“A drowning can occur in any body of water at any time,” said Jillian Mitchell, community health program coordinator at Cook Children’s Health Care System.

Mitchell explains that data shows infants have the greatest risk for drowning inside the home, while children ages 1-4 have the greatest risk for drowning overall. Cook Children’s has developed strategic partnerships and efforts to inform and educate families on water safety.

“After seeing that a majority of drownings were occurring during a planned swim time, it became clear that strong messaging around adult supervision is key,” said Mitchell.

Eighty-eight percent of drownings occur with at least one adult present. The “Lifeguard Your Child” program teaches parents how to create a safety plan for children anytime they are around water.

Those tips include:

• Designate an adult Water Watcher to ensure constant visual supervision of children in and around water.
• Implement 15-minute shifts for Water Watchers.
• No Distractions: The Water Watcher must have no distractions, including conversations, phones, reading, or consuming alcohol.

“We know that distractions are a key component of unintentional injuries around planned swim time, so sharing these messages are strong reminder that drowning-related injuries and fatalities are preventable with non-distracted supervision,” said Mitchell.

Swim Lessons

Learning to swim can reduce drownings by more than 80%. Cook Children’s recognizes there is a disparity in access to swim lessons and saw an opportunity to collaborate with swim schools in the community. As a result, free Water Safety lessons are provided in select areas in under-resourced neighborhoods through community partnerships.

“By committing to taking a multi-layered strategic approach, the goal is to encourage safer choices in and around open water activities,” said Mitchell.

It is not just pools but ponds and lakes where water safety is important, and life jackets can help. Cook Children’s has a partnership with the Brazos River Authority in Granbury and Possum Kingdom Lake to provide water safety education at local schools and camps. The efforts extend into more than a dozen counties with loaner life jacket stations that Cook Children’s has built and supports.

“We hope to instill the importance of choosing the safest floatation device for their child,” said Mitchell. She adds that life jackets are not a substitute for supervision.

Choosing the right life vest:

• If the lifejacket does not say “U.S. Coast Guard-Approved” or “USCG approved,” you can assume it is not safe. Always check the label.
• As your child grows, the lifejacket needs to meet their new weight.
• Get a new lifejacket if there are rips and tears or if the straps are fraying.
• Do not rely on floats or other toys to keep children safe.
•  Always assign an adult water watcher when children are swimming, even if they are fitted with a life vest.

Water safety is year-round

Mitchell adds that water safety continues well into the winter months.  Drowning can happen in only an inch or two of water, just enough to cover your child’s nose and mouth.  Last year, Cook Children’s saw an uptick in bath-related drownings.

“We know that bath-related drownings are 100% preventable,” said Mitchell. “Much of our education focuses heavily on behavior change around preparedness, 100% adult supervision, and general safety concepts.”

Bathtub safety tips:

1. Ensure an adult stays at the side of the tub within reach of the child throughout the entire bath. This is too big of a responsibility for siblings and other children, so don’t ask them to take over for you. 
    
2. Avoid multitasking. Preparing dinner, folding laundry, or any other housekeeping tasks can and must wait until after the bath is over.
    
3. Ignore distractions like the doorbell or cell phones. Stepping or looking away from your child for even a few seconds can put them at risk of drowning.
    
4. Be prepared. Keep a towel and bath supplies close at hand, so you do not need to get up and leave during bath time. 
    
5. Treat every bath as a time to relax and bond with your baby or toddler. Bath toys like foam letters, animals that shoot water, and waterproof books are a great way to make the bathtub more fun and teach your child new things at the same time! 
    
6. Safety proof your home to prevent young children from accessing the bathroom without an adult. The more barriers in place, the safer your child will be.
    
7. If you absolutely have to leave during bath time, swaddle your child in a towel and bring them with you. 
    
8. Remove all toys and drain the tub immediately after each use.

Summer has begun, which means more outdoor activities and finding ways to cool down. Cook Children's Health Care System experts share tips for parents on how to keep children safe and prepared for the heat, from cooling down at the pool to summer travel safety.

