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Inj Prev. 2019 Dec 18. pii: injuryprev-2019-043299. doi: 10.1136/injuryprev-2019-043299. [Epub ahead of print]

Epidemiology of injuries from fire, heat and hot substances: global, regional and national morbidity and mortality estimates from the Global Burden of Disease 2017 study.

James SL1, Lucchesi LR2, Bisignano C2, Castle CD2, Dingels ZV2, Fox JT2, Hamilton EB2, Henry NJ2, McCracken D2, Roberts NLS2, Sylte DO2, Ahmadi A3, Ahmed MB4, Alahdab F5, Alipour V6,7, Andualem Z8, Antonio CAT9,10, Arabloo J11, Badiye AD12, Bagherzadeh M13, Banstola A14, Bärnighausen TW15,16, Barzegar A17, Bayati M18, Bhaumik S19, Bijani A20, Bukhman G21,22, Carvalho F23,24, Crowe CS25, Dalal K26,27, Daryani A28, Nasab MD29, Do HT30, Do HP31, Endries AY32, Fernandes E33, Filip I34,35, Fischer F36, Fukumoto T37,38, Gebremedhin KBB39, Gebremeskel GG40,41, Gilani SA42,43, Haagsma JA44, Hamidi S45, Hostiuc S46,47, Househ M48,49, Igumbor EU50,51, Ilesanmi OS52, Irvani SSN53, Jayatilleke AU54,55, Kahsay A56, Kapoor N12, Kasaeian A57,58, Khader YS59, Khalil IA60, Khan EA61, Khazaee-Pool M62, Kokubo Y63, Lopez AD2,64, Madadin M65, Majdan M66, Maled V67,68, Malekzadeh R69,70, Manafi N71,72, Manafi A73, Mangalam S74,75, Massenburg BB25, Meles HG76, Menezes RG77, Meretoja TJ78, Miazgowski B79, Miller TR80,81, Mohammadian-Hafshejani A82, Mohammadpourhodki R83, Morrison SD84, Negoi I85,86, Nguyen TH31, Nguyen SH31, Nguyen CT87, Nixon MR2, Olagunju AT88,89, Olagunju TO90, Padubidri JR91, Polinder S44, Rabiee N92, Rabiee M93, Radfar A94,95, Rahimi-Movaghar V96, Rawaf S97,98, Rawaf DL99,100, Rezapour A11, Rickard J101,102, Roro EM103,104, Roy N105,106, Safari-Faramani R107, Salamati P96,108, Samy AM109, Satpathy M110,111, Sawhney M112, Schwebel DC113, Senthilkumaran S114, Sepanlou SG69,70, Shigematsu M115, Soheili A116,117, Stokes MA118, Tohidinik HR119,120, Tran BX121, Valdez PR122,123, Wijeratne T124,125, Yisma E126, Zaidi Z127, Zamani M128, Zhang ZJ129, Hay SI2,130, Mokdad AH2,130.

