Experience with Burn Prevention Program in North Eastern India

Abstract

Burn injuries are one of the most devastating of all injuries and a major global public health concern. Though burn injuries cause lots of morbidity and mortality in India, community-based interventions in the forms of multi-strategic and multi-focused preventive programs are however lacking. This study, undertaken in the North Eastern Indian state of Assam, aims at reducing the incidence of burn accidents, morbidity and mortality of burn injuries through focused attention towards sensitizing the community with well-structured preventive program. Participatory community seminars, use of print, electronic and social media and lectures and demonstrations in schools were the tools used in the preventive programs. Analysis of inpatient and outpatient records of burn injured patients treated in the burn unit and scoring system in school education program and social media participants helped in assessment of the impact of Burn Preventive Programs (BPP). For convenience of assessment, comparative analysis of the results in early (Block I) and later part (Block II) of the study period was made. Results showed significant reduction of percentage of patients reporting from the areas where BPP was implemented. There was also reduction in %TBSA burn in majority patients in Block II in comparison to Block I. Water was used to extinguish fire in 48.9% patients in Block I and 78.0% patients in Block II. Water was also used to cool burn wounds by 52.3% patients in Block I, and 83.4% patients in Block II. While 80.9% people made inappropriate topical application on the wounds in Block I, only 34.6% did so in Block II. Increased awareness amongst general people was reflected by increased percentage of patients reporting to burn unit within 7 hours of injury and significant reduction of firecracker burns from 21.9% (Block I) to 7.8% (Block II). Similarly, improved awareness amongst the students was evident from the improved scoring by majority students and reduction in burns amongst them in the later part of Block II. The results indicate that BPP has got positive impact in the society.