Health
6 water safety tips amid boating deaths, with alcohol a leading factor in tragedy
Hundreds of lives are lost each year on U.S. waterways due to recreational boating accidents that can be prevented, according to the U.S. Coast Guard.
Last summer, 564 deaths and 2,126 non-fatal injuries from boating accidents were reported, according to a May press release from the U.S. Coast Guard — with the highest number of deaths occurring in the summer months of July and August.
Alcohol was noted as the leading factor in those deaths, contributing to 17% of total fatalities.
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Intoxication also played a role in 13% of all non-fatal boating injuries and property damage, which totaled $63 million in 2023.
“That’s why I never go on a boat on a weekend in the summer,” Mike from Long Island, New York, who did not want to share his last name, told Fox News Digital.
Hundreds of lives are lost each year on U.S. waterways due to recreational boating accidents that can be prevented, according to the U.S. Coast Guard. (iStock)
“I know more people will be on the water and likely drinking.”
He said that while spending time on the water with family and friends, he’s witnessed boaters driving erratically and speeding with an alcoholic beverage in hand.
Deadly consequences
Just as with driving drunk on the road, boating under the influence is illegal and can have deadly consequences, water safety experts told Fox News Digital.
Alcohol is known to cause impaired judgment, balance, coordination and reaction time — all of which can put boat operators and their passengers at risk for accidents and fatalities.
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It can also impact vision, leading to “decreased peripheral vision, reduced depth perception, decreased night vision, poor focus, and difficulty in distinguishing colors (particularly red and green),” according to the Coast Guard’s website.
“Alcohol and drug use on the water can be more hazardous than on land, as the combination of the marine environment motion, vibration, engine, noise, sun, wind and spray accelerates a user’s impairment,” Megan Ferraro, executive director of The ZAC Foundation, a water safety organization in Greenwich, Connecticut, told Fox News Digital.
Alcohol is known to cause impaired judgment, balance, coordination and reaction time — all of which can put boat operators and their passengers at risk for accidents and fatalities. (iStock)
“Alcohol consumption on the water also increases the likelihood of dangerous behaviors, such as swimming while intoxicated, falling overboard or capsizing the boat,” she went on.
“It can also increase the risk of hypothermia in the water.”
“Alcohol and drug use on the water can be more hazardous than on land.”
Drinking while boating or swimming is a lethal combination, Ferraro said — especially among young adults.
Among recreational water deaths involving U.S. adolescents, 30% to 70% occur while drinking alcohol and swimming or boating, she stated.
A boat operator with a blood alcohol concentration (BAC) above 0.10% is more than 10 times as likely to die in a boating accident compared to an individual who did not consume alcohol, according to a Coast Guard estimate.
Among recreational water deaths involving U.S. adolescents, 30% to 70% occur while they’re drinking alcohol and swimming or boating, an expert said. (iStock)
Alcohol also contributes to nearly a third of drownings each year, the U.S. Centers for Disease Control and Prevention (CDC) reported.
“For lots of people, summer is a time to get outside and enjoy activities with friends and family,” Dr. George F. Koob, PhD, director of the National Institute on Alcohol Abuse and Alcoholism (NIAAA), said in a comment to Fox News Digital.
“Sometimes these activities involve alcohol.”
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Alcohol can put a damper on summer festivities, Koob warned — “from increasing the risk of sunburns to causing boating accidents and drownings.”
Boating under the influence of alcohol or drugs (BUI) is illegal in every state, the Coast Guard also said.
Penalties can include fines, loss of boating privileges and even jail time.
6 tips for staying safe on the water
Besides alcohol consumption, the Coast Guard report also cited factors like operator inattention or inexperience, improper lookout, excessive speed, and failure of machinery as contributing factors in boating accidents.
The U.S. Coast Guard estimates that life jackets could have saved the lives of more than 80% of boating fatality victims. (iStock)
The U.S. Coast Guard website and water safety experts offered the below tips for staying safe while boating.
1. Avoid alcoholic beverages
Designating a “sober captain” will help to ensure the safety of everyone on board and potentially others on the water, experts agreed.
The U.S. Coast Guard recommends that operators take a boating safety course. (iStock)
“This person must refrain from consuming alcohol or drugs and always remain alert and capable of piloting the vessel safely,” Ferraro said.
