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Background: Burn injuries are a significant public health concern, closely linked to housing conditions and socioeconomic status. Residents in socioeconomically deprived neighbourhoods are at increased risk of exposure to hazards due to older and poorer housing conditions and limited access to fire protection measures. Individual behaviours such as substance use, smoking, and hoarding are often highlighted as primary causes of residential fires, overshadowing the broader socioeconomic and structural factors that also play a significant role in housing safety. This paper explores the correlation between inadequate housing conditions and heightened fire risks leading to burn injuries, focusing on the contextual factors shaping everyday urban fire risks, experiences, and responses of residents living in Single-Room Occupancy (SRO) housing in Vancouver's Downtown East Side (DTES) and staff working in the fire, health, housing (social and private), and non-profit sectors., Methods: As part of an ongoing ethnographic study, we partnered with the Vancouver Fire Rescue Services (VFRS) to conduct participant observations in private, non-profit, and government-owned SROs, modular homes, and a temporary shelter. This paper synthesizes insights from participant observations from the first author's self-reflexive journals, including informal conversations with approximately fifty-nine individuals such as SRO tenants, SRO managers/caretakers, health workers, burn survivors, municipal staff, not-for-profit staff, and firefighters., Results: Urgent housing-related issues contributing to inequitable everyday urban fire risks were identified, such as structural deficiencies in SRO buildings and systems, inadequate waste management and storage, and inequitable approaches to addressing hoarding. Additionally, disparities in access to information and the interaction between interpersonal and structural stigmas were significant factors, underscoring the pressing need for intervention., Conclusion: Communities like DTES, facing precarious housing conditions, disadvantaged neighbourhoods, and complex health and social challenges, necessitate a comprehensive and holistic approach to fire prevention and safety. Recognizing the interplay between housing instability, mental and physical health issues, unregulated toxic drug supply, drug criminalization, and structural inequities allows practitioners from various sectors to develop contextually driven fire prevention strategies. This multifaceted approach transcends individual-level behaviour change and is crucial for addressing the complex issues contributing to fire risks in underserved communities., (© 2024. The Author(s).)

Introduction: On February 6, 2023, two separate destructive earthquakes with magnitudes of 7.7 and 7.5 occurred in Kahramanmaraş, Türkiye. More than 50,000 people lost their lives, and over 100,000 were reported injured. In this study, patients referred to hospitals with burn diagnosis and management of burn wounds following the disaster were evaluated., Material and Methods: Information on burn injury admissions related to the earthquake was collected from all burn facilities in the country within 15 days after the earthquake. The patients' demographics, being under rubble, rescue times, burn causes, grafting procedures, and deaths were recorded., Results: Following the earthquake, burn victims were transferred to the 13 Burn Treatment Centers located in 10 provinces. A total of 191 patients were burned. Among the burn patients, 101 (52.9%) were rescued from the rubble 2-60 h after the earthquake. Eight patients who were hospitalized at the burn centers died. Scalding and flame burns were the most common etiologies. Burned total body surface area, concomitant crush injury, hospitalization, and mortality was higher among the patients trapped under rubble (p < 0.001, p < 0.001, p < 0.001, and p < 0.001, respectively). Victims who stayed longer time under the rubble required significantly more grafting procedures (p < 0.001)., Conclusion: In a literature review, it was observed that there are a limited number of publications reporting earthquake-related burns. In the February, 6 Türkiye earthquake, flame burns were seen due to small fires that occurred in collapsed buildings during the earthquake. And also contact burns and hot liquid burns were seen in earthquake victims trapped under rubble. Bursting hot water pipes, overturned stoves, contact with hot central heating radiators, and heated construction irons caused scalding and contact burns. It is believed that prolonged entrapment may cause delays in burn treatment or lead to deeper burns due to prolonged contact with the burning agent, increasing hospitalization rates. This earthquake once again drew attention to burn injuries that could occur during and after earthquakes, including those that may occur under rubble., Competing Interests: Declaration of Competing Interest There is no conflict of interest., (Copyright © 2024 Elsevier Ltd and International Society of Burns Injuries. All rights reserved.)

The Brazilian Legal Amazon is an extensive territory in which different factors influence the dynamics of forest fires. Currently, the Brazilian government has two tools in the public domain and free of charge, PRODES and BDQueimadas, to monitor and make decisions to combat deforestation and forest fires. This work aimed to evaluate and correlate the forest fire alerts and deforestation in the Amazon Forest in the state of Pará. The analyses were based on carrying out a diagnosis of forest fires and deforestation; the behavior of forest fires and deforestation over the last twenty years; the statistical relationship between deforestation and forest fires and their spatialization. This work identified that Pará is the state in the Legal Amazon with the highest occurrence of forest fires and deforestation. Deforestation in the four-year period Jan/2003-Dec/2006 showed a higher rate compared to the four-year periods Jan/2011-Dec/2018. A high correlation was found between forest fire alerts and increases in deforestation. There is a spatial relationship between cities with greater increases in deforestation and high numbers of fire alerts. In relation to the occurrence of forest fires and deforestation, the south of the state was the most critical region and the north had lower rates., Competing Interests: The authors have declared that no competing interests exist., (Copyright: © 2024 Furtado Lima et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)

Background: A large-scale industrial fire occurred in Rouen, France, in 2019. This study assessed the health-related quality of life of people exposed to its consequences 1 year later., Methods: The study population comprised inhabitants of the exposed area and a non-exposed area. A representative sample was randomly selected using a stratified design. Data were collected using a standardized questionnaire to describe fire exposure and to calculate three health-related quality of life scores according to the SF12-v2 scale. After adjustment, descriptive and multivariate analyses were conducted., Results: The sample comprised 4773 participants (response rate 47.7%). In the exposed area, the average mental, physical and overall health scores were 47.5, 52.0 and 73.8 out of 100, respectively. Mean mental and overall health scores were higher in the non-exposed area (49.0 and 76.0, respectively). After adjustment, a lower mental health score was associated with a higher number of perceived types of exposure, reaching -3.72 points [-5.41; -2.04] for five or more different types of perceived exposure. A lower mental health score was associated with soot deposits (-1.04 [-1.70; -0.39]), perceiving odours [(-2.04 [-3.22; -0.86]) up to the day of data collection], and having seen, heard or been awakened by the fire (-1.21 [-1.90; -0.52]). A slightly lower physical health score was associated with soot deposits (-0.57 [-1.07; -0.08])., Conclusion: This study highlighted associations between exposure to the consequences of the industrial fire in Rouen and a deterioration of perceived health-related quality of life 1 year later, particularly the mental health dimension., (© The Author(s) 2024. Published by Oxford University Press on behalf of the European Public Health Association.)

