Injuries to child pedestrians

BMJ 1995; 310 doi: https://doi.org/10.1136/bmj.310.6977.413a (Published 18 February 1995) Cite this as: BMJ 1995;310:413
  1. Ian Roberts
  1. Overseas fellow (Health Research Council of New Zealand) Department of Community Paediatric Research (C-538), Montreal Children's Hospital, 2300 Tupper, Montreal, Quebec H3H 1P3, Canada

    The key to prevention is a change in transport policy

    Injury to child pedestrians is a leading cause of death and an important cause of severe brain injury. In 1991 in England and Wales 185 child pedestrians were killed and 3965 were seriously injured in road accidents.1

    Injuries to child pedestrians have held the rank of “captain of the kings of death” for the past 20 years, yet only recently have epidemiological methods been applied to their prevention. In the past preventive strategies were based on assumptions about causation drawn from case series, but such an approach was bound to fail. Some crucial questions need to be addressed. Firstly, why do rates of injury among child pedestrians change over time, and why do some populations have higher rates than others? Secondly, within populations, why are some children injured and not others?2 Children are exposed to the risk of pedestrian injury only while walking, so measures of frequency should take account of exposure. For example, child …

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