Clemens Tessa, Oporia Frederick, Parker Erin M, Yellman Merissa A, Ballesteros Michael F, Kobusingye Olive
CDC Foundation, Atlanta, Georgia, USA
National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Inj Prev. 2022 Feb;28(1):9-15. doi: 10.1136/injuryprev-2020-044131. Epub 2021 Feb 26.
Drowning death rates in the African region are estimated to be the highest in the world. Data collection and surveillance for drowning in African countries are limited. We aimed to establish the availability of drowning data in multiple existing administrative data sources in Uganda and to describe the characteristics of drowning based on available data.
We conducted a retrospective descriptive study in 60 districts in Uganda using existing administrative records on drowning cases from January 2016 to June 2018 in district police offices, marine police detachments, fire/rescue brigade detachments, and the largest mortuary in those districts. Data were systematically deduplicated to determine and quantify unique drowning cases.
A total of 1435 fatal and non-fatal drowning cases were recorded; 1009 (70%) in lakeside districts and 426 (30%) in non-lakeside districts. Of 1292 fatal cases, 1041 (81%) were identified in only one source. After deduplication, 1283 (89% of recorded cases; 1160 fatal, 123 non-fatal) unique drowning cases remained. Data completeness varied by source and variable. When demographic characteristics were known, fatal victims were predominantly male (n=876, 85%), and the average age was 24 years. In lakeside districts, 81% of fatal cases with a known activity at the time of drowning involved boating.
Drowning cases are recorded in administrative sources in Uganda; however, opportunities to improve data coverage and completeness exist. An improved understanding of circumstances of drowning in both lakeside and non-lakeside districts in Uganda is required to plan drowning prevention strategies.
据估计，非洲地区的溺水死亡率是世界上最高的。非洲国家关于溺水的数据收集和监测工作有限。我们旨在确定乌干达多个现有行政数据源中溺水数据的可用性，并根据现有数据描述溺水的特征。
我们在乌干达的60个地区开展了一项回顾性描述性研究，使用了2016年1月至2018年6月期间地区警察局、水上警察支队、消防/救援大队支队以及这些地区最大太平间的溺水案件现有行政记录。对数据进行系统的重复数据删除，以确定和量化独特的溺水案件。
共记录了1435例致命和非致命溺水案件；其中1009例（70%）发生在湖滨地区，426例（30%）发生在非湖滨地区。在1292例致命案件中，仅在一个数据源中识别出1041例（81%）。经过重复数据删除后，剩下1283例（占记录案件的89%；1160例致命，123例非致命）独特的溺水案件。数据完整性因数据源和变量而异。当了解人口统计学特征时，致命受害者主要为男性（n = 876，85%），平均年龄为24岁。在湖滨地区，81%的溺水时已知活动的致命案件涉及划船。
乌干达的行政数据源中记录了溺水案件；然而，仍有改善数据覆盖范围和完整性的机会。需要更好地了解乌干达湖滨和非湖滨地区的溺水情况，以制定溺水预防策略。
