scholarly journals Community Causes of Death in the Central Region of Ghana, the Missing Piece in Mortality Data

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Patrick Kafui Akakpo ◽  
Emmanuel Gustav Imbeah ◽  
Francis Agyarko-Wiredu ◽  
Kennedy Awlavi ◽  
Kwame Baah-Amoh ◽  
...  

Objective. Mortality data from hospitals in Ghana suggest a changing mortality trend with noncommunicable diseases (cardiovascular disorders) replacing communicable diseases as the leading cause of death. Our objective was to find out the causes of deaths in the communities of the Central Region of Ghana and raise awareness of these causes of deaths while highlighting the differences that exist between data obtained from the community and that obtained from the hospital. Method. Mortality data from Coroner’s autopsies mostly provide data about the causes of deaths in the community (out of hospital). A retrospective descriptive study of Coroner’s autopsy data at the Cape Coast Teaching Hospital was carried out over a six-year period. The various causes of death were categorized according to broad headings (accidents/injuries/poisoning, cardiovascular, infections, metabolic, neoplasms, and others). Results. A total of 1187 autopsies were reviewed of which 990 (83.4%) were Coroner’s cases. Of these Coroner’s cases, 719 (72.6%) were male and 271 (27.4%) were female. 521 (52.6%) of victims were young adults (18–44 years), and majority of deaths were unnatural (due to accidents, injuries, and poisoning) (64.1%), followed by the general category of others (15.3%). Cardiovascular deaths (6.6%) were fourth after infections (9.8%). In the leading category, most deaths were due to road traffic accidents (50.4%) as occupants of vehicles and motorcycles (28.7%) and as pedestrians (21.7%). Deaths due to road traffic accidents were followed by deaths due to drowning (14.96%). Conclusion. Although noncommunicable diseases are still the leading causes of death outside the hospital, most of the deaths are due to road traffic accidents and drowning. This is at variance with hospital data that suggest that the leading noncommunicable diseases are cardiovascular disorders and cancer. Again, like data derived from hospitals, infections remain a major cause of death in the Central Region of Ghana. Studies combining the causes of death derived from Coroner’s autopsies and communities and from medical certificates of cause of death will present a better picture of the leading causes of death in the Central Region and reveal the true nature of noncommunicable diseases that currently form our largest disease burden.

2020 ◽  
Vol 23 (3) ◽  
pp. 338-347
Author(s):  
Mohammad Jamalian ◽  
◽  
Mohsen Eslamdost ◽  
Ali Rezaee ◽  
Shabanali Alizadeh ◽  
...  

Background and Aim: The deaths caused by traffic accidents are one of the three leading causes of death in Iran. Considering that all deaths from traffic accidents in the forensic organization are undergoing autopsy and also in the treatment centers under oral autopsies, the cause of death is determined, we determined that the cause of reported death from oral autopsy and medical autopsy Compare the law. Methods & Materials: In this descriptive study, patients who were admitted to the forensic medical center during the year 1395 admitted to the Vali-e-Asr Hospital in Arak, were referred. The causes of death in Vali-asr Hospital were evaluated and compared with the outcome of the forensic oral hearing.  Ethical Considerations: This study ethcally approved by the ethics committee of the Arak University of Medical Sciences (Code: IR.ARAKMU.REC.1395.226). Results: In this study, 109 patients (1.33%) died from a total of 8153 patients with traffic accidents referred to Valiasr hospital in Arak. Of these, 68.8% were male and 31.2% were women. The Mean±SD age of the patients died was 44.03±22.43 years. Also, 59.6% of the dead died during the first 24 hours of the accident. The most common cause of death, according to the results of oral autopsy, was “multiple injuries,” accounting for 49.5% of the patients in 45 patients. Conclusion: Abundance of deaths among patients with road traffic accidents and they referred to Valiasr hospital, which was 1.33%. According to the existing standards and considering that the mortality rate in this center is less than 1.5%. It seems that the level of service delivery in this center is favorable.


