The Global Burden of Musculoskeletal Injuries: Challenges and Solutions

Symposium: ABJS/C.T. Brighton Workshop on Trauma in the Developing World

Abstract

Musculoskeletal injuries are a major public health problem globally, contributing a large burden of disability and suffering. This burden could be considerably lowered by implementation of affordable and sustainable strategies to strengthen orthopaedic trauma care, especially in low- and middle-income countries. This article summarizes the global burden of musculoskeletal injuries and provides several examples of successful programs that have improved care of injuries in health facilities in low- and middle-income countries. Finally, it discusses WHO efforts to build on the country experiences and to make progress in lowering the burden of musculoskeletal injuries globally.

References

  1. 1.
    Ali J, Adams R, Butler AK, Chang H, Howard M, Gonsalves D, Pitt-Miller P, Stedman M, Winn J, Williams JI. Trauma outcome improves following the advanced trauma life support program in a developing country. J Trauma. 1993;34:890–898.PubMedGoogle Scholar
  2. 2.
    Arreola-Risa C, Mock C, Vega F, Romero Hicks E, Guzman Solana F, Porras G, Montiel G, de Boer M. Evaluating trauma care capabilities in Mexico with the World Health Organization’s Guidelines for Essential Trauma Care. Pan Am J Public Health. 2006;19:94–103.Google Scholar
  3. 3.
    Arreola-Risa C, Mock CN, Lojero L, Cruz O, Garcia C, Canavati F, Jurkovich GJ. Low cost improvements in prehospital trauma care in a Latin American city. J Trauma. 2000;48:119–124.PubMedGoogle Scholar
  4. 4.
    Bach O, Hope M, Chaheka C, Dzimbiri K. Disability can be avoided after open fractures in Africa—results from Malawi. Injury. 2004;35:846–851.PubMedCrossRefGoogle Scholar
  5. 5.
    Chardbunchachai W, Suppachutikul A, Santikarn C. Development of Service System for Injury Patients by Utilizing Data from the Trauma Registry (ISBN: 974-294-569-1). Khon Kaen, Thailand: Office of Research and Textbook Project, Khon Kaen Hospital; 2002.Google Scholar
  6. 6.
    Fort M, Mercer M, Gish O. Sickness and Wealth. Cambridge, MA: South End Press; 2004.Google Scholar
  7. 7.
    Krug EG, Sharma GK, Lozano R. The global burden of injuries. Am J Public Health. 2000;90:523–526.PubMedCrossRefGoogle Scholar
  8. 8.
    Mock C. WHO Update: WHA resolution on trauma and emergency care services. Inj Prev. 2007;13:285–286.PubMedCrossRefGoogle Scholar
  9. 9.
    Mock C, Boland E, Acheampong F, Adjei S. Long-term injury related disability in Ghana. Disabil Rehabil. 2003;25:732–741.PubMedCrossRefGoogle Scholar
  10. 10.
    Mock C, Lormand JD, Goosen J, Joshipura M, Peden M. Guidelines for Essential Trauma Care. Geneva, Switzerland: WHO; 2004.Google Scholar
  11. 11.
    Mock C, Nguyen S, Quansah R, Arreola-Risa C, Viradia R, Joshipura M. Evaluation of trauma care capabilities in four countries using the WHO-IATSIC Guidelines for Essential Trauma Care. World J Surg. 2006;30:946–956.PubMedCrossRefGoogle Scholar
  12. 12.
    Mock C, Quansah R, Krishnan R, Arreola-Risa C, Rivara F. Strengthening the prevention and care of injuries worldwide. Lancet. 2004;363:2172–2179.PubMedCrossRefGoogle Scholar
  13. 13.
    Mock C, Arafat R, Chadbunchachai W, Joshipura M, Goosen J. What World Health Assembly Resolution 60.22 means to those who care for the injured. World J Surg. 2008;32:1636–1642.PubMedCrossRefGoogle Scholar
  14. 14.
    Mock CN, Jurkovich GJ, nii-Amon-Kotei D, Arreola-Risa C, Maier RV. Trauma mortality patterns in three nations at different economic levels: implications for global trauma system development. J Trauma. 1998;44:804–814.PubMedGoogle Scholar
  15. 15.
    Peden M, Scurfield R, Sleet D, Mohan D, Hyder A, Jarawan E, Mathers C. World Report on Road Traffic Injury Prevention. Geneva, Switzerland: World Health Organization; 2004.Google Scholar
  16. 16.
    Quansah R, Mock C, Abantanga F. Status of trauma care in Ghana. Ghana Med J. 2004;38:149–152.Google Scholar
  17. 17.
    Rivara F, Mock C. The 1,000,000 lives campaign. Inj Prev. 2005;11:321–323.PubMedCrossRefGoogle Scholar
  18. 18.
    Sasser S, Varghese M, Kellermann A, Lormand J. Prehospital Trauma Care Systems. Geneva, Switzerland: World Health Organization; 2005.Google Scholar
  19. 19.
    Son NT, Mock C. Improvements in trauma care capabilities in Vietnam through use of the WHO-IATSIC Guidelines for Essential Trauma Care. Int J Inj Contr Saf Promot. 2006;13:125–127.PubMedCrossRefGoogle Scholar
  20. 20.
    Son NT, Thu NH, Tu NT, Mock C. Assessment of the status of resources for essential trauma care in Hanoi and Khanh Hoa, Vietnam. Injury. 2007;38:1014–1022.PubMedCrossRefGoogle Scholar
  21. 21.
    World Health Organization. The Burden of Musculoskeletal Conditions at the Start of the New Millennium, Report of a WHO Scientific Group, WHO Technical Report Series 919. Geneva, Switzerland: WHO; 2003.Google Scholar
  22. 22.
    World Health Organization. Global burden of disease project 2002. Available at: http://www.who.int/healthinfo/bodproject/en/index.html. Accessed July 28, 2008.
  23. 23.
    World Health Organization. Integrated management of emergency and essential surgical care (IMEESC) tool kit. Available at: http://www.who.int/surgery/publications/imeesc/en/index.html. Accessed December 3, 2007.
  24. 24.
    World Health Organization. Surgical Care at the District Hospital. Geneva, Switzerland: WHO; 2003.Google Scholar

Copyright information

© The Association of Bone and Joint Surgeons 2008

Authors and Affiliations

  1. 1.Department of Violence and Injury Prevention and DisabilityWHOGeneva 27Switzerland
  2. 2.Department of Essential Health TechnologiesWHOGenevaSwitzerland

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