Changes in motorcycle-related injuries and deaths after mandatory motorcycle helmet law in a district of Vietnam

Objective: Our study measured the change in head injuries and deaths among motorcycle users in Cu Chi district, a suburban district of Ho Chi Minh City.

Methods: Hospital records for road traffic injuries (RTIs) were collected from the Cu Chi Trauma Centre and motorcycle-related death records were obtained from mortality registries in commune health offices. Head injury severity was categorized using the Abbreviated Injury Score (AIS). Rate ratios (RRs) were used to compare rates pre- and post-law (2005/2006–2009/2010). Cu Chi's population, stratified by year, age, and sex, was used as the denominator.

Results: Of records identifying the transportation mode at the time of injury, motorcyclists accounted for most injuries (3,035, 87%) and deaths (238, 90%). Head injuries accounted for 70% of motorcycle-related hospitalizations. Helmet use was not recorded in any death records and not in 97% of medical records. Males accounted for most injuries (73%) and deaths (88%). The median age was 28 years and 32 years for injuries and deaths, respectively. Compared to the pre-law period, rates of motorcycle injuries (RR = 0.53; 95% confidence interval [CI], 0.49–0.58), head injuries (RR = 0.35; 95% CI, 0.31–0.39), severe head injuries (RR = 0.47; 95% CI, 0.34–0.63), and deaths (RR = 0.69; 95% CI, 0.53–0.89) significantly decreased in the post-law period.

Conclusions: Rates of head injuries and deaths among motorcycle riders decreased significantly after implementation of the mandatory helmet law in Vietnam. To further examine the impact of the motorcycle helmet law, including compliance and helmet quality, further emphasis should be placed on gathering helmet use data from injured motorcyclists.     

Human factors and tidal influences on water quality of an urban river in Can Tho, a major city of the Mekong Delta, Vietnam

In this study, we focused on water quality in an urban canal and the Mekong River in the city of Can Tho, a central municipality of the Mekong Delta region, southern Vietnam. Water temperature, pH, electrical conductivity, BOD₅, COD_Cr, Na⁺, Cl^?, NH₄ ⁺?N, SO₄ ^2??S, NO₃ ^??N, and NO₂ ^??N for both canal and river, and tide level of the urban canal, were monitored once per month from May 2010 to April 2012. The urban canal is subject to severe anthropogenic contamination, owing to poor sewage treatment. In general, water quality in the canal exhibited strong tidal variation, poorer at lower tides and better at higher tides. Some anomalies were observed, with degraded water quality under some high-tide conditions. These were associated with flow from the upstream residential area. Therefore, it was concluded that water quality in the urban canal changed with a balance between dilution effects and extent of contaminant supply, both driven by tidal fluctuations in the Mekong River.     

Contamination status and potential release of trace metals in a mangrove forest sediment in Ho Chi Minh City,Vietnam

Can Gio district is located in the coastal area of Ho Chi Minh City, southern Vietnam. Discharge of wastewater from Ho Chi Minh City and neighboring provinces to the rivers of Can Gio has led to concerns about the accumulation of trace metals (As, Cu, Cr, Ni, Pb, and Zn) in the coastal sediments. The main objective of this study was to assess the distribution of As, Cu, Cr, Ni, Pb, and Zn in surface and core sediments and to evaluate the contamination status in relation to local background values, as well as the potential release of these selected trace metals from sediments to the water environment. Sediment characteristization, including determination of fine fraction, pH, organic matter, and major elements (Al, Fe, Ca, K, Mg, and S), was carried out to investigate which parameters affect the trace metal enrichment. Fine fraction and Al contents were found to be the controlling proxies affecting the distribution of trace metals while other sediment characteristics did not show any clear influence on trace metals’ distribution. Although As concentrations in the sediments were much higher compared to its reference value in other areas, the enrichment factor based on local background values suggests minor contamination of this element as well as for Cr, Cu, and Pb. Risk assessment suggested a medium to very high risk of Mn, Zn, and Ni under acidification. Of importance is also that trace metals in sediments were not easily mobilized by organic complexation based on their low extractabilities by ammonium-EDTA extraction.

     

Livelihood vulnerability to climate change in the mountains of Northern Vietnam: comparing the Hmong and the Dzao ethnic minority populations

Environment, Development and Sustainability - Livelihoods of ethnic minority populations living in the mountains of Northern Vietnam are highly vulnerable to climate-induced natural hazards....     

A review of the drivers of 200 years of wetland degradation in the Mekong Delta of Vietnam

This paper examines the anthropogenic factors that have contributed to wetland loss and degradation in the Mekong Delta, Vietnam from 1816 AD to present. Our analysis is framed over five historical periods and highlights the role that seven drivers of wetland degradation have played in the Mekong Delta, including: resettlement and economic development policies; population growth and urbanization; demand for food and reclaiming wetland for agriculture; construction of canals construction of dykes flood protection systems; expansion of travel systems (waterway and roads); and exploitation of wetland natural resources. Of these, government policies for resettlement and economic development seem to have had the greatest impact on wetland loss and degradation in the Mekong Delta throughout the course of history. As a result of these factors, only 0.068 million hectares of the original 4.0 million hectares of the Mekong Delta currently remains as primary swamp forest ecosystem. History suggests that future management of the Mekong Delta should take a holistic approach that includes a better understanding of the implications of past decisions on wetland loss.     

