A new definition of drowning: towards documentation and prevention of a global public health problem

Drowning is a major global public health problem. Effective prevention of drowning requires programmes and policies that address known risk factors throughout the world. Surveillance, however, has been hampered by the lack of a uniform and internationally accepted definition that permits all relevan...

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Main Authors: E.F. van Beeck, C.M. Branche, D. Szpilman, J.H. Modell, J.J.L.M. Bierens
Format: Article
Language:English
Published: The World Health Organization 2005-11-01
Series:Bulletin of the World Health Organization
Subjects:
Online Access:http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862005001100015&lng=en&tlng=en
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author E.F. van Beeck
C.M. Branche
D. Szpilman
J.H. Modell
J.J.L.M. Bierens
author_facet E.F. van Beeck
C.M. Branche
D. Szpilman
J.H. Modell
J.J.L.M. Bierens
author_sort E.F. van Beeck
collection DOAJ
description Drowning is a major global public health problem. Effective prevention of drowning requires programmes and policies that address known risk factors throughout the world. Surveillance, however, has been hampered by the lack of a uniform and internationally accepted definition that permits all relevant cases to be counted. To develop a new definition, an international consensus procedure was conducted. Experts in clinical medicine, injury epidemiology, prevention and rescue from all over the world participated in a series of "electronic" discussions and face-to-face workshops. The suitability of previous definitions and the major requirements of a new definition were intensely debated. The consensus was that the new definition should include both cases of fatal and nonfatal drowning. After considerable dialogue and debate, the following definition was adopted: "Drowning is the process of experiencing respiratory impairment from submersion/immersion in liquid." Drowning outcomes should be classified as: death, morbidity, and no morbidity. There was also consensus that the terms wet, dry, active, passive, silent, and secondary drowning should no longer be used. Thus a simple, comprehensive, and internationally accepted definition of drowning has been developed. Its use should support future activities in drowning surveillance worldwide, and lead to more reliable and comprehensive epidemiological information on this global, and frequently preventable, public health problem.
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spelling doaj.art-2543d32e23804668814ee70f610fcf262024-03-03T02:32:39ZengThe World Health OrganizationBulletin of the World Health Organization0042-96862005-11-018311853856S0042-96862005001100015A new definition of drowning: towards documentation and prevention of a global public health problemE.F. van Beeck0C.M. Branche1D. Szpilman2J.H. Modell3J.J.L.M. Bierens4Erasmus Universitair Medisch Centrum RotterdamCenter for Disease Control and PreventionDrowning Resuscitation CenterUniversity of FloridaUniversity Medical Center Free UniversityDrowning is a major global public health problem. Effective prevention of drowning requires programmes and policies that address known risk factors throughout the world. Surveillance, however, has been hampered by the lack of a uniform and internationally accepted definition that permits all relevant cases to be counted. To develop a new definition, an international consensus procedure was conducted. Experts in clinical medicine, injury epidemiology, prevention and rescue from all over the world participated in a series of "electronic" discussions and face-to-face workshops. The suitability of previous definitions and the major requirements of a new definition were intensely debated. The consensus was that the new definition should include both cases of fatal and nonfatal drowning. After considerable dialogue and debate, the following definition was adopted: "Drowning is the process of experiencing respiratory impairment from submersion/immersion in liquid." Drowning outcomes should be classified as: death, morbidity, and no morbidity. There was also consensus that the terms wet, dry, active, passive, silent, and secondary drowning should no longer be used. Thus a simple, comprehensive, and internationally accepted definition of drowning has been developed. Its use should support future activities in drowning surveillance worldwide, and lead to more reliable and comprehensive epidemiological information on this global, and frequently preventable, public health problem.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862005001100015&lng=en&tlng=enAhogamientoVigilancia epidemiológica
spellingShingle E.F. van Beeck
C.M. Branche
D. Szpilman
J.H. Modell
J.J.L.M. Bierens
A new definition of drowning: towards documentation and prevention of a global public health problem
Bulletin of the World Health Organization
Ahogamiento
Vigilancia epidemiológica
title A new definition of drowning: towards documentation and prevention of a global public health problem
title_full A new definition of drowning: towards documentation and prevention of a global public health problem
title_fullStr A new definition of drowning: towards documentation and prevention of a global public health problem
title_full_unstemmed A new definition of drowning: towards documentation and prevention of a global public health problem
title_short A new definition of drowning: towards documentation and prevention of a global public health problem
title_sort new definition of drowning towards documentation and prevention of a global public health problem
topic Ahogamiento
Vigilancia epidemiológica
url http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862005001100015&lng=en&tlng=en
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