Understanding Contributing Factors to Child Drownings in Public Pools in Australia: a Review of National Coronial Records

This study examined the incidence and circumstances associated with child drowning in public pools in Australia; and identified the frequency and nature of coroners’ recommendations. Retrospective case-series analysis of child (aged 0-10 years) unintentional drowning deaths in public pools were conducted based on Coronial data. A total of 12 child drownings were identified. A lack of supervision was recognized as the key contributing factor in 92% of cases, with the caregiver responsible for multiple children (83%); older children supervising younger children (17%); and a busy pool environment (25%) consistently linked with in-adequate supervision. To address drownings in public pools it is essential that coroner recommendations reach 1) aquatic centres so they can improve their practices; and 2) aquatic stakeholders so that strategies can be developed. Strategies that highlight techniques to assist caregivers responsible for multiple children and how best to provide supervision in a busy pool environment should be a focus

Alcohol_Focused Drowning Prevention Campaigns: What Do We Know and What Should We Do Now?

Alcohol and drugs have been identified as key risk factors for youth (aged 15-24 years) and adult drownings in high-income countries (HIC). Whilst alcohol specific drowning prevention education programs have been developed and implemented, youth continue to be over-represented in drowning statistics, including those linked with alcohol. Therefore, this project aimed to: (i) review and assess all alcohol themed drowning prevention campaigns within HICs; (ii) determine whether the campaign had undergone evaluation for effectiveness; and (iii) provide recommendations to improve the effectiveness of future interventions. For each of the eighty-one HICs identified for the 2019 fiscal year, searches of peer-reviewed literature (through academic databases) and grey literature (through webpages and emails to organisations) were conducted. Twelve alcohol focused campaigns were identified, with only two providing limited information about program evaluation. For most campaigns identified, there was a dearth of information available and therefore assessment of campaign quality was unfeasible. This brief report highlights a lack of alcohol themed drowning prevention campaigns in HIC, and an absence of evaluations on their effectiveness. Implications associated with a lack of program evaluation are discussed and adoption of the recommendations from this brief report should enhance the quality of future research in this area

West Nile Virus Surveillance, Guadeloupe, 2003–2004

We conducted extensive surveillance for West Nile virus infection in equines and chickens in Guadeloupe in 2003–2004. We showed a high seroprevalence in equines in 2003 related to biome, followed by a major decrease in virus circulation in 2004. No human or equine cases were reported during the study

Unobtrusive Observation of Caregiver-Child Pairs at Public Pools and Playgrounds: Implications for Child Unintentional Injury Risk

This study aimed to determine and compare the nature of supervision children received in two settings that have different levels of environmental risk, an aquatic setting (public pools) and a non-aquatic setting (playground). An observational design was implemented to examine caregiver and child behaviors at six indoor public pools and four playgrounds. Chi-square tests of homogeneity were conducted to determine associations between caregiver and child variables. Pre-school children received significantly higher levels of supervision than school aged children in both settings. For school aged children the level of supervision varied between settings, with children significantly more likely to be unsupervised in public pools and poorly supervised in playgrounds. Reasons for the lack of supervision in aquatic settings remain unclear, particularly as this setting was considered to be of higher environmental risk, because drowning rates are high for young children. Because evidence indicates inadequate supervision is common in aquatic settings, further investigations are required to identify ways to promote closer supervision practices, and determine caregiver perceptions regarding their responsibilities when supervising young children in aquatic settings

Predicting young adults’ intentions and involvement in alcohol-influenced aquatic activity

Globally, alcohol consumption is a public health issue and a risk factor for drownings among young adults. While studies have identified a prominence of alcohol in youth drownings, little is known about the factors that influence young adults’ involvement in alcohol-influenced aquatic activity. The current study aimed to identify the predictors of young adults’ intention to participate, and past participation, in alcohol-influenced aquatic activity. A reliable and valid survey, informed by the Theory of Planned Behavior, was distributed to young adults (aged 18-24 years) educated in the UK and Australia. Cumulative odds ordinal logistic regressions with proportional odds were conducted to establish predictors. Overall, 182 participants completed the survey. Subjective norms (Wal

Alcohol_focused drowning prevention campaigns : what do we know and what should we do now?

