government Hospital in Nepal

Sharma¹,

Duke

Lama³

et al. 2015

Asia Pac J Public Health

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“…[3, 29, 30] Conversely, community-based surveys in Nepal and Sierra Leone during peacetime found that 2% and 4% of respondents had suffered a burn injury, respectively. [24, 31] Wartime studies from Croatia, Bosnia, Lebanon and Afghanistan also described burns being common in all age groups, in contrast to usual high-risk groups in peacetime, namely women and children. [29, 30, 32–35] These data reinforce findings from insecure countries by reporting 10% of all injuries were burns.…”

Section: Discussionmentioning

confidence: 99%

“…[43–47] Significant disability was analogously common in Baghdad after burn injury (40%); the proportion of burn injuries that resulted in disability documented by a similar community-based survey from Nepal after the civil war there was only 13%. [31] These results suggest that burn prevention initiatives and the Iraqi healthcare system are in need of significant assistance to reduce the death and disability from burn injury until insecurity recedes and reconstruction successful.…”

Section: Discussionmentioning

confidence: 99%

Burns in Baghdad from 2003 to 2014: Results of a randomized household cluster survey

Stewart

Lafta

Shatari

et al. 2016

Burns

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Purpose Civilians living amid conflict are at high-risk of burns. However, the epidemiology of burns among this vulnerable group is poorly understood, yet vital for health policy and relief planning. To address this gap, we aimed to determine the death and disability, healthcare needs and household financial consequences of burns in post-invasion Baghdad. Methods A two-stage, cluster randomized, community-based household survey was performed in May of 2014 to determine the civilian burden of injury from 2003 to 2014 in Baghdad. In addition to questions about cause of household member death, households were interviewed regarding burn specifics, healthcare required, disability, relationship to conflict and resultant financial hardship. Results Nine-hundred households, totaling 5,148 individuals, were interviewed. There were 55 burns, which were 10% of all injuries reported. There were an estimated 2,340 serious burn injures (39 per 100,000 persons) in Baghdad in 2003. The frequency of serious burn injuries generally increased post-invasion to 8,780 burns in 2013 (117 per 100,000 persons). Eight burns (15%) were the direct result of conflict. Individuals aged over 45 years had more than twice the odds of burn injury than children aged less than 13 years (aOR 2.42; 95%CI 1.08 – 5.44). Nineteen burns (35%) involved ≥20% body surface area. Death (16% of burn injuries), disability (40%), household financial hardship (48%) and food insecurity (50%) were common after burn injury. Conclusion Civilian burn injury in Baghdad is epidemic, increasing in frequency and associated with household financial hardship. Challenges of healthcare provision during prolonged conflict were evidenced by a high mortality rate and likelihood of disability after burn injury. Ongoing conflict will directly and indirectly generate more burns, which mandates planning for burn prevention and care within local capacity development initiatives, as well as humanitarian assistance.

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“…Tackling burns must focus on public sector intervention, education, prevention, healthcare capacity and access to care, and on socioeconomic problems and situations 16. Increased efforts in all spheres are likely to lead to a significant reduction in burn-related death and disability 16. Public education is the most important factor to prevent fire burns.…”

Section: Global Health Problem Analysismentioning

confidence: 99%

The devastating effects a fire burn in a child

Istek

2015

BMJ Case Reports

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Burn injuries are a serious global public health concern with significant worldwide mortality and morbidity rates. Burns are among the most devastating of all injuries, with outcomes ranging from physical impairment and disability to emotional and mental consequences. Paediatric burns requiring treatment often incur significant health and opportunity costs, and frequently result in death or long-term disability. A recent systemic review showed that almost 50% of patients hospitalised with severe burns in Europe were younger than 16 years of age, and nearly 60% were male. This report discusses the case of a 2-year-old boy with second and third-degree skin burns over almost 45% of his body, including his head and arms, who presented to the eye clinic at the State Hospital in Hakkari 1 month after a fire burn accident. Both eyes had been burnt and the bilateral anterior chambers had been injured so badly that the patient was left blind.

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Burns in Nepal: A population based national assessment

Cited by 37 publications

References 27 publications

Descriptive Epidemiology of Unintentional Burn Injuries Admitted to a Tertiary-Level Government Hospital in Nepal

Descriptive Epidemiology of Unintentional Burn Injuries Admitted to a Tertiary-Level Government Hospital in Nepal

Burns in Baghdad from 2003 to 2014: Results of a randomized household cluster survey

The devastating effects a fire burn in a child

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