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Presenter- Dr. Shibajee Debbarma
Department of Community Medicine, Lady Hardinge Medical College, New Delhi
Guides- Dr. Seema Nigam*, Dr. Tanu Midha**
Professor*, Associate Professor**, Department of Community Medicine, G.S.V.M
Medical College, Kanpur
1
 World Health Organization has defined accident as an
“unpremeditated event resulting in recognizable damage”. Injuries
are responsible for approximately 9 percent of all causes of deaths
and about 16 percent of the disabilities are reported due to injuries.
 Globalization has brought India into the forefront of progress. Since
2014, India’s economy has been the fastest growing one, surpassing
China.
 The industrial sector is one of the main sectors that contribute to
India’s GDP. There has been a surge in the country’s industrial
production growth. Along with this growth, there has been a rise in
the incidence of injuries following industrial accidents.
2
 Kanpur is one of the greatest industrial giants of Northern India,
where life runs in its full spectrum of riches and rags. It is the main
center of commercial, trading, educational and industrial activities
in Uttar Pradesh.
 However, non-compliance to occupational and industrial safety
norms is rampant in this industrial and commercial metropolis.
 There is an immense need of strengthening and undertaking
research on the public health burden and impact of industrial
accidents, understanding the risk factors and characteristics of
trauma, and measuring the impact of interventions.
3
 To study the various correlates of industrial accident in cases
admitted.
 To study the characteristics of injuries sustained.
4
 The present study was a hospital based, cross-sectional study
conducted among industrial accident cases admitted in Lala Lajpat
Rai Hospital in Kanpur.
 Study period was one year (November, 2014-October, 2015).
 Data was recorded in a pre-designed, pre-tested questionnaire and
was analyzed using various statistical tools.
 WHO’s Injury Reporting Form (2010) was used to record type of
injury sustained.
 Inclusion criteria- All industrial accident cases admitted during the
study period.
5
Gender Mode of Accident Total (%)
Fall (%) Burn (%) Others (%)
Male 35 11 10 56 (62.2)
Female 18 7 9 34 (37.8 )
Total (%) 53 (58.9) 18 (20) 19 ( 21.1) 90 (100 )
6
Age group (in
years)
Mode of Accident Total (%)
Fall Burn Others
20-30 21 9 4 34 (37.8)
30-40 20 4 8 32 (35.6)
40-50 9 3 5 17 (18.9)
50-60 3 2 2 7 (7.8)
Total 53 (58.9) 18 (20) 19 (21.1) 90 (100)
7
Type of Injury* Mode of Accident Total (%)
Fall Burn Others
Superficial
injury
6 18 7 31 (20.4)
Open wound 8 - 11 19 (12.5)
Fracture 47 - 9 56 (36.8)
Joint
dislocation
- - 3 3 (2.0)
Nerve injury 2 - 4 6 (4.0)
Muscle injury 17 - 9 26 (17.1)
Organ injury 1 - 3 4 (2.6)
Amputation - - - -
Others** - - 7 7 (4.6)
Total*** 81 (53.2) 18 (11.8) 53 (34.9) 152 (100)
*As per WHO’s Injury Reporting Form (2010)
**Others include cases presenting with eye injury, respiratory distress etc.
***Multiple type of injuries were recorded
8
19%
81%
Figure 1 Training received
Institutional
Apprenticeship
9
68%
32%
Figure 2 Work experience (in years)
<5
>5
10
53%
47%
Figure 3 Duration of work (in hours)
<8
>8
11
23%
77%
Figure 4 Safety measures provided in the factory
Yes
No
12
 Out of 90 cases of industrial accident enrolled in the study, majority
(73.3%) were in the 20-40 years age group.
 Most of the cases were males (62.2%).
 Most of the cases were due to fall (58.8%) followed by other modes of
accident (21.1%).
 Fracture (36.8%) was the commonest injury sustained.
 Majority (81%) of the victims had no institutional training while
most (68%) had been working for less than 5 years.