Objectives: Hospital attendance related to fire, flame or smoke exposure is commonly associated with work. The aim of this study was to examine time trends and risk factors for work-related fire/flame/smoke injuries in Victoria, Australia., Methods: This study was based on emergency department (ED) presentation records from the Victorian Emergency Minimum Dataset, 2003-2021. Cases were people aged 15-74 years with injury-related ED presentations, if cause of injury was recorded as fire/flame/smoke, based on coded data and/or narratives. Work-related rates were calculated per employed persons; non-work rates were calculated per population. Work-related and non-work-related cases were compared using logistic regression modelling., Results: There were 11 838 ED presentations related to fire/flame/smoke: 1864 (15.7%) were work-related. Non-work-related rates were 12.3 ED presentations per 100 000 population , and work-related rates were 3.43 per 100 000 employed persons annually. Over the study period, work-related rates decreased annually by 2.0% (p<0.0001), while non-work rates increased by 1.1% (p<0.0001). Work-related cases (vs non-work) were associated with summer (vs winter), but the association with extreme bushfire periods (Victorian 'Black Saturday' and 'Black Summer') was not statistically significant. Work-related cases were less severe than non-work-related cases, evidenced by triage status and subsequent admission., Conclusions: Rates of occupational fire/flame/smoke-related injury presentations decreased over the past two decades in Victoria, while non-work-related rates increased. This could reflect improved safety in the workplace. Hospital data, however, cannot be used to distinguish occupation or industry therefore, employment data linkage studies are recommended to further inform workplace preventive measures., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2024. No commercial re-use. See rights and permissions. Published by BMJ.)

Introduction: Burns and fires in the operating room are a known risk and their prevention has contributed to many additional safety measures. Despite these safeguards, burn injuries contribute significantly to the medical malpractice landscape. The aim of the present study is to analyze malpractice litigation related to burn and fire injuries in plastic and reconstructive surgery, identify mechanisms of injury, and develop strategies for prevention., Methods: The Westlaw and LexisNexis databases were queried for jury verdicts and settlements in malpractice lawsuits related to burn and fire injuries that occurred during plastic surgery procedures. The Boolean terms included "burn & injury & plastic", "fire & injury & "plastic surg!"" in Westlaw, and "burn & injury & "plastic surg!"", "fire & injury & "plastic surg!"" in LexisNexis., Results: A total of 46 cases met the inclusion criteria for this study. Overheated surgical instruments and cautery devices were the most common mechanisms for litigation. Plastic surgeons were defendants in 40 (87%) cases. Of the included cases, 43% were ruled in favor of the defendant, while 33% were ruled in favor of the plaintiff. Mishandling of cautery devices 6 (13%), heated surgical instruments 6 (13%), and topical acids 2 (4%) were the most common types of errors encountered., Conclusion: Never events causing burn injury in plastic and reconstructive surgery are ultimately caused by human error or neglect. The misuse of overheated surgical instruments and cauterizing devices should be the focus for improving patient safety and reducing the risk of medical malpractice. Forcing functions and additional safeguards should be considered to minimize the risk of costly litigation and unnecessary severe harm to patients., (Copyright © 2024 Elsevier Ltd and International Society of Burns Injuries. All rights reserved.)

Background: In South Africa, fire-related deaths are common, particularly within dense informal housing settlements. Published data on deaths from fire incidents in Cape Town is sparse. Additionally, little emphasis has been placed on the role of toxicological investigations in these deaths, despite the known risk of alcohol and drug impairment to burn injury., Methods: A retrospective, descriptive analysis of post-mortem case reports from Salt River Mortuary was conducted to investigate all deaths in which fires were involved in the west metropole of Cape Town, between 2006 to 2018. Demographic, circumstantial, and toxicological data were analyzed using R software., Results: In total 1370 fire deaths occurred over 13 years, with a mean of 106 (SD ± 18) cases per annum (≈3% of the annual caseload and a mortality rate of 5.5 per 100,000). Males (70.4%), adults (mean=30.7 years), and toddlers (1-4 years old) were notably at risk. Deaths typically occurred in the early morning (00h00 - 06h00) (45.7%), during winter (32.1%), and in lower socioeconomic areas with highly dense informal settlements (65.6%), with 29% of deaths occurring in multi-fatality incidents. Ethanol was detected (≥0.01 g/100 mL) in 55.1% of cases submitted for analysis (71.5%), with a mean of 0.18 g/100 mL, and with 93.8% of positive cases > 0.05 g/100 mL. Carboxyhaemoglobin (COHb) analysis was requested in 76.4% of cases, with 57% of cases having a %COHb of ≥ 20%. Toxicology results (for drugs other than ethanol) from the national laboratory were outstanding in 34.4% of the cases at the conclusion of the study. BAC and %COHb were significantly higher in deaths from burns and smoke inhalation (usually accidents) than deaths from combined trauma and burns (typically homicides). Fire deaths with high COHb levels were more likely to display cherry-red discoloration (OR=3.1) and soot in the airways (OR=2.7) at autopsy., Conclusion: This article provides an updated description of fire deaths in the west metropole of Cape Town. The importance of BAC and COHb testing in these cases was noted, and the authors call for an investigation of the role of drug impairment (specifically frequently misused drugs methamphetamine and methaqualone) as a risk factor in these deaths. Areas of high-density informal settlements, where open flames are used to heat, light, and cook, were noted as high risk., Competing Interests: Declaration of Competing Interest None., (Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)

Wildfires are thought to be increasing in severity and frequency as a result of climate change 1-5 . Air pollution from landscape fires can negatively affect human health 4-6 , but human exposure to landscape fire-sourced (LFS) air pollution has not been well characterized at the global scale 7-23 . Here, we estimate global daily LFS outdoor fine particulate matter (PM 2.5 ) and surface ozone concentrations at 0.25° × 0.25° resolution during the period 2000-2019 with the help of machine learning and chemical transport models. We found that overall population-weighted average LFS PM 2.5 and ozone concentrations were 2.5 µg m -3 (6.1% of all-source PM 2.5 ) and 3.2 µg m -3 (3.6% of all-source ozone), respectively, in 2010-2019, with a slight increase for PM 2.5 , but not for ozone, compared with 2000-2009. Central Africa, Southeast Asia, South America and Siberia experienced the highest LFS PM 2.5 and ozone concentrations. The concentrations of LFS PM 2.5 and ozone were about four times higher in low-income countries than in high-income countries. During the period 2010-2019, 2.18 billion people were exposed to at least 1 day of substantial LFS air pollution per year, with each person in the world having, on average, 9.9 days of exposure per year. These two metrics increased by 6.8% and 2.1%, respectively, compared with 2000-2009. Overall, we find that the global population is increasingly exposed to LFS air pollution, with socioeconomic disparities., (© 2023. The Author(s).)

This study simulated a series of bifurcation tunnel fire scenarios using the numerical code to investigate the temperature profile of bifurcation tunnel fire under natural ventilation. The bifurcation tunnel fire scenarios considered three bifurcation angles (30°, 45°, and 60°) and six heat release rates (HRRs) (5, 10, 15, 20, 25, and 30 MW). According to the simulation results, the temperature profile with various HRRs and bifurcation angles was described. Furthermore, the effects of bifurcation angles and HRRs on the maximum temperature under the bifurcation tunnel ceiling and the temperature decay along the longitudinal direction of the branch were investigated. According to the theoretical analysis, two prediction models were proposed. These models can predict a bifurcation tunnel fire's maximum temperature and longitudinal temperature decay in the branch. The results of this study could be valuable for modelling a bifurcation tunnel fire and benefit the fire engineering design of bifurcation tunnels., Competing Interests: The authors have declared that no competing interests exist.

