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Fatal and Nonfatal Drownings  at Recreational Water Sites, U.S. Julie Gilchrist MD National Center for Injury Prevention and Control Centers for Disease Control and Prevention September, 2007
Drowning Defined ,[object Object],[object Object],[object Object],A new definition of drowning: towards documentation and prevention of a global  public health problem.  Bull World Health Organ . 2005, vol. 83, no. 11. Available from:  <http://www.scielosp.org/scielo.php?script=sci_arttext&pid= S0042-96862005001100015&lng=en&nrm=iso>. ISSN 0042-9686.
Drowning: the Problem ,[object Object],[object Object],[object Object],* Source :   The Incidence and Economic Burden of Injuries in the  United States. Oxford University Press 2006.
Fatal Drowning Data ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nonfatal Drowning Data ,[object Object],[object Object],[object Object],[object Object],[object Object]
Drowning Surveillance:  the Problem ,[object Object],[object Object],[object Object]
Drowning *  by Age *in recreational water settings Nonfatal Fatal Age (yrs) Estimate Percent Rate  (95% CI) Number Percent Rate  (95% CI) 0-4  2168 52.0 11.13  (3.56, 18.69) 442 13.1 2.28 (2.07, 2.50) 5-14  1058 25.3 2.58  (1.13, 4.02) 333 9.9 0.81 (0.72, 0.90) >=15  948 22.7 0.42  (0.20, 0.64) 2563 76.0 1.14 (1.10, 1.18) Unknown 34 1.0 TOTAL 4174 100.0 1.46 (0.77, 2.14) 3372 100.0 1.18 (1.14, 1.22) Data sources:  National Electronic Injury Surveillance System All Injury Program for nonfatal injuries (2001-2002);  National Vital Statistics System, National Center for Health Statistics for fatalities (2001).
Fatal Drowning Rates by  Age,  2001 Fatal drowning data from National Vital Statistics System
Drowning by Sex *in recreational water settings Nonfatal Fatal Sex Estimate Percent Rate  (95% CI) Number Percent Rate  (95% CI) Male 2721 65.2 1.93  (1.16, 2.70) 2789 82.7 1.99 (1.92, 2.06) Female 1452 34.8 1.00  (0.27, 1.72) 583 17.3 0.40 (0.37, 0.43) Data sources:  National Electronic Injury Surveillance System All Injury Program for nonfatal injuries (2001-2002);  National Vital Statistics System, National Center for Health Statistics for fatalities (2001).
Fatal Drownings by Sex,   1999-2004 Fatal drowning data from National Vital Statistics System
Drowning by Location *in recreational water settings Nonfatal Fatal Location Estimate Percent Rate  (95% CI) Number Percent Rate  (95% CI) Pool 2751 65.9 0.96 (0.40, 1.51) 596 17.7 0.21 (0.19, 0.23) Natural water 909 21.8 0.32  (0.14, 0.49) 1467 43.5 0.51 (0.49, 0.54) Unspecified  513 12.3 1309 38.8 Data sources:  National Electronic Injury Surveillance System All Injury Program for nonfatal injuries (2001-2002);  National Vital Statistics System, National Center for Health Statistics for fatalities (2001).
