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PEDIATRICS Vol. 102 No. 1 Supplement July 1998, pp. 256-258

COMMENTARY:
Tap Water Scald Burns in Children, by K. W. Feldman, R. T. Schaller, J. A. Feldman, and M. McMillon, Pediatrics, 1978;62:1-7

Received Mar 19, 1998; accepted Mar 19, 1998.

Comments by Frederick P. Rivara

From the Harborview Injury Prevention and Research Center and the Departments of Pediatrics and Epidemiology, University of Washington, Seattle, Washington.

Tap water scald burns account for 7% to 17% of all childhood scald burns that require hospitalization. Often the burns are severe and disabling. Toddlers and preschool children are the most frequent victims. In 45% of the injuries, the unsupervised victim or peer turned on the tap water; in 28% the cause was abuse. Eighty percent of the homes tested had unsafe bathtub water temperatures of 54°C (130°F) or higher, exposing the occupants to the risk of full-thickness scald with <30-second exposure to hot water. Such burns may be prevented passively by limiting household water temperatures to <52°C (125°F). New water heaters could be preset at this temperature, and families could be taught to turn down the temperature on existing units.


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