By Alyssa Brault, UW School of Public Health practicum student
When people think about drowning, they often picture lakes, rivers, or swimming pools. But one of the most overlooked places where drowning can occur is inside the home. In 2025, 44% of drowning deaths in King County happened in a bathtub or hot tub, spaces we usually associate with comfort and relaxation. These environments can pose serious risks, especially for older adults and people with underlying conditions.
In King County, the average age of people who drowned in a bathtub or hot tub was 64. Age-related health conditions, medications, and mobility challenges can all increase vulnerability.
So, what can we do to prevent drowning at home?
Medical Conditions, Medications, and Bathing Safety
Underlying medical conditions play a major role in bathtub and hot tub drownings. In 2025, 55% of these deaths involved a probable medical event, many of them heart related.
If you have a medical condition or take medications that affect alertness, balance, or heart function, consider choosing a shower instead of a bath. Showers significantly reduce drowning risk because you’re upright and less likely to become submerged if you have a medical situation .
If a bath is necessary, a few simple steps can help reduce risk:
- Make sure someone else is home and able to check on you
- Limit time spent in bathtubs or hot tubs
- Stay hydrated to avoid overheating or dehydration
Substance Use and Drowning Risk
Substances can also increase drowning risk. In 2025, 36% of drowning deaths in King County involved drugs or alcohol. These substances can slow reaction time, impair judgement, and increase the chance of dizziness or loss of consciousness.
To stay safe:
- Avoid drinking alcohol or using drugs before getting in a bathtub or hot tub.
- If you’ve consumed any substance, wait until you’re fully sober before bathing.
Creating Safer Habits at Home
You don’t need to give up the comfort of a warm bath or hot tub. With a few safeguards and sometimes small changes in routine, drowning at home is a preventable tragedy.
Taking steps to stay alert, limiting risk factors, and looking out for one another can help ensure that these relaxing spaces remain safe for everyone.
Originally published on May 4, 2026.