2020 ◽  
Vol 8 (12) ◽  
pp. 906-911
Author(s):  
Manal Abdulaziz Murad ◽  
◽  
Fajrabdulhadialnaami a ◽  
Ghayda Ghazi Alqurashi ◽  
Abdulrahman Ghazi Alqurashi ◽  
...  

Introduction:The main objective of the current study was to analyse the causes of death in different ages, genders, and regions in the kingdom of Saudi Arabia. Also, the research aims to identify the prevalence of important risk factors in deceased people. Additionally, it aims to determine the condition of death for the sample. Methods:This is an analytical cross-sectional study which was carried out through a survey of 10 questionnaires conducted on relatives of people who passed away in the last five years, in the Kingdom of Saudi Arabia. The study was conducted from June 29th. 2020 to September 30th. 2020. The sample was randomly selected, through the computer. Results:The authors got responses from 1100 people who fit with the inclusion criteria. The mean age was 64 years. The five leading causes of death were cardiovascular disorders (20%), stroke (10%), cancer (10%), pneumonia (10%), and road traffic accidents (10%). 30% of deceased people had diabetes mellitus, and 40% had obesity. 61.5% of the sample passed away in hospitals. (P-value 0.05). Only 5.5% of people had their relatives known to palliative service. Interpretation and Conclusions:The current research provided an analysis of the causes of death in the Kingdom of Saudi Arabia from 2015 to 2020. The leading causes of death were cardiovascular disorders, stroke, cancer, pneumonia, and road traffic accidents. The prevalence of diabetes mellitus and obesity were high among deceased people.


2020 ◽  
Vol 15 (2) ◽  
pp. 213-217
Author(s):  
Md Moshiur Rahman ◽  
Farzana Zafreen ◽  
Abu Noman Mohammed Mosleh Uddin

Introduction: Road traffic accidents (RTA) are the eighth leading cause of death globally, and the leading cause of death in Bangladesh. The road safety situation in Bangladesh has been deteriorating with increasing number of road accident deaths, largely as direct consequences of rapid growth in population, motorization, urbanization and lack of investment in road safety. Objectives: To describe the injury characteristics of road traffic accidents cases that reported at Combined Military Hospital (CMH), Dhaka. Materials and Methods: This descriptive cross-sectional hospital based study was conducted on all the RTA cases reported to medical inspection room CMH, Dhaka from 01 March to 30 June 2010. A total of 126 RTA victims irrespective of age and sex were included, data were collected by face to face interview using a pre-tested questionnaire. Results: A total of 126 road traffic accident victims both sexes were studied. The majority of the study subjects were men 103 (81.7%) and most of them were in 31-40 years group (27%), Muslims (98.41%) were the majority. In our study regarding educational qualification of RTA victims most of them were SSC qualified (44’4%) and primary level (15.1%). Military services holder (45.2%) was the majority of road traffic crash victims. Bus/Minibus (32.5%) was responsible for the majority of road traffic crashes and motor vehicle passengers (42.9%) were main victims. Laceration & cut injury were (38.1%) and multiple injury (18.3%) were the most common injury. Main roads (49.2%) were the commonest site of the accidents.  Regarding place of occurrence main roads 62 (49.2%) was the most common site and noon 41 (32.5%) was the most common time of occurrence of accidents. Conclusion: Road traffic crashes constitute a major public health problem in our setting and contribute significantly to unacceptably high morbidity and mortality. Urgent preventive measures targeting at reducing the occurrence of road traffic crashes is necessary to reduce the morbidity and mortality resulting from these injuries. Early recognition and prompt treatment of road traffic injuries is essential for optimal patient outcome. JAFMC Bangladesh. Vol 15, No 2 (December) 2019: 213-217


2021 ◽  
Author(s):  
Monkgogi Mudongo ◽  
Edwin Thuma ◽  
Nkwebi Peace Motlogelwa ◽  
Tebo Leburu-Dingalo ◽  
Pulafela Majoo

