Pedestrian deaths in children--potential for prevention.

The National Paediatric Mortality Database was reviewed for the six year period 1st January 2006 to 31st December 2011 and all pedestrian deaths extracted, after review of available data the deaths were categorized as either traffic or non-traffic related. There were 45 child pedestrian fatalities in the period examined. Traffic related deaths accounted for 26 (58%) vs. 19 (42%) non-traffic related. Analysis of the deaths showed there was a male preponderance 28 (62%), weekend trend 22 (49%) with an evening 16 (35%) and summer peak 20 (44%). The highest proportion of deaths occurred in the 1-4 year age group 24 (53%), with 13 (28%) due to low speed vehicle rollovers, mainly occurring in residential driveways 8 (61%). Child pedestrian fatalities are highly preventable through the modification of risk factors including behavioural, social and environmental. Preventative action needs to be addressed, particularly in relation to non-traffic related deaths i.e, low speed vehicle rollovers.

[1]  T. To,et al.  Trends in rates of death from unintentional injury among Canadian children in urban areas: influence of socioeconomic status , 2006, Canadian Medical Association Journal.

[2]  J. Leblanc,et al.  Risk factors predisposing to pedestrian road traffic injury in children living in Lima, Peru: a case–control study , 2012, Archives of Disease in Childhood.

[3]  Ediriweera Desapriya,et al.  Injury prevention in child death review: child pedestrian fatalities , 2011, Injury Prevention.

[4]  M. Gardner,et al.  Driveway injuries in children: risk factors, morbidity, and mortality. , 2001, Pediatrics.

[5]  Diane S Berry,et al.  Should 'Cyrus the Centipede' take a hike? Effects of exposure to a pedestrian safety program on children's safety knowledge and self-reported behaviors. , 2006, Journal of safety research.

[6]  Robert H. Gilman,et al.  Pedestrian Road Traffic Injuries in Urban Peruvian Children and Adolescents: Case Control Analyses of Personal and Environmental Risk Factors , 2008, PloS one.

[7]  Y. Bimpeh,et al.  Progress in reducing road-related deaths and injuries in irish children , 2011, Archives of Disease in Childhood.

[8]  Federico E Vaca,et al.  The Relationship of Pedestrian Injuries to Socioeconomic Characteristics in a Large Southern California County , 2010, Traffic injury prevention.

[9]  Andrew Howard,et al.  Walking and child pedestrian injury: a systematic review of built environment correlates of safe walking , 2013, Injury Prevention.

[10]  Katherine W. Byington,et al.  Effect of Cell Phone Distraction on Pediatric Pedestrian Injury Risk , 2009, Pediatrics.

[11]  Richard Lichenstein,et al.  Headphone use and pedestrian injury and death in the United States: 2004–2011 , 2012, Injury Prevention.

[12]  Rachel R. Albert,et al.  Lasting effects of short-term training on preschoolers' street-crossing behavior. , 2010, Accident; analysis and prevention.

[13]  C. Ellingsen,et al.  Pediatric trauma deaths are predominated by severe head injuries during spring and summer , 2009, Scandinavian journal of trauma, resuscitation and emergency medicine.

[14]  Tova Rosenbloom,et al.  Fear and danger appraisals of a road-crossing scenario: a developmental perspective. , 2008, Accident; analysis and prevention.

[15]  Donald L Fisher,et al.  Backing collisions: a study of drivers' eye and backing behaviour using combined rear-view camera and sensor systems , 2010, Injury Prevention.

[16]  Linda Rothman,et al.  Pedestrian crossing location influences injury severity in urban areas , 2012, Injury Prevention.

[17]  R. Barker,et al.  Risk Factors Associated with Injury and Mortality from Paediatric Low Speed Vehicle Incidents: A Systematic Review , 2013, International journal of pediatrics.

[18]  Charles DiMaggio,et al.  Roadway characteristics and pediatric pedestrian injury. , 2012, Epidemiologic reviews.

[19]  Mark J M Sullman,et al.  The road user behaviour of school students in Belgium. , 2012, Accident; analysis and prevention.

[20]  L. Laflamme,et al.  20 Years of Research on Socioeconomic Inequality and Children's—Unintentional Injuries Understanding the Cause-Specific Evidence at Hand , 2010, International journal of pediatrics.

[21]  L Sminkey,et al.  World report on child injury prevention , 2008, Injury Prevention.

[22]  Benjamin K Barton,et al.  Child pedestrian safety: parental supervision, modeling behaviors, and beliefs about child pedestrian competence. , 2009, Accident; analysis and prevention.

[23]  David C Schwebel,et al.  Child Pedestrian Injury , 2012, American journal of lifestyle medicine.

[24]  Marian R Passannante,et al.  Annual pediatric pedestrian education does not improve pedestrian behavior. , 2011, The Journal of trauma.