213 Work accidents/injuries registered in iraq for the year 2016


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Abstract

IntroductionThe existing legislation for occupational accidents diseases and injuries did not made us gain real information about the magnitude of the problem in Iraq.Therefore we implemented a new way for registration of occupational injuries through the cooperation between the CIS centre/NCOSH/MoLSA/ and the planning directorate/MoH in Iraq, since 2012, so that build and gain basic informations about the epidemiology of the problem, to be able to improve the national planes to reduce and trying to stop them.MethodsThe emergency clinics in all Iraqi governorate hospitals filled up a questionnaire paper prepared for this purpose and then sent them to the MoH and then to the NCOSH – CIS centre, where a special electronic program was prepared to enter the informations of the questionnaire papers, then studied statically and gain the needed results.Results and discussionThe yearly numbers of the registered cased according to the legislations and since more than 40 years was around 200 cases only. While according to the new program the number became between 4000 to 7000 cases each year for the last 5 years.96.74% of the registered cases were male worker.49.5% of the age group 15–29 years, while 36.8% of the age group30–44 years of age.76.4% of the work injuries happened to workers in the private sector.81.4% happened in the work place while 18.9% were commuting accidents.67.1% happened during morning work shifts.30.9% caused by machines and instruments, and 21.9% because of falls.18.4% affected the workers heads, 18.1% the left upper limbs and 17.4% affected the right upper limbs.2014 registered work accidents caused wounds to the injured workers, 1135 caused only bruises and scratches, and 601 fractures to the affected workers.The total registered number of workers deaths was 17 cases during the year 2017.41.1% of them were from governmental sector, 47% were because of terrorists, 23.5% because of electric shocks and also 23.5% because of lifting and transport media while 5.8% because of exposure to chemicals.AimGaining and building the basic information about the magnitude and epidemiology of work accidents and injuries in Iraq, so that to improve the national planes to reduce and trying to stop them.ObjectivesTo increase the scope and effectiveness of the investigation of causes of occupational accidents, and the identification and implementation of preventive measures.to promote awareness among health care providers of the potential effects of their work upon the health of their patients with view to assisting competent authorities in the compilation of more comprehensive information on occupational accidents, dangerous occurrences and incidents.Experimental design and methodologyIn Iraq and for the last 50 years, the relevant legislations were not effective, so that the total yearly numbers of the registered work injuries were around 200 cases almost every year.The CIS centre in the Iraqi NCOHS started a new approach for registration of occupational accidents through the emergency clinics in the hospitals.The new way was implemented since the year 2012 with the cooperation of the ministry of health – planning directorate – department of health statistics.The CIS centre accomplished a questionnaire paper, distributed, officially through the MoLSA NCOHS and the MoH–planning directorate to all Iraqi hospitals emergency clinics, in 15 governorates, except the Itaqi Reign Kurdistan 3 governorates, to be fulfilled by the emergency staff and statisticians in the hospitals.These papers were sent officially to the MoH and then the MoLSA to the NCOHS – CIS department.A special electronic program was prepared to enter the data of the questionnaire papers, and to be studied statistically to gain the needed results yearly.DiscussionGraph No.1 shows the numbers of occupational accidents that where registered in the emergency clinics in Iraqi hospital of all the governorates except Kurdistan region, for the years 2012 up to 2016.It was clear that during the starting year 2012, the number was 2570 occupational accidents and it increased to reach 7147 occupational accidents during 2014 and then decreased after the invasion of ICIS to 3 major governorates that stopped registration of occupational accidents since then, to reach 4966 in the year 2016.However, we recognised that most of the hospitals in almost all the included governorates sticked to this program of registration of occupational accidents.Graph No.2 shows the numbers of occupational accidents registered in the emergency clinics, for the years 2012 up to 2016 divided according to the governorates.Where the Medical City Hospital registered the highest number 2774 during the year 2015, coming next the hospitals of the governorates, Baghdad Al-resafah, Kerbala, Babylon, Diyalah and the least numbers where registered in Al-Basrah, Al-Najaf and Kerkuk governorate hospitals.And because of the ICIS crises 3 governorates stopped all contacts with this program.However, Al- Diwaniya, wasit, Misan governorates where not cooperative at all in this program since the start till now.Graph No.3 shows the number and percentage of