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It's the 3rd leading cause of unintentional injury death – how to protect your kids from drowning

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It's getting hotter and the appeal to take a dip in a river of pool is irresistible, especially for kids – even those who may not know how to swim.
It's getting hotter and the appeal to take a dip in a river of pool is irresistible, especially for kids – even those who may not know how to swim.
Sean Anthony Eddy/Getty Images

As the summer holidays approach there's a dark side to this festive period: heartbreaking stories of kids drowning dominate news headlines.

About 600 children drown in our country’s waters each year, the National Sea Rescue Institute (NSRI) estimated last summer, and kids under the age of five are the most vulnerable at the beach, swimming pools, dams and even splash pools, baths and buckets. 

But South Africa is not unique in this. "Drowning is the third leading cause of unintentional injury death worldwide, accounting for 7% of all injury-related deaths and there are an estimated 236 000 annual drowning deaths worldwide," according to recent World Health Organisation (WHO) data, "and age is one of the major risk factors with the highest drowning rates among children aged 1-4 years, followed by children 5-9 years, the UN health agency says.

Here's how to keep your children safe.

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The number one water safety rule

It's advised that swimmers and beach-goers avoid crowds, wear their masks when not in the water, and maintain at least a one-metre distance from others when swimming or in swimming areas. 

Supervising children 

Even those in shallow water or those who know how to swim.

This is the most important factor in keeping kids safe in water, says Pearl Mbomvu, a Soweto-based swimming coach and instructor. She adds that a child can drown in as little as 20 seconds.

During the festive season, parents might indulge in alcohol while their children are enjoying themselves in nearby water.

“Being under the influence of alcohol while driving is incredibly dangerous – the same goes for when you’re swimming or supervising children swimming in a pool or at the beach,” Mbomvu says.

Alcohol can impair an adult’s ability to notice that a child is in danger, or act quickly and correctly if they need help.

Riptides

Swim in the ocean only where there are lifeguards on duty.

If you get caught in a rip current, try not to panic. Don’t try to swim against the current – it’ll only exhaust you.

“The fear and panic to get out of the water creates frustration,” Mbomvu says. “This leads to a rapid heart rate and it becomes difficult to think clearly about what to do to save ourselves.”

Let the current take you. It’ll first suck you in, then spit you out.

  • Stay afloat by treading water gently – move your arms and legs in circular movements.
  • Keep your head above water and take deep, slow breaths.
  • Wave towards the shore with your arms in big scissor-like motions.
  • Shout for help to alert people.
  • Swim parallel to the shore as soon as you are free from the pulling force. Then use incoming waves to swim back to shore.
  • If you see someone in trouble, immediately call emergency services on 112 from a cellphone. Don’t get into the water yourself, even if it’s a family member – chances are you will get caught in the rip current as well.

    Signs and flags

    When going to the beach, opt for one with a “blue flag” status, of which South Africa has 45. They’re considered our safest, most family-friendly beaches.

    There are six blue-flag beaches in the Eastern Cape, six in KwaZulu-Natal and 33 in the Western Cape. A Google search will take you to websites that list them.

    “Always be on the lookout for dangerous swimming conditions,” Mbomvu says.

     “This includes swimming areas with no shallow- and deep-end signs, overcrowding, dams also used as dumping sites, and beaches with no flags or lifeguards on duty.”

    Getting into the water

    Mbomvu says whether it’s a pool or dam, it’s vital that children know the correct way to enter a body of water.

    “Severe injuries can occur when children jump or dive head-first into shallow water.” When entering a pool, use the steps or the swivel method. Start in a sitting position, with legs in the water, place both hands on one side of your body and then turn your back to the water. Lower yourself gradually, keeping hold of the poolside at all times.

    “It’s important for a child to find their balance using this method,” Mbomvu says.

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    Secondary drowning

    If your child has had a near-drowning incident, keep an extra close watch on them for a few days after the incident.

    They could still experience complications. This is called “dry” or “secondary” drowning, which is when water is taken in through the nose or mouth and causes the windpipe to become constrained.

    Symptoms are coughing, chest pain, trouble breathing and fatigue. If this happens, seek medical attention as soon as possible.

    Basic CPR

    It might be your first instinct to jump into a pool to save someone in need.

    “But the best thing you can do is to use a long object such as a broom, pool noodle or belt to help the person,” Mbomvu says.

    “This applies mainly to helping older children whose weight might make it challenging to drag them out of water as they’re holding on to you.”

    As a parent supervising children, it’s critical to be familiar with lifesaving techniques, including basic CPR.

    Remove the child from the water and place them on a firm surface. Check to see if they’re breathing by placing your cheek or ear to their mouth. Call their name to see if they’re conscious. If they’re not breathing, call an ambulance and then begin the CPR process.

    How to do CPR
    • Tilt their head back slightly and lift the chin.
  • If it’s a baby, place your mouth over their nose and mouth, forming a tight seal, and breathe out for one second.
  •  If it’s an older child, hold their nose closed and release a breath in their mouth. You should see the child’s chest rise.
  • Repeat the process and begin chest compressions by placing the heel of one hand on the centre of the chest in line with the nipples. You can put your other hand on top of that hand to help push.
  • Rapidly press down on the chest by about 5cm and release the pressure. Make sure you’re not pressing down on the child’s ribs.
  • Do 30 chest compressions, allowing the chest to rise completely between pushes and breathe into their mouth between each set of 30 compressions.
  • Check to see if the child has started breathing.
  • For infants, use two fingers instead of your hands to deliver 30 quick compressions.
  • Extra sources: webmd.com, nsri.org.za, healthline.com

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