Use of Washington State newspapers for submersion injury surveillance

Media reporting of summer drowning: A partial picture, useful for advocacy

ISSUE ADDRESSED

Media reporting of drowning deaths can be used for multiple purposes, including advocacy, enhancing data on drowning and supporting policy development. Accurate, current and comprehensive data help ensure the development of effective prevention programs as well as being a tool for advocacy. Advocacy for drowning prevention through the media can create behaviour change aligned to the Health Belief Model (HBM).

METHODS

This study compares media reports of fatal unintentional drowning across the 2017/18 Australian summer (1-December-2017 to 28-February-2018) with drowning cases in the National Coronial Information System (NCIS).

RESULTS

Media monitoring identified 84 cases, of which nine (11%), were deaths but not drowning. There were 104 NCIS deaths during this time of which 75 were reported in the media (72% capture). Media captured 100% of drowning incidents involving people 0-24 years and in ocean/harbour locations. Drowning incidents among older people (75+ years; 36% capture), in bathtubs (0% capture), swimming pools (33% capture) and with an unknown activity (27% capture) were poorly reported.

CONCLUSIONS

Where there are a lack of timely data on drowning, the use of media can help capture deaths, with limitations. Transmission of messages about drowning risk factors and prevention strategies, during summer, may lead to behaviour change at a time when drowning risk is highest. SO WHAT?: Working with the media to help enhance advocacy efforts, in particular the development and use of effective drowning prevention messages, is key to informing the public about risk factors in the HBM to achieve behaviour change.

Redesigning a Sentinel Surveillance System for Collecting and Disseminating Near Real-Time Agricultural Injury Reports: System Usability Study

Background

Injury data and reports provide valuable information for both public and private organizations to guide programming, policy, and prevention, but in the increasingly complex and dangerous industry of US agriculture, the injury surveillance needed to produce this data is lacking. To address the gap, AgInjuryNews was established in 2015. The system includes fatal and nonfatal injury cases derived from publicly available reports, including occupational and nonoccupational injuries, occurring in the agricultural, forestry, and fishing (AFF) industry.

Objective

The study aimed to develop a stakeholder-engaged redesign of the interactive, up-to-date, and publicly available dataset of US AFF injury and fatality reports.

Methods

Instructor-led heuristic evaluations within a 15-student undergraduate course, data from 8 student participants of laboratory-based usability testing and 2016 and 2017 AgInjuryNews-registered user surveys, coupled with input from the National Steering Committee informed the development priorities for 2018. An interdisciplinary team employed an agile methodology of 2-week sprints developing in ASP.NET and Structured Query Language to deliver an intuitive frontend and a flexible, yet structured, backend, including a case report input form for capturing more than 50 data points on each injury report.

Results

AgInjuryNews produced 17,714 page views from 43 countries in 2018 captured via Google Analytics, whereas 623 injury reports were coded and loaded, totaling more than 31,000 data points. Newly designed features include customizable email alerts, an interactive map, and expanded search and filter options. User groups such as the Bureau of Labor Statistics and the Agricultural Safety and Health Council of America have endorsed the system within their networks. News media have cited or referenced the system in national outlets such as the New York Times, Politico, and the Washington Post.

Conclusions

The new system’s features, functions, and improved data granularity have sparked innovative lines of research and increased collaborative interest domestically and abroad. It is anticipated that this nontraditional sentinel surveillance system and its dataset will continue to serve many purposes for public and private agricultural safety and health stakeholders in the years to come. 

“Using Crowd-Sourced Data to Explore Police-Related-Deaths in the United States (2000–2017): The Case of Fatal Encounters”

Objectives

We evaluated the Fatal Encounters (FE) database as an open-source surveillance system for tracking police-related deaths (PRDs).

Methods

We compared the coverage of FE data to several known government sources of police-related deaths and police homicide data. We also replicated incident selection from a recent review of the National Violent Death Reporting System.

