Dutch Burns FoundationDutch Burns Foundation

COMMUNICATION TO CONSUMERS &HIGH RISK GROUPS

Burns in the NetherlandsBurns in the NetherlandsBurns in the NetherlandsBurns in the Netherlands

• Each year, Each year, 12,00012,000 people are treated for burn injuries in people are treated for burn injuries in Emergency DepartmentsEmergency Departments• In approximately In approximately 9,6009,600 cases the accident occured in cases the accident occured in

the homethe home• In approximately In approximately 2,4002,400 cases the accident occured in cases the accident occured in

the workplacethe workplace

12,000 people treated in hospital12,000 people treated in hospital12,000 people treated in hospital12,000 people treated in hospital

• 7,020 of the treated victims have severe burns 7,020 of the treated victims have severe burns

(2nd degree or deeper)(2nd degree or deeper)• 840 people are admitted to hospital after being treated at 840 people are admitted to hospital after being treated at

the emergency departmentthe emergency department

On avarage 1,900 hospital admissionsOn avarage 1,900 hospital admissionsOn avarage 1,900 hospital admissionsOn avarage 1,900 hospital admissions

National Medical Registration System:National Medical Registration System:

Hospital admissions after a burn accidentHospital admissions after a burn accident

2003: 2003: 1.9241.924

2004: 2004: 1.9451.945

2005: 2005: 2.0792.079

2006: 2006: 1.8601.860

Burns 2003 - 2006

0

100

200

300

400

500

600

0 ye

ars

1-4

year

s

5-9

year

s

10-1

4 ye

ars

15-1

9 ye

ars

20-2

4 ye

ars

25-2

9 ye

ars

30-3

4 ye

ars

35-3

9 ye

ars

40-4

4 ye

ars

45-4

9 ye

ars

50-5

4 ye

ars

55-5

9 ye

ars

60-6

4 ye

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65-6

9 ye

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70-7

4 ye

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75-7

9 ye

ars

80-8

4 ye

ars

< 85

years

age

Nu

mb

er

Burns in the Netherlands2003200420052006

Causes of burnsCauses of burnsCauses of burnsCauses of burns

• Causes of burns treated at the Emergency Department:Causes of burns treated at the Emergency Department:Hot fluidHot fluid 56%56%Hot objectHot object 15%15%Fire, flameFire, flame 13%13%ExplosionExplosion 4%4%ChemicalChemical 3%3%OtherOther 8%8%

• Causes of burns treated at hospital:Causes of burns treated at hospital:Fire, flame Fire, flame 54%54%Hot object / hot fluid Hot object / hot fluid 32%32%OtherOther 24%24%

Risk groups, causes, incidence Risk groups, causes, incidence (in home setting)(in home setting)Risk groups, causes, incidence Risk groups, causes, incidence (in home setting)(in home setting)

Age groupAge groupCauseCause IncidenceIncidence• 0-4 years0-4 years Hot fluidHot fluid 130 per 100,000130 per 100,000

Hot objectHot object 39 per 100,00039 per 100,000• 5-19 years5-19 years Hot fluidHot fluid 28 per 100,00028 per 100,000

Fire, flameFire, flame 9.7 per 100,0009.7 per 100,000

ExplosionExplosion 6.5 per 100,0006.5 per 100,000• 20-34 years20-34 years Hot fluidHot fluid 48 per 100,00048 per 100,000

Fire, flameFire, flame 13 per 100,00013 per 100,000

ChemicalChemical 3.4 per 100,0003.4 per 100,000• 35-54 years35-54 years Hot fluidHot fluid 25 per 100,00025 per 100,000• 55+55+ Hot fluidHot fluid 13 per 100,00013 per 100,000

CampagnesCampagnesCampagnesCampagnes

12,000 people treated at hospital12,000 people treated at hospital12,000 people treated at hospital12,000 people treated at hospital

• From 2001 to 2006 the number of patients with burns that has From 2001 to 2006 the number of patients with burns that has been treated at the Emergency Departments has decreased been treated at the Emergency Departments has decreased significantly with 26%significantly with 26%

CampagnesCampagnesCampagnesCampagnes

Number of smoke detectors in the NetherlandsNumber of smoke detectors in the NetherlandsNumber of smoke detectors in the NetherlandsNumber of smoke detectors in the Netherlands

• In the period from 2001 to 2007, the number of smoke In the period from 2001 to 2007, the number of smoke detectors has increased considerably:detectors has increased considerably:

68% of households has a smoke detector68% of households has a smoke detector

But this doesn’t apply to everybody…But this doesn’t apply to everybody…But this doesn’t apply to everybody…But this doesn’t apply to everybody…

• Children from Turkish and Moroccon ethnic backgrounds are Children from Turkish and Moroccon ethnic backgrounds are over represented in the Dutch Burn Centresover represented in the Dutch Burn Centres

