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Violence- Terrorism

Concern for prehospital care/ambulance services

10 Aug, 15 | by jmagoola

I spent last week travelling in Adjumani district (located in Northern Uganda) as part of an exercise in improving the quality of immunization data through support supervision and mentor-ship. This required us as a team to visit as many of the health facilities in the district as possible. Due to the limited sources of our country, we had to make do with one of the hospital ambulances as a means of transport. In between ferrying us from one health facility to another, the driver would get calls to go pick up emergency cases that required urgent transportation to hospital.

In this scenario, all the ambulance is manned by only a driver (no paramedic, no nurse) whose role is to pick you up and drop you at the nearest health facility. One of 2 ambulanes currently used by the district to transport patients during emergencies.No triage, no first aid, no prehospital care until arrival. This could contribute to the trauma mortality rates, which are already higher in rural areas before victims reach the hospital. It is known that travel time is a predictor of the outcome of an injury and as such many fatal injuries or their severity may be reduced by adequate prehospital trauma care. A previous study in Uganda found that fewer than 5% of injured patients are transported by ambulance to hospital  most of which ambulances are privately run and expensive. In neighboring Tanzania, a study evaluating access to prehospital care found there was no prehospital care in the region.

The interior of the ambulance, lacking paramedic supplies for first aid.

The interior of the ambulance, lacking paramedic supplies for first aid.

This highlights a major need to prioritize the development of prehospital trauma care if we are to address the issue of injuries. In addition, while the presence of an ambulance will reduce the travel time to hospital and thus increase the chance of survival, the ambulances themselves should be equipped with materials to offer some basic first aid during the course of transportation. They key policy and clinical practice questions we should ask ourselves should include; how equipped are the ambulances?; what should be the minimum standards a vehicle should attain before it is designated as an ambulance?


More background on our blogging team

19 Jun, 15 | by Bridie Scott-Parker

Blog 3: So today I wanted to share some more background on our blogging team. As an applied social psychologist, I find this information very interesting indeed!

What excites you about being part of the Injury Prevention social media editorial team?  

Sheree Bekker: The invaluable conversation that has sprung up around scholarly work through the collaborative power of social media and blogs inspires me to no end. I tend to find more relevant scholarly content through Twitter than through traditional platforms, and Injury Prevention has played a big part in that. As researchers, I believe that we should own our voice on social media, and constructively add value to this conversation.

David Bui: Through my studies in medical school I have seen the costs of injuries to society and individuals worldwide.  This is a great opportunity to harness the underutilised power of Social Media in health promotion and Injury Prevention, across multiple disciplines and multiple borders.

Angy El-Khatib: Being a part of the Injury Prevention social media editorial team is a great opportunity personally and collectively. By being a part of the social media editorial team, I am able to stay up to date on various topics within the realm of Injury Prevention while acquiring different perspectives from individuals from different backgrounds, disciplines, and locations. I’m also excited to be able to potentially increase readership and engage readers to create a conversation around the latest Injury Prevention research and ideas.

Klara Johansson: I am very interested to explore ways to share and disseminate knowledge and research results, outside the “old-school”, regular channels. I look forward to learning from my new co-editors, who all seem to be great communicators.

Joseph Magoola: The opportunity to work and collaborate with a variety of scholars on the injury prevention platform is nothing short of exciting. It also excites and inspires me to have an opportunity to represent Africa since low and medium income countries bear the brunt of the injury burden.

Julian Santaella-Tenorio: It is really exciting to be part of this team and to have a space to communicate and express ideas on ways to improve injury prevention, and to discuss about new studies and topics relevant to this field. I am very motivated to learn more and continue growing as a researcher as I walk through this experience.

What are you passionate about?

Sheree Bekker: Intersectional issues drive my life’s work, and my aim is that my research is, and always will be, an extension of that.

David Bui: Passionate about bringing people and ideas together.

Angy El-Khatib: I am passionate about translating scientific evidence and research into public health action. My goal is to improve the health and wellbeing of myself as well as my community. Outside of my work, I am passionate about health, fitness, and wellness.

