MMWR Morb Mortal Wkly Rep. 2003 Sep 12;52(36):859-62.
Landmines and unexploded ordnance (UXO) pose a substantial public health risk. Approximately 60-70 million landmines are scattered in approximately 70 countries, and an estimated 24,000 persons, mostly civilians, are killed or injured annually by landmines and UXO. In Afghanistan, approximately 5-7 million landmines are scattered throughout the country. During 2000-2001, Afghanistan had the highest number of reported landmine and UXO casualties in the world. This report presents analyses of surveillance data on landmine- and UXO-related injuries in Afghanistan during January 1997-September 2002, which indicate that the proportion of victims injured by UXO increased during this time, compared with the proportion injured by landmines. The majority (61%) of adult victims were injured by landmines, and the majority (66%) of children and adolescents were injured by UXO. Mine-risk education programs should focus on UXO hazards for children and on landmine hazards for adults and should address age-specific risk behaviors.
地雷和未爆炸弹药对公众健康构成重大风险。约有6000万至7000万枚地雷散布在约70个国家,据估计,每年有2.4万人(大多数为平民)因地雷和未爆炸弹药而伤亡。在阿富汗,全国散布着约500万至700万枚地雷。在2000年至2001年期间,阿富汗上报的地雷和未爆炸弹药伤亡人数位居世界之首。本报告对1997年1月至2002年9月期间阿富汗与地雷和未爆炸弹药相关伤害的监测数据进行了分析,结果表明,在此期间,未爆炸弹药致伤受害者的比例相较于地雷致伤比例有所上升。大多数成年受害者(61%)是因地雷受伤,而大多数儿童和青少年受害者(66%)是因未爆炸弹药受伤。地雷风险教育项目应关注未爆炸弹药对儿童的危害以及地雷对成年人的危害,并应针对不同年龄段的风险行为开展教育。