The 2010/2011 Canterbury earthquakes: context and cause of injury

The aim of this study was to investigate causes of injury during the 2010/2011 Canterbury earthquakes. Data on patients injured during the Darfield (4 September 2010) and Christchurch (22 February 2011) earthquakes were sourced from the New Zealand Accident Compensation Corporation. The total injury burden was analyzed for demography, context of injury, causes of injury, and injury type. Injury context was classified as direct (shaking of the primary earthquake or aftershocks causing unavoidable injuries), action (movement of person during the primary earthquake or aftershocks causing potentially avoidable injuries), and secondary (cause of injury after shaking ceased). Nine categories of injury cause were identified. Three times as many people were injured in the Christchurch earthquake as in the Darfield earthquake (7,171 vs. 2,256). The primary shaking caused approximately two-thirds of the injuries from both quakes. Actions during the primary shaking and aftershocks led to many injuries (51.3 % Darfield and 19.4 % Christchurch). Primary direct caused the highest proportion of injuries during the daytime Christchurch quake (43.6 %). Many people were injured after shaking stopped in both events: 499 (22.1 % Darfield) and 1,881 (26.2 % Christchurch). Most of these people were injured during clean-up (320 (14.2 %) Darfield; 622 (8.7 %) Christchurch). In both earthquakes, more females than males (1,453 vs. 803 Darfield; 4,646 vs. 2,525 Christchurch) were injured (except by masonry, damaged ground, and during clean-up); trip/fall (27.9 % Darfield; 26.1 % Christchurch) was the most common cause of injury; and soft tissue injuries (74.1 % Darfield; 70.4 % Christchurch) was the most common type of injury. This study demonstrated that where people were and their actions during and after earthquakes influenced their risk of injury.