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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Sustained high incidence of injuries from burns in a densely populated urban slum in Kenya: An emerging public health priority
Burns, Volume 40, No. 6, Year 2014
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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. © 2014 Elsevier Ltd and ISBI.
Authors & Co-Authors
Wong, Joshua M.
United States, Atlanta
Centers for Disease Control and Prevention
Kenya, Nairobi
Kenya Medical Research Institute
Nyachieo, Dhillon O.
United States, Atlanta
Centers for Disease Control and Prevention
Benzekri, Noëlle A.
United States, Atlanta
Centers for Disease Control and Prevention
Cosmas, Leonard O.
United States, Atlanta
Centers for Disease Control and Prevention
Ondari, Daniel
United States, Atlanta
Centers for Disease Control and Prevention
Yekta, Shahla
Canada, Toronto
University of Toronto
Montgomery, Joel M.
United States, Atlanta
Centers for Disease Control and Prevention
Williamson, John Michael
United States, Atlanta
Centers for Disease Control and Prevention
Breiman, Robert F.
United States, Atlanta
Centers for Disease Control and Prevention
Kenya, Nairobi
Kenya Medical Research Institute
Statistics
Citations: 27
Authors: 9
Affiliations: 3
Identifiers
Doi:
10.1016/j.burns.2013.12.010
ISSN:
03054179
e-ISSN:
18791409
Research Areas
Maternal And Child Health
Violence And Injury
Study Design
Cross Sectional Study
Cohort Study
Study Locations
Kenya
Participants Gender
Female