Child Injury Prevention

Child injuries are largely absent from child survival initiatives presently on the global agenda. Through this report, the World Health Organization, the United Nations Children's Fund and many partners have set out to elevate child injury to a priority for the global public health and development communities. It should be seen as a complement to the UN Secretary-General's study on violence against children released in late 2006 (that report addressed violence-related or intentional injuries). Both reports suggest that child injury and violence prevention programs need to be integrated into child survival and other broad strategies focused on improving the lives of children. Evidence demonstrates the dramatic successes in child injury prevention in countries which have made a concerted effort. These results make a case for increasing investments in human resources and institutional capacities. Implementing proven interventions could save more than a thousand children's lives a day.--p. vii.

Printed Edition of the Special Issue Published in IJERPH

The World Health Organization recognizes that injuries are the leading cause of death and disability to children after their first birthday. There is also high morbidity associated with injuries sustained in childhood, often affecting people for the rest of their lives. For every child who dies from injury, there are several thousand who require medical care, many who live with varying degrees of disability. Children and adolescents (0–19 years of age) are at increased risk of mortality and morbidity due to injuries such as road traffic, burns, falls, poisoning, drowning, self-harm and interpersonal violence. There are proven ways to prevent many child injuries, yet there are still gaps in our knowledge. By understanding the impact of determinants of health (i.e., the social and economic environment, the physical environment and a person’s individual characteristics and behaviors), effective prevention interventions can be designed and implemented, with a high return on investment. This Special Issue covers an eclectic range of studies, the common goal of which is to reduce the global burden of child injury-related mortality and morbidity.

Injuries are a leading cause of death and disability in children. This report presents evidence on how they can be prevented and calls for greater commitment and action from policy-makers and practitioners to decrease the burden. Every year, unintentional injuries kill nearly 42,000 children and young people under the age of 20 in the WHO European Region. Injuries are the leading cause of death among those aged 5-19 years, and 5 out of 6 of these deaths occur in low- and middle-income countries. Irrespective of country income, the burden falls disproportionately on children from the most disadvantaged groups. The leading types of unintentional injuries are road traffic injuries, drowning, poisoning, burns and falls. All injury types have similar main causes and socioeconomic and environmental determinants. Children are particularly vulnerable to injuries and need special consideration to safeguard their rights to health and safe environments, free from injury. This report, companion to the World Report on Child Injury Prevention, presents the evidence on both the great potential for injury prevention and the effectiveness and value for money of measures already in use in European countries with low injury mortality. It shows why health systems and particularly programs for child health throughout the WHO European Region should give priority to preventing and controlling child injury.

Health Behavior, Education, & Promotion

Unintentional injuries, including car crashes, drowning, burns, poisoning, and suffocation, are a leading cause of death to young children. Child abuse, infectious diseases, and food poisoning also affect children under five. This bibliography provides information useful to those who care for young children, who are doing research on how to prevent injuries, or who supervise or train people who care for children either in child care or home settings. The volume is organized by types of injuries, and each section includes references providing information about prevalence, risk factors, specific hazards, and prevention techniques for the the injury area. Unintentional injuries, including car crashes, drowning, burns, poisoning, and suffocation, are a leading cause of death to young children. Child abuse, infectious diseases, and food poisoning also affect children under five. This bibliography provides information useful to those who care for young children, who are doing research on how to prevent injuries, or who supervise or train people who care for children either in child care or home settings. The volume is organized by types of injuries, and each section includes references providing information about prevalence, risk factors, specific hazards, and prevention techniques for the injury area. The opening chapter of the book includes references that address injury prevention in general or more than one injury class as well as curriculum guides and other training materials addressing more than one injury class. The remaining chapters address individual injury classes. Each chapter opens with a summary of findings related to the injury prevention topic.

This is a superb guide to the prevention of childhood injury--concise, carefully organized, clearly written, authoritative and realistic. It adopts a developmental approach to understanding the causes of injury and planning intervention, whether in infants, toddlers, preschoolers, elementary school children or young adolescents. Detailed information on specific injury is presented under an environmental rubric: the roadway, the home, the school and recreational area. Each chapter summarizes facts about the specific type of injury being considered, discusses developmental issues that affect its occurrence, and then offers guidelines for prevention. Both unintentional and intentional injuries are covered. The authors' recommendations are addressed to schools and child care centers; health care providers; public agencies; legislators and regulators; law enforcement professionals; voluntary organizations; designers, architects, builders and engineers; business and industry; and mass media. Children cannot be expected to avoid injury on their own. Adults must grant them freedom from injury by providing a safe environment.