Elsevier

Burns

Volume 26, Issue 8, December 2000, Pages 701-709
Burns

Sulphuric acid burned women in Bangladesh: a social and medical problem

https://doi.org/10.1016/S0305-4179(00)00049-8Get rights and content

Abstract

In August–September 1998 an Italian medical team, composed of a plastic surgeon, an anaesthesiologist, an infectious diseases specialist and a psychologist, assisted by a local non-government organization (Narripokkho), studied a cohort of Bangladeshi women injured by sulphuric acid. The goals of the mission were: (1) recognition of the magnitude of the phenomenon of acid being intentionally thrown at women; (2) evaluation of the type and severity of burns; (3) preparation of a tentative schedule of surgical treatment of the lesions; (4) organization of local facilities; (5) training of doctors and nurses.

Introduction

In summer 98 an Italian women’s magazine published a report on women disfigured by sulphuric acid in Bangladesh. The article stirred up compassion in the readers and quite a large number of them sent money and offered help to the editorial staff of the magazine. For organizational reasons, the management of the situation was entrusted to a well-known NGO (non-government organization, COOPI, Milano). In order to obtain financial and logistical support by the media, a campaign called “Un volto per la vita” (“A face for life”) was organized, together with a preliminary explorative mission. A psychologist, expert in problems related to third world countries, a female plastic surgeon, an anaesthesiologist and an infectious diseases specialist took part in the mission. The medical team was assisted by a professional photoreporter. The aims of the mission were: (1) a preliminary recognition of the magnitude of the problem; (2) evaluation of the type and severity of burns; (3) preparation of a tentative schedule of surgical treatment of the lesions; (4) organization of local facilities; (5) training of doctors and nurses.

Section snippets

Materials and methods

A special report form was created in order to record patients’ data and to describe a tentative plastic surgery programme (Fig. 1).

Collection and management of data consisted in the following activities: identification of sulphuric acid victims with the help of a local women’s NGO, named “Narripokkho”; field interviews and medical consultations; photodocumentation of burn wounds; data recording on a special medical form and on a portable personal computer. The information included name, sex,

Results

A group of 38 acid-burned patients, 33 women aged from 13 to 40 years (average age 20.4 years), and 5 males aged from 22 to 48 years (average age 30.4 years) was examined. This cohort represents a small but significant percentage of people injured annually in Bangladesh.

The majority of burns were due to the refusal of a lover (66%), other causes were punishment (21%) and business competition (13%). The lesions involved the skin, muscles, tendons, articular capsules and other deeper organs. The

Discussion

Bangladesh is a small and densely populated country, located in southern Asia, east of India, in the upper part of the Bengalese bay, formerly East Pakistan, with the third highest population density (936 inhabitants/km2) in the world. Despite the efforts made in order to improve the demographic and economic perspectives, Bangladesh remains one of the world’s poorest nations [3].

The infliction of burns on women is a very ancient habit in all of the Indian area, as an act of punishment or

Acknowledgements

This work should be attributed to Plastic Sugery Unit, University of Insubria, Varese, Italy.

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