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Johns Hopkins International Injury Research Unit

A World Health Organization Collaborating Center for Injuries, Violence and Accident Prevention

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Keyword: injury

Recently, the Johns Hopkins International Injury Research Unit (JH-IIRU) was awarded a D43 grant on trauma and injury research training in Afghanistan and Pakistan from the Fogarty International Center of the National Institutes of Health (NIH). The grant will build on previous Johns Hopkins-Pakistan International Collaborative Trauma and Injury Research Training (JHU-Pak-ICTIRT) programs running since 2005. The purpose of these previous grants was to develop trauma and injury research capacity at Aga Khan University (AKU) and then Khyber Medical University (KMU) in Pakistan through a combination of strategies. The focus was on injury research training through long-term (master’s) and short-term (workshops) training at AKU.  

The Johns Hopkins-Afghanistan-Pakistan International Collaborative Trauma and Injury Research Training Program (JHU-AfPak ICTIRT) will be based on a partnership of institutions – JHU, AKU, and Aga Khan University Programs in Afghanistan (AKU-PA) – each with a great commitment to trauma and injury research.

The five-year grant is led by three principal investigators – Professors Adnan Hyder (director JH-IIRU), and Junaid Razzak (emergency medicine at Johns Hopkins School of Medicine and senior technical advisor of JH-IIRU) from USA and Dr. Nadeem Ullah Khan (Associate Professor Emergency Medicine at AKU). Dr. Parvez Nayani (director of Academic Projects Afghanistan at AKU) will serve as the senior foreign investigator.

The grant will focus on using US expertise to further strengthen Pakistani institutions for doctoral training, enhance injury research capacity in Afghanistan, promote a sustainable research enterprise in western Asia, and enable regional dissemination of research evidence to influence policy and investments in Afghanistan and Pakistan.

The main objectives of the Johns Hopkins-Afghanistan-Pakistan International Collaborative Trauma and Injury Research Training Program (JHU-AfPak ICTIRT) include: the development of a core group of researchers focused on trauma and injuries for Afghanistan; to help develop doctoral training programs in injury research; and to promote research around key regional priorities for trauma and injuries.

For more information, please click here.

JH-IIRU Director meets with Dean of AKU
JH-IIRU director, Dr. Adnan Hyder, meets with Dean Abbas at AKU

On September 28-30, 2016, JH-IIRU director, Dr. Adnan Hyder, traveled to Kigali, Rwanda to attend the second Lancet NCDI Poverty meeting. The meeting was attended by 14 global Commissioners either in-person or by teleconference and featured representation from 11 countries including Haiti, Nepal, Rwanda, Kenya, Tanzania and more.

The purpose of the meeting was to review and discuss the goals, progress, timeline and deliverables of the global Commission.

Honorable Minister Patrick Ndimubanzi opened the meeting, followed by Commission Co-Chair, Dr. Gene Bukhman who discussed progress and the upcoming timeline for the report. Shortly after, Dr. Adnan Hyder shared updates from the injury burden and intervention work being done at the Johns Hopkins International Injury Research Unit.  

On the second day of the meeting, the Commission visited several sites including the Butaro Hospital and Cancer Center of Excellence, the University Teaching Hospital of Kigali (CHUK), the Rwanda Biomedical Center (RBC) and Kibungo Hospital. Commissioners also interviewed with leaders of innovative NCDI policies and programs at the national, district and community levels. 

Dr. Hyder at the University Teaching Hospital of Kigali

Dr. Hyder with commissioners and community health workers at the University Teaching Hospital of Kigali 

The third day of the meeting consisted of roundtable discussions, brainstorming sessions and various presentations. The day concluded with closing remarks from Dr. Jean Pierre Nyemazi, the Permanent Secretary of Health of the Republic of Rwanda. 

The next Lancet Commission meeting is planned for March 2017. 

Lancet Commission

Members of the global Commission in Rwanda

Recently, JH-IIRU team members, Senior Technical Advisor David Bishai and Associate Director, Abdulgafoor Bachani, contributed a chapter to Injury Research: Theories, Methods, and Approaches, edited by Guohua Li from Columbia University Mailman School of Public Health and Susan P. Baker, from the Johns Hopkins Bloomberg School of Public Health.  
In the chapter, “Injury Costing Frameworks,” Drs. Bishai and Bachani examine three approaches to measuring the costs of injuries: the human capital, willingness to pay and general equilibrium framework and offer a guide to how one would go about costing injuries.  Cost information is vital to the decision-making process when developing preventive strategies because it allows for a comparison of the costs that can be prevented once an intervention is chosen versus the cost of the implementation of that intervention.
Injury Research: Theories, Methods and Approaches is a comprehensive, multidisciplinary look into the field of injury and violence prevention with contributions from leaders in the field of injury research.
Additional information on the book can be found here:
To find out more about the Johns Hopkins International Injury Research Unit, contact us at

Members of JH-IIRU team, including emergency medicine resident, Sarah Stewart de Ramirez, director Adnan A. Hyder, trauma research coordinator Hadley K. Herbert, and associate director Kent Stevens, recently published a paper on unintentional injuries in the Annual Review of Public Health. The article, entitled, “Unintentional Injuries: Magnitude, Prevention and Control,” examines the health and social impact of injury, injury data availability and injury prevention interventions in low- and middle-income countries (LMICs).
The World Health Organization (WHO) estimates that nearly 80% of all injury deaths that occur annually are unintentional in nature, and the number of people who experience life-long disability and socioeconomic loss as a result of unintentional injuries (and their affected family members) results in nearly 140 million disability-adjusted life years (DALYs) lost annually. 
In the article, the research team examines the challenges not only associated with capturing accurate burden of injury data in LMICs, but also with implementing effective prevention efforts. The team concludes that a health systems-based approach—which includes prevention, prehospital, hospital and rehabilitation care and analysis of the cost-effectiveness of each component-- is essential to successful future efforts to decrease the burden of unintentional injuries.
here for the full article.
To learn more about unintentional injuries and the International Injury Research Unit,
contact us

The Johns Hopkins International Injury Research Unit congratulates two of its affiliated faculty members on their recent research accomplishments.

Dr. Alain Labrique, an assistant professor with the Department of International Health and the Department of Epidemiology, recently co-authored a paper entitled, “Epidemiology of tornado destruction in rural northern Bangladesh: risk factors for death and injury." Likely the first study to investigate the risk factors for tornado-related injuries in South Asia, the results indicate that further analysis is needed to develop injury prevention strategies. There is also a clear need to address the disparities in risk among various groups such as the elderly. For more information about this research, please click here.

Dr. Hafizur Rahman, an assistant scientist with the Department of International Health, recently co-authored a paper entitled, "Assessment of Lithuanian trauma care service using a conceptual framework for assessing the performance of health system.” Injuries are the number one public health problem in Lithuania. According to the study, the Lithuanian trauma sector does not do enough to reduce the burden of injuries in the country. Lack of adequate funding, leadership and policy, the authors suggest, requires a significant change. For more information about this research, please click here.

The Unit applauds both studies for making important strides in the area of injury research.

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