Fireworks explosion in Honolulu, Hawaii results in the death of a 3-year-old boy, bringing total fatalities to 4 with more than 20 people injured

HONOLULU — A tragic incident unfolded when a 3-year-old boy lost his life on Monday due to a massive fireworks explosion that occurred on New Year’s Eve at a residence in Honolulu. Tragically, this child became the fourth victim of the explosion, while six others sustained severe injuries and were transported to Arizona for specialized treatment to address their extensive burns.

The blast killed three women and injured more than 20 people, many of whom have burns over most of their bodies.

In response to the lack of capacity at Hawaii’s only burn center to accommodate all the victims, the U.S. military facilitated the transfer of six individuals to Phoenix for medical care on Saturday.

Following this tragic event, officials in Hawaii reiterated the urgent need to address the widespread illegal fireworks trade in the state through enhanced enforcement measures and harsher penalties for offenders.

The six taken to Arizona are all in their 20s or 30s and have extensive burns, Dr. Kevin Foster, the director of the Arizona Burn Center, said at a news conference streamed online.

The person with the least has burns over 45% of their body while the most has burns over nearly 80% of their body. Each of the six is using a breathing tube and most are in medically induced comas.

Foster said they are all doing “very well” and have good vital signs. But it will be six months to a year before any are able to return to anything resembling a normal life, Foster said. Four patients will likely have to remain intubated and in a coma for months, he said.

The patients will likely suffer post-traumatic stress disorder, Foster said, adding the burn center has two full-time psychologists and a psychiatrist hospital on staff to help them.

“There’s something uniquely and particularly horrifying about being burned, especially from this type of injury,” Foster said. “And we anticipate that all of these patients are going to have some adjustment issues.”

Many required emergency surgery before leaving Hawaii and a number had traumatic injuries in addition to burns, because of the explosions and resulting projectiles, he said.

The Arizona Burn Center operated on all six on Sunday, performed three other surgeries Monday and plan three others Tuesday. By then, doctors should be done with removing burns and will progress to closing wounds and grafting skin, Foster said. Infections are the most dangerous and feared complication for burn patients, he said while also predicting all would likely get them at some point.

“It’s just the way burn injury works, especially when you have large percent-of-total-body-surface-area burns like this,” Foster said.

The scars, and the physical limitations that come with them, will likely be the biggest thing that the patients have to deal with and are what will make these wounds lifelong injuries, he said.

Foundations affiliated with the burn center and the hospital it is a part of, Valleywise Health, are providing housing for patient relatives. Some burn center employees have even volunteered their homes, Foster said.

Hawaii’s diverse population has long celebrated New Year’s with fireworks, but in recent years, professional-grade aerial explosives have been growing in popularity even though they are illegal for amateurs. Neighborhoods across Oahu light up for hours as residents launch aerial fireworks into the sky from the narrow streets in front of their homes.

Honolulu authorities say a person attending a party lit a bundle of aerial fireworks, which fell on its side and shot explosives into two crates that contained additional aerials. Video of the resulting explosion shows a rapid series of blasts shooting fireworks in the air and around the front of a house.

Hawaii’s counties have varying rules on other types of fireworks. On Oahu, the state’s most populous island, only certain types of firecrackers are allowed to be used during specific timeframes on New Year’s Eve, Chinese New Year and Fourth of July. However, many residents set off fireworks of all kinds year-round.

Associated Press writer Jennifer Sinco Kelleher contributed to this report.

The video in the player above is from an earlier report.