Road Traffic and Other Unintentional Injuries Among Travelers to Developing Countries

Stewart, Barclay T; Yankson, Isaac Kofi; Afukaar, Francis; Medina, Martha Cecilia Hijar; Cường, Phạm Việt; Mock, Charles

doi:10.1016/j.mcna.2015.07.011

Cited by 42 publications

(26 citation statements)

References 49 publications

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“…Accidents are acknowledged to be a major cause of mortality and morbidity among travellers both in developing countries [45] and in Europe [46].…”

Section: ) Transport Accidentsmentioning

confidence: 99%

Tourism and Disasters: Impact of Disaster Events on Tourism Development in Indonesia 1998-2016 and Structural Approach Policy Responses

Rindrasih¹,

Witte²,

Spit³

et al. 2019

JSSM

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Over the last two decades, disaster events have affected tourist destinations in many countries around the world. Although disasters have attracted considerable attention in academia, little attention has been paid to the impacts of recurring disasters on the multiyear performance of the tourism industry in a specific country. This paper discusses the relationship between the performance of the tourism industry and disaster events and examines the spillover effects of disasters on the tourism sector in Indonesia. It also highlights the Indonesian policy responses in tourism following multiple disasters. The paper analyses the multiyear (1998-2016) performance of the tourism industry using the variables number of inbound tourists, national/regional income from tourism, and hotel room occupancy rates. Secondary data were collected from several sources, including legal documents, Indonesia's tourism statistics, media outlets and newspapers articles. The results show that during the past 18 years, disasters have affected the performance of the tourism industry differently in terms of the scale of destruction, the location of disasters and the type of disasters (human vs. nature induced). The spillover effect between provinces has also been captured from the data. Overall, this paper argues that in dealing with multiple disasters over long periods of time, the continuation of regular tourism activities needs a structural approach in terms of policy responses.

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“…Accidents are acknowledged to be a major cause of mortality and morbidity among travellers both in developing countries [45] and in Europe [46].…”

Section: ) Transport Accidentsmentioning

confidence: 99%

Tourism and Disasters: Impact of Disaster Events on Tourism Development in Indonesia 1998-2016 and Structural Approach Policy Responses

Rindrasih¹,

Witte²,

Spit³

et al. 2019

JSSM

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“…The socioeconomic burden of injury is quiet significant which affects most adversely to the younger and most productive demographic segment of the population [ 6 ]. In particular, the burden is disproportionately in Low and Middle-Income Countries (LMICs) where more than 90% of the mortality occurs due to unintentional injuries, primarily due to Road Traffic Accidents (RTA) 3 [ 7 , 8 ]. Individuals who sustain injuries in LMICs are six times more likely to die than those in High-Income Countries (HICs), given the limited capabilities for trauma care in low-income settings [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Does spending matters? Re-looking into various covariates associated with Out of Pocket Expenditure (OOPE) and catastrophic spending on accidental injury from NSSO 71st round data

Pradhan

Dwivedi

Rout³

2017

Health Econ Rev

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BackgroundAccidental Injury is a traumatic event which not only influences physical, psychological, and social wellbeing of the households but also exerts extensive financial burden on them. Despite the devastating economic burden of injuries, in India, there is limited data available on injury epidemiology. This paper aims to, first, examine the socio-economic differentials in Out of Pocket Expenditure (OOPE) on accidental injury; second, to look into the level of Catastrophic Health Expenditure (CHE) at different threshold levels; and last, to explore the adjusted effect of various socio-economic covariates on the level of CHE.MethodsData was extracted from the key indicators of social consumption in India: Health, National Sample Survey Organisation (NSSO), conducted by the Government of India during January–June-2014. Logistic regression analysis was employed to analyse the various covariates of OOPE and CHE associated to accidental injury.FindingsBinary Logistic analysis has demonstrated a significant association between socioeconomic status of the households and the level of OOPE and CHE on accidental injury care. People who used private health services incurred 16 times higher odds of CHE than those who availed public facilities. The result shows that if the person is covered via any type of insurance, the odd of CHE was lower by about 28% than the uninsured. Longer duration of stay and death due to accidental injury was positively associated with higher level of OOPE. Economic status, nature of healthcare facility availed and regional affiliation significantly influence the level of OOPE and CHE.ConclusionDespite numerous efforts by the Central and State governments to reduce the financial burden of healthcare, large number of households are still paying a significant amount from their own pockets. There are huge differentials in cost for the treatment among public and private healthcare providers for accidental injury. It is expected that the findings would provide insights into the prevailing magnitude of accidental injuries in India, the profile of the population affected, and the level of OOPE among households.

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“…Traffic accidents are more common in developing countries where there is low compliance with traffic laws, 4 and driving on different sides of the road is also risky for travelers from countries that drive on the opposite side of the road. 10 In tropical areas, water and/ or food hygiene can be a problem, but this is not common in Japan. 11,12 However, animal/bug bites, which are also common in tropical areas, 13 are a risk in Japan, though the deer, monkey, bear, and boar that are present seldom attack humans.…”

Section: Discussionmentioning

confidence: 99%

Ambulance Use by International Travelers in Japan: A Retrospective Descriptive Study

Oshita¹,

Tsuchiya²,

Ishikawa³

et al. 2020

Int J Travel Med Glob Health

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Introduction: Reports indicate that 22%–64% of travelers experience some illness when in a foreign country. To date, no prior study has reported the use of ambulances by travelers or the epidemiology of travel-related injury. Methods: In this retrospective study, we aimed to describe ambulance use by international travelers, including the rates of travel-related injury and illness. To do so, ambulance dispatch data from January 1, 2010 to December 31, 2018 was used. Results: Overall, of the 43201 cases of ambulance use during the study period, 524 (1.2%) were international travelers. Ambulance use by international travelers increased from 0.35% in 2010 (15/4311) to 2.54% in 2018 (125/4913), an average annual increase of 0.27%. Of the international travelers, 392 (74.8%) had minor complaints, 110 cases (21.0%) had moderate complaints, 280 (53.4%) had internal disease, and 223 cases (42.6%) had suffered trauma. Regarding location, 253 (48.3%) were from a hotel/lodge, 83 (15.8%) were from a road/parking, and 30 (5.7%) were in the forest/mountain. Conclusion: Most international travelers use ambulances for minor complaints, typically internal disease or trauma, and approximately half access the service from a hotel or lodge.

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Road Traffic and Other Unintentional Injuries Among Travelers to Developing Countries

Cited by 42 publications

References 49 publications

Tourism and Disasters: Impact of Disaster Events on Tourism Development in Indonesia 1998-2016 and Structural Approach Policy Responses

Tourism and Disasters: Impact of Disaster Events on Tourism Development in Indonesia 1998-2016 and Structural Approach Policy Responses

Does spending matters? Re-looking into various covariates associated with Out of Pocket Expenditure (OOPE) and catastrophic spending on accidental injury from NSSO 71st round data

Ambulance Use by International Travelers in Japan: A Retrospective Descriptive Study

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