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NI 2
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National drowning surveillance strategy

Develop a national drowning surveillance working group to create a national drowning surveillance strategy addressing minimum datasets; develop standardized reporting tools; obtain consensus on drowning risk assessment measures; provide guidance on drowning surveillance, including the collection of sensitive information; develop and validate questions on aquatic knowledge, attitudes, and behaviors; and provide guidance on creating annual drowning reports.

Data Surveillance Working Group (DSWG), WG 1, WG 2

Progress Notes:

03/20/2026

Initial discovery

06/03/2025

Coordinating efforts across agencies

08/28/2025

Expansion of working group to include additional agencies and organizations; priorities TBD

02/19/2026

DSWG creating sub-working groups discussing media and data sources

03/20/2026

WG 1 addressing DS 10, DS 11, and partial work on DS 16

03/20/2026

DSWG addressing media education and DS 5

03/20/2026

WG 2 addressing DS 4

Recommendations Addressed

DS 1

Develop and implement a national surveillance system that includes collecting, analyzing, and sharing data from standardized incident reports at aquatic venues and services to inform the design and implementation of drowning prevention efforts.

DS 4

Develop and implement a standardized data collection tool to be used in drowning investigations for use by law enforcement, pre-hospital care, hospitals, coroners, and similar type investigators.

DS 5

Develop and disseminate a tool to enhance media reporting of fatal and nonfatal drowning to include details on known risk factors, such as water conditions, and evidence-based prevention strategies, such as isolation fencing, swim ability, life jacket use, lifeguard presence, alcohol, or drug use.

DS 7

Standardize assessment and reporting of alcohol, medication, and drug use among drowning victims, those who were supervising the victim, and boat operators as a factor in drowning incidents.

DS 8

Develop and implement guidance on standardized assessment and reporting of sensitive data like alcohol, medication, and drug use in drowning victims, those who were supervising the victim, and boat operators involved in drowning incidents.

DS 10

Create and disseminate a bank of standardized questions on water safety knowledge, attitudes, and behaviors for the purposes of program evaluation, and for integration into existing behavioral surveillance systems, such as Youth Risk Behavior Surveillance System (YRBSS) and Behavioral Risk Factor Surveillance System (BRFSS).

DS 11

Develop and implement a minimum standardized data set to track enrollment and skills achieved through swim lessons, water safety training, swim instructor training, CPR certification, lifeguard certification, boating safety certification.

DS 13

Improve surveillance of attitudes, beliefs, and wear habits for life jackets during boating, swimming, and other water recreation to better understand life jacket effectiveness in different circumstances.

DS 15

Create and disseminate a comprehensive annual national drowning report comprised of fatal and nonfatal data from multiple sources, including, but not limited to: WISQARS, WONDER, USCG Boating report, CPSC.

DS 16

Create and disseminate a comprehensive annual state drowning report comprised of fatal and nonfatal data from multiple sources, including, but not limited to: WISQARS, WONDER, USCG Boating report, CPSC, state injury databases.

WS WC 10

Develop and implement standardized measures to assess the drowning risk of all persons with disabilities (e.g., epilepsy, autism spectrum disorder, and other disabilities).

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