RT Journal Article SR Electronic T1 The burden of unintentional drowning: global, regional and national estimates of mortality from the Global Burden of Disease 2017 Study JF Injury Prevention JO Inj Prev FD BMJ Publishing Group Ltd SP i83 OP i95 DO 10.1136/injuryprev-2019-043484 VO 26 IS Suppl 2 A1 Franklin, Richard Charles A1 Peden, Amy E A1 Hamilton, Erin B A1 Bisignano, Catherine A1 Castle, Chris D A1 Dingels, Zachary V A1 Hay, Simon I A1 Liu, Zichen A1 Mokdad, Ali H A1 Roberts, Nicholas L S A1 Sylte, Dillon O A1 Vos, Theo A1 Abady, Gdiom Gebreheat A1 Abosetugn, Akine Eshete A1 Ahmed, Rushdia A1 Alahdab, Fares A1 Andrei, Catalina Liliana A1 Antonio, Carl Abelardo T A1 Arabloo, Jalal A1 Arba, Aseb Arba Kinfe A1 Badiye, Ashish D A1 Bakkannavar, Shankar M A1 Banach, Maciej A1 Banik, Palash Chandra A1 Banstola, Amrit A1 Barker-Collo, Suzanne Lyn A1 Barzegar, Akbar A1 Bayati, Mohsen A1 Bhardwaj, Pankaj A1 Bhaumik, Soumyadeep A1 Bhutta, Zulfiqar A A1 Bijani, Ali A1 Boloor, Archith A1 Carvalho, Félix A1 Chowdhury, Mohiuddin Ahsanul Kabir A1 Chu, Dinh-Toi A1 Colquhoun, Samantha M A1 Dagne, Henok A1 Dagnew, Baye A1 Dandona, Lalit A1 Dandona, Rakhi A1 Daryani, Ahmad A1 Dharmaratne, Samath Dhamminda A1 Dibaji Forooshani, Zahra Sadat A1 Do, Hoa Thi A1 Driscoll, Tim Robert A1 Eagan, Arielle Wilder A1 El-Khatib, Ziad A1 Fernandes, Eduarda A1 Filip, Irina A1 Fischer, Florian A1 Gebremichael, Berhe A1 Gupta, Gaurav A1 Haagsma, Juanita A A1 Hassan, Shoaib A1 Hendrie, Delia A1 Hoang, Chi Linh A1 Hole, Michael K A1 Holla, Ramesh A1 Hostiuc, Sorin A1 Househ, Mowafa A1 Ilesanmi, Olayinka Stephen A1 Inbaraj, Leeberk Raja A1 Irvani, Seyed Sina Naghibi A1 Islam, M Mofizul A1 Ivers, Rebecca Q A1 Jayatilleke, Achala Upendra A1 Joukar, Farahnaz A1 Kalhor, Rohollah A1 Kanchan, Tanuj A1 Kapoor, Neeti A1 Kasaeian, Amir A1 Khan, Maseer A1 Khan, Ejaz Ahmad A1 Khubchandani, Jagdish A1 Krishan, Kewal A1 Kumar, G Anil A1 Lauriola, Paolo A1 Lopez, Alan D A1 Madadin, Mohammed A1 Majdan, Marek A1 Maled, Venkatesh A1 Manafi, Navid A1 Manafi, Ali A1 McKee, Martin A1 Meles, Hagazi Gebre A1 Menezes, Ritesh G A1 Meretoja, Tuomo J A1 Miller, Ted R A1 Mithra, Prasanna A1 Mohammadian-Hafshejani, Abdollah A1 Mohammadpourhodki, Reza A1 Mohebi, Farnam A1 Molokhia, Mariam A1 Mustafa, Ghulam A1 Negoi, Ionut A1 Nguyen, Cuong Tat A1 Nguyen, Huong Lan Thi A1 Olagunju, Andrew T A1 Olagunju, Tinuke O A1 Padubidri, Jagadish Rao A1 Pakshir, Keyvan A1 Pathak, Ashish A1 Polinder, Suzanne A1 Pribadi, Dimas Ria Angga A1 Rabiee, Navid A1 Radfar, Amir A1 Rana, Saleem Muhammad A1 Rickard, Jennifer A1 Safari, Saeed A1 Salamati, Payman A1 Samy, Abdallah M A1 Sarker, Abdur Razzaque A1 Schwebel, David C A1 Senthilkumaran, Subramanian A1 Shaahmadi, Faramarz A1 Shaikh, Masood Ali A1 Shin, Jae Il A1 Singh, Pankaj Kumar A1 Soheili, Amin A1 Stokes, Mark A A1 Suleria, Hafiz Ansar Rasul A1 Tarigan, Ingan Ukur A1 Temsah, Mohamad-Hani A1 Tesfay, Berhe Etsay A1 Valdez, Pascual R A1 Veisani, Yousef A1 Ye, Pengpeng A1 Yonemoto, Naohiro A1 Yu, Chuanhua A1 Yusefzadeh, Hasan A1 Zaman, Sojib Bin A1 Zhang, Zhi-Jiang A1 James, Spencer L YR 2020 UL http://injuryprevention.bmj.com/content/26/Suppl_2/i83.abstract AB Background Drowning is a leading cause of injury-related mortality globally. Unintentional drowning (International Classification of Diseases (ICD) 10 codes W65-74 and ICD9 E910) is one of the 30 mutually exclusive and collectively exhaustive causes of injury-related mortality in the Global Burden of Disease (GBD) study. This study’s objective is to describe unintentional drowning using GBD estimates from 1990 to 2017.Methods Unintentional drowning from GBD 2017 was estimated for cause-specific mortality and years of life lost (YLLs), age, sex, country, region, Socio-demographic Index (SDI) quintile, and trends from 1990 to 2017. GBD 2017 used standard GBD methods for estimating mortality from drowning.Results Globally, unintentional drowning mortality decreased by 44.5% between 1990 and 2017, from 531 956 (uncertainty interval (UI): 484 107 to 572 854) to 295 210 (284 493 to 306 187) deaths. Global age-standardised mortality rates decreased 57.4%, from 9.3 (8.5 to 10.0) in 1990 to 4.0 (3.8 to 4.1) per 100 000 per annum in 2017. Unintentional drowning-associated mortality was generally higher in children, males and in low-SDI to middle-SDI countries. China, India, Pakistan and Bangladesh accounted for 51.2% of all drowning deaths in 2017. Oceania was the region with the highest rate of age-standardised YLLs in 2017, with 45 434 (40 850 to 50 539) YLLs per 100 000 across both sexes.Conclusions There has been a decline in global drowning rates. This study shows that the decline was not consistent across countries. The results reinforce the need for continued and improved policy, prevention and research efforts, with a focus on low- and middle-income countries.