PEOPLE DROWNED 276 2019 - Royal Life Saving
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NATIONAL 2019 DROWNING REPORT Research and policy insights for drowning prevention and water safety 276 PEOPLE DROWNED IN AUSTRALIAN WATERWAYS SUPPORTED BY
FOREWORD CONTENT As we present the National Drowning Report for 2019, we remain AT-RISK COMMUNITIES PARTNERSHIPS AND 01 National Drowning Report 2019 snapshot ever mindful of the fact that the stories in this report are of real AND GROUPS COLLABORATIONS people whose lives have been lost or impacted for life through 03 Fatal and non-fatal drowning in Australia drowning, including the many families affected by the loss or In reviewing our findings, we can see The findings and analysis in this report are based long-term injury of a loved one. that certain communities and on data collected over the past 17 years in the 04 Who drowns? demographic groups continue to be at a Royal Life Saving National Fatal Drowning This report highlights our research and analysis of fatal and higher risk of drowning. In this report, Database. In addition, we work with Federal, State non-fatal drowning across Australia between 1st July 2018 and 30th we take an in-depth look at these and Local Governments, coroners, institutions and 05 Drowning deaths by life stages June 2019. During this time, 276 people lost their lives to high-risk groups to better understand the other industry bodies to inform the development drowning and we estimate a further 584 people experienced a risk factors and how they might be of future drowning prevention policies. 11 When do drowning deaths occur? “ non-fatal drowning incident. addressed in future drowning prevention programs, campaigns, partnerships and This year’s findings show that: 12 In focus: Summer drowning deaths research. • The total number of drowning deaths over the past year increased by For example, those from multicultural, 13 Where and how do drowning deaths occur? 10% on the previous year; OUR VISION IS A • • The hottest summer on record led to a 17% increase in summer drowning deaths when compared with the 10-year average; Rivers accounted for 29% of all drowning deaths, more than any other location; Aboriginal and Torres Strait Islander and low socioeconomic backgrounds, as well as those living in remote areas, remain at greater risk of drowning. We know that the cost of swimming lessons and water safety education, access to appropriate WATER-LOVING NATION FREE FROM DROWNING. “ 15 17 Drowning deaths by key locations In focus: Non-aquatic transport incidents local aquatic facilities and cultural 18 In focus: Flood-related drowning differences are often barriers to learning • There was a 39% increase in multiple fatality events, that is multiple these lifesaving skills in many of these 19 In focus: Multiple fatality events people drowning in one incident, compared with the 10-year average; communities. As always, this report serves as an important • People aged 45 to 55 years accounted for 15% of the total number reminder that drowning can affect everyone. Our 21 Fatal drowning risk factors We are working hard with the support of of drowning deaths, the most of any age group. the Australian Government and job at Royal Life Saving is to ensure that all corporate partners to reach out to these Australians can continue to enjoy our beautiful 23 State and Territory drowning deaths 2018/19 This report also shows that drowning deaths in children aged 0-4 communities by providing comprehensive rivers, beaches, and community and backyard years decreased by 30% when compared with the 10-year average, swimming and water safety education swimming pools, while staying safe and mindful of 35 Older Australians and that children aged 5-14 years remain the lowest age group for programs across the country. the risks. drowning (3% of all drowning deaths). As we approach 2020, we will therefore be 43 Multicultural populations In addition, men aged 25 to 34, and Consistently low numbers of drowning deaths in children in recent older Australians over the age of 65, are working with our partners on the Australian Water years are encouraging, showing that our Keep Watch messages, at greater risk of drowning. In the case of Safety Council to develop the next Australian 49 Aboriginal and Torres Strait Islander people which highlight the importance of active supervision, physical men, alcohol and drugs while recreating Water Safety Strategy for the coming years, barriers to water and water familiarisation, are hitting home and around water remain a concern and the helping this vision come to fruition. 55 Inland waterways helping to keep children safe. central focus of many of our campaigns. For older Australians, we’ve been Our work at Royal Life Saving continues to focus on working to highlight the part played by JUSTIN SCARR 61 Risk taking understanding the impact of both fatal and non-fatal drowning. pre-existing medical conditions and Chief Executive Officer Through this work, we aim to educate, inform and advocate best multi-drug interactions in drowning Royal Life Saving Society – Australia 65 Swimming and water safety skills practice, working with partners and policy makers, to develop incidents in this group. robust national drowning prevention and water safety strategies. 69 Non-fatal drowning 73 Drowning prevention and Royal Life Saving in action 77 Methods 79 References
NATIONAL DROWNING REPORT 2019 Top 3 locations Top 3 activities 276 people 26% 29% River/ creek/ stream 13% Fall 29% Swimming & recreating Beach drowned 11% in Australia waterways Boating 1st July 2018 30th June 2019 11% Swimming pool Sex Top 3 age groups 81% 19% 13% Male Female 13% 25-34 years 18-24 years 15% Season Visitor status 45-54 years 45% Summer 70% Not a visitor State and Territory breakdown 5% 21% 13% Visitor – interstate Autumn Winter 6% 21% Visitor – overseas Spring 15% Visitor – intrastate 6 64 NT 45% Remoteness of drowning location QLD 32 14 WA 98 SA 24% 20% 56 NSW 2 ACT VIC 6% 5% 4 Major cities Inner regional Outer regional Remote Very remote TAS