Klara Johansson: Open discussions and innovative research in collaborative teams with high scientific ambition + high levels of tolerance and kindness; I also enjoy making difficult subjects understandable to students and the general population. Passions on my free time: nature, gardening, books, movies, writing fiction, playing music (clarinet, harmonium, piano, accordion).

Joseph Magoola: Writing on my social media accounts (facebook, twitter and my blog) as a way of reaching out to the masses. I am also interested travelling a lot, especially by road and as such, ensuring road safety is part and parcel of my aims to contribute towards reducing the carnage of our roads.

Julian Santaella-Tenorio: I am passionate about things that can make people have a better, healthier and happier life. I am inspired by ideas challenging previous knowledge, creative thinking finding answers from different angles, and the power of multidisciplinary groups. That is why I am passionate about public health research.


I hope you are looking forward to hearing from our bloggers, starting next month!

Gangs, Violence, and a Flood of Migrant Children

11 Jul, 14 | by gtung

There has been a tremendous amount of media attention in the United States on what is described as a flood of migrant children illegally crossing the US-Mexico border. Statistics referenced in a recent NPR article estimate that more than 50,000 unaccompanied children have been detained by US border patrol in the last eight months.

Much of the US media coverage has also emphasized a belief of migrant children and their families that they can receive political asylum or that there are other mechanisms in place that will allow them to stay in the US once they cross. What is also starting to get more media attention are the factors pushing migrant children to take the risk of traveling long distances alone in hopes of making it into the US. A recent New York Times article does a nice job of describing the fear of gangs and violence in some Central American cities and the role it plays as a driver of the recent flood of migrant children to the US border.

The severity of the gang and violence problem portrayed in some Central American cities in the NYT article is shocking with some city blocks described as empty and other significant internal displacement because of gangs. I can understand taking the risks of trying to make it into the US if faced with these issues. What is less clear to me is what should be done to address the gang issues that are pushing so many children to leave their homes. And then there is the heated and ongoing debate in the US about what steps if any the US should take in responding to the issue.


Canadian perspectives on the Boston Marathon bombings

27 Apr, 13 | by Barry Pless

harper-trudeauBy now all readers of this blog know what happened at the Boston Marathon. What perhaps none of us know in any depth is why the perpetrators took these actions. Most US commentators seem content to simply describe it as ‘terrorism’, which it certainly is. But at least one high ranking Canadian went one step further. Justin Trudeau, the son of former Prime Minister Pierre Trudeau, had just been elected as leader of the Liberal party of Canada, which now sits in third place after the most recent election.  In his comments, Justin Trudeau said that it was important to try to discover the ‘root causes’ of such acts. This is consistent with what I wrote in an editorial in Injury Prevention after 9/11 and the later London bombings. I do believe we must work much harder to understand the motivations of the bombers, not to excuse them but to help build a better, more peaceful world. Most Muslims are not radical; what drives some to become so? How great a role, if any, did the Iraq war play in driving such actions?  What Trudeau actually said  in an interview when he was asked how he would have responded to the attacks that killed three people and left about 170 injured was that he would offer the American’s material support “and at the same time, over the coming days, we have to look at the root causes.” “Now, we don’t know now if it was terrorism or a single crazy or a domestic issue or a foreign issue,” he said. “But there is no question that this happened because there is someone who feels completely excluded. Completely at war with innocents. At war with a society. And our approach has to be, where do those tensions come from? “Yes, there’s a need for security and response,” Trudeau added. “But we also need to make sure that as we go forward, that we don’t emphasize a culture of fear and mistrust. Because that ends up marginalizing even further those who already are feeling like they are enemies of society.”  To me this was a sensible, intelligent and appropriate response. But not so for Canada’s right-wing Prime Minister who indicated Trudeau’s answer was unacceptable.

“When you see this kind of action, when you see this kind of violent act, you do not sit around trying to rationalize it or make excuses for it or figure out its root causes,” Harper said. “You condemn it categorically and to the extent that you can deal with the perpetrators you deal with them as harshly as possible and that is what this government would do if it ever was faced with such actions.”  I leave it to readers to decide which view, in the long run, will be most helpful.

Latest from Injury Prevention

Latest from Injury Prevention