Rate of pediatric tap water scald injuries in eastern Ontario.

BACKGROUND Tap water scalds can be devastating and are entirely preventable. This topic has received notable attention in Canada in recent years, with a national campaign in 2001 directed at parents recommending that they lower the water temperature of their home water heater. This campaign has been evaluated and reported as a successful population-based intervention. OBJECTIVES The present study evaluated the rate of pediatric tap water scalds in Ottawa, Ontario over the 10-year period from 1993 to 2002 in an attempt to identify the impact of this national awareness campaign. METHODS Data from the Children's Hospital of Eastern Ontario available in the Canadian Hospitals Injury Reporting and Prevention Program database were used to calculate the yearly incidence density of tap water scalds among children younger than 15 years in the city of Ottawa. RESULTS It was found that there was no statistically significant change in the rate of pediatric tap water scalds following the national campaign, and that the rate of these injuries was already very low (3.73 per 100,000 person-years over the study period). Of these, only 17% required observation or admission to hospital. CONCLUSIONS Given the low incidence of these injuries, their priority as a public health concern needs to be re-evaluated. If they continue to be a priority, new preventive strategies need to be used. It is thought that resources used to lobby for legislation of lower hot water temperatures may be more effective in reducing the incidence of these injuries.