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This is an archive article published on November 1, 2024

Burn units in hospitals on their toes as festivities peak

The first case involved a 19-year-old girl from Navi Mumbai who sustained burns on her hand from a malfunctioning ‘Anar’ or flowerpot firecracker.

women's washroomAccording to a police officer, on October 31, around 8.20 am, a female hospital employee discovered a mobile phone on the windowsill at the washroom in the basement. (Representational image)

As Diwali festivities light up Mumbai, the city’s burn units are preparing for a predictable but unfortunate surge in severe burn cases. Each year, burn centres report a rise in injuries primarily caused by traditional diyas and fireworks, with children being particularly vulnerable. According to city health officials, around 20 to 30 severe burn cases are reported each Diwali season, placing considerable pressure on hospital resources.

At the National Burn Centre (NBC) in Airoli, four severe burn cases have already been admitted. The first case involved a 19-year-old girl from Navi Mumbai who sustained burns on her hand from a malfunctioning ‘Anar’ or flowerpot firecracker. According to doctors, during Diwali, about 80% are caused by the ‘Anar’ firecracker. These flowerpot-style fireworks are popular because of the beautiful display they create, but if the firecracker malfunctions or bursts unexpectedly, it can result in serious burns to the face, hands, and arms.

Dr Sunil Keswani, plastic and cosmetic surgeon and medical director of NBC, said that while firecrackers are a frequent source of injury, traditional oil lamps, or diyas are also responsible for a significant number of burns, especially in younger children. “Diyas are typically placed at low heights, making them easily accessible to children. The oil used in these lamps can spill and catch fire if knocked over, causing burns on the hands, feet, and clothing of those nearby. The oil-soaked wick of a diya can also generate a high flame, which can easily singe skin, especially that of children,” he added. From a clinical perspective, burns from diyas often lead to painful superficial and partial-thickness burns that require immediate medical attention.

This increased risk has prompted hospitals across the city to ready their burn units for an expected influx of patients. BMC-run Kasturba Hospital, for instance, has taken steps to enhance its burn care facilities and staff availability during the festival. “Our burn unit is fully prepared to handle the increased flow of patients,” said a spokesperson for Kasturba Hospital. “We’ve seen how Diwali brings in a high number of cases, and many of these injuries are severe enough to require specialised care, prolonged hospitalisation, and rehabilitation.”

For patients, the impact of severe burns can be long-lasting and life-altering, often requiring surgery, skin grafts, and months of rehabilitation. Hospitals are also dealing with emotional challenges for burn patients who may face social stigma and require psychological support.

In light of the seasonal increase in burn injuries, doctors and health authorities are emphasising the importance of safety measures. Dr. Keswani advised families to prioritise fire safety, especially when celebrating Diwali with children around. “Simple steps can prevent many of these tragic accidents,” he noted. “Keeping diyas out of children’s reach, using electric lights where possible, and maintaining a safe distance from firecrackers can help avoid unnecessary injuries.”

The state health department has also issued advisories on firecracker safety and diya placement, urging families to exercise caution.

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Dr Sagar Shah, Consultant in Emergency Medicine at Kokilaben Dhirubhai Ambani Hospital, emphasised the importance of fire safety during Diwali to prevent avoidable injuries. “Simple precautions can make a big difference,” Dr Shah advised. “We encourage families to keep diyas and candles at a safe height, away from children’s reach, and avoid placing them near curtains or flammable material. When using fireworks, always light them in an open area and maintain a safe distance. Keep a bucket of water or a fire extinguisher nearby, and never attempt to relight malfunctioning firecrackers. Also, wearing cotton clothing rather than synthetics can prevent burns from spreading in case of accidents.”

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