Analyses were made of 1368 patients who attended Kilpauk Medical Colle
ge Hospital, Madras with burns between 1 May 1987 and 30 April 1988. N
ine hundred and sixty-five patients were admitted, of whom 505 died. T
he peak age incidence was in young adults (11-30 years, 58.9 per cent
of all burns). Three quarters of the patients came from the low family
income group, 39.5 per cent were illiterate and 86.2 per cent of burn
s occurred in the home. Of those admitted 81 per cent of the injuries
were flame burns, in 31.3 per cent the burn affected more than half of
the body surface, Of the 505 deaths 94.8 per cent were the result of
flame burns (at least 323 being caused by kerosene), and 20.4 per cent
were suicide. Most of the deaths (91 per cent) occurred in the first
5 days. The urgent need for burn prevention in the Madras area is disc
ussed.