Epidemiological characteristics and relative factor of hospital death cases with road traffic trauma

Objective: To investigate the epidemiological characteristics and relative factor about hospital death in patients with road traffic trauma. Methods: The age, sex, road-use category, sites of injury, injury severity scale of 159 hospital death cases in 2436 cases with road traffic trauma were observed, and the relation between the causes of death and time elapsed after injury was also studied with likelihood ratio Chi-square test.

Assessment of the Impacts of Tropical Cyclones Idai to the Western Coastal Area and Hinterlands of the South Western Indian Ocean

Tropical Cyclones (TCs) are among the atmospheric events which may trigger/enhance the occurrence of disasters to the society in most world basins including the Southwestern Indian Ocean (SWIO). This study analyzed the dynamics and the impacts of the Tropical Cyclone (TC) Idai (4th-21st March, 2019) which devastated most of the SWIO countries. The study used the Reanalysis 1 products of daily zonal (u) and meridional (v) winds, Sea Surface Temperatures (SSTs), amount of Precipitable Water (PRW), and relative humidity (Rh). The dynamics and movements of Idai were analyzed using the wind circulation at 850, 700, 500 and 200 mb, where the TC dynamic variables like vertical wind shear, vorticity, and the mean zonal wind were calculated using u and v components. Using the open Grid Analysis and Display System (GrADS) software the data was processed into three-time epochs of pre, during and post;and then analyzed to feature the state of the atmosphere before (pre), during and post TC Idai using all datasets. The amount of precipitable water was used to map the rainfall on pre, during, and post Idai as well as during its landfall. The results revealed that dynamics of TC Idai was intensifying the weather (over Mozambique) and clearing the weather equatorward or southward of 12°S, with low vertical wind shear over the landfall areas (-3 to 3 m/s) and higher shear values (10 - 40 m/s) northward and southward of the Mozambican channel. Higher moisture content (80 - 90%) and higher PRW (40 - 60 mm/day) mapped during Idai over the lowland areas of Mozambique propagating westward. Higher low-level vorticity values were also mapped over the landfall areas. More results revealed that countries laying equatorward of 12°S, e.g., the northern coastal areas of Kenya (Turkana and Baringo) and Tanzania, Idai disrupted the 2019 March to May (MAM) seasonal rainfall by inducing long dry spell which accelerated the famine over the northeastern Kenya (Turkana). Moreover, results revealed that the land falling of Idai triggered intensive flooding which affected a wide spectrum of socio-economic livelihoods including significant loss of lives, injuries, loss of material wealth, infrastructure;indeed, people were forced to leave their houses for quite a longtime;water-borne diseases like malaria, cholera among others were experienced. Furthermore, results and reports revealed that a large amount of funds were raised to combat the impacts of Idai. For instance, USAID/OFDA used about $14,146,651 for human aid and treatment of flood-prone diseases like Cholera in Mozambique ($13,296,651), Zimbabwe ($100,000), and Malawi ($280,000), respectively. Also a death toll of about 602 in Mozambique and 344 in Zimbabwe, and more than 2500 cases of injured people were reported. Conclusively the study has shown that TCs including Idai and other are among the deadliest natural phenomenon which great affects the human and his environments, thus extensive studies on TCs frequency, strength, tracks as well as their coast benefit analysis should be conducted to reduce the societal impacts of these TCs.