<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0213-9111</journal-id>
<journal-title><![CDATA[Gaceta Sanitaria]]></journal-title>
<abbrev-journal-title><![CDATA[Gac Sanit]]></abbrev-journal-title>
<issn>0213-9111</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Salud Pública y Administración Sanitaria (SESPAS)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0213-91112020000600572</article-id>
<article-id pub-id-type="doi">10.1016/j.gaceta.2019.05.003</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Las asfixias accidentales en México: un problema de salud pública oculto]]></article-title>
<article-title xml:lang="en"><![CDATA[Unintentional asphyxia in Mexico: a hidden public health problem]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez-Núñez]]></surname>
<given-names><![CDATA[Ricardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vera-López]]></surname>
<given-names><![CDATA[Juan Daniel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Salud Pública Centro de Investigación en Sistemas de Salud ]]></institution>
<addr-line><![CDATA[Cuernavaca Morelos]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Secretaría de Salud de México Consejo Nacional para la Prevención de Accidentes Secretariado Técnico]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>34</volume>
<numero>6</numero>
<fpage>572</fpage>
<lpage>581</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0213-91112020000600572&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0213-91112020000600572&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0213-91112020000600572&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo Caracterizar la epidemiología de las asfixias accidentales en México en el periodo 1999-2017.  Método Análisis secundario de bases de mortalidad, tres encuestas nacionales de salud e información del programa de inspecciones de seguridad de la Secretaría de Salud, para caracterizar las lesiones fatales y no fatales asociadas a ahogamientos (CIE-10: W65-W74) y otras asfixias (CIE-10: W75-W84), y determinar el grado de exposición a distintos riesgos en el interior de viviendas y guarderías.  Resultados Se registraron 100.834 defunciones, el 44,66% por ahogamientos, y el 77,18% eran de varones. Los ahogamientos afectan a población infantil y adolescente, ocurren con más frecuencia en abril, julio y agosto, los domingos, y en horario vespertino; las otras asfixias afectan a población infantil y adulta mayor, ocurren con más frecuencia de diciembre a febrero, en domingo, de las 4 a las 6h. Según la ENSANut-2012, 53.065 personas sufren una asfixia no fatal al año, el 26,21% con consecuencias permanentes en su salud. Se observaron riesgos importantes de asfixia en el 38% de las guarderías y el 80% de los hogares analizados.  Conclusiones Las asfixias accidentales son un problema prioritario de salud pública que debe ser atendido urgentemente para cumplir con el objetivo de desarrollo sostenible 3.2. La evidencia presentada en este trabajo es un insumo que permite informar y orientar los esfuerzos al respecto.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective To characterize the epidemiology of unintentional asphyxias in Mexico from 1999 to 2017.  Method Secondary analysis of vital registries, three national health surveys and information from the safety inspection program of the Ministry of Health in Mexico were used to characterize fatal and non-fatal drownings (ICD-10: W65-W74) and other asphyxias including suffocation, chocking and strangulation (ICD-10: W75-W84), and to estimate the level of exposure to different risk factors within households and daycares.  Results 100,834 deaths were registered, 44.66% were drowning and 77.17% male. Drownings mainly affect children and adolescents, occur in April, July and August, on Sundays, during the afternoon. Other asphyxias affect children and the elderly more frequently, occur mainly from December to February, on Sundays and from 4 to 6h. According to ENSANut-2012, 53,065 individuals experience a non-fatal asphyxia per year, 26.21% of them with permanent consequences in their health and wellbeing. Important risks of unintentional asphyxias are present in 38% of daycares and 80% of households analyzed.  Conclusions Unintentional asphyxias are a major public health problem that needs to be urgently attended to achieve the Sustainable Development Goals, in particular the 3.2. Evidence presented in this work constitutes an input to inform and orient efforts directed to tackle this problem.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[México]]></kwd>
<kwd lng="es"><![CDATA[Accidentes]]></kwd>
<kwd lng="es"><![CDATA[Asfixia]]></kwd>
<kwd lng="es"><![CDATA[Ahogamiento]]></kwd>
<kwd lng="es"><![CDATA[Epidemiología]]></kwd>
<kwd lng="en"><![CDATA[Mexico]]></kwd>
<kwd lng="en"><![CDATA[Accidents]]></kwd>
<kwd lng="en"><![CDATA[Asphyxia]]></kwd>
<kwd lng="en"><![CDATA[Drowning]]></kwd>
<kwd lng="en"><![CDATA[Epidemiology]]></kwd>
</kwd-group>
</article-meta>
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