{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T13:00:37Z","timestamp":1789995637279,"version":"4.0.1"},"reference-count":23,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T00:00:00Z","timestamp":1789948800000},"content-version":"unspecified","delay-in-days":263,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The morbidity and mortality associated with landmines and explosive remnants of war remain a significant problem worldwide. Deminers exposed to these hazards repeatedly in their line of duty have not had their injury patterns adequately synthesized in over two decades and mine contamination continues to expand in modern conflicts.<\/jats:p>\n                  <jats:p>A systematic review was conducted in accordance with PRISMA 2020 guidelines. Inclusion criteria were studies that documented injury patterns, injury mechanisms, personal protective equipment (PPE), and outcomes in deminers.<\/jats:p>\n                  <jats:p>Eight studies published between 1990 and 2025 met the inclusion criteria. Demining activities were associated with high injury and fatality rates across all studies. Most injuries involved handling anti-personnel mines; upper limb trauma (62%) and amputations, which were commonly reported, distinguished deminers from other civilian and military populations exposed to explosive devices. Despite improvements in personal protective equipment, facial and ocular injuries remain prevalent. Deminers had better survival rates than civilians, often due to rapid evacuation and on-site medical support; however, only 20% returned to clearance work post-injury. Contributing risk factors included procedural lapses, inadequate training, and poor supervision.<\/jats:p>\n                  <jats:p>Although advancements have improved safety, current evidence remains limited and outdated. Systematic injury reporting and updated analysis of injury data are urgently needed.<\/jats:p>","DOI":"10.1017\/dmp.2026.10430","type":"journal-article","created":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T11:59:35Z","timestamp":1789991975000},"source":"Crossref","is-referenced-by-count":0,"title":["Occupational Injury Patterns and Safety Risks in Humanitarian Demining: A Systematic Review"],"prefix":"10.1017","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-1453-2941","authenticated-orcid":false,"given":"Blaise","family":"Hickson","sequence":"first","affiliation":[{"name":"Royal Centre for Defence Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma Rachel","family":"Lloyd","sequence":"additional","affiliation":[{"name":"Royal Centre for Defence Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyung Hoon","family":"Moon","sequence":"additional","affiliation":[{"name":"Royal Centre for Defence Medicine"},{"id":[{"id":"https:\/\/ror.org\/041kmwe10","id-type":"ROR","asserted-by":"publisher"}],"name":"Department of Bioengineering, Imperial College London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy","family":"Gargan","sequence":"additional","affiliation":[{"name":"HALO Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neil","family":"Eisenstein","sequence":"additional","affiliation":[{"name":"Royal Centre for Defence Medicine"},{"id":[{"id":"https:\/\/ror.org\/014ja3n03","id-type":"ROR","asserted-by":"publisher"}],"name":"University Hospitals Birmingham NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,9,21]]},"reference":[{"key":"S1935789326104303_r6","unstructured":"6. Butchard LB-HP. The conventions banning mines and cluster munitions. House of Commons Library. 2025. https:\/\/commonslibrary.parliament.uk\/research-briefings\/cbp-10195\/. Accessed 07 December 2025."},{"key":"S1935789326104303_r13","first-page":"47","article-title":"Accidents and field medical provision","volume":"23","author":"Smith","year":"2019","journal-title":"J Conv Weapons Destr."},{"key":"S1935789326104303_r7","unstructured":"7. Human Rights Watch. 2023. https:\/\/www.hrw.org\/news\/2023\/06\/13\/landmine-use-ukraine#_ftn1. Accessed 07 December 2025."},{"key":"S1935789326104303_r18","first-page":"70","article-title":"Medical support to demining in Sudan","volume":"12","author":"Wyper","year":"2008","journal-title":"J Mine Action"},{"key":"S1935789326104303_r19","first-page":"30","article-title":"The database of demining accidents: a driving force in HMA","volume":"15","author":"Smith","year":"2011","journal-title":"J Mine Action"},{"key":"S1935789326104303_r20","unstructured":"20. Geneva International Centre for Humanitarian Demining. Mine Action Central Repository of Accidents (MACRA). 2024. https:\/\/centralrepository.gichd.org\/index.php?page=home. Accessed 07 December 2025."},{"key":"S1935789326104303_r23","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-020-05428-y"},{"key":"S1935789326104303_r21","unstructured":"21. US Bureau of Labor Statistics. National Census of Fatal Occupational Injuries in 2023. 2024. https:\/\/www.bls.gov\/news.release\/archives\/cfoi_12192024.pdf. Accessed 07 December 2025."},{"key":"S1935789326104303_r16","article-title":"What use is a database of demining accidents?","author":"Smith","year":"2002","journal-title":"J Mine Action. Journal of Conventional Weapons Destruction"},{"key":"S1935789326104303_r2","unstructured":"2. NATO. Clearing the Path: Innovating Solutions for a Landmine-Free Future. NATO\u2019s Strategic Warfare Development Command; 2024. https:\/\/www.act.nato.int\/article\/innovation-solutions-landmine-free-future\/. Accessed 07 December 2025."},{"key":"S1935789326104303_r15","doi-asserted-by":"publisher","DOI":"10.7205\/MILMED.169.8.642"},{"key":"S1935789326104303_r5","unstructured":"5. ACAPS. Ukraine: humanitarian implications of mine contamination. ACAPS Analysis Hub. 2024. https:\/\/www.acaps.org\/fileadmin\/Data_Product\/Main_media\/20240124_ACAPS_thematic_report_Ukraine_Analysis_Hub_Humanitarian_implications_of_mine_contamination_.pdf. Accessed 07 December 2025."},{"key":"S1935789326104303_r9","doi-asserted-by":"publisher","DOI":"10.1093\/milmed\/usab108"},{"key":"S1935789326104303_r14","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-197403000-00001"},{"key":"S1935789326104303_r3","volume-title":"Landmines and Land Use: Unblocking Ukraine\u2019s Rural and Climate Recovery","author":"Beznosluk","year":"2025"},{"key":"S1935789326104303_r11","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.303.6816.1509"},{"key":"S1935789326104303_r22","doi-asserted-by":"publisher","DOI":"10.1093\/bjs\/znaf223"},{"key":"S1935789326104303_r1","volume-title":"Landmine Monitor 2024.","year":"2024"},{"key":"S1935789326104303_r17","doi-asserted-by":"publisher","DOI":"10.1016\/S0377-1237(07)80095-5"},{"key":"S1935789326104303_r10","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(01)07141-0"},{"key":"S1935789326104303_r8","doi-asserted-by":"publisher","DOI":"10.1186\/s13049-024-01299-7"},{"key":"S1935789326104303_r4","doi-asserted-by":"publisher","DOI":"10.1186\/s12995-023-00398-y"},{"key":"S1935789326104303_r12","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"}],"container-title":["Disaster Medicine and Public Health Preparedness"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1935789326104303","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T11:59:39Z","timestamp":1789991979000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1935789326104303\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":23,"alternative-id":["S1935789326104303"],"URL":"https:\/\/doi.org\/10.1017\/dmp.2026.10430","relation":{},"ISSN":["1935-7893","1938-744X"],"issn-type":[{"value":"1935-7893","type":"print"},{"value":"1938-744X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"article-number":"e154"}}