Watts Hugh G
University of California, Los Angeles (UCLA), Shriners Hospitals for Children, Los Angeles Unit, Los Angeles, CA, USA.
J Pediatr Rehabil Med. 2009;2(3):217-27. doi: 10.3233/PRM-2009-0083.
Land mines are particularly a problem for children. The deaths and loss of body parts have been publicized, but the secondary effects - the loss or maiming of parents, the loss of physical and social space the loss of access to education, and the loss of cultivatable land with the resultant malnutrition and sickness, are less frequently considered. "Explosive Remnants of War" (ERW) is becoming the generic term to refer to land mines, unexploded ordnance, improvised explosive devices and cluster bombs. The United Nations estimates that there are currently as many as 100 million unexploded landmines with an equal number stockpiled around the world waiting to be planted. Mines are designed to be difficult to locate and their clearance is costly. Children in at least 80 countries are at risk due to ERW. The type of mine, the proximity of the child to the explosion, and location of the mine in relation to the child's body are the important determinants of the nature and severity of the injury. Children are especially susceptible to picking up explosive remnants thinking they are toys. The result is commonly loss of the hands, facial injuries, blindness and deafness. Rehabilitation for these children is extremely difficult due to remoteness and the limited resources available.
地雷对儿童来说尤其成问题。死亡和肢体残缺的情况已被广泛报道,但其次生影响——父母的伤亡或致残、身体和社会空间的丧失、受教育机会的丧失以及可耕地的丧失,进而导致营养不良和疾病,却较少被考虑。“战争遗留爆炸物”正成为指代地雷、未爆弹药、简易爆炸装置和集束炸弹的通用术语。联合国估计,目前全球有多达1亿枚未爆炸地雷,还有同样数量的地雷储存着等待被埋设。地雷设计得难以定位,清除它们成本高昂。至少80个国家的儿童因战争遗留爆炸物面临风险。地雷的类型、儿童与爆炸的距离以及地雷相对于儿童身体的位置,是伤害性质和严重程度的重要决定因素。儿童特别容易捡起爆炸物残骸,以为它们是玩具。结果通常是手部丧失、面部受伤、失明和失聪。由于地处偏远且可用资源有限,这些儿童的康复极其困难。