Road traffic accidents are a serious problem for the nation of Botswana. A large amount of money is used to compensate those who are affected by road accidents. Traffic accidents are one of the major causes of Deaths in Botswana. It is important for relevant organizations to have a reliable source of data for accurate evaluation of traffic accidents. Similarly, data on vehicle registration must be transformed and be readily available to assist managerial decision makers. In this article, we deploy a Business Intelligence (BI) and Data Warehouse (DW) solution in an attempt to assist the relevant departments in their road traffic accidents and vehicle registration evaluation. In Our evaluation of the traffic accidents our findings suggest that across accident severity, Damage Only accidents had the most interesting recent trend with a 11.93% decrease in the last 3 years on record. Count of Accident Severity for Damage Only accidents dropped from 13,491 to 11,881 between 2018 and 2020 whilst Minor accidents experienced the longest period of growth. Most accidents take place in rural locations and more accidents take place during the weekend. At 28,439, Sunday had the highest number of accidents and was 47.59% higher than Wednesday, which had the lowest count of accidents at 19,269. The results for vehicle registration reveal that the number of vehicle registration decreased for the last 3 years on record. The number of vehicles registered dropped from 65535 to 24457 during its steepest decline between 2019 and 2021.


2021 ◽  
Vol 4 (2) ◽  
Author(s):  
Saabea Owusu Konadu ◽  
Dominic Konadu-Yeboah ◽  
Gilda Opoku ◽  
Obed Nyarko Ofori

Worldwide the third leading cause of death among persons under 40 years is attributed to trauma(1). In Ghana road traffic accidents have a case fatality rate of about 17%(3). Over the years with interventions and policies by AO Alliance the burden and morbidity following trauma especially road traffic accidents have reduced; with a destination in sight where a broken bone is no longer a burden to carry.


Author(s):  
Manzoor Ahmad Bhat ◽  
Qazi Mohammad Iqbal

Background: Road traffic accidents (RTAs) have emerged as a major global public health problem of this century. WHO global burden of disease study, shows it as the 10th leading cause of death in South-East Asia. In India, according to WHO, road traffic accident is the 6th leading cause of death. The present study aims to assess the magnitude and injury pattern of RTA victims attending three major referral institution of the Kashmir valley.Methods: This prospective observational study was conducted for a period of one year in three major referral institutions of Kashmir valley. Burden of RTA victims was studied from hospital records. For studying detailed injury patterns, the accident victims fulfilling the inclusion criteria and admitted in the wards of these hospitals formed the main study group.Results: RTAs constituted 3% of the total admissions. Most (82.7%) of the studied victims were males. Most (40.3%) of the RTA victims were pedestrians. Head on collision was the most common type of accident (62.9%). 97.6% victims were grievously hurt and head (59.9%) was the most affected part of the body. 88.3% of RTA victims survived while 11.7% died.Conclusions: Young males are the predominant victims of RTAs and head on collision (63%) remains the commonest type of accident. Almost all (97.6%) RTA victims were grievously hurt with 60% having head injuries followed by lower limbs 59.4% and upper limbs 26.8% injuries and 47% victims had multiple injuries.


2016 ◽  
Vol 157 (52) ◽  
pp. 2082-2087
Author(s):  
Csaba Turzó ◽  
Péter Juhász ◽  
Zoltán Papp ◽  
Zoltán Szöllősi

