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Water Safety: Ask The Experts

        Drowning Prevention:
    Multidisciplinary Perspectives

 James M. DeCarli, MPH, MPA, CHES



                                     1
Overview

 • Common Characteristics & Lessons
   Learned of Pool Systems
   – Public/Community
   – Private/Backyard
 • Lessons Applied-Community Prevention
 • Community Outreach Efforts
   – Safe Kids Los Angeles



                                          2
Swimming Pool Prevention Systems



 • Public/Community




 • Private/Backyard



                                   3
Public/Community Pools

 • Controlled
   Environment

 • Enforcement of
   Rules &
   Regulations

 • Lifeguards
                         4
Lessons Learned: Public/Community Pools

        Risk Factors of Drowning




                                          5
Lessons Learned: Public/Community Pools

        Anatomy of a Submersion Fatality
    –




                                           6
Lessons Learned: Public/Community Pools
       Pools In-Use: Active Supervision




                                          7
Lessons Learned: Public/Community Pools

    Pools Not In-Use: Layers of Protection




                                             8
Private/Backyard Pools

 • Lack Drowning
   Prevention Training

 • Unsatisfactory in
   Supervision & Layers
   of Protection

 • Results: Increases
   Drowning Risk Factors
                           9
Lessons Learned: Private/Backyard Pools

                  Pool In-Use
                  Supervision

  • Quality of supervision often fails

  • 90% of childhood drowning incidents
    occurred under adult supervision
    (National Safe Kids 2004)

  • Approach fails
                                          10
Lessons Learned: Private/Backyard Pools
                    Pool Not In-Use
                   Layers of Protection

 • Quality of layers of protection often fail
 • 50% of childhood victims last seen inside home,
   before found drowned (CPSC)
 • 69% of toddlers not expected to be in pool area
   (CPSC)
 • 77% of victims missing for 5-minutes or less before
   found in pool (CPSC)


                                                         11
Lessons Learned: Private/Backyard Pools
            Pool Not In-Use
        Layers of Protection Case




                                          12
Lessons Applied: Private/Backyard Pools


                 Pool In-Use
                  Supervision

 • Supervise like a lifeguard
   – Eyes on children
   – Not partake in other activities
   – Designate another adult for breaks
   – Pool parties: Consider hiring a lifeguard

                                                 13
Lessons Applied : Private/Backyard Pools


             Pool Not In-Use
          Layers of Protection
 • After use, account that everyone is out of pool
 • Remove any inflatable toys from pool area
 • Ensure self-closing/self-latching gate is in
   working order and locked after use
 • Ensure lawn equipment, chairs, tables are not
   close to fence to prevent a child from climbing
   over
 • Ensure that any doors or windows that may
   lead to the pool area are locked and have
   alarms activated
                                                     14
Lessons Applied : Private/Backyard Pools

                 Pool Not In-Use
         Additional Layers of Protection
• Isolation fence
• Self-closing/Self-latching gate open outward away from
  pool
• Door & windows leading to the pool area, be self-
  closing/self-latching and alarmed
• Power operated pool covers be properly maintained
• Keep phone at poolside for emergency use
• Learn CPR
• Keep lifesaving ring and shepherd’s hook in pool area &
  know how to use it
• Do not consider children “drownproof” because they have
  had swimming lessons
                                                            15
Drowning Prevention Strategies


 • Target
    • parents and
    • pool owners

 • Prevention approach
   – Pool in-use: active supervision
   – Pool not in-use: layers of protection


                                             16
Community Outreach Efforts
                 Public Agencies

• Los Angeles County hospitals & clinics
• Los Angeles County Fire Department
• Los Angeles County Parks & Recreation
  – 25 Community Pools: Pool safety education
    classes
  – 83 Recreation Centers: Pool safety education
    materials
• 88-Incorporated Cities: Materials (in planning)
                                                    17
Community Outreach Efforts

            Non-Governmental Agencies
 Media
   – 16-Broadcasts/news stories (May-August
     2004): ABC, NBC, & Telemundo

   – Media Event: Private/backyard pool
     •   Local officials
     •   Safe Kids LA
     •   Fire Department
     •   American Red Cross
     •   Link with drowning case
                                              18
Community Outreach Efforts

   Non-Governmental Agencies, continued

   – ABC’s of a Safe Summer Program
     • ABC7 & American Red Cross
     • At-A-Glance:
        • Water Safety
        • Fire Safety
        • First Aid
        • CPR



