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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: trauma

The Johns Hopkins International Injury Research Unit (JH-IIRU) was recently awarded a grant from the NIH Fogarty International Center as part of the Fogarty Global Health Research and Research Training eCapacity Initiative.  The Johns Hopkins University-Makerere University Electronic Trauma, Injuries and Disability (JHU-MU E-TRIAD) in Uganda will build on the partnership for research and capacity development established between the Johns Hopkins University and Makerere University to study Chronic Consequences of Trauma, Injuries and Disability (Chronic TRIAD) Across the Lifespan in Uganda.

The project, co-led by JH-IIRU director Adnan Hyder and associate director Abdul Bachani, will build on Makerere University (MU) School of Public Health’s demonstrated interest in expanding its teaching and research focused on trauma, injuries and disability by strengthening capacity for information and communication technology (ICT)-supported research and training (e-capacity) at the university.  By training health professionals and academics with new tools to enhance the conduct of research on nationally relevant issues in trauma, injuries and disability, the institutions will work to create a sustainable platform for researchers, faculty, and staff to maintain and plan for further integration of e-capacity in training and research for global health at MU.

The long-term goal of the program is to establish a center at MU dedicated to the appropriate use of ICT in global health research and training.

Fogarty's Global Health Research and Research Training eCapacity Initiative aims to support innovative research education programs to teach researchers at low and middle income country (LMIC) institutions the knowledge and skills necessary to incorporate Information and Communication Technology (ICT) into global health research and research training.

To find out more, click here

Please welcome the newest JH-IIRU faculty member, Dr. Amber Mehmood. Dr. Mehmood,  a trauma surgeon from Aga Khan University (AKU), Pakistan, recently joined the unit as Research Associate.  She is also an Assistant Professor in the Department of Emergency Medicine at AKU and has worked extensively on injury prevention and emergency medical services.

While here, Dr. Mehmood will help develop the Injury Unit's portfolio on trauma care in several countries. She brings special expertise in trauma registry development. Amber is not only clinically qualified but also has been a Fogarty/NIH Fellow in the past with us.

 Please join the Johns Hopkins International Injury Research Unit in welcoming her. 

In Pakistan, injuries and trauma are among the top ten contributors to the burden of disease and disabilities. Other related factors, such as poverty, political instability, and natural disasters as well as the lack of legislation or enforcement of preventative measures contribute to the population’s susceptibility to injuries.

While police and hospital records provide some data on injuries, a recent commentary published in Public Health suggests that it is essential that the public health sector invest in injury prevention by creating a strong, evidence-based strategy, improving national polices, and collaborating with the private sector to promote injury prevention.

In “The challenges of injuries and trauma in Pakistan: An opportunity for concerted action,” JH-IIRU director, Adnan Hyder and Aga Khan University professor, Junaid Razzak, examine the current status of injury prevention and control in Pakistan  as well as the burden and the policy context for interventions in the country.

The commentary goes on to suggest that, because injury prevention and emergency care have been proven to be some of the most cost-effective interventions in the health sector, investing in such measures as traffic enforcement, speed control, helmets, child resistant containers and trained emergency personnel makes sense from both an economic and public health viewpoint.

Drs. Hyder and Razzak are directors of the JHU-Pakistan Fogarty International Collaborative Trauma and Injury Research Training Program (JHU-Pakistan ICIRT). The goal of JHU-Pakistan ICIRT is to build a strong network of professionals and help develop sustainable research capacity on acute care of trauma and injuries and emergency medicine in Pakistan.  For additional information on the program, click here:

To access the paper, click here:

The Johns Hopkins International Injury Research Unit was recently awarded a five-year training grant from the National Institutes of Health (NIH) to study trauma, injuries and disabilities in Uganda. The Johns Hopkins – Makerere University Chronic Consequences of Trauma, Injuries and Disability (JHU-MU Chronic-TRIAD) award will allow researchers from the Johns Hopkins International Injury Research Unit (JH-IIRU) to strengthen research capacity on the long-term health and economic consequences of trauma, injuries and disability across the lifespan in Uganda.

JH-IIRU director, Adnan A. Hyder, will lead a team that includes faculty and researchers from the Johns Hopkins Bloomberg School of Public Health, the Johns Hopkins School of Medicine and Makerere University School of Public Health in Uganda. Dr. Olive Kobusingye, a well-known expert in trauma and injury prevention in Africa and developing nations, will lead the project for Makerere University.The team will develop a collaborative program that will train a core group of researchers in Uganda to generate relevant data and apply it for promotion of key national priorities to reduce the growing chronic burden of disability from trauma and injuries across the lifespan.  In addition the team will also establish a sustainable training program that will provide a home for faculty across Makerere University, and develop an annual forum in collaboration with the Ugandan Ministry of Health for research-to-policy dialogue on the chronic consequences of trauma, injuries and disabilities.

To read more about this new grant, visit the Johns Hopkins Bloomberg School of Public Health news page:

According to the World Health Organization, 90% of all injury-related deaths occur in low- and middle-income countries, but often health care facilities in developing nations are unable to provide much-needed emergency services. And while injury -- in particular road traffic injury (RTI) -- has received increasing attention, strategies to strengthen trauma care have often been lacking.

 As part of the Road Safety in Ten Countries (RS-10) project, the Johns Hopkins International Injury Research Unit (JH-IIRU) has been tasked with implementing, monitoring, and evaluating trauma care in Kenya, because, while we recognize that injury prevention is the primary overall objective of the RS-10 project, even with the best interventions, injuries will continue to occur.

To that end, in an effort to build collaboration and consensus among the many organizations and individuals who provide initial care for the injured patient, Dr. Kent Stevens, JH-IIRU Associate Director for Trauma Systems and Clinical Services, co-led an Emergency Medical Systems (EMS) symposium in one of the two RS-10 intervention sites in Kenya.

“Connecting the Dots: A Unified EMS System in Kenya” was held from August 7-8, in Naivasha. Jointly sponsored by JH-IIRU and the CDC Kenya, the conference was attended by key stakeholders involved in pre-hospital and hospital care in Kenya. The attendees included emergency medical technicians as well as representatives from the Kenyan Ministry of Medical Services, the Ministry of Public Health and Sanitation as well as Kenyatta National Hospital and non-governmental organizations and academics.

The symposium aimed to cover all aspects of trauma care in Kenya, from preparedness to response, with an emphasis on how policy can be implemented and ways to engage decision makers in the country.

Dr, Stevens characterized the conference as a resounding success, “The discussions were lively and helpful, with wide participation and a solid plan of action put in place.”

Through improvement of pre-hospital and hospital care and understanding the experience of the injured patient in Kenya, JH-IIRU to will continue our commitment to saving lives, both in the short-term and for years to come.

EMS Kenya
Participants of "Connecting the Dots: A Unified EMS System in Kenya"

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