Drowning is a major cause of accidental deaths worldwide, taking the lives of over 236,000 people each year, according to the World Health Organization (WHO). It can affect anyone, regardless of age or swimming ability, and is often overlooked as a serious public health issue.

What is drowning?

Drowning occurs when someone struggles to breathe while submerged in water. The outcomes can range from death to severe injuries, including brain damage. Drowning can happen in any body of water—oceans, lakes, rivers, swimming pools, and even bathtubs. Many people mistakenly believe that drowning only occurs in deep water, but even a few inches can be dangerous for small children.

Key statistics

Here are some important statistics about drowning:

  • An estimated 372,000 drowning deaths happen globally each year (WHO).
  • Drowning is the third leading cause of unintentional injury death for young adults aged 15-44.
  • One in five drowning victims is a child under 14.
  • Most drowning incidents (77%) happen near homes.
  • Drowning is the leading cause of death for children aged 1 to 4.
  • Survivors of drowning may suffer serious long-term health issues.

Risk factors

Several factors increase the risk of drowning:

Age: Young children, especially those under five, are at the highest risk due to lack of supervision and swimming skills.

Environment: Open waters can be dangerous due to strong currents and sudden depth changes. Pools can also pose risks without proper safety measures.

Alcohol: Drinking alcohol impairs judgement and coordination, increasing the likelihood of accidents in or near water.

Swimming skills: A lack of swimming ability heightens the risk, particularly in communities where swimming lessons are not part of education.

Preventive measures

To prevent drowning, a comprehensive approach is needed, including education and community involvement:

Swim lessons: Teaching children to swim can save lives. Governments should promote access to swimming lessons and build community pools for training.

Supervision: Adults should supervise young children near water. Increasing the number of lifeguards at public pools and beaches is crucial.

Life jackets: Wearing life jackets during boating or water sports can significantly reduce drowning risks.

Safety barriers: Installing fences around pools can keep young children safe from unsupervised access.

Emergency preparedness: Communities should promote CPR training and establish drowning prevention programs. Quick action can save lives.

First aid for drowning

In the event of a drowning incident, immediate response is critical. Here’s how to help:

Call for help: Ensure the scene is safe before approaching the victim. Look for hazards before entering the water.

Rescue the victim: If the person is close enough, use a pole or any sturdy object to reach them. If they are farther away, throw a buoy or life jacket. Only enter the water if you are trained to swim.

Assess the victim: Check if the person is conscious. Look for signs of breathing.

Begin CPR if necessary: If they are not breathing, start CPR immediately.

Chest compressions: Lay the person flat, place the heel of one hand on the center of their chest, and push down hard and fast (at least 100-120 compressions per minute).

Rescue breaths: If trained, give two rescue breaths after every 30 compressions.

Aftercare: Once the victim is breathing, place them in the recovery position and monitor their condition until help arrives.

Drowning is a preventable tragedy that requires action from individuals, families, and communities. By raising awareness and promoting swimming education, we can reduce the number of drowning incidents and save lives. Families should discuss water safety, enrol children in swimming classes, and prioritise supervision around water. Local organisations can organise awareness campaigns to educate residents about risks and safety practices.

By addressing drowning seriously and implementing practical solutions, we can create safer water environments for everyone. Together, we can make a difference and combat this silent crisis.

The author is a Consultant and the Group Clinical and Academic Coordinator in the Department of Emergency Medicine at KIMSHEALTH, Thiruvananthapuram.