Results

FE collected data on n = 23,578 PRDs from 2000-2017. A pilot study and ongoing data integration suggest greater coverage than extant data sets. Advantages of the FE data include circumstance of death specificity, incident geo-locations, identification of involved police-agencies, and near immediate availability of data. Disadvantages include a high rate of missingness for decedent race/ethnicity, potentially higher rates of missing incidents in older data, and the exclusion of more comprehensive police use-of-force and nonlethal use-of-force data-a critique applicable to all extant data sets.

Conclusions

FE is the largest collection of PRDs in the United States and remains as the most likely source for historical trend comparisons and police-department level analyses of the causes of PRDs.

Characteristics of unintentional drowning deaths in children with autism spectrum disorder

Background

The reported prevalence of autism spectrum disorder (ASD) has increased markedly in the past two decades. Recent research indicates that children with ASD are at a substantially increased risk of injury mortality, particularly from unintentional drowning. The purpose of this study was to explore the circumstances of fatal unintentional drowning incidents involving children with ASD under 15 years of age.

Findings

During January 2000 through May 2017, US newspapers reported a total of 23 fatal drowning incidents involving 18 boys and 5 girls with ASD. Age of victims ranged from 3 to 14 years (mean = 7.7 ± 2.9 years). These drowning incidents most commonly occurred in ponds (52.2%), followed by rivers (13.0%), and lakes (13.0%). For 11 incidents with location data available, the distance between victim residence and the water body where drowning occurred averaged 290.7 m (± 231.5 m). About three-quarters (73.3%) of the drowning incidents occurred in the afternoon hours from 12:00 to 18:59. Wandering was the most commonly reported activity that led to drowning, accounting for 73.9% of the incidents.

Conclusions

Fatal drowning in children with ASD typically occur in water bodies near the victims’ homes in the afternoon hours precipitated by wandering. Multifaceted intervention programs are urgently needed to reduce the excess risk of drowning in children with ASD.

Pediatric falls from windows and balconies: incidents and risk factors as reported by newspapers in the United Arab Emirates

Background

Falls of children from heights (balconies and windows) usually result in severe injuries and death. Details on child falls from heights in the United Arab Emirates (UAE) are not easily accessible. Our aim was to assess the incidents, personal, and environmental risk factors for pediatric falls from windows/balconies using newspaper clippings.

Methods

We used a retrospective study design to electronically assess all major UAE national Arabic and English newspapers for reports of unintentional child falls from windows and balconies during 2005–2016. A structured data collection form was developed to collect information. Data were entered into an Excel sheet and descriptive analysis was performed.

Results

Newspaper clippings documented 96 fall incidents. After cleaning the data and excluding duplicate cases and intentional injuries, 81 cases were included into the final analysis. Fifty-three percent (n = 42) were boys. The mean (range) age was 4.9 years (1–15). Thirty-eight (47%) children fell from windows and 36 (44%) from balconies. Twenty-two (27%) children climbed on the furniture placed on a balcony or close to a window. Twenty-five (31%) children were not alone in the apartment when they fell. Twenty-nine children fell from less than 5 floors (37%), 33 from 5 to 10 floors (42%) and 16 from more than 10 floors (21%). Fifteen children (19%) were hospitalized and survived the fall incident, while 66 died (81%).

Conclusions

Newspapers proved to be useful to study pediatric falls from heights. It is necessary to improve window safety by installing window guards and raising awareness.

Exploring data sources for road traffic injury in Cameroon: Collection and completeness of police records, newspaper reports, and a hospital trauma registry

BACKGROUND

Road traffic injury surveillance systems are a cornerstone of organized efforts at injury control. Although high-income countries rely on established trauma registries and police databases, in low- and middle-income countries, the data source that provides the best collection of road traffic injury events in specific low- and middle-income country contexts without mature surveillance systems is unclear. The objective of this study was to compare the information available on road traffic injuries in 3 data sources used for surveillance in the sub-Saharan African country of Cameroon, providing potential insight on data sources for road traffic injury surveillance in low- and middle-income countries. We assessed the number of events captured and the information available in Yaoundé, Cameroon, from 3 separate sources of data on road traffic injuries: trauma registry, police records, and newspapers.

