|Title||Drowning injuries in Vietnam: More burden in vulnerable group|
|Publication Type||Conference Paper|
|Year of Publication||2011|
|Authors||Nguyen, TTN, Vos, T|
|Conference Name||World Conference on Drowning Prevention|
|Publisher||International Life Saving Federation|
|Conference Location||Danang, Vietnam|
The World Health Organization (WHO) in recent years showed that drowning is one of the leading causes of fatal injuries in the world, particularly in developing countries. Drowning is a particularly large cause of death in Vietnam. We compare deaths and DALYs from drowning in Vietnam with Thailand and Malaysia.
A Burden of Disease (BOD) study was done in Thailand in 1999; in Malaysia in 2000; and in Vietnam in 2008. BOD of each country combined both mortality and disability components into a single metric, the Disability Adjusted Life Year (DALY). The method of estimating mortality varied between the three countries depending on available data sources. The Thai vital registration (VR) system has more than 40% ill-defined causes of death. Instead, the causes of death were derived from a large verbal autopsy (VA ) study in 10 provinces and correction of underreporting of deaths based on an intercensal survey. In Malaysia, the VR is complete for the majority of the population living on the Peninsula. For the states of Sabah and Sarawak, morality rates were computed from a small study of completeness of their VR data. In Vietnam, causes of death were also determined by VA in a representative sample of communes. For morbidity due to drowning, both Thailand’s and Malaysia’s BOD used data from hospital admissions to estimate incidence rate. Vietnam’s incidence was derived from a national injury study. The results are presented as age-standardised death rates and DALY rates per 100,000 population.
Conclusion and discussion
Drowning is an important cause of death and disease burden in Vietnam and the two other South East Asian countries for which we had comparable data. Drowning prevention in the region deserves attention in priority setting.