Understanding unintentional childhood home injuries: pilot surveillance data from Karachi, Pakistan

BMC Research Notes

Adnan A Hyder¹  Prasanthi Puvanachandra¹  Junaid A Razzak²  Uzma R Khan²  Nukhba Zia² 

[1] Department of International Health & International Injury Research Unit, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA;Department of Emergency Medicine, Aga Khan University, Karachi, Pakistan

关键词: Pakistan;    Child health;    Unintentional injuries;    Child injuries;   

Others  :  1166767
DOI  :  10.1186/1756-0500-5-37

 received in 2011-07-29, accepted in 2012-01-19,  发布年份 2012

【 摘 要 】

Background

Childhood injuries, an important public health issue, globally affects more than 95% of children living in low-and middle-income countries. The objective of this study is to describe the epidemiology of childhood unintentional injuries in Karachi, Pakistan with a specific focus on those occurring within the home environment.

Methods

This was a secondary analysis of a childhood unintentional injury surveillance database setup in the emergency department of the Aga Khan Hospital, Karachi, Pakistan for 3 months. The data was collected by interviewing caretakers of children under 12 years of age presenting with an unintentional injury to the emergency departments of the four major tertiary care hospitals of Karachi, Pakistan.

Results

The surveillance included 566 injured children of which 409 (72%) injuries had taken place at/around home. Of 409 children, 66% were males and mostly between 5 and 11 years of age. Injuries commonly occurred during play time (51%). Fall (59%), dog bites (11%) and burns (9%) were the commonest mechanisms of injury. The majority of the children (78%) were directly discharged from the emergency room with predicted short term disability (42%). There were 2 deaths in the emergency department both due to falls.

Conclusion

Childhood injury surveillance system provides valuable in-depth information on child injuries. The majority of these unintentional childhood injuries occur at home; with falls, dog bites and burns being the most common types of unintentional childhood home injuries. Specific surveillance systems for child injuries can provide new and valuable information for countries like Pakistan.