METHODS

Data were collected from a single-hospital trauma registry, police records, and the 6 most widely circulated newspapers in Yaoundé during a 6-month period in 2009. The number of road traffic injury events, mortality, and other variables included commonly in injury surveillance systems were recorded. We compared these sources using descriptive analysis.

RESULTS

Hospital, police, and newspaper sources recorded 1,686, 273, and 480 road traffic injuries, respectively. The trauma registry provided the most complete data for the majority of variables explored; however, the newspaper data source captured 2, mass casualty, train crash events unrecorded in the other sources. Police data provided the most complete information on first responders to the scene, missing in only 7%.

CONCLUSION

Investing in the hospital-based trauma registry may yield the best surveillance for road traffic injuries in some low- and middle-income countries, such as Yaoundé, Cameroon; however, police and newspaper reports may serve as alternative data sources when specific information is needed.

Newspaper Coverage of Injuries Affecting the Spanish Surname Population in Two Counties in Colorado

The present study assessed newspaper reports of injuries affecting individuals with Spanish surnames and compared newspaper reports to hospital injury discharge data in two counties in Colorado. Newspaper reports came from 12 daily and weekly newspapers. Hospital discharge data were obtained from the Colorado Department of Public Health and the Environment. Motor vehicle crashes, assault and legal intervention, and suicide and suicidal acts were counted. A higher proportion of people with Spanish surnames were reported in newspapers than expected based on the hospital discharge data. Motor vehicle injuries were far more frequent based on hospital discharge data than in newspaper reports. Assault and legal intervention injuries were similarly represented by Hispanic ethnicity and absolute numbers in both reporting sources. Suicide and suicidal acts were not often reported in newspapers relative to hospital discharge data; however, the proportion of Hispanics was not significantly different. These findings suggest that the use of newspapers for surveillance of injuries may be helpful, but should not be used in the absence of other data sources.

Characteristics of Side-by-Side Vehicle Crashes and Related Injuries as Determined Using Newspaper Reports from Nine U.S. States

Side-by-side (SxS) vehicles have become increasingly popular, but there are few reports on injury epidemiology. Newspaper reports of SxS and all-terrain vehicle (ATV) crashes were analyzed for nine U.S. states from 2009 to 2011, including comparisons between the two vehicle types. Seventy-nine SxS crashes involving 104 injured victims were identified; three-fourths were males. There was a relatively high percentage of injured passengers (37%), and a higher proportion of female victims were passengers as compared to males (p = 0.015). Children <16 years of age were 44% of those injured and had the highest proportion of both passenger and operator victims as compared to other age groups. Over half of the crashes occurred on roadways; nearly two-fifths occurred at night. As compared to adults, a lower percentage of crashes involving youth were at night (p = 0.0037) but the percentages on roadways were similar. Only one in five roadway SxS crashes involved a collision with a motorized vehicle. Rollovers were the most common mechanism (50%). Two-thirds of victims were ejected, and one-half were struck or pinned by the vehicle. Twenty-eight deaths (27%) were reported. Although most current SxSs have roll bars, lack of safety belt use has likely reduced their benefit. Children should be prohibited from operating SxSs.

Disparities in road crash mortality among pedestrians using wheelchairs in the USA: results of a capture-recapture analysis

OBJECTIVE

This study aims to quantify and describe the burden of fatal pedestrian crashes among persons using wheelchairs in the USA from 2006 to 2012.

DESIGN

The occurrence of fatal pedestrian crashes among pedestrians using wheelchairs was assessed using two-source capture-recapture. Descriptive analysis of fatal crashes was conducted using customary approaches.