As the 4^th of July approaches, we are sharing the latest drowning data from Cook Children’s Health Care System. As of January 1 to June 18, there were 20 drownings treated at Cook Children’s, two of which were fatal. Most of these patients have been in the 5-year-old and under age group.

So far in 2025, there has been a decrease with 18 drownings and two fatalities. Most drownings in 2025 have occurred in a swimming pool or spa, second highest were bathtub-related.

While most drowning encounters were not fatal, drowning injuries can result in severe effects, especially on a child’s brain development. Drownings can happen silently and quickly. A submerged person might not attract attention or appear to be in danger.

Cool Down: Water safety and drowning prevention

Drowning is the leading cause of unintentional injury and death for children ages 1 to 4 and the second leading cause for kids 5-14 in Texas.  Eighty-eight percent of drownings occur with at least one adult present. 

• Wear swimsuits with bright colors that are easily detectable in water.
• Designate an adult Water Watcher to ensure constant visual supervision of children in and around water.
• Implement 15-minute shifts for Water Watchers.
• No Distractions: The Water Watcher must have no distractions, including conversations, phones, reading, or consuming alcohol.
• Communication is key: Talk with all caregivers (family and friends) about your child’s swim ability or water competency skills.
• Never assume that adults will be watching, but rather verbally confirm it before leaving your child in their care.
• Barriers: Locks, alarms, and pool fences can help keep unsupervised young children from entering swimming pools.

Fun in the Sun: Boating Safety

The risk of drowning in open water triples at age 15. Setting safety expectations with the whole family ahead of time is paramount. Most drowning fatalities in natural water are not related to boating. Texas law requires that all children 13 and under wear a life jacket while on a boat. Cook Children's Health Care System supports over 60 Loaner Life Jacket Stations in North Texas lakes, rivers, and reservoirs. The goal is to make sure no child or adult drowns at a public lake because they did not have access to a life jacket.

• Make sure life jacket usage is mandatory, along with adult supervision.
• Toe In/Vest On Policy: If a toe is in the water, a life jacket goes on.
• Life Jackets: Must be U.S. Coast Guard-approved.
• When your life jacket is on, ensure that it is buckled on your child as directed.  Always. 
• Know water conditions before getting into open water. Water conditions in lakes and oceans can vary daily.  

Heat Safety

Spending too much time in the heat can lead to heat-related illnesses, including heat exhaustion and heatstroke.

• Stay hydrated: Water is best, but other fluids count if they do not include caffeine.
• Hot car danger: Make a habit of double-checking your backseat each time you get out of the car.
• Watch out for hot buckles on car seats, as these can cause burns on your child’s skin.
• Be aware of heat illness. Know the difference between heat exhaustion and heat stroke.

Sun’s Out, Fun’s On

When it comes to sunburn, prevention is key. 

• Use a zinc oxide-based sunscreen with a minimum SPF of 30.
• Cover skin with SPF clothing.
• Apply sunscreen generously and frequently, 15 minutes prior to sun exposure.
• Reapply sunscreen every two hours and after swimming.
• For infants: Keep them out of direct sunlight, especially during peak hours of 10 a.m. and 4 p.m. Keep their skin covered with lightweight pants, a lightweight, long-sleeved shirt, and a wide-brimmed hat. 
• Wear sunglasses: Look for sunglasses that protect your child’s eyes from at least 97% of the UV rays. 
• If you are worried about any burn, even if it seems minor, consult your child’s pediatrician.

Fireworks
Fireworks can cause severe injuries that are both harmful and painful to children. Children should never handle fireworks. Even seemingly harmless sparklers can heat up to more than 1,200 degrees, making them dangerous for young children.

