STAT: The number of annual deaths from ESD in the U.S. are unknown, since they are counted among all drownings. But anecdotal evidence shows that ESD is widespread. ESD prevention groups have successfully urged some states to enact safety standards, including the installation of ground-fault circuit interrupters and a central shutoff for a dock's electrical system.
The addition of inorganic coagulants such as aluminum sulfate (or alum) or iron (III) salts such as iron(III) chloride cause several simultaneous chemical and physical interactions on and among the particles. Within seconds, negative charges on the particles are neutralized by inorganic coagulants. Also within seconds, metal hydroxide precipitates of the iron and aluminium ions begin to form. These precipitates combine into larger particles under natural processes such as Brownian motion and through induced mixing which is sometimes referred to as flocculation. Amorphous metal hydroxides are known as "floc". Large, amorphous aluminum and iron (III) hydroxides adsorb and enmesh particles in suspension and facilitate the removal of particles by subsequent processes of sedimentation and filtration.:8.2–8.3