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,…

Describes an innovative training program for injury prevention specialists developed by the Indian Health Service (IHS), noting its applicability to other community-based settings. Examines injuries and American Indians; designing the IHS program; IHS training courses; examples of community-based interventions organized by people who had completed…

Examines frequency, costs, and quality of life losses associated with unintentional childhood injuries in 1996, using analyses of national and state data sets. Summarizes the cost effectiveness of several child safety measures and discusses current federal funding patterns for health care research on the subject. An appendix presents methods of…

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…

Presents a historical overview of injury control and prevention in the United States and offers a summary of current knowledge about the importance of different causes of childhood injury, looking at risk and protective factors that have a bearing on preventive efforts. Injury remains the most important cause of death and disability for children…

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…

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 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…