Tent fires are a growing issue in regions with large homeless populations given the rise in homelessness within the United States and existing data that suggest worse outcomes in this population. The aim of this study was to describe the characteristics and outcomes of tent fire burn injuries in the homeless population. A retrospective review was conducted involving two verified regional burn centers with patients admitted for tent fire burns between January 2015 and December 2020. Variables recorded include demographics, injury characteristics, hospital course, and patient outcomes. Sixty-nine patients met the study inclusion criteria. The most common mechanisms of injury were by portable stove accident, assault, and tobacco or methamphetamine related. Median percent total body surface area (%TBSA) burned was 6% (interquartile range [IQR] 9%). Maximum depth of injury was partial thickness in 65% (n = 45) and full thickness in 35% (n = 24) of patients. Burns to the upper and lower extremities were present in 87% and 54% of patients, respectively. Median hospital length of stay (LOS) was 10 days (IQR = 10.5) and median ICU LOS was 1 day (IQR = 5). Inhalation injury was present in 14% (n = 10) of patients. Surgical intervention was required in 43% (n = 30) of patients, which included excision, debridement, skin grafting, and escharotomy. In-hospital mortality occurred in 4% (n = 3) of patients. Tent fire burns are severe enough to require inpatient and ICU level of care. A high proportion of injuries involved the extremities and pose significant barriers to functional recovery in this vulnerable population. Strategies to prevent these injuries are paramount., (© The Author(s) 2021. Published by Oxford University Press on behalf of the American Burn Association. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)

U.S. cities contain unknown numbers of undocumented "manufactured gas" sites, legacies of an industry that dominated energy production during the late-19th and early-20th centuries. While many of these unidentified sites likely contain significant levels of highly toxic and biologically persistent contamination, locating them remains a significant challenge. We propose a new method to identify manufactured gas production, storage, and distribution infrastructure in bulk by applying feature extraction and machine learning techniques to digitized historic Sanborn fire insurance maps. Our approach, which relies on a two-part neural network to classify candidate map regions, increases the rate of site identification 20-fold compared to unaided visual coding., Competing Interests: The authors have declared that no competing interests exist.

The increasing trend of admissions due to recreational fires prompted a 5-year review. The retrospective chart review of pediatric burn injuries from campfires or bonfires treated at a single medical center's burn unit. The study included children within the ages of 0 to 15 admitted or transferred from January 2012 to December 2016 with first, second, and/or third degree burns by bonfires. These patients accrued burns due to active fires as well as postfire ember contact. Two hundred-eighty nine (289) were pediatric admissions out of which 66 (22.8%) were pediatric admissions associated with recreational fires. The mean annual admission for campfire or bonfire burns was 13 ± .98. The mean age was 4 ± 2.47 years. Gender distribution revealed 21 female and 45 male pediatric patients under the age of 15. From the available data, 8 (12%) of these burns occurred at home in the backyard and 16 (24%) at a public camp or park. Injury mechanisms were more commonly a result of direct contact with hot coals and embers (65%). Falls into open flame accounted for 23% (n = 15) of injuries, and flash flames accounted for 12% of injuries (n = 8). The presence of supervision was unknown in 56%; however, lack of supervision was a factor in 14% of our study population. By gaining a better understanding of the type of injury, mechanism of injury, and the demographic of recreational fire burn victims, policy, and awareness campaigns were instituted in an effort to reduce the incidence of recreational fire burns., (© The Author(s) 2020. Published by Oxford University Press on behalf of the American Burn Association.)

Objective: To evaluate the impact of crop burning on the prevalence of asthma and COPD emergency department (ED) treatments in a rural Arkansas county., Methods: Administrative datasets listing ED treatments for asthma and COPD obtained from the Arkansas Hospital Discharge Dataset System for the calendar years 2014-2016 were used in this semi-ecological study. Primary diagnosis codes (ICD-9: 490-496 and ICD-10: J40-J47) were used to identify patients who were diagnosed with asthma and COPD. Patients with a reported county of residence in Craighead County were determined as case county residents and those in Sebastian County were control county residents. Month of visit was used to determine seasonal variation. PM 2.5 air quality data were obtained from the EPA AQS Data Mart., Results: Between 2014 through 2016, there were a combined total of 2,536 ED treatments due to asthma and 8,530 due to COPD in Craighead and Sebastian counties. The odds of being treated in the ED during the fall months for asthma and COPD are associated with a 20.9% increase and 16.9% increase respectively in Craighead County as compared to Sebastian Country after adjusting for potential confounders ( p  = 0.04, p  = 0.003). PM 2.5 concentrations were higher in Craighead County than Sebastian County during the fall season ( p  = 0.005)., Conclusion: Fall ED treatments for asthma and COPD were higher in Craighead County, Arkansas compared to Sebastian County, Arkansas for the years 2014-2016. PM 2.5 levels were also higher in Craighead County in the fall during these years. These differences may be attributable to crop burning.​.

Introduction: The concealment of the body following a homicide undermines different moments of the forensic and medico-legal investigations. The aim of the present study is to provide an overview of the literature and the forensic casuistry of the Institute of Legal Medicine of Padova for analyzing and discussing diverse methodological approaches for the forensic pathologist dealing with covered-up homicides., Material and Methods: A literature review, updated until September 2019, was performed, and a literature pool of forensic cases was built. In-house cases were included by conducting a retrospective analysis of the forensic caseworks of Padova of the last 20 years. Data regarding epidemiology, methodology of assessment, methods of concealment, and answers to medico-legal issues were extracted for both data sets., Results and Discussion: Seventy-eight papers were included in the literature review (78.2% being case reports or case series, 17% retrospective studies, and 6% experimental studies or reviews). Literature and in-house data sets consisted of 145 and 13 cases, respectively. Death scene investigation, radiology, toxicology, and additional analyses were performed in 20-54% of literature and 62-77% of in-house cases. Cover-up by multiple methods prevailed. Death was caused by head trauma in about 40% of cases (both data sets), strangulation in 21% of literature, and 7% of in-house cases, and was undetermined in 17% of literature and 7% of in-house cases., Conclusions: The methodology of ascertainment should be case-specific and based on a multidisciplinary and multimodal evaluation of all data, including those gained through novel radiological and/or analytical techniques.

Illuminating paraffin (kerosene) is the primary cooking fuel for approximately two million South Africans. The highly flammable and toxic fuel is burnt in poorly made stoves that are prone to malfunction and are associated with accidental fires, burns and household air pollution. However, the fuel continues to be used as it is easily decanted, widely available in neighbourhood outlets, perceived as affordable, and often the only available option for low-income urban settlements. It is anticipated that increased and enforced home congestion during COVID-19 lockdowns will exacerbate exposure of homebound families to unsafe energy, especially during the cold winter months. Based on an accumulation of evidence on the health and socioeconomic impacts of paraffin, this article advocates for its expedited phase-out and substitution with safer energy.

