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Challenge of drowning prevention in low and middle income countries
  1. Dinesh Sethi,
  2. Anthony Zwi
  1. Health Policy Unit, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK

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    Editor,—We read the editorial on “The challenge of drowning prevention” with great interest.1 There is no doubt that drowning is a major but under recognised cause of premature loss of life and disability. This has been borne out by the Global Burden of Disease Study which highlights the scale of the problem, by region and by age and sex characteristics.2 It is worth examining their findings further.

    At a worldwide level, Murray and Lopez estimated that drowning was responsible for about half a million deaths in 1990 and ranked 20th as a leading single cause of …

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    • * The Global Burden of Disease Study used the eight global regions identified by the World Bank for the World Development Report 1993 with similar levels of socioeconomic development, epidemiological homogeneity, and geographical contiguity: the EME, former socialist economies of Europe, India, China, other Asia and islands, sub-Saharan Africa, Latin America and the Caribbean, and the Middle East crescent (which includes North Africa, the Middle East, Pakistan, and the Central Asian republics of the former Soviet Union).