Investigation of two drowning cases in the Gogui health area, Nioro health district, Kayes province, July 2025

Abstract

Introduction: Drowning is a major cause of accidental mortality worldwide, particularly affecting children and vulnerable populations. In Mali, very few studies address the topic, despite its public health relevance. On July 5, 2025, two TALIBÉ boys by drowning in a pond in Gogui. A multisectoral investigation mission was deployed to the site to conduct an inquiry. Methodology: A cross- sectional descriptive study was conducted from July 5 to 10, 2025, in the health area of Gogui, within the Nioro health district. Data were collected from the community and local health centers. Document reviews were conducted at the Nioro Referral Health Center (CSRéf). Data were analyzed using Excel and Epi Info version 7.2.5.0. Results: Two TALIBÉS from Gadiaba Kadiel, aged 12 and 15, went swimming unsupervised after rainfall. The pond is deep (approx. 7 meters), unprotected, and serves various community needs. Their TALIBÉ status meant they were without supervision, aquatic education, or safety measures. No additional cases were identified by families or health records. No safety measures were in place around the pond, which is essential for household activities in the village. Key contributing factors included lack of supervision, unrestricted access to hazardous water sources, and absence of water safety education. No drowning had been reported in this pond for over 20 years. Conclusion: This investigation highlighted the drowning risks faced by children, especially TALIBÉS, in rural areas lacking preventive systems. It underscores the urgent need to: establish community waterpoint surveillance; train religious and community leaders in child safety.