High Mortality Rate Due to Inflated Prevalence of Drowning Cases; An Observational Study Reflecting Regional Trends and Factors Affecting Asphyxial Deaths Due to Drowning in District Muzaffargarh

Regional Trends and Factors Affecting Asphyxia Deaths Due to Drowning in Muzaffargarh

Authors

  • Sanaila Gull Sana Department of Forensic Medicine, Federal Medical College, Islamabad, Pakistan
  • Roman Ashraf Department of Forensic Medicine, Lahore Medical and Dental College, Lahore, Pakistan
  • Syeda Hina Zahra Department of Forensic Medicine, Khyber Girls Medical College, Peshawar, Pakistan
  • Tasneem Murad Department of Forensic Medicine, Islamic International Medical College, Islamabad, Pakistan
  • Iftikhar Ahmed Department of Forensic Medicine, Peshawar Medical College, Peshawar, Pakistan
  • Sumbul Javed Department of Forensic Medicine, Khyber Girls Medical College, Peshawar, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v6i1.2614

Keywords:

Drowning, Accidental Drowning, Asphyxia, River Chenab

Abstract

Asphyxia deaths due to drowning, especially accidental deaths are soaring daily in many areas of Pakistan. This fact led us to conduct this study on prime areas of Muzaffargarh on the bank of River Chenab. Objectives: To determine the frequency of drowning cases and factors affecting their high prevalence. Methods: A retrospective study comprising 5 years (2019-2023), including both genders and age groups, asphyxia deaths particularly due to drowning but excluding unidentified bodies and other modes of asphyxia deaths. All variables are analyzed through SPSS-27. Results: Out of 412 drowning cases, 309 cases belong to accidental drowning (75%) with a predominance of the male population, almost 68.68%. The most prevalent age group involved is 11-20 years (31.31%). The majority of cases happen in the monsoon and summer seasons, 28.88% and 26.45% respectively. Conclusions: It was concluded that asphyxia deaths due to drowning are rising day by day, especially the cases involving accidental deaths. This showed the lack of proper preventive strategies in areas of Chenab River in District Muzaffargarh.

References

Davis CA, Schmidt AC, Sempsrott JR, Hawkins SC, Arastu AS, Giesbrecht GG et al. Wilderness Medical Society Clinical Practice Guidelines for the Treatment and Prevention of Drowning: 2024 Update. Wilderness and Environmental Medicine. 2024 Mar; 35(1_suppl): 94S-111S. doi: 10.1177/10806032241227460. DOI: https://doi.org/10.1177/10806032241227460

Jagnoor J and Scarr JP. Rising Tide: Opportunities for Accelerating Action On Drowning Prevention. The Lancet. 2023 Aug; 402(10401): 512-4. doi: 10.1016/S0140-6736(23)01463-0. DOI: https://doi.org/10.1016/S0140-6736(23)01463-0

Mathers CD. History of Global Burden of Disease Assessment at the World Health Organization. Archives of Public Health. 2020 Dec; 78: 1-3. doi: 10.1186/s13690-020-00458-3. DOI: https://doi.org/10.1186/s13690-020-00458-3

EA Pellondo'u PT, Ana Toya R, Novelyn S. Identification of Diatoms in the Upstream, Middle, and Downstream Ciliwung River as a Diagnostic Tool for Drowning. International Journal of Tropical Disease and Health. 2023 Feb; 44(2): 29-48. doi: 10.9734/ijtdh/2023/v44i21388. DOI: https://doi.org/10.9734/ijtdh/2023/v44i21388

Sarrassat S, Mrema S, Tani K, Mecrow T, Ryan D, Cousens S. Estimating Drowning Mortality in Tanzania: A Systematic Review and Meta-Analysis of Existing Data Sources. Injury Prevention. 2019 Oct; 25(5): 459-71. doi: 10.1136/injuryprev-2018-042939. DOI: https://doi.org/10.1136/injuryprev-2018-042939

Leth PM. Homicide by Drowning. Forensic Science, Medicine and Pathology. 2019 Jun; 15(2): 233-8. doi: 10.1007/s12024-018-0065-9. DOI: https://doi.org/10.1007/s12024-018-0065-9

Cenderadewi M, Franklin RC, Peden AE, Devine S. Fatal Intentional Drowning in Australia: A Systematic Literature Review of Rates and Risk Factors. Plos One. 2020 May; 15(5): e0231861. doi: 10.1371/journal.pone.0231861. DOI: https://doi.org/10.1371/journal.pone.0231861

Girela-López E, Beltran-Aroca CM, Dye A, Gill JR. Epidemiology and Autopsy Findings of 500 Drowning Deaths. Forensic Science International. 2022 Jan; 330: 111137. doi: 10.1016/j.forsciint.2021.111137. DOI: https://doi.org/10.1016/j.forsciint.2021.111137

