Archive for the ‘head injuries’ Category

Nearly 1 in 5 troops has mental problems after war service

April 17, 2008

By PAULINE JELINEK, Associated Press Writer

WASHINGTON – Roughly one in every five U.S. troops who have survived the bombs and other dangers of Iraq and Afghanistan now suffers from major depression or post-traumatic stress, an independent study said Thursday. It estimated the toll at 300,000 or more.
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As many or more report possible brain injuries from explosions or other head wounds, said the study, the first major survey from outside the government.

U.S. troops search for Taliban forces during a patrol in Afghanistan's ... 
U.S. troops search for Taliban forces during a patrol in Afghanistan’s Shamal district of Khost province April 16, 2008. About 300,000 U.S. troops returning from Iraq and Afghanistan suffer symptoms of post-traumatic stress disorder or depression, but about half receive no care, an independent study said on Thursday.REUTERS/Rafal Gersza

Only about half of those with mental health problems have sought treatment. Even fewer of those with head injuries have seen doctors.

Army Surgeon General Eric Schoomaker said the report, from the Rand Corp., was welcome.

“They’re helping us to raise the visibility and the attention that’s needed by the American public at large,” said Schoomaker, a lieutenant general. “They are making this a national debate.”

The researchers said 18.5 percent of current and former service members contacted in a recent survey reported symptoms of depression or post-traumatic stress. Based on Pentagon data that more than 1.6 million have deployed to the two wars, the researchers calculated that about 300,000 are suffering mental health problems.

Nineteen percent — or an estimated 320,000 — may have suffered head injuries, the study calculated. Those range from mild concussions to severe, penetrating head wounds.

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Related:
Crisis: Soldiers, Marines Returning from War with Mental Health Issues

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Vietnam Begins Enforcing Helmet Law, Motorcyclists Comply But Not Without Gripes

December 15, 2007

HANOI, VIETNAM: Vietnamese police began enforcing a much disliked helmet law Saturday (15 Dec), but nearly all motorcyclists complied by donning their shiny new protective headgear, dubbed “rice cookers,” to avoid hefty fines.
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Just a day earlier, only a handful of riders were seen wearing helmets on the streets of Hanoi, but police were out in force on nearly every street corner Saturday to ensure the law was strictly enforced.

“This morning we fined only two motorcyclists,” said police officer Nguyen Van Cai, who added that most Vietnamese would rather comply than pay the steep 150,000 dong (US$9.40) fine. “It will definitely help to reduce traffic fatalities.”

Nearly 13,000 people were killed on Vietnam’s roads last year — one of the world’s highest rates. Most accidents involve the ubiquitous motorbike, the country’s main form of transportation. More than 20 million motorbikes cram Vietnam’s busy streets daily, and every year about 2 million new bikes join the roads, along with a growing number of automobiles.

A similar helmet law was imposed in 2001, but failed to stick when angry riders protested.

Enforcement of the new law did not come without grumbling. Many argued that the bulky helmets, jokingly called “rice cookers,” would be too hot, unfashionable and hard to carry.

“It’s not necessary in the city. I think the risk of having an accident is very slim, and if you do have one, I don’t think you will get hurt,” complained motorbike taxi driver Tran Binh Minh, who now is forced to carry two helmets, one for himself and one for his passenger.

“In the summer the temperature goes up to 38 degrees (Celsius, or 100.4 degrees Fahrenheit). Can you imagine how people will deal with that?” he said.

For months, Vietnamese have been bombarded by public awareness campaigns to explain the need for the law. One television commercial showed grainy black-and-white footage of patients hospitalized with head injuries, some drooling in a vegetative state and others paralyzed or unable to feed themselves.

Vietnam’s traffic fatality rate is about 27 per 100,000 — nearly double that in the United States — and is among the highest globally, according to the World Health Organization.

Vietnam’s main helmet producer, run by U.S.-based nonprofit Protec, has been working 24 hours a day for three months to churn out 5,000 helmets daily. (By MARGIE MASON/ AP)
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Background:

October 3, 2007By MARGIE MASON
AP Medical Writer

Vietnam has one of the world’s highest traffic fatality rates, with nearly 13,000 deaths recorded last year alone _ the majority involving the ubiquitous motorbike. Few people bother with helmets, saying they are hot, bulky and unfashionable. But as of Dec. 15, everyone will be required to don the so-called “rice cookers” as the government enforces a new law intended to save lives.

The Health Ministry kicked off a traffic safety campaign Wednesday to raise awareness before the new rules take effect.

“It’s not only the deaths, it’s the tens of thousands of injuries. Some people become like vegetables,” said Jean-Marc Olive, World Health Organization representative in Vietnam. “Also what is quite sad is that the major proportion of accidents occur in young adults.”

More than 20 million motorbikes cram Vietnam’s busy streets on an average day, and their numbers are growing as the country becomes wealthier. The roads are also some of the most hazardous on earth. Few drivers look before pulling into traffic. Speeding, weaving, underage driving and drunk driving are common.

Vietnam’s traffic fatality rate is about 27 per 100,000 _ nearly double that of the United States and among the highest in the world, according to WHO.

But those statistics mean little to most motorbike commuters in Hanoi.

“It is an unenforceable law. Wearing helmets in cities is ridiculous,” said Nguyen Tung Anh, 21, a student in Hanoi. “It will reduce drivers’ vision, hearing and it is not suitable for the weather conditions here.”

For those who need more convincing, Dr. Vu Hong Phong says perhaps a visit to Viet Duc Hospital would work. As the chief neurosurgeon there, he races in and out of surgery every day trying to salvage what’s left of motorcyclists who slam their heads onto the pavement without helmets.

“The problem is getting worse and worse,” Phong said. “The number of deaths I’ve seen over the past several years has increased too much and I feel very sad about that.”

He lectures surviving patients and their families about the importance of wearing helmets but said his advice is heeded only about half the time, even among those who narrowly escape death.

In the head trauma ward, blood fills cotton stuffed into patients’ ears as loved ones massage limp arms and legs. Some victims thrash in pain, their arms and legs tied to bed rails. Others lie still, their heads swollen and bruised. Tubes and machines keep them alive.

“He is in a coma and there is blood on his brain,” said Dang Thi Tu, standing over her 21-year-old son, Cong. He was driving home from a wedding when he hit a rock in the road and lost control of his bike. She wishes now that his head had been protected.

“He was only a few kilometers from home, and he didn’t wear a helmet.”

Currently, helmets are only required on highways outside cities where fines the equivalent of $1.25 are levied on violators. All government employees have also been required to wear helmets since last month.

Government officials are discussing whether to raise the fine when the new law kicks in. Helmets must also be certified with a stamp verifying they meet Vietnamese safety standards.

But enforcement will be tough. When Vietnam tried to impose a helmet law in 2001, angry drivers protested and the government backed down. Some say they will only abide this time if forced.

“I cannot imagine myself wearing trendy clothes together with a helmet,” said Le Tra My, 18, who was shopping for hats at an upscale store in Hanoi. “It will look awful.”