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THE INJURY BURDEN IN UGANDA Milton Mutto Injury Control Center-Uganda.

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Presentation on theme: "THE INJURY BURDEN IN UGANDA Milton Mutto Injury Control Center-Uganda."— Presentation transcript:

1 THE INJURY BURDEN IN UGANDA Milton Mutto Injury Control Center-Uganda

2 Presentation Outline Definition Definition Introduction Introduction The Global and Regional Burdens if disease and death The Global and Regional Burdens if disease and death The Ugandan burden of Disease and death The Ugandan burden of Disease and death The Ugandan Injury patterns The Ugandan Injury patterns Conclusion Conclusion

3 Introduction Everyday around the world, approximately 16,000 people die of injuries Everyday around the world, approximately 16,000 people die of injuries Each death is accompanied with many other non-fatal injuries, many with permanent consequences Each death is accompanied with many other non-fatal injuries, many with permanent consequences Injuries have huge cost implications Injuries have huge cost implications The costs in grief and pain are not, however, quantifiable The costs in grief and pain are not, however, quantifiable

4 What is an Injury? An Injury is a bodily lesion at organic level resulting from acute exposure to energy interacting with the body in amounts or rates that exceed the threshold of physiological tolerance (Baker SP et’al 1984) An Injury is a bodily lesion at organic level resulting from acute exposure to energy interacting with the body in amounts or rates that exceed the threshold of physiological tolerance (Baker SP et’al 1984) The transfer of energy at rates and in amounts above or below the tolerance of human tissue is the necessary and specific cause of injury (Robertson LS 1992) The transfer of energy at rates and in amounts above or below the tolerance of human tissue is the necessary and specific cause of injury (Robertson LS 1992)

5 Data sources The World health report 1999 The World health report 1999 The MoH HMIS The MoH HMIS The ICC-U Trauma registries The ICC-U Trauma registries

6 AFRICA-Top 10 causes of disease 1998 Rank MalariaMalariaHIVHIV 2DiarrheaMeasles War injuries CV Disease 3 Perinatal Conditions HIV Interperson al violence Ischeamic heart dx 4 Respiratory dx Respiratory disease Major depression Cataracts 5HIVRTATBTB 6MeaslesDiarrhea Tropical dx 7Pertussis RTA Obstructive pulmonary dx 8 Protein energy mal-nutrition DrowningSTD Major depression 9 Congenital abnormalities Fires Alcohol dependence Osteoathritis 10Tetanus War injuries Maternal sepsis Liver cancers

7 AFRICA-top 10 causes of death 1998 Rank MalariaMalariaHIVHIV 2Diarrhea Respiratory disease Interperson al violence CV Disease 3RespiratoryDiarrhea War injuries Ischeamic heart 4 Perinatal Conditions DrowningTBTB 5MeaslesRTARTA Liver cancers 6HIVHIVMalariaViolence 7Pertussis War injuries Maternal hemorrhage Obstructive pulmonary 8TetanusFires CV disease War injuries 9 Protein energy mal-nutrition Tropical Maternal sepsis RTA 10 War injuries TBAbortionNephritis

8 AFRICA-Top 10 causes of disease and death in all ages 1998 RankDiseaseFrequencyDeathFrequency 1HIV54,100,841HIV1,829,729 2Malaria34,506,494Malaria960,734 3Diarrhea24,231,478 Acute lower respiratory 792, ,817,647Diarrhea731,475 5 Perinatal conditions 20,032, ,461 6Measles17,132,438Measles502,510 7 War injuries 11,740,254 Cerebrovascular disease 448,902 8 Inter personal violence 7,878,238 War injuries 308,425 9RTA6,116,559 Ischeamic heart disease 275, Tropical diseases 5,558,249 Interpersonal violence 265,900

9 Injury Burden in Uganda 2.2% of OPD in Sept 2003 (HMIS) 2.2% of OPD in Sept 2003 (HMIS) 30% of emergency admission in Mulago Hospital (Trauma registry) 30% of emergency admission in Mulago Hospital (Trauma registry) Close to half of non-obstetric operating lists (Trauma registry) Close to half of non-obstetric operating lists (Trauma registry) 5 th /6 th leading cause of the disease burden in Uganda (MoH Burden of disease study 1996) 5 th /6 th leading cause of the disease burden in Uganda (MoH Burden of disease study 1996)

10 Trauma registries-Top 6 causes of injury Uganda Rank 1998/% 1999/% 2000/% 2001/% 1 Traffic 48 Traffic 47 Traffic 46 Traffic 48 2 Stab/cuts 16 Stab/cuts 17 Stab/cuts 18 Stab/cuts 16 3 Falls 13 Falls 11 4 Blunt force 09 Blunt force 10 Blunt force 09 Blunt force 10 5 Burn 04 Animal bite 05 Animal bite 08 Animal bite 07 6 Animal bite 02 Burn 03 Burn 04 7 Other 08 Other 04

11 Trauma registries-Top 6 occupations represented in the injury data in Uganda Rank 1998/% 1999/% 2000/% 1 Student 28 Student 24 Students 26 2 Civil servants 19 Civil servants18 Peasants 18 3 Casual laborer12 Business 11 Civil servants 11 4 Business 10 Housewives 09 Business 11 5 Housewives 06 Unemployed 06 Unemployed 07 6 Combatants 06 Peasant 06 Housewives 07 7 Other 13 Other 08 Other 20

12 Trauma registries-Top 6 places represented in the injury data in Uganda-ICC-U Rank 1998/% 1999/% 2000/% 1 Road 56 Road 57 Road 59 2 Home 30 Home 28 Home 30 3 Public buildings 04 Public buildings 05 Public buildings 04 4 Industry 03 5 Schools 03 6 Farms 02 Sport 0.6 Farms 02 7 Other 02 Other 3.4 Other 03


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