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.
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References
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.
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.
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.
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.
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.
Fort M, Mercer M, Gish O. Sickness and Wealth. Cambridge, MA: South End Press; 2004.
Krug EG, Sharma GK, Lozano R. The global burden of injuries. Am J Public Health. 2000;90:523–526.
Mock C. WHO Update: WHA resolution on trauma and emergency care services. Inj Prev. 2007;13:285–286.
Mock C, Boland E, Acheampong F, Adjei S. Long-term injury related disability in Ghana. Disabil Rehabil. 2003;25:732–741.
Mock C, Lormand JD, Goosen J, Joshipura M, Peden M. Guidelines for Essential Trauma Care. Geneva, Switzerland: WHO; 2004.
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.
Mock C, Quansah R, Krishnan R, Arreola-Risa C, Rivara F. Strengthening the prevention and care of injuries worldwide. Lancet. 2004;363:2172–2179.
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.
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.
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.
Quansah R, Mock C, Abantanga F. Status of trauma care in Ghana. Ghana Med J. 2004;38:149–152.
Rivara F, Mock C. The 1,000,000 lives campaign. Inj Prev. 2005;11:321–323.
Sasser S, Varghese M, Kellermann A, Lormand J. Prehospital Trauma Care Systems. Geneva, Switzerland: World Health Organization; 2005.
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.
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.
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.
World Health Organization. Global burden of disease project 2002. Available at: http://www.who.int/healthinfo/bodproject/en/index.html. Accessed July 28, 2008.
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.
World Health Organization. Surgical Care at the District Hospital. Geneva, Switzerland: WHO; 2003.
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The author certifies that he has no commercial associations (e.g., consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article.
Presented in part at the ABJS/Carl T. Brighton Workshop on Musculoskeletal Trauma in Low and Middle Income Countries, Ahmedabad, India, December 11–14, 2007.
Disclaimer: The authors are staff members of the World Health Organization. The authors alone are responsible for the views expressed in this publication and they do not necessarily represent the decisions or policies of the World Health Organization.
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Mock, C., Cherian, M.N. The Global Burden of Musculoskeletal Injuries: Challenges and Solutions. Clin Orthop Relat Res 466, 2306–2316 (2008). https://doi.org/10.1007/s11999-008-0416-z
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DOI: https://doi.org/10.1007/s11999-008-0416-z