It remains debatable whether slash-and-burn practices were adopted in rice cultivation by the Neolithic Kuahuqiao culture in the Ningshao Plain, one of the birthplaces of rice farming. Here, we established charcoal-based indices to reconstruct the history of fire and vegetation in the Ningshao Plain since the last glacial period. We collected representative modern vegetation and conducted combustion and fragmentation experiments to simulate fire and depositional processes, respectively. Charcoals from modern vegetation show clear morphological differences between herbaceous and woody plants. In particular, the length to width ratios (L/W) of herbaceous charcoals were systematically higher than those of woody charcoals, and the associated end-member values were 4.50 and 1.94, respectively. These values were then applied to sediment cores (KHQ-14/15) collected in proximity to the Kuahuqiao archaeological site. Results show that the amount of combusted herbaceous plants increased sharply after the Holocene, and the most remarkable rise occurred around 8550 yr B.P. This observation may reflect local environment (sedimentary and/or climatic) changes or small-scale early human activities. During the Kuahuqiao cultural period (8250-7450 yr B.P.), the relative abundance of woody charcoals increased, but the overall fire intensity decreased. This finding suggests that the Kuahuqiao farming was restricted to a small geographic area and large-scale slash-and-burn farming activities were not adopted., Competing Interests: The authors have declared that no competing interests exist.

The world's population is rapidly urbanizing. Today, the majority of people live in cities and many live in high-rise buildings. High-rise buildings pose many challenges with regards to occupant safety, including fire prevention and evacuation safety. The purpose of this study was to describe factors that influence fire safety behaviors among residents of high-rise buildings and the strategies that population health nurses can use to support health education for people living in high-rise environments. An exploratory, descriptive qualitative research design with purposive sampling was used. Twelve residents from 8 high-rise buildings in Honolulu, Hawai'i participated in this study. In-depth semi-structured interviews were conducted and recorded, followed by thematic analysis of the interview transcripts. Five key themes emerged from the study: (1) attitudes towards fire safety, (2) building fire safety culture, (3) perceived ability to prepare for fires, (4) intentions to prepare, and (5) occupant fire preparedness behaviors. Gaps in knowledge regarding high-rise building fire safety were identified that contributed to residents' risk and vulnerability. Fire safety is of relevance to all nurses who work with populations. Population health nursing practice addresses the health, safety, and emergency preparedness needs of clients and communities. More research should be done to improve understanding of fire safety behaviors among high-rise residents to help population health nurses and other professionals mitigate the risk of fire in residential high-rise buildings and keep individuals and families safe during actual emergencies., (©Copyright 2020 by University Health Partners of Hawai‘i (UHP Hawai‘i).)

Emergencies frequently happen and sometimes their victims are school students. School age children and adolescents may be more vulnerable to life events and require more attention than adults, depending on the stage of their growth. The private elementary school of Osveh Hasaneh in Zahedan, Iran, caught fire on December 18, 2018, at 9:00 AM, where 4 students were killed. This school fire is the highest rate of mortality in Iran in terms of the number of student deaths. Considering the repeated nature of such incidents in Iranian schools, it is necessary to increase the awareness of risk of fire in schools to promote a culture of fire prevention in society.

This study aimed at establishing fault tree analysis (FTA) using expert opinion to compute the probability of an event. To find the probability of the top event (TE), all probabilities of the basic events (BEs) should be available when the FTA is drawn. In this case, employing expert judgment can be used as an alternative to failure data in an awkward situation. The fuzzy analytical hierarchy process as a standard technique is used to give a specific weight to each expert, and fuzzy set theory is engaged for aggregating expert opinion. In this regard, the probability of BEs will be computed and, consequently, the probability of the TE obtained using Boolean algebra. Additionally, to reduce the probability of the TE in terms of three parameters (safety consequences, cost and benefit), the importance measurement technique and modified TOPSIS was employed. The effectiveness of the proposed approach is demonstrated with a real-life case study.

A significant number of surgical fires occur each year and can have devastating effects on patients. The National Reporting and Learning System database identified 37 reports of surgical fires in England and Wales between January 2012 and December 2018 - over 52% resulting in some degree of harm. Surgical fires remain preventable adverse events that can be avoided by adherence to effective preventative strategies and improved education. This article surveys the existing literature, addressing the fire triad and how to effectively manage and prevent a surgical fire.

Objectives: This study aimed to investigate the association between sociodemographic factors and residential fire fatalities in Sweden. A majority of fatal fires occur in housing. An understanding of risk factors and risk groups is a must for well-founded decisions regarding targeted prevention efforts. There is a lack of consideration of the interrelation between sociodemographic factors and fire fatalities and there is a lack of high quality large-scale studies., Methods: In this matched case-control study, residential fire fatalities (cases, n=850) (age above 19 years old) were identified in the national register on fatal fires. Four controls per case were randomly matched by gender and age. ORs were calculated to assess the association between different sociodemographic factors with residential fire fatalities using conditional logistic regression., Results: Having low income, receiving social allowance and receiving health-related early retirement pension were associated with an increased risk of dying in residential fires. The results also show clearly that adults dying in residential fires to a significantly lower extent were living together with a partner, were in work, were highly educated and lived in urban areas. However, contrary to previous research, living in rented apartments appeared not to influence the risk of death., Conclusions: In this study, we show that fatalities due to residential fires in Sweden are associated with some but not all of previously published sociodemographic risk factors. The results provide valuable information that can improve the guiding and targeting of fire mortality prevention strategies in Sweden., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.)

This article presents an experimental investigation of the flame characteristics of the gasoline pool fire. A series of experiments with different pool sizes and mixture contents were conducted to study the combustion behavior of pool fires in atmospheric conditions. The initial pool area of 0.25 m 2 , 0.66 m 2 , and 2.8 m 2 , the initial volume of fuel and time of burning process, and the initial gasoline thickness of 20 mm were determined in each experiment. The fire models are defined by the European standard EN 3 and were used to model fire of the class MB (model liquid fire for the fire area 0.25 m 2 ), of the class 21B (model liquid fire for the fire area 0.66 m 2 ), and 89B (model liquid fire for the fire area 2.8 m 2 ). The fire models were used to class 21B and 89B for fuel by Standard EN 3. The flame geometrical characteristics were recorded by a CCD (charge-coupled device) digital camera. The results show turbulent flame with constant loss burning rate per area, different flame height, and different heat release rate. Regression rate increases linearly with increasing pans diameter. The results show a linear dependence of the HRR (heat release rate) depending on the fire area (average 2.6 times).

As grassland ecosystems transform globally due to anthropogenic pressures, improvements in our understanding of the effect of management on rare and threatened species in such landscapes has become urgent. Although prescribed fire is a very efficient tool for habitat restoration and endangered species management on fire-adapted ecosystems, the specific mechanisms underlying potential effects of burning on population dynamics of butterfly host plants are poorly understood. We analyzed a 12-year dataset (2004-2015), combining violet abundance, habitat physiognomy and fire history data from a fire-managed system, to determine factors influencing the spatiotemporal distribution and abundance of violets (Viola spp.), the host plants of the threatened eastern regal fritillary (Speyeria idalia idalia) butterfly. Our results demonstrate a critical role for fire in driving both presence and abundance of violets, suggesting management with prescribed fires can effectively promote butterfly host plants. In addition, we determined the character of habitats associated with violet presence and abundance, in particular a strong positive association with biocrusts. These results provide a roadmap for efficient site selection to increase the effectiveness of restoration efforts, including assessment of potential reintroduction sites for regal fritillary and other grassland butterflies and actions to promote the re-establishment of host plants in these sites.