SETTING

Two registries were constructed, both of which likely undercounted fatalities among pedestrians who use wheelchairs. The first used data from the Fatality Analysis Reporting System, and the second used a LexisNexis news search.

OUTCOME MEASURES

Mortality rate (per 100 000 person-years) and crash-level, driver-level and pedestrian-level characteristics of fatal crashes.

RESULTS

This study found that, from 2006 to 2012, the mortality rate for pedestrians using wheelchairs was 2.07/100 000 person-years (95% CI 1.60 to 2.54), which was 36% higher than the overall population pedestrian mortality rate (p=0.02). Men's risk was over fivefold higher than women's risk (p<0.001). Compared to the overall population, persons aged 50-64 using wheelchairs had a 38% increased risk (p=0.04), and men who use wheelchairs aged 50-64 had a 75% increased risk over men of the same age in the overall population (p=0.006). Almost half (47.6%; 95% CI 42.8 to 52.5) of fatal crashes occurred in intersections and 38.7% (95% CI 32.0 to 45.0) of intersection crashes occurred at locations without traffic control devices. Among intersection crashes, 47.5% (95% CI 40.6 to 54.5) involved wheelchair users in a crosswalk; no crosswalk was available for 18.3% (95% CI 13.5 to 24.4). Driver failure to yield right-of-way was noted in 21.4% (95% CI 17.7 to 25.7) of crashes, and no crash avoidance manoeuvers were detected in 76.4% (95% CI 71.0 to 81.2).

CONCLUSIONS

Persons who use wheelchairs experience substantial pedestrian mortality disparities calling for behavioural and built environment interventions.

Mortality among drowning rescuers in China, 2013: a review of 225 rescue incidents from the press

BACKGROUND

Drowning is common worldwide. Rescue efforts attempted by untrained bystanders often lead to the death of the primary drowning victim (PDV), the rescuer or both. Our study aimed to inform prevention by identifying risk factors in rescuer drowning.

METHODS

Data on drowning rescue incidents reported online in mainland China, 2013, were reviewed. Information on the drowning incidents, PDVs and rescuers were retrieved for analysis.

RESULTS

A total of 225 rescue incidents were identified, of which 14 were victim-rescuer drowning incidents (VRDIs) (6.2%). A person-to-person rescue by swimming to PDVs was the most commonly used method (58.9%). Resuscitation was given immediately to 35.5% of PDVs after rescue. The mortality rate of the rescuers (13.3%) was similar to that of the PDVs (11.5%) (χ(2) = 0.5, p =0.49). Being an adult (OR = 0.2, 95% CI: 0.1-0.5) and other than the first rescuer (OR = 0.4, 95% CI: 0.2-0.9) decreased the risk of rescuers drowning.

CONCLUSIONS

Most of the currently employed life-saving methods are dangerous and even potentially life threatening. The idea of "rescuers' safety first" should be embraced, especially with teenage and child rescuers, who should never be encouraged to rescue others without first guaranteeing their own safety. Promotion of basic rescue skills should be implemented in the general public.

Utilização da imprensa escrita na qualificação das causas externas de morte

OBJETIVO: Complementar a informação sobre a causa básica de morte em óbitos por causas externas com uso de notícias veiculadas em jornais. MÉTODOS: Estudo de investigação de 153 óbitos por causas externas ocorridas em residentes de Belo Horizonte, MG, em 2008. Construiu-se o banco de dados denominado imprensa, com informações de jornais de grande circulação nacional e estadual, o qual foi relacionado ao banco de dados do Sistema de Informações de Mortalidade. Os dados foram analisados nos programas EpiInfo e o Link-plus. A concordância dos resultados foi avaliada pelo coeficiente kappa. RESULTADOS: Foram localizadas 1.530 notícias sobre acidentes e violências, 201 das quais foram pareadas às declarações de óbito do banco do Sistema de Informações de Mortalidade e 153 notícias eram de residentes de Belo Horizonte. As principais causas de morte identificadas nos bancos foram agressões e acidentes de transporte. No banco imprensa, agressões e acidentes de transporte corresponderam a 86,3%, outros acidentes 7,8%, eventos de intenção indeterminada 4,6%, e casos de intervenção legal 1,3%. Após a complementação com o banco imprensa houve aumento nos óbitos por acidentes de automóveis (220,0%) e motos (100,0%), o que resultou em diminuição do número de óbitos por causa indeterminada e por acidentes de transporte não especificados notificados no Sistema de Informações de Mortalidade. CONCLUSÕES: Notícias de jornais têm grande potencial para qualificar e complementar a causa básica de morte em óbitos por causas externas no Sistema de Informações de Mortalidade, principalmente daqueles por acidentes de transporte.

