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Pediatric burns in Israeli natives versus asylum seekers living in Israel: Lessons learned
Sivan Zissman1, Matan Orgil1, Oded Ben-Amotz1
1Pediatric & Craniofacial Plastic Surgery Unit, Department of Plastic and Reconstructive Surgery, Tel-Aviv Sourasky Medical Center, Affiliated with the Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
Insights
Pediatric burn injuries in asylum seekers led to longer hospital stays and increased family burden compared to Israeli children. This highlights critical needs for prevention and social support for vulnerable populations.
Area of Science:
- Pediatric burn research
- Public health disparities
- Asylum seeker health outcomes
Background:
- Burn injuries are a major cause of child morbidity and mortality, with long-term functional and psychological consequences.
- Children in low-income countries face higher burn injury risks.
- Israel has seen a significant increase in asylum seekers, particularly in Tel Aviv.
Purpose of the Study:
- To profile pediatric burn injuries at Tel Aviv Sourasky Medical Center over nine years.
- To compare burn injury characteristics between African asylum seekers and Israeli nationals.
Main Methods:
- Retrospective review of 876 pediatric patients (under 18) treated between 2007-2015.
- Data collected included demographics, burn cause, total body surface area (TBSA), burn depth, and outcomes.
- Comparison between asylum seeker and Israeli national patient groups.
Main Results:
- No significant differences were found in age, gender ratio, scald burn types, or limb involvement.
- Asylum seekers experienced significantly longer hospitalizations and hospital stays.
- Family burden was also significantly higher among asylum seekers.
Conclusions:
- The findings indicate a disproportionate impact of burn injuries on asylum-seeking children.
- There is a clear need for enhanced prevention strategies, education, and social support for this vulnerable population.
- This study offers insights into the broader challenges faced by asylum seekers.
Background:
Burn injuries are one of the leading causes of morbidity and mortality in the pediatric population. In early childhood, burns have a wide range of adverse long-term consequences ranging from functional impairment to psychological implications. Children from low-income and middle-income countries are at a higher risk of suffering from burn injuries. In the last 10 years the population of asylum seekers from low-income countries in Israel has increased dramatically. About 25,000 or 60% of asylum seekers are living in the Tel Aviv area, making up roughly 6% of the city's total population (about 405,000).
Aim:
A retrospective study aimed to profile the pediatric burn injuries treated at the Tel Aviv Sourasky Medical Center over the last 9 years in an effort to examine the distinct characteristics of African asylum seekers who suffer burn injuries in comparison with Israeli nationals.
Patients & Methods:
Medical records of 876 patients under the age of 18 years presenting between 2007-2015 were retrospectively reviewed. The parameters collected included gender, causality, total body surface area (TBSA), burn depth and patient outcome.
Conclusions:
There was no significant difference regarding: age; male-female ratio; scald-types burns; limb involvement. However, hospitalization and length of hospital stay were significantly higher among asylum seekers, as was family burden. Questions may be raised regarding prevention, education & social support. Our research provides a small glimpse into the world of asylum seekers in Israel. We hope it will serve as a window into the much grander problems that this population faces on a daily basis.
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