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Published on: February 23, 2024
Effectiveness of child burn prevention campaigns in Mongolia
Gerelmaa Gunsmaa1, Haruhiko Inada2, Tumen-Ulzii Badarch3
1Department of Global Public Health, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan ggerelus@yahoo.com.
Insights
Child burn prevention campaigns reduced non-severe scald injuries in young children. Severe injuries were not significantly affected, indicating a need for interventions targeting severe burn prevention.
Area of Science:
- Public Health
- Pediatric Injury Prevention
- Epidemiology
Background:
- Childhood burn injuries pose a significant public health concern globally.
- Burn prevention campaigns aim to reduce the incidence and severity of these injuries.
- Understanding campaign effectiveness is crucial for optimizing public health strategies.
Purpose of the Study:
- To evaluate the impact of child burn prevention campaigns on medically attended burn injuries in young children in Ulaanbaatar, Mongolia.
- To assess the effectiveness of specific campaigns targeting scald prevention.
- To analyze trends in scald injury rates before, during, and after intervention periods.
Main Methods:
- An interrupted time-series analysis was performed on burn injury data from January 2009 to December 2018.
- Data included patients under 5 years old treated at the National Trauma and Orthopaedic Center.
- Monthly scald injury rates were analyzed in relation to the timing of two nationwide burn prevention campaigns.
Main Results:
- A total of 23,459 patients were included; 79% sustained scald injuries, with 6,920 severe cases.
- The first campaign correlated with a 32% decrease in non-severe scald injuries.
- No significant changes in severe scald injury rates were observed, with a concerning increase noted around the second campaign.
Conclusions:
- The nationwide burn prevention campaign effectively reduced non-severe burn injuries in young children.
- Further interventions, potentially including passive measures, are needed to address and prevent severe burn injuries.
- Public awareness campaigns may be insufficient for preventing severe pediatric burns.
Objective:
To evaluate the effects of child burn prevention campaigns on medically attended burn injuries in Ulaanbaatar, Mongolia.
Methods:
We conducted an interrupted time-series analysis using data on patients aged<5 years who were treated for burn injuries at the Emergency Department of the National Trauma and Orthopaedic Center from January 2009 to December 2018. Since the campaigns focused on scald prevention, we calculated the monthly rate of scald injuries per 10 000 children aged<5 years by sex and injury severity, regressing it on the number of months after January 2009 (the beginning of the study), after June 2014 (the first nationwide campaign started) and after January 2017 (the second facility-based campaign started).
Results:
During the 10-year study period, there were 23 459 patients, of whom 18 433 (79%) were treated for scald injuries, including 6920 severe injuries. The monthly rate of overall scald injuries started to decrease after the first campaign, with a relative change of -32% at the end of the intervention. However, the rate started increasing before the initiation of the second campaign; this trend continued during and after the campaign. The rate of severe scald injuries did not show any significant changes throughout the study period. The results were consistent for both sexes.
Conclusions:
The nationwide burn prevention campaign was effective in reducing non-severe burn injuries among young children. Since the campaign was primarily aimed at increasing public awareness of child burn injury risks, further interventions should be considered with passive measures to prevent severe burn injuries.
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