3 4 FATAL AND NON-FATAL WHO DROWNS? DROWNING IN AUSTRALIA Overview 1.43 1.39 276 1.31 1.32 81% 45-54 30% 1.15 1.27 1.12 1.10 people drowned 1.24 1.25 1.22 1.01 in aquatic locations in 315 304 303 301 284 282 270 267 299 276 288 of drowning deaths years age group recorded reduction in 0-4 years age 2018/19 were male the largest number of group compared with the 250 drowning deaths 10-year average This is a 10% increase 19 on 2017/18 0-4 years 27 6 9 9 0 1 2 3 4 5 6 7 8 and a 5-9 years /1 /0 /1 /1 /1 /1 /1 /1 /1 /1 /1 4% 7 08 09 10 11 12 13 14 15 16 17 18 20 20 20 20 20 20 20 20 20 20 20 Crude rate Number of drowning deaths 2 reduction 10-year average crude rate 10-year average drowning deaths 10-14 years 5 on the 10-year average Unintentional drowning deaths and death rates 8 from 2008/09 to 2018/19 and the 10-year average 15-17 years 5 Based on statistical modelling of the relationship When fatal and non-fatal 37 between numbers of fatal and non-fatal drowning incidents are 18-24 years incidents for each age group between 2002/03 584 combined, a total of 860 28 860 non-fatal and 2014/15, we estimate that there were 584 drowning incidents occurred 37 non-fatal drowning incidents resulting in a in Australia, representing a 25-34 years 44 hospitalisation in 2018/19, assuming that the total drowning crude drowning rate of 3.42 historical ratios between the number of fatal 276 incidents drowning incidents per 31 fatal and non-fatal incidents held constant. 100,000 population. 35-44 years 38 4.79 4.69 4.48 4.63 4.54 4.53 4.37 4.13 41 45-54 years 3.82 4.03 37 3.20 3.42 35 752 791 823 822 55-64 years 671 703 671 645 703 712 36 584 543 33 65-74 years 33 301 315 284 282 304 270 267 303 299 250 276 288 27 75+ years 29 9 9 0 1 2 3 4 5 6 7 8 /1 /0 /1 /1 /1 /1 /1 /1 /1 /1 /1 08 09 10 11 12 13 14 15 16 17 18 Drowning deaths 10-year average drowning deaths 20 20 20 20 20 20 20 20 20 20 20 Crude rate Non-fatal Fatal 10-year average crude rate 10-year average non-fatal 10-year average fatal Comparison of fatal and non-fatal incidents and crude rate of drowning incidents Drowning deaths by age group in 2018/19 compared with the 10-year average from 2008/09 to 2018/19 and the 10-year average
5 6 DROWNING DEATHS BY LIFE STAGES CHILDREN AGED 0-4 YEARS CHILDREN AGED 5-14 YEARS 19 children aged 0-4 12% This is a 30% and a reduction 8 children aged 5-14 same This is the 33% and a reduction years drowned in increase on the 10-year years drowned in as 2017/18 on the 10-year Australia in on 2017/18 Australia in 2018/19 average 2018/19 average 68% of all drowning deaths in this age group were males 75% of all drowning deaths in this age group were males 35 35 16 32 28 14 14 29 26 27 12 11 12 12 21 22 10 10 10 20 19 17 8 8 9 9 0 1 2 3 4 5 6 7 8 9 9 0 1 2 3 4 5 6 7 8 /1 /0 /1 /1 /1 /1 /1 /1 /1 /1 /1 /1 /0 /1 /1 /1 /1 /1 /1 /1 /1 /1 08 09 10 11 12 13 14 15 16 17 18 08 09 10 11 12 13 14 15 16 17 18 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 10-year average 10-year average Drowning deaths of children aged 0-4 years from 2008/09 to 2018/19 and the 10-year average Drowning deaths of children aged 5-14 years from 2008/09 to 2018/19 and the 10-year average 10-YEAR AVERAGE 10-YEAR AVERAGE 12 (Arrow reflects 2018/19 change 4 (Arrow reflects 2018/19 change Swimming pool against the 10-year average) Swimming pool against the 10-year average) 2 14 3 3 2 River/creek/stream 1 Rocks 5 2 3 0 2 2 1 3 River/creek/stream Lake/dam/lagoon Bathtub/spa bath Lake/dam/lagoon Drowning deaths of children aged 0-4 years by location in 2018/19 compared with the 10-year average Drowning deaths of children aged 5-14 years by location in 2018/19 compared with the 10-year average Accidental falls into water remain 10-YEAR AVERAGE Swimming and recreating was the 10-YEAR AVERAGE the leading activity prior to 16 (Arrow reflects 2018/19 change leading activity immediately prior to 4 (Arrow reflects 2018/19 change Fall against the 10-year average) Swimming & against the 10-year average) drowning among this age group, drowning, accounting for 50% of all accounting for 84% of all deaths. deaths in this age group. Swimming recreating Falls decreased by 24% when 3 21 5 and recreating decreased by 20% 5 compared with the 10-year average. Bathing against the 10-year average. Drowning deaths of children aged 0-4 years by activity in 2018/19 compared with the 10-year average Drowning deaths of children aged 5-14 years by activity in 2018/19 compared with the 10-year average
7 8 YOUNG PEOPLE AGED 15-24 YEARS MALES AGED 25-64 YEARS 45 young people aged 61% This is a 32% and a increase 118 males aged 25-64 This is a 9% 6% reduction and a 15-24 years drowned increase on the 10-year years drowned in increase on the 10-year in Australia in on 2017/18 Australia in on 2017/18 2018/19 average 2018/19 average 149 89% of all drowning deaths in this age group were males 142 130 129 129 45 42 122 117 125 40 40 118 37 115 113 34 108 32 34 28 28 28 26 9 9 0 1 2 3 4 5 6 7 8 /1 /0 /1 /1 /1 /1 /1 /1 /1 /1 /1 08 09 10 11 12 13 14 15 16 17 18 9 9 0 1 2 3 4 5 6 7 8 /1 /0 /1 /1 /1 /1 /1 /1 /1 /1 /1 20 20 20 20 20 20 20 20 20 20 20 08 09 10 11 12 13 14 15 16 17 18 20 20 20 20 20 20 20 20 20 20 20 10-year average 10-year average Drowning deaths of males aged 25-64 years from 2008/09 to 2018/19 and the 10-year average Drowning deaths of young people aged 15-24 years from 2008/09 to 2018/19 and the 10-year average 10-YEAR AVERAGE 10-YEAR AVERAGE 40 16 River/creek/stream (Arrow reflects 2018/19 change against the 10-year average) River/creek/stream (Arrow reflects 2018/19 change against the 10-year average) 35 12 Beach 35 Beach 11 25 7 13 6 Rocks 12 Lake/dam/lagoon 3 Drowning deaths of males aged 25-64 years by location in 2018/19 compared with the 10-year average Drowning deaths of young people aged 15-24 years by location in 2018/19 compared with the 10-year average Swimming and recreating was the 14 37 10-YEAR AVERAGE Swimming and recreating was the 10-YEAR AVERAGE leading activity immediately prior to (Arrow reflects 2018/19 change (Arrow reflects 2018/19 change Boating Swimming & leading activity immediately prior to 18 against the 10-year average) drowning. When compared with recreating against the 10-year average) drowning, accounting for 40% of all 5 Swimming & the 10-year average, drowning 10 Diving deaths in this age group. Drowning Non-aquatic recreating 13 deaths as a result of swimming and 28 11 deaths due to swimming and recreating transport recreating and non-aquatic 10 Non-aquatic increased by 38% in 2018/19, 4 2 incidents increased, whereas transport 21 8 compared with the 10-year average. boating and diving decreased. Fall 3 Drowning deaths of young people aged 15-24 years by activity in 2018/19 compared with the 10-year average Drowning deaths of males aged 25-64 years by activity in 2018/19 compared with the 10-year average
