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Drowning defined.(Letters)(Letter to the Editor)
I concur with the points of Dr. John Fletemeyer that drowning is underreported and drowning prevention underfunded (AI, "Perspectives," Nov./Dec. 2003). There's an obvious link between those facts, as he suggests. Although the World Health Organization (WHO) declares drowning to be the second leading cause of accidental death after automobile accidents, funds for prevention are very limited.
Dr. Fletemeyer states that cases in which victims survive a drowning incident for 24 hours or more but then die often are not categorized as drowning victims. This was a major topic at the World Congress on Drowning in Amsterdam in 2002. At the congress, a variety of highly respected epidemiologists and drowning researchers adopted a new definition of drowning: "Drowning is the process of experiencing respiratory impairment from submersion/immersion in liquid." Thus, a person can survive drowning or die from drowning.
This may seem to be a subtle differentiation, but not necessarily so. Doctors may have been reluctant to categorize a death that occurred in a hospital 24 hours after a drowning event as attributable to drowning. However, if drowning is seen as a process, instead of a short-term event, reporting of ...
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Source: HighBeam Research, Drowning defined.(Letters)(Letter to the Editor)