• The safest way to enjoy fireworks is at a professional display.
• If setting off fireworks at home, adults should only set them off in a “kid-free” zone.
• Adults should not hold fireworks in their hands or keep any part of their body over them while lighting.
• Avoid accidental burns: keep children away from bonfires and grills.

Drowning is the leading cause of accidental death for children ages 1 to 4, and the second leading cause for kids 1-14 in Texas. 88% of drownings occur with at least one adult present. 

That’s scary information, but there are steps you can take to help protect your child around water, whether it is swim time, unplanned time around water or even bath time:

1. Designate a Water Watcher to ensure constant visual supervision.

• Drowning occurs silently, so designate a Water Watcher to watch children in and around all water, even when a lifeguard is present. A Water Watcher should be in-reach of the children in the pool. The safest way is to be in the pool with them.
• A Water Watcher tag can be used to designate responsible adults to watch the water when you have a party at the pool, lake or beach. At social gatherings, 10-15 minute shifts are recommended. During that time, Water Watchers should not be distracted by conversations, cell phones, reading, etc.
• Stay alert. There isn’t a more important responsibility.

2. Keep backyards and bathrooms safe. 

• Dump all water buckets and empty kiddie pools when they are not in use.
• Install multiple barriers in areas leading to pools and spas: pool fences, self-closing, self-latching gates and door alarms.
• Keep pool area picked up and clear of toys and other items which might attract an unsupervised child.
• Never leave children unattended in the bathtub. Keep a towel and bath supplies close at hand, so you do not have to leave during bath time.
• Install safety latches on toilets

3. Wear lifejackets. 

• The single most important thing when it comes to open water safety is a life vest. Especially in murky water with a current, it can be the difference between life and death. If the lifejacket doesn’t say “ U.S. Coast Guard-Approved” or “USCG approved,” you can assume it’s not safe. Always check the label.
• As your child grows, the lifejacket needs to meet their new weight. Get a new lifejacket if there are rips and tears or if the straps are fraying.
• Do not rely on floats or other toys to keep children safe.

4. Sign up for CPR and swim lessons. 

• Studies show that formal swim lessons for children under age 4 reduce drowning by 88 percent.
• Take swim lessons with your child if you don’t know how to swim yourself. Even adults who are strong swimmers should never swim alone.
• Need help finding swim lessons? Check out this list of providers in the Tarrant County Area. If you’re not in Tarrant County, you may want to contact your local YMCA, Red Cross, or parks and recreation center for information in your area.
• Learning CPR can be the difference between life and death while waiting for emergency personnel to arrive. Check your local Red Cross and YMCA for CPR classes.

5. Have a safety plan in place. 

• If an emergency does happen, remember that seconds count. Call 911 immediately and then begin CPR while EMS is in route.
• Know water conditions before you get into open water. Water conditions in lakes and oceans can vary on a daily basis.

Related Stories

• Lifeguard Your Child: Prevent Bathtub Drownings 
• Lifeguard Your Child: Don’t Take a Vacation From Water Safety
• What Color Is Your Child's Swimsuit? Experts Say Choose Safety Over Fashion 
• In the Words of a Grieving Mother: Teenagers & Open Water Drowning 
• What's a Water Watcher Tag? How One Item in Every Household Can Help Prevent Drownings
• Checklist: Keeping Your Pool Safe for All Swimmers 
• Keeping Kids Afloat: Infant Swimming Resource Self-Rescue 
• Swim Lessons Save Lives: Answering Top Questions With a Professional Swim Instructor
• Try on for Size: Tips for Best Fit, Safe Practices for Wearing Life Jackets

Arlington Fire Department's Station 7 Dive Team demonstrated the mock drowning as part of "April Pool's Day." Moms were on hand to watch the mock drowning and to listen to speakers, including parents whose children had died as a result of drowning. The event talked about the warnings signs of a child in danger and what parents could do to protect their children at the pool. 

For more information about drowning and the event, please view the following:

Cook Children's drowning and prevention information

NBC5's coverage of the event