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Health Tips
Child Safety - Motor Vehicle
Motor Vehicle-Related Injuries
Centers for Disease Control and Prevention
- Motor vehicle crashes are the leading cause of injury death in the United States for people aged 1-34.
- In 1997, nearly 42,000 people died on the nation's roads and highways, and another 3.5 million suffered nonfatal injuries.
- Motor vehicle crashes took the lives of 5,606 teenagers and 2,027 children in 1998. Older adults, as a group, are also at higher risk of dying from motor vehicle crashes.
- In the United States, 5,220 pedestrians died from traffic-related injuries and another 69,000 pedestrians sustained non-fatal injuries in 1998.
- In 1998, 38% of traffic fatalities were alcohol-related; either the driver or an affected person (e.g., a pedestrian or a bicyclist) had a blood alcohol concentration of at least 0.01 gram per deciliter (g/dL).
How large is the problem of motor vehicle-related deaths among children?
Centers for Disease Control and Prevention
- Injuries resulting from motor vehicle crashes are the leading cause of death for children 1-14 years old. In 1998, they accounted for 46% of all unintentional injury-related deaths in this age group.
- Since 1975, the motor vehicle-related death rate for children between 0-12 years has decreased 49%. Death rates for pedestrians and bicyclists declined about 70%, while death rates among child passengers in motor vehicles decreased 13%.
- In 1998, 2,027 children 12 years old and younger were killed in motor vehicle crashes. Of those who died, 65% were passengers in vehicles, 23% were pedestrians, and 7% were pedalcyclists.
Restraint Sizes
SAFE KIDS Study
Based on observations of 9,332 children traveling in 6,297 vehicles, data were collected at 174 sites in 48 states and the District of Columbia between November 2001 and January 2002. Key Findings:
Inappropriately Restrained Children:
- 33% (3,042) of children were in the wrong restraint for their size and age.
- 63% (1,626) of kids who should have been in belt-positioning booster seats (typically ages 4 to 8) were inappropriately restrained
Unrestrained Children:
- 14% (1,295) of children were riding completely unrestrained.
- 24% (284) of kids ages 10-14, and 20% of kids ages 5-9 were riding completely unrestrained.
What is the role of alcohol in child passenger injuries and fatalities?
Centers for Disease Control and Prevention
- Nearly 24% of children 0-14 years old who died in motor vehicle crashes in 1985-1996 were killed in alcohol-related crashes.
- Results from the same study showed that 64% of all child passengers who died in motor vehicle crashes involving a drinking driver with a BAC > 0.10 g/dL were riding in the impaired driver's car.
When should rear-facing child safety seats be used?
Centers for Disease Control and Prevention
The Academy of Pediatrics recommends that infants ride in rear-facing safety seats until they are at least 20 pounds and 1 year old.7 When used properly, these seats reduce the risk of neck injury to infants. Infants riding in rear-facing child safety seats should never be placed in the front seat of a vehicle with a passenger-side air bag.
When should children switch from rear to forward-facing child safety seats?
Centers for Disease Control and Prevention
Generally, children who have outgrown their rear facing seats and are at least 1 year of age and 20 pounds, up to 40 pounds, should ride in forward facing safety seats as long as they fit (i.e., ears should be below the top of the back of the seat, with shoulders below the seat strap slots).
How should children be restrained when they have outgrown their child safety seat?
Centers for Disease Control and Prevention
Regardless of age, children who have outgrown their child safety seat (e.g., weigh more than 40 pounds or stand taller than 40 inches) should use a belt-positioning booster seat. Lap/shoulder belts usually do not fit properly until a child is 4'10" tall and weighs 80 lbs. Most children under 10 should use a booster seat to ride safely.
Are air bags dangerous for children?
Centers for Disease Control and Prevention
Yes. Currently air bags inflate at speeds of up to 200 mph. This blast of energy can severely hurt or kill passengers who are too close to the air bag. Children are more likely than adults to be too close to an air bag when it deploys.
