Sheikhazadi Ardeshir, Ghadyani Mohammad Hasan
Forensic Medicine Specialist, Associate professor, Department of Forensic Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
J Res Med Sci. 2009 Mar;14(2):79-87.
Drowning is a preventable cause of morbidity and mortality. We studied drowning deaths in Isfahan province, focusing on the activity victims were involved in and the setting of the incident.
Retrospective analysis was done on all drowning deaths referred to Legal Medicine Organization of Isfahan province over a period of 5 years from 1 January 2002 to 31 December 2006.
During these 5 years, 355 persons suffered fatal drowning in Isfahan province. The annual incidence rate was 1.6 per 100000 population (2.6 & 0.4 for males and females, respectively). Mean age was 21.99 ± 14.86 and M/F ratio was 6.5:1. Most victims were 15-24 and 5-14 years of age (172 and 62 decedents, 3.0 and 1.8 per 100000 popula-tion/year, respectively). Most incidents occurred in natural settings, of which rivers, canals, lakes and ponds were the most common sites, respectively. The most frequently connected activity was swimming and wading, followed by accidental fall into water. The manner of death was found as following: 85.1% accidental, 1.7% suicidal, 0.3% homicidal and 12.9% undetermined.
Although the drowning related mortality in Isfahan province is comparable to developed countries, effective prevention of drowning with better programming and policies might reduce its rate.
溺水是一种可预防的发病和死亡原因。我们研究了伊斯法罕省的溺水死亡情况，重点关注受害者所参与的活动以及事故发生的环境。
对2002年1月1日至2006年12月31日这5年间提交给伊斯法罕省法医学组织的所有溺水死亡案例进行回顾性分析。
在这5年中，伊斯法罕省有355人溺水身亡。年发病率为每10万人1.6例（男性和女性分别为2.6例和0.4例）。平均年龄为21.99±14.86岁，男女比例为6.5:1。大多数受害者年龄在15 - 24岁和5 - 14岁（分别有172例和62例死亡，年发病率分别为每10万人3.0例和1.8例）。大多数事故发生在自然环境中，其中河流、运河、湖泊和池塘是最常见的地点。最常关联的活动是游泳和涉水，其次是意外落水。死亡方式如下：意外85.1%、自杀1.7%、他杀0.3%、不明12.9%。
尽管伊斯法罕省与溺水相关的死亡率与发达国家相当，但通过更好的规划和政策有效预防溺水可能会降低其发生率。
