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  <front>
    <journal-meta><journal-id journal-id-type="publisher">NHESS</journal-id><journal-title-group>
    <journal-title>Natural Hazards and Earth System Sciences</journal-title>
    <abbrev-journal-title abbrev-type="publisher">NHESS</abbrev-journal-title><abbrev-journal-title abbrev-type="nlm-ta">Nat. Hazards Earth Syst. Sci.</abbrev-journal-title>
  </journal-title-group><issn pub-type="epub">1684-9981</issn><publisher>
    <publisher-name>Copernicus Publications</publisher-name>
    <publisher-loc>Göttingen, Germany</publisher-loc>
  </publisher></journal-meta>
    <article-meta>
      <article-id pub-id-type="doi">10.5194/nhess-19-389-2019</article-id><title-group><article-title>Estimations of rip current rescues and drowning in the United States</article-title><alt-title>Estimations of rip current rescues</alt-title>
      </title-group><?xmltex \runningtitle{Estimations of rip current rescues}?><?xmltex \runningauthor{B.~C.~Brewster et al.}?>
      <contrib-group>
        <contrib contrib-type="author" corresp="yes" rid="aff1">
          <name><surname>Brewster</surname><given-names>B. Chris</given-names></name>
          <email>brewster@lifesaver1.com</email>
        </contrib>
        <contrib contrib-type="author" corresp="no" rid="aff1">
          <name><surname>Gould</surname><given-names>Richard E.</given-names></name>
          
        </contrib>
        <contrib contrib-type="author" corresp="no" rid="aff2">
          <name><surname>Brander</surname><given-names>Robert W.</given-names></name>
          
        </contrib>
        <aff id="aff1"><label>1</label><institution>United States Lifesaving Association, 1968 South Coast Highway no. 740,
Laguna Beach, California 92651, USA</institution>
        </aff>
        <aff id="aff2"><label>2</label><institution>School of Biological, Earth and Environmental Sciences, UNSW Sydney,
Sydney, NSW 2052, Australia</institution>
        </aff>
      </contrib-group>
      <author-notes><corresp id="corr1">B. Chris Brewster (brewster@lifesaver1.com)</corresp></author-notes><pub-date><day>22</day><month>February</month><year>2019</year></pub-date>
      
      <volume>19</volume>
      <issue>2</issue>
      <fpage>389</fpage><lpage>397</lpage>
      <history>
        <date date-type="received"><day>15</day><month>May</month><year>2018</year></date>
           <date date-type="rev-request"><day>25</day><month>June</month><year>2018</year></date>
           <date date-type="rev-recd"><day>5</day><month>December</month><year>2018</year></date>
           <date date-type="accepted"><day>17</day><month>December</month><year>2018</year></date>
      </history>
      <permissions>
        <copyright-statement>Copyright: © 2019 B. Chris Brewster et al.</copyright-statement>
        <copyright-year>2019</copyright-year>
      <license license-type="open-access"><license-p>This work is licensed under the Creative Commons Attribution 4.0 International License. To view a copy of this licence, visit <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/">https://creativecommons.org/licenses/by/4.0/</ext-link></license-p></license></permissions><self-uri xlink:href="https://nhess.copernicus.org/articles/19/389/2019/nhess-19-389-2019.html">This article is available from https://nhess.copernicus.org/articles/19/389/2019/nhess-19-389-2019.html</self-uri><self-uri xlink:href="https://nhess.copernicus.org/articles/19/389/2019/nhess-19-389-2019.pdf">The full text article is available as a PDF file from https://nhess.copernicus.org/articles/19/389/2019/nhess-19-389-2019.pdf</self-uri>
      <abstract>
    <p id="d1e104">Rip currents are the greatest
hazard to swimmers on surf beaches, but due to a lack of consistent incident
reporting in many countries, it is often difficult to quantify the number of
rip-current-related rescues and
drowning deaths occurring along surf beaches. This study examines this
problem using rescue data reported to the United States Lifesaving
Association (USLA) by surf beach rescuers from 1997 through 2016. These data
were checked, corrected, and culled so that only data from surf beach rescue
agencies that reported the primary cause of rescue were included. Results
show that rip currents are the primary cause of 81.9 % of rescues on surf
beaches, with regional variation from 75.3 % (East Coast) to 84.7 %
(West Coast). These values are significantly higher than those previously
reported in the scientific literature (e.g., 36.5 %, 53.7 %). Using
this value as a proxy when examining overall surf beach drowning fatalities,
it is suggested that more than 100 fatal drownings per year occur due to rip
currents in the United States. However, it is clear that the United States
data would benefit by an increase in the number of lifeguard agencies which
report surf-related rescues by primary cause.</p>
  </abstract>
    </article-meta>
  </front>
<body>
      