 Though duration of work seems to have no impact, maximum cases
(53%) were working for more than 8 hours per day.
 Safety measures (77%) were not provided in majority of the
industries.
13
 Young adult males in the economically most productive age group
were the commonest victims and most of the injuries were due to fall
at workplace.
 There is need of creating awareness regarding safety measures
amongst industrial workers and strict enforcement of safety rules
and precautions by the concerned authorities.
 Periodic surveillance of workplace environment by concerned
authorities should be conducted to ensure implementation of safety
norms in industries and to check the duration of working hours.
 Pre-placement training and in-service trainings should be conducted
at regular intervals.
 There needs to be pre-placement medical examination and periodic
health check-ups of industrial workers.
14
 Adoga AA, Ozoilo KN: The epidemiology and type of injuries seen at the accident
and emergency unit of a Nigerian referral center. Journal of Emergencies, Trauma
and Shock, 2014; vol. 7:77-82.
 Champion HR: A Revision of the Trauma Score. Journal of Trauma, 1989; vol.
29:623-29.
 Gupta AK et al: Epidemiological study of injured patients admitted in medical
college hospital Kanpur. Indian Journal of Orthopaedics, 1994; vol. 28(3).
 Minj C et al: Compensable work-related injuries in the estates of a tea
manufacturing company. Indian Journal of Public Health, 2012; vol. 56:100-1.
 Saddichha S, Saxena MK: Medical emergencies in Goa. Indian Journal of
Community Medicine, 2010; vol. 35:57-62.
 Saha A et al: Occupational injury surveillance: A study in a metal smelting
industry. Indian Journal of Occupational and Environmental Medicine, 2007; vol.
11:103-7.
 Suryanarayana SP et al: Surveillance of injuries in a tertiary care hospital. Indian
Journal of Community Medicine, 2010; vol. 35:191-2.
 World Health Organization (2010): Injury surveillance: a tool for decision-making:
annual injury surveillance report, Egypt, 2009. 15
16

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Correlates of industrial accidents

  • 1. Presenter- Dr. Shibajee Debbarma Department of Community Medicine, Lady Hardinge Medical College, New Delhi Guides- Dr. Seema Nigam*, Dr. Tanu Midha** Professor*, Associate Professor**, Department of Community Medicine, G.S.V.M Medical College, Kanpur 1
  • 2.  World Health Organization has defined accident as an “unpremeditated event resulting in recognizable damage”. Injuries are responsible for approximately 9 percent of all causes of deaths and about 16 percent of the disabilities are reported due to injuries.  Globalization has brought India into the forefront of progress. Since 2014, India’s economy has been the fastest growing one, surpassing China.  The industrial sector is one of the main sectors that contribute to India’s GDP. There has been a surge in the country’s industrial production growth. Along with this growth, there has been a rise in the incidence of injuries following industrial accidents. 2
  • 3.  Kanpur is one of the greatest industrial giants of Northern India, where life runs in its full spectrum of riches and rags. It is the main center of commercial, trading, educational and industrial activities in Uttar Pradesh.  However, non-compliance to occupational and industrial safety norms is rampant in this industrial and commercial metropolis.  There is an immense need of strengthening and undertaking research on the public health burden and impact of industrial accidents, understanding the risk factors and characteristics of trauma, and measuring the impact of interventions. 3
  • 4.  To study the various correlates of industrial accident in cases admitted.  To study the characteristics of injuries sustained. 4
