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. 2009 Sep;2(3):170-4.
doi: 10.4103/0974-2700.55328.

Emergency medical epidemiology in Assam, India

Sahoo Saddichha  1 , Mukul Kumar Saxena, Vibha Pandey, Mithilesh Methuku
Affiliations

Emergency medical epidemiology in Assam, India

Sahoo Saddichha et al. J Emerg Trauma Shock. 2009 Sep.

Abstract

Background: Assam, with its capital in Dispur has one of the highest rates of infant and maternal mortality in India. Being under both tribal and hilly regions, it has lacked adequate healthcare and emergency services. We therefore aimed to conduct a cross-sectional survey of medical emergencies and identify various types of emergencies presenting to emergency departments, prior to launching emergency services across the state.

Materials and methods: On a prospective basis and using a stratified random sampling design, all emergencies presenting to the three government hospitals in Guwahati, Assam, which handle 90% of all emergencies currently, were studied on specially designed datasheets in order to collect data. Emergency medical technicians (EMTs) were placed in the Casualty of the medical colleges and recorded all emergencies on the datasheet. The collected data was then analysed for stratification and mapping of emergencies. In addition, retrospective data for a period of 15 days was collected from the emergency case registers of all three hospitals and the adjoining district civil hospitals, in order to give a wider perspective of the nature of emergencies.

Results: A total of 2169 emergencies were recorded over a seven-day prospective and fifteen-day retrospective period. Guwahati Medical College Hospital attended to majority of emergencies (42%), which were mainly of the nature of pregnancies (22.7%), accidents (12.2%) or assaults (15.4%) and fever related. Maximum emergencies also presented from the border districts, and occurred among young males in the age group of 19-45 years. Males were also more prone to accidents and assaults, while females presented with pregnancies as emergencies.

Conclusion: Potential emergency services need to target young pregnant females. Law and order needs to be also tightened in order to curb accidents and assaults among young males.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Gender differences in emergencies
Figure 2
Figure 2
Stratification of emergencies by regions in Assam
See this image and copyright information in PMC

References

    1. Maternal Mortality Rate (2001-2003) Statistical Report, Registrar General of India. National Institute of Health and Family Welfare. 2004. Available from http://www.nihfw.org/html/VitalRates.pdf [accessed on 2009 Jan 21]
    1. Infant Mortality Rate (2005-06) National Family Health Survey 3. 2009. Available from: http://www.nfhsindia.org/NFHS-3%20Data/VOL-1/India_volume_I_corrected_17... [accessed on 2009 Jan 21]
    1. Phukan RK, Mahanta J. A study of neonatal deaths in the tea gardens of Dibrugarh district of upper Assam. J Indian Med Assoc. 1998;96:333–4. 337. - PubMed
    1. Ray SK, Dasgupta S, Dobe M, Biswas R, Mehta P, Baishya AC, et al. An evaluation of routine immunization coverage in some districts of West Bengal and Assam. Indian J Public Health. 2004;48:82–7. - PubMed
    1. Gogoi G, Ahmed FU. Effect of maternal nutritional status on the birth weight among women of tea tribe in Dibrugarh district. Indian Journal of Community Medicine. 2007;32:120–2.