Global & Disaster Medicine

WHO: Global Violence and Injury

WHO

Violence

Globally, some 470 000 homicides occur each year and millions of people suffer violence-related injuries. Beyond death and injury, exposure to violence can increase the risk of smoking, alcohol and drug abuse; mental illness and suicidality; chronic diseases like heart disease, diabetes and cancer; infectious diseases such as HIV, and social problems such as crime and further violence.

Road traffic injuries

Mixed traffic in New Delhi, India

Over 3 400 people die on the world’s roads every day and tens of millions of people are injured or disabled every year. Children, pedestrians, cyclists and older people are among the most vulnerable of road users.

 

Drowning

Drowning is a leading killer. The latest WHO Global Health Estimates indicate that almost 360 000 people lost their lives to drowning in 2015. Nearly 60% of these deaths occur among those aged under 30 years, and drowning is the third leading cause of death worldwide for children aged 5-14 years. Over 90% of drowning deaths occur in low- and middle-income countries.

 

Burns

A burn is an injury to the skin or other organic tissue primarily caused by heat but can also be due to radiation, radioactivity, electricity, friction or contact with chemicals. Skin injuries due to ultraviolet radiation, radioactivity, electricity or chemicals, as well as respiratory damage resulting from smoke inhalation, are also considered to be burns.

Globally, burns are a serious public health problem. An estimated 180 000 deaths occur each year from fires alone, with more deaths from scalds, electrical burns, and other forms of burns, for which global data are not available.

According to the 2015 Global Health Estimates, 95% of fatal fire-related burns occur in low- and middle-income countries. In addition to those who die, millions more are left with lifelong disabilities and disfigurements, often with resulting stigma and rejection.

The suffering caused by burns is even more tragic as burns are so eminently preventable.

 

Falls

A fall is an event which results in a person coming to rest inadvertently on the ground or floor or other lower level. Within the WHO database fall-related deaths and non-fatal injuries exclude those due to assault and intentional self-harm. Falls from animals, burning buildings and transport vehicles, and falls into fire, water and machinery are also excluded.

Globally, an estimated 391 000 people died due to falls in 2002, making it the 2nd leading cause of unintentional injury death globally after road traffic injuries. A quarter of all fatal falls occurred in the high-income countries. Europe and the Western Pacific region combined account for nearly 60 % of the total number of fall-related deaths worldwide

Males in the low- and middle-income countries of Europe have by far the highest fall-related mortality rates worldwide.

In all regions of the world, adults over the age of 70 years, particularly females, have significantly higher fall-related mortality rates than younger people. However, children account for the largest morbidity- almost 50% of the total number of DALYs lost globally to falls occur in children under 15 years of age.


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