A study on rescuer drowning and multiple drowning incidents

INTRODUCTION

Drowning is a leading cause of injury related death in many countries, including Turkey, where this study originates. The aim of the study is to define and examine "rescuer" drowning and Multiple Drowning Incidents (MDIs), and suggest preventative measures against MDIs.

METHOD

The event of a person drowning can be complicated if an untrained person attempts to rescue the Primary Drowning Victim (PDV). This can result in the death of the "rescuer" as well as the PDV, which then becomes an MDI. This study categorizes these MDI incidents by examining online news media accounts in Turkey from 2005 through 2008.

RESULTS

In this 4-year period, 88 "rescuer" drowning incidents occurred in which 114 "rescuers" and 60 PDVs died from drowning in MDIs; 114 drowned "rescuers" rescued 47 PDVs before they died from drowning. Most of the "rescuers" were male and 42.1% of them were under the age of 18. Most of the drowning incidents (68.5%) occurred in fresh water (lakes/dams/water holes and rivers/creeks/streams).

CONCLUSION

In this study, risk factors for drowning deaths include gender and entering in unguarded open water. An increased awareness of such risks as well as promotion of both swimming and rescue skills in water could help reduce MDIs. Parents who live close to fresh water sources with boys under the age of 18years should be more aware of drowning risk because of their higher rates of deaths from drowning.

IMPACT ON INDUSTRY

The results of this study give the chance to policy makers and all other related people or organizations to see the whole picture of deaths by drowning and the results can be used to build up preventative strategies as swimming teaching and life guard education.

The role of bystanders during rescue and resuscitation of drowning victims

BACKGROUND

Bystanders make a critical difference in the survival of drowning victims. Little information on their role before arrival of the Emergency Medical Services (EMS) is available in the scientific literature. In a descriptive study, this role is investigated.

METHODS AND RESULTS

We studied 289 rescue reports (1999-2004) available from the Dutch Maatschappij tot Redding van Drenkelingen (Society to Rescue People from Drowning), an organisation that, since 1767, acknowledges awards to bystanders who have contributed to the survival of a drowning victim. There were 138 variables retrieved from these reports. The Utstein Style for Drowning (USFD) was used as a guideline. Of the 26 USFD parameters on victim and scene information, 21 were available for analysis. Eight non-USFD parameters, defined by the authors of this research, were available in >60% of the cases. There were 343 victims, rescued by 503 rescuers. 109 victims were resuscitated by bystanders. Of the 18 victims who first received resuscitation from bystanders and then consequently from pre-hospital professionals, 14 survived. Rescues often occurred in dangerous circumstances: multiple victims (n=90/343), cold or ice-cold water (n=295/341), deep water (n=316/334), swimming to the victims (n=262/376), young age of rescuers (the youngest rescuer was 5 years of age).

CONCLUSIONS

Bystander rescue and resuscitation of drowning victims seems to contribute to a positive outcome. Bystanders are prepared to take responsibility to rescue a drowning victim in spite of significant dangers. The USFD is helpful in understanding the role of bystanders in drowning situations, but may need modification to become more instrumental.

