12/10/58 1 “Drowning” Pre-Congress Workshop “National Training Program on Child Injury Prevention for Health Professionals” สํานักโรคไม่ติดต่อ กรมควบคุมโรค กระทรวงสาธารณสุข www.thaincd.com สุชาดา เกิดมงคลการ ณ โรงแรมเซ็นจูรี่ พาร์ค กรุงเทพฯ วันที่ 13 ตุลาคม 2558 Other arthropod-borne viral fevers and viral h h i (0 9) Top 10 causes of death in Thai children (<15years), 2013 of Disease Control, Ministry of Public Health, Thailand • Drowning (7.6) • Transport injuries (6.8) • Assault (0.4) haemorrhagic (0.9) Source: Death Certificate 2013, Bureau of Health Policy and Strategy, Ministry of Public Health, Thailand. (According to ICD Mortality Tabulation List 1, the 10 th Revision) Analyzed by: Bureau of Non-Communicable Diseases, Department of Disease Control, Ministry of Public Health, Thailand. Bureau of Non-Communicable Diseases, Department Rank <1 1-4 5-9 10-14 All Ages 1 Other accidental threats to breathing Accidental drowning and submersion Accidental drowning and submersion Road Traffic Injuries Road Traffic Injuries (W75 - W84) (W65 - W74) (W65 - W74) (V01 - V89) (V01 - V89) 48, 6.5 314, 10.1 379, 9.3 450, 10.8 14789, 22.9 2 Road Traffic Injuries Road Traffic Injuries Road Traffic Injuries Accidental drowning and submersion Intentional self-harm (V01 - V89) (V01 - V89) (V01 - V89) (W65 - W74) (X60 - X84) 31, 4.2 168, 5.4 166, 4.1 220, 5.3 3961, 6.1 Accidental drowning and submersion Other accidental threats to breathing Exposure to electric current, radiation and extreme ambient air temperature and pressure Assault Accidental drowning and submersion Leading Causes of Injury Death by Age Group, Thailand, 2013 of Disease Control, Ministry of Public Health, Thailand 3 air temperature and pressure (W65 - W74) (W75 - W84) (W85 - W99) (X85 - Y09) (W65 - W74) 10, 1.4 17, 0.5 18, 0.4 27, 0.6 3712, 5.7 4 Falls Exposure to electric current, radiation and extreme ambient air temperature and pressure Other accidental threats to breathing Exposure to electric current, radiation and extreme ambient air temperature and pressure Assault (W00 - W19) (W85 - W99) (W75 - W84) (W85 - W99) (X85 - Y09) 5, 0.7 15, 0.5 9, 0.2 26, 0.6 3023, 4.7 5 Exposure to electric current, radiation and extreme ambient air temperature and pressure Exposure to inanimate mechanical forces Assault Intentional self-harm Falls (W85 - W99) (W20 - W49) (X85 - Y09) (X60 - X84) (W00 - W19) 4, 0.5 13, 0.4 9, 0.2 23, 0.6 1772, 2.7 Source: Death Certificate 2013, Bureau of Health Policy and Strategy, Ministry of Public Health, Thailand. (According to ICD Mortality Tabulation List 1, the 10 th Revision) Analyzed by: Bureau of Non-Communicable Diseases, Department of Disease Control, Ministry of Public Health, Thailand. Bureau of Non-Communicable Diseases, Department จํานวนและอัตราการเสียชีวิตต่อประชากรแสนคน จากการจมนํ้าของเด็กอายุตํ่ากว่า 15 ปี ปี พ.ศ. 2543 – 2558 (* ปี 2558 ข ้อมูล ม.ค.- มิ .ย.) www.facebook.com/thaincd www.thaincd.com Intervention since late 2549 แหล่งข ้อมูล: ข ้อมูลมรณบัตร สํานักนโยบายและยุทธศาสตร์ กระทรวงสาธารณสุข วิเคราะห์ : สํานักโรคไม่ติดต่อ กรมควบคุมโรค กระทรวงสาธารณสุข Fatal Drowning Rates per 100 000 population in Thailand By Age Groups, 2003-2014 of Disease Control, Ministry of Public Health, Thailand Source: Death Certificates 2003-2013, Bureau of Health Policy and Strategy, Ministry of Public Health, Thailand. Analyzed by: Bureau of Non-Communicable Diseases, Department of Disease Control, Ministry of Public Health, Thailand. Bureau of Non-Communicable Diseases, Department
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12/10/58
1
“Drowning”
Pre-Congress Workshop“National Training Program on Child Injury Prevention
Other arthropod-borne viral fevers and viral h h i (0 9)