Koob also recommended avoiding alcoholic beverages while piloting a boat, driving a car, exploring the wilderness, and swimming or surfing.
Bringing along non-alcoholic beverages will help keep everyone refreshed and deter passengers and the boat operator from drinking alcohol, Ferraro added.
“Having no alcohol while aboard is the safest way to enjoy the water, as intoxicated passengers are also at risk of injury and falls overboard,” the Coast Guard said on its website.
2. Remain vigilant
“Boaters should remain vigilant on the water, as most incidents occur when you might least expect them – in good visibility, calm waters and little wind,” Capt. Amy Beach, director of inspections and compliance at the U.S. Coast Guard, said in a May 2024 news release.
A boat operator with a blood alcohol concentration above 0.10% is more than 10 times as likely to die in a boating accident.
The most frequent events involve collisions with other vessels, objects or groundings, she pointed out — “which is why it is so important to keep a proper lookout, navigate at a safe speed, adhere to navigation rules and obey navigation aids.”
3. Wear US Coast Guard-approved life jackets
The U.S. Coast Guard estimates that life jackets could have saved the lives of more than 80% of boating fatality victims, according to its website.
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Accidents can occur at high speeds on the water, leaving little time to reach for a stowed life jacket, the organization added.
4. Perform a vessel safety check
This will ensure the boat is operating properly, the Coast Guard advised.
The operator should also ensure that passengers are aware of propeller hazard areas and should account for passengers and children.
Passengers should not be permitted to ride where they can fall overboard.
If someone falls overboard, the Coast Guard recommends stopping the boat and making sure the area is clear to start the recovery process. (iStock)
If small children will be on board, experts recommend babyproofing or childproofing the boat just as you would at home.
5. Ensure safe pickups
If someone falls overboard, the Coast Guard recommends stopping the boat and making sure the area is clear to start the recovery process.
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Never put a boat in reverse to pick someone up out of the water, the agency states.
Instead, the operator should keep the person visible at all times and circle around going forward.
6. Consider taking a boating safety course
The U.S. Coast Guard recommends on its website that operators take a boating safety course. These courses are offered throughout the country, via organizations such as the U.S. Coast Guard Auxiliary, U.S. Power Squadron and many state boating agencies.
Fox News Digital reached out to the U.S. Coast Guard for comment.
Over the two and a half years following the 2022 rollout of the 988 national suicide prevention hotline, the rate of suicides among young people in the United States dropped 11 percent below projections, decreasing most sharply in states with a higher volume of answered 988 calls, a new study has found.
The findings, published today as a research letter in JAMA, compared suicide deaths from July 2022 to December 2024 with sophisticated mathematical projections that were based on historical trends. This yielded good news, with 4,372 fewer suicides of adolescents and young adults, ages 15 to 34, than had been projected.
To ensure that the decline was related to the use of the hotline, researchers at Harvard Medical School teased out the trends in states with high and low usage of the hotline. The findings were striking: The 10 states with the largest increases in 988 calls experienced an 18.2 percent reduction in observed suicides compared with expected suicides; in the 10 states with the lowest uptake, the reduction was smaller, 10.6 percent.
The results suggest that the government’s investment in the 988 rollout has translated into “a measurable reduction of deaths,” said Dr. Vishal Patel, a resident physician at Brigham and Women’s Hospital and one of the authors of the study.
“What our study has added,” he said, “is evidence for the deeper benefit of the program, and that is, that at the population level, among young people at least, suicide mortality is lower than it would have been without the program.”
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He added, “The implication of that is that sustained funding for this program matters.”
The United States rolled out the three-digit hotline with bipartisan support in July 2022, replacing a 10-digit hotline number, and augmented it with a $1.5 billion investment in crisis center capacity. Since its inception, the service has fielded more than 25 million contacts, according to the Department of Health and Human Services. The agency has asked Congress for $534.6 million to fund the program for 2027.
Last summer, the Trump administration terminated one element of the hotline, the Press 3 option for L.G.B.T.Q.+ callers. The Substance Abuse and Mental Health Services Administration said that the Press 3 option was being discontinued because it had exhausted its funding from Congress and that the hotline would “focus on serving all help seekers.”
