阿富汗地雷和未爆炸弹药造成的死亡和伤害
Oleg O Bilukha1, Muireann Brennan, Bradley A Woodruff
1Epidemic Intelligence Service, Epidemiology Program Office, Centers for Disease Control and Prevention, Atlanta, Ga 30341, USA. OBiloukha@cdc.gov
JAMA
|August 7, 2003
概括
阿富汗面临着地雷和未爆炸弹药 (UXO) 的高伤率. 儿童更容易受到UXO的攻击,而成年人面临地雷风险,需要有针对性的风险教育.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 伤害预防 预防伤害
背景情况:
- 阿富汗是一个受到地雷和未爆炸弹药 (UXO) 伤害严重的国家.
- 了解与这些伤害相关的模式和风险因素对于有效干预至关重要.
研究的目的:
- 调查阿富汗地雷和未爆炸弹药造成的伤害的流行病学特征.
- 在不同年龄组中识别导致这些伤害的特定风险因素和行为.
主要方法:
- 分析了来自阿富汗390个卫生设施的监视数据,由红十字国际委员会在2001年3月至2002年6月期间收集.
- 数据包括1636个人受地雷和UXO伤害,检查伤害趋势,类型,人口统计,风险行为和爆炸装置类型.
主要成果:
- 平民占受伤人数的81%,男性和男孩占91.6%. 45.9%的受伤者年龄在16岁以下.
- 儿童更经常受到未爆炸弹药 (如手榴弹,炸弹) 的伤害,而成年人主要受到地雷伤害.
- 常见的风险行为包括儿童的游戏和动物放牧,以及成年人的军事活动或经济需求. 观察到的病例死亡率为9.4%.
结论:
- 风险教育策略必须量身定制:专注于未爆炸弹药对儿童的危险和成人对地雷的危险,解决特定年龄的行为.
- 通过社区和临床报告来加强监测对于改善地雷和UXO伤害数据的敏感性和代表性至关重要.
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