Lucas C Carlson1, Tom T Rogers2, Thaim B Kamara3, Megan M Rybarczyk4, Jeffrey J Leow5, Thomas D Kirsch6, Adam L Kushner7. 1. Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe St., Baltimore, MD 21205, USA. Electronic address: lcarlso7@jhmi.edu. 2. Department of Surgery, Connaught Hospital 1, Percival Street, Freetown, Sierra Leone. Electronic address: ttibo2105@yahoo.com. 3. Department of Surgery, Connaught Hospital 1, Percival Street, Freetown, Sierra Leone; College of Medicine and Allied Health Science (COMAHS), New England Ville, Freetown, Sierra Leone. Electronic address: thaimyangbay@yahoo.co.uk. 4. Department of Emergency Medicine, Boston Medical Center, 840 Harrison Ave., Boston, MA 02118, USA. Electronic address: megan.rybarczyk@bmc.org. 5. Surgeons OverSeas (SOS), 504 E. 5th St., Suite 3E, New York, NY 10009, USA. Electronic address: jeffrey.leow@gmail.com. 6. Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe St., Baltimore, MD 21205, USA; Department of Emergency Medicine, Johns Hopkins University School of Medicine, 733 North Broadway, Baltimore, MD 21205, USA; Center for Refugee and Disaster Response, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe St., Baltimore, MD 21205, USA. Electronic address: tkirsch1@jhmi.edu. 7. Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe St., Baltimore, MD 21205, USA; Surgeons OverSeas (SOS), 504 E. 5th St., Suite 3E, New York, NY 10009, USA; Department of Surgery, Columbia University, 630 W. 168th St., New York, NY 10032, USA. Electronic address: adamkushner@yahoo.com.
Abstract
BACKGROUND: Experience indicates that the frequency and impact of petroleum pipeline fires and explosions in sub-Saharan Africa (SSA) is presently under-represented in the academic literature. MATERIALS AND METHODS: Using adapted PRISMA guidelines, the authors reviewed both PubMed and the LexisNexis Academic news database, which includes periodicals, news transcripts and online reports. Country-by-country searches were conducted for petroleum pipeline fires and explosions in SSA occurring between June 1, 2004 and May 31, 2014. RESULTS: Initial search yielded 5730 articles from LexisNexis Academic and 3 from PubMed. On further review, a total of 28 separate petroleum pipeline-related incidents causing injuries and/or deaths were identified, 16 of which had not been previously reported in the academic literature. The events occurred in Nigeria (23), Kenya (2), Ghana (1), Sierra Leone (1), and Tanzania (1). A total of 1756 deaths were reported across all events. The most common cause of the original leak was intentional, either from theft or vandalism (13/20, 65%), or by militia activity (2/20, 10%). CONCLUSIONS: Fire disasters related to scavenging fuel from petroleum pipelines are common in SSA and cause significant morbidity and mortality. These events require better reporting tools and intervention strategies overall. Furthermore, our study demonstrates that non-academic sources can effectively supplement gaps in the academic literature.
BACKGROUND: Experience indicates that the frequency and impact of petroleum pipeline fires and explosions in sub-Saharan Africa (SSA) is presently under-represented in the academic literature. MATERIALS AND METHODS: Using adapted PRISMA guidelines, the authors reviewed both PubMed and the LexisNexis Academic news database, which includes periodicals, news transcripts and online reports. Country-by-country searches were conducted for petroleum pipeline fires and explosions in SSA occurring between June 1, 2004 and May 31, 2014. RESULTS: Initial search yielded 5730 articles from LexisNexis Academic and 3 from PubMed. On further review, a total of 28 separate petroleum pipeline-related incidents causing injuries and/or deaths were identified, 16 of which had not been previously reported in the academic literature. The events occurred in Nigeria (23), Kenya (2), Ghana (1), Sierra Leone (1), and Tanzania (1). A total of 1756 deaths were reported across all events. The most common cause of the original leak was intentional, either from theft or vandalism (13/20, 65%), or by militia activity (2/20, 10%). CONCLUSIONS: Fire disasters related to scavenging fuel from petroleum pipelines are common in SSA and cause significant morbidity and mortality. These events require better reporting tools and intervention strategies overall. Furthermore, our study demonstrates that non-academic sources can effectively supplement gaps in the academic literature.