Drowning Report


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Author: Peter Agnew

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Drowning Report

  1. 1. 2007 ILS World Drowning Report Peter Agnew Barbara Byers and Ortwin Kreft
  2. 20. 2007 ILS World Drowning Report <ul><li>Globally, drowning is a leading cause of death </li></ul><ul><li>This is the inaugural ILS Drowning Report </li></ul><ul><li>It reviews what member countries know </li></ul><ul><li>Things seem not to count unless they can be counted </li></ul>
  3. 21. Introduction to Report <ul><li>Base of information that ILS Countries are able to provide </li></ul><ul><li>Provides an initial benchmark for which we can measure our performance going forward </li></ul><ul><li>Provides ILS with the opportunity to define its research role </li></ul><ul><li>Opportunity to develop, improve, mentor and assist its Member Organisations </li></ul>
  4. 22. Change in Focus <ul><li>From aquatic leadership to population management </li></ul><ul><li>Part of transformation and maturity </li></ul><ul><li>Change in focus will reduce drowning death </li></ul>
  5. 23. Improve Data Collection <ul><li>Encourage non-reporting nations to report </li></ul><ul><li>Also encourage nations with weak reporting to improve their quality </li></ul><ul><li>Benchmark standard </li></ul><ul><li>Based on Utstein Style guidelines </li></ul>
  6. 24. World Health Organization (WHO) <ul><li>World Health Organization (WHO) – most comprehensive international level data collection. </li></ul><ul><li>WHO 2002 Factsheet on drowning estimated that 382,312 people drowned. </li></ul><ul><li>Drowning is the third leading cause of unintentional injury. </li></ul>
  7. 25. World Health Organization (WHO) <ul><li>World Health Organization (WHO) acknowledges that problem is even greater </li></ul><ul><li>Data does not include cataclysms (floods), transport accidents, assaults and suicide were excluded. </li></ul><ul><li>97% of unintentional deaths occurred in low and middle-income countries.. </li></ul>
  8. 26. 2007 World Drowning Report <ul><li>Reviews the current statistical data and literature on drowning mortality. </li></ul><ul><li>Provides an overview of research from 16 countries with ILS member organizations. </li></ul><ul><li>ILS data represents a small sample of the world population (13%). </li></ul><ul><li>And of the drowning problem (3%). </li></ul>
  9. 27. N/A N/A 0.4 250 2005 69 515 Iran N/A N/A 0.5 127 2000 23 270 Malaysia 14 86 0.6 381 2001 58 789 U.K. 0 100 0.7 1 2001 151 St. Lucia 22 78 0.8 644 2003 82 532 Germany N/A N/A 0.9 36 2000 4 018 Singapore 14 17 69 1.3 3 787 2000 281 422 USA 24 76 1.3 51 2002 3 917 Ireland 13 87 1.5 134 2000 8 883 Sweden 16 84 1.5 450 2001 30 007 Canada 2 21 77 1.5 277 2001 18 972 Australia N/A N/A 2.1 167 2001 7 974 Bulgaria 31 69 2.4 244 2001 10 230 Czech Rep. 26 74 3.3 125 2001 3 737 New Zealand 15 85 3.4 176 2003 5 220 Finland N/A N/A 3.5 5 983 2000 169 799 Brazil Unknown % Female % Male % Drowning deaths (per 100 000) Total unintentional drowning deaths Census year Population (000’s) International Life Saving Federation member countries data source
  10. 28. ILS Data Sources <ul><li>Various data sources. </li></ul><ul><li>From coroner’s offices (with high degree of accuracy), </li></ul><ul><li>To media, police and lifesaver reports with a lesser degree of accuracy and completeness. </li></ul>
  11. 29. Available Data <ul><li>More data are available from developed countries. </li></ul><ul><li>But drowning is a greater problem in less developed countries. </li></ul><ul><li>Areas where drowning is greatest are the least likely to be represented in ILS data. </li></ul>
  12. 30. ILS Drowning Data <ul><li>Men 18-49 years had the highest drowning numbers and rate. </li></ul><ul><li>Children under 5 years had the second highest risk. </li></ul><ul><li>Many reporting countries reported a reduction of drownings amongst young children. </li></ul>
  13. 31. Population Predictions <ul><li>United Nations predicts the magnitude of the drowning problem is going to get worse. </li></ul><ul><li>By 2050 Africa and Asia will be home to more than 80% of the population. </li></ul><ul><li>China and India will shelter 1/3 of the world population. </li></ul>
  14. 32. Developing versus Industrialised Countries. <ul><li>Industrialised countries -recreational activities. </li></ul><ul><li>Swimming skills and water safety awareness form part of the dominant culture of the population. </li></ul><ul><li>Developing countries – as part of daily living; part of routine activity. </li></ul><ul><li>Distinct lack of swimming skills and water safety awareness. </li></ul><ul><ul><ul><li> </li></ul></ul></ul>
  15. 33. Why collect data? <ul><li>Counting victims does not save lives or reduce drownings. </li></ul><ul><li>Understanding the magnitude of the problem </li></ul><ul><li>and </li></ul><ul><li> identifying risk factors leads to effective prevention strategies. </li></ul>
  16. 34. Risk Factors <ul><li>Socio-demographic-identify high priority target groups e.g. young children. </li></ul><ul><li>Environmental – type of activity e.g. safety devices amongst boaters who reside in countries susceptible to flooding. </li></ul>
  17. 35. Drowning Prevention Focus <ul><li>Remove, reduce or change the hazard. </li></ul><ul><li>Change risk-taking supervision or skills. </li></ul><ul><li>Prevent contact between people and the environment. </li></ul>
  18. 36. Recommendations <ul><li>The ILS World Drowning report should be published with regular frequency. </li></ul><ul><ul><li>All ILS member organisations should contribute data. </li></ul></ul><ul><ul><li>ILS should assist with improving the quality of data collection. </li></ul></ul><ul><ul><li>ILS should develop the gold standard for reporting by ILS member countries – Utstein Style and information (ICD 10). </li></ul></ul>
  19. 37. Recommendations <ul><li>ILS should adopt intervention models that can be used by its Member Organizations to raise awareness about methodological measures. </li></ul><ul><li>Prevention programmes should encompass strategies to address the needs of high-risk target groups. </li></ul>
  20. 38. How can you help? <ul><li>Use the Utstein Style of data collection. </li></ul><ul><li>Provide the key contact for data collection to ILS Drowning Committee member- Peter, Ortwin, Barbara. </li></ul><ul><li>Analyze your data and identify high risk target group and most effective intervention strategies. </li></ul><ul><li>If you don’t have data, you can still develop intervention strategy. </li></ul><ul><li>Report will be published Oct/Nov and will be available on the ILS website ( www.ilsf.org ) 30 days </li></ul>
  21. 39. Conclusions <ul><li>ILS = industrialised nations with drownings occurring recreational activity. </li></ul><ul><li>Developing nations (many without ILS membership) have a more serious epidemic of drownings during daily living activities. </li></ul><ul><li>Opportunity for ILS to share its intervention strategies. </li></ul>
  22. 40. Goal <ul><li>Improved data collection will lead to more effective drowning prevention strategies. </li></ul><ul><li>Ultimate goal is a meaningful reduction in the incidence of drowning worldwide. </li></ul>