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Dr. Sunil Keswani
National Burns Centre
Airoli, Navi mumbai
Burns are a global, but solvable
Health crisis
ď‚— Primary prevention involves prevention of a condition

before its onset.
ď‚— Primary prevention helps avoid suffering, cost and
burden associated with the disease.
ď‚— It is typically the best and most cost effective type of
health care.
Magnitude of Problem
ď‚— India records 70 lakh burn injury cases annually
ď‚— Of which 1.4 lakh people die every year.
ď‚— Around 70% of all burn injuries occur in the most

productive age group (15-35 yrs).
ď‚— Around four out of five burnt cases are women and
children.
ď‚— As many as 80% of cases admitted are a result of
accidents at kitchen-related accidents.
ď‚— Source: Union Ministry of Health (Govt. of India)
ď‚— Reported by Times of India
Burns treatment is very expensive
and a life changing trauma.
ď‚— Majority of burns patients are from lower socio

economic strata of society, hence it makes the
treatment even more difficult.
ď‚— The post burn life of burns survivor is never the samesocially, economically, mentally and physically.
SO in such case BURNS PREVENTION IS THE ONLY
WAY OUT TO REDUCE THE BURNS INCIDENCE IN
INDIA
The Risk factors
Factors

Pre-Event
Event
Post –
Event

Human Agent
Factors or
Vehicle

Physical
Socio-cultural
Environment Environment
Agent“Chulha”

“Kerosine stove”
Physical environment - Slums
Physical environment-Overcrowded
Places
Physical environmentOvercrowded Places
Physical environmentUnsafe electrical wiring
Socioeconomic environmentPoverty
Problems in India
ď‚— National Preventive programme for Burns !!!
ď‚— Data !!!
ď‚— Lack of funding.
The Haddon Matrix
Factors

Human
Factors

Agent or
Vehicle

Pre-Event

EDUCATI
ON

Physical
Environme
nt

Socio-cultural
Environment

FLOOR
COOKING

Event
Post –Event

EDUCATION, ENGINEERING, ENFORCEMENT(LEGISLATION)
BURNS PREVENTION PROGRAM
Knowledge

Team
Building
Reaching out
to community

• Based on years of experience
• Based on research data

• Efficient and dedicated people
• Doctors, medical social workers , Program
Coordinators
• Awareness programs, Distribution of
awareness materials
• Feed back to improve the program.
Schools

Local
Community

Public
places

BURNS
PREVENTION AT
DIFFERENT LEVELS

Colleges

NGOs
BURNS PREVENTION PROGRAM

School Level

College level

School Level

Community level

NGO level

Medical Students level
Burns Prevention program at Industry level

LECTURE WAS ORGANIZED FOR THE ENGINEERS, MEDICAL OFFICERS & WORKERS OF
HINDUSTAN PETROLEUM CORP. LTD
Areas of Burns Prevention:
ď‚—
ď‚—
ď‚—
ď‚—
ď‚—
ď‚—
ď‚—
ď‚—
ď‚—
ď‚—

Kitchen Burn Safety
Bathroom Burn Safety
Electrical Burn Safety
Chemical Burn safety
Firecracker burn safety
Vehicular Burn safety
Lightening burn safety
Infant Burn safety
Dos’ and Don'ts’ In case of Fire
Dos’ and Don'ts’ In case of Burn
80% burns accidents in women and Children happen in Kitchen
Control temperature of hot water

No table cloths below hot liquids

Temperature check of microwave heated fluids/food

Wear Slippers, Respect Electricity
Don’t light crackers in Hand

Never open a hot radiator cap

Don’t rub eyes after chemical injury

Stay away from trees and water during lightening
In case of Burns, Don’t run; Lie and roll

Remove constricting materials after burns

Don’t use lift in case of fire

Pour water over burns
Challenge..
• No National Burns Prevention Program

Funding

• Lack of Dedicated Human Resource for Awareness
Manpower

• Many problems in Reaching out to Community
Communication
Solution:
ď‚— Each School to teach its students about burns

