TY - JOUR 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 SP - i83 LP - i95 DO - 10.1136/injuryprev-2019-043484 VL - 26 IS - Suppl 2 AU - Richard Charles Franklin AU - Amy E Peden AU - Erin B Hamilton AU - Catherine Bisignano AU - Chris D Castle AU - Zachary V Dingels AU - Simon I Hay AU - Zichen Liu AU - Ali H Mokdad AU - Nicholas L S Roberts AU - Dillon O Sylte AU - Theo Vos AU - Gdiom Gebreheat Abady AU - Akine Eshete Abosetugn AU - Rushdia Ahmed AU - Fares Alahdab AU - Catalina Liliana Andrei AU - Carl Abelardo T Antonio AU - Jalal Arabloo AU - Aseb Arba Kinfe Arba AU - Ashish D Badiye AU - Shankar M Bakkannavar AU - Maciej Banach AU - Palash Chandra Banik AU - Amrit Banstola AU - Suzanne Lyn Barker-Collo AU - Akbar Barzegar AU - Mohsen Bayati AU - Pankaj Bhardwaj AU - Soumyadeep Bhaumik AU - Zulfiqar A Bhutta AU - Ali Bijani AU - Archith Boloor AU - Félix Carvalho AU - Mohiuddin Ahsanul Kabir Chowdhury AU - Dinh-Toi Chu AU - Samantha M Colquhoun AU - Henok Dagne AU - Baye Dagnew AU - Lalit Dandona AU - Rakhi Dandona AU - Ahmad Daryani AU - Samath Dhamminda Dharmaratne AU - Zahra Sadat Dibaji Forooshani AU - Hoa Thi Do AU - Tim Robert Driscoll AU - Arielle Wilder Eagan AU - Ziad El-Khatib AU - Eduarda Fernandes AU - Irina Filip AU - Florian Fischer AU - Berhe Gebremichael AU - Gaurav Gupta AU - Juanita A Haagsma AU - Shoaib Hassan AU - Delia Hendrie AU - Chi Linh Hoang AU - Michael K Hole AU - Ramesh Holla AU - Sorin Hostiuc AU - Mowafa Househ AU - Olayinka Stephen Ilesanmi AU - Leeberk Raja Inbaraj AU - Seyed Sina Naghibi Irvani AU - M Mofizul Islam AU - Rebecca Q Ivers AU - Achala Upendra Jayatilleke AU - Farahnaz Joukar AU - Rohollah Kalhor AU - Tanuj Kanchan AU - Neeti Kapoor AU - Amir Kasaeian AU - Maseer Khan AU - Ejaz Ahmad Khan AU - Jagdish Khubchandani AU - Kewal Krishan AU - G Anil Kumar AU - Paolo Lauriola AU - Alan D Lopez AU - Mohammed Madadin AU - Marek Majdan AU - Venkatesh Maled AU - Navid Manafi AU - Ali Manafi AU - Martin McKee AU - Hagazi Gebre Meles AU - Ritesh G Menezes AU - Tuomo J Meretoja AU - Ted R Miller AU - Prasanna Mithra AU - Abdollah Mohammadian-Hafshejani AU - Reza Mohammadpourhodki AU - Farnam Mohebi AU - Mariam Molokhia AU - Ghulam Mustafa AU - Ionut Negoi AU - Cuong Tat Nguyen AU - Huong Lan Thi Nguyen AU - Andrew T Olagunju AU - Tinuke O Olagunju AU - Jagadish Rao Padubidri AU - Keyvan Pakshir AU - Ashish Pathak AU - Suzanne Polinder AU - Dimas Ria Angga Pribadi AU - Navid Rabiee AU - Amir Radfar AU - Saleem Muhammad Rana AU - Jennifer Rickard AU - Saeed Safari AU - Payman Salamati AU - Abdallah M Samy AU - Abdur Razzaque Sarker AU - David C Schwebel AU - Subramanian Senthilkumaran AU - Faramarz Shaahmadi AU - Masood Ali Shaikh AU - Jae Il Shin AU - Pankaj Kumar Singh AU - Amin Soheili AU - Mark A Stokes AU - Hafiz Ansar Rasul Suleria AU - Ingan Ukur Tarigan AU - Mohamad-Hani Temsah AU - Berhe Etsay Tesfay AU - Pascual R Valdez AU - Yousef Veisani AU - Pengpeng Ye AU - Naohiro Yonemoto AU - Chuanhua Yu AU - Hasan Yusefzadeh AU - Sojib Bin Zaman AU - Zhi-Jiang Zhang AU - Spencer L James Y1 - 2020/10/01 UR - http://injuryprevention.bmj.com/content/26/Suppl_2/i83.abstract N2 - 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. ER -