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Railway associated injuries in Pakistan
Junaid A Bhatti1, Junaid A Razzak
1Equipe Avenir, Prevention et Prise en Charge des Traumatismes, Institut National de la Sante et de la Recherche Medicale Unite 897, Bordeaux, France. junaid.bhatti@yahoo.com
International Journal of Injury Control and Safety Promotion
|September 30, 2009
Summary
Pakistan
Area of Science:
- Public Health
- Transportation Safety
- Epidemiology
Background:
- Pakistan's railway network ranks 12th globally in passenger kilometers traveled.
- Railway travel poses significant public health risks in Pakistan.
- Data on railway-related injuries and fatalities is crucial for safety improvements.
Purpose of the Study:
- To assess the morbidity and mortality associated with Pakistan's railway network.
- To quantify the risks of death and injury per passenger kilometer traveled.
- To provide data for implementing effective prevention and control measures.
Main Methods:
- Utilized two secondary datasets: an international disaster database and ambulance log registers from Karachi.
- Analyzed data from 1997 to 2006 for major railway disasters.
- Examined ambulance records from September 2007 to June 2008 for localized injury data.
Main Results:
- Eleven railway disasters (1997-2006) caused 449 deaths and 840 injuries.
- Pakistan's railway travel has an estimated 2.05 deaths and 3.84 injuries per billion km, six times higher than Western Europe.
- Karachi ambulance logs indicated one death every two weeks (September 2007-June 2008).
- Injury victims (N=50) were predominantly male (9:1 ratio) with a mean age of 35.6 years.
Conclusions:
- Railway travel in Pakistan is associated with significantly higher morbidity and mortality rates compared to Western Europe.
- Urgent surveillance and targeted interventions are necessary to reduce railway-related harm.
- Data-driven strategies are essential for enhancing passenger safety on Pakistan's railways.
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