But advocacy groups and policymakers protested the decision, and in testimony before the Senate on Tuesday, the health secretary, Robert F. Kennedy Jr., said his agency was planning to restore the Press 3 option.
Dr. Patel said his group had become curious about measuring the program’s effectiveness after Press 3 was eliminated. While call volume and satisfaction surveys suggested that 988 was succeeding, he said, the harder question was, “Did the creation of this 988 program, the transition from the old hotline to this hotline, actually move the needle on suicide mortality?”
Experts said it was difficult to tease out the beneficial effect of 988 from other things that changed in 2022, the year that the new hotline was created. Around that time, suicide prevention programs were being introduced in schools, in faith communities and on social media, but more important, the pandemic was ending.
“We were finally out of this crazy time, and there was a sense of optimism and hope,” said Jonathan B. Singer, a professor of social work at Loyola University Chicago and a co-author of “Suicide in Schools.” He called the downward trend in youth suicides “encouraging, but it is tempered by the fact that we don’t have a good explanation as to why.”
The authors acknowledged that their findings could not account for the influence of social and economic changes, changes in mental health services or public awareness about services.
But they did make comparisons to exclude other possible explanations. The authors looked for similar effects among American adults over 65, who are less likely to use the hotline. In that group, there was a reduction in suicides that exceeded expectations, but it was smaller, at just 4.5 percent.
To ensure the decline in suicides did not reflect a general improvement in young-adult mortality, the researchers tracked cancer deaths, and found there was no change. They also looked at the rates of suicide among young people in England, where no change had been made to the national crisis line in that time period; they found no reduction in youth suicides there.
Hannah Wesolowski, chief advocacy officer for the National Alliance on Mental Illness, said she was persuaded that the hotline had contributed to the improvement in suicide rates, in part because it did not appear among English youths or in older Americans.
“To me, that really helps hone in that this might really be the differentiator,” she said. “We are seeing potentially a pretty significant decline in suicides among young people. For public policy, this is strong evidence to double down on that we are doing.”
Emily Hilliard, a senior press secretary at the Department of Health and Human Services, said H.H.S. and SAMHSA are “committed to ensuring that all Americans have access” the 988 line, which she said “clearly provides lifesaving support, helping millions of people every year.”
If you are having thoughts of suicide, call or text 988 to reach the 988 Suicide and Crisis Lifeline or go to SpeakingOfSuicide.com/resources for a list of additional resources.
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A highly contagious digestive virus is surging across the U.S., experts warn.
Rotavirus, a double-stranded RNA virus, causes acute gastroenteritis — inflammation of the stomach and intestines — which can lead to severe diarrhea, vomiting, fever and stomach pain.
The virus primarily affects infants and young children, but there have also been outbreaks in elderly populations, such as nursing homes.
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Data from the Centers for Disease Control and Prevention shows that in the week ending April 4, out of 2,329 rotavirus tests, 7.3% were positive for the infection. Last year’s highest infection rate was 6.77% as of the week ending April 19.
Rotavirus, a double-stranded RNA virus, causes acute gastroenteritis — inflammation of the stomach and intestines — which can lead to severe diarrhea, vomiting, fever and stomach pain. (iStock)
“We’re seeing a lot of rotavirus in the wastewater right now,” Dr. Marc Siegel, Fox News senior medical analyst, confirmed to Fox News Digital. “Testing for rotavirus is way down, but the percentage of positive tests is up.”
While the virus typically peaks in the spring, it is not currently slowing down, he noted.
Why cases may be rising
Patricia Pinto-Garcia, M.D., a medical editor at GoodRx who is based in California, said there are several possible reasons for the rotavirus spike.
“Vaccine rates are down overall among young children, as they decreased during COVID,” she told Fox News Digital. “This means there’s a growing number of infants and young children who are vulnerable to infection.”
The rotavirus vaccine series must be completed by the time a child is 8 months old, she noted.
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As a result of the declining vaccinations, herd immunity isn’t protecting vulnerable children, according to Pinto-Garcia. “Children who haven’t finished the vaccine series yet, are too young to get vaccinated, or can’t get the vaccine due to medical illness are more likely to get exposed to the illness because other children aren’t vaccinated,” she said.
Siegel noted that before the vaccine became available, rotavirus resulted in 55,000 to 70,000 in the U.S. per year.