Alcohol and drugs have been identified as key risk factors for youth (aged 15-24 years) and adult drownings in high-income countries (HIC). Whilst alcohol specific drowning prevention education programs have been developed and implemented, youth continue to be over-represented in drowning statistics, including those linked with alcohol. Therefore, this project aimed to: (i) review and assess all alcohol themed drowning prevention campaigns within HICs; (ii) determine whether the campaign had undergone evaluation for effectiveness; and (iii) provide recommendations to improve the effectiveness of future interventions. For each of the eighty-one HICs identified for the 2019 fiscal year, searches of peer-reviewed literature (through academic databases) and grey literature (through webpages and emails to organisations) were conducted. Twelve alcohol focused campaigns were identified, with only two providing limited information about program evaluation. For most campaigns identified, there was a dearth of information available and therefore assessment of campaign quality was unfeasible. This brief report highlights a lack of alcohol themed drowning prevention campaigns in HIC, and an absence of evaluations on their effectiveness. Implications associated with a lack of program evaluation are discussed and adoption of the recommendations from this brief report should enhance the quality of future research in this area. © 2020 Human Kinetics Publishers Inc.. All rights reserved

A systematic review of alcohol education programs for young people : do these programs change behavior?

Numerous education programs have addressed young peoples' alcohol use. To date, no peer-reviewed publication has evaluated the effectiveness of such programs delivered across a range of contexts to change alcohol-related behaviors, attitudes and/or knowledge. This systematic review aimed to identify alcohol education programs addressing young people, and determine whether they changed alcohol-related behavior, knowledge and attitudes; and, ascertain components of successful programs. Studies were identified, guided by the PRISMA review process, from the earliest records until June 2020. Included studies (N = 70) comprised an alcohol education program which focused on young people (15-24 years). Forty programs reported behavior changes, and these programs were the highest quality. Others impacted attitudes and/or knowledge only (n = 12); or reported no impacts (n = 17). Recent programs were more likely than older programs to feature online delivery and report behavior changes. To enhance alcohol education, future programs should include the identified quality criteria, alongside process and long-term outcome evaluations, to better monitor effectiveness. Findings indicated some education programs have capacity to positively change alcohol-related behavior; however, outcome consistency varied even in high-quality programs. Alcohol education programs should be designed alongside health education/promotion models and best-practice recommendations, to improve the likelihood of desirable behavior-related outcomes. © The Author(s) 2020. Published by Oxford University Press. All rights reserved

Water safety education programs in culturally and linguistically diverse seattle communities : program design and pilot evaluation

Drowning is a public health concern that disproportionally affects children and minorities in Washington State. Community health educators from Seattle Children's Hospital designed a Water Safety Education and Lifejacket Giveaway Program for low-income parents of preschool-aged children from culturally and linguistically diverse backgrounds. The program was interpreted into multiple languages and parents and children in attendance received free lifejackets. The mixed-methods pilot evaluation of this program found statistically significant relationships between language and self-reported parent swim skill level (English-speaker OR 4.6; 95%CI: 1.84 - 11.54); and confidence of keeping one's child safe (English-speaker OR 3.34; 95%CI: 1.10 - 10.4). Additionally, parents who self-reported that they could swim had four times the odds of feeling confident in keeping their children safe around the water (95% CI: 1.21 - 13.28). Qualitative data from follow-up interviews identified that the program boosted parent knowledge and confidence in safe water practices. Multi-lingual delivery and the role of partner preschools was critical to this program's success. Specific programmatic focus on adult parent/caregiver skills and knowledge that reduce risk around the water should be a priority for future efforts to reduce drowning. © 2021 Human Kinetics Publishers Inc.. All rights reserved

Self-Reported Supervisory Behavior and Belief vs. Actual Observations of Caregiver Behavior at Beaches

This study examined self-reported supervisory behaviours of caregivers at beaches and ascertained whether self-reported supervision reflects observed behaviour. Observations were conducted of caregiver/child pairs at 18 Australian beaches, with questionnaires subsequently completed by caregivers. Caregivers identified visual contact as essential for close supervision and proximity a key determinant in distinguishing supervision and close supervision. Supervisory behaviour was associated with child age, whilst lifeguard patrol had no effect on supervision. All supervision statements from the PSAPQ-BEACH were associated with supervision. Only three statements were significant independent predictors of supervision. Comparisons suggest caregivers’ self-reported supervisory behaviour reflects actual supervision. As this is the first study of its kind, it is essential that further prospective research using mixed-method approaches build on this information

Getting in : safe water entry competencies

In high income countries, jumping and diving into water are a small but persistent cause of death and serious injury especially among male youth and young adults. Although water entries maintain a high media profile, little is known about what entry competencies and underlying water safety knowledge youth bring to this practice. Undergraduates enrolled in aquatics (N= 76) completed a survey before attempting 7 entry jumping and diving tasks. While safety attitudes and self-reported behaviours were generally good, considerable variation in practical entry competence was evident. Most completed a deep-water compact jump (87%) and PFD jump (88%) with ease. Many completed a crouch dive (57%) and standing dive (53%) into deep water with ease, but only 33% completed a standing dive from a block/bulkhead (<1m height) with ease. Ways of addressing weaknesses in knowledge, attitudes, and behaviours are discussed and recommendations made to enhance the teaching of safe water entry. © 2021 Human Kinetics Publishers Inc.. All rights reserved