9 PEOPLE AGED 65 YEARS AND OVER 60 people aged 65 years 18% This is an 2% and a reduction and over drowned increase on the 10-year in Australia on 2017/18 in 2018/19 average 78% of all drowning deaths in this age group were males 72 69 67 65 64 62 56 60 61 54 52 51 9 9 0 1 2 3 4 5 6 7 8 /1 /0 /1 /1 /1 /1 /1 /1 /1 /1 /1 08 09 10 11 12 13 14 15 16 17 18 20 20 20 20 20 20 20 20 20 20 20 10-year average Drowning deaths of people aged 65 years and over from 2008/09 to 2018/19 and the 10-year average 10-YEAR AVERAGE 20 (Arrow reflects 2018/19 change Beach against the 10-year average) 13 River/creek/stream 9 17 9 Ocean/harbour 10 Drowning deaths of people aged 65 years and over by location in 2018/19 compared with the 10-year average Swimming and recreating was 11 16 10-YEAR AVERAGE Swimming & (Arrow reflects 2018/19 change the leading activity immediately Boating recreating against the 10-year average) prior to drowning, accounting for 27% of all deaths in this age 12 group. Drowning deaths due to 9 swimming and recreating Non-aquatic 10 increased by 33% against the transport 10-year average. 6 Drowning deaths of people aged 65 years and over by activity in 2018/19 compared with the 10-year average
11 12 Time of the day Almost half (44%) of all drowning deaths in IN FOCUS 2018/19 took place in the afternoon. 8 21 SUMMER DROWNING DEATHS Season Early morning Unknown (12:01am to 6am) Drowning deaths occur in all 54 seasons, with the largest Evening Of the total drowning deaths in 2018/19, 45% occurred in (6:01pm 123 proportion occurring in the summer. Over half (54%) of all beach drowning deaths in to 12am) This is a 71 2018/19 occurred in summer, 2.6 times more than the next 17% summer months (45%). Morning closest season (spring 21%). 123 (6.01am Summer to 12pm) drowning increase deaths occurred on the 10-year 30% of all people who drowned during summer in 2018/19, in summer average were a visitor to their drowning location. Half (50%) of all drowning deaths of overseas tourists occurred in summer. 85% 15% Royal Life Saving research has reported an increased risk for Male Female drowning during public holidays and school holidays. During 58 37 122 the summer there are three national public holiday days Autumn Winter Afternoon (12:01pm to 6pm) (Christmas Day, Boxing Day and Australia Day), as well as individual State/Territory public holiday and school holiday 58 periods. Spring WHEN DO 122 119 123 115 108 105 95 111 103 105 DROWNING DEATHS 90 85 Month By month, fatal drowning OCCUR? 9 0 1 2 3 4 5 6 7 8 9 peaked in January with 48 /0 /1 /1 /1 /1 /1 /1 /1 /1 /1 /1 08 09 10 11 12 13 14 15 16 17 18 deaths, followed by December 20 20 20 20 20 20 20 20 20 20 20 with 46 drowning deaths. 10-year average Drowning deaths in summer from 2008/09 to 2018/19 and the 10-year average Location Activity 46 48 43 54 River/creek/stream Swimming & recreating 29 24 11 20 22 21 38 Boating 15 Beach 15 12 14 10 11 14 Fall Swimming pool 23 21 l g p ct v c n b ar r ay n Ju Ap 20 No De Au Se Ja Fe Ju O M M Day of the week 13 13 Mon Tue Wed Thu Fri Sat Sun 10 10 Sunday continues to be the 6 most common day of the week 3 3 43 32 28 37 38 45 53 for fatal drowning, accounting 1 for 19% of all deaths. 0-4 5-9 10-14 15-17 18-24 25-34 35-44 45-54 55-64 65-74 75+ Drowning deaths in summer by age group in 2018/19
13 14 Location Activity 80 Visitor status 80 River/creek/ 36 Swimming & stream Fall recreating 71 Most of those who drowned in 192 Beach 2018/19 (70%) were not visitors, Not a that is, they drowned within visitor 29 100km of where they lived. 13 10 Boating Unknown Other In 71 cases (26%) the person 13 18 3 who drowned was known to be 16 Visitor – 31 Bathtub/ 27 Fishing a visitor to the location where 42 Visitor – interstate Swimming spa bath they drowned. Visitors were Visitor – pool Non-aquatic 5 intrastate overseas transport 19 Jumped in commonly male (92%) and most 23 21 commonly aged 18-24 years Lake/dam/lagoon Bathing 6 Ocean/harbour Swept away/in (18%). 16 22 Diving 11 6 13% Rocks Watercraft 9 Rescue Of those who were known to be 19% Rock fishing visitors, 42 people drowned within their own State or 56% Rivers, creeks and streams continue to be Territory in a postcode that was North Europe the location with the largest number of Swimming and recreating was the 100km or further from their America drowning deaths, accounting for 29% leading activity being undertaken residential postcode. Asia of all drowning deaths in 2018/19. immediately prior to drowning (29%), followed by a fall into water (13%). A further 13 people were visiting Beaches recorded a 42% increase a different State or Territory in drowning deaths against the when they drowned. 10-year average, while ocean/harbour locations and This year, 16 people who swimming pools recorded a drowned were overseas tourists, 50% and 23% decrease, predominately from Asia, Europe respectively, against the and North America. Drowning deaths among overseas tourists by region of origin in 2018/19 10-year average. WHERE AND HOW DO DROWNING Location DEATHS OCCUR? Not a visitor Visitor – overseas Visitor – interstate Visitor – intrastate 52 9 6 18 Remoteness River/creek/stream Beach Beach River/creek/stream 123 The largest proportion of drowning incidents occurred in areas classified as major cities (45%), with a decreasing number of incidents occurring as remoteness increased. 67 54 Activity Not a visitor Visitor – overseas Visitor – interstate Visitor – intrastate 5 12 11 Swimming & 30 Swimming & recreating Swimming & recreating 17 Fall 47 recreating 15 Swimming & 7 recreating 3 Non-aquatic Diving transport 4 Major cities Inner regional Outer regional Remote Very remote Diving
15 16 DROWNING DEATHS BY KEY LOCATIONS River/creek/stream Beach Swimming pool Ocean/harbour 80 drowning deaths 5% 71 42% 31 23% 23 drowning deaths 45% drowning deaths drowning deaths occurred in increase occurred at increase occurred in reduction occurred in reduction river/creek/stream on the 10-year on the 10-year swimming pools in on the 10-year ocean/harbour on the 10-year beaches in locations in average average 2018/19 average locations in average 2018/19 2018/19 2018/19 67 113 69 68 71 57 49 56 54 60 46 47 51 43 44 43 48 49 76 84 46 36 40 43 37 42 78 73 75 72 80 43 42 36 67 67 36 32 32 31 32 59 23 21 /09 /10 /11 / 12 / 13 / 14 /15 /16 /17 /18 /19 / 09 /10 / 11 /12 /13 /14 /15 /16 /17 /18 /19 /09 /10 /11 /12 /13 /14 /15 /16 /17 /18 /19 / 09 /10 /11 /1 2 /1 3 /1 4 /1 5 /1 6 /1 7 /1 8 /1 9 08 09 10 11 12 13 14 15 16 17 18 08 09 10 11 12 13 14 15 16 17 18 08 09 10 11 12 13 14 15 16 17 18 08 09 10 11 12 13 14 15 16 17 18 Drowning deaths in river/creek/stream Drowning deaths at beaches Drowning deaths in swimming pools Drowning deaths in ocean/habour locations from 2008/09 to 2018/19 from 2008/09 to 2018/19 from 2008/09 to 2018/19 locations from 2008/09 to 2018/19 Sex/Age Sex/Age 15 12 12 4 85% 15% 87% 13% 74% 26% 0-4 96% 4% 25-34 years Male Female 45-54 years Male Female 45-54 years Male Female Male Female 4 years 15 14 75+ years 7 25-34 65-74 4 65-74 13 years 12 years 45-54 years 18-24 55-64 3 years years years 45-54 years 3 55-64 years Activity Activity 19 20 15 Swimming & Non-aquatic 45 15 Swimming & Fall Boating recreating transport 8 recreating Diving 1 9 2 Watercraft 15 8 8 Swimming & 1 Unknown Fall 2 recreating 2 Bathing 5 Rescue 9 Watercraft 2 Fall 4 Rescue Boating Boating Unknown Diving Remoteness Remoteness 37 Major cities 20 Major cities 19 Inner 29 Major cities 22 Outer regional regional 11 Major cities Outer 6 regional 5 Inner regional Visitor status Visitor status 45 13 Not a visitor 52 Not a visitor 27 Not a visitor Not a visitor 3 5 18 9 Visitor – overseas Visitor – intrastate Visitor – intrastate Visitor – overseas
