The burden of unintentional drowning : global, regional and national estimates of mortality from the Global Burden of Disease 2017 Study

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.Peer reviewe

The burden of unintentional drowning: Global, regional and national estimates of mortality from the Global Burden of Disease 2017 Study

__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

Removal of fluoride by aluminum impregnated coconut fiber from synthetic fluoride solution and natural

Aluminum impregnated coconut fiber ash (AICFA) was used for removal of fluoride from synthetic fluoride solution. The AICFA showed high specific area and strong affinity toward fluoride. Synthesized AICFA was characterized by pHZPC, FTIR, SEM and XRD studies. Adsorption kinetics indicated that the adsorption equilibrium was reached within 60 min and the adsorption process followed the pseudo-second-order kinetic model better. The Langmuir isotherm model could fit the experimental data well. Thermodynamic parameters such as Gibbs free energy (ΔG∘), enthalpy (ΔH∘) and entropy (ΔS∘) change of sorption were also evaluated which indicated that the adsorption process was spontaneous, feasible and exothermic in nature. Furthermore, the coexisting anions had significant effect on fluoride adsorption. Moreover, desorption study with AICFA showed that nearly 98% of fluoride could be leached out at pH 12. Further, the reusable properties of the material supported the possibility of its use commercially

A comparative study on the batch performance of fluoride adsorption by activated silica gel and activated rice husk ash

ABSTRACT A comparative study was done for removal of fluoride by activated silica gel (ASiG) and activated rice husk ash (ARHA) through batch techniques. The fluoride removal performance of both adsorbents such as ASiG and ARHA was evaluated as a function of the initial concentration, adsorbent dose, contact time and pH. The adsorbent dose characterized as having high selectivity for fluoride and larger adsorption capacity. Characterization of ASiG and ARHA before and after fluoride adsorption was studied by SEM and FTIR study was done to get a better insight into the mechanism of adsorption. The rate of adsorption was rapid and followed pseudo-second-order kinetics for both adsorbents. The system followed the Langmuir isotherm model for both ASiG and ARHA with adsorption capacity 0.244 mg g -1 and 0.402 mg g -1 respectively

Fluoride remediation using floating macrophytes

Six aquatic macrophytes, such as Pistia stratiotes, Ceratophyllum demersum, Nymphoides indica, Lemna major, Azolla pinnata,and Eichhornia crassipes were considered for remove fluoride from aqueous solution. Five different concentrations (10, 30, 50, and 100 ppm) of fluoride solution were taken in 1 L plastic container. Fixed weight (20 g) of macrophytes along with 500 ml fluoride solution was taken in each plastic container for 72 hours observation. Results demonstrated all the macrophytes show highest fluoride removal during 24 h to 48 h, but after 72 h their efficiency reduced drastically. The species N. indica showed better removal efficiency than other experimental macrophytes. In general, pigment measurement data indicated higher concentration at 72 h. However, Pistia sp. showed higher concentration of pigmentation at intermediate time interval (48 h). Higher level of dry weight to fresh weight ratio was recorded for L. major and A. pinnata at all concentrations, excepting at 10 ppm. In addition, all macrophytes showed lower RGR at higher concentration. Isotherm study indicated that macrophyte C. demersum is a good fitted with Freundlich and Langmuir isotherm whereas L. major with Langmuir isotherm during 24 hours