Sustained high incidence of injuries from burns in a densely populated urban slum in Kenya: An emerging public health priority
Abstract 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 prospectiv...
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| Veröffentlicht in: | Burns 2014-09, Vol.40 (6), p.1194-1200 |
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| creator | Wong, Joshua M Nyachieo, Dhillon O Benzekri, Noelle A Cosmas, Leonard Ondari, Daniel Yekta, Shahla Montgomery, Joel M Williamson, John M Breiman, Robert F |
| description | Abstract 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 |
| doi_str_mv | 10.1016/j.burns.2013.12.010 |
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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.</description><identifier>ISSN: 0305-4179</identifier><identifier>EISSN: 1879-1409</identifier><identifier>DOI: 10.1016/j.burns.2013.12.010</identifier><identifier>PMID: 24461306</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Accidents, Home - statistics & numerical data ; Adolescent ; Adult ; Age Distribution ; Burn ; Burn injury ; Burn rates ; Burns - epidemiology ; Child ; Child, Preschool ; Critical Care ; Female ; Health Priorities ; Humans ; Incidence ; Infant ; Kenya ; Kenya - epidemiology ; Male ; Middle Aged ; Population-based ; Poverty Areas ; Prospective Studies ; Public Health ; Sex Distribution ; Slum ; Urban Population - statistics & numerical data ; Young Adult</subject><ispartof>Burns, 2014-09, Vol.40 (6), p.1194-1200</ispartof><rights>Elsevier Ltd and ISBI</rights><rights>2014 Elsevier Ltd and ISBI</rights><rights>Copyright © 2014 Elsevier Ltd and ISBI. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c584t-b8a99b332ebe10ea0e4a3260f420dbfee6fd8f03df42d45211b9a63bc9bee6b23</citedby><cites>FETCH-LOGICAL-c584t-b8a99b332ebe10ea0e4a3260f420dbfee6fd8f03df42d45211b9a63bc9bee6b23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S030541791300418X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24461306$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wong, Joshua M</creatorcontrib><creatorcontrib>Nyachieo, Dhillon O</creatorcontrib><creatorcontrib>Benzekri, Noelle A</creatorcontrib><creatorcontrib>Cosmas, Leonard</creatorcontrib><creatorcontrib>Ondari, Daniel</creatorcontrib><creatorcontrib>Yekta, Shahla</creatorcontrib><creatorcontrib>Montgomery, Joel M</creatorcontrib><creatorcontrib>Williamson, John M</creatorcontrib><creatorcontrib>Breiman, Robert F</creatorcontrib><title>Sustained high incidence of injuries from burns in a densely populated urban slum in Kenya: An emerging public health priority</title><title>Burns</title><addtitle>Burns</addtitle><description>Abstract 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.</description><subject>Accidents, Home - statistics & numerical data</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Age Distribution</subject><subject>Burn</subject><subject>Burn injury</subject><subject>Burn rates</subject><subject>Burns - epidemiology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Critical Care</subject><subject>Female</subject><subject>Health Priorities</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant</subject><subject>Kenya</subject><subject>Kenya - epidemiology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Population-based</subject><subject>Poverty Areas</subject><subject>Prospective Studies</subject><subject>Public Health</subject><subject>Sex Distribution</subject><subject>Slum</subject><subject>Urban Population - statistics & numerical data</subject><subject>Young Adult</subject><issn>0305-4179</issn><issn>1879-1409</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUk1v1DAQjRCILoVfgIR85JLgr3gTJCpVFbSIShwKEjfLdiYbL4692EmlXPjtON1SARd8GXnmvXmjeVMULwmuCCbizb7Sc_SpopiwitAKE_yo2JBm25aE4_ZxscEM1yUn2_akeJbSHudXN_hpcUI5F4RhsSl-3sxpUtZDhwa7G5D1xnbgDaDQ589-jhYS6mMY0Z1aziGFMiKBW9AhHGanpkyeo1YeJTePK-IT-EW9RecewQhxZ_0OHWbtrEEDKDcN6BBtiHZanhdPeuUSvLiPp8XXD--_XFyV158vP16cX5embvhU6ka1rWaMggaCQWHgilGBe05xp3sA0XdNj1mXEx2vKSG6VYJp0-pc05SdFmfHvnmMEToDforKyTzGqOIig7Ly74q3g9yFW8mFqNutyA1e3zeI4ccMaZKjTQacUx7CnCSp61rQbdOyDGVHqIkhpQj9gwzBcnVO7uXdLuXqnCRUZucy69WfEz5wfluVAe-OAMh7urUQZTJ2daqzEcwku2D_I3D2D984661R7jsskPYhM7IFksiUCfJmPZ71drI45qT5xn4B3_3EMA</recordid><startdate>20140901</startdate><enddate>20140901</enddate><creator>Wong, Joshua