17 18 IN FOCUS IN FOCUS NON-AQUATIC TRANSPORT INCIDENTS FLOOD-RELATED DROWNING Sex 27 drowning deaths 35% This is a increase In 2018/19, non-aquatic transport accounted for 10% of all deaths. It was the fourth leading activity 7 drowning deaths 53% This is a reduction 86% Male 14% Female occurred due to in flood-related on the 10-year immediately prior to drowning. on the 10-year non-aquatic incidents average average transport Sex Age Age Location 7 3 67% 33% 7 18-24 years In 2018/19, all 75+ years 45-54 years drowning deaths Male Female in known 1 flood-related 0-4 years incidents occurred Queensland 5 1 in Queensland, in 35-44 years a river, creek or 18-24 years 1 River/creek/stream 5-9 years 1 stream. 25-34 years Location Visitor status Activity Visitor status 20 River/creek/ 19 3 5 stream Not a visitor Not a visitor Swept away/in 1 2 Visitor – Other interstate 2 1 Fall Swimming & 5 7 1 recreating 2 Lake/dam/lagoon Visitor – intrastate Visitor – intrastate Boating 49 39 27 23 22 17 18 18 20 20 20 19 17 19 10 13 11 15 12 9 7 7 7 0 9 9 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 /1 /1 /0 /1 /1 /1 /1 /1 /1 /1 /1 /1 /0 /1 /1 /1 /1 /1 /1 /1 /1 /1 08 09 10 11 12 13 14 15 16 17 08 09 10 11 12 13 14 15 16 17 18 18 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 10-year average 10-year average Drowning deaths related to non-aquatic transport from 2008/09 to 2018/19 and the 10-year average Drowning deaths related to flooding from 2008/09 to 2018/19 and the 10-year average
19 IN FOCUS MULTIPLE FATALITY EVENTS Sex 39 drowning deaths 39% This is a increase 92% Male 8% Female across 17 on the 10-year multiple fatality average events Age Location 6 10 16 25-34 years 18-24 years River/ creek/ 16 stream 7 QLD 5 Beach 45-54 years Activity Visitor status 14 20 Swimming & Not a visitor 8 recreating Non-aquatic transport 6 10 Visitor – intrastate 6 Boating Visitor – overseas 39 39 36 30 29 26 28 21 19 14 15 7 9 9 0 1 2 3 4 5 6 7 8 /1 /0 /1 /1 /1 /1 /1 /1 /1 /1 /1 08 09 10 11 12 13 14 15 16 17 18 20 20 20 20 20 20 20 20 20 20 20 10-year average Drowning deaths related to multiple fatality events from 2008/09 to 2018/19 and the 10-year average
21 22 FATAL DROWNING RISK FACTORS ALCOHOL DRUGS PRE-EXISTING MEDICAL CONDITIONS 74% 26% 19 drowning deaths were known to 29 drowning deaths were known to 43 Male Female involve alcohol in involve drugs in 2018/19 2018/19 Drug type Alcohol was deemed to be drowning deaths were a contributory factor in known to involve a pre-existing medical condition in 2018/19 89% of these cases 83% Legal 10 (ie, medication) The highest BAC In 2018/19, the most common pre-existing medical drowning deaths with known pre-existing medical recorded among conditions among those who drowned were cardiac conditions) and those who were swimming and of these had those who drowned conditions (such as ischaemic heart disease and coronary recreating prior to drowning (30%). information available in 2018/19 was 17% artery atherosclerosis), followed by epilepsy, autism, on their blood alcohol diabetes and Alzheimer’s disease. Pre-existing medical conditions commonly occurred In 84% of the drowning deaths with known pre-existing medical conditions, the medical condition was deemed to concentration (BAC) 0.30% have contributed to the chain of events that led to the Illegal among those who drowned at the beach (28% of all drowning incident. commonly MDMA (ecstasy), methylamphetamine and cannabis 90% of these recorded a BAC ≥0.05% Age Location Activity At the time of publication, At the time of publication, 7 13 alcohol influence was still presence of drugs was 10-14 1 12 Swimming Bathtub/ Beach 8 & recreating unknown in unknown in 80% 82% 18-24 3 spa bath Bathing 25-34 3 7 of all cases of all cases 35-44 2 River/ 45-54 7 creek/ 6 stream Fall Alcohol present? Drugs present? 55-64 3 36 21 4 No No 65-74 12 Lake/dam/lagoon 7 4 3 75+ 12 Swimming pool Boating Watercraft 19 29 221 Yes 226 Yes Unknown Unknown Alcohol relevant (BAC≥0.05%)? Drugs legal? Cardiac Epilepsy Alzheimers Diabetes Autism 17 24 Yes 2 Yes 27 4 2 2 2 No 5 No
23 24 STATE AND TERRITORY DROWNING DEATHS 2018/19 64 32 12% 11% 6 98 33% Northern Territory Queensland 1% Western Australia 1413% South Australia New South Wales 56 33% Victoria 2 Australian Capital Territory New South Wales recorded the highest number of drowning deaths with 98, followed by Queensland with 64 drowning deaths. Victoria recorded a 33% increase against the 10-year average of 42 drowning deaths, while all other States recorded a decrease against the 10-year average. 4 67% Northern Territory recorded the highest fatal drowning rate at 2.43 per 100,000 population. Australian Capital Territory recorded the lowest fatal drowning rate at 0.48 per 100,000 population. Tasmania Arrows reflect 2018/19 change against the 10-year average
25 26 AUSTRALIAN CAPITAL TERRITORY NEW SOUTH WALES 2 98 This is a This is a and a 33% same 20% 1% and the drowning deaths occurred in ACT reduction on the 10-year drowning deaths occurred in NSW increase reduction on the 10-year in 2018/19 on 2017/18 average in 2018/19 on 2017/18 average 100% 100% 100% Male Swimming & recreating Summer 79% of those who drowned in New South Wales were male 1.13 1.06 0.99 0.73 Age Location 0.55 0.27 0.52 0.26 0.51 0.48 0.61 4 4 4 14 0 18-24 years 28 3 River/creek/stream 2 2 2 2 2 14 17 26 35-44 years 45-54 years Beach 1 1 QLD 0 1 14 15-17 years 15 5 9 9 0 1 2 3 4 5 6 7 8 55-64 years 9 /1 /0 /1 /1 /1 /1 /1 /1 /1 /1 /1 10 Rocks 08 09 10 11 12 13 14 15 16 17 18 0-4 years Lake/dam/lagoon 20 20 20 20 20 20 20 20 20 20 20 12 11 65-74 years 9 Crude rate Number of drowning deaths 10-year average crude rate 10-year average drowning deaths 75+ years Bathtub/spa bath 25-34 years Drowning deaths and death rates in Australian Capital Territory from 2008/09 to 2018/19 and the 10-year average Activity Season 11 30 46 Fall Swimming & ACT SWIM 4 LIFE PROGRAM 2018-19 recreating Summer PROGRAM 10 The Swim 4 Life holiday program provides access Aimed at children Swim 4 Life is the ACT’s only Non-aquatic opportunities for ACT children to participate in a variety transport 20 4-14 structured river/lake-based of aquatic programs regardless of their background or Spring water safety program. financial situation. Participants come from a variety of 9 14 backgrounds including Indigenous Australians, Bathing 8 Winter non-English speaking families, and new arrivals to 10-day program with 50% of sessions Boating 8 18 Australia. Many children come from low income families 10 delivered onsite at popular local open-water swimming locations. Rock fishing Autumn who do not have the resources to pay for participation in formal swimming and water safety programs. Children 1.57 1.50 1.44 1.44 and their families learn essential water safety and survival 1.41 1.24 1.31 1.26 1.25 1.23 1.34 skills, such as identifying natural dangers and hazards in OUTCOME inland aquatic environments, and resuscitation. Since 2010 children have participated in the 1.04 “ OVER My son has learnt survival skills and techniques that will enable him to respond in a number of “ 1000 Swim 4 Life program who otherwise may have missed out on basic water safety education. 