1. Dutch Burns Foundation COMMUNICATION TO CONSUMERS & HIGH RISK GROUPS

2. Burns in the Netherlands Each year, 12,000 people are treated for burn injuries in Emergency Departments Each year, 12,000 people are treated for burn injuries in Emergency Departments In approximately 9,600 cases the accident occured in the home In approximately 9,600 cases the accident occured in the home In approximately 2,400 cases the accident occured in the workplace In approximately 2,400 cases the accident occured in the workplace

3. 12,000 people treated in hospital 7,020 of the treated victims have severe burns 7,020 of the treated victims have severe burns (2nd degree or deeper) 840 people are admitted to hospital after being treated at the emergency department 840 people are admitted to hospital after being treated at the emergency department

4. On avarage 1,900 hospital admissions National Medical Registration System: Hospital admissions after a burn accident 2003: 1.924 2004: 1.945 2005: 2.079 2006: 1.860

6. Causes of burns Causes of burns treated at the Emergency Department: Hot fluid 56% Hot object15% Fire, flame13% Explosion4% Chemical3% Other8% Causes of burns treated at the Emergency Department: Hot fluid 56% Hot object15% Fire, flame13% Explosion4% Chemical3% Other8% Causes of burns treated at hospital: Fire, flame 54% Hot object / hot fluid 32% Other24% Causes of burns treated at hospital: Fire, flame 54% Hot object / hot fluid 32% Other24%

7. Risk groups, causes, incidence (in home setting) Age groupCauseIncidence 0-4 yearsHot fluid130 per 100,000 0-4 yearsHot fluid130 per 100,000 Hot object39 per 100,000 5-19 yearsHot fluid28 per 100,000 5-19 yearsHot fluid28 per 100,000 Fire, flame9.7 per 100,000 Explosion6.5 per 100,000 20-34 yearsHot fluid48 per 100,000 20-34 yearsHot fluid48 per 100,000 Fire, flame13 per 100,000 Chemical3.4 per 100,000 35-54 yearsHot fluid25 per 100,000 35-54 yearsHot fluid25 per 100,000 55+Hot fluid13 per 100,000 55+Hot fluid13 per 100,000

8. CampagnesCampagnes

9. 12,000 people treated at hospital From 2001 to 2006 the number of patients with burns that has been treated at the Emergency Departments has decreased significantly with 26% From 2001 to 2006 the number of patients with burns that has been treated at the Emergency Departments has decreased significantly with 26%

10. CampagnesCampagnes

11. Number of smoke detectors in the Netherlands In the period from 2001 to 2007, the number of smoke detectors has increased considerably: In the period from 2001 to 2007, the number of smoke detectors has increased considerably: 68% of households has a smoke detector 68% of households has a smoke detector

12. But this doesn’t apply to everybody… Children from Turkish and Moroccon ethnic backgrounds are over represented in the Dutch Burn Centres Children from Turkish and Moroccon ethnic backgrounds are over represented in the Dutch Burn Centres Scalds occur more frequently in children from Turkish and Moroccon ethnic backgrounds Scalds occur more frequently in children from Turkish and Moroccon ethnic backgrounds (10% more than in Dutch children )

13. But this doesn’t apply to everybody… Dutch No smoke detector 28 % Never thought about it 19 % Testing (no knowledge) 17% Changing batteries (no knowledge) 14 % Test > 1 year 21 % Rented house / flat 42 % Non-Dutch ethnic background 42 % 40 % 34 % 32 % 39% 71% Smoke detectors in the Netherlands: Smoke detectors in the Netherlands:

14. Smoke detectors and income

15. OOPSOOPS

16. What can be done? Prevention projects, interpersonal education, providing information Prevention projects, interpersonal education, providing information Political lobby Political lobby Mass media campaigns Mass media campaigns Care Care Quality of life Quality of life

17. What can be done? Interpersonal education is effective Interpersonal education is effective Mass media campaigns give good results Mass media campaigns give good results

18. Interpersonal education is effective

19. What can be done? Interpersonal education is effective Interpersonal education is effective 1,400 group presentations per year: - Improvement in knowledge - Attitude is positive - A proven change in behaviour amongst parents

20. Mass media campaigns give good results

21. What can be done? Mass media campaigns give good results Mass media campaigns give good results Example: pilot ‘Make an evacuation plan’: - Improvement in knowledge - Attitude is positive - A proven change in behaviour

22. Action plan Interpersonal education aimed at high risk groups Interpersonal education aimed at high risk groups Set up mass media campaigns in cooperation with the Fire Department, aimed at high risk groups Set up mass media campaigns in cooperation with the Fire Department, aimed at high risk groups

23. Interpersonal education Indentify high risk groups Indentify high risk groups Hire and train educators (Turkish en Moroccan) Hire and train educators (Turkish en Moroccan) Develop group presentations specifically for high risk groups Develop group presentations specifically for high risk groups Promote group presentations Promote group presentations Pilot group presentations Pilot group presentations Evaluate Evaluate

24. Mass media cooperation Mass media campaign in cooperation with the Fire Department aimed at specific riskgroups Mass media campaign in cooperation with the Fire Department aimed at specific riskgroups

25. Looking for new possibilities Problem: How do we reach groups that are not organised themselves? Problem: How do we reach groups that are not organised themselves? Idea: Can the Fire Department be linked to educators from different cultural and ethnic backgrounds? Idea: Can the Fire Department be linked to educators from different cultural and ethnic backgrounds? For example, when a fire has occured in a neighbourhood…. Can this incident be used to give a prevention message to community / neighbourhood groups? (as they will be sensitive to the topic at that very moment)

26. QuestionsQuestions Do you have experience cooperating with Fire Departments with regard to prevention projects aimed at groups of different cultural and ethnic backgrounds? Do you have experience cooperating with Fire Departments with regard to prevention projects aimed at groups of different cultural and ethnic backgrounds? Do you have experience with providing psychosocial care to high risk groups of different ethnic backgrounds? Do you have experience with providing psychosocial care to high risk groups of different ethnic backgrounds?

27. Dutch Burns Foundation Thanks