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Introduction
A Drowning is a common and preventable health problem1 and it is one of the leading causes of lethal non-intentional injuries in children younger than 5 years old.2, 3 The locations of bodies of water associated with drowning vary with children's ages and stage of development, though the "home" is one of the most frequently reported location.1,4,5 At home, children around 3-4 years old drown most frequently in cisterns, wells, sinks or trenches, whereas children around 1 or 2 years old drown in buckets or bathtubs.3,4,6 In the Guadalajara Metropolitan Area (Jalisco State, México), buckets represent the second most frequent body of water where children 1- 4 years old drown at home, representing 21.2% of all cases. In first place was the underground cistern, with 39.4%.7,8 According to Leon,8 preschool children can drown when the water depth reaches 2.5 cm, and the risk increases as water reaches depths of 20 or more centimeters.9
Infant and preschool children have characteristics and behaviors that increase the risk of drowning. These include imperfect motor coordination, staggering gait, fragmentary observation, incapacity, development of independence, and...