109 106 103 102 105 92 98 96 97 98 99 different scenarios around water. 82 490 children participated in 2018/19 “ It is incredibly rewarding to witness the development “ of water safety knowledge and survival skills in all of 9 9 0 1 2 3 4 5 6 7 8 /1 /0 /1 /1 /1 /1 /1 /1 /1 /1 /1 the children. They grow with confidence, self- 08 09 10 11 12 13 14 15 16 17 18 20 20 20 20 20 20 20 20 20 20 20 awareness, and social skills as well. This is truly a remarkable and unique program. Crude rate Number of drowning deaths 10-year average crude rate 10-year average drowning deaths — Jackie Rousseau, program coordinator Drowning deaths and death rates in New South Wales from 2008/09 to 2018/19 and the 10-year average
27 28 NORTHERN TERRITORY QUEENSLAND 6 64 This is a and a This is a and a drowning deaths 14% reduction 33% reduction drowning deaths 2% increase 12% reduction occurred in NT occurred in QLD on the 10-year on the 10-year in 2018/19 on 2017/18 in 2018/19 on 2017/18 average average 67% of those who drowned in Northern Territory were male 86% of those who drowned in Queensland were male Age Location Age Location 9 10 25-34 years 25 2 2 0-4 years River/creek/ 1 55-64 years River/creek/stream 10 stream 1 18-24 years 18-24 years Beach QLD 7 1 18 45-54 years 10-14 years 2 Beach 3 1 1 7 375+ years 1 1 55-64 years Ocean/harbour 25-34 years 45-54 years Lake/dam/lagoon Other 7 4 15-17 years 11 3 1 1 65-74 years 4 35-44 years Lake/dam/lagoon 35-44 years Swimming pool 5-9 years Swimming pool Activity Season Activity Season 24 27 3 Swimming & Summer Non-aquatic 3 recreating transport Dry 10 Fall 15 8 1 1 3 7 Autumn Winter Swimming & Unknown Wet Non-aquatic recreating transport 1 5 4 14 Fall Boating Diving Spring 6.64 1.96 5.38 5.72 1.87 1.86 1.61 1.59 3.48 4.32 3.81 3.26 2.83 3.85 1.55 1.51 1.58 1.36 1.65 2.43 1.38 1.29 1.28 1.28 15 85 14 79 82 13 76 72 71 65 73 73 10 60 63 64 8 9 8 9 7 6 4 3 9 9 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 /1 /1 /0 /1 /1 /1 /1 /1 /1 /1 /1 /1 /0 /1 /1 /1 /1 /1 /1 /1 /1 /1 08 09 10 11 12 13 14 15 16 17 08 09 10 11 12 13 14 15 16 17 18 18 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 Crude rate Number of drowning deaths 10-year average crude rate 10-year average drowning deaths Crude rate Number of drowning deaths 10-year average crude rate 10-year average drowning deaths Drowning deaths and death rates in Northern Territory from 2008/09 to 2018/19 and the 10-year average Drowning deaths and death rates in Queensland from 2008/09 to 2018/19 and the 10-year average
29 30 SOUTH AUSTRALIA TASMANIA 14 4 This is a and a This is a and a drowning deaths 7% reduction 13% reduction drowning deaths 60% reduction 67% reduction occurred in SA occurred in TAS on the 10-year on the 10-year in 2018/19 on 2017/18 in 2018/19 on 2017/18 average average 86% of those who drowned in South Australia were male 75% of those who drowned in Tasmania were male Age Location Age Location 2 18-24 years 3 9 2 55-64 years Beach 1 1 Beach 2 55-64 years 35-44 years 35-44 years 1 River/creek/ QLD 1 stream 75+ years 2 1 1 45-54 years 1 65-74 years 3 Ocean/harbour 1 1 1 1 1 1 25-34 years Rocks 65-74 years 75+ years River/creek/stream Other 5-9 years 15-17 years Activity Season Activity Season 7 7 Swimming & Summer 1 1 1 recreating Non-aquatic 1 Summer Fishing Autumn transport 1 1 1 2 Winter 1 Swept away/in Watercraft 3 Swimming & 1 1 1 recreating Watercraft Winter 1 Rescue Autumn 3 Spring Boating 1 Spring Diving 1.57 3.01 2.93 2.58 2.51 2.36 2.34 1.76 1.75 1.75 1.91 2.29 0.91 0.91 1.01 0.86 0.84 0.88 0.87 0.81 0.84 0.75 0.76 15 15 25 0.76 13 13 12 12 12 17 10 14 15 15 14 15 15 14 16 9 9 9 12 13 4 9 9 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 /1 /1 /0 /1 /1 /1 /1 /1 /1 /1 /1 /1 /0 /1 /1 /1 /1 /1 /1 /1 /1 /1 08 09 10 11 12 13 14 15 16 17 08 09 10 11 12 13 14 15 16 17 18 18 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 Crude rate Number of drowning deaths 10-year average crude rate 10-year average drowning deaths Crude rate Number of drowning deaths 10-year average crude rate 10-year average drowning deaths Drowning deaths and death rates in South Australia from 2008/09 to 2018/19 and the 10-year average Drowning deaths and death rates in Tasmania from 2008/09 to 2018/19 and the 10-year average
31 32 VICTORIA WESTERN AUSTRALIA 56 32 This is a and a This is a and a drowning deaths 40% increase 33% increase drowning deaths 7% increase 11% reduction occurred in VIC occurred in WA on the 10-year on the 10-year in 2018/19 on 2017/18 in 2018/19 on 2017/18 average average 80% of those who drowned in Victoria were male 81% of those who drowned in Western Australia were male Age Location Age Location 9 16 9 45-54 years 12 14 25-64 years 7 Ocean/harbour 10 Beach River/creek/stream River/creek/ 8 65-74 years stream 25-34 years 1 QLD 7 15-17 years 7 18-24 years 1 Swimming pool 3 4 7 3 5-9 years 4 8 5 0-14 years Swimming pool 55-64 years 6 4 0-4 years 7 Bathtub/spa bath 3 3 75+ years 35-44 years Ocean/harbour 6 65+ years 15-24 years Bathtub/spa bath Beach Lake/dam/lagoon Activity Season Activity Season 9 Unknown 26 9 11 7 11 Summer 8 Boating Summer Swimming & Fall Swimming & recreating recreating 9 Spring 6 7 Boating 12 Winter 3 6 5 4 Bathing Winter Rescue Autumn 11 3 6 Non-aquatic transport 4 4 Spring Fall Autumn Bathing Diving 2.06 0.88 0.87 1.79 0.81 1.57 1.57 1.68 0.74 0.75 1.22 1.19 1.21 1.39 1.17 1.23 1.48 0.68 0.64 0.70 0.73 0.64 0.72 0.63 50 53 56 47 40 40 43 46 40 39 41 38 40 42 34 35 32 36 36 35 28 28 30 30 9 9 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 /1 /1 /0 /1 /1 /1 /1 /1 /1 /1 /1 /1 /0 /1 /1 /1 /1 /1 /1 /1 /1 /1 08 09 10 11 12 13 14 15 16 17 08 09 10 11 12 13 14 15 16 17 18 18 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 Crude rate Number of drowning deaths 10-year average crude rate 10-year average drowning deaths Crude rate Number of drowning deaths 10-year average crude rate 10-year average drowning deaths Drowning deaths and death rates in Victoria from 2008/09 to 2018/19 and the 10-year average Drowning deaths and death rates in Western Australia from 2008/09 to 2018/19 and the 10-year average