Prevention.
ď‚— Incorporation of Burns Prevention program into
school curriculum.
ď‚— Individual NGO to target the locality.
ď‚— Use of Social Network site life Facebook, Twitter.
Thank you

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Burns prevention program in Mumbai by Dr. Sunil Keswani, National Burns Centre, Airoli

  • 1. Dr. Sunil Keswani National Burns Centre Airoli, Navi mumbai
  • 2. Burns are a global, but solvable Health crisis ď‚— Primary prevention involves prevention of a condition before its onset. ď‚— Primary prevention helps avoid suffering, cost and burden associated with the disease. ď‚— It is typically the best and most cost effective type of health care.
  • 3. Magnitude of Problem ď‚— India records 70 lakh burn injury cases annually ď‚— Of which 1.4 lakh people die every year. ď‚— Around 70% of all burn injuries occur in the most productive age group (15-35 yrs). ď‚— Around four out of five burnt cases are women and children. ď‚— As many as 80% of cases admitted are a result of accidents at kitchen-related accidents. ď‚— Source: Union Ministry of Health (Govt. of India) ď‚— Reported by Times of India
  • 4. Burns treatment is very expensive and a life changing trauma. ď‚— Majority of burns patients are from lower socio economic strata of society, hence it makes the treatment even more difficult. ď‚— The post burn life of burns survivor is never the samesocially, economically, mentally and physically. SO in such case BURNS PREVENTION IS THE ONLY WAY OUT TO REDUCE THE BURNS INCIDENCE IN INDIA
  • 5. The Risk factors Factors Pre-Event Event Post – Event Human Agent Factors or Vehicle Physical Socio-cultural Environment Environment
  • 12. Problems in India ď‚— National Preventive programme for Burns !!! ď‚— Data !!! ď‚— Lack of funding.
  • 13. The Haddon Matrix Factors Human Factors Agent or Vehicle Pre-Event EDUCATI ON Physical Environme nt Socio-cultural Environment FLOOR COOKING Event Post –Event EDUCATION, ENGINEERING, ENFORCEMENT(LEGISLATION)
  • 14. BURNS PREVENTION PROGRAM Knowledge Team Building Reaching out to community • Based on years of experience • Based on research data • Efficient and dedicated people • Doctors, medical social workers , Program Coordinators • Awareness programs, Distribution of awareness materials • Feed back to improve the program.
  • 16. BURNS PREVENTION PROGRAM School Level College level School Level Community level NGO level Medical Students level
  • 17. Burns Prevention program at Industry level LECTURE WAS ORGANIZED FOR THE ENGINEERS, MEDICAL OFFICERS & WORKERS OF HINDUSTAN PETROLEUM CORP. LTD
  • 18. Areas of Burns Prevention: ď‚— ď‚— ď‚— ď‚— ď‚— ď‚— ď‚— ď‚— ď‚— ď‚— Kitchen Burn Safety Bathroom Burn Safety Electrical Burn Safety Chemical Burn safety Firecracker burn safety Vehicular Burn safety Lightening burn safety Infant Burn safety Dos’ and Don'ts’ In case of Fire Dos’ and Don'ts’ In case of Burn
  • 19. 80% burns accidents in women and Children happen in Kitchen
  • 20. Control temperature of hot water No table cloths below hot liquids Temperature check of microwave heated fluids/food Wear Slippers, Respect Electricity
  • 21. Don’t light crackers in Hand Never open a hot radiator cap Don’t rub eyes after chemical injury Stay away from trees and water during lightening
  • 22. In case of Burns, Don’t run; Lie and roll Remove constricting materials after burns Don’t use lift in case of fire Pour water over burns
  • 23. Challenge.. • No National Burns Prevention Program Funding • Lack of Dedicated Human Resource for Awareness Manpower • Many problems in Reaching out to Community Communication
  • 24. Solution: ď‚— Each School to teach its students about burns Prevention. ď‚— Incorporation of Burns Prevention program into school curriculum. ď‚— Individual NGO to target the locality. ď‚— Use of Social Network site life Facebook, Twitter.