Author Affiliations: Center for Injury Research and Policy, The Johns Hopkins School of Public Health, Baltimore, Md (Dr Smith), and Department of Social and Behavioral Sciences, Boston University School of Public Health, Boston, Mass (Dr Howland).
Over the past
quarter century, fatality rates in many unintentional injury categories
have declined dramatically, both in the United States and in other
industrialized countries.1 The largest decline in number of
deaths has been from unintentional drownings, which declined from 5700
in 1986 to 3959 in 1996.1,2 In contrast to other injuries,
the causes for this decline are largely unexplained.
Smith GS, Howland J. Declines in Drowning: Exploring the Epidemiology of Favorable Trends. JAMA. 1999;281(23):2245–2247. doi:10.1001/jama.281.23.2245
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