KEY ISSUES Royal Life Saving Society – Australia research aims to understand who, where, how and why fatal and non-fatal drowning occurs so that we can develop appropriate drowning prevention and water safety strategies to keep people safe. This section focuses on research and drowning data from the past 10 years, which identifies high-risk populations and contributing factors to drowning. This work will inform future drowning prevention policies and ensure appropriate messaging targeted at those most at risk.
36 OLDER 2018/19 2017/18 10-YEAR AVERAGE AUSTRALIANS 60DEATHS 51 DEATHS 61 DEATHS 2% 1.5 Deaths 1.3 Deaths 1.9 Deaths per 100,000 per 100,000 per 100,000 21% Drowning data for people aged 65 years and over NON-FATAL DROWNING INCIDENTS 57 47 55 SEX 22% 25% 23% Female Female Female 78% 75% 77% Male Male Male 2018/19 2017/18 Pre-exisiting medical condition Medication 40% 63% * 12%* 29% Alcohol 5% * 14% *Risk factor data presented for 2018/19 is pending closure of coronial cases and therefore will be underreported above.
37 10-Year Data Breakdown OLDER AUSTRALIANS 612 People 3.8 MILLION aged 65+ years As with any group, older Australians come from different socioeconomic backgrounds, with varying life experiences and 15% drowned in Australia lifestyles. These factors all influence the individual ageing process, of Australia’s total population and also reflect the risk of drowning for each individual. 1st July 2008 30th June 2018 2017 Many older Australians have not received or were not exposed to Age Top locations Top activities the level of water safety education that most Australians receive 17% 19% 22% 54% today. This highlights the importance of introducing water skills and education for older Australians, as well as promoting the 8.8 MILLION of Australia’s 65-74 years Ocean/ harbour 28% River/ Swimming & recreating 21% health benefits of recreating safely in aquatic environments. total population creek/ Fall stream 12% 16% 16% For the 10-year period, 1st July 2008 to 30th June 2018, the crude 85+ years Swimming Boating drowning death rate for older Australians (1.9 drowning deaths 34% pools per 100,000 older population) was greater than the national 2057 75-84 years Australian crude drowning rate (1.3 drowning drowning deaths per 100,000 population). Risk factors Index of relative socioeconomic advantage and disadvantage (IRSAD) 22% 12.8 MILLION 25% of Australia’s 76% Pre-existing 1/3 reside in areas of low total population 27% IRSAD (indicating 16% medical conditions 70% Alcohol high socioeconomic disadvantage) Medication Visitor status Overseas-born Aboriginal and 2002-2003 2018-2019 2097 Torres Strait Islander 80% Not a visitor 28% 6% People aged 65 years and over accounted for 22% of all drowning Projected growth in the number of older National average National average deaths over the past year, rising from 16% in 2002/03 Australians from 2017 to 20971 6% 31% 1% Older Australians Older Australians 10% Visitor – overseas Visitor – interstate When compared with the national average, older Australians have a higher crude Children Men aged 286 drowning death rate in all locations except for outer regional areas. Older Australians are 25-64 years 13 times more likely to drown if they reside in a very remote location when 0-14 years compared with older people living in major cities. The locations with the largest 41% 25% or most significant differences are remote and very remote locations. 65+ age group population crude 164 drowning deaths rate by remoteness Total population crude drowning Reduction in fatal deaths rate by remoteness drowning rates National crude drowning rate 26% 18% 79 Young people People aged 15-24 years 65 years and over 16 18 Major cities Inner regional Outer regional Remote Very remote Older Australians experienced the lowest reduction in fatal drowning rates from 1 July 2008 to 30 June 2018 st th Total number of drowning deaths in the older population by remoteness from 1 July 2008 to 30 June 2018 st th
39 40 Health Benefits Physical activity in the later years of life is essential to promote a healthy ageing process and Effects of Medication on independent functioning. Swimming has been shown to help prevent or manage many of Swimming Drowning in Older People chronic diseases, as well as improving overall physiological and psychological health. 36% of drowning deaths among older people involved As people age, changes occur in the way their some form of medication or drug bodies process medications, and the benefit/risk profile of a medication can change. Chronic medical conditions are more common in IMPROVES ALLEVIATES ageing populations10 which means older people are coordination, balance stress, and improves general more likely to be prescribed several medications.10-11 Multiple drug interactions can be complex and can and posture mental health and wellbeing increase the incidence of side effects in older individuals,11-12 which can increase the risk of drowning in this group. INCREASES respiratory capacity Drowning data from 2008/09 to 2017/18 suggests and function that, for unintentional fatal drownings in older people, an estimated 36% were taking some form 65% of these drowning deaths involved of medication or drug. Of these, 65% of drownings multiple medication involved multiple drugs. Of these individuals, 72% BUILDS involved medication that is a known or conditional endurance, muscle risk of propagating drug-induced long QT syndrome and Torsades de Pointes.13-14 strength and tone IMPROVES cardiovascular fitness and health IMPROVES 72% of these involved people taking medication that had a known or conditional risk immunity and of propagating drug-induced long QT syndrome decreases and Torsades de Pointes. inflammation HELPS Recent international studies have linked unexplained drowning deaths and conditions to maintain a involving cardiac arrhythmias15-17 to unintentional healthy swimming drowning deaths. Torsades de Pointes R bodyweight is an abnormal cardiac rhythm associated with a prolongation of the QT interval. Although in most cases it spontaneously returns to a normal T KEEPS rhythm, Torsades de Pointes and long QT P joints flexible syndrome can lead to sudden cardiac death, QS along with symptoms of fatigue, syncope and loss of consciousness.13-14,18-20 Long QT syndrome QT interval is known to have a congenital cause but medications are also a known risk factor.12-14 It is evident that older patients are more susceptible to experiencing drug side effects, especially with prolonged use of medications.10-11 Older patients taking psychiatric drugs are at higher risk.14,18 See references.2-9