【 授权许可】

   
2011 Razzak et al; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

【 参考文献 】

• [1]Peden M, Oyegbite K, Ozanne-Smith J, Hyder AA, Branche C: WHO World Report on Child Injury Prevention. Geneva: World Health Organization, UNICEF; 2008.
• [2]Chandran A, Hyder AA, Peek-Asa C: The global burden of unintentional injuries and an agenda for progress. Epidemiol Rev 2010, 32:110-120.
• [3]Hyder AA, Sugerman DE, Puvanachandra P, Razzak J, El-Sayed H, Isaza A, Rahman F, Peden M: Global childhood unintentional injury surveillance in four cities in developing countries: a pilot study. Bull World Health Organ 2009, 87:345-352.
• [4]Linnan M, Giersing M, Linnan H, Cox R, Williams MK, Voumard C, Hatfield R: Innocenti Working Papers Child Mortality and Injury in Asia. Florence: The United Nations Children's Fund (UNICEF); 2007.
• [5]Statistics Division, Ministry of Economic Affairs and Statistics, Government of Pakistan. Population Census Organization [http://www.census.gov.pk] webcite
• [6]Ghaffar A, Hyder AA, Mastoor MI, Shaikh I: Injuries in Pakistan: directions for future health policy. Health Policy Plan 1999, 14:11-17.
• [7]Hyder AA, Morrow RH: Applying burden of disease methods in developing countries: a case study from Pakistan. Am J Public Health 2000, 90:1235-1240.
• [8]Ghaffar A, Shahab S, Hyder AA: National Injury Survey of Pakistan (NISP 1997-99). 1st edition. Islamabad: National Injury Research Center (NIRC), Health Services Academy, Ministry of Health, Government of Pakistan; 2001.
• [9]Neghab M, Rajaei Fard A, Habibi M, Choobineh A: Home accidents in rural and urban areas of Shiraz, 2000-02. East Mediterr Health J 2006, 12:824-833.
• [10]Bashour H, Kharouf M: Community-based study of unintentional injuries among preschool children in Damascus. East Mediterr Health J 2008, 14:398-405.
• [11]Naghavi M, Pourmalek F, Shahraz S, Jafari N, Delavar B, Motlagh ME: The burden of injuries in Iranian children in 2005. Popul Health Metr 8:5.
• [12]Fatmi Z, Hadden WC, Razzak JA, Qureshi HI, Hyder AA, Pappas G: Incidence, patterns and severity of reported unintentional injuries in Pakistan for persons five years and older: results of the National Health Survey of Pakistan 1990-94. BMC Public Health 2007, 7:152. BioMed Central Full Text
• [13]Rehmani R: Childhood injuries seen at an emergency department. J Pak Med Assoc 2008, 58:114-118.
• [14]Fatmi Z, Kazi A, Hadden WC, Bhutta ZA, Razzak JA, Pappas G: Incidence and pattern of unintentional injuries and resulting disability among children under 5 years of age: results of the National Health Survey of Pakistan. Paediatr Perinat Epidemiol 2009, 23:229-238.
• [15]Lasi S, Rafique G, Peermohamed H: Childhood injuries in Pakistan: results from two communities. J Health Popul Nutr 2010, 28:392-398.
• [16]ICECI Coordination and Maintenance Group: Consumer Safety Institute Amsterdam, The Netherlands and AIHW National Injury Surveillance Unit Flinders University, Adelaide, Australia. In International Classification of External Causes of Injuries (ICECI) Version 1.2. World Health Organization; 2004.
• [17]Lalloo R, van As AB: Profile of children with head injuries treated at the trauma unit of Red Cross War Memorial Children's Hospital, 1991- 2001. S Afr Med J 2004, 94:544-546.
• [18]Ghaffar A, Hyder AA, Masud TI: The burden of road traffic injuries in developing countries: the 1st national injury survey of Pakistan. Public Health 2004, 118:211-217.
• [19]Martinez TML, Rocha CJ, Clavel-Arcas C, Mack KA: Nonfatal unintentional injuries in children aged < 15 years in Nicaragua. Int J Inj Contr Saf Promot 2010, 17:3-11.
• [20]Mutto M, Lawoko S, Nansamba C, Ovuga E, Svanstrom L: Unintentional childhood injury patterns, odds, and outcomes in Kampala City: an analysis of surveillance data from the National Pediatric Emergency Unit. J Inj Violence Res 2010, 3:13-18.
• [21]Simpson JC, Turnbull BL, Ardagh M, Richardson S: Child home injury prevention: understanding the context of unintentional injuries to preschool children. Int J Inj Contr Saf Promot 2009, 16:159-167.
• [22]Alptekin F, Uskun E, Kisioglu AN, Ozturk M: Unintentional non-fatal home-related injuries in Central Anatolia, Turkey: frequencies, characteristics, and outcomes. Injury 2008, 39:535-546.
• [23]Ichhpujani RL, Mala C, Veena M, Singh J, Bhardwaj M, Bhattacharya D, Pattanaik SK, Balakrishnan N, Reddy AK, Samnpath G, et al.: Epidemiology of animal bites and rabies cases in India. A multicentric study. J Commun Dis 2008, 40:27-36.
• [24]Kaye AE, Belz JM, Kirschner RE: Pediatric dog bite injuries: a 5-year review of the experience at the Children's Hospital of Philadelphia. Plast Reconstr Surg 2009, 124:551-558.
• [25]WHO Rabies Surveillance [http://www.who.int/rabies/epidemiology/Rabiessurveillance.pdf] webcite
• [26]National Dog bite & Rabies Surveillance, Pakistan - Interactive Research and Development [http://irdresearch.wordpress.com/videos/] webcite
• [27]Chan CC, Luis BP, Chow CB, Cheng JC, Wong TW, Chan K: Unintentional residential child injury surveillance in Hong Kong. J Paediatr Child Health 2003, 39:420-426.
• [28]Razzak JA, Luby SP, Laflamme L, Chotani H: Injuries among children in Karachi, Pakistan-what, where and how. Public Health 2004, 118:114-120.
• [29]Pakistan Demographic and Health Survey 2006 - 07 Islamabad, Pakistan and Calverton, Maryland USA: National Institute of Population Studies (NIPS) [Pakistan], and Macro International Inc; 2008.