Coverage of motor vehicle crashes with injuries in U.S. newspapers, 1999-2002

PROBLEM

The aims of the study were to evaluate information on motor-vehicle crashes with injuries provided in newspaper reports and to assess the frequency of thematic and episodic reporting of motor-vehicle crashes.

METHOD

The study used Fatal Analysis Reporting System (FARS) derived variables to code a nationally representative sample of U.S. newspaper reports of motor-vehicle crashes from 1999-2002. A total of 473 newspaper reports of motor-vehicle crashes with injuries were included. Information on the crash event, people involved, and vehicles was extracted. The reports were coded for episodic and thematic news framing.

RESULTS

A majority of newspaper reports used episodic framing. The majority of reports included information on the type of crash, but characteristics about people and vehicles were rarely reported.

DISCUSSION

Lack of information in newspapers makes them an incomplete source from which to influence public perceptions and attitudes.

IMPACT ON INDUSTRY

This provides an opportunity for news print media to improve public health content.

IMPACT ON INDUSTRY

Newspapers represent an important source of public information; they are, however, an incomplete source [Voight, B., Lapidus, G., Zavoski, R., & Banco, L. (1998). Injury reporting in Connecticut newspapers. Injury Prevention, 4, 292-294.; Baullinger, J., Quan, L., Bennett, E., Cummings, P., & Williams, K. (2001). Use of Washington state newspaper for submersion injury surveillance. Injury Prevention, 7, 339-342]. To increase the accuracy of information provided to the public through media sources, there is a need for increased communication between public health professionals and reporters. The results of this study raise concerns about the contents of motor-vehicle crash information provided in newspapers and suggest that newspapers do not provide information to allow public perception to be in accord with the importance of motor-vehicle crash injuries and health promoting actions to reduce risk of injury. More balanced and detailed information in newspapers would provide an opportunity for news print media to improve public health programs and public perception about the impact of motor-vehicle crashes on safety for all.

Drowning in a high-income developing country in the Middle East: newspapers as an essential resource for injury surveillance

Despite frequent media accounts of drownings in the United Arab Emirates, little was known about the epidemiology and prevention of such incidents. The research objective was to assess newspapers as a national source on incidence, activities, and risk factors for drowning in this high-income media-rich developing country where official sources do not include sufficient variables for injury prevention. The three main national English and six Arabic newspapers were assessed for electronic retrieval of incidents, which proved impractical; however, the largest English-language paper maintained a clipping file on drowning. Newspaper data, including incidence, activity, and purpose, together with personal, equipment, and environmental risk factors, were compared with Ministry of Health reports for 1998-2002. Incidence from clippings was 0.50drownings/100,000population/year and from Ministry reports, 0.27. Activity such as swimming or boating and purpose of activity such as recreational or occupational were unreported by the Ministry. Activity was reported in 100% of newspaper clippings. Swimming (49%) was the most common activity. The purpose of 17% of cases was classified as occupational. Gender was 100% complete in both sources. In newspaper reports, age was classifiable as child or adult, while the Ministry used age groups. National citizenship was 100% reported by Ministry; 91% of newspaper reports included nationality, providing details for expatriates. Swimming ability was unreported by Ministry, and by newspaper 52%, of whom 73% were non-swimmers. While the newspaper provided information on body of water, mainly ocean and pools, this was unreported by Ministry. Month was unspecified by Ministry, 100% by newspaper. Neither reported safety equipment. The newspaper proved the most useful resource for drowning prevention since there were more incidents and most included key variables; however, Ministry reports provided supplementary information. Newspapers with electronic searching on health terms, including injuries, would be a national asset for surveillance.

Pilot alcohol violations reported in U.S. newspapers, 1990-2006

INTRODUCTION

Alcohol violations by airline pilots are rare yet remain a public concern. Such incidents often generate widespread news coverage. This study examines the frequency and characteristics of alcohol violation incidents involving airline pilots reported in U.S. newspapers.