42 RECOMMENDATIONS Target drowning prevention interventions and advocacy messaging to older people to highlight the risks of recreating in and around water alone. Focus drowning prevention interventions and advocacy on the issue of pre-existing medical conditions, and the potential side effects of prescription medication that could increase the risk of drowning. Use current data to target drowning prevention interventions to people aged 65 years and older in the local areas where they reside, particularly in remote and very remote locations. Encourage safe aquatic activity at public aquatic facilities to improve overall physical and mental health and wellbeing among older people. Review the role of medication in increasing the risk of drowning in older people. Investigate the potential link between drowning and medication known to propagate long QT syndrome and Torsades de Pointes ventricular tachycardia. 34
44 2017/18* 2016/17 10-YEAR AVERAGE 49 DEATHS 76 DEATHS 79DEATHS 38% SEX 32% 22% 20% Female Female Female 68% 78% 80% Male Male Male Residents Overseas Visitors (on holiday or visiting friends/relatives in Australia) 2017/18 10-YEAR AVERAGE 44 5 69 36% 11 55% MULTICULTURAL 2016/17 POPULATIONS 63 13 Drowning data for people born overseas, visiting or living in Australia *Year data most currently available for.
45 10-Year Data Breakdown MULTICULTURAL POPULATIONS 794 People drowned in Australian waterways Swimming skills and water safety knowledge among using clear messaging that is both culturally sensitive and who were born overseas overseas visitors is known to be less robust than those educational. This requires specific information aimed at who have grown up in Australia.21-22 An increase in new overseas transient populations (such as holiday makers, residents from a range of countries and cultures in recent seasonal workers or those visiting on short-term business), 1st July 2008 30th June 2018 years has important implications for drowning prevention new permanent residents and international students.21 strategies to ensure everyone recreating in and around Australia’s waterways remains safe. One element of this targeted approach is to encourage 27% of total drowning deaths during the 10-year period greater cultural diversity among those working in the There is, therefore, a need for tailored water safety aquatic industry in Australia, which can help to engage strategies to target multicultural communities appropriately multicultural populations. 77% 23% Male Female 83% UNITED KINGDOM 24% 658 were permanent 90 (14%) residents in were aged Australia at the EMERGING SOUTH KOREA 30 (10%) COMMUNITIES AT RISK 25-34 years people time of death rather than 10-year total (crude rate*) visitors CHINA 64 (10%) Taiwan 22 (6.1) Sudan 10 (4.5) INDIA South Korea 30 (3.6) 29 (5%) Nepal 10 (3.6) Ireland 18 (2.4) Overseas-born residents Overseas visitors International students NEW ZEALAND *per 100,000 population 46 (7%) living in Australia Countries with the highest number of drowning deaths from 2008/09 to 2017/18 Average drowning 66 11 3 deaths per year OVERSEAS VISITORS CURRENT TRENDS IN MIGRATION INTERNATIONAL 43 years 57 years 23 years STUDENTS Average age in 2017/18 were most commonly from: Numbers have increased by 2017/1823 10% from 2016/17. They are • China most commonly from: • United Kingdom • United States of • China United New Japan & South China China USA China India America • India Top 3 countries Kingdom Zealand Germany Korea • Nepal 23% 41% 22% 26% The highest growth in In 2017/18, the top three 22% River/ Beach River/ Beach Beach nationalities that transitioned creek/ creek/ visitor numbers over the stream past decade was from: RESIDENTS from a student visa to a stream 16% 22% New permanent residents permanent visa were: Ocean/ • China (309%) Top locations Rocks 22% were most commonly from: harbour Rocks • India (189%) • China 22% • Hong Kong (153%) • India • India 10% 42% • China • Vietnam 8% 12% 27% Swimming 48% Fall Swimming & recreating Swimming • United Kingdom & recreating & recreating 32% Top activities Diving Key groups within the overseas-born population
48 TOTAL OVERSEAS BORN, AUSTRALIAN BORN INCLUDING TOURISTS SEX 20% Female 22% Female RECOMMENDATIONS Promote, reinforce and encourage implementation of the action 80% 78% statements outlined in the 2018 Symposium on Addressing Drowning Male Male Among Multicultural Communities. LOCATION OF DROWNING 24% 30% Beach 17% River/creek/ Incorporate culturally diverse drowning perspectives into future 24% River/creek/ Swimming pool stream Australian Water Safety strategies and drowning reports. stream 17% 15% Ocean/ Promote stronger cross-sector collaboration to reduce fatal and Ocean/harbour harbour non-fatal drowning among multicultural communities across Australia. ACTIVITY PRIOR TO DROWNING 12% Diving 31% 19% Swimming & Swimming & Ensure greater opportunities to increase water safety knowledge recreating recreating and skills are made available to high-risk populations. 21% 12% Fall Fall 14% Boating Continue to advocate the value of learning swimming and water safety skills, and knowledge of drowning prevention among culturally diverse populations of all ages and communities. WAS ALCOHOL INVOLVED? 28% 55% 17% 30% 48% 22% Increase engagement with ethnic media to ensure that key messages are being disseminated effectively and in a culturally Yes No Unknown Yes No Unknown appropriate manner across multicultural communities. CHANGES IN THE AUSTRALIAN POPULATION24 Develop strategies to increase the cultural diversity of staff across the aquatic industry to reflect the local community. 29% 21% 49% The overall growth rate of the overseas-born population in 2016 was of people currently speak a language other of all Australians were more than three times the Engage with tourism agencies and operators to increase water safety living in Australia than English at home, either born overseas or population as a whole awareness and knowledge among overseas tourists. were born overseas most commonly had at least one parent Mandarin who was 5.1% VS 1.5%
50 ABORIGINAL AND 2017/18* 2016/17 10-YEAR AVERAGE 9 14 14 TORRES STRAIT 37% DEATHS DEATHS DEATHS 1.1 Deaths 1.7 Deaths 1.9 Deaths per 100,000 per 100,000 per 100,000 ISLANDER PEOPLE SEX Drowning data for Indigenous Australians 22% 36% 24% Female Female Female 78% 64% 76% Male Male Male STATE AND TERRITORY BREAKDOWN 40 Drowning deaths 1.9 Crude rate per 100,000 Aboriginal and Torres Strait 40 Islander population 5.7 per State or Territory 40 NT 1.9 20 2.1 QLD 7 WA 1.7 30 SA 1.2 0 3 NSW 0 0.5 ACT VIC 3 1.1 TAS Drowning deaths among Aboriginal and Torres Strait Islander people from 2008/09 to 2017/18 *Year data most currently available for.
