| Literature DB >> 28157149 |
John Twigg1, Nicola Christie2, James Haworth3, Emmanuel Osuteye4, Artemis Skarlatidou5.
Abstract
Fires cause over 300,000 deaths annually worldwide and leave millions more with permanent injuries: some 95% of these deaths are in low- and middle-income countries. Burn injury risk is strongly associated with low-income and informal (or slum) settlements, which are growing rapidly in an urbanising world. Fire policy and mitigation strategies in poorer countries are constrained by inadequate data on incidence, impacts, and causes, which is mainly due to a lack of capacity and resources for data collection, analysis, and modelling. As a first step towards overcoming such challenges, this project reviewed the literature on the subject to assess the potential of a range of methods and tools for identifying, assessing, and addressing fire risk in low-income and informal settlements; the process was supported by an expert workshop at University College London in May 2016. We suggest that community-based risk and vulnerability assessment methods, which are widely used in disaster risk reduction, could be adapted to urban fire risk assessment, and could be enhanced by advances in crowdsourcing and citizen science for geospatial data creation and collection. To assist urban planners, emergency managers, and community organisations who are working in resource-constrained settings to identify and assess relevant fire risk factors, we also suggest an improved analytical framework based on the Haddon Matrix.Entities:
Keywords: extensive risk; fire; geospatial technologies; low-income settlements; risk assessment
Mesh:
Year: 2017 PMID: 28157149 PMCID: PMC5334693 DOI: 10.3390/ijerph14020139
Source DB: PubMed Journal: Int J Environ Res Public Health ISSN: 1660-4601 Impact factor: 3.390
Haddon Matrix (as applied to burn injury prevention by the World Health Organisation) adapted to show where information is needed for low-income/informal settlements.
| (Children, Elderly, Adults in Home) | (Cigarette, Matches, Appliances, Heaters, and Upholstered Furniture) | (Home) | (Community Norms, Policies, Rules) | |
Others such as those cooking in market stalls? | What are the key agents in informal settlements? | Where are the loci of fires in informal settlements? | What are the social structures in informal settlements and what are the implications of this for fire prevention? | |
| Pre-event (before fire starts) | Teach children not to play with matches Provide information about fire risk and cooking (loose clothing, long hair, etc., may catch on fire) What sort of opportunities are there for behavioural change interventions in informal settlements? | Redesign cigarettes so they self-extinguish Automatic shut-off for appliances such as coffee makers. Inspect and clean chimneys, heating systems each year Would regular inspection work to address fire risks in an informal settlement? Who would do it? | Lower flammability of structures Insure adequate emergency escape exits from home How can the flammability of building materials be reduced in informal settlements? How can emergency exits be created in spatially constrained informal settlements? | Improve efforts to curb smoking initiation Improve smoking cessation efforts How can we improve the safety of the way people cook and store fuels to avoid fires in informal settlements? |
| Event (during fire) | Teach children to stop, drop, and roll Plan and practice a fire escape route with children and adults Teach children not to hide during a fire How can escape strategies be planned in informal settlements? | Design furniture with materials that are less toxic when burned Design upholstery that is flame resistant How can we ensure that materials used in informal settlements are flame resistant? | Install smoke detectors Install sprinklers Increase number of usable exits What warning devices are possible in informal settlements? | Pass ordinances requiring smoke detectors and/or sprinkler systems Fund the fire department adequately to provide enough personnel and equipment for rapid response Who has the responsibility as emergency responders in informal settlements? |
| Post-event (after child or person injured by fire) | Provide first aid and cardiopulmonary resuscitation (CPR) to all family members Who would provide first aid training in informal settings? | Design heaters with quick and easy shutoff device Who would provide replacement heaters/cooking appliances in informal settlements? | Build homes with less toxic building materials To what extent do informal settlements have toxic building materials and what alternatives are available? | Increase availability of burn treatment facilities What role do non-governmental organisations /charities play in providing such facilities in informal settlements? |