Top 10 causes of death in Thai children (<15years), 2013
of D
isea
se C
ontro
l, M
inis
try o
f Pub
lic H
ealth
, Tha
iland
• Drowning (7.6)• Transport injuries (6.8)• Assault (0.4)
haemorrhagic (0.9)
Source: Death Certificate 2013, Bureau of Health Policy and Strategy, Ministry of Public Health, Thailand.(According to ICD Mortality Tabulation List 1, the 10 th Revision)
Analyzed by: Bureau of Non-Communicable Diseases, Department of Disease Control, Ministry of Public Health, Thailand.Bur
eau
of N
on-C
omm
unic
able
Dis
ease
s, D
epar
tmen
t
Rank <1 1-4 5-9 10-14 All Ages
1
Other accidental threats to breathing
Accidental drowning and submersion
Accidental drowning and submersion Road Traffic Injuries Road Traffic Injuries
Source: Death Certificate 2013, Bureau of Health Policy and Strategy, Ministry of Public Health, Thailand.(According to ICD Mortality Tabulation List 1, the 10 th Revision)
Analyzed by: Bureau of Non-Communicable Diseases, Department of Disease Control, Ministry of Public Health, Thailand.
Fatal Drowning Rates per 100 000 population in Thailand By Age Groups, 2003-2014
of D
isea
se C
ontro
l, M
inis
try o
f Pub
lic H
ealth
, Tha
iland
Source: Death Certificates 2003-2013, Bureau of Health Policy and Strategy, Ministry of Public Health, Thailand.Analyzed by: Bureau of Non-Communicable Diseases, Department of Disease Control, Ministry of Public Health, Thailand.
(30 authorities and experts from multi-sectoral org.)
Chair: MOPH
Intervention Drowning Prevention in Thailand
Since late 2006 Policy: (2007-present)
Child (>6 yrs) able to swim for survival Child Drowning Prevention Campaign Day Maternal and Child Health Booklet containing the guidelines for drowning prevention. Health Promoting School using “Drowning Prevention” as a key performance indicator. Integrating an action plan for drowning prevention and water rescue into the
ti l di l i
2007
Education & PR
Capacity BuildingGoal:
(Child<15 yr) ntio
n in
SEA
Reg
ion,
15-
17 O
ct. 2
014
of D
isea
se C
ontro
l, M
inis
try o
f Pub
lic H
ealth
, Tha
iland
Data Utilization
national emergency medical service system Teaching a course on drowning prevention in nursing colleges*Ministry of Education to develop a plan for enhancing water safety skills for school children Passing a law to regulate the labeling of baby bathtubs Collaborating with local government
Capacity Building
Enforcement & Regulation
Surveillance & Investigation
Monitoring & Evaluation
: rate < 6.5 (2015)
Measure
National Child and Youth Development Plan in accordance with the ‘World Fit for
Children’ B.E. 2555-2559 (2012-2016)
* Supported by WHO SARO
Reg
iona
l Wor
ksho
p on
Dro
wni
ng P
reve
Bur
eau
of N
on-C
omm
unic
able
Dis
ease
s, D
epar
tmen
t
of D
isea
se C
ontro
l, M
inis
try o
f Pub
lic H
ealth
, Tha
iland
Education & PR
A curriculum on survival swimming was developed by relevant agenciesPromoted for use under the Project name “Child Drowning Prevention Vaccine”.B
Promoting drowning prevention through doctorsDoctor’s advice and education programs for parents
and caregivers are some of the interventions to boost the awareness of drowning prevention
and injury prevention overall (14)
Handbook: Drowning
and injury prevention overall. (14)
Doctors and public health workers are those who have understanding of epidemiology
and risk factors, and easily have access to families and the community. (16)
Wigginton J. The key role of layperson actions in drowning incidents. In: World Congress on Drowning, Amsterdam, 26-28 June. Amsterdam, Consumer Safety Institute, 2002.
Branche C, Stewart S. Lifeguard effectiveness: a report of the working group. Alanta, Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, 2001.