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  Vol. 281 No. 22, June 9, 1999 TABLE OF CONTENTS
  JAMA
  •  Online Features
  Contempo 1999: Linking Evidence and Experience
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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.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

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.
Figure. Child Occupant Fatality Rates by Age Group From 1977 to 1997

Figure adapted from data in Traffic Safety Facts.2


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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