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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

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.

The Johns Hopkins International Injury Research Unit will be releasing several papers over the next few years focusing on results from an innovative trauma registry project in Cameroon, a study led by colleague Dr. Catherine Juillard and also Dr. Kent A. Stevens, the Unit’s associate director of trauma and clinical services.

The first paper in the series, entitled “Patterns of Injury and Violence in Yaounde Cameroon: An Analysis of Hospital Data,” uncovers valuable data on injury patterns from the emergency ward of the busiest trauma center in Yaounde, Cameroon’s capital city. In the span of one year, more than 6,000 people with injuries were admitted and nearly 60 percent of those injuries were related to road traffic accidents. The data emphasizes the need for increased investment in injury prevention in the region, particularly as it relates to road safety.

For more information, please download the full report which was published in the World Journal of Surgery this month.

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