• Scalds occur more frequently in children from Turkish and Scalds occur more frequently in children from Turkish and Moroccon ethnic backgrounds Moroccon ethnic backgrounds

(10% more than in Dutch children )(10% more than in Dutch children )

But this doesn’t apply to everybody…But this doesn’t apply to everybody…But this doesn’t apply to everybody…But this doesn’t apply to everybody…

DutchDutch

No smoke detectorNo smoke detector 28 %28 %

Never thought about itNever thought about it 19 %19 %

Testing (no knowledge) Testing (no knowledge) 17%17%

Changing batteries (no knowledge)Changing batteries (no knowledge) 14 %14 %

Test > 1 yearTest > 1 year 21 %21 %

Rented house / flatRented house / flat 42 %42 %

Non-Dutch Non-Dutch ethnic ethnic backgroundbackground

42 %42 %

40 %40 %

34 %34 %

32 %32 %

39%39%

71%71%

• Smoke detectors in the Netherlands:Smoke detectors in the Netherlands:

Smoke detectors and incomeSmoke detectors and incomeSmoke detectors and incomeSmoke detectors and income

0

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30

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50

60

70

80

90

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10 to20

20-30 30-40 40-50 >50

yearly income (x 1000 €)

Dutch

Non-Dutch ethnicbackground

OOPSOOPSOOPSOOPS

What can be done?What can be done?What can be done?What can be done?

• Prevention projects, interpersonal education, Prevention projects, interpersonal education, providing informationproviding information

• Political lobbyPolitical lobby• Mass media campaignsMass media campaigns• CareCare• Quality of lifeQuality of life

What can be done?What can be done?What can be done?What can be done?

• Interpersonal education is effectiveInterpersonal education is effective• Mass media campaigns give good resultsMass media campaigns give good results

Interpersonal education is effectiveInterpersonal education is effectiveInterpersonal education is effectiveInterpersonal education is effective

What can be done?What can be done?What can be done?What can be done?

• Interpersonal education is effectiveInterpersonal education is effective

1,400 group presentations per year:1,400 group presentations per year:- Improvement in knowledgeImprovement in knowledge- Attitude is positiveAttitude is positive- A proven change in behaviour amongst parentsA proven change in behaviour amongst parents

Mass media campaigns give good resultsMass media campaigns give good resultsMass media campaigns give good resultsMass media campaigns give good results

What can be done?What can be done?What can be done?What can be done?

• Mass media campaigns give good resultsMass media campaigns give good results

Example: pilot ‘Make an evacuation plan’:Example: pilot ‘Make an evacuation plan’:- Improvement in knowledgeImprovement in knowledge- Attitude is positiveAttitude is positive- A proven change in behaviour A proven change in behaviour

Action planAction planAction planAction plan

• Interpersonal education aimed at high risk groupsInterpersonal education aimed at high risk groups• Set up mass media campaigns in cooperation with the Fire Set up mass media campaigns in cooperation with the Fire

Department, aimed at high risk groupsDepartment, aimed at high risk groups

Interpersonal educationInterpersonal educationInterpersonal educationInterpersonal education

• Indentify high risk groupsIndentify high risk groups• Hire and train educators (Turkish en Moroccan) Hire and train educators (Turkish en Moroccan) • Develop group presentations specifically for high risk Develop group presentations specifically for high risk

groupsgroups• Promote group presentationsPromote group presentations• Pilot group presentationsPilot group presentations• EvaluateEvaluate

Mass media cooperationMass media cooperationMass media cooperationMass media cooperation

• Mass media campaign in cooperation with the Fire Mass media campaign in cooperation with the Fire Department aimed at specific riskgroupsDepartment aimed at specific riskgroups

Looking for new possibilitiesLooking for new possibilitiesLooking for new possibilitiesLooking for new possibilities

• Problem: How do we reach groups that are not organised Problem: How do we reach groups that are not organised themselves?themselves?

• Idea: Idea: Can the Fire Department be linked to educators from different Can the Fire Department be linked to educators from different cultural and ethnic backgrounds? cultural and ethnic backgrounds?

For example, when a fire has occured in a neighbourhood…. For example, when a fire has occured in a neighbourhood…. Can this incident be used to give a prevention message to Can this incident be used to give a prevention message to community / neighbourhood groups? (as they will be community / neighbourhood groups? (as they will be sensitive to the topic at that very moment)sensitive to the topic at that very moment)

QuestionsQuestionsQuestionsQuestions

• Do you have experience cooperating with Fire Departments Do you have experience cooperating with Fire Departments with regard to prevention projects aimed at groups of with regard to prevention projects aimed at groups of different cultural and ethnic backgrounds?different cultural and ethnic backgrounds?

• Do you have experience with providing psychosocial care to Do you have experience with providing psychosocial care to high risk groups of different ethnic backgrounds?high risk groups of different ethnic backgrounds?

Dutch Burns FoundationDutch Burns Foundation

Thanks