ESR Philippines (DOH/NEC): Update No. 10 - Fireworks Surveillance 2007

6:00 AM December 21-31, 2007

Injury Registry Update

There are 31 new fireworks-related injuries reported today. The total number of cases as of 31 December 2007 is 165, which is 24 cases (13%) lower than previous 3-year average (Fig. 1) or 72 cases (30%) lower than the same period last year. There is no stray bullet and watusi ingestion incidence. No deaths reported.


Figure 1. Cumulative Cases by Day 3-Year Average (2004-2006) Vs. 2007* Fireworks Injury Surveillance		Official DOH Reports: Update No. 10 Update No. 9 Update No. 8 Update No. 7 Update No. 6 Update No. 5 Update No. 4 Update No. 3 Update No. 2 Update No. 1 Press Conference Presentation 123007

Cumulative Surveillance Findings A total of 164 fireworks related injuries, with one stray bullet injury were reported from December 21-31, 2007 from 41 sentinel sites (Table 2). A. Fireworks-related Injuries Majority, 138 (84%) were males, ages ranged from 3 to 71 years (Median 11): 73 (45%) cases were children 10 years and below. One hundred (61%) cases were from NCR (Table 1). One hundred twenty-one (73%) sustained blast/burn injury without amputation, 34 (21%) with eye injury, 9 (5%) with amputation. Ninety(55%) directly handled firecrackers, among which 11 (7%) were under the influence of alcohol. Piccolo is the most common type of firecracker used (Fig.2). Piccolo is now banned and will be confiscated. There is still no fireworks-related tetanus.		*To send report , please fax or e-mail to:* FAX Nos. 02-743-6076 02-743-1937 02-743-8301 local 1901 E-mail: n.orosco@gmail.com For Zero-Case Reporting, please send to numbers: 0921-606-3786 0921-841-0562 0920-918-1369 To share pictures on surveillance activities, send e-mail to: n.orosco@gmail.com

Figure 2. Top-Five Firecrackers Used (N=134) Fireworks Injury Surveillance 6:00 AM December 21-31, 2007		Piccolo is dangerous!!! Piccolo is now banned!

B. Watusi Ingestion There was no reported case of watusi ingestion. C. Stray Bullet Injuries There is still just one stray bullet injury.

Status of Reporting of Sentinel Hospitals Forty-one (82%) out of 50 hospitals submitted injury reports. Thirty-nine (95%) hospitals submitted before the 8:00 AM deadline.

Table 1. Number of Injuries by Region (N=134) Fireworks Injury Surveillance December 21-31, 2007