<sec id="Ch1.S1" sec-type="intro">
  <title>Introduction</title>
      <p id="d1e114">On beaches around the world characterized by wave breaking activity across
surf zones (herein referred to as “surf beaches”), it is well established
that the primary cause of rescues conducted by lifeguards, as well as fatal
drownings, is rip currents (e.g., Klein et al., 2003; Gensini and Ashley,
2010a; Brighton et al., 2013; Brander and Scott, 2016). Rip currents are
strong and concentrated flows of water moving away from the shoreline that
are driven by alongshore variability in wave breaking and energy dissipation
(Castelle et al., 2016). They are complex and variable features that are
manifest as diverse types, which can be both persistent and transient in
occurrence and location, may occupy deeper channels between shallower sand
banks, or may lack any morphologic expression at all and can occur along open
stretches of beaches, both oceanic and lacustrine, or against hard
structures such as headlands or piers (Castelle et al., 2016).</p>
      <p id="d1e117">Typical rip currents are on the order of 5–50 m wide and extend to the
seaward limit of the surf zone, where they may recirculate, or extend past
the surf zone variable distances offshore (Castelle et al., 2016). Mean rip
current flow speeds over sustained periods (hours) are on the order of
0.3–0.5 ms<inline-formula><mml:math id="M1" display="inline"><mml:msup><mml:mi/><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:math></inline-formula>, but rips can experience short-lived pulsations of 2 ms<inline-formula><mml:math id="M2" display="inline"><mml:msup><mml:mi/><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:math></inline-formula> or
more (MacMahan et al., 2006) making them a significant hazard to swimmers or
waders of all swimming abilities who may find themselves caught in them.
Inexperienced surfers and bodyboarders can also be imperiled by rip currents
(Attard et al., 2015).</p>
      <p id="d1e144">There has been a significant and recent increase in research relating to
both physical and social aspects associated with the rip current hazard
(e.g., Hatfield et al., 2012; Brannstrom et al., 2014; McCarroll et al.,
2014; Scott et al., 2014; Castelle et al., 2016b; Houser et al., 2017).
However, an ongoing challenge in addressing the actual societal and economic
impact of the rip current hazard for beach safety practitioners,
governments, and scientists alike is obtaining accurate values of the number
of rip-current-related lifeguard rescues and fatal rip current drownings. In
terms of the latter, two key factors make it impossible to determine the
number of deaths caused by rip currents with complete accuracy.</p>
      <p id="d1e147">First, it is well established that the majority of fatal rip current
drownings occur on beaches unpatrolled by lifeguards or outside of seasonal
or daily beach patrol times (Branche<?pagebreak page390?> and Stewart, 2001; Brander and Scott,
2016; SLSA, 2017). In some of these incidents, there are simply no
eyewitness accounts available to help determine the cause of drowning. In
others, drowning deaths are observed, but by people lacking necessary
awareness and understanding to correctly attribute the role (if any) of a
rip current in a drowning.</p>
      <p id="d1e151">Second, in many countries there are no national requirements for reporting
the causal factors (such as rip currents) in coastal drowning deaths. Even
in countries that do, such as Australia (Brighton et al., 2013) and Costa
Rica (Arozarena et al., 2015), the documented number of rip current
fatalities is likely underestimated for the reasons previously noted. For
example, while Brighton et al. (2013) determined an average of 21 rip-current-related fatalities on Australian beaches per year, they emphasized
that this value was an underestimate as it was based only on confirmed rip-current-related drowning deaths.</p>
      <p id="d1e154">The United States, with thousands of kilometers of coastline affected by rip
currents and hundreds of millions of beachgoers each year, presents a
challenge in accurately determining the number of rip-current-related
drownings that occur. There are five distinct coastal regions characterized
by different wave climates and physical characteristics, such as geologic
setting and beach type: (i) the continental Pacific West Coast; (ii) the
Atlantic East Coast; (iii) the Gulf Coast; (iv) the coastlines of the Great
Lakes; and (v) the Hawaiian Islands. Air and water temperature differences,
as well as beach user demographics and beach usage, can also vary greatly
among these regions, creating variable swimming seasons throughout the
country</p>
      <p id="d1e157">The complex forcing mechanisms associated with rip current formation, type,
and location both within and between these regions not only lead to exposure
to the rip current hazard being extremely variable spatially and temporally,
but also make it difficult and laborious to provide a gross estimate of the
occurrence and location of rip currents on United States beaches at any
given time. Similarly, although some coastal US National Weather Service
(NWS) offices receive daily reports on rip current activity from lifeguards
to assist in evaluating and disseminating their public rip current hazard
advisory (Houser et al., 2017; Moulton et al., 2017), these reports do not
typically include the specific type, location, or number of rip currents.</p>
      <p id="d1e160">Perhaps most importantly, as in other countries, the presence of lifeguards
on US beaches is temporally and spatially variable. While some beaches have
lifeguard beach patrols year round, and two (Los Angeles County and the city
of San Diego) staff lifeguards 24 h a day, year round, others are staffed
seasonally or are completely unstaffed (not patrolled). As such, there are
many periods of time and beaches where lifeguards are absent. The breadth of
services provided by US lifeguard agencies also varies tremendously. Some are
staffed and funded as primary providers of public safety, with a variety of
advanced training and equipment, such as oceangoing rescue vessels, 9-1-1
answering points, and advanced medical training. Others provide more basic
services with limited technology (Brewster, 2017).</p>
      <p id="d1e163">Despite these challenges, several attempts have been made to quantify the
number of rip-current-related fatalities on US beaches. Lushine (1991)
combined documented rip current drowning fatalities in Florida, North
Carolina, and Alabama with various nationwide drowning statistic databases to
estimate that 150 rip-current-related fatalities occur each year nationally.
Gensini and Ashley (2010a) used LexisNexis, an online archive of newspaper
articles sourced from local and national newspapers, combined with the
