Drowning Interventions, Miscellaneous
The dangers of drowning reflect the culture and setting in which
the event occurs. Young children are at high risk for drowning when they live anplay
around water whether it is pools, water storage such as wells, cisterns, water barrels
or courtyard pools. Celis, 1997.
We fpund one study, which illustrates how an intervention intended
to improve agricultural yield and great health resulted in reduction in drownings
in the 0-4 year old age group.
Review of miscellaneous intervention studies:
Study design and target population
|Ecological time trend; children ages
0-4 years in rural Bangladesh, 1983-86, baseline vs. 1989-92. |
|Flood control embankments with irrigation
and drainage components.|
|Accidental drowning, mortality rates
from infectious diseases, vaccine-preventable diseases, acute respiratory disease,
|Accidental drowning rates lower in
flood protected area compared to outside (1.2 vs 2.2 per 1000 live births (p,.01);
children 1-4 years. |
Overall mortality rates lower in
Study quality and conclusions
|Acute mortality data from demographic
Flood control programs cause adverse environmental effects, but reduce
mortality in young children.
Summary of miscellaneous interventions
A Cochrane review is currently underway entitled "Interventions
for the prevention of drowning" which will include studies of measures to physically
separate people from water and engineering modifications to aide exit from areas
of water. Proper fencinf is one ffective method to reduce drowning as demonstrated
by studies from Australia and New Zealand. Inexpensive ways to fence home cisterns
should be considered in countries where this exposure is a problem. Pless, 1997. Implementation of injury prevention measure require modification to fit
the unique cultural aspects of health care and communication in some ethnic groups.
In the US American Indian/Alaskan Native communities programs adapted to consider
cultural values and tribal government sovereignty have proved successful. Committee
on Native American Child Health, 1999.