Teri Covington "Child Death Review Teams" Part 1 NDPA 2012

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Teri Covington "Child Death Review Teams" Part 1 NDPA 2012

  1. 1. What Child Death Review Teams Can Tell Us about Drowning Maximizing the Opportunities to Prevent Infant and Child Drownings Teri Covington, MPH,
  2. 2. Sharing the Story
  3. 3. Guiding Principles
  4. 4. A Comprehensive PurposeInvestigation/Response Services Prevention
  5. 5. CDR in the U.S.
  6. 6. HealthyPeople2020
  7. 7. At a Review Meeting
  8. 8. Identify the Risk Factors Drowning Boys Poor signagePoor supervision No child care No zoning ordinances Faulty gates Poverty Teenagers No supervision StressPoor Access Unable to swimto EMS care Substance Use Bad weather Green water Unable to read Impulsive behavior No fencing
  9. 9. CDR CaseReporting System
  10. 10. System Features
  11. 11. Limitations of the Data
  12. 12. Data on Drowning
  13. 13. States with Data in the Systemn=2,440, 1996-2011, 92% from 2005-2011 WA MT ND ME MN VT OR NH MA ID SD WI MI NY WY 7% RI CT IA PA 5% NJ NV NE OH 9% DE IL IN UT CA CO WV MD KS VA 10% MO KY NC AZ TN 6% OK 7% AR SC NM MS AL GA TX 17% LA FL Included in data HI With other 6 states, represents more than 60% of the cases No drownings in the database
  14. 14. Identify the Risk Factors Drowning Boys Poor signagePoor supervision No child care No zoning ordinances Faulty gates Poverty Teenagers No supervision StressPoor Access Unable to swimto EMS care Substance Use Bad weather Green water Unable to read Impulsive behavior No fencing
  15. 15. AGE and Gender, by Percent n=2,440 By Age By Gender Over 18 Ages 10-14 Years Old Ages 15 - 18 12% 1% 16% UK 1%Ages 5 - 9 Under age 14% 1 Male Female 8% 68% 31% Ages 1 - 4 48% UK 1% Data Source: NCRPCD Case
  16. 16. Race and Ethnicity, by Percent n=2,440 By Race By Hispanic Origin n=2440 UK 9% African Native American Hawaiian Yes 19% 1% 20% PacificWhite Island66% 0% Asian No UK 3% Multi-racial 71% 9% 1% Amer Indian 1% Data Source: NCRPCD Case
  17. 17. By Location and Child’s Activity n=2,440 Childs Activity Last SeenPlace of Drowning Before Drowning Bathing Pool/hot 10% Sleeping 2% tub Swimmin 43% g Other 18% 15% Bath tubOpen 14% Playing UKwater 33% 22%30% Other UK 8% 5%
  18. 18. Location of Drowning by Age Under age Ages 1 - 4 Ages 5 - 9 Ages 10- Ages 15 - Over 18 Missing TotalPlace 1 14 18 Years OldOpen Count 3 175 116 167 262 16 1 740water % 1% 15% 35% 55% 68% 73% 7% 30%Pool, hot Count 17 734 146 81 61 2 4 1045tub, spa % 8% 62% 44% 27% 16% 9% 27% 43%Bath tub Count 148 130 33 17 16 3 0 347 % 72% 11% 10% 6% 4% 14% 0% 14%Other Count 28 88 23 28 24 1 1 193 % 14% 7% 7% 9% 6% 5% 7% 8%UK Count 9 50 13 11 23 0 9 115 % 4% 4% 4% 4% 6% 0% 60% 5%Total Count 205 1177 331 304 386 22 15 2440 % 100% 100% 100% 100% 100% 100% 100% 100%33 kids died in bathtub btn ages 5-9 (5 were homicides; 23 accidents; 5 undetermined)(15 of 17 kids ages 10-14 died in bathtub were accidents.)(13 of 16 of kids ages 15-18 died in bathtub were accidents)
  19. 19. Pool Drownings Type of Pool Type of Pool Ownership n=1045 n=1045 Above ground 20% In ground Private UK 63% 15% 60% UK 28%Hot tub/spa 3% Wading Public 2% 9%In two percent of the pool drownings (n=21), In 52% of public pool drownings child found on top of or under a pool cover (n=96), no lifeguard was present.

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