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Invited Critique
May 2013

Investigating the Causes of Trauma: Critical Initial Steps to Designing Sustainable Interventions in Sierra Leone: Comment on “Traumatic Injuries in Developing Countries”

Author Affiliations

Author Affiliation: Intermountain Surgical Specialists, Intermountain Healthcare, Salt Lake City, Utah.

JAMA Surg. 2013;148(5):469-470. doi:10.1001/jamasurg.2013.1348

The numbers of publications addressing road traffic injuries in Sub-Saharan Africa are embarrassingly a fraction of those examining human immunodeficiency virus/AIDS.1 Yet, trauma kills more people worldwide than human immunodeficiency virus, malaria, and tuberculosis combined.2 Stewart et al3 are to be commended for adding to a growing body of evidence of the significant role injury plays in public health for a low-income country. Developing countries lacking public health interventions and access to timely and appropriate care continue to experience increasing morbidity and mortality from preventable injuries. Identifying the significant role injury plays in the overall burden of disease, and understanding the basic epidemiology in developing countries, provides an essential framework for designing life-saving interventions. In 1951, Learmonth said that

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