National Climatic Data Center's (NCDC) Storm Data (now known as Storm Events) database (which uses a wide
variety of sources from emergency management officials to newspaper clipping
services), to conclude that on average 35 people die from rip currents in the
US each year. In contrast the United States Lifesaving Association (USLA)
has estimated that rip current fatalities in the US can exceed
100 per year.</p>
      <p id="d1e166">The USLA estimate was arrived at internally in 2004 through a two-step
process outlined in documentation submitted to the National Weather Service
that is provided here as Supplement. First, the
number of deaths each year at surf beaches was estimated based on several
published studies. Second, the USLA theorized that the percentage of rescues
from drowning due to rip currents, based on reports by lifeguards at surf
beaches (then found to be over 80 %), is a proxy for the relative
proportion of surf drowning fatalities due to rip currents (in the absence of
rescue) and applied that percentage to the total number of estimated surf
beach deaths (see Supplement). The discrepancies among these three estimates
bear further evaluation.</p>
      <p id="d1e170">Since 1966, the USLA has been soliciting annual data from beach lifeguard
agencies and other water rescue agencies around the country, including the
number of rescues from drowning, the cause of those rescues, the number of
medical aids provided, drowning fatalities, estimated attendance, and many
other data points. Lifeguard agencies are managed independently of the USLA,
which sets recommended operational guidelines. These agencies are only
obligated to report annual statistics to the USLA if they are certified
(accredited) by the USLA, although they are welcome to report regardless of
certification status. The USLA is the only national group collecting these
data. Most, though not all, water rescue agencies reporting data to the USLA
serve surf beaches where rip currents are present. In 2016, the final year
of data included in this study, there were 150 USLA-certified agencies
nationwide, varying in size from Los Angeles County and California State
Parks on the large side (over 700 lifeguards each) to very small agencies
with as few as 10 lifeguards. There are many other US water rescue agencies
(the specific number is unknown) that do not report data to the USLA.</p>
      <p id="d1e173">As noted, one of the data points collected by the USLA is rescues from
drowning, including those from rip currents. Those reporting are surf
lifeguards trained to identify and<?pagebreak page391?> rescue people from distress in rip
currents. As noted earlier, the USLA, based on an evaluation of the data it
collects, has consistently reported over many years that the primary cause
of over 80 % of rescues from drowning by lifeguards at surf beaches is rip
currents and that in some areas this proportion is higher. However, two
independent published studies have reviewed USLA data and come to different
conclusions from the USLA regarding the percent of rip-current-related
rescues. Gensini and Ashley (2010b) reviewed the USLA data from 2000 to 2009
and concluded that roughly 36.5 % of rescues reported to the USLA in those
years were due to rip currents. Brighton et al. (2013) reviewed the USLA
data from 2005 to 2011 and concluded that 53.7 % of the rescues reported
to the USLA were due to rip currents. Thus, three sources, reviewing similar
data, although during different time periods, have come to widely varying
conclusions about what the data collected and reported by the USLA show
(Brewster, 2010; Brewster and Gould, 2014).</p>
</sec>
<sec id="Ch1.S2">
  <title>Aim of this study</title>
      <p id="d1e182">Rescues from rip currents at beaches where lifeguards are present and report
their data can provide insight into the magnitude of the hazard and may be
useful as a proxy for the percent of drowning deaths at surf beaches. The
primary aim of this study is, therefore, to accurately evaluate and report
the percentage of rescues from rip currents by lifeguards reporting to the
USLA. An additional aim is to determine why researchers have come to vastly
different conclusions as to what the USLA data show and comment on the USLA
estimate that rip-current-related drowning fatalities in the US exceed
100 per year.</p>
</sec>
<sec id="Ch1.S3">
  <title>The United States Lifesaving Association Dataset</title>
      <p id="d1e191">The USLA refers to itself as “America's nonprofit professional association
of beach lifeguards and open water rescuers” (USLA, <uri>https://www.usla.org</uri>, last access: 14
February 2018). The USLA does
not directly train or certify beach lifeguards, but rather promulgates
training standards and certifies (accredits) lifeguard providers (agencies)
that choose to apply and are found to meet USLA requirements. These
lifeguard agencies are typically funded by federal, state, and local
governments, as well as a few private entities, some working as contractors
to governments.</p>
      <p id="d1e197">Many public and private beach lifeguard agencies in the United States record
work output and beach observations in a manner similar to that of police and
fire agencies. The resulting data offer measures of the services provided
and help guide staffing and budgeting decisions. Each year many lifeguard
agencies report these data to the USLA. In the final year of this study (2016), 148 agencies reported. These rescue reports vary in
magnitude from Los Angeles County, which reported 12 956 rescues from
drowning that year, to much smaller agencies that reported as few as 1 rescue (USLA, 2018).</p>
      <p id="d1e200">The USLA has suggested a variety of metrics that should be used by beach
lifeguard agencies to encourage overall consistency of reporting. These
metrics include actual work output, such as rescues from drowning and
medical aids performed, drowning deaths, and many other data points. They
also include estimates of beach attendance. Annual summaries and the
underlying data provided to the USLA are published and made freely available
at <uri>https://www.usla.org/page/statistics</uri> (last access: 14 February 2018).</p>
      <p id="d1e206">One of the key data points reported to the USLA is the number of rescues
from drowning. For purposes of reporting, the USLA defines rescues as,
“Total persons who are judged to be in imminent peril and brought to safety
by a lifeguard. Usually involves physical contact. Does not include people
who are given oral instructions to move to a safer location.” (USLA,
2018).</p>
      <p id="d1e210">The USLA also encourages agencies to document and report the primary cause of
distress that led to the rescue. The primary cause reporting options for
rescues include “surf”, “rip current”, “scuba”, and “swiftwater”.
Agencies may choose none of these if they do not categorize the primary cause
