Swimming Pool Safety Towards a safer tomorrow
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1 Swimming Pool Safety Towards a safer tomorrow Rohit Shenoi, MD Associate Professor of Baylor College of Medicine, Houston Attending Physician Emergency Center Texas Children's Hospital, Houston
2 INTRODUCTION Pediatric Emergency Medicine Specialist Treat children with all types of illnesses and injuries Drowning victims Research in Childhood Injury Prevention Submersions and Child Passenger Safety Co-Chair - Committee on Injury Prevention Texas Pediatric Society Page 2 xxx00.#####.ppt 11/15/ :16:42 AM
3 TEXAS PEDIATRIC SOCIETY State Chapter of the American Academy of (Est. 1921) Over 3700 physician, fellow, resident, medical student members Mission: Focus its talent and resources to ensure Texas children are safe and healthy TPS members are well informed and supported Practice of pediatrics in Texas is both fulfilling and economically viable Page 3 xxx00.#####.ppt 11/15/ :16:43 AM
4 TEXAS PEDIATRIC SOCIETY TPS has successfully advocated for Regulation of e-cigarettes Prohibition of sale to minors and child packaging Booster Seat Law for Child Passengers Numerous immunization policies Increased funding for Graduate Medical Education to increase the number of physicians to see Texas patients Improved network adequacy requirements in Texas Medicaid Managed Care Page 4 xxx00.#####.ppt 11/15/ :16:43 AM
5 Page 5 xxx00.#####.ppt 11/15/ :16:44 AM
6 Unintentional Injury Fatalities in Texas Children Age: < 1year Suffocation: 76%; Motor Vehicle Crashes (MVC): 12% Age: 1-4 years Drowning: 28% Motor Vehicle Crashes (MVC): 28% Pedestrian: 13% and Suffocation: 13% Age: 5-18 years Motor Vehicle Crashes (MVC): 58% Drowning: 15% Page 6 xxx00.#####.ppt 11/15/ :16:44 AM
7 Page 7 xxx00.#####.ppt 11/15/ :16:45 AM
8 UNINTENTIONAL DROWNING - THE PROBLEM Among US children 0-18 years in non-fatal submersions 822 drowning deaths Among Texas children 0-18 years in drowning fatalities Page 8 xxx00.#####.ppt 11/15/ :16:45 AM
9 Hospitalization Costs (Average & Lifetime) Non-fatal Submersions in US children (0-18 years) Page 9 xxx00.#####.ppt 11/15/ :16:45 AM
10 OVERARCHING GOALS Reduce the number of preventable injuries in children Cost-effective approaches Community wide application Page 10 xxx00.#####.ppt 11/15/ :16:46 AM
11 Houston, We have a problem! 70% Swimming Pool submersions Risk of submersion 2.7 for child at apartment property vs. single-family home 28 in multifamily pool than single family pool Spatially clustered among apartment pools Age 1-4 years Supervision lapses Shenoi RP et al Spatial Analysis of Pediatric Swimming Pool Submersions by Housing Type. Inj Prev 2015;0:1 9. Page 11 xxx00.#####.ppt 11/15/ :16:46 AM
12 Shenoi RP et al Spatial Analysis of Pediatric Swimming Pool Submersions by Housing Type. Inj Prev 2015;0:1 9. Page 12 xxx00.#####.ppt 11/15/ :16:46 AM
13 Page 13 xxx00.#####.ppt 11/15/ :16:47 AM
14 Shenoi RP et al Spatial Analysis of Pediatric Swimming Pool Submersions by Housing Type. Inj Prev 2015;0:1 9. Page 14 xxx00.#####.ppt 11/15/ :16:47 AM
15 Swimming Pools in Harris County, Texas swimming pool locations in Harris County Single-family homes: 59,914 Multi-family residences: 1,858 Others (Commercial, Government, Mobile homes): 1,100 Page 15 xxx00.#####.ppt 11/15/ :16:47 AM
16 Haddon Matrix Water Safety PERSONAL EQUIPMENT ENVIRONMENT SOCIAL PRE- EVENT -Pre-existing Health -Swimming ability -Risk taking -Sobriety -Door locks -Gates -Fences -Drains -Portable pools -Climate -Lifeguard -Water watcher -Supervision -Legislative codes -Political support for lifeguards -Neighborhood restrictions EVENT -Water survival skills -Personal flotation devices -Use of jet skies -Water features -EMS communication POST- EVENT -General Health Status -AED and rescue equipment -Bystander and EMS response -Dangerous locale -Medical Care Page 16 xxx00.#####.ppt 11/15/ :16:48 AM
17 SUCCESSFUL POOL FENCING Prevents a child from getting OVER, UNDER, or THROUGH and keeps the child from gaining access to the pool except when supervising adults are present The weak link in the strongest and highest fence is a gate that fails to close and latch completely Page 17 xxx00.#####.ppt 11/15/ :16:48 AM
18 PITFALLS IN POOL FENCING Perimeter fencing with self-locking or alarming doors between the house and pool area are often considered acceptable Pool covers may substitute for a fence Fence law pertains only to new pools Pool fences are rarely inspected and ordinances are often not enforced Ordinances may vary by jurisdiction Page 18 xxx00.#####.ppt 11/15/ :16:49 AM
19 SWIMMING POOL FENCING Type of Fencing makes a difference Isolation fencing (around the immediate pool area) is MUCH MORE SUPERIOR than Perimeter Fencing (Property Barrier) in reducing drowning Risk of drowning is 2 times less Page 19 xxx00.#####.ppt 11/15/ :16:49 AM
20 All pools must be fenced SWIMMING POOL FENCING Height must be over 4 feet No openings or gaps larger than 4 inches All gates must be self-closing and self-latching Page 20 xxx00.#####.ppt 11/15/ :16:49 AM
21 ABOVE GROUND POOLS Page 21 xxx00.#####.ppt 11/15/ :16:50 AM
22 WE NEED MORE EFFECTIVE LAWS 4-sided Isolation Fencing Texas-wide Law Enforcement Page 22 xxx00.#####.ppt 11/15/ :16:50 AM
23 IN SUMMARY Texas children especially preschoolers are at risk for drowning at swimming pools 4-sided Isolation Fencing is the best method of protection We need a Texas-wide law to mandate 4-sided isolation Fencing Page 23 xxx00.#####.ppt 11/15/ :16:50 AM
24 THANK YOU Page 24 xxx00.#####.ppt 11/15/ :16:51 AM
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