Details:

Alternative Title:
Burns
Personal Author:
Wong, Joshua M. ; Nyachieo, Dhillon O. ; Benzekri, Noelle A. ; Cosmas, Leonard ; Ondari, Daniel ; ... More +
Wong, Joshua M. ; Nyachieo, Dhillon O. ; Benzekri, Noelle A. ; Cosmas, Leonard ; Ondari, Daniel ; Yekta, Shahla ; Montgomery, Joel M. ; Williamson, John M. ; Breiman, Robert F. ; Less -
Description:
Introduction Ninety-five percent of burn deaths occur in low- and middle-income countries (LMICs); however, longitudinal household-level studies have not been done in urban slum settings, where overcrowding and unsafe cook stoves may increase likelihood of injury. Methods Using a prospective, population-based disease surveillance system in the urban slum of Kibera in Kenya, we examined the incidence of household-level burns of all severities from 2006–2011. Results Of approximately 28,500 enrolled individuals (6000 households), we identified 3072 burns. The overall incidence was 27.9/1000 person-years-of-observation. Children <5 years old sustained burns at 3.8-fold greater rate compared to ( p < 0.001) those ≥5 years old. Females ≥5 years old sustained burns at a rate that was 1.35-fold ( p < 0.001) greater than males within the same age distribution. Hospitalizations were uncommon (0.65% of all burns). Conclusions The incidence of burns, 10-fold greater than in most published reports from Africa and Asia, suggests that such injuries may contribute more significantly than previously thought to morbidity in LMICs, and may be increased by urbanization. As migration from rural areas into urban slums rapidly increases in many African countries, characterizing and addressing the rising burden of burns is likely to become a public health priority.
Subject:
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Accidents, Home
Adolescent
Adult
Age Distribution
Article
Burns
Child
Child, Preschool
Female
Health Priorities
Humans
Incidence
Infant
Male
Middle Aged
Poverty Areas
Prospective Studies
Public Health
Sex Distribution
Urban Population
Young Adult

Source:
Burns. 40(6):1194-1200.
Pubmed ID:
24461306
Pubmed Central ID:
PMC4665976
Document Type:
Journal Article ;
Funding:
CC999999/Intramural CDC HHS/United States ;
Place as Subject:
Kenya ;
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:3c15bcd27b33d991623d51d98823bbed7fc94e3bc87db5c794020f1a267fa1ef
File Type:

Supporting Files

• nihms-739900.nxml

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