6įive burn patients with severe facial disfigurement from Lahore, Pakistan were included in the study ( Table 1). In spite of the decreased number of burn assaults in South Punjab reported by ASF in 2014, it is astounding that similar information demonstrates the assault number are rising step by step every year prior to 2015. Actually, in the information of ASF, the burn brutality in the South Punjab district is simply a tip of the iceberg. The ASF reports that between 20, most burn assaults occurred in Punjab, particularly South Punjab. In 2016, a transgender individual was harmed in a burn assault in Pakistan. The information of ASF additionally demonstrates that transgender people are starting to be the target of arsonist. 6 In the 73 burn assaults in 2016, about 7 out of 10 unfortunate casualties were females. Assuming that these unfortunate victims are all women, the actual number of women burn victims will be as high as around 68%. There are 168 such unfortunate casualties in a 10 year database of the ASF. Although the ASF affirms the information in the reports of burn brutality based on various nationwide sources, it is hard to distinguish the gender of the casualties because of absence of recognizable feature. Between 20, around 56% of the 1375 casualties of burn assaults announced were females. 5 showed that the facial disfigurement due to burn injury additionally impacts the well-being of family members, who might develop psychological issues too.Ī report of Acid Survivors Foundation (ASF) indicated that females have been most influenced by burn brutality in Pakistan. They are in significant trouble with social communication, particularly the first-time gathering. They feel insecure and have evasion behavior, in a condition of psychological misery. They are exposed to visual and verbal assaults, invasion of privacy, pity and ridicule from others, all of which create patients’ sentiments of disgrace, barrenness, outrage and mortification. 3 The social psychosocial incapacity is one of the main reasons to cause the stress of burn patients with facial disfigurement. For example, appearance change might be a change of the self-perception, not only of the age. In one of the studies, the facial disfigurement of burns was portrayed as “the physical and psychological experience of a person whose face is scarred, blemished, or deformed due to burn injury”. And because of only a few specialized burn centers, people know little about the epidemiology of burn injury, which results in an important knowledge gap in Pakistan. 1 According to the data, it is difficult to estimate the true number of burn wounds of the general population. However, most of the existing knowledge regarding burn injuries in Pakistan is from single-center studies in specialized burn hospitals in major cities. Some risk factors with confirmation included: female, age over 50 years, fire burn, inhalation injury, and the damaged body surface area >40%. A facility-based study of burn injury from Karachi evaluated the death rate among adults between 15 and 55 years, which showed a considerably higher rate at 10.2 per 100,000 populations. In the assessment of the global studies of disease 2010 study in Pakistan, the injury rate of flame and high temperature substances is 5.8 per 100,000 populations. Burn injury is a significant issue and yet ignored in Pakistan.
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