“Vaccine rates are down overall among young children, as they decreased during COVID,” a doctor told Fox News Digital. “This means there’s a growing number of infants and young children who are vulnerable to infection.” (iStock)
“I am concerned that the vaccination rate has been declining over the past seven years and is continuing to decline in the current climate of vaccine skepticism,” he said.
Surveillance methods are also much better than they used to be, Pinto-Garcia noted, which means public health experts are able to pick up and track cases better than ever before.
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“But we see that rotavirus-related healthcare visits are also up, so improved detection is not the only reason we are seeing this spike,” she said.
The COVID pandemic also disrupted the pattern of infections, according to Pinto-Garcia, so it’s “tricky” to compare the current levels against older cycles.
“It’s possible that what we are seeing is still some post-pandemic rebound, but it’s unlikely that this year’s pattern is fully explained by just this factor,” she added.
Transmission and risk
Dr. Zachary Hoy, a pediatric infectious disease specialist at Pediatrix Medical Group based in Nashville, Tennessee, often sees young patients with rotavirus.
“Rotavirus is spread via the fecal-oral route, meaning that a person comes into contact with virus droplets from contact with other children or adults, or from contact with objects such as toys that have been contaminated with the virus from someone who is sick,” he told Fox News Digital. “This can lead to outbreaks, especially at schools where many young children share the same toys.”
“It’s possible that what we are seeing is still some post-pandemic rebound, but it’s unlikely that this year’s pattern is fully explained by just this factor.”
Rotavirus is associated with many dehydration cases in the hospital due to the degree of diarrhea, according to Hoy.
In some severe cases, the virus can lead to seizures due to electrolyte imbalances from dehydration and loss of electrolytes in the stool.
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“Younger children do not have the reserves that older children and adults have, so they can become more dehydrated quicker and develop more severe electrolyte imbalances, leading to more severe infections,” Hoy said.
“Patients with problems with their immune systems or on medications that can decrease their immune systems can have more severe and prolonged infections, too.”
Treatment and care
Because rotavirus is a viral infection, antibiotics are not effective against it. There is no specific antiviral treatment for the condition, with doctors typically recommending supportive care.
“The mainstay of treatment is hospitalization for rehydration via intravenous (IV) fluids,” Hoy told Fox News Digital. “Sometimes it can take up to two to three days of IV fluids to help get patients rehydrated.”
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Blood draws are often necessary to evaluate patients’ electrolyte levels, such as sodium, potassium, calcium and magnesium, according to the doctor.
“If these electrolyte levels are significantly low, sometimes patients need special IV solutions or individual electrolyte medications,” he added.
“The mainstay of treatment is hospitalization for rehydration via intravenous (IV) fluids,” a doctor told Fox News Digital. (iStock)
Dr. Daniel Park, medical director of the Pediatric Emergency Department at UNC Health in Chapel Hill, North Carolina, noted that most children recover with supportive care, but parents should seek medical attention if a child shows signs of dehydration. Those include decreased urination, lethargy or inability to keep fluids down.
“While rare, rotavirus can be life-threatening in vulnerable populations, especially very young infants or children with underlying medical conditions,” Park told Fox News Digital.
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Prevention strategies
Given the lack of antiviral medications for rotavirus, doctors emphasize the importance of prevention, primarily the vaccine.
There are two rotavirus vaccines – Rotateq (a three-dose series) and Rotarix (a two-dose series). They are given starting at age 2 months as oral drops, not injections, according to Hoy.
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“It’s important to get the rotavirus vaccines on schedule, because these younger infants are at greatest risk if they get rotavirus,” he advised.
Other recommended prevention methods include handwashing with soap and water.
Every day we’re faced with a zillion small choices: Go to sleep early, or watch one more episode of that Netflix drama. Call an old friend to catch up, or cruise social media. Of course, no single action will guarantee a long, healthy life or doom you to an early grave. But those little daily decisions do add up, and over the long term they can make a difference when it comes to both your longevity and your health span, the amount of life spent in relatively good health.
Scroll through this theoretical “day in the life” and select the option that best fits your typical day. Not every situation will apply perfectly, but think about which choice you’d be most likely to make. This isn’t a formal scientific assessment. The goal here isn’t to assign you a “good” or “bad” score, but to help you understand the central factors that shape the way we age and how long we live.
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