of rescue or if none of these categories apply to a given rescue. Surf refers
to rescues in response to people who find themselves in distress due to the
action of breaking waves or being out of depth. Rip current refers to rescues
in response to people caught in rip currents. Scuba refers to rescues
involving scuba divers. Swiftwater refers to people in distress in inland
areas due to, for example, river flooding, and are therefore not rip current
related.</p>
      <p id="d1e213">Data on rescues are typically tabulated in rescue reports by the lifeguards
who effect the rescues. USLA training materials include extensive information
on identifying rip currents and rescuing people in peril from rip currents
(Brewster, 2017). The rescue reports are compiled by the agencies and
subsequently reported annually, via an online reporting system, to the USLA.
Prior to the initiation of an online reporting system, reports were submitted
manually via mail or email. The transition to electronic reporting occurred
gradually, beginning in the late 1990s.</p>
      <p id="d1e216">One of the challenges for reviewers of data reported to the USLA is that
reporting lifeguard agencies are under no obligation to tabulate or report
the primary cause of distress that led to the rescue. For example, in a
given year one agency might report 50 rescues broken down by primary cause,
but another agency may simply only report 50 rescues (no primary cause). If
the total number of reported rescues for the year is compared to the total
number in which rip currents were identified as the primary cause, without
factoring out those agencies that failed to report a primary cause, then the
actual proportion of rescues related to rip currents (or other primary
causes) is diluted.</p>
      <p id="d1e219">A second challenge for reviewers of USLA data is that some reporting
agencies are solely responsible for inland<?pagebreak page392?> areas, such as reservoirs and
rivers, where surf and rip currents are not present (the Great Lakes, where
rip currents can occur, are an exception). Nevertheless, these agencies'
total rescue numbers are included in the total number of rescues in any
given year. For reasons similar to primary cause reporting, if the total
number of reported rescues for a given year is compared to the total number
in which rip currents were identified as the primary cause, without
factoring out those agencies that serve beaches without rip currents, then
the proportion of rescues related to rip currents is further diluted.</p>
      <p id="d1e222">A third challenge for reviewers of the USLA data is that some agencies
oversee both surf and inland areas, but report totals of all rescues at both
venues (and the underlying causes). One example is the city of San Diego,
which reports thousands of rescues each year including some (albeit a small
number) that occur in Mission Bay, which is a low-energy estuarine
environment with no surf conditions or rip currents. Similarly, California
State Parks oversee lifeguards at both surf beaches and inland lakes
(including reservoirs), including them all in a total number of rescues (and
underlying causes).</p>
      <p id="d1e225">In determining the percent of rescues attributable to rip currents at surf
beaches, it is necessary to exclude rescue reports from agencies that do not
identify the primary cause of the rescue and to exclude, to the greatest
extent possible, rescue reports from inland areas where rip currents are not
present. If these steps are not taken in data evaluation, the percent of rip-current-related rescues will be misrepresented. Avoiding this
misrepresentation requires both an in-depth review of the data and knowledge
of which reporting agencies serve only inland areas. Even then, for the
hybrid agencies that cover both inland and surf, it is not possible to
exclude the inland rescue data because they are not separately reported. A
goal of this study is to attempt to eliminate factors in the USLA rescue
dataset that artificially underrepresent the impact of rip currents on
rescues and drowning.</p>
</sec>
<sec id="Ch1.S4">
  <title>Methodology</title>
      <p id="d1e234">Analysis of USLA rescue data was restricted to the most recent 20 years of
compiled data from 1997 to 2016. Data were first checked and corrected for
any errors and anomalies. For example, there were several isolated examples
where data from one agency appeared twice in a given year, and in a few
other cases, the total addition of yearly rescues was found to be
mathematically incorrect. These turned out to be minor and did not affect
the overall data outputs significantly. As a typical example, a double
reporting of data by an agency in 2002 increased the total number of rescues
by 10, but this was only 0.021 % of the total number of rescues in the
year.</p>
      <p id="d1e237">The dataset was then culled using objective decision rules. Specifically, as
the purpose was to examine rip current rescues on surf beaches, rescue data
from any agency overseeing a body of water that did not include surf beaches
were removed. While the Great Lakes represent one of the five coastal regions
in the US and are subject to physical forcing mechanisms that can generate
rip currents, they were not included in further analysis since, with one
minor exception, rescue data from the Great Lakes do not include primary
cause of rescue.</p>
      <p id="d1e240">Lifeguard agencies in other coastal regions that did not report a primary
cause of rescues were also removed. This, unfortunately, resulted in removal
of the entire dataset of Los Angeles County, which normally reports the
largest number of rescues of any beach agency. It was found that in a
typical year this is more than 15 % of all rescues reported to the USLA.
However, a random sampling of agencies reporting in Orange County (to the
immediate south of Los Angeles County) found rip currents to be the primary
cause in 83 % of rescues from drowning. This is comparable to all West
Coast agencies, so it appears likely that if Los Angeles County were to
report, it would report similar values.</p>
      <p id="d1e243">Figure 1 shows the total number of agencies reporting for each year and the
excluded agencies (those with no primary cause being reported or non-surf
beach agencies). Agencies with both surf and non-surf beaches were included
if they reported a primary cause, despite the inevitable, unknown degree of
overall dilution of rip currents as a primary cause. Any reports of rescues
due to the swiftwater rescue cause were removed from consideration since,
by definition, they do not occur at surf beaches. In general, the number of
included surf agencies that report primary cause has increased over time,
while the number of excluded agencies has remained relatively constant.</p>