The southern rim of the Mediterranean Basin (MB) has a long fire history but fire hazard is poorly investigated in comparison to the northern rim. We built a fire database using MODIS data (2001-2015) for an area typical of the northern coastal Algeria (Bejaia region) in order to decipher the role of environmental and anthropic controls on the fire frequency and the area burnt. We found a high role of bioclimate, which controls the fuel dryness, ignitability, and biomass. Maximal fire frequency and burnt areas were recorded in northern sub-humid areas with high amounts of forests and shrublands, and fire was limited in the southern sub-arid area. Humans set most fires, and preferentially burn forests, shrublands, pastures, groves, and agricultural lands. The maximal fire frequency and burnt area occurs in wildland urban interfaces characterized by forest-shrublands mosaics with disseminated habitats. Fire activity is low to medium in rural-urban interfaces characterized by agropastoral areas with high habitat density and large habitat patches. Small to large crown fires occur in forests and shrublands, while small surface fires predominate in agropastoral areas and groves. Large fires (> 100 ha) are rare (10%) but contribute for ca. 50% to the total area burnt. These fire features are typical of many rural countries of the southern rim of the MB, and contrast with those on the northern rim. Based on this, we propose to improve the prevention, the detection, and the management of forest fires in the long term and to protect forests that host high biodiversity in Algeria.

In Southeast Asia, household air pollution (HAP) from solid fuel use is the leading cause of disability-adjusted life years (DALYs), a risk which is compounded by exposure to other sources of indoor and outdoor air pollution including secondhand tobacco smoke (SHS). The purpose of this study was to measure the individual and combined prevalence of exposure to household and community sources of air pollution in a national sample of adults in Lao PDR. We analyzed data from the 2012 National Adult Tobacco Survey (NATSL) of Lao PDR-a multi-stage stratified cluster sample of 9706 subjects from 2822 households located in all 17 provinces. Our findings indicate a high prevalence of exposure to household air pollution from cooking fires (78%) and SHS exposure in the home (74.5%). More than a third (32.8%) reported exposure to both inside the home. Exposure to outdoor sources of smoke from cooking, trash, and crop fires was substantial (30.1% to 56.0%). The aggregation of exposures from multiple sources of household air pollution raises the need for initiatives that establish programmatic linkages in the health, environmental, and agricultural sectors to provide a comprehensive strategy to reduce risk factors for respiratory disease in Lao PDR and the region.

Objectives. To evaluate the risk of death and injury in residential fires started on upholstered furniture, with a focus on open flame and cigarette-related heat sources. Methods. We used civilian death and injury data from 34 081 residential fires in the Massachusetts Fire Incident Reporting System from 2003 to 2016. We compared outcomes associated with fires that started on upholstered furniture ignited by smoking materials versus open flames. Results. Although fires starting on upholstered furniture were not common (2.2% of total fires), odds of death and injury were significantly higher in these fires than in fires started on other substrates. Among furniture fires, odds of death were 3 times greater when those fires were ignited by smoking materials than when ignited by open flames (odds ratio = 3.4; 95% confidence interval = 1.3, 10.9). Conclusions. Furniture fires started by smoking materials were associated with more deaths than were furniture fires started by open flames. Public Health Implications. Historically, furniture flammability regulations have focused on open flame heat sources, resulting in the addition of toxic flame retardants to furniture. Interventions to reduce deaths should instead focus on smoking materials.

The construction of smart cities is a theme of urban development, and building fires greatly threaten public safety and urban environmental governance, in which fire emergency management is one of the key factors. However, most studies on the evaluation of emergency response capacity ignore the process of improvement, as well as the intelligence and practicality of the results. The evaluation system of building fire emergency response capability maturity (FE-CMM) was innovatively proposed based on the capability maturity model (CMM), including the evaluation index, evaluation grade, evaluation method, and evaluation process. At the same time, a plug-in for evaluating fire emergency response capability was developed based on the building information modeling (BIM) platform. Finally, an empirical study was carried out in combination with the case of a district fire center. The research demonstrates that the evaluation system can effectively judge the maturity of fire emergency response capability, and the established plug-in can preliminarily realize the intelligent evaluation of building fire emergency response capability, which improves the practice and intelligence of the fire emergency response capability evaluation system when fully considering the process of improvement. It has guiding significance for ex ante control and refined management of building fires, thus providing support for urban public safety and environmental governance.

Airbnb hosts rent their homes to guests as an alternative to traditional hospitality settings. Airbnb venues are not uniformly regulated for allowing smoking or requiring fire-safety amenities. This study quantified the reported prevalence of fire-safety amenities in 413,339 Airbnb venues that allow smoking in 43 cities in 17 countries. Proportions of host-reported smoke detectors and carbon monoxide (CO) alarms, and those that allow smoking were calculated. Across the entire sample 9.3% (n = 38,525) allowed smoking. An overall evaluation of those venues shows that 46% (n = 17,569) had smoke detectors compared to 64% of the 374,814 venues that do not allow smoking, a statistically significant difference (X2 = 5277 p < 0.01). A similar difference is found between venues that allow smoking and had CO alarms (19%, n = 7176) and the 33% of venues that prohibit smoking (X2 = 3442, p < 0.01). Among this sample, most Airbnb venues that allow smoking are less likely to have safety amenities., (Copyright © 2019. Published by Elsevier Inc.)

Introduction: Emergency Departments experience a significant census burst after disasters. The aim of this study is to describe patient presentations at Emergency Departments in Contra Costa County, California following chemical release incidents at an oil refinery in 2007 and 2012. Specific areas of focus include hospital and community burden with an emphasis on disease classes., Methods: Searching 4 weeks before through 4 weeks after each event, Emergency Department abstracts identified patients living in Contra Costa County and seeking care there or in neighboring Alameda County. City and ZIP-code of residence established proximity to the refinery. This provided the following contrast groups: Event (2007, 2012), time (before, after), location (bayside, rest of county), and within bayside, warned or not warned to shelter in place. Using the Multi-Level Clinical Classification Software, we classified primary health groups recorded 4 weeks before and after the events, then summarized the data, calculated rates, and made tables, graphs, and maps to highlight findings., Results: Number of visits meeting selection criteria totalled 105020 records. Visits increased modestly but statistically significantly after the 2007 incident. After the 2012 incident, two Emergency Departments took the brunt of the surge. Censuses increased from less than 600 a week each to respectively 5719 and 3072 the first week, with the greatest number 2 days post-event. It took 4 weeks for censuses to return to normal. The most common diagnosis groups that spiked were nervous/sensory, respiratory, circulatory, and injury. Bayside communities had statistically significant increases in residents seeking care. Specifically, visits of residents in warned communities nearest the refinery increased by a factor of 3.7 while visits of residents in other nearby un-warned communities increased by a factor of 1.5., Conclusions: The 2012 Emergency Department census peaked in the first week and did not return to normal for 4 weeks. Diagnoses changed to reflect conditions associated with reactions to chemical exposures. Surrounding communities and nearby hospitals experienced significant emergent burdens. In addition to changes from such events in patient diagnoses and community burden, the discussion highlights the long-term implications of failures to require adequate monitoring and warning systems and failures of health planning.

