When acids contact the skin, response time can affect the severity of burns. If washed away with water or neutralized promptly, burns can be minimized or avoided entirely. However, areas unprotected by skin, such as the cornea of the eye or the lips, may be burned immediately on contact.
Many victims are attacked in an area without immediate access to water, or unable to see due to being blinded or forced to keep their eyes closed to prevent additional burns to the eye. Treatment for burn victims remains inadequate in many developing nations where incidence is high. Medical underfunding has resulted in very few burn centers available for victims in countries such as Uganda, Bangladesh, and Cambodia., Uganda has one specialized burn center in the entire nation, opening in 2003; Cambodia has only one burn facility for victims, and scholars estimate that only 30% of the Bangladeshi community has access to health care.
In addition to inadequate medical capabilities, many acid assault victims fail to report to the police due to a lack of trust in the force, a sense of hopelessness due to the attackers' impunity, and fear of retribution by the assailant.
These problems are exacerbated by a lack of knowledge of how to treat burns: some victims have applied oil to the acid, rather than rinsing thoroughly and completely with water for 30 minutes or longer to neutralize the acid. Such home remedies only serve to increase the severity of damage, as they do not counteract the acidity.