      <?xmltex \floatpos{t}?><fig id="Ch1.F1" specific-use="star"><caption><p id="d1e249">The number of lifeguard agencies
reporting to the United States Lifesaving Association (USLA) statistics
database between 1997 and 2016. Included surf agencies report primary cause (PC) of
rescues.</p></caption>
        <?xmltex \igopts{width=341.433071pt}?><graphic xlink:href="https://nhess.copernicus.org/articles/19/389/2019/nhess-19-389-2019-f01.png"/>

      </fig>

      <p id="d1e258">Where scuba was listed as the primary cause, the
rescues were included, as these rescues can and do take place in surf
environments. In these cases, as in others, the primary cause is up to the
determination of the reporting rescuer. That is, for example, a scuba diver
may be rescued due to complications from scuba diving, from being caught
in a rip current, or both. The primary cause is what is to be reported and
what we rely on here.</p>
</sec>
<sec id="Ch1.S5">
  <title>Results and discussion</title>
      <p id="d1e268">Primary causes of surf beach rescues conducted for the period 1997–2016 for
all included reporting agencies in the US were geographically separated
into East, West, and Gulf coasts, as well as the Hawaiian Islands (Table 1).
As described previously, the Great Lakes were not included because, with one
minor exception, no agency from the Great Lakes reported a primary cause. In
general, the percent of rescues caused by distress due to rip currents
ranged from 75.3 % (East Coast) to 84.7 % (West Coast), with a long-term
average across all regions of 81.9 %.</p>

<?xmltex \floatpos{t}?><table-wrap id="Ch1.T1" specific-use="star"><caption><p id="d1e274">Primary causes of rescues on surf beaches reported to the USLA
statistic database in 1997–2016 by coastal region in the US. The percent of
rescues by primary cause are indicated in parentheses. The Great Lakes are
not included as, with one minor exception, rescue data from the Great Lakes
do not include primary cause of rescue.</p></caption><oasis:table frame="topbot"><oasis:tgroup cols="6">
     <oasis:colspec colnum="1" colname="col1" align="left"/>
     <oasis:colspec colnum="2" colname="col2" align="right"/>
     <oasis:colspec colnum="3" colname="col3" align="right"/>
     <oasis:colspec colnum="4" colname="col4" align="right"/>
     <oasis:colspec colnum="5" colname="col5" align="right"/>
     <oasis:colspec colnum="6" colname="col6" align="right"/>
     <oasis:thead>
       <oasis:row rowsep="1">
         <oasis:entry namest="col1" nameend="col6" align="center">Rescues by region </oasis:entry>
       </oasis:row>
     </oasis:thead>
     <oasis:tbody>
       <oasis:row rowsep="1">
         <oasis:entry colname="col1">Region</oasis:entry>
         <oasis:entry colname="col2">All</oasis:entry>
         <oasis:entry colname="col3">Rip current</oasis:entry>
         <oasis:entry colname="col4">Surf</oasis:entry>
         <oasis:entry colname="col5">Scuba</oasis:entry>
         <oasis:entry colname="col6">Other</oasis:entry>
       </oasis:row>
       <oasis:row>
         <oasis:entry colname="col1">East Coast</oasis:entry>
         <oasis:entry colname="col2">233 167</oasis:entry>
         <oasis:entry colname="col3">175 572 (75.3)</oasis:entry>
         <oasis:entry colname="col4">50 135 (21.5)</oasis:entry>
         <oasis:entry colname="col5">227 (0.1)</oasis:entry>
         <oasis:entry colname="col6">7 233 (3.1)</oasis:entry>
       </oasis:row>
       <oasis:row>
         <oasis:entry colname="col1">West Coast</oasis:entry>
         <oasis:entry colname="col2">608 041</oasis:entry>
         <oasis:entry colname="col3">514 935 (84.7)</oasis:entry>
         <oasis:entry colname="col4">65 349 (10.7)</oasis:entry>
         <oasis:entry colname="col5">4288 (0.7)</oasis:entry>
         <oasis:entry colname="col6">23 469 (3.9)</oasis:entry>
       </oasis:row>
       <oasis:row>
         <oasis:entry colname="col1">Gulf Coast</oasis:entry>
         <oasis:entry colname="col2">15 154</oasis:entry>
         <oasis:entry colname="col3">11 876 (78.4)</oasis:entry>
         <oasis:entry colname="col4">3157 (20.8)</oasis:entry>
         <oasis:entry colname="col5">16 (0.1)</oasis:entry>
         <oasis:entry colname="col6">105 (0.7)</oasis:entry>
       </oasis:row>
       <oasis:row>
         <oasis:entry colname="col1">Hawaiian Islands</oasis:entry>
         <oasis:entry colname="col2">47 191</oasis:entry>
         <oasis:entry colname="col3">37 632 (79.7)</oasis:entry>
         <oasis:entry colname="col4">7262 (15.5)</oasis:entry>
         <oasis:entry colname="col5">150 (0.3)</oasis:entry>
         <oasis:entry colname="col6">2147 (4.5)</oasis:entry>
       </oasis:row>
       <oasis:row>
         <oasis:entry colname="col1">Total</oasis:entry>
         <oasis:entry colname="col2">903 553</oasis:entry>
         <oasis:entry colname="col3">740 015 (81.9)</oasis:entry>
         <oasis:entry colname="col4">125 903 (13.9)</oasis:entry>
         <oasis:entry colname="col5">4681 (0.5)</oasis:entry>
         <oasis:entry colname="col6">322 954 (3.6)</oasis:entry>
       </oasis:row>
     </oasis:tbody>
   </oasis:tgroup></oasis:table></table-wrap>