Purpose: Given limited resources, it is essential to determine which Mechanisms of Injury (MOIs) to prioritize for injury prevention policy and research. We developed objective, evidence-based Injury Prevention Priority Scores (IPPSs) for Canadian children across three prevention perspectives: mortality, injury severity, and resource utilization., Methods: We performed a retrospective cohort study of all injuries in Canada in individuals aged 0 to 19 years old from 2009 to 2014. For each MOI, an IPPS was calculated as a balanced measure of frequency and either mortality rate, median ICD-10 derived Injury Severity Score (ICISS), or median cost per hospitalization., Results: Of 87,017 injuries, 83,112 were nonfatal hospitalizations, and 3905 were deaths. Overall mortality rate was 0.04 deaths/injury, median ICISS was 0.994 (IQR 0.75-0.996), and median cost per hospitalization was CAD$3262 (IQR $2118-$5001). The top three mechanisms were falls (IPPS 72), intentional self-harm (IPPS 68), and drowning (IPPS 65) for mortality, falls (IPPS73), drowning (IPPS 61), and suffocation (IPPS 61) for injury severity and falls (IPPS 70), fires (IPPS 65), and intentional self-harm (IPPS 60) for resource utilization., Conclusion: Falls, if prevented, would provide the most benefit to the largest proportion of the Canadian pediatric population and should be targeted for injury prevention., Level of Evidence: Level III., (Copyright © 2019 Elsevier Inc. All rights reserved.)

Background: Surgical fire is a rare event, but one with potentially devastating patient outcomes., Objective: This study was conducted to investigate the incidence, risk factors, and outcome of surgical fires experienced by members of the American College of Mohs Surgeons (ACMS)., Methods: An internet survey was developed and sent to ACMS members. Data collected included total years of experience, total number of cases, typical management of supplemental oxygen, and surgical fires experienced., Results: Eighty participants contributed data on 886,200 cases of MMS. Nine surgeons (11%) reported at least 1 surgical fire, yielding an estimated incidence of 1 fire per 88,620 cases (0.001%). The most common site of involvement was the scalp (67%). Common ignition sources included monopolar electrosurgical devices (78%) and battery-powered thermal cautery (22%). Fuel sources included towels or drapes, gauze, isopropyl alcohol, aluminum chloride, hairspray, and diethyl ether. Supplemental oxygen was not involved in any of the cases. Five patients suffered singed hair while 4 patients did not suffer any injuries. None suffered any permanent functional or aesthetic deformities., Conclusion: The overall risk of surgical fire in MMS is minimal. However, safety measures and greater awareness of fire risks are necessary to prevent patient harm.

Researchers have a limited understanding of the interactions between development patterns and Ignition Probability. This study explores the variation in Ignition Probability as a result of differing development patterns. Based on LANDFIRE datasets, development changes were mapped for two sets of years (2001 and 2012) and the relationship between development and Ignition Probability was assessed. The study area covered the two adjacent counties, Bastrop and Travis located in Texas, USA. These two counties have a high potential for wildfire, and due to expanding development have high vulnerability. Expanding lateral development was organized into one of five categories: infill, radial, isolated, clustered, and linear. The Maximum Entropy algorithm predicted the spatial distribution of ignition probabilities based on several physical and land use characteristics coupled with historic ignition locations. Variation in Ignition Probability was assessed for each category of development using two-way ANOVA's and post hoc analysis. Ignition Probability maps indicated a fair sensitivity (Area Under the Curve: 0.77-0.78), suggesting that the spatial configuration of development patterns influenced wildfire ignition. Analyses found that isolated, clustered, and linear outlying development patterns had higher Ignition Probability than infill and radial development, and that fire probabilities fell along a development gradient. This trend between the development gradient and ignition probabilities should be used to direct land use planning to reduce fire risk., Competing Interests: The author has declared that no competing interests exist.

Objectives: To test maternal voice alarm effectiveness under residential conditions and determine whether personalizing the maternal voice alarm message with the child's first name improves effectiveness., Study Design: Using a randomized, nonblinded, repeated measures design, we compared 3 maternal voice smoke alarms with respect to their ability to awaken 176 children 5-12 years old from stage 4 slow-wave sleep and prompt their performance of an escape procedure. A conventional residential high-frequency tone smoke alarm was used as a comparative reference. Children's sleep stage was monitored in a residence-like research setting., Results: Maternal voice alarms awakened 86%-91% of children and prompted 84%-86% to escape compared with 53% awakened and 51% escaped for the tone alarm. A sleeping child was 2.9-3.4 times more likely to be awakened by each of the 3 voice alarms than the tone alarm. The median time to awaken was 156 seconds for the tone alarm and 2 seconds for each voice alarm. The proportions of children who awakened and escaped differed significantly between the tone alarm and each voice alarm, but no significant differences were found between each pair of the voice alarms, regardless of whether the child's first name was included in the alarm message., Conclusions: The maternal voice alarms significantly outperformed the tone alarm under residential conditions. Personalizing the alarm message with the child's first name did not increase alarm effectiveness. These findings have important implications for development of an effective and practical smoke alarm for children., Trial Registration: ClinicalTrials.gov: NCT01169155., (Copyright © 2018 Elsevier Inc. All rights reserved.)

China has performed crop residue burning (CRB) for a long time and has suffered from resultant environmental pollution. High temporal resolution has not been fully discussed in attempts to address the temporal and spatial impact of CRB in China on air quality. Our study used the MOD14A1 product of the MODerate resolution Imaging Spectrometer (MODIS) to extract the daily CRB for China during the period from 2014 to 2016, and the daily aerosol optical depth (AOD) provided by MODIS Collection 6 was obtained to simultaneously reflect the air pollution. First, the study area was classified into five subregions. A temporal analysis was conducted on the daily variation in the number of CRB events and the regional mean value of AOD, the spatial contribution ratio of CRB on aerosol pollution was then calculated, and finally, a temporal and spatial Pearson correlation was calculated to find the spatially varying relationship between CRB and aerosol. The results suggest the following: (1) CRB possesses seasonal characteristics that are associated with the harvest time or sowing time of major crops in the region. (2) The impact of CRB on aerosol was delayed by 1-6 days. (3) High contribution ratios (70%-90%) occurred in northeast China on a large scale; even when the impact of the CRB on aerosol pollution in the Huang-Huai-Hai river basin occurred on a large scale, the value was merely approximately 30%. Relatively low contributions of CRB have been found in other places, whereas the contribution of CRB was severe in some places with high-density populations. (4) Temporal-spatial correlation provided an accurate index to reflect the correlation of CRB and aerosol in a specific location, which suggests that, in places with large scale and dense CRB, CRB tends to have a high positive correlation with aerosol pollution for each day., (Copyright © 2018 Elsevier Ltd. All rights reserved.)

