The World Health Organization estimates that around 236,000 people die from drowning globally every year.[3]World Health Organization. Drowning. Dec 2024 [internet publication].
https://www.who.int/news-room/fact-sheets/detail/drowning
However, international data may drastically underestimate drowning figures, even for high-income countries.[4]Lu TH, Lunetta P, Walker S. Quality of cause-of-death reporting using ICD-10 drowning codes: a descriptive study of 69 countries. BMC Med Res Methodol. 2010 Apr 8;10:30.
https://bmcmedresmethodol.biomedcentral.com/articles/10.1186/1471-2288-10-30
http://www.ncbi.nlm.nih.gov/pubmed/20374660?tool=bestpractice.com
[5]Peden AE, Franklin RC, Mahony AJ, et al. Using a retrospective cross-sectional study to analyse unintentional fatal drowning in Australia: ICD-10 coding-based methodologies verses actual deaths. BMJ Open. 2017 Dec 21;7(12):e019407.
https://www.doi.org/10.1136/bmjopen-2017-019407
http://www.ncbi.nlm.nih.gov/pubmed/29273670?tool=bestpractice.com
This is due, in part, to categorisation issues, in which intentional drowning deaths and drowning deaths subsequent to natural disasters are not coded in drowning mortality data. In addition, there are large variations between countries in the quality and means of data collection. The latter primarily concerns low- and middle-income countries, which are thought to account for over 90% of global drowning deaths.[3]World Health Organization. Drowning. Dec 2024 [internet publication].
https://www.who.int/news-room/fact-sheets/detail/drowning
In the US, there are an average of 4012 unintentional drowning deaths per year plus an additional 533 due to boating incidents.[6]Centers for Disease Control and Prevention. CDC WONDER. Nov 2023 [internet publication].
https://wonder.cdc.gov
Of the 2584 unintentional injury deaths in 1- to 4-year-old children in 2017, more were attributable to drowning (467) than to motor vehicle traffic accidents (452).[6]Centers for Disease Control and Prevention. CDC WONDER. Nov 2023 [internet publication].
https://wonder.cdc.gov
There are approximately 6500 drowning deaths reported annually in European Union member countries.[7]Moutafi A, Petridou E. The burden of drowning: issues in selected countries - Europe. In: Bierens JJ, ed. Handbook on drowning: prevention, rescue, and treatment. Berlin: Springer-Verlag; 2014:101-5.
In Australia, an average of 288 drowning deaths were reported each year between 2008/09 and 2018/19.[8]Royal Life Saving Society - Australia. Royal Life Saving National Drowning Report 2019. Sydney: Royal Life Saving Society - Australia, 2019 [internet publication].
https://www.royallifesaving.com.au/facts-and-figures/research-and-reports/drowning-reports
In Brazil, 5700 drowning deaths are recorded annually, more than 70% of which occur in open freshwater (rivers, lakes, and ponds).[9]Szpilman D. Analyses of drowning deaths in Brazil over the last 34 years reveal a sharp decline. World Conference on Drowning Prevention program and proceedings, Malaysia; 2015:60.
http://www.ilsf.org/sites/ilsf.org/files/filefield/WCDP2015_ProgramProceedingsLR.pdf
Drowning remains the second leading cause of death among 1- to 9-year-old children in Brazil, and third among 10- to 19-year-olds.
Drowning data from the African continent are limited, and are based upon modelling rather than reporting.[10]Kobusingye O, Bowman B. The burden of drowning: issues in selected countries - Africa. In: Bierens JJ, ed. Handbook on drowning: prevention, rescue, and treatment. Berlin: Springer-Verlag; 2014:111-13. Similarly, data collection in south and southeast Asia is poor.[11]Labrique A, Hyder A. The burden of drowning: issues in selected countries - South and Southeast Asia. In: Bierens JJ, ed. Handbook on drowning: prevention, rescue, and treatment. Berlin: Springer-Verlag; 2014:119-22.