
Buckle Up! Is Not Enough
Enhancing Protection of the Restrained Child
Flaura K. Winston, MD, PhD;
Dennis R. Durbin, MD, MSCE
JAMA. 1999;281:2070-2072.
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INTRODUCTION
Child passenger safety remains a leading public health priority since motor vehicle (MV) crashes are a leading cause of death for children older than 1 year.1 In 1997, 2038 children younger than 16 years died as occupants in MV crashes and an additional 318,000 were injured.2 From 1977 to 1997, the fatality rate for MV occupants younger than 16 years decreased by 25%.2 However, since 1990, child occupant fatality and injury rates have remained largely unchanged (Figure 1).
Figure appears in full text version.
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Figure. Child Occupant Fatality Rates by Age Group From 1977 to 1997
Figure adapted from data in Traffic Safety Facts.2
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No one disputes the need to protect children in MV crashes. Child safety seats (CSS) and safety belts are vital safety systems. However, as child restraint use has increased, little attention has been given to the correct fit and appropriate . . . [Full Text of this Article]
Premature Graduation to Safety Belts
The Danger of Misuse of CSS
Engineering
Education
Enforcement
Summary
Author Affiliations: The Children's Hospital of Philadelphia and the University of Pennsylvania, Philadelphia.
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