51 10-Year Data Breakdown 143 People ABORIGINAL AND who identified as Aboriginal and Torres Strait Islander TORRES STRAIT ISLANDER PEOPLE drowned in Australia SWIMMING AND CHALLENGES 1st July 2008 30th June 2018 WATER SAFETY SKILLS Delivery of programs is very resource intensive, both from a staffing and financial 5% of total drowning deaths during the 10-year period but represent 3% of the total population Children from Aboriginal and Torres Strait Islander backgrounds perspective, especially in remote locations have previously been found to have lower levels of swimming and water safety skills and are less likely to achieve the skills identified Age Top locations Top activities Ensuring that programs and services are in the National Swimming and Water Safety Framework25 due to 17% 26% culturally appropriate, including the 35-44 years 18% 21% various reasons, including cost, access, medical conditions and 47% Fall Swimming provision of a diverse workforce that 0-4 years cultural barriers. River/ & recreating includes Aboriginal staff creek/ 17% WIDER HEALTH AND 45-54 stream 11% Access to remote communities can be years Non-aquatic WELLBEING BENEFITS difficult (both physically and in terms of transport gaining approval from Aboriginal Establishing swimming and water safety programs, and pools in communities) communities is not just about drowning prevention outcomes. Risk factors Remoteness Swimming pools provide wider health, wellbeing and social Many pools in remote communities are 28% benefits to individuals and the community. Research investigating 42% ageing and require substantial work and 46% Drug occurred in the value of swimming pools in remote communities has reported funding to maintain Alcohol (of these 53% recorded remote areas decreased skin, ear and nose infections, and increased physical (of these 71% illegal substances) activity and hygiene.26 Anecdotally, increased school attendance recorded a Governments should recognise that these BAC ≥0.05%) has also been recorded in areas where pools and swimming pools are essential for improving health and 32% programs have been introduced.27-28 social outcomes among people of all ages Had a pre-existing medical condition in Aboriginal and Torres Strait Islander, and ECONOMIC BENEFITS remote communities Risk factors differ by age Research has found that one visit to a swimming pool by an Ensuring that programs are relevant, Location Activity individual has a health economic value of $26.39 in improved sustainable and achieve real outcomes that 48% 76% health outcomes and consequent reductions in health spending are valued by the community Swimming pool Fall and absenteeism for the local economy.29 Aboriginal and Torres 0-4 years Strait Islander people in remote communities experience some of Cultural commitments and traditions need the poorest health outcomes in Australia. The overall value of a to be respected even if the program is 57% 66% swimming pool in remote communities is likely to be much higher. interrupted and not able to be completed River/creek/stream Swimming & recreating 5-17 years REMOTENESS 35% 18% River/creek/stream Non-aquatic transport Research shows there is a greater risk of 18-24 years drowning in rural and remote locations, due Drowning rates were and a risk of any to the greater distance from essential 44% higher drowning event was 52% River/creek/stream 28% Swimming & recreating services. Drowning deaths among Aboriginal and Torres Strait Islander people most among Aboriginal and Torres 1.44 times 25-54 years Strait Islander children than that of non-Aboriginal commonly occur in remote locations, despite non-Aboriginal and Torres children.31 only 18% of Aboriginal and Torres Strait Strait Islander children 69% 46% Islander people living in remote areas.30 River/creek/stream Non-aquatic transport 55+ years A Queensland study reported that all drowning events among Aboriginal and Torres Strait Islander children occurred in Previous research has found that Aboriginal and Torres Strait Islander children have an incidence rate regional or remote locations, compared with of drowning (fatal and non-fatal) 44% higher than non-Aboriginal and Torres Strait Islander children most non-Aboriginal children drowning in (0 – 19 years), with swimming pools identified as the leading location.31 major cities.31 Outer regional Remote Very remote
54 ROYAL LIFE SAVING WA TALENT POOL PROGRAM Royal Life Saving Society WA’s Talent Pool Program is a youth engagement, training and employment initiative that uses the local community swimming pool as a vehicle to RECOMMENDATIONS engage and develop first-time employment opportunities for Aboriginal youth throughout Western Australia. Talent Pool strives to provide real employment outcomes for graduates. These outcomes are achieved through the engagement of a range of stakeholders that work to support Talent Pool participants at all stages of their journey into employment. Plan and develop culturally appropriate strategies and programs with Aboriginal and Torres Strait Islander people. CHALLENGES 30% of participants were unable to complete the swim requirements of the Increase employment opportunities throughout the aquatic Bronze Medallion qualification. This has industry. driven change to the way the program is delivered to allow for week to week modulation to promote improved stroke technique and fitness conditioning Develop partnerships to engage with Aboriginal and Torres Strait Islander communities for drowning prevention planning and implementation. Incorporate swimming and water safety education with other health promotion programs/agendas. Work with other agencies and partners to deliver programs in a culturally appropriate manner. Align approach with other strategies and frameworks (eg, Closing the Gap, Indigenous Advancement Strategy). KEY OUTCOMES • Network of aquatic trainers established • 75 program participants with combined 82 across three regions to reduce the need actual course graduates (some completed more Improve drowning data pertaining to Aboriginal and Torres Strait for ‘fly in, fly out’ instructors, and build than one course) with 88% completion rate. Islander people, including non-fatal data. capacity and capability of regional centres to teach and assess candidates up • The Talent Pool Program has supported 26 to Bronze Medallion qualifications. participants to secure real employment or ‘pending employment’ opportunities on • Allows capacity and opportunity to offer completion of qualifications – includes flexible programming and tailor training lifeguard, pool operator, pool attendant, swim Develop a Reconciliation Action Plan for engaging and working to meet local needs. Of the 13 instructor, aquatic trainer, project officer and with Aboriginal and Torres Strait Islander communities. instructors, five were Aboriginal. events officer roles.
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