Abstract: Introduction and aim: The practices of autopsies and waivers in three Hungarian counties subject to the same statutory framework in a 5-year interval have been examined, with special attention to cases of non-natural death. Method: The summary data included in the post mortem examination certificates, for the years between 2006 and 2010, in a breakdown according to counties, covering all cases of death were analysed. The work was assisted by a Java-based software programme. Results: In terms of the waiving of autopsies, a comparison of the three counties revealed significant differences. The persons who issue waivers from the performance of autopsies also vary across the counties. In case of deaths caused by accidents, no autopsy was performed in 844 cases. Similar situation was found in case of various identified and non-identified injuries, which were entered as the direct cause of death in 28 cases, as well as road traffic accidents entered in 32 cases and the unidentified consequences of road traffic accidents, which we found in 26 cases. No autopsy was performed in 25 cases of deaths assumed to be suicides and in one homicide. Conclusions: The Hungarian laws follow the recommendation of the Committee of Ministers to Member States of the Council of Europe, and provide that in all cases where the death is due to non-natural causes or the possibility of non-natural causes is raised, an autopsy should be performed. In this given legal context it is unclear how autopsies in the cases of death due to homicides, suicides and accidents as detailed above could possibly be dispensed with. The purpose of this paper was to provide a baseline study on the current practice of certification. The findings could be used in the course of governmental reviews for the purpose of drawing up recommendations. Orv. Hetil., 2016, 157(52), 2082–2087.


Author(s):  
Pragati B. Gaikwad ◽  
Kanchan P. Khandare ◽  
Amitabha Dan ◽  
Mohammed Jalaluddeen ◽  
Achhelal R. Pasi ◽  
...  

Background: According to Ministry of External Affairs (MEA) – India, in 2015 a total of 8315 people of Indian origin died abroad and more than 65% were from United Arab Emirates (UAE) and Saudi Arabia. Present study was conducted to study the demographic profile and cause of death in case of persons died abroad.Methods: Present descriptive study was conducted in APHO, Mumbai and it was a secondary data analysis. All records during 1st January 2016 to 31st December 2016, available in the office of APHO Mumbai related to clearance of dead body were reviewed. Data analysis was done in line with objectives by using Microsoft Excel. Qualitative data was presented by using number and percentages while quantitative data was presented by using mean and standard deviation.Results: During the reporting period 534 dead bodies arrived at CSMI Airport. Average age of the person died abroad was 48.4 years and more than 85% were males. In more than 65% of cases the reported cause of death was heart related including cardiac arrest and road traffic accidents. More than 50% of dead bodies were from gulf countries.Conclusions: Death was reported in a significant number of Indians travelling abroad and most of them were relatively young. Heart diseases including cardiac arrest and road traffic accidents were the commonest reported cause of death. A targeted health communication strategies for modification of life style and behavior change is recommended for persons travelling abroad. 


2021 ◽  
Vol 19 (1) ◽  
pp. 87-90
Author(s):  
Sudhan Poudel ◽  
Sudarshan Dhungana ◽  
Raksha Dahal

Background: Road traffic accidents is growing continuously as a global burden and would be a leading cause of death in developing countries. The global burden of road traffic accidents continues to grow and promises to overtake tropical diseases as leading causes of death in the developing world. This study aimed to study the pattern and causes of road traffic accidents in Morang district.Methods: Record based descriptive cross-sectional study was used by reviewing all registered RTA cases of the District Traffic Police Office, Morang during fiscal year 2074/75 (Shrawan 2074 to Ashad 2075). 501 road traffic accident cases were found in the record and used for the study. The data was analysed using SPSS v 16 and presented in normal frequency tables and crosstables.Results: Out of 501 accidents 32.2% occurred Friday and Saturday. In the evening time, most of the accidents occurred. In highways, 53.5% of accident cases occurred. 82% of the accidents occurred in blacktop road. Two-wheelers are mostly involved in accident cases (77%). Negligence (55.7%) and over-speed (36.5%) were the major reasons for accidents. In 33% of cases, accidents occurred involving pedestrians and cyclists. 80% of the drivers are below 40 years; similarly 80% of the victims are also below 40 years. Among victims who died 84.1% were male and among injured 73.3% were males.Conclusions: Weekends, evening, highways and two wheelers are more accident prone time, place and vehicles respectively. Overspeed and negligence of driver tends to major cause of accidents and majority of victims are the young bike riders and pedestrians. Keywords: Burden; causes; road traffic accidents; pattern


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