Author information

1
Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA spencj@uw.edu.
2
Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.
3
Department of Anesthesiology, Kermanshah University of Medical Sciences, Kermanshah, Iran.
4
Department of Epidemiology, Jimma University, Jimma, Ethiopia.
5
Evidence Based Practice Center, Mayo Clinic Foundation for Medical Education and Research, Rochester, MN, USA.
6
Health Management and Economics Research Center, Tehran, Iran.
7
Health Economics Department, Iran University of Medical Sciences, Tehran, Iran.
8
Environmental and Occupational Health and Safety Department, University of Gondar, Gondar, Ethiopia.
9
Department of Health Policy and Administration, University of the Philippines Manila, Manila, Philippines.
10
Department of Applied Social Sciences, Hong Kong Polytechnic University, Hong Kong, China.
11
Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran.
12
Department of Forensic Science, Government Institute of Forensic Science, Nagpur, India.
13
Chemistry Department, Sharif University of Technology, Tehran, Iran.
14
Department of Research, Public Health Perspective Nepal, Pokhara-Lekhnath Metropolitan, Nepal.
15
Heidelberg Institute of Global Health (HIGH), Heidelberg University, Heidelberg, Germany.
16
T.H. Chan School of Public Health, Harvard University, Boston, Massachusetts, USA.
17
Occupational Health Department, Kermanshah University of Medical Sciences, Kermanshah, Iran.
18
Health Human Resources Research Center, Department of Health Economics, School of Management & Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
19
The George Institute for Global Health, New Delhi, India.
20
Social Determinants of Health Research Center, Babol University of Medical Sciences, Babol, Iran.
21
Department of Global Health and Social Medicine, Harvard University, Boston, Massachusetts, USA.
22
Partners In Health, Boston, Massachusetts, USA.
23
Applied Molecular Biosciences Unit, University of Porto, Porto, Portugal.
24
Institute of Public Health, University of Porto, Porto, Portugal.
25
Division of Plastic Surgery, University of Washington, Seattle, Massachusetts, USA.
26
Institute of Public Health Kalyani, Kalyani, India.
27
School of Health Science, Orebro University, Orebro, Sweden.
28
Toxoplasmosis Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
29
Department of Epidemiology, Shiraz University of Medical Sciences, Shiraz, Iran.
30
Center of Excellence in Public Health Nutrition, Nguyen Tat Thanh University, Ho Chi Minh, Vietnam.
31
Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh, Vietnam.
32
Public Health Department, Saint Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
33
REQUIMTE/LAQV, University of Porto, Porto, Portugal.
34
Psychiatry Department, Kaiser Permanente, Fontana, California, USA.
35
School of Health Sciences, A.T. Still University, Mesa, Missouri, USA.
36
School of Public Health Medicine, Bielefeld University, Bielefeld, Germany.
37
Gene Expression & Regulation Program, Cancer Institute (W.I.A), Philadelphia, Pennsylvania, USA.
38
Department of Dermatology, Kobe University, Kobe, Japan.
39
Nursing Department, Addis Ababa University, Addis Ababa, Ethiopia.
40
Nursing Department College of Health Science, Aksum University, Aksum, Ethiopia.
41
Nursing Department, Mekelle University, Mekelle, Ethiopia.
42
Faculty of Allied Health Sciences, The University of Lahore, Lahore, Pakistan.
43
Chairman BOG, Afro-Asian Institute Lahore, Pakistan.
44
Department of Public Health, Erasmus University Medical Center, Rotterdam, The Netherlands.
45
School of Health and Environmental Studies, Hamdan Bin Mohammed Smart University, Dubai, United Arab Emirates.
46
Faculty of Dentistry, Department of Legal Medicine and Bioethics, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.
47
Clinical Legal Medicine Department, National Institute of Legal Medicine Mina Minovici, Bucharest, Romania.
48
Division of Information and Computing Technology, College of Science and Engineering, Hamad Bin Khalifa University, Doha, Qatar.
49
Qatar Foundation for Education, Science, and Community Development, Doha, Qatar.
50
School of Public Health, University of the Western Cape, Bellville, South Africa.
51
Department of Public Health, Walter Sisulu University, Mthatha, South Africa.
52
Department of Community Medicine, University of Ibadan, Ibadan, Nigeria.
53
Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
54
Institute of Medicine, University of Colombo, Colombo, Sri Lanka.
55
Faculty of Graduate Studies, University of Colombo, Colombo, Sri Lanka.
56
Department of Nutrition and Dietetics, Mekelle University, Mekelle, Ethiopia.
57
Hematology-Oncology and Stem Cell Transplantation Research Center, Tehran University of Medical Sciences, Tehran, Iran.
58
Hematologic Malignancies Research Center, Tehran University of Medical Sciences, Tehran, Iran.
59
Department of Public Health and Community Medicine, Jordan University of Science and Technology, Ramtha, Jordan.
60
Department of Global Health, University of Washington, Seattle, Washington, USA.
61
Epidemiology and Biostatistics Department, Health Services Academy, Islamabad, Pakistan.
62
Department of Public Health, School of Health, Mazandaran University of Sciences, Sari, Iran.
63
Department of Preventive Cardiology, National Cerebral and Cardiovascular Center, Suita, Japan.
64
University of Melbourne, Melbourne, Victoria, Australia.
65
Pathology Department, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
66
Department of Public Health, Trnava University, Trnava, Slovakia.
67
Health Education and Research Department, SDM College of Medical Sciences & Hospital, Dharwad, India.
68
Health University, Rajiv Gandhi University of Health Sciences, Bangalore, India.
69
Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
70
Non-communicable Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
71
Ophthalmology Department, Iran University of Medical Sciences, Tehran, Iran.
72
Ophthalmology Department, University of Manitoba, Winnipeg, Manitoba, Canada.
73
Plastic Surgery Department, Iran University of Medical Sciences, Tehran, Iran.
74
Public Risk Management Institute, Mississauga, Ontario, Canada.
75
Trade and Competitiveness, World Bank, New York city, New York, USA.
76
Mekelle University, Mekelle, Ethiopia.
77
Forensic Medicine Division, Department of Pathology, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
78
Breast Surgery Unit, Helsinki University Hospital, Helsinki, Finland.
79
Center for Innovation in Medical Education, Pomeranian Medical University, Szczecin, Poland.
80
Pacific Institute for Research & Evaluation, Calverton, Maryland, USA.
81
School of Public Health, Curtin University, Perth, Western Australia, Australia.
82
Department of Epidemiology and Biostatistics, Shahrekord University of Medical Sciences, Shahrekord, Iran.
83
Department of Nursing, Shahroud University of Medical Sciences, Shahroud, Iran.
84
Department of Surgery, University of Washington, Seattle, Washington, USA.
85
General Surgery Department, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.
86
Emergency Hospital of Bucharest, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.
87
Institute for Global Health Innovations, Duy Tan University, Hanoi, Vietnam.
88
Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada.
89
Department of Psychiatry, University of Lagos, Lagos, Nigeria.
90
Department of Pathology and Molecular Medicine, McMaster University, Hamilton, Ontario, Canada.
91
Forensic Medicine and Toxicology Department, Manipal Academy of Higher Education, Mangaluru, India.
92
Department of Chemistry, Sharif University of Technology, Tehran, Iran.
93
Biomedical Engineering Department, Amirkabir University of Technology, Tehran, Iran.
94
College of G raduate Health Sciences, A.T. Still University, Mesa, Arizona, USA.
95
Medichem, Barcelona, Spain.
96
Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.
97
Department of Primary Care and Public Health, Imperial College London, London, UK.
98
Academic Public Health Department, Public Health England, London, UK.
99
WHO Collaborating Centre for Public Health Education and Training, Imperial College London, London, UK.
100
University College London Hospitals, London, UK.
101
Surgery Department, University of Minnesota, Minneapolis, Minnesota, USA.
102
Surgery Department, University Teaching Hospital of Kigali, Kigali, Rwanda.
103
Public Health Department, Wollega University, Nekemte, Ethiopia.
104
Public Health Department, Addis Ababa University, Addis Ababa, Ethiopia.
105
Public Health Planning and Evidence Practice Area, National Health Systems Resource Centre, New Delhi, India.
106
Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
107
Faculty of Public Health, Kermanshah University of Medical Sciences, Kermanshah, Iran.
108
School of Health and Policy Management, Faculty of Health, York University, Toronto, Ontario, Canada.
109
Department of Entomology, Ain Shams University, Cairo, Egypt.
110
UGC Centre of Advanced Study in Psychology, Utkal University, Bhubaneswar, India.
111
Udyam-Global Association for Sustainable Development, Bhubaneswar, India.
112
Department of Public Health Sciences, University of North Carolina at Charlotte, Charlotte, North Carolina, USA.
113
Department of Psychology, University of Alabama at Birmingham, Birmingham, Alabama, USA.
114
Emergency Department, Manian Medical Centre, Erode, India.
115
National Institute of Infectious Diseases, Tokyo, Japan.
116
Medical Surgical Nursing Department, Urmia University of Medical Science, Urmia, Iran.
117
Emergency Nursing Department, Zanjan University of Medical Sciences, Zanjan, Iran.
118
Department of Psychology, Deakin University, Burwood, Victoria, Australia.
119
HIV/STI Surveillance Research Center and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
120
Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
121
Department of Health Economics, Hanoi Medical University, Hanoi, Vietnam.
122
Argentine Society of Medicine, Buenos Aires, Argentina.
123
Velez Sarsfield Hospital, Buenos Aires, Argentina.
124
Department of Psychology and Counselling, University of Melbourne, Melbourne, Victoria, Australia.
125
Department of Medicine, University of Melbourne, St Albans, Victoria, Australia.
126
School of Allied Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
127
Department of Epidemiology, University Hospital of Setif, Setif, Algeria.
128
Student Research Committee, Babol University of Medical Sciences, Babol, Iran.
129
Department of Preventive Medicine, Wuhan University, Wuhan, China.
130
Department of Health Metrics Sciences, School of Medicine, University of Washington, Seattle, Washington, USA.

