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道路交通事故:阿萨姆邦一个新出现的公共卫生问题。

Road traffic accident: an emerging public health problem in assam.

作者信息

Bhuyan Pranab Jyoti, Ahmed Faruquddin

机构信息

National Centre for Disease Control, Coonoor branch, Nilgiris, Tamil Nadu, India.

出版信息

Indian J Community Med. 2013 Apr;38(2):100-4. doi: 10.4103/0970-0218.112441.

Abstract

BACKGROUND

In the northern states, there is hardly any scientific study except road traffic accidents (RTAs) statistics obtained by the Ministry of Home whereas the main way of transportation is by road. There is the increasing load of motor vehicles on the already dilapidated roadways which has resulted in the increasing trend of RTAs in Assam.

OBJECTIVES

To find out the prevalence, probable epidemiological factors and morbidity and mortality pattern due to RTAs in Dibrugarh district.

MATERIALS AND METHODS

Descriptive study was carried out in Dibrugarh district from September 1998 to August 1999 under the department of Community Medicine. The information was collected from Assam Medical College and Hospital and cross checked with the police report. A medical investigation including interview, clinical and radiological investigation was carried out; in case of fatality, post-mortem examination was examined in details. An on the spot investigation was carried out in accessible RTAs to collect the probable epidemiological factors.

RESULTS

RTAs affected mainly the people of productive age group which were predominantly male. Majority of the RTAs were single vehicle accidents and half of the victims were passengers. Accident rate was maximum in twilight and winter season demanding high morbidity and mortality. Head and neck, U.limb and L.limb were commonly involved.

CONCLUSION

RTAs is a major public health problem in Assam which needs more scientific study.

摘要

背景

在北部各邦,除了内政部获取的道路交通事故(RTA)统计数据外,几乎没有任何科学研究,而主要的交通方式是公路。在本就破旧不堪的道路上,机动车数量不断增加,这导致阿萨姆邦的道路交通事故呈上升趋势。

目的

了解迪布鲁格尔地区道路交通事故的患病率、可能的流行病学因素以及发病和死亡模式。

材料与方法

1998年9月至1999年8月,在社区医学系的指导下,于迪布鲁格尔地区开展了描述性研究。信息收集自阿萨姆医学院和医院,并与警方报告进行交叉核对。进行了包括访谈、临床和放射学检查在内的医学调查;对于死亡病例,详细进行了尸检。对可及的道路交通事故进行了现场调查,以收集可能的流行病学因素。

结果

道路交通事故主要影响生产年龄组人群,其中男性居多。大多数道路交通事故为单车事故,半数受害者为乘客。事故发生率在黄昏和冬季最高,导致高发病率和高死亡率。头部和颈部、上肢和下肢是常见的受伤部位。

结论

道路交通事故是阿萨姆邦的一个主要公共卫生问题,需要更多的科学研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/842d/3714936/58ac4d6d395c/IJCM-38-100-g001.jpg

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