Climate change impacts on a large-scale erosion coast of Hai Hau district,Vietnam and the adaptation

Among the effects of global warming, sea level rise (SLR) and severe typhoons pose the greatest threat to the stability of human settlements along coastlines. Therefore, countermeasures must be developed to mitigate the influences of strong typhoons and persistent SLR for coastal protection. This study assesses climate change impacts on coastal erosion, especially in two projected SLR scenarios of RCP2.6 and RCP8.5. The results show that SLR and severe typhoons lead to the increase of coastal erosion, beach lowering and scour. Moreover, as in projected SLR scenarios, average waves in high tide can cause severe soil erosion at inner slopes and lead to dyke failure by 2060. The paper highlights the need for additional countermeasures to protect the coast of Hai Hau district against SLR and severe typhoons. Among the alternatives available for countering these threats, applying soil stabilization and soil improvement combined with geosynthetics are promising strategies for coastal structures. Hybrid structures can be used with earth reinforcement and soil improvement. Additionally, the paper emphasizes the importance of multiple protective adaptations, including geosynthetics and ecological engineering measures against climate change-induced severe erosion on the coast of Hai Hau district.     

Occurrence,sources, and ecological risks of PBDEs,PCBs, OCPs,and PAHs in surface sediments of the Yangtze River Delta city cluster,China

Polybrominated diphenyl ethers (PBDEs), organochlorine pesticides (OCPs), polychlorinated biphenyls (PCBs), and polycyclic aromatic hydrocarbons (PAHs) in 25 surface sediments in three cities (Nantong, Wuxi, and Suzhou) in the Yangtze River Delta, eastern China were measured. The mean concentrations were 378, 45.8, 1.98, 4,002 ng/g for PBDEs, OCPs, PCBs, and PAHs, respectively. Their levels in the sediments in the three cities were generally consistent with the city industrialization. PBDEs and OCPs were markedly dominated by deca-BDE (>90 %) and DDTs (>70 %). A principle component analysis of the analytes identified three major factors suggesting different sources of the contaminants in the sediments. PBDEs and the organic carbon in the sediments have common sources from industrial activities; whereas OCPs and PCBs, correlated with the second factor, were mainly from historical sources. The third factor with loadings of PAHs is indicative of various combustion sources. Ecological risk assessment indicated that the potential highest risk is from DDTs, for which 22 sites exceed the effects range low (ERL) values and three sites exceed the effects range median (ERM) value.     

Assessing relative vulnerability to sea-level rise in the western part of the Mekong River Delta in Vietnam

The Mekong River Delta in Vietnam plays a crucial role for the region in terms of food security and socioeconomic development; however, it is one of the most low-lying and densely populated areas in the world. It is vulnerable to seawater incursion, flood risk, and shoreline change, exacerbated as a consequence of sea-level rise (SLR) related to climate change. This study examined the Kien Giang coast in the western part of the delta, comprising seven coastal districts (namely Ha Tien, Kien Luong, Hon Dat, Rach Gia, Chau Thanh, An Bien, and An Minh), the economy of which is important in terms of agriculture and aquaculture. The analytical hierarchical process (AHP) method of multi-criteria decision making was integrated directly into geographic information systems (GIS) to derive a composite vulnerability index that indicated areas most likely to be vulnerable to SLR. The hierarchical structure comprised three key components: exposure (E), sensitivity (S), and adaptive capacity (A), at level 1. At the next level, 8 sub-components were mapped: seawater incursion, flood risk, shoreline change, population characteristics, land use/land cover, and socioeconomic, infrastructure, and technological capability, beyond which a further 22 variables (level 3) and 24 sub-variables (level 4) related to vulnerability were also mapped. Variables were assigned weights for incorporation into AHP pairwise comparisons after discussion with stakeholders. Maps were generated to visualise areas where the relative vulnerability was very low, low, moderate, high, and very high. Societal data were generally only available at district level; however, several regional patterns emerged. Relatively high exposure to flooding and inundation, salinity, and moderate loss of mangroves occurred along the coastal fringe of each district. This western section of the delta, which is low-lying and remote from the distributaries that carry sediment to the coast, appears to be particularly vulnerable. The most sensitive areas tended to be ethnic households engaged in rice cultivation and with moderate population density. The least adaptable areas consisted of high numbers of poor households, with low income, and moderate densities of transport, irrigation and drainage systems. Most coastal districts were determined to be moderately to relatively highly vulnerable, with scattered hotspots along the coast.