Deaths and Injuries from Unintentional Falls: An Analysis of Nepal Police Records

Main Article Content

Bhagabati Sedain

Abstract

Falls are a major cause of unintentional injury-related global mortality and morbidity. The actual mortality and morbidity from falls in Nepal have been overlooked and not systematically studied. This study, therefore, aims to present the national status of fall-related deaths and injuries. The study analyzed the fall incidents recorded by Nepal Police for five fiscal years (17 July 2014 to 16 July 2019). These incident recordings were in the form of narratives, and possible variables were extracted for the analysis. In five years, 4,714 people were injured or died from falls in Nepal. The average age of the fall victim was 35.6 years (SD=19.94); the mean age of the person who died from falls was slightly lower (30.9 years) than the injured person (40.4 years). The analysis showed that the fall cases were remarkably greater for males than females. This study found that Bagmati Province, where the capital city was located has the highest death and injury rates from falls, followed by Gandaki Province and Province 1. The study identified 11 different locations of falls. These findings revealed that Nepal has a considerable burden of fall deaths and injuries. However, the actual burden of fall injuries might be higher due to the under-reporting of the incidents through the Nepal Police data recording system.

Article Details

How to Cite
Sedain, B. (2021). Deaths and Injuries from Unintentional Falls: An Analysis of Nepal Police Records. Journal of Population and Social Studies [JPSS], 29(-), 500–510. Retrieved from https://so03.tci-thaijo.org/index.php/jpss/article/view/248690
Section
Research Articles
Author Biography

Bhagabati Sedain, Department of Population Studies, Padmakanya Multiple Campus, Kathmandu, Nepal

Corresponding author

References

• Adhikari, U. P. (2014). Age sex composition. Population monograph of Nepal: Volume I population dynamics. 39-69. https://mohp.gov.np/downloads/Population%20Monograph%20V01.pdf

• Bhatti, J. A., Farooq, U., Majeed, M., Khan, J. S., Razzak, J. A., & Khan, M. M. (2015). Fall-related injuries in a low-income setting: Results from a pilot injury surveillance system in Rawalpindi, Pakistan. Journal of Epidemiology and Global Health, 5(3), 283–290. https://doi.org/10.1016/j.jegh.2015.01.003

• Central Bureau of Statistics. (2018). Population Province Level. Population 2011. https://cbs.gov.np/population-2011/

• Gulati, D., Aggarwal, A. N., Kumar, S., & Agarwal, A. (2012). Skeletal injuries following unintentional fall from height. Ulus Travma Acil Cerrahi Derg [Turkish Journal of Trauma & Emergency Surgery], 18(2),141-146. https://doi.org/10.5505/tjtes.2012.12058

• Gupta, S., Gupta, S. K., Devkota, S., Ranjit, A., Swaroop, M., & Kushner, A. L., Nwomeh, B. C., & Victorino, G. P. (2015). Fall injuries in Nepal: A countrywide population-based survey. Annals of Global Health, 81(4), 487–494. https://doi.org/10.1016/j.aogh.2015.07.004

• Gyanwali, G. P. (2020). Provincial poverty in Nepal. Patan Pragya, 7(1), 66–77. https://doi.org/10.3126/pragya.v7i1.35107

• James, S. L., Lucchesi, L. R., Bisignano, C., Castle, C. D., Dingels, Z. V., Fox, J. T., Hamilton, E. B., Henry, N. J., Krohn, K. J., Liu, Z., McCracken, D., Nixon, M. R., Roberts, N. L. S., Sylte, D. O., Adsuar, J. C., Arora, A., Briggs, A. M., Collado-Mateo, D., Cooper, C., D. … Murray, C. J. L. (2020). The global burden of falls: global, regional and national estimates of morbidity and mortality from the Global Burden of Disease Study 2017. Injury Prevention, 26(Suppl 2), i3-i11. https://doi.org/10.1136/injuryprev-2019-043286

• Kannus, P., Parkkari, J., Koskinen, S., Niemi, S., Palvanen, M., Järvinen, M., & Vuori, I. (1999). Fall-induced injuries and deaths among older adults. The Journal of the American Medical Association, 281(20), 1895–1899. https://doi.org/10.1001/jama.281.20.1895

• Limbu, J., & Poudyal, S. (2020). Fall risk among older adults residing in Bharatpur, Chitwan, Nepal. Journal of Chitwan Medical College, 10(3), 12-15. https://doi.org/10.3126/jcmc.v10i3.32003

• Ministry of Health. (2016). Annual report 2072/73 (2015/2016). Department of Health Services.