                                          19
Summary
• Designing Drowning Prevention
  Interventions:
  – Target parents & pool owners
  – When the pool is in-use
  – When the pool is not in-use
• When the pool is in-use:
  – “Active” supervision
     • Lifeguard
• When the pool is not in-use:
  – Layers of protection
     • Secure pool similar to a public/community pool   20
• Contact Information:
  – jdecarli@ph.lacounty.gov
  – (213) 351-7888




                               21

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Water Safety Pool Safety July 2006

  • 1. Water Safety: Ask The Experts Drowning Prevention: Multidisciplinary Perspectives James M. DeCarli, MPH, MPA, CHES 1
  • 2. Overview • Common Characteristics & Lessons Learned of Pool Systems – Public/Community – Private/Backyard • Lessons Applied-Community Prevention • Community Outreach Efforts – Safe Kids Los Angeles 2
  • 3. Swimming Pool Prevention Systems • Public/Community • Private/Backyard 3
  • 4. Public/Community Pools • Controlled Environment • Enforcement of Rules & Regulations • Lifeguards 4
  • 5. Lessons Learned: Public/Community Pools Risk Factors of Drowning 5
  • 6. Lessons Learned: Public/Community Pools Anatomy of a Submersion Fatality – 6
  • 7. Lessons Learned: Public/Community Pools Pools In-Use: Active Supervision 7
  • 8. Lessons Learned: Public/Community Pools Pools Not In-Use: Layers of Protection 8
  • 9. Private/Backyard Pools • Lack Drowning Prevention Training • Unsatisfactory in Supervision & Layers of Protection • Results: Increases Drowning Risk Factors 9
  • 10. Lessons Learned: Private/Backyard Pools Pool In-Use Supervision • Quality of supervision often fails • 90% of childhood drowning incidents occurred under adult supervision (National Safe Kids 2004) • Approach fails 10
  • 11. Lessons Learned: Private/Backyard Pools Pool Not In-Use Layers of Protection • Quality of layers of protection often fail • 50% of childhood victims last seen inside home, before found drowned (CPSC) • 69% of toddlers not expected to be in pool area (CPSC) • 77% of victims missing for 5-minutes or less before found in pool (CPSC) 11
  • 12. Lessons Learned: Private/Backyard Pools Pool Not In-Use Layers of Protection Case 12
  • 13. Lessons Applied: Private/Backyard Pools Pool In-Use Supervision • Supervise like a lifeguard – Eyes on children – Not partake in other activities – Designate another adult for breaks – Pool parties: Consider hiring a lifeguard 13
  • 14. Lessons Applied : Private/Backyard Pools Pool Not In-Use Layers of Protection • After use, account that everyone is out of pool • Remove any inflatable toys from pool area • Ensure self-closing/self-latching gate is in working order and locked after use • Ensure lawn equipment, chairs, tables are not close to fence to prevent a child from climbing over • Ensure that any doors or windows that may lead to the pool area are locked and have alarms activated 14
  • 15. Lessons Applied : Private/Backyard Pools Pool Not In-Use Additional Layers of Protection • Isolation fence • Self-closing/Self-latching gate open outward away from pool • Door & windows leading to the pool area, be self- closing/self-latching and alarmed • Power operated pool covers be properly maintained • Keep phone at poolside for emergency use • Learn CPR • Keep lifesaving ring and shepherd’s hook in pool area & know how to use it • Do not consider children “drownproof” because they have had swimming lessons 15
  • 16. Drowning Prevention Strategies • Target • parents and • pool owners • Prevention approach – Pool in-use: active supervision – Pool not in-use: layers of protection 16
  • 17. Community Outreach Efforts Public Agencies • Los Angeles County hospitals & clinics • Los Angeles County Fire Department • Los Angeles County Parks & Recreation – 25 Community Pools: Pool safety education classes – 83 Recreation Centers: Pool safety education materials • 88-Incorporated Cities: Materials (in planning) 17
  • 18. Community Outreach Efforts Non-Governmental Agencies Media – 16-Broadcasts/news stories (May-August 2004): ABC, NBC, & Telemundo – Media Event: Private/backyard pool • Local officials • Safe Kids LA • Fire Department • American Red Cross • Link with drowning case 18
  • 19. Community Outreach Efforts Non-Governmental Agencies, continued – ABC’s of a Safe Summer Program • ABC7 & American Red Cross • At-A-Glance: • Water Safety • Fire Safety • First Aid • CPR 19
  • 20. Summary • Designing Drowning Prevention Interventions: – Target parents & pool owners – When the pool is in-use – When the pool is not in-use • When the pool is in-use: – “Active” supervision • Lifeguard • When the pool is not in-use: – Layers of protection • Secure pool similar to a public/community pool 20
  • 21. • Contact Information: – jdecarli@ph.lacounty.gov – (213) 351-7888 21