Until passenger vehicles are equipped with air bags that are safe and effective for children, those who are 12 years old and younger should not ride in a front passenger seat that is equipped with an air bag.
Recommendations for preventing injuries to infants and children
Child Passenger Safety - SAFEUSA
- All children aged 12 years and younger should ride in the back seat for two important reasons. First, the back seat is generally the safest place in a vehicle during a crash. Second, children sitting in the front seat have been injured and killed by passenger air bags as they inflate in a crash. If your vehicle has a passenger air bag, children aged 12 years and younger should always ride in the back.
- Infants should ride in rear-facing child safety seats until they weigh 20 pounds and are one year old. Never place a rear-facing child safety seat in front of an air bag.
- Toddlers and preschoolers aged 1 to 4 years should ride in a forward-facing child safety seat until they weigh about 40 pounds (usually around age four), or until their ears reach the top of the back of the child safety seat, or their shoulders are above the top seat-strap slots.
- Children who have outgrown their child safety seats should ride in a booster seat that positions the shoulder belt across the chest and the lap belt low across the upper thighs. Children should use a booster seat until the lap and shoulder belts in the car fit properly, usually when they are at least 4 feet, 10 inches tall and weigh at least 80 pounds. To ride comfortably and safely, children must be able to bend their knees over the edge of the seat while sitting with their backs firmly against the seat back (without slouching). In most cases, this means that children 4 to 8 years old should ride in a booster seat.
- Children who have outgrown their booster seats should always use a safety belt. The child must be tall enough to sit without slouching, with knees bent at the edge of the seat, with feet on the floor. The lap belt must fit low and tight across the upper thighs. The shoulder belt should rest over the shoulder and across the chest. Never put the shoulder belt under the child's arm or behind the child's back.
- Teens and adults should never drink and drive. And they should always wear a safety belt.
Proper Child Safety Seat Use Chart
US Dept of Transportation - National Highway Traffic Safety Administration
Buckle Everyone. Children Age 12 and Under in Back!
| |
INFANTS |
TODDLER |
YOUNG CHILDREN |
| WEIGHT | Birth to 1 yearup to 20-22 lbs. | Over 1 year and over 20 lbs.-40 lbs. | Over 40 lbs.Ages 4-8, unless 4'9'' |
| TYPE OF SEAT | Infant only or rear-facing convertible | Convertible / Forward-facing | Belt positioning booster seat |
| SEAT POSITION | Rear-facing only | Forward-facing | Forward-facing |
| ALWAYS MAKE SURE: | Children to one year and at least 20 lbs. in rear-facing seats
Harness straps at or below shoulder level | Harness straps should be at or above shoulders
Most seats require top slot for forward-facing | Belt positioning booster seats must be used with both lap and shoulder belt.
Make sure the lap belt fits low and tight across the lap/upper thigh area and the shoulder belt fits snug crossing the chest and shoulder to avoid abdominal injuries |
| WARNING | All children age 12 and under should ride in the back seat | All children age 12 and under should ride in the back seat | All children age 12 and under should ride in the back seat |
Why Kids Are at Risk?
National SAFE KIDS Campaign
Children ages 12 and under are up to 36 percent less likely to die in a crash if they are in the rear seat of a passenger vehicle. Other risk factors:
- As of November 1, 2000, 98 children have been killed by passenger air bags.
- Nearly 20 percent of these deaths were among infants in rear-facing car seats placed in front of a passenger airbag. Almost all children killed by passenger airbags were either unrestrained or improperly restrained at the time of the crash.
- Most crashes (75 percent) occur within 25 miles of home. The majority also occurs on roads with posted speed limits of 40 mph or less.
- More than one-fifth of all traffic deaths among children ages 14 and under involve alcohol. Nearly 65 percent of the children killed in alcohol-related crashes are passengers in vehicles with drunk drivers.
- Rural areas have higher motor vehicle crash incidence rates and death rates; crashes in these areas also tend to be more severe.
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