Introduction: Each year from 1999 through 2015, residential fires caused between 2,000 and 3,000 deaths in the U.S., totaling approximately 45,000 deaths during this period. A disproportionate number of such deaths are attributable to smoking in the home. This study examines national trends in residential fire death rates, overall and smoking-related, and their relationship to adult cigarette smoking prevalence, over this same period., Methods: Summary data characterizing annual U.S. residential fire deaths and annual prevalence of adult cigarette smoking for the years 1999-2015, drawn from the National Vital Statistics System, the National Fire Protection Association, and the National Health Interview Survey were used to relate trends in overall and smoking-related rates of residential fire death to changes in adult cigarette smoking prevalence., Results: Statistically significant downward trends were identified for both the rate of residential fire death (an average annual decrease of 2.2% - 2.6%) and the rate of residential fire death attributed to smoking (an average annual decrease of 3.5%). The decreasing rate of residential fire death was strongly correlated with a gradually declining year-to-year prevalence of adult cigarette smoking (r = 0.83), as was the decreasing rate of residential fire death attributed to smoking (r = 0.80)., Conclusions and Practical Applications: Decreasing U.S. residential fire death rates, both overall and smoking-related, coincided with a declining prevalence of adult cigarette smoking during 1999-2015. These findings further support tobacco control efforts and fire prevention strategies that include promotion of smoke-free homes. While the general health benefits of refraining from smoking are widely accepted, injury prevention represents a potential benefit that is less recognized., (Published by Elsevier Ltd.)

In the 21st century, severe droughts associated with climate change will increase biomass burning (BB) in Brazil caused by the human activities. Recent droughts, especially in 2005, 2010, and 2015, caused strong socioeconomic and environmental impacts. The 2015 drought considered the most severe since 1901, surpassed the 2005 and 2010 events in respect to area and duration. Herein, based on satellite data, the 2005, 2010 and 2015 drought impacts on wildfire episodes and carbon monoxide (CO) variability during the dry and the dry-to-wet transition seasons were examined. The BB occurrences in the dry season were fewer during 2015 than during 2005 (-44%) and 2010 (-47%). Contrasting, the BB events in the dry-to-wet transition season, were higher during 2015 than during 2005 (+192%) and 2010 (+332%). The BB outbreaks were concentrated in the southern and southwestern Amazon during 2005, in the Cerrado region during 2010, and mainly in the central and northern Amazon during 2015, an area normally with few fires. The CO concentration showed positive variations (up to +30%) occurred in the southern Amazon and central Brazil during the 2005 and 2010 dry seasons, and north of 20 °S during the 2015-2016 dry-to-wet transition season. The BB outbreaks and the CO emissions showed a considerable spatiotemporal variability among the droughts of 2005, 2010, and 2016, first of them driven by local conditions in the tropical North Atlantic (TNA), characterized by warm than normal sea surface waters and the other two by the El Niño occurrences., (Copyright © 2018 Elsevier Ltd. All rights reserved.)

The water content of surface dead fuels is one of the most important indicators for forecasting fire danger and fire behaviors. We employed the timelag equilibrium water content methods (i.e. Nelson and Simard models) and the meteorological variable regression method to continuously measure the water content of surface dead fuels by one-hour time step from September to October in 2010 under Populus davidiana + Betula platyphylla, Picea koraiensis and the cutover lands (Pinus sylvestris var. mongolica + Betula platyphylla) with different canopy densities in Pangu Forestry Bureau, the Great Xing'an Mountains, Heilongjiang Province, China. We established prediction models and obtained prediction errors. The models were also used to extrapolate the water contents of surface dead fuels under other forest stands and the extrapolation accuracy was analyzed. The results showed that the mean absolute error, the mean relative error and the mean square error root of Nelson model (0.0154, 0.104 and 0.0226) were lower than those of Simard model (0.0185, 0.117 and 0.0256). In terms of extrapolation effects, the mean absolute error, the mean relative error and the mean square error root of meteorological variable regression method (0.0410, 0.0300 and 0.0740) were lower than those of Simard model (0.610, 0.492 and 0.846), but they were higher than those of Nelson model (0.034, 0.021 and 0.0660). Such results indicated that the timelag equilibrium moisture content method by one-hour time step, especially Nelson model, was sui-table for the forest stands in the Great Xing'an Mountains. Although extrapolation could not reduce the prediction errors, it could help improve the prediction accuracy and the efficiency of the present models applied to different forest stands or in a larger scale. The modeling and extrapolation errors were closely related to species identity and canopy densities, thus the appropriate timelag equilibrium moisture content methods should be selected according to different forest stands and locations.

Nearly half the world's population burns solid fuel for cooking, heating, and lighting. The incomplete combustion of these fuels is associated with detrimental health and environmental effects. The design and distribution of improved cookstoves that increase combustion efficiency and reduce indoor air pollution are a global priority. However, promoting exclusive and sustainable use of the improved stoves has proved challenging. In 2012, we conducted a survey in a community in rural Senegal to describe stove ownership and preferences for different stove technologies. This report aims to describe local stove and fuel use, to identify household preferences related to stove features and function, and to elicit the community perceptions of cleaner-burning stove alternatives with a focus on liquid propane gas. Similar to many resource-limited settings, biomass fuel use was ubiquitous and multiple stoves were used, even when cleaner burning alternatives were available; less than 1% of households that owned a liquid propane stove used it as the primary cooking device. Despite nearly universal use of the traditional open fire (92% of households), women did not prefer this stove when presented with other options. Propane gas, solar, and improved cookstoves were all viewed as more desirable when compared to the traditional open fire, however first-hand experience and knowledge of these stoves was limited. The stove features of greatest value were, in order: large cooking capacity, minimal smoke production, and rapid heating. Despite the low desirability and smoke emisions from the traditional open fire, its pervasive use, even in the presence of alternative stove options, may be related to its ability to satisfy the practical needs of the surveyed cooks, namely large cooking capacity and rapid, intense heat generation. Our data suggest women in this community want alternative stove options that reduce smoke exposure, however currently available stoves, including liquid propane gas, do not address all of the cooks' preferences., Competing Interests: The authors have declared that no competing interests exist.

Objective: This study proposes and evaluates the theory that people who are susceptible to injury in residential fires are not susceptible to death in residential fires and vice versa. It is proposed that the population vulnerable to death in residential fires can be proxied by 'frailty', which is measured as age-gender adjusted fatality rates due to natural causes., Methods: This study uses an ecological approach and controls for exposure to estimate the vulnerability of different population groups to death and injury in residential fires. It allows fatalities and injuries to be estimated by different models., Results: Frailty explains fire-related death in adults while not explaining injuries, which is consistent with the idea that deaths and injuries affect disjoint populations., Conclusions: Deaths and injuries in fire are drawn from different populations. People who are susceptible to dying in fires are unlikely to be injured in fires, and the people who are susceptible to injury are unlikely to die in fires., Competing Interests: Competing interests: None declared., (© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.)

We assessed whether a home fire safety intervention targeting families with newborn children in Jefferson County, Kentucky, reached those at severe risk using a cartographic model. Demographic and economic factors of 61 families were compared by census tract. Using geographic information systems (GIS), families were assigned a risk level (low, medium, high, or severe) based on the risk model. Families who participated differed from census tracts in that of being minority race (p=0.01). The median risk category of the families was medium risk. Sixty-five tracts were identified as high or severe risk and in need of future intervention. The model yielded a way to prioritize at-risk families. GIS is a useful tool for examining whether prevention interventions reached those in the severe risk category., (Copyright © 2018 Elsevier Ltd and ISBI. All rights reserved.)