METHODS

The database of Lexis-Nexis, which contains full-text articles for over 350 newspapers, was searched to identify alcohol violation incidents involving airline pilots in the U.S. between January 1990 and June 2006. Information pertaining to the pilot, flight, blood alcohol concentration (BAC), and consequence was ascertained for each incident based on the newspaper coverage.

RESULTS

During the study period, newspapers reported on a total of 13 incidents of alcohol violations involving 17 pilots. All but two of the incidents occurred during January 2002 through June 2006. The majority (85%) of the incidents were first identified by airport personnel, such as security screeners, based on suspicion of alcohol use by the pilot. Subsequent alcohol testing revealed a mean BAC of 90 mg/dL (ranging from 10 mg x dL(-1) to 182 mg x dL(-1)). Of the 17 pilots, 6 were known to be prosecuted criminally, including 5 who were sentenced to jail terms.

DISCUSSION

Incidents of alcohol violations by airline pilots reported in U.S. newspapers have increased in recent years. This increase is likely due in part to increased detection resulting from enhanced aviation security and enforcement following the September 2001 terrorist attacks.

How well does a national newspaper reporting system profile drowning?

In Finland, the Finnish Association for Swimming Instruction and Life Saving (SUH) and Statistics Finland (SF) both provide nationwide data on unintentional drowning. The SUH database relies on rapid reporting from a newspaper clipping service and additional local police information, whereas the SF database relies on the later release of the death certificate information, which is based on extensive medico-legal investigation. The aim of the study was to explore the main differences between the SUH and SF databases for drowning and to evaluate the capacity of the former to characterize drowning events in Finland from 1998 to 2000. Computerized files of death certificates tabulated by SF were linked with the SUH database by deterministic methods. SF and SUH databases allowed the identification of 704 and 567 unintentional drownings, respectively, giving an unintentional drowning rate of 4.5 and 3.6/100?000 per year. Of the 704 drownings described by SF, 418 (59.4%) were also found in the SUH database. The SUH database markedly underreported drowning fatalities in certain settings, such as bath, ditch and swimming pool drownings; fall- and land-traffic-related drownings; and drownings occurring in South Finland. The narrative text of SUH drownings contributed limited information to characterize the drowning events. It was concluded that the newspaper-based SUH data provide more timely data on individual drownings but are not representative of all drownings. Conversely, the SF vital statistics data are more accurate but may take up to 2 years to become available. Both SUH and SF data provide little detailed information on drowning events. A multidisciplinary national surveillance system for drowning is necessary to provide more accurate and timely drowning data, analyse risk factors and design follow-up studies for developing and monitoring prevention strategies.

Heat related deaths to young children in parked cars: an analysis of 171 fatalities in the United States, 1995-2002

OBJECTIVE

To describe the circumstances surrounding heat related deaths to young children in passenger compartments of motor vehicles.

METHODS

Cases of heat related deaths to children aged </=5 years confined in parked vehicles were retrospectively identified using online news accounts from 1 January 1995 to 31 December 2002. A standardized data form was developed to collect information related to the victim, the vehicle and its design features, external temperature, length of time confined, and the responsible adults. Cases were categorized by whether the child gained access to the vehicle or was left by adults.

RESULTS

A total of 171 fatalities that met the case criteria were identified. Twenty seven percent (46) were children who gained access to unlocked vehicles and 73% (125) were children who were left by adults. More than a quarter of the adults were aware they were leaving children in the vehicles, while half were unaware or forgot. Forty three percent (54) of deaths to children who were left were associated with childcare: 32 children were left by family members who intended to take them to childcare but forgot and went to work instead; 22 children were left by child care providers or drivers.

CONCLUSIONS

Many of the deaths reported in this study may have been prevented by keeping cars locked, educating parents, implementing informed child care transportation policies, passing relevant laws, and working with auto and child safety seat manufacturers to build in warnings and other design features. News sources can be useful for obtaining detailed information not otherwise identifiable through standard sources of fatality data.