Strasiotto L, Ellis A, Daw S, Lawes JC. The Role of Alcohol and Drug Intoxication in Fatal Drowning and Other Deaths That Occur On the Australian Coast. Journal of Safety Research. 2022 Sep; 82: 207-20. doi: 10.1016/j.jsr.2022.05.012. DOI: https://doi.org/10.1016/j.jsr.2022.05.012

Dandona R, Kumar GA, George S, Kumar A, Dandona L. Risk Profile for Drowning Deaths in Children in the Indian State of Bihar: Results from A Population-Based Study. Injury Prevention. 2019 Oct; 25(5): 364-71. doi: 10.1136/injuryprev-2018-042743. DOI: https://doi.org/10.1136/injuryprev-2018-042743

Lee DH, Park JH, Choi SP, Oh JH, Wee JH. Clinical Characteristics of Elderly Drowning Patients. The American Journal of Emergency Medicine. 2019 Jun; 37(6): 1091-5. doi: 10.1016/j.ajem.2018.08.066. DOI: https://doi.org/10.1016/j.ajem.2018.08.066

Peden AE, Franklin RC, Clemens T. Exploring the Burden of Fatal Drowning and Data Characteristics in Three High-Income Countries: Australia, Canada and New Zealand. BioMed Central Public Health. 2019 Dec; 19: 1-2. doi: 10.1186/s12889-019-7152-z. DOI: https://doi.org/10.1186/s12889-019-7152-z

Mal S, Tirmizi SZ, Waseem F, Makhdoom PA, Imran S, Mirza FH et al. Medico-Legal Analysis of Fatal Drowning in Karachi: An Autopsy Based Study. Pakistan Journal of Medical Health Sciences. 2020; 14(4): 1212-5.

Akhtar N, Mal S, Anwar A, Rasheed A, Aziz I, Langah IA. Pattern of Asphyxias Deaths in Forensic Autopsies. Pakistan Journal of Medical and Health Sciences. 2022 Apr; 16(03): 95-. doi: 10.53350/pjmhs2216395. DOI: https://doi.org/10.53350/pjmhs2216395

Hayat MA, Yang G, Iqbal A, Saleem A, Mateen M. Comprehensive and Comparative Study of Drowning Person Detection and Rescue Systems. In 2019 8th International Conference On Information and Communication Technologies. 2019 Nov: 66-71. doi: 10.1109/ICICT47744.2019.9001918. DOI: https://doi.org/10.1109/ICICT47744.2019.9001918

Ahmed M. Arkanabad-Where Drowning Is as Common as Dying a Natural Death. 2019 Jun.

Rahman A, Peden AE, Ashraf L, Ryan D, Bhuiyan AA, Beerman S. Drowning: Global Burden, Risk Factors, and Prevention Strategies. In Oxford Research Encyclopedia of Global Public Health. 2021 Dec. doi: 10.1093/acrefore/9780190632366.013.307. DOI: https://doi.org/10.1093/acrefore/9780190632366.013.307

Shotar AM, Halalsheh M, Shatnawi R, Abu-El-Rub H, Hussein NA, Shoter S et al. Epidemiological Analysis of Drowning Deaths Among Different Groups in Jordan-A Retrospective Study (2015-2019). Medical Archives. 2022 Feb; 76(1): 49. doi: 10.5455/medarh.2022.76.49-54. DOI: https://doi.org/10.5455/medarh.2022.76.49-54

Mehmood I, Saleem K, Azeem MT, Suhail S, Khan MA, Nadir S. Autopsy Based Pattern of Asphyxial Deaths in Forensic: A Retrospective Study. Annals of Punjab Medical College. 2023 Sep; 17(3): 289-92. doi: 10.29054/apmc/2023.1305. DOI: https://doi.org/10.29054/apmc/2023.1305

Aiman K, Ahmad H, Maman K, Gulzar A. A Homicide in Disguise: How the Autopsy Dug up Clues. Cureus. 2022; 14(5).

Peden AE and Işın A. Drowning in the Eastern Mediterranean Region: A Systematic Literature Review of the Epidemiology, Risk Factors and Strategies for Prevention. BioMed Central Public Health. 2022 Aug; 22(1): 1477. doi: 10.1186/s12889-022-13778-6. DOI: https://doi.org/10.1186/s12889-022-13778-6

Downloads

Published

2025-01-31
CITATION
DOI: 10.54393/pjhs.v6i1.2614
Published: 2025-01-31

How to Cite

Sana, S. G., Ashraf, R., Zahra, S. H., Murad, T., Ahmed, I., & Javed, S. (2025). High Mortality Rate Due to Inflated Prevalence of Drowning Cases; An Observational Study Reflecting Regional Trends and Factors Affecting Asphyxial Deaths Due to Drowning in District Muzaffargarh: Regional Trends and Factors Affecting Asphyxia Deaths Due to Drowning in Muzaffargarh. Pakistan Journal of Health Sciences, 6(1), 260–264. https://doi.org/10.54393/pjhs.v6i1.2614

Issue

Section

Original Article

Plaudit