  • 5.  The present study was a hospital based, cross-sectional study conducted among industrial accident cases admitted in Lala Lajpat Rai Hospital in Kanpur.  Study period was one year (November, 2014-October, 2015).  Data was recorded in a pre-designed, pre-tested questionnaire and was analyzed using various statistical tools.  WHO’s Injury Reporting Form (2010) was used to record type of injury sustained.  Inclusion criteria- All industrial accident cases admitted during the study period. 5
  • 6. Gender Mode of Accident Total (%) Fall (%) Burn (%) Others (%) Male 35 11 10 56 (62.2) Female 18 7 9 34 (37.8 ) Total (%) 53 (58.9) 18 (20) 19 ( 21.1) 90 (100 ) 6
  • 7. Age group (in years) Mode of Accident Total (%) Fall Burn Others 20-30 21 9 4 34 (37.8) 30-40 20 4 8 32 (35.6) 40-50 9 3 5 17 (18.9) 50-60 3 2 2 7 (7.8) Total 53 (58.9) 18 (20) 19 (21.1) 90 (100) 7
  • 8. Type of Injury* Mode of Accident Total (%) Fall Burn Others Superficial injury 6 18 7 31 (20.4) Open wound 8 - 11 19 (12.5) Fracture 47 - 9 56 (36.8) Joint dislocation - - 3 3 (2.0) Nerve injury 2 - 4 6 (4.0) Muscle injury 17 - 9 26 (17.1) Organ injury 1 - 3 4 (2.6) Amputation - - - - Others** - - 7 7 (4.6) Total*** 81 (53.2) 18 (11.8) 53 (34.9) 152 (100) *As per WHO’s Injury Reporting Form (2010) **Others include cases presenting with eye injury, respiratory distress etc. ***Multiple type of injuries were recorded 8
  • 9. 19% 81% Figure 1 Training received Institutional Apprenticeship 9
  • 10. 68% 32% Figure 2 Work experience (in years) <5 >5 10
  • 11. 53% 47% Figure 3 Duration of work (in hours) <8 >8 11
  • 12. 23% 77% Figure 4 Safety measures provided in the factory Yes No 12
  • 13.  Out of 90 cases of industrial accident enrolled in the study, majority (73.3%) were in the 20-40 years age group.  Most of the cases were males (62.2%).  Most of the cases were due to fall (58.8%) followed by other modes of accident (21.1%).  Fracture (36.8%) was the commonest injury sustained.  Majority (81%) of the victims had no institutional training while most (68%) had been working for less than 5 years.  Though duration of work seems to have no impact, maximum cases (53%) were working for more than 8 hours per day.  Safety measures (77%) were not provided in majority of the industries. 13
  • 14.  Young adult males in the economically most productive age group were the commonest victims and most of the injuries were due to fall at workplace.  There is need of creating awareness regarding safety measures amongst industrial workers and strict enforcement of safety rules and precautions by the concerned authorities.  Periodic surveillance of workplace environment by concerned authorities should be conducted to ensure implementation of safety norms in industries and to check the duration of working hours.  Pre-placement training and in-service trainings should be conducted at regular intervals.  There needs to be pre-placement medical examination and periodic health check-ups of industrial workers. 14
  • 15.  Adoga AA, Ozoilo KN: The epidemiology and type of injuries seen at the accident and emergency unit of a Nigerian referral center. Journal of Emergencies, Trauma and Shock, 2014; vol. 7:77-82.  Champion HR: A Revision of the Trauma Score. Journal of Trauma, 1989; vol. 29:623-29.  Gupta AK et al: Epidemiological study of injured patients admitted in medical college hospital Kanpur. Indian Journal of Orthopaedics, 1994; vol. 28(3).  Minj C et al: Compensable work-related injuries in the estates of a tea manufacturing company. Indian Journal of Public Health, 2012; vol. 56:100-1.  Saddichha S, Saxena MK: Medical emergencies in Goa. Indian Journal of Community Medicine, 2010; vol. 35:57-62.  Saha A et al: Occupational injury surveillance: A study in a metal smelting industry. Indian Journal of Occupational and Environmental Medicine, 2007; vol. 11:103-7.  Suryanarayana SP et al: Surveillance of injuries in a tertiary care hospital. Indian Journal of Community Medicine, 2010; vol. 35:191-2.  World Health Organization (2010): Injury surveillance: a tool for decision-making: annual injury surveillance report, Egypt, 2009. 15
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