      <p id="d1e440">Figure 2a shows the gross reporting of the primary
cause of rescues for included agencies during the period<?pagebreak page393?> 1997–2016, and
while the number of rescues for all primary causes clearly fluctuates
temporally, as evident in Fig. 2b, this is largely due to the increase in
reporting agencies over this time. As is also evident in Fig. 2b, the
percentage of total rip current rescues as the primary cause of all rescues
nationally varies annually from 75.7 % (2005) to 85.1 % (1999) with no
clear temporal trend apparent. There are many factors involved that can
impact the number of rip current rescues that occur in a given year,
including weather conditions, surf conditions, number of rip currents
present, and beach visitation numbers. However, overall, even if the rip
rescue data are normalized by the number of reporting lifeguard agencies, the
number of surf rescues attributable to rip currents does not vary greatly
over time.</p>

      <?xmltex \floatpos{t}?><fig id="Ch1.F2" specific-use="star"><caption><p id="d1e446"><bold>(a)</bold> Total rescues reported to the
USLA by primary cause over the period 1997–2016. <bold>(b)</bold> Percentage of rip current
rescues as primary cause and the number of lifeguard reporting agencies to
the USLA over the period 1997–2016.</p></caption>
        <?xmltex \igopts{width=341.433071pt}?><graphic xlink:href="https://nhess.copernicus.org/articles/19/389/2019/nhess-19-389-2019-f02.png"/>

