# Deadly Threads in the Sky: A Forensic and Public Health Analysis of Kite String-Related Injuries and Fatalities in Northern India

## TL;DR

This study examines severe and fatal injuries caused by kite strings in Northern India, emphasizing the need for public health measures to prevent such incidents.

## Contribution

The study provides forensic and public health data on kite string-related injuries, advocating for policy changes to reduce preventable harm.

## Key findings

- 88.5% of kite string injury cases were male, indicating a gender disparity in injury occurrence.
- Post-mortem findings reveal that kite string injuries can cause lethal vascular damage or airway compromise.
- The study highlights the urgent need for regulatory enforcement to prevent festival-related mortality.

## Abstract

Introduction: Kite flying is a popular recreational activity in many parts of the world, particularly in South Asia, including India. The sharp strings can lead to severe neck, face, and upper limb wounds, while in extreme cases, they may result in fatal vascular damage or airway compromise. This study analyzes the pattern, severity, and outcomes of kite string-related injuries over two years at a tertiary center, highlighting the urgent need for regulatory enforcement and public health interventions.

Materials and methods: This retrospective, observational study was conducted at the department of forensic medicine and toxicology in collaboration with the emergency department of a tertiary care center in Northern India. The study covered two years, from January 2022 to January 2024. All cases of kite string-related injuries presenting to the emergency department or referred for medico-legal examination during this time were included.

Results: Most patients were males, accounting for 88.5% (23 out of 26), while only 11.5% were females. The anatomical distribution of injuries highlights the varied severity and patterns across different body regions. The post-mortem findings in the fatal cases reveal the severe and often lethal consequences of kite string injuries.

Conclusion: Kite flying, while being culturally treasured, is a life and limb-preventable risk, particularly with the utilization of unsafe materials. This study reinforces the significance of using forensic results in public health policy to reduce festival-related mortality and injury, thereby making celebrations safe and festive.