title: Epidemiology of occupational injuries by nationality in Qatar: Evidence for focused occupational safety programmes.
abstract: BACKGROUND
  Occupational injuries are the second leading cause of trauma admission in Qatar. Given the wide diversity of the country's migrant worker populations at risk, this study aimed to analyse and describe the epidemiology of these injuries based on the workers nationality residing in Qatar.
  
  
  METHODS
  A retrospective analysis of trauma registry data on occupational-related injuries was conducted. The analysis included all patients [aged ≥18 years] admitted to the Level I Hamad Trauma Center, from January 1, 2010 to December 31, 2013.
  
  
  RESULTS
  Out of 6555 trauma admissions, 2015 (30.7%) patients had occupational injury. The admitted Case Fatality Rate (CFR) was 4.3 per 100 occupational injury related trauma admissions. Overall non-fatal occupational injury rate was 37.34 per 100,000 workers, whereas fatal injury rate was 1.58 per 100,000 workers. Most of the workers experiencing occupational injuries were from Nepal (28%), India (20%) and Bangladesh (9%). Fatal occupational injuries were predominately among Indians (20%), Nepalese (19%), and Filipinos/Bangladeshis (both 8%). Filipinos had the highest admitted CFR at 8.2 deaths per 100 trauma admissions with the next highest being Indians and Indonesians (4.2 per 100 trauma admissions). During the study period, the incidence of severe occupational injuries decreased despite a simultaneous increase in the worker population within Qatar. Almost one in four occupational injuries was a major trauma (ISS≥16). Nepalese and Indian workers represented 29% and 18% of all major trauma cases.
  
  
  CONCLUSIONS
  Non-fatal occupational injuries appear to follow a pattern distinct from fatal ones. High-risk worker populations as defined by those with high admitted CFRs, experiencing the most severe or fatal injuries, must be the focus of targeted risk factor analysis and occupational safety interventions.
authors.affiliation: Trauma Surgery Section, Hamad General Hospital (HGH), Doha, Qatar.
authors.forename: Hassan
authors.initials: H
authors.lastname: Al-Thani
authors.affiliation: Clinical Research, Trauma Surgery Section, HGH, Doha, Qatar; Clinical Medicine, Weill Cornell Medical College, Doha, Qatar. Electronic address: Aymanco65@yahoo.com.
authors.forename: Ayman
authors.initials: A
authors.lastname: El-Menyar
authors.affiliation: Injury Prevention, Trauma Surgery Section, HGH, Doha, Qatar.
authors.forename: Rafael
authors.initials: R
authors.lastname: Consunji
authors.affiliation: Clinical Research, Trauma Surgery Section, HGH, Doha, Qatar.
authors.forename: Ahammed
authors.initials: A
authors.lastname: Mekkodathil
authors.affiliation: Trauma Surgery Section, Hamad General Hospital (HGH), Doha, Qatar.
authors.forename: Ruben
authors.initials: R
authors.lastname: Peralta
authors.affiliation: Johns Hopkins International Injury Research Unit, Department of International Health, Baltimore, USA.
authors.forename: Katharine A
authors.initials: KA
authors.lastname: Allen
authors.affiliation: Johns Hopkins International Injury Research Unit, Department of International Health, Baltimore, USA.
authors.forename: Adnan A
authors.initials: AA
authors.lastname: Hyder
mesh_terms: D000062:Accidents, Occupational / Q000401:mortality / Q000706:statistics & numerical data*; D000328:Adult; D017677:Age Distribution; D005006:Ethnicity; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000401:mortality*; D016272:Occupational Health; D060051:Occupational Injuries / Q000401:mortality*; D011780:Qatar / Q000453:epidemiology; D012189:Retrospective Studies; D012307:Risk Factors; D017678:Sex Distribution; D014193:Trauma Centers / Q000706:statistics & numerical data*; D014947:Wounds and Injuries / Q000401:mortality*
keywords: Fatal occupational injuries; Occupational injuries; Qatar; Trauma