Use of hospital statistics to plan preventive strategies for burns in a developing country

Abstract

This study is based on hospital statistics using 1985 burn patients admitted to Maputo Central Hospital, Maputo, Mozambique, for a period of 42 months (1988–91). On the basis of the results obtained, some suggestions are made for the design of the targets and methods for a preventive strategy for burn injuries in Maputo. Strengthening of preventive measures should occur during the cold season of the year and particularly in the preceding months (March to May). Children under 5 years old would be the main target, particularly the age group 2–3 years. Mothers' and older siblings' education would be the vector and they would be approached through continuing health education activities, regularly carried out at present, and educational programmes in schools. We also propose the use of a simple safety device aimed at preventing burns responsible for the highest lethality. Proposed interventions rely on extensive knowledge of the epidemiological parameters influencing the occurrence of burns severe enough to warrant admission to hospital. The beneficial impact of these interventions on hospital workload and economy would probably overcome costs for its implementation.