PEOPLE DROWNED 276 2019 - Royal Life Saving

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PEOPLE DROWNED 276 2019 - Royal Life Saving
NATIONAL                                        2019
DROWNING
  REPORT
 Research and policy
     insights for
drowning prevention
  and water safety

                       276 PEOPLE DROWNED
                       IN AUSTRALIAN WATERWAYS

                                                  SUPPORTED BY
PEOPLE DROWNED 276 2019 - Royal Life Saving
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
PEOPLE DROWNED 276 2019 - Royal Life Saving
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
PEOPLE DROWNED 276 2019 - Royal Life Saving
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

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               and a                                                                                                                                                     5-9 years

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            4%
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                                                                                                                                                       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

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                                                                                                                                                                                                             Drowning deaths          10-year average drowning deaths
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          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

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                                                                    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
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                                                                                                                                                                                                                 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

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 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

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                                                                                                                                                                                                                                  6

                                                                                                                                                                                                                                                  7

                                                                                                                                                                                                                                                               8

                                                                                                                                                                                                                                                                              9
 peaked in January with 48

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                                                                                                                           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
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                                                                                                                                                                                                                                                                                                                                                                                                                              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

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 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

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 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

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                                                                                                                        8
                                                                                                                                                       55-64 years                                                                                                         9

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                                                                                                                                                                                                      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
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                                                                             the children. They grow with confidence, self-
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                                                                                                                                                                                                                                                                                       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
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                                                                                                                                                                                                                 20

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          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

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                                                                                                                                                                                                                          20

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          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
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                                                                                                                                                                                                                           20

                                                                                                                                                                                                                                      20

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                                                                                                                                                                                                                                                                                                            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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