Peter Barss

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Public and environmental health physician, with expertise in injury prevention including safe built environments and immersion

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Bacterial resistance to gentamicin

Papua and New Guinea medical journal, Jun 1, 1989

Grand multiparity: benefits of a referral program for hospital delivery and postpartum tubal ligation

PubMed, Mar 1, 1985

The maternal death rate is high in grand multiparas giving birth in remote villages in Milne Bay ... more The maternal death rate is high in grand multiparas giving birth in remote villages in Milne Bay Province, Papua New Guinea. Such women are often reluctant to go to hospital for delivery. However, many of them have accepted the idea of going to hospital to await delivery and postpartum tubal ligation. We discuss the results and benefits of this program. 43% of grand multiparas suffered one or more complications during their hospitalization; 77% were sterilized. Considerable morbidity and mortality can be prevented by an active program for hospital management of grand multiparas. Costs of such early referral are at least partially offset by decreasing costs for late emergency transfer of obstetric disasters. 47% of emergency air charters for obstetric complications were for grand multiparas. Numbers of such emergency transfers have decreased as increasing numbers of grand multiparas have been referred early for delivery and tubal ligation.

Management of Prostatic Carcinoma

Tropical Doctor, 1985

267 Twenty years of pfd non-wearing and wearing among child and youth boating immersion victims in Canada

Injury Prevention, Sep 1, 2016

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56 Immersion deaths of indigenous peoples in Canada – epidemiology, culture, prevention

Injury Prevention, Sep 1, 2016

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Science in schools and medical education

PubMed, Sep 1, 1989

Stress bleeding in rural Papua New Guineans

PubMed, Dec 1, 1985

Medical emergency flights in remote areas: experience in Milne Bay Province, Papua New Guinea

PubMed, Sep 1, 1983

Light aircraft can be valuable for transfer of emergency patients from remote island health centr... more Light aircraft can be valuable for transfer of emergency patients from remote island health centres to a central hospital. A two-year experience of 92 such flights in Milne Bay Province, Papua New Guinea was reviewed. 50% of air charter evacuations were for obstetric or gynaecological patients, 35% for surgical, and 15% for medical cases. 63 of the patients might have died and another nine might have been left with a serious disability without the emergency air transfer. The average cost per life saved was approximately Kina 461 (360 pounds; US$520) and the average cost of providing the emergency service per head of population per year was about Kina 0.10 (0.08 pounds; US$0.12).

Breast tumours in rural Melanesians

PubMed, Sep 1, 1986

Tinea imbricata, filariasis, hydrocoeles and wound infection

PubMed, Jun 1, 1983

Inhalation hazards of tropical "pea shooters

PubMed, Mar 1, 1985

Tubal ligation in Milne Bay Province, Papua New Guinea

PubMed, Sep 1, 1983

Milne Bay Province, Papua New Guinea, with a scattered population of 130,000 suffers from irregul... more Milne Bay Province, Papua New Guinea, with a scattered population of 130,000 suffers from irregular health patrols in remote areas, and often inadequate supplies of contraceptive agents. A total of 694 tubal ligations were performed by hospital staff under local anaesthesia between 1978 and 1982 in the province, the number increasing each year. Detailed analysis of 324 operations from 1979 to 1981 showed an average age of 34, average parity of 7 (84% of women had five or more children) and the presence of one or more high risk factors other than multiparity in half the women operated upon. Tubal ligation decreases maternal mortality, and has proven to be a useful method of family planning for multiparous women living in remote villages in Milne Bay Province.

Ice and cold immersion fatalities in Canada: Special research report

$Research paper thumbnail of 210 Brain injuries and fractures from falls on stairs among children and youth in Canada: epidemiology and prevention$

210 Brain injuries and fractures from falls on stairs among children and youth in Canada: epidemiology and prevention

Injury Prevention, Sep 1, 2016

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Scarcity of bladder and renal tumours in rural Melanesians

PubMed, Jun 1, 1985

Unexpected Deaths in Pulmonary Tuberculosis

The Lancet, Jun 1, 1983

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Injuries and illnesses aboard research vessels of the University National Oceanographic Laboratory System

PubMed, Feb 1, 1990

The University National Oceanographic System operates a fleet of vessels to carry out its scienti... more The University National Oceanographic System operates a fleet of vessels to carry out its scientific projects. Illnesses and injuries at sea are handled by first responders aboard the vessels in consultation with land-based physicians at a telecommunications response center in the United States. During the period 1985 to 1987, 122 cases among regular and scientific crew required medical consultation by telecommunications. Of these, 31% were injuries, 34% were medical cases (infected), 12% were sexually transmitted diseases, and 23% were medical cases (noninfected). Evacuation from the vessel, vessel diversion, or repatriation of the patient was required for 20% of all cases; of these, 48% were for injuries, 36% for noninfected medical illnesses, and 16% for infected medical cases. Rates of illness and injury were calculated using the crew days at sea as a denominator.

Fractured hips in rural Melanesians: a nonepidemic

PubMed, Jun 1, 1985

Fractured hips are increasingly common in elderly citizens of many developed countries. Such frac... more Fractured hips are increasingly common in elderly citizens of many developed countries. Such fractures seem to be rare in less affluent people of some developing countries, even amongst the elderly. A four year review was done of all trauma patients admitted to a provincial hospital in hospital in Papua New Guinea which serves 135.000 people living mainly in remote hamlets. Only three fractures of the proximal femur were noted. One of these was in a bedridden plantation owner. Not a single fracture of the femoral neck was noted in the Melanesian population. Colles fractures of the distal radius were also rarely seen. Other fractures were common. Elderly Melanesian villagers are physically active, and it appears that this is an important factor in preventing bone weakness and associated fractures of the hip and distal radius. Modern cities and urban lifestyles need radical change to keep elderly people more physically active.