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2016 ; 74
(ä): 14
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The dangers to children from coconut tree trauma, in KiraKira, Solomon Islands: a
retrospective clinical audit
#MMPMID27073618
Rehan R
; Jones PD
; Abdeen H
; Rowas H
; Dhaliwal J
Arch Public Health
2016[]; 74
(ä): 14
PMID27073618
show ga
BACKGROUND: Kirakira is small community of 3,000 people and is the capital of
Makira-Ulawa province in Solomon Islands. Kirakira is an impoverished community
with a small 30 bed hospital with limited resources. This audit was conducted by
final year students from Bond University as part of a selective clinical
placement. METHODS: The audit included admissions to the hospital from 2011 to
2014. Trauma-related admissions were identified and classified according to the
patient's age, sex, description of injury, mechanism of injury and whether they
were transferred to the National Referral Hospital (NRH) in Honiara for further
treatment. Injuries due to Coconut tree trauma were classified as being due to
falls from the tree, or trauma from either falling branches or falling coconut
fruit. RESULTS: There were 3455 admissions and 23(0.7 %) non-neonatal deaths over
the 3 year period. 126(3.6 %) admissions were referred on to the NRH for further
treatment. 277 (8.02 %) admissions were trauma-related with 57(21 %) of these
referred on to the NRH. 142 (55 %) of the trauma admissions involved children.
Coconut Tree trauma was the commonest cause of a traumatic admission to hospital.
There were 49 Coconut Tree trauma admissions including 35 from falls, 12 from
falling branches and two from falling coconuts. 80 % of Coconut tree trauma
involved Males and the median age of those injured was 13. Primary School age
children aged 6-14 years were most at risk for Coconut Tree Trauma. 15(31 %) of
the Coconut tree trauma admissions were referred to NRH for further treatment.
CONCLUSIONS: Coconut Tree Trauma is common in Kirakira and is an important
preventable cause of serious injury that particularly affects primary school aged
boys in Kirakira, Solomon Islands. A public education campaign that focuses on
this at risk age group warning of the dangers of climbing Coconut trees should be
considered.