Drowning Prevention Campaign by sammyc2007

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									Miami-Dade County Health Department Drowning Prevention Campaign
Maria Bustamante, MPH Injury Epidemiologist Office of Epidemiology and Disease Control Miami-Dade County Health Department

Overview
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Swimming pool related drowning study Review of swimming pool legislation 2006 drowning prevention campaign 2007 drowning prevention campaign

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Swimming Pool Related Drowning: Background
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Pools
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76,900 residential pools 3,300 public and commercial pools Unknown number of above ground pools Currently pools built after 2000 are required to have a barrier

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During 2000-2005 a total 332 residents nearly drowned and 299 residents drowned in MiamiDade County 44% of near-drownings and 15% of drownings were among infants and children 0-4 years of age

Swimming Pool Related Drowning: Methods
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Medical examiner record reviews were conducted
Drowning incidents occurring between 20002005 among children 0-4 years of age in MiamiDade County  Reviewed medical examiner records for a total of 40 infants and children 0-4 years old  29 were swimming pool related drowning
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Swimming Pool Related Drowning: Results
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Demographics
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38% were infants 1 year of age 2/3 were male 1/3 were Black
May had the highest number of drowning events followed by August

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Seasonality
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Location
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Most children drown in their own family residential pool
8 pools had some kind of fence or gate around pool Of these 2 were unlocked and 2 others were unkempt with holes or gaps

Barriers Supervision
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35% children were left under the care of other children
2/5 children were missing for <15 minutes 1/5 children were missing for > 2 hours

Time elapsed before being found in pool
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Seasonality of Drowning Incidents Among 0-4 Year Olds: Miami-Dade County, FL 2000-2005
8 7 6
Count

5 4 3 2 1 0
Ja nu ar y Fe br ua ry M ar ch Ap ril M ay Ju ly Au gu st Se pt em be r O cto be r No ve m be r De ce m be r Ju ne

Month

Location of Swimming Pool Related Drowning Incidents Among 0-4 Year Olds: Miami-Dade County, FL 2000-2005
Child's home Apartment complex
Location

18 3 3 2 2 1 0 5 10 Count 15 20

Relative's home Neighbor's home Friend's home Public park

Type of Supervision of 0-4 Year Olds at Time of Drowning Incident: Miami-Dade County, FL 2000-2005
Baby sitter 3% Another child 35% Neighbor 3% Parent 35%

Other adult family member 24%

Swimming Pool Related Drowning: Discussion
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Two resounding issues:
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Swimming pool barriers
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Barriers not present or in disrepair

Direct adult supervision
Large number of children left under responsibility of other children  Caregivers did not keep child within their sight
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Some were distracted (at a party, on the phone, washing dishes, in the bathroom, or on the computer) Some assumed child was being watched by other family member

Legislation: Florida
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Florida Statutes
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515.27 (1) in order to pass final inspection residential swimming pool must one of the following
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(a) pool must be isolated from access to home by and enclosure that meets the pool barrier requirements (515.29) (b) pool must be equipped with an approved safety pool cover (c) all doors and windows providing direct access from the home to the pool must be equipped with an exit alarm that has a minimum sound pressure rating of 85 dB A at 10 feet (d) all doors providing direct access from the home to pool must be equipped with a self-closing, self-latching device with a release mechanism placed no lower than 54 inches above the floor

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515.27 (2)
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A person who fails to follow subsection (1) commits a misdemeanor of the second degree

Legislation: Florida
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Florida Statutes
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515.29 (1) a residential swimming pool barrier must be
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A least four feet high on the outside May not have any gaps, openings, indentations, protrusions, or structural components that could allow a young child to crawl under, squeeze through, or climb over it Placed around the perimeter of pool and must be separate from any fence, wall, or other enclosure surrounding yard, unless fence, wall, or other enclosure or portion thereof is situated on the perimeter of the pool is being used as part of barrier Must be placed sufficiently away from the water’s edge to prevent a young child or medically frail elderly person who may have managed to penetrate barrier from immediately falling into water

Legislation: Miami-Dade County
Miami-Dade County Ordinance
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33-12 (b)
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The pool barrier shall take the form of a screened-in patio, a wooden fence, a wire fence, a rock wall, a concrete block wall, or other materials, so as to enable the owner to blend the same with the style of architecture planned or in existence The height of the pool barrier must be at least four feet tall

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33-12 (c)
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2006 Drowning Prevention Campaign: Activities
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Distributed water watcher tags, checklists, 20 bingo cards and brochures
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Community Health Fairs
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Norte-Dame Church Health Fair May 2006 West Perrine Health Fair Women Infants and Children
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Partnerships
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Distribution to clinics throughout county

Injury Free Coalition for Kids of Miami
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Distribution to parents visiting safety bus Distribution to parents in hospital Student project with parents

Miami-Dade County Injury Prevention Coalition
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Barry University School of Nursing
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Publications
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Drowning and near-drowning to children 0-18 years of age, MiamiDade County 2000-2004 May 2006 edition of Epi Monthly Report

2007 Drowning Prevention Campaign: Overview
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Goal
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To reduce drowning deaths to children 0-4 years of age in a Miami-Dade County target community

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Objective
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Launch a drowning prevention campaign in selected community this summer

2007 Drowning Prevention Campaign: Target Community
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Zip code: 33157
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Communities: Perrine, Palmetto Bay, Cutler Bay, and South Miami Heights

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Highest number of drowning and neardrowning events occurring to 0-4 year olds Highest number of residential swimming pools (6,352) 2nd largest population of 0-4 year olds (4,913)

2007 Drowning Prevention Campaign: Activities
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Nova Southeastern University is currently conducting a public awareness study in target community
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Mail survey to residential pool owners

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Florida International University School of Public Health will conduct drowning prevention campaign in target community this summer


								
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