PCDP: Drowning Prevention

Drowning can happen to any family.

Drowning is the leading cause of unintentional injury death among children 1-4 years old in Orange County, CA and in the U.S.

For residential swimming pools, installation of a four-sided isolation fence that meets the Consumer Product Safety Commission standard is the primary barrier. Other barriers are secondary and may help by adding extra or multiple layers of protection but have not been shown to be effective through scientific research. Five major interventions are evidence-based.*

4-Sided Pool Fencing – An isolation fence. Supplementary barriers such as door alarms add layers of protection.
Life Jackets – U.S. Coast Guard-approved for open bodies of water and at pools for young children and unskilled swimmers.
Swim Lessons – High quality, low-cost lessons which are typically available through your city, the local Y or the Red Cross
Supervision – With no distractions such as cell phones
Life Guards
CPR Training – Immediate resuscitation at the submersion site with a focus on the airway and rescue breathing before compressions

* These are listed with descending levels of evidence in the AAP Policy Prevention of Drowning and Technical Report. It is important to stress that no single intervention if fully protective. Multiple layers of protection are recommended.

Every year, we hear tragic stories about accidental drownings. Here is what Nicole, Levi’s mother, shared with the National Center for Fatality Review and Prevention and the American Academy of Pediatrics. “Our three-year-old son, Levi, drowned in June 2018 while we were on a beach vacation with friends. One moment, he was sitting on the couch watching TV while I cleaned up dinner. In the next, I pulled him from the bottom of the pool. Levi had somehow slipped out of the kitchen filled with people, including myself, my husband, and five other physician friends.” Levi’s family is working tirelessly to prevent child drowning.

AAP Policy Statement: Prevention of Drowning. https://pediatrics.aappublications.org/content/143/5/e20190850

Technical Report: Prevention of Drowning. https://pediatrics.aappublications.org/content/148/2/e2021052227

Denny SA, Quan L, Gilchrist J, et al. AAP COUNCIL ON INJURY, VIOLENCE, AND POISON PREVENTION. Prevention
of Drowning. Pediatrics. 2019;143(5):e20190850. https://pediatrics.aappublications.org/content/pediatrics/143/5/e20190850.full.pdf

American Academy of Pediatrics Drowning Prevention Toolkit. https://services.aap.org/en/news-room/campaigns-and-toolkits/drowning-prevention