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Drowning is a major concern in Africa. This study found that administrative data in Uganda can capture drowning cases, but improvements in data completeness are needed for effective prevention strategies.

Keywords:
drowningepidemiologylow-middle income countrymortalitysurveillance

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Area of Science:

  • Public Health
  • Epidemiology
  • Injury Prevention

Background:

  • Drowning death rates are highest globally in the African region.
  • Limited data collection and surveillance hinder drowning prevention efforts in African nations.
  • Uganda faces challenges in comprehensive drowning data acquisition.

Purpose of the Study:

  • To assess the availability of drowning data within existing administrative sources in Uganda.
  • To characterize drowning incidents using available administrative data.
  • To identify gaps in drowning data for targeted prevention.

Main Methods:

  • A retrospective descriptive study was conducted across 60 districts in Uganda.
  • Administrative records from police, marine police, fire/rescue, and mortuaries (Jan 2016-June 2018) were analyzed.
  • Data underwent systematic deduplication to identify unique drowning cases.

Main Results:

  • 1435 total drowning cases were recorded; 1009 (70%) in lakeside districts.
  • After deduplication, 1283 unique cases (1160 fatal, 123 non-fatal) were identified.
  • Fatal drowning victims were predominantly male (85%), averaging 24 years; boating was a key activity in lakeside incidents.

Conclusions:

  • Drowning cases are documented in Ugandan administrative data, indicating potential for surveillance.
  • Significant opportunities exist to enhance data coverage and completeness.
  • A deeper understanding of drowning circumstances is crucial for developing targeted prevention strategies in Uganda.