Background: Burn injuries account for approximately 180 000 deaths per annum, mostly in low- and middle-income countries., Method: This was a prospective, cross-sectional study. The target population consisted of adult patients, hospitalised for burn wounds at Pelonomi Tertiary Hospital in Bloemfontein, between July 2016 and early January 2017. Relevant data was collected by means of a structured interview using a questionnaire., Results: A total of 49 patients were interviewed during the study period. Almost two-thirds of the patients were male (65.3%, n=32). The median age was 33 years (range 18 to 64 years). In most cases, the injury occurred at home (77.6%, n=38). Three quarters of the reported incidents (77.6%, n=38) were considered accidental of which 68.4% (n=26) were related to domestic activities. At the time of the accidental incident, 39.5% (n=15) patients had consumed alcohol. Eleven (22.4%) of the incidents were intentional with 63.6% (n=7) attributed to assault. The two main causes of burn injuries were flames including flaming liquids (59.2%, n=29) and hot liquids (22.5%, n=11). The most frequent area of injury was the left front thigh., Conclusion: The predominant cause of burn wounds was flames including flaming liquids, and injuries were mostly accidental in nature. Alcohol consumption and domestic activities were common in accidental burns., (Copyright© Authors.)

In recent decades large fires have affected communities throughout central and southern Chile with great social and ecological consequences. Despite this high fire activity, the controls and drivers and the spatiotemporal pattern of fires are not well understood. To identify the large-scale trends and drivers of recent fire activity across six regions in south-central Chile (~32-40° S Latitude) we evaluated MODIS satellite-derived fire detections and compared this data with Chilean Forest Service records for the period 2001-2017. MODIS burned area estimates provide a spatially and temporally comprehensive record of fire activity across an important bioclimatic transition zone between dry Mediterranean shrublands/sclerophyllous forests and wetter deciduous-broadleaf evergreen forests. Results suggest fire activity was highly variable in any given year, with no statistically significant trend in the number of fires or mean annual area burned. Evaluation of the variables associated with spatiotemporal patterns of fire for the 2001-2017 period indicate vegetation type, biophysical conditions (e.g., elevation, slope), mean annual and seasonal climatic conditions (e.g., precipitation) and mean population density have the greatest influence on the probability of fire occurrence and burned area for any given year. Both the number of fires and annual area burned were greatest in warmer, biomass-rich lowland Bío-Bío and Araucanía regions. Resource selection analyses indicate fire 'preferentially' occurs in exotic plantation forests, mixed native-exotic forests, native sclerophyll forests, pasture lands and matorral, vegetation types that all provide abundant, flammable and connected biomass for burning. Structurally and compositionally homogenous exotic plantation forests may promote fire spread greater than native deciduous-Nothofagaceae forests which were once widespread in the southern parts of the study area. In the future, the coincidence of warmer and drier conditions in landscapes dominated by flammable and fuel-rich forest plantations and mixed native-exotic and sclerophyll forests are likely to further promote large fires in south-central Chile., Competing Interests: The authors have declared that no competing interests exist.

Understanding where and how fire patterns may change is critical for management and policy decision-making. To map future fire patterns, statistical correlative models are typically developed, which associate observed fire locations with recent climate maps, and are then applied to maps of future climate projections. A potential source of uncertainty is the common omission of static or dynamic vegetation as predictor variables. We therefore assessed the sensitivity of future fire projections to different combinations of vegetation maps used as explanatory variables in a statistically based fire modeling framework. We compared models without vegetation to models that incorporated static vegetation maps and that included output from a dynamic vegetation model that imposed three scenarios of fire and one scenario of land use change. We mapped projected future probability of all and large fires (> = 40 ha) under two climate scenarios in a heterogeneous study area spanning a large elevational gradient in the Sierra Nevada, California, USA. Results showed high model sensitivity to the treatment of vegetation as a predictor variable, particularly for models of large fire probability and for models accounting for wildfire effects on vegetation, which lowered future fire probability. Some scenarios resulted in opposite directional trends in the extent and probability of future fire, which could have serious implications for policy and management resource allocation. Model sensitivity resulted from high relative importance of vegetation variables in the baseline models and from large predicted changes in vegetation, particularly when simulating wildfire. Although statistical fire models often omit vegetation due to uncertainty, model sensitivity demonstrated here suggests a need to account for that uncertainty. Coupling statistical and processed based models may be a promising approach to reflect a more plausible range of scenarios., Competing Interests: The authors have declared that no competing interests exist.

Introduction: Children 5 and younger are at risk for sustaining serious burn injuries. The causes of burns vary depending on demographic, cultural and socioeconomic variables. At this pediatric burn center we provided medical care to children from Mexico with severe injuries. The purpose of this study was to understand the impact of demographic distribution and modifiable risk factors of burns in young children to help guide prevention., Methods: A retrospective chart review was performed with children 5 and younger from Mexico who were injured from 2000-2013. The medical records of 447 acute patients were reviewed. Frequency counts and percentages were used to identify geographic distribution and calculate incidence of burns. Microsoft Powermap software was used to create a geographical map of Mexico based on types of burns. A binomial logistic regression was used to model the incidence of flame burns as opposed to scald burns in each state with relation to population density and poverty percentage. In all statistical tests, alpha=0.05 for a 95% level of confidence., Results: Burns were primarily caused by flame and scald injuries. Admissions from flame injuries were mainly from explosions of propane tanks and gas lines and house fires. Flame injuries were predominantly from the states of Jalisco, Chihuahua, and Distrito Federal. Scalds were attributed to falling in large containers of hot water or food on the ground, and spills of hot liquids. Scald injuries were largely from the states of Oaxaca, Distrito Federal, and Hidalgo. The odds of a patient having flame burns were significantly associated with poverty percentage (p<0.0001) and population density (p=0.0085). Increasing levels of poverty led to decrease in odds of a flame burn, but an increase in the odds of scald burns. Similarly, we found that increasing population density led to a decrease in the odds of a flame burn, but an increase in the odds of a scald burn., Conclusions: Burns in young children from Mexico who received medical care at this pediatric burn center were attributed to flame and scalds. Potential demographic associations have been identified. Different states in Mexico have diverse cultural and socioeconomic variables that may influence the etiology of burns in young children and this information may help efficiently tailor burn prevention campaigns for burn prevention efforts in each region., Applicability of Research to Practice: This information will be used to develop and help modify existing prevention campaigns., (Copyright © 2018 Elsevier Ltd and ISBI. All rights reserved.)

Identifying children's risk exposure is the first step toward mortality prevention. This retrospective study determined the causes of child fatalities in Dammam, Saudi Arabia. Death reports of children and adolescents from 1999 to 2015 (N = 157) were analyzed. Boys represented most cases (69%) and there were two age peaks (1-5 years and 16-18 years). Accidents (typically immersion) defined the main death circumstance (51%) followed by homicide (25%). Only 33% of cases underwent autopsy, and the most common cause of death was head injury (27%) followed by firearm injury. Only one immersion death underwent autopsy. This study revealed important data about the risk exposure of children in Dammam and emphasizes deficient investigative procedures. Child fatality reviews comprise systematic data collection by multidisciplinary teams to determine the true risks toward children in a community. Such teams do not exist in Arab countries; therefore, strategies should be implemented to initiate them., (© 2017 American Academy of Forensic Sciences.)