Prevention of childhood injuries.

Accidents account for more deaths among children aged 1 to 14 years than the next five most common causes. Thinking about accidents as injuries that happen in a context comprising a host, an agent, and an environment may help prevent them. Until a profile of the family and child at risk of injuries is developed, causal factors must be identified and removed, and parents and children educated about injury prevention. Different problems occur at different stages of a child's development. The agents most commonly associated with injuries are automobiles, bicycles, swimming, and animals. The special vulnerability of infants was addressed by the American Academy of Pediatrics' "First Ride/A Safe Ride" program, which encouraged the use of safety seats. Design changes have reduced the number of bicycle injuries, but human factors continue to contribute significantly. Most drownings occur in fresh water, with many children within a few feet of safety; continuing education is essential. Inculcating respect for animals, learning safety rules for interaction, and advice on pet ownership help to reduce animal bite injuries.