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    The burden of unintentional drowning: global, regional and national estimates of mortality from the Global Burden of Disease 2017 Study

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    Author
    Franklin, RC; Peden, AE; Hamilton, EB; Bisignano, C; Castle, CD; Dingels, Z; Hay, S; Liu, Z; Mokdad, AH; Roberts, NLS; ...
    Date
    2020-10-01
    Source Title
    Injury Prevention
    Publisher
    BMJ PUBLISHING GROUP
    University of Melbourne Author/s
    Lopez, Alan; Suleria, Hafiz Ansar Rasul
    Affiliation
    Melbourne School of Population and Global Health
    Agriculture and Food Systems
    Metadata
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    Document Type
    Journal Article
    Citations
    Franklin, R. C., Peden, A. E., Hamilton, E. B., Bisignano, C., Castle, C. D., Dingels, Z., Hay, S., Liu, Z., Mokdad, A. H., Roberts, N. L. S., Sylte, D. O., Theo, V., Abady, G. G., Abosetugn, A. E., Ahmed, R., Alahdab, F., Andrei, C. L., Antonio, C. A. T., Arabloo, J. ,... James, S. L. (2020). The burden of unintentional drowning: global, regional and national estimates of mortality from the Global Burden of Disease 2017 Study. INJURY PREVENTION, 26 (SUPP_1), pp.83-95. https://doi.org/10.1136/injuryprev-2019-043484.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/251449
    DOI
    10.1136/injuryprev-2019-043484
    Abstract
    BACKGROUND: Drowning is a leading cause of injury-related mortality globally. Unintentional drowning (International Classification of Diseases (ICD) 10 codes W65-74 and ICD9 E910) is one of the 30 mutually exclusive and collectively exhaustive causes of injury-related mortality in the Global Burden of Disease (GBD) study. This study's objective is to describe unintentional drowning using GBD estimates from 1990 to 2017. METHODS: Unintentional drowning from GBD 2017 was estimated for cause-specific mortality and years of life lost (YLLs), age, sex, country, region, Socio-demographic Index (SDI) quintile, and trends from 1990 to 2017. GBD 2017 used standard GBD methods for estimating mortality from drowning. RESULTS: Globally, unintentional drowning mortality decreased by 44.5% between 1990 and 2017, from 531 956 (uncertainty interval (UI): 484 107 to 572 854) to 295 210 (284 493 to 306 187) deaths. Global age-standardised mortality rates decreased 57.4%, from 9.3 (8.5 to 10.0) in 1990 to 4.0 (3.8 to 4.1) per 100 000 per annum in 2017. Unintentional drowning-associated mortality was generally higher in children, males and in low-SDI to middle-SDI countries. China, India, Pakistan and Bangladesh accounted for 51.2% of all drowning deaths in 2017. Oceania was the region with the highest rate of age-standardised YLLs in 2017, with 45 434 (40 850 to 50 539) YLLs per 100 000 across both sexes. CONCLUSIONS: There has been a decline in global drowning rates. This study shows that the decline was not consistent across countries. The results reinforce the need for continued and improved policy, prevention and research efforts, with a focus on low- and middle-income countries.

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