http://dohs.gov.np/wpcontent/uploads/2017/06/DoHS_Annual_Report_2072_73.pdf

• National Planning Commission. (2012). Nepal MDG Acceleration Framework: Improving access to sanitation. Government of Nepal, National Planning Commission.

https://www.npc.gov.np/images/category/Nepal_MDG_Accleration_Framework_2012.pdf

• Pant, P. R., Banstola, A., Bhatta, S., Mytton, J. A., Acharya, D., Bhattarai, S., Bisignano, C., Castle, C. D., Dhungana, G. P., Dingels, Z. V., Fox, J. T., Hamal, P. K., Liu, Z., Mahotra, N. B., Paudel, D., Pokhrel, N. K., Ranabhat, C. L., Roberts, N. L. S., Sylte, D. O., & James, S. L. (2020). Burden of injuries in Nepal, 1990-2017: Findings from the Global Burden of Disease Study 2017. Injury Prevention, 26(Suppl 2), i57-i66. https://doi.org/10.1136/injuryprev-2019-043309

• Peden, M., Oyegbite, K., Ozanne-Smith, J., Hyder, A. A., Branche, C., Rahman, A. K. M. F, Rivara, F., & Bartolomeos, K. (2008). World report on child injury prevention. World Health Organization. https://www.who.int/violence_injury_prevention/child/injury/world_report/en/

• Rai, B. K., Chaudhari, R., Yadav, A., & Rai, B. (2017). A cross-sectional study of fall injuries in senior people attending emergency ward in BPKIHS, a tertiary level hospital, Dharan, eastern region of Nepal. Health Renaissance, 13(1), 77–85. https://doi.org/10.3126/hren.v13i1.17951

• Sasidharan, D. K., Vijayakumar, P., Raj, M., Soman, S., Antony, L., Sudhakar, A., & Kabali, C. (2020). Incidence and risk factors for falls among community-dwelling elderly subjects on a 1-year follow-up: A prospective cohort study from Ernakulam, Kerala, India. BMJ Open, 10(7), 1–9. https://doi.org/10.1136/bmjopen-2019-033691

• Smith, S. M. (2016). Injuries from falls to lower levels, 2013. Monthly Labor Review, U.S. Bureau of Labor Statistics. https://doi.org/10.21916/mlr.2016.36

• Thapa, S., & Mishra, V. (2003). Mass media exposure among urban youth in Nepal. Asia-Pacific Population Journal, 18(1), 5-28. https://doi.org/10.18356/4ba4c09c-en

• Turgut, K., Sarihan, M. E., Colak, C., Güven, T., Gür, A., & Gürbüz, S. (2018). Falls from height: A retrospective analysis. World Journal of Emergency Medicine, 9(1), 46–50. https://doi.org/10.5847/wjem.j.1920-8642.2018.01.007

• Wadhwaniya, S., Alonge, O., Ul Baset, M. K., Chowdhury, S., Bhuiyan, A.-A., & Hyder, A. A. (2017). Epidemiology of Fall Injury in Rural Bangladesh. International Journal of Environmental Research and Public Health, 14(8), 900. https://doi.org/10.3390/ijerph14080900

• Williams, J. S., Kowal, P., Hestekin, H., O'Driscoll, T., Peltzer, K., Yawson, A., Biritwum, R., Maximova, T., Rodríguez, A. S., Espinoza, B. M., Wu, F., Arokiasamy, P., Chatterji, S., & SAGE collaborators (2015). Prevalence, risk factors and disability associated with fall-related injury in older adults in low- and middle-income countries: results from the WHO Study on global AGEing and adult health (SAGE). BMC Medicine, 13, 147. https://doi.org/10.1186/s12916-015-0390-8

• World Bank. (2020). Delivering road safety in Nepal: Leadership, priorities, and initiatives to 2030. World Bank. http://hdl.handle.net/10986/33340

• World Health Organization. (2007). WHO Global Report on falls prevention in older age.

https://extranet.who.int/agefriendlyworld/wp-content/uploads/2014/06/WHo-Global-report-on-falls-prevention-in-older-age.pdf

• World Health Organization. (2015). Injuries and violence: The facts 2014. http://www.who.int/violence_injury_prevention/media/news/2015/Injury_violence_facts_2014/en/

• World Health Organization. (2018). Falls. WHO. https://www.who.int/news-room/fact-sheets/detail/falls

• Zlatar, T. L., Eliane, M. G. L., Soares, W. A., Baptista, J. S., & Júnior, B. B. (2019). Falls from height: Analysis of 114 cases. Production, 29, e20180091. https://doi.org/10.1590/0103-6513.20180091