      </fig>

<sec id="Ch1.S5.SS1">
  <title>Underestimating rip current rescues</title>
      <p id="d1e465">Brighton et al. (2013) reviewed a smaller cohort of USLA data (2005–2011)
and determined that only 53.7 % of rescues were related to rip currents,
which is significantly lower than the estimates derived here. The difference
can be attributed to Brighton et al. (2013) using gross rescue totals in the
USLA data, without excluding agencies that did not report a primary cause,
agencies at beaches without surf, and swiftwater rescues. Our examination of
the same data in this way yields a result of 54.9 %, which is very close
to the value reported by Brighton et al. (2013) and suggests that their
estimate significantly underestimates the percent of rescues attributable to
rip currents in the US.</p>
      <p id="d1e468">Another aspect of the data reporting by Brighton et al. (2013) reveals some
of the challenges involved in the reporting of rip current rescues in
general. In reviewing Australian lifeguard and lifesaver rescue data
provided by Surf Life Saving Australia (SLSA), Brighton et al. (2013) found
that just 57.4 % were attributable to rip currents. While they removed
rescue reports “known to be in areas unaffected by rips” (as done in our
study), they were only able to report on data relating to “major rescues,”
which are cases where “treatment is required” post-rescue and only make up
1.4 % of all rescues reported by SLSA. The reason for this is that these
were the only incidents in the dataset where a primary cause of rescue was
sometimes reported (there was no requirement to include this information, so
it was presumably unmentioned in some reports). Thus, they represent unusual
and extreme cases and likely also greatly underestimate the actual
percentage of rescues on Australian surf beaches caused by rip currents. Of
note, the US data from agencies<?pagebreak page394?> reporting a primary cause include 100 %
of rescues, whether major or routine.</p>
      <p id="d1e471">Other discrepancies involving the USLA dataset are presented in Gensini
and Ashley (2010b), who reviewed USLA data for the years 2000–2009 and
suggested that only 36.5 % of rescues on US beaches were attributed to
rip currents, which is less than half of the 75 %–84 % range reported here.
We reviewed the data published on the United States Lifesaving Association
website for these same years. Even when using gross data, without excluding
data from agencies that did not report a primary cause and agencies from
areas serving areas without surf, we found that 53 % would appear to be
attributable to rip currents, which is similar to the value reported by
Brighton et al. (2013) for overlapping years. We then reviewed all of the
years of USLA data for our study period without correcting for agencies that
did not report a primary cause of the rescue and agencies at beaches without
surf. The percent of rescues related to rip currents was found to be 49 %.
This is quite similar to the conclusions of Brighton et al. (2013), but
significantly higher than that of Gensini and Ashley (2010b), and it remains
uncertain how their value of 36.5 % was attained.</p>
</sec>
<sec id="Ch1.S5.SS2">
  <title>Rip current rescues and fatalities</title>
      <p id="d1e480">As described in the Introduction, some discrepancy also exists regarding
estimates of annual average rip-current-related drowning fatalities in the
US, with reported values ranging from 35 (Gensini and Ashley, 2010a) to more
than 100 (USLA – see Supplement) and as high as 150 (Lushine, 1991). It is
important to note that all of these values are estimates, as there is no
comprehensive US national database for surf beach drowning fatalities. The
closest attempt at this is by the US National Weather Service, which posts
reports of US surf zone fatalities at
<uri>https://www.weather.gov/safety/ripcurrent-fatalities17</uri> (last access:
4 December 2018) and includes an annual average number of reported
rip-current-related drowning fatalities between 2013 and 2017 of 62 per year.</p>
      <?pagebreak page395?><p id="d1e486">According to the NWS (John Kuhn, personal communication, 2018)
the primary source of these data is media reports, with some input from
emergency management and water rescue officials. Of note, the website states,
“Accurately tracking these types of fatalities is difficult because so many
go unreported and undocumented.” As an example of this difficulty, in 2016
the NWS reported a total of 108 surf zone fatalities, but in that same year
surf rescue agencies reported 145 drowning fatalities solely within their
jurisdictions to the USLA. This is a global problem.</p>
      <p id="d1e489">As noted earlier, the USLA has theorized the percent of rescues from
drowning in rip currents as a proxy for the percentage of drowning deaths at
surf beaches in the absence of rescue. To examine this approach in more
detail, we chose to review the most recent 5-year period (2012–2016)
of drowning fatality reports from surf rescue agencies reporting to the
USLA, since during this period the number of reporting agencies is the
highest historically, ranging from 111 in 2012 to 136 in 2016 (Fig. 1). Of
note, these agencies report drowning fatalities in both guarded areas (those
under active lifeguard surveillance at the time of the drowning death) and
unguarded areas (those within the jurisdiction of the agency, but not under
lifeguard surveillance at the time of the death), and during this period an
average of 109.6 drowning deaths per year were reported.</p>
      <p id="d1e492">If we apply the long-term national average of 81.9 % of rip-current-related rescues (Table 1) to the actual reports of drowning deaths
(109.6 per year) from surf rescue agencies, it can be hypothesized that
an average of 89.8 deaths per year were likely due to rip currents in the
jurisdictions of the reporting agencies. This value is both higher than the
estimate of 62 per year from the NWS and close to the previous estimate
of “more than 100” by the USLA (see Supplement).</p>
      <p id="d1e496">The authors estimate that less than 5 % of the US coastline lies within
the jurisdiction of surf rescue agencies which report to the USLA. While
these agencies tend to oversee highly attended beach areas (e.g., Southern
California, Florida, and Hawaii), many drowning deaths outside these areas
are reported each year. Thus, relying only on drowning fatality reports from
these agencies will understate the number of surf drowning deaths by an
unknown but potentially significant number.</p>
</sec>
<sec id="Ch1.S5.SS3">
  <title>Limitations and value of the USLA dataset</title>
      <p id="d1e505">There are clear limitations in the USLA data, some of which have been
described here previously. Not all surf beach lifeguard agencies in the US
report rescue data to the USLA, and some that do report do not report a
primary cause. Additionally, the dataset is limited in that it cannot be
demonstrated to represent a proportional exposure, on a per visitor basis,
to rip currents on all beaches of the US. We therefore agree with Brighton
et al. (2013) that the collection of drowning data using consistent
categories and the routine collection of rip current information will allow
for more accurate global comparisons. If beach lifeguard agencies worldwide
used consistent reporting data points and reported on the primary cause,
including rip currents, for all rescues, beach safety practitioners would be
better able to determine the impact of the rip current hazard globally and
develop public awareness and education strategies accordingly (Houser et
al., 2017). This is certainly true of the surf beach reporting situation in
the United States.</p>
      <p id="d1e508">The value of the USLA dataset is that it is the largest single repository in
the world of data related to causation of distress at surf beaches. For
example, an average of 83 436 rescues from drowning per year were reported
to the USLA over the 5-year period 2012–2016 for a total of 417 180
rescues, most with a primary cause denoted. While the USLA has shared these
data publicly, this study has shown that without a full understanding of the
individual, underlying data sources, researchers may have difficulty making
necessary and accurate conclusions. In response to values reported in
previous studies, it is hoped that this study now provides a clearer
representation of the USLA dataset in regard to the rip current hazard.</p>
</sec>
</sec>
<sec id="Ch1.S6" sec-type="conclusions">
  <title>Conclusions and recommendations</title>
      <p id="d1e518">An examination of rescue data reported by surf lifeguards in the United
States to the United States Lifesaving Association has shown that rip
currents are the primary cause of between 75.3 % and 84.7 % of all surf rescues
on regional American beaches, with a 20-year average of 81.9 %, a
significantly higher estimate than previously reported in the scientific
literature. Using the percentage of rip current rescues as a proxy to
estimate the number of annual drowning deaths attributable to rip currents
in the US suggests a value of 90 solely within the limited jurisdictions
of surf rescue agencies reporting to the USLA. Thus, an annual figure of
over 100 nationwide is not unreasonable.</p>
      <p id="d1e521">Considering the number of US lifeguard agencies that fail to report a
primary cause of rescue, it is recommended that the United States Lifesaving
Association communicates with these lifeguard agencies to endeavor to
increase the level of reporting of surf-related rescues by primary cause. It
would also be desirable for a range of consistent and comprehensive data,
involving both physical, environmental, and beach conditions
and demographic beachgoer characteristics, to be reported by lifeguards.
However, it is well established that data collection for beach lifeguards is
difficult (Williamson et al., 2006; Harada et al., 2011; Morgan et al., 2013)
for a variety of logistical and personal factors and is the fundamental
challenge in balancing the tasks of providing water safety vigilance, rescue
capability, and data collection, the former of which should not be
compromised.</p>
      <p id="d1e524">Nevertheless, it is vital to continue to work toward developing
increasingly accurate estimates of both rip-current-related rescues and
drowning deaths so that local<?pagebreak page396?> governments, public policymakers, tourism
authorities, public health professionals, and funders of mitigation measures
understand that rip currents are by far the greatest health hazard related
to those entering the water at surf beaches. Through this awareness,
appropriate resources such as the provision of additional lifeguard services
and development of public education programs can be justified and
implemented to assist in drowning prevention.</p>
</sec>

      
      </body>
    <back><notes notes-type="dataavailability">

      <p id="d1e531">This work relied entirely on data published in a publicly available database
by the United States Lifesaving Association on its website at <uri>https://www.usla.org/page/statistics</uri> (last access: 14 February 2018).</p>
  </notes><app-group>
        <supplementary-material position="anchor"><p id="d1e537">The supplement related to this article is available online at: <inline-supplementary-material xlink:href="https://doi.org/10.5194/nhess-19-389-2019-supplement" xlink:title="pdf">https://doi.org/10.5194/nhess-19-389-2019-supplement</inline-supplementary-material>.</p></supplementary-material>
        </app-group><notes notes-type="authorcontribution">

      <p id="d1e546">RG conducted the primary review of the data, with review and
oversight of BCB and RB. BCB and RB prepared the manuscript with contributions from RG.</p>
  </notes><notes notes-type="competinginterests">