occupational accidents divided according to the sex.Where 96.76 of them affected the male workers 3.24% and female workers.Graph No.4 shows the number and percentage of occupational accidents divided according to the age groups of the injuries workers.Where 49.54% happed to the age group 30–44 year.Graph No.5 shows the number and percentage of occupational accidents for the year 2016 divided according to work sectors Where the majority registered to workers working in the public sectors 76.42%, 21.65% in the private working sector, and only 1.93 occupational accidents where registered to be from the combined work sector.Graph No.6 shows the number and percentage of occupational accidents for the year 2016 divided according to place of accidents where 81.1% happened in the working place, while 18.9% where commuting accidents.Graph No.7 shows the occupational accidents for the year 2016 divided according to work shift.Where 67.18% took place during the morning work shift, 24.6% during the midday shift.While only 8.66% of occupational accidents where registered during the night shift, however this percentage is high if we considered that the night working shift are very very limited in Iraq because of the bad security situation.Graph No.8 shows the number and percentage of occupational accidents divided according to the cause.Where the highest percentage 30.93% of occupational accidents happened because of machines and instruments, 21.97% because of stumble and fall and to a less extent others (explosions and bullet injuries) 17.78%, 15.42% because of transport media.Graph No.9 shows the number and percentage of occupational accidents divided according to the place of the injury in the body.Where the highest percentage affected the head 18.43%, 18.16% affected the left upper limbs, 17.48% affected the right upper limbs.Graph No.10 shows the number and percentage of occupational accidents divided according to the type of the injury to the workers.Where the highest type of injury was 2814 wounds, 1135 bruises and scratches, and 601 fractures.Graph No.11 shows the number of deaths caused by work accidents divided according to work sector.Where the total number of deaths during the year 2016 were 17 cases, 58.82% happened in the public sector and 41.18% in the private sector, and no deaths where registered because of work accidents and injuries in the combined sector.Graph No.12 shows the number of deaths caused by work accidents divided according to health directorates in the Iraqi governorates.Where 6 cases were registered in Diyalah, 5 in AL- Diwaniyah, 4 in AL-Basrah and 2 in AL- Najaf governorate hospitals.hs caused by work accidents shows the number of deatGraph No.13 divided according to cause of work injury.Where electrical shock caused (4) deaths, transport media caused (4) deaths also, while exposure to chemicals caused (2) deaths.However, the deaths because of others causes (explosions and bullets).(6) Registered the highest cause for occupational deaths.Results and conclusion- During the enforcement of this program since 2012 till now, it was obvious that it reached a stable situation of accomplishment.This was according to the plan designed by the Iraqi Safety and Health Information Centre/MoLSA with the cooperation of The Department of Planning/MoH, to be accomplished through the emergency clinics in Iraqi hospitals.Where the registered numbers reached many thousands each year.While via the already existing Iraqi laws since more than 40 year, the registered numbers of occupational accidents where, between one hundred up to two hundred cases only, each year.However we concluded variations in the implementation of the program between the health directorates of each governorate, and also between the hospitals of the same health directorate in the governorateMost of the registered work accidents were between male workers(96.74%) and mostly the middle age group 15–29 years (49.545),30–44 years (36.81%).(76.42%) of these registered work accidents happened to workers in the private sector of the work.And (81.1%) happened in the work place, while 18.9% were commuting accidents.(67.18%) of these accidents happened during the morning work shifts.The machines and instruments caused (30.93%) of the registered work accidents,and (21.97%) were because of falls.(18.43%) affected the workers heads, (18.16%) affected left upper limbs and (17.42%) affected right upper limb.2014 registered work accidents caused wounds to the injured workers, 1135 caused bruises and scratches, and 601 work accident fractures to the affected workers.The total numbers of workers deaths registered because of work accidents for year 2016 was 17 deaths.(41.18%) 10 of them happened to workers working in the governmental (public) sector, (39.82%) 7 in the private sector.6 deaths registered in Diyala governorate, 5 in AL- Diwaniya, 4 in the AL- Basrah and 2 in AL- Najaf governorate.(47.05%) 8 were because of terrorist works, (23.52%) 4 because of electric shock, also (23.52%) 4 because of lifting transport media, and (5.88%) one death case was because of exposure to chemicals.RecommendationIt is a must that a National law for Occupational Injuries is implemented in the country.

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