An increase in electrical burns during the covid lockdown in Western Cape, South Africa

A severe Covid lockdown in South Africa may have changed burn patterns due to the downturn of the economy and stay-at-home policies. We described the volume and type of burn admitted to a tertiary hospital before and during the Covid lockdown. This was a retrospective study from before (April 2019-March 2020) and during (April 2020-March 2021) the Covid pandemic. Patient demographics, burn etiology, and clinical outcomes were described. Logistic regression was used to model associations between burn etiology and the Covid period. Of 544 burns, 254 (46.7%) occurred before and 290 (53.3%, p=0.051) during Covid. The proportion of electrical burns doubled during Covid n=20, 32.3% vs n=42, 67.7%, (p=0.053) periods. At least half were associated with suspected cable or copper theft. On multivariate analysis, flame burns (OR 2.42, p<0.001), electrical burns (OR=4.88, p<0.001), and paying patients (OR=4.21, p<0.001) were more likely to be associated with the Covid period. Electrical burns doubled during Covid, potentially related to an increase in cable and copper wire theft, a phenomenon described during hard economic times in other settings. More studies to understand this potential relationship are needed to prepare burn centers during future pandemics or economic hardship.