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PW 1437 Current burn patterns in a rural community of bangladesh: findings from surveillance data of January-June 2015
  1. Nawroz Afreen1,
  2. AKM Fazlur Rahman2,
  3. Pierre Claquin3,
  4. Sabine Chai4,
  5. Meerjady S Flora1
  1. 1Institute of Epidemiology, Disease Control and Research (IEDCR), Dhaka, Bangladesh
  2. 2Centre for Injury Prevention and Research, Bangladesh, Dhaka, Bangladesh
  3. 3Former Resident Advisor frontline FETP,B, TEPHINET, Dhaka, Bangladesh
  4. 4Former Scientific Advisor, FETP, B TEPHINET, Dhaka, Bangladesh


Burn is a major cause of injury-morbidity in all age groups in Bangladesh with prevalence rate of 9.89-per-1000 population in 2016. Children less-than-5 years and females are at the highest risk; flames are mainly responsible for fatal burns. To address a scarcity of information about injury patterns in rural communities and track injury trends, active community-based injury surveillance is being conducted in a rural sub-district since 2005.

To describe distribution and current patterns of burns in a rural community.

We analyzed surveillance data of January-June 2015 and compared burn events between genders and age-groups using one-tailed z-test for proportions and one-tailed two-sample t-test for means with 95 percent CI.

Burn-rate was 1.5-per-1000 population-per-year, lower than in the 2016 country-wide survey (p<0.01), with no mortality. Main patterns were hot-liquid burns (46 percent), hot-object burns (37 percent), and flame-burns (15 percent). Most burns occurred in kitchens (59 percent) and while playing near fire (41 percent). Females (n=70, 62 percent) had higher rates (1.8-per-1000), longer duration of illness (13 days, SD 8), and more hot-liquid burns (56 percent) (p<0.05 for all). One-to-four-year olds had the highest rate (5.1-per-1000) (p<0.01), and more hot-liquid burns, hot-object burns and flame-burns (p<0.01 for all patterns). Prior to burns, among those aged 1–4 years (n=36, 32 percent), all females (n=16) and most males (n=16, 80 percent) were playing near fire; 25–39 year-old females (n=20, 29 percent) were mainly cooking (n=15, 75 percent).

Reported burn-rate was low, high-risk groups matched previous findings, but the reason for longer duration of illness in females is unclear. Activities prior to burns matched behaviors typical for the high-risk groups.

We recommend further study in that community to identify reasons behind low burn-rate and longer duration of illness in females; a country-wide study to identify activities prior to burn in high-risk groups and consideration of those activities by policy-makers for designing interventions to prevent burns.

  • burn
  • pattern
  • surveillance
  • rural
  • Bangladesh

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