Abstract

BACKGROUND:

Past research has shown how fires, heat and hot substances are important causes of health loss globally. Detailed estimates of the morbidity and mortality from these injuries could help drive preventative measures and improved access to care.

METHODS:

We used the Global Burden of Disease 2017 framework to produce three main results. First, we produced results on incidence, prevalence, years lived with disability, deaths, years of life lost and disability-adjusted life years from 1990 to 2017 for 195 countries and territories. Second, we analysed these results to measure mortality-to-incidence ratios by location. Third, we reported the measures above in terms of the cause of fire, heat and hot substances and the types of bodily injuries that result.

RESULTS:

Globally, there were 8 991 468 (7 481 218 to 10 740 897) new fire, heat and hot substance injuries in 2017 with 120 632 (101 630 to 129 383) deaths. At the global level, the age-standardised mortality caused by fire, heat and hot substances significantly declined from 1990 to 2017, but regionally there was variability in age-standardised incidence with some regions experiencing an increase (eg, Southern Latin America) and others experiencing a significant decrease (eg, High-income North America).

CONCLUSIONS:

The incidence and mortality of injuries that result from fire, heat and hot substances affect every region of the world but are most concentrated in middle and lower income areas. More resources should be invested in measuring these injuries as well as in improving infrastructure, advancing safety measures and ensuring access to care.

KEYWORDS:

burden of disease; burn; descriptive epidemiology

PMID:
31857422
DOI:
10.1136/injuryprev-2019-043299
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Conflict of interest statement

Competing interests: Dr. Spencer James reports grants from Sanofi Pasteur, outside the submitted work. All other authors have nothing to disclose. Dr. Carl Abelardo T Antonio reports grants and personal fees from Johnson & Johnson (Philippines), Inc., outside the submitted work.

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