Presentation - World Conference on Drowning Prevention
Transcription
Presentation - World Conference on Drowning Prevention
EVALUATION OF LIFE JACKET USING IN CHILDREN INVIETNAM Tran Thi Ngoc Lan1, Luu Van Chuc2, Luong Mai Anh1, Khieu Thi Quynh Trang1 (1)Health Environment Management Agency, Ministry of Health of Vietnam (2)National Institute of Labour Protection Content 1. 2. 3. 4. 5. 6. Rationale of study Objectives Method Content Results Recommendations 1 Rationale of the study Injury by cause of death in those from 0-19 of age Rationale of the study (cont.) World Health Organization: an appropriate usage of life jacket is an effective method to contribute to the reduction of drowning mortality. Viet Nam has not ratified a specific regulation on life jacket wearing when participating in watery traffic 2 Objectives Overall objective: to assess the quality and utilization of life jacket as well as to recommend some interventions to increase the rate of life jacket wearing and to minimize drowning in Viet Nam Specific objectives Understanding the brand and quality of existing life jackets and providing recommendations on usage. Examining the situation of utilization and knowledge on advantages of life jacket Recommending some measures to foster life jacket using to contribute to control drowning in children. Method Objective 1: Study subjects: life jacket Site: Ha Noi Observation of existing life jacket at study sites Testing the quality (using some criteria) of life jacket at study sites Assessment standard: TCVN 7282:2003 Assessment criteria: General criteria: sewing line, size, weight and other accessories Strength: mechanics strength, ability against fading... Floating Mechanics endurance of shoulder and body of life jacket Level of convenience when using life jacket Strength when testing the falling and floating 3 Method Table 1: Description of a life jacket meeting the standard No Testing criteria Needed result Testing condition 1. Strength of the body of No damage life jacket - Soaking in the water 2 mins - Loading 500N /30 mins 2. Strength of the No damage shoulder of life jacket Soaking in the water 2 mins - Loading 400N /30 mins 3. Floating Floating error 5% Before and after soaking in fresh water within 24 hours 4. Wearing life jacket Wearing time 1 min - Wearing without assisstance 5. Strength when testing - The life jacket is not the falling and floating damaged or causes any hurt for the user - Slope between the body and vertical direction 300 - The distance from the water surface to mouth 80mm -Jumper has to strongly hold the life jacket - Jumping from height of 3.5 m to the water Method Objective 2: Study subjects: high school students Site: Dong Thap Retrospective study Social study: interview and focused group discussion Sample size: Z2 (1-/2). p.q n = -------------------- = 384 d2 ( assumption of p=0.5 having adequate knowledge on drowning, Z=1.96, d=0.05) Study time: 2006 4 Content Examining the existing life jackets in Hanoi to capture their brand and quality. Evaluating the quality of some selected life jackets (using table 1 above). Developing appropriate questionnaires to interview high school students, parents and teachers in Dong Thap on life jacket usage and impact of it Recommending some measurements on increasing the rate of using life jacket. Results 1. Existing life jackets in Hanoi Table 1: Kinds of life jacket No Life jacket Description Origin 1 X 26 - Front: 1 piece made from sponge plastic. - Back: 2 pieces made from 02 sponge plastic layers. Covered by a thick nylon layer. 3 hoops with 2 big padlocks. Reflection light in front and back. - Horn - Colour: Orange - Many sizes - Price VND 110,000- 165,000 2. Hoa sua - Front and back: 1 piece made from 6 sponge plastic layers, Covered Hoa Sua by nylon, 2 hoops with 2 big padlocks. Compan - Colour: Orange y - Many sizes - Price VND 80,000-120,000 3. Thang loi - Front and back: 1 piece made from 4 sponge plastic layers, Covered by nylon, 3 hoops with 3 small padlocks. - Many sizes - Colour: green and pink - Price VND 70,000-80,000 Certificate of quality Compan TCVN 7282y X 26 2003 (Ministr y of Defense ) Thang Loi Compan y TC: 012000/CSTL 5 Results 1. Existing life jackets in Hanoi No Life jacket Description Origin 4. Thai Son Front and back: 1 piece made from 4 sponge plastic Thai Son layers, Covered by nylon, 3 hoops with 3 small padlocks. Company - Many sizes - Colour: Orange - Price VND 70,000-80,000 5. Domestic life jacket without label - Front and back: many pieces made from 3 sponge None plastic layers, Collar, reflection light, horn. - Colour: Orange inside and green outside - Price VND 60,000-70,000 - 6. Others - Made from sponge plastic like other life jacket. -Price VND 55,000-60,000. - Hong Hanh company Certificate of quality Results 2.Evaluating the quality of some selected life jackets No Type of jacket Measuring and testing result Strength of the body of life jacket Strength of the shoulder of life jacket Strength when floating The distance from the water surface to mouth General assessment Slope between the body and vertical direction 1. Thang loi No damage (without breaking band and sewing line...) Sewing line was broken after 10 mins of being loaded Band was broken No damage 110mm 550 Not meeting the standard 2. Thai Son No damage (without breaking band and sewing line...) Sewing line was broken No damage 80mm 600 Not meeting the standard 3. Unknown origin Ban and sewing line were broken Band was broken - - - Not meeting the standard 6 Results No Type of jacket Measuring and testing result Strength of the body of life jacket Strength of the shoulder of life jacket Strength when floating General assessment The distance from the water surface to mouth Slope between the body and vertical direction 4. Hoa Sua No damage (without breaking band and sewing line...) No damage (without breaking band and sewing line...) No damage 90mm 550 Meet the standard 5. X 26 No damage (without breaking band and sewing line...) No damage (without breaking band and sewing line...) No damage 80mm 550 Meet the standard 6. TCVN 7282:2003 No damage after a load of 500N /30 mins No damage after a load of 400N /30 mins The life jacket is not damaged or causes any hurt for the user 80mm 300 Testing the strength of the shoulder of life jacket Testing the strength of the body of life jacket 7 Measuring the slope between the body and vertical direction, and the distance from the water surface to mouth Test of falling Results 3 types of life jacket do not meet standard of quality. Only X 26 and Hoa Sua achieve the standard. However, X 26 is costly (more expensive than Hoa Sua with 30,000-40,000 VND). Breaking the band when testing Hoa Sua X 26 8 Study results 3. KAP on drowning and life jacket wearing in high school students in Dong Thap 41.9 45 35.5 40 35 30 22.6 25 16.1 20 15 10 5 0 without life jacket Old/damaged boat Too many passengers on boat Others Reasons of drowning in high school students Students do not wear life jackets as they believe that they have adequate ability of swimming Results 3. KAP on drowning and life jacket wearing in high school students in Dong Thap (cont.) 91.48% can swim 18.9 % of students go to school by boat 93.7% with positive awareness on life jacket usage. Only 15.93% of them utilize life jacket which was subsidized. 46.15% of children do not wear life jacket regularly. X-26 and Hoa Sua are preferable for utilization with 88.5%. Students go to school by boat 9 Recommendations 1. 2. 3. 4. Elimination of risk factors of drowning (construction of bridge; replacement of bamboo bridges with cement ones; management of ships and boats or rejection of old ships; Development of compulsory regulations on providing adequate quantity of life jackets on boat Enhancement of life jacket usage through increase of awareness on life jacket using, free provision of life jacket and decrease of life jacket price; Further studies on reasons of not wearing life jacket among children and young people Thank you for your attention 10