Young Lester, Orosco Rowena, Milner Stephen
Johns Hopkins Burn Center, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Eplasty. 2009 Dec 16;10:e3.
Within days of each other, 2 catastrophic fires occurred in Kenya. On January 28, 2009, a busy supermarket was destroyed in downtown Nairobi. Shortly thereafter on February 2, an overturned petrol tanker exploded near the village of Molo, 200 km from the capital. These 2 disasters, in an urban and a rural setting, respectively, illustrate the lack of disaster readiness on a local and national level.
A call for assistance was responded to by the James Jordan Foundation, which sponsored a team from the United States to provide consultation and patient care. Subsequent to this team's experiences, a review of medical records at the Kenyatta National Hospital, interactions with government health officials, and investigation of public media resources, the following observations are reported.
Twenty-six victims died in the supermarket fire, and 20 who were admitted to local hospitals later succumbed. At Molo, 91 lives were claimed at the scene; 178 patients were admitted to various hospitals, 40 of whom died.
The fires brought to light factors contributing to these events and their outcomes. In addition, it produced improvised solutions for resuscitation of mass casualties and the performance of emergency surgery with inadequate equipment and facilities.
在几天之内，肯尼亚发生了两起灾难性火灾。2009年1月28日，内罗毕市中心一家繁忙的超市被摧毁。此后不久，2月2日，一辆翻倒的油罐车在距首都200公里的莫洛村附近爆炸。这两起灾难分别发生在城市和农村地区，说明了地方和国家层面在灾难准备方面的不足。
詹姆斯·乔丹基金会响应了援助呼吁，该基金会赞助了一个来自美国的团队提供咨询和患者护理。在该团队的经历之后，通过对肯雅塔国家医院的病历进行审查、与政府卫生官员的互动以及对公共媒体资源的调查，报告了以下观察结果。
超市火灾中有26名受害者死亡，20名被送往当地医院的患者后来也死亡。在莫洛，现场有91人死亡；178名患者被送往各家医院，其中40人死亡。
火灾揭示了导致这些事件及其后果的因素。此外，它还针对在设备和设施不足的情况下对大量伤亡人员进行复苏和进行急诊手术提出了临时解决方案。