M</creator><creator>Nyachieo, Dhillon O</creator><creator>Benzekri, Noelle A</creator><creator>Cosmas, Leonard</creator><creator>Ondari, Daniel</creator><creator>Yekta, Shahla</creator><creator>Montgomery, Joel M</creator><creator>Williamson, John M</creator><creator>Breiman, Robert F</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20140901</creationdate><title>Sustained high incidence of injuries from burns in a densely populated urban slum in Kenya: An emerging public health priority</title><author>Wong, Joshua M ; Nyachieo, Dhillon O ; Benzekri, Noelle A ; Cosmas, Leonard ; Ondari, Daniel ; Yekta, Shahla ; Montgomery, Joel M ; Williamson, John M ; Breiman, Robert F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c584t-b8a99b332ebe10ea0e4a3260f420dbfee6fd8f03df42d45211b9a63bc9bee6b23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Accidents, Home - statistics & numerical data</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Age Distribution</topic><topic>Burn</topic><topic>Burn injury</topic><topic>Burn rates</topic><topic>Burns - epidemiology</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Critical Care</topic><topic>Female</topic><topic>Health Priorities</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infant</topic><topic>Kenya</topic><topic>Kenya - epidemiology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Population-based</topic><topic>Poverty Areas</topic><topic>Prospective Studies</topic><topic>Public Health</topic><topic>Sex Distribution</topic><topic>Slum</topic><topic>Urban Population - statistics & numerical data</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wong, Joshua M</creatorcontrib><creatorcontrib>Nyachieo, Dhillon O</creatorcontrib><creatorcontrib>Benzekri, Noelle A</creatorcontrib><creatorcontrib>Cosmas, Leonard</creatorcontrib><creatorcontrib>Ondari, Daniel</creatorcontrib><creatorcontrib>Yekta, Shahla</creatorcontrib><creatorcontrib>Montgomery, Joel M</creatorcontrib><creatorcontrib>Williamson, John M</creatorcontrib><creatorcontrib>Breiman, Robert F</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Burns</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wong, Joshua M</au><au>Nyachieo, Dhillon O</au><au>Benzekri, Noelle A</au><au>Cosmas, Leonard</au><au>Ondari, Daniel</au><au>Yekta, Shahla</au><au>Montgomery, Joel M</au><au>Williamson, John M</au><au>Breiman, Robert F</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sustained high incidence of injuries from burns in a densely populated urban slum in Kenya: An emerging public health priority</atitle><jtitle>Burns</jtitle><addtitle>Burns</addtitle><date>2014-09-01</date><risdate>2014</risdate><volume>40</volume><issue>6</issue><spage>1194</spage><epage>1200</epage><pages>1194-1200</pages><issn>0305-4179</issn><eissn>1879-1409</eissn><abstract>Abstract 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.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>24461306</pmid><doi>10.1016/j.burns.2013.12.010</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Accidents, Home - statistics & numerical data Adolescent Adult Age Distribution Burn Burn injury Burn rates Burns - epidemiology Child Child, Preschool Critical Care Female Health Priorities Humans Incidence Infant Kenya Kenya - epidemiology Male Middle Aged Population-based Poverty Areas Prospective Studies Public Health Sex Distribution Slum Urban Population - statistics & numerical data Young Adult |
| title | Sustained high incidence of injuries from burns in a densely populated urban slum in Kenya: An emerging public health priority |
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