Injury prevention during the

current situation of the country

National NCD review – Q1 2022

Injuries,

~1.3 million
Leading cause of
hospitalization
National NCD review – Q1 2022
Percentage of admissions due to injuries out of the total admissions to
government hospitals (2009 – 2020)
25.0

20.8
20.0

18.4 18.6 18.7

17.7 18.1 17.8 17.8 17.8 17.9 18.0
17.0
15.0
%

10.0

5.0

0.0
2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
National NCD review – Q1 2022
Medical statistics unit, Ministry of Health
Year
 Projected number of estimated inpatients to government hospitals due to injuries
2020 – 2025

1800000

1600000 1,539,182

1400000 1,292,612

1200000 1,384,422
925,855
No. of admissions

1000000 1,132,773
800000

600000

400000

200000

0
2009

2011

2012

2014

2015

2016

2017

2018

2019

2020

2022

2023

2024

2025
2010

2013

2021
Year
Projections based on admissions upto 2019 Projections based on admissions upto 2020
Number of admissions 2009 - 2020 National NCD review – Q1 2022
Medical statistics unit, Ministry of Health
Sri Lanka,

Estimated no. – May need medical care due to

injures annually
• Thousands may suffer with disabilities for rest 1 out of 5
of the life National NCD review – Q1 2022
 11,700
Deaths – Annually – 2016*

32
Deaths – Daily

4
10 thCause of Deaths – Every 3 hours
hospital deaths National NCD review – Q1 2022 *World Health Organization - Noncommunicable Diseases (NCD) Country Profiles, 2018
Annual occurrence of injury related deaths Sri Lanka

9000 deaths
12000 6000 on the spot deaths 3000
deaths deaths
Medical statistics unit, Registrar general’s departments

National NCD review – Q1 2022

 Age distribution of the individuals affected by injuries, 2020
20

18

16

14

12

10

8
%

81yrs<
6-10yrs
2-3yrs

4-5yrs

11-15yrs

16-20yrs

31-40yrs

41-50yrs

51-60yrs

71-80yrs
≤1yrs

21-30yrs

61-70yrs
Age group (years)

Outpatient Inpatient
National NCD review – Q1 2022
Deaths
Injury pyramid
Dea
ths
Long term
Disabilities
Hospital admissions

Out patient treatments

Minor injuries

Near misses

Risky behaviours
National NCD review – Q1 2022
Accident impact
iceberg • Injuries
• Disabilities
• Deaths
• Direct medical & compensation cost

• Disability and DALY lost

• Poor mental health, suicide
• CVD
• Cancers
• High indirect medical costs
• Lost productivity
• Burden to the family, society &
ultimately to the country
National NCD review – Q1 2022

Accident cost iceberg
National NCD review – Q1 2022
Injury & illness costs
• Direct medical & compensation cost
• Insurance cost
• Claim cost
• Medical bills
• Legal charges
• Building damage, Tool & equipment damage
• Product & material damage
• Wastage of time, Travelling cost of family
• Legal expenses
• Costs of emergency supplies & equipment
• Investigation time
• Wages paid for time lost
• Costs of hiring &/or training replacement
• Overtime
• Decreased output
• Loss of business & goodwill
 Shortage of fuel

Collection of Fuel

Improper Storage Siphoning

Injuries and health effects

National NCD review – Q1 2022
 Shortage of fuel
Inspecting the availability
of Fuel @ filling stations
Not taking safety precautions
(e.g. Smoking, use of mobile phones,
use of any ignition devices are prohibited at
petrol stations as there is a high risk of fire
and explosion.)

Injuries and health effects

National NCD review – Q1 2022
 Increase repairs & maintenance
Shortage of fuel cost
Transport
problems
Not
Poor idea
Poor about taking
maintena the enough
nce of safety
environ precautio
vehicles
ment ns

Injuries and health effects

National NCD review – Q1 2022
 Cooking problems

Alternative ways

Kerosene oil stoves Wooden stoves Electric cookers

Injuries and health effects

National NCD review – Q1 2022
 Shortage of Electricity

Alternative ways

Use of Kerosene oil lamps Use of Candles Power Generators

Injuries and health effects

National NCD review – Q1 2022
 Frequent Power cuts

Alternative ways

Use of Kerosene oil lamps Use of Candles Power Generators

Injuries and health effects

National NCD review – Q1 2022
 Frequent Power cuts

Not working road signals

Problems at pedestrian Not working barriers at Can’t see pedestrians/ cyclist

crossings railway crossings at dark

Injuries and health effects

National NCD review – Q1 2022
 Shortage of essential items

Collection of more than the required

Problems in proper storage Exceeding the storage capacity

Injuries and health effects

National NCD review – Q1 2022
 Shortage of food

Cultivation of lands

Injuries and health effects

National NCD review – Q1 2022
 Shortage of building material

Alternative ways

May not adhere to the plan/ May use sub standard May try to expedite the
change the original plan materials construction early

Injuries and health effects

National NCD review – Q1 2022
Injury prevention specific to the season

National NCD review – Q1 2022

• “ Seasonal Fruits – Rambutan, Mango, Dooriyan, Mangosteen”
• Hazard for falls
• Hazard for electrocution
• Hazard for choking (especially among children)

National NCD review – Q1 2022

Therefore,
• It is essential to,
• Maintain the INR (Injury News Register) @ MOH & MONCD office
• Investigation of such incidences
• Public awareness on Prevention, First aid, early action

National NCD review – Q1 2022

• Almost all injuries can be prevented if taken
adequate precautions
• With a small effort, most injuries can be prevented
• Preventive measures are mostly inexpensive
But it is important to change the attitudes and behaviour

yo u !
T h a n k
Little things can make a big difference!
National NCD review – Q1 2022