The past century has seen vast improvements in our children's health. The infectious diseases that once killed huge numbers of children have largely been conquered. Infant mortality has also fallen markedly, although the United States lags behind other industrialized nations in this and other measures of children's health. Accidents and injuries…

Illustrates how evaluating the Oklahoma City Smoke Alarm Project increased its success in reducing residential fire-related injuries and deaths. The program distributed and tested smoke alarms in residential dwellings and offered educational materials on fire prevention and safety. Evaluation provided sound data on program processes and outcomes,…

Analyzes preventive strategies to reduce childhood injuries through education, environmental change, and enforcement of legislation and regulation, offering recommendations for steps to reduce the toll of injuries on children's lives. After discussing the magnitude, trends, and costs associated with childhood injuries and models for prevention,…

Reviewed 32 studies that evaluated the impact of community-based injury prevention efforts on childhood injuries, safety behaviors, and adoption of safety devices. Interventions targeted schools, municipalities, and cities. This approach effectively increased some safety practices (e.g, bicycle helmet and car seat use) but not others. Common…

Reviewed 22 studies that examined the impact of interventions delivered in clinical settings (physician's offices, clinics, or hospitals) on child safety practices and unintentional injuries. Counseling and other interventions in clinical settings effectively increased the adoption of some safety practices, but not others. Clinical interventions…

Describes six legislative efforts to point out pros and cons of the legislative approach to promoting child safety. Three efforts are intended to prevent injury-producing events from occurring. Three others illustrate the value of laws designed to prevent injuries once an injury-producing event occurs. Offers recommendations for maximizing the…