Abstract
This article describes the characteristics of injuries of illegal immigrants admitted to a Level I trauma center after being shot at the southern border of Israel. This is a retrospective descriptive study. Some of the variables were compared to a group of soldiers who sustained penetrating injury at the same region where the illegal migrant were injured. The study includes 162 patients. The lower body absorbed a higher percentage of the injuries (61 %). The hospitalization time is longer for the migrant patients compared to the soldiers (13 ± 2 vs. 3 ± 0.3 days p = 0.0001). This study on wounded immigrants shows that a conjoint military and civilian system can result in favourable outcomes. The manuscript is an attempt to bring this unique situation, its type of injuries, and the difficulties of the health system in coping with it, to the notice of all authorities that may address a similar challenge.
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Notes
ISS is computer calculated on the basis of the maximum abbreviated injury score (AIS) in the 3 most severely injured body regions. A score that is ≥16 reflects severe or critical injuries.
The revised probability of survival (RPS) is a calculated percentage that is a prediction of the patient’s chance of surviving the trauma based on the age of the patient, the ISS, and the revised trauma score (RTS); it is automatically derived from our trauma registry software—Israeli Trauma Registry, ITR, version 2.2.2.14.
References
Human rights watch report. Sinai perils. Risks to migrants, refugees, and asylum seekers in Egypt and Israel, 2008. http://www.hrw.org/sites/default/files/reports/egypt1108webwcover.pdf.
U.S. Department of State. Trafficking in persons report, 2006. http://www.state.gov/g/tip/rls/tiprpt/2006/65988.htm.
Press release in the official internet site of Israel Prime Minister’s Office, July 2, 2013. http://www.pmo.gov.il/english/mediacenter/spokesman/pages/spokedecline010713.aspx.
Brower MA, Earle-Richardson GB, May JJ, Jenkins PL. Occupational injury and treatment patterns of migrant and seasonal farmworkers. J Agromedicine. 2009;14:172–8.
Sorenson SB, Shen H. Mortality among young immigrants to California: injury compared to disease deaths. J Immigr Health. 1999;1:41–7.
Sorenson SB, Shen H. Homicide risk among immigrants in California, 1970 through 1992. Am J Public Health. 1996;86:97–100.
Bena A, Giraudo M. Occupational injury risk in immigrant workers in Italy: differences in work characteristics and age. Epidemiol Prev. 2014;38:208–18.
Wheeler K, Zhao W, Kelleher K, Stallones L, Xiang H. Immigrants as crime victims: experiences of personal nonfatal victimization. Am J Ind Med. 2010;53:435–42.
Perlman A, Radomislensky I. The Israel trauma group, Peleg K. injury patterns among Illegal migrants from Africa in Israel. J Immigr Minor Health. 2014;. doi:10.1007/s10903-014-0068-x.
Bowen KA, Marshall WN Jr. Deaths of Mexican and Central American children along the US border: the Pima County Arizona experience. J Immigr Minor Health. 2008;10:17–21.
Hinkes MJ. Migrant deaths along the California-Mexico border: an anthropological perspective. J Forensic Sci. 2008;53:16–20.
Eschbach K, Hagan J, Rodriguez N, Hernandez-leon R, Bailey S. Death at the border. Int Migr Rev. 1999;33:430–54.
Truitt MS, Johnson V, Rivera M, Mangram A, Lorenzo M, Dunn E. Civilian and military trauma: does civilian training prepare surgeons for the battlefield? Am Surg. 2011;77:19–21.
Israel national center for trauma and emergency medicine research, The Gertner institute for epidemiology and health policy research, Ministry of Health. A decade of trauma injuries in Israel 2000–2009. National Report 2011. http://www.gertnerinst.org.il/e/health_policy_e/trauma/313.htm.
Acknowledgments
We thank Tal Shaked for her excellent language editing assistance.
Author’s Contribution
Gad Shaked initiated the study and wrote the manuscript, Avraham Yitzhak took part in the design of the study and in discussing the results, Amir Abramovich participated in writing the manuscript, Gilbert Sebbag helped in designing the study, and critical reviewed the manuscript, Kobi Peleg assisted in data collection, Ehud Davidson attributed to the editing of the manuscript, David Czeiger did the statistical analysis.
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Shaked, G., Yitzhak, A., Abramovich, A. et al. Military Weapon Injury Among Illegal Immigrants at the Southern Border of Israel: A Single Level I Trauma Center Series. J Immigrant Minority Health 19, 1420–1426 (2017). https://doi.org/10.1007/s10903-016-0447-6
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DOI: https://doi.org/10.1007/s10903-016-0447-6