      <p id="d1e552">B. Chris Brewster is a long-time volunteer official with the United
States Lifesaving Association in various unpaid positions. Richard E. Gould
is a long-time volunteer official with the United States Lifesaving
Association, primarily overseeing the gathering and publication of the
statistics referenced herein. Robert W. Brander declares that he has no
conflict of interest.</p>
  </notes><ack><title>Acknowledgements</title><p id="d1e558">We thank the United States Lifesaving Association for funding the gathering
and publishing of statistics over many years, as well as funding aspects of
this study. We thank the beach lifeguards and lifeguard agencies of America,
without whose meticulous reporting this study would not be possible. We thank
the reviewers for their insightful comments, which led to valuable
improvements. <?xmltex \hack{\newline}?><?xmltex \hack{\newline}?> Edited by: Mauricio
Gonzalez<?xmltex \hack{\newline}?> Reviewed by: Michael Slattery and one anonymous
referee</p></ack><ref-list>
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  </ref-list></back>
    <!--<article-title-html>Estimations of rip current rescues and drowning in the United States</article-title-html>
<abstract-html><p>Rip currents are the greatest
hazard to swimmers on surf beaches, but due to a lack of consistent incident
reporting in many countries, it is often difficult to quantify the number of
rip-current-related rescues and
drowning deaths occurring along surf beaches. This study examines this
problem using rescue data reported to the United States Lifesaving
Association (USLA) by surf beach rescuers from 1997 through 2016. These data
were checked, corrected, and culled so that only data from surf beach rescue
agencies that reported the primary cause of rescue were included. Results
show that rip currents are the primary cause of 81.9&thinsp;% of rescues on surf
beaches, with regional variation from 75.3&thinsp;% (East Coast) to 84.7&thinsp;%
(West Coast). These values are significantly higher than those previously
reported in the scientific literature (e.g., 36.5&thinsp;%, 53.7&thinsp;%). Using
this value as a proxy when examining overall surf beach drowning fatalities,
it is suggested that more than 100 fatal drownings per year occur due to rip
currents in the United States. However, it is clear that the United States
data would benefit by an increase in the number of lifeguard agencies which
report surf-related rescues by primary cause.</p></abstract-html>
<ref-html id="bib1.bib1"><label>1</label><mixed-citation>
Arozarena, I., Houser, C., Echeverria, A. G., and Brannstrom, C.: The rip
current hazard in Costa Rica, Nat. Hazards, 77, 753–768, 2015.
</mixed-citation></ref-html>
<ref-html id="bib1.bib2"><label>2</label><mixed-citation>
Attard, A., Brander, R. W., and Shaw, W. S.: Rescues conducted by surfers on
Australian beaches, Accident Anal. Prev., 82, 70–78, 2015.
</mixed-citation></ref-html>
<ref-html id="bib1.bib3"><label>3</label><mixed-citation>
Branche, C. M. and Stewart, S. (Eds.): Lifeguard effectiveness: A report of
the working group, Atlanta: Centers for Disease Control and Prevention,
National Center for Injury Prevention and Control, 2001.
</mixed-citation></ref-html>
<ref-html id="bib1.bib4"><label>4</label><mixed-citation>
Brander, R. W. and Scott, T.: Science of the rip current hazard, in: The
Science of Beach Lifeguarding: Principles and Practice, CRC Press, Boca
Raton, 67–85, 2016.
</mixed-citation></ref-html>
<ref-html id="bib1.bib5"><label>5</label><mixed-citation>
Brannstrom, C., Trimble, S., Santos, A., Brown, H. L., and Houser, C.:
Perception of the rip current hazard on Galveston Island and North Padre
Island, Texas, USA, Nat. Hazards, 72, 1123–1138, 2014.
</mixed-citation></ref-html>
<ref-html id="bib1.bib6"><label>6</label><mixed-citation>
Brewster, B. C.: Rip current misunderstandings, Nat. Hazards, 55, 161–162,
2010.
</mixed-citation></ref-html>
<ref-html id="bib1.bib7"><label>7</label><mixed-citation>
Brewster, B. C. and Gould, R.: Comment on “Rip current related drowning deaths and rescues in Australia 2004–2011”
by Brighton et al. (2013), Nat. Hazards Earth Syst. Sci., 14, 2203–2204, <a href="https://doi.org/10.5194/nhess-14-2203-2014" target="_blank">https://doi.org/10.5194/nhess-14-2203-2014</a>, 2014.
</mixed-citation></ref-html>
<ref-html id="bib1.bib8"><label>8</label><mixed-citation>
Brewster B. C. (Ed.): Open Water Lifesaving: The United States Lifesaving
Association Manual. New York, NY: Pearson Education, Inc., 2017.
</mixed-citation></ref-html>
<ref-html id="bib1.bib9"><label>9</label><mixed-citation>
Brighton, B., Sherker, S., Brander, R., Thompson, M., and Bradstreet, A.: Rip current related drowning
deaths and rescues in Australia 2004–2011, Nat. Hazards Earth Syst. Sci., 13,
1069–1075, <a href="https://doi.org/10.5194/nhess-13-1069-2013" target="_blank">https://doi.org/10.5194/nhess-13-1069-2013</a>, 2013.
</mixed-citation></ref-html>
<ref-html id="bib1.bib10"><label>10</label><mixed-citation>
Castelle, B., Scott, T., Brander, R. W., and McCarroll, R. J.: Rip current
types, circulation and hazard, Earth Sci. Rev., 163, 1–21, 2016a.
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