Fatal Drowning Rates by  Age Group & Location, 2001   Fatal drowning data from National Vital Statistics System
Pool Drowning Rates by Age Group & Race, 1999-2004   (rate per 100,000) Fatal drowning data from National Vital Statistics System
Natural Water Drowning Rates by Age Group & Race, 1999-2004   Fatal drowning data from National Vital Statistics System
Characteristics of Drowning ,[object Object],[object Object],[object Object],*in recreational water settings
Drowning: Location by Age *in recreational water settings
Nonfatal Drowning by Disposition *in recreational water settings Nonfatal Disposition Estimate Percent Rate  (95% CI) Treated and Released 1925 46.1 0.67  (0.29, 1.05) Hospitalized or Transferred 2233 53.5 0.78  (0.44, 1.12) Other/Unknown 16 0.4 -- Data source:  National Electronic Injury Surveillance System All Injury Program for nonfatal injuries (2001-2002)
Injury Pyramid Death Hospitalization Emergency Department Outpatient  Elsewhere or untreated All Unintentional Injuries Drowning 112,012 1,640,370 25,516,364 58,381,000 ? 3372 2212 1962 ~0 ~0
Summary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Importance of Prevention ,[object Object],[object Object],[object Object]
Prevention of Drowning ,[object Object],[object Object],[object Object]
Prevention of Drowning ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Improving Swimming Ability ,[object Object],[object Object],[object Object]
Improving Swimming Ability ,[object Object],[object Object],[object Object],[object Object]
Prevention of Drowning ,[object Object],[object Object],[object Object],[object Object]
Resources ,[object Object],[object Object],[object Object]
WONDER vs. WISQARS ,[object Object],[object Object],[object Object],[object Object]
Thanks Julie Gilchrist, MD  [email_address]

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Estimating the Burden

  • 1. Fatal and Nonfatal Drownings at Recreational Water Sites, U.S. Julie Gilchrist MD National Center for Injury Prevention and Control Centers for Disease Control and Prevention September, 2007
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7. Drowning * by Age *in recreational water settings Nonfatal Fatal Age (yrs) Estimate Percent Rate (95% CI) Number Percent Rate (95% CI) 0-4 2168 52.0 11.13 (3.56, 18.69) 442 13.1 2.28 (2.07, 2.50) 5-14 1058 25.3 2.58 (1.13, 4.02) 333 9.9 0.81 (0.72, 0.90) >=15 948 22.7 0.42 (0.20, 0.64) 2563 76.0 1.14 (1.10, 1.18) Unknown 34 1.0 TOTAL 4174 100.0 1.46 (0.77, 2.14) 3372 100.0 1.18 (1.14, 1.22) Data sources: National Electronic Injury Surveillance System All Injury Program for nonfatal injuries (2001-2002); National Vital Statistics System, National Center for Health Statistics for fatalities (2001).
  • 8. Fatal Drowning Rates by Age, 2001 Fatal drowning data from National Vital Statistics System
  • 9. Drowning by Sex *in recreational water settings Nonfatal Fatal Sex Estimate Percent Rate (95% CI) Number Percent Rate (95% CI) Male 2721 65.2 1.93 (1.16, 2.70) 2789 82.7 1.99 (1.92, 2.06) Female 1452 34.8 1.00 (0.27, 1.72) 583 17.3 0.40 (0.37, 0.43) Data sources: National Electronic Injury Surveillance System All Injury Program for nonfatal injuries (2001-2002); National Vital Statistics System, National Center for Health Statistics for fatalities (2001).
  • 10. Fatal Drownings by Sex, 1999-2004 Fatal drowning data from National Vital Statistics System
  • 11. Drowning by Location *in recreational water settings Nonfatal Fatal Location Estimate Percent Rate (95% CI) Number Percent Rate (95% CI) Pool 2751 65.9 0.96 (0.40, 1.51) 596 17.7 0.21 (0.19, 0.23) Natural water 909 21.8 0.32 (0.14, 0.49) 1467 43.5 0.51 (0.49, 0.54) Unspecified 513 12.3 1309 38.8 Data sources: National Electronic Injury Surveillance System All Injury Program for nonfatal injuries (2001-2002); National Vital Statistics System, National Center for Health Statistics for fatalities (2001).
  • 12. Fatal Drowning Rates by Age Group & Location, 2001 Fatal drowning data from National Vital Statistics System
  • 13. Pool Drowning Rates by Age Group & Race, 1999-2004 (rate per 100,000) Fatal drowning data from National Vital Statistics System
  • 14. Natural Water Drowning Rates by Age Group & Race, 1999-2004 Fatal drowning data from National Vital Statistics System
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  • 16. Drowning: Location by Age *in recreational water settings
  • 17. Nonfatal Drowning by Disposition *in recreational water settings Nonfatal Disposition Estimate Percent Rate (95% CI) Treated and Released 1925 46.1 0.67 (0.29, 1.05) Hospitalized or Transferred 2233 53.5 0.78 (0.44, 1.12) Other/Unknown 16 0.4 -- Data source: National Electronic Injury Surveillance System All Injury Program for nonfatal injuries (2001-2002)
  • 18. Injury Pyramid Death Hospitalization Emergency Department Outpatient Elsewhere or untreated All Unintentional Injuries Drowning 112,012 1,640,370 25,516,364 58,381,000 ? 3372 2212 1962 ~0 ~0
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  • 28. Thanks Julie Gilchrist, MD [email_address]