Viewing lava safely: an epidemiology of hiker injury and illness in Hawaii Volcanoes National Park

Wilderness & Environmental Medicine
Travis W Heggie, Tracey M Heggie

Abstract

To report the injuries and illnesses encountered by wilderness hikers in Hawaii Volcanoes National Park attempting to hike to active lava flows and to investigate the roles that demographics, prior hiking experience, hiking behavior, and preparedness play in hiker vulnerability to injury and illness. During an 8-week period, daily on-site exit interviews of lava hikers were conducted by a uniformed park ranger and park volunteer. Information about the hiker's home residence, wilderness hiking experience, preparedness, health status, and health problems encountered during the hike was collected from a total of 804 hikers. A high rate of injury and illness was found among the study population. Scrapes and abrasions (59%), blisters (51%), and muscle strains and sprains (47%) were the most common injuries. Dehydration (77%) and respiratory irritation (46%) were the most common illnesses. Lower extremities were the most common site of injuries, and beginning hikers were the most vulnerable to injury and illness. Many hikers were inexperienced tourists willing to disregard warning signs and enter high-risk areas. Hawaii Volcanoes National Park is one of 22 US national park units with volcanic resources. The injuries and illnesses rep...Continue Reading

Associated Clinical Trials

Apr 16, 2019·Ana María Pérez Pico

Citations

Jun 17, 2014·Wilderness & Environmental Medicine·Robert H QuinnVicki Mazzorana
Dec 17, 2014·Wilderness & Environmental Medicine·Robert H QuinnVicki Mazzorana
Oct 26, 2010·Travel Medicine and Infectious Disease·Travis W Heggie
Sep 15, 2009·Travel Medicine and Infectious Disease·Travis W Heggie
Aug 22, 2008·Wilderness & Environmental Medicine·Travis W Heggie, Tracey M Heggie
Sep 28, 2007·Wilderness & Environmental Medicine·Randy M JohnsonMary Frances Kordick
Feb 5, 2009·Journal of Travel Medicine·Travis W Heggie, Tracey M Heggie
Feb 13, 2007·Travel Medicine and Infectious Disease·Travis W Heggie
Feb 24, 2015·Wilderness & Environmental Medicine·Marta CiesaRaffaele Cavalli
Dec 3, 2014·Wilderness & Environmental Medicine·Aram Attarian
Nov 9, 2011·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·Alasdair Mort, David Godden
May 22, 2008·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Sami BercinNeslihan Sari
May 30, 2019·International Journal of Environmental Research and Public Health·Ana Mª Pérez PicoRaquel Mayordomo Acevedo

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