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溺死(WHO-E_(929), E_(934))의 疫學的 觀察

An Observation on the Incidence of Drowning Death in Korea

예방의학회지 1968년 1권 1호 p.79 ~ 86
지창용, 김영춘, 이병주, 주인호,
소속 상세정보
지창용 ( Chee Chang-Yong ) - 우석대학교 의과대학 예방의학교실
김영춘 ( Kim Young-Chun ) - 우석대학교 의과대학 예방의학교실
이병주 ( Lee Byung-Joo ) - 우석대학교 의과대학 예방의학교실
주인호 ( Chu In-Ho ) - 우석대학교 의과대학 예방의학교실

Abstract


This paper describes the incidence and some epidemiological features of drowning accident out of a series of our study on the epidemiology of various accidents in Korea. By the daily press it is apparent from the frequent reporting of swimming accidents that the incidence would be high.

In the rural areas, there are,at present, about 1,250 artificial lakes and farm ponds to be utlized for rice production. The reservoirs, irrigation ditches and riversides are also used for recreation. In most places facilities for aquatic activities is meager, and safety measures for the prevention of drowning is not sufficiently enforced.

In the survey crude data on drownings were collected from the concerned governmental statistic books for the period 1955 to 1967 which were compiled not in a uniform way. Drownings were classfied into two categories, one is accidental drowning, E929 and the other is due to cataclysm, E934, according to the WHO international classification of diseases. Epidemiological variables in relation to drowning accident were obtained through qualitative analysis of information from the popular news papers. The following summary may be drawn;

1. The average number of deaths due to accidental drowning totaled 1,088 annually and the mortality rate per 100,000 population was 3.4. The 42.0% of all drownings were rescued and the remaining were not saved.

2. The sex ratio (M/F) of the victims for all ages was 5 to 1, which had a wide range of difference among the age groups. The young ages less than 20 years occupied 68.0% of all deaths.

3. The percentage distribution of the causes of accidents revealed 31.9% for careless swimming, 45.5% for unskilled, 16.6% for swimmer´s cramp and 6.0 % for drunked. The distribution of places where accidents occurred showed 88.0% for rivers, water reservoirs, irrigation ditches and 12.0% for regular swimming pools. Tne seasonal distribution of cases indicated 85.0% of the total were seen during the summer months, June-August, and 50.0% of them occurred on Sundays.

4. The average annual deaths due to cataclysm were 402 and mortality rate per 100,000 population was 1.6, but the number of victims due to cataclysm varied greatly each year.

5. The accident cases due to cataclysm were classified into 60.0% for injuries, 40.0% for deaths. The .26.8% of all deaths were missing cases.

6. The deaths due to either accidental drowning or cataclysm totaled 1,490, and the death rate per 100,000 for the whole country was 5.0.

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