• Sao Paulo Med J · Sep 2022

    Clinical and epidemiological aspects of victims of maritime accidents on the Mar Grande-Salvador crossing, Bahia, Brazil: a case series study.

    • Danyelle de Souza Mendonça, Paloma Fernandes Carneiro, Adriana Conceição de Mello Andrade, and AvenaKátia de MirandaKM0000-0002-2179-3893PT, PhD. Full Professor, Department of Scientific Research, School of Medicine, Centro Universitário UniFTC, Salvador (BA), Brazil..
    • Undergraduate Student, School of Medicine, Centro Universitário UniFTC, Salvador (BA), Brazil.
    • Sao Paulo Med J. 2022 Sep 1; 140 (5): 636-641.

    BackgroundMaritime transportation is an activity of vital importance for societies. The Mar Grande-Salvador crossing is an intercity waterway transport line in Brazil that transports 3,500 passengers/day, including residents and tourists. In 2017, an accident on this crossing was considered to be the biggest maritime tragedy in Bahia in the last decade.ObjectiveTo describe the clinical and epidemiology characteristics of victims of this maritime accident, with analysis on bodily injuries, causes of death and means/instruments that caused the fatal injuries.Design And SettingCase-series study at the Forensic Medical Institute of Bahia, Brazil.MethodsReports on 73 victims who were examined for bodily injury or were necropsied by the Forensic Medical Institute were analyzed. This study was approved by the institution's Research Ethics Committee (protocol 04012218.1.0000.5032).ResultsThe victims' mean age was 33.0 years [95% confidence interval, CI, 26.3-47.0]. The mean age of those who died was 43.0 years [95% CI, 30.5-53.5]. Bodily injuries were found in 74% of the victims. The most frequent bodily injuries were ecchymoses among females (69.7%) and abrasions among males (76.2%). Blunt instruments produced most bodily injuries (85.2%). Among the victims who died, 68.4% were female. Mechanical asphyxiation through drowning was the leading cause of death (89.4%). The overall lethality rate was 26%, and this was higher among females (28.2%).ConclusionWomen were the main victims of this maritime accident. Bodily injuries occurred more frequently than death, but these injuries proved to be quite significant, thus demonstrating the importance of measures to improve the safety of navigation.

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