This report details the efforts expended to counteract the threat to children's lives in automobile accidents. These countermeasures were initiated in North Carolina in 1977 when a project was begun to educate parents through health care professionals. Since these initial efforts, activities have been expanded to include the establishment of local loaner/rental programs, programs designed to protect foster children and other Wards of the State, and the organization of safety advocates into a formal child passenger safety association. In an attempt to meet project goals, efforts have been concentrated in several main areas with the implementation of the new North Carolina Child Passenger Protection Law as the central theme. Major accomplishments during this year have included: (1) The development of new and revised educational materials, recruitment of new groups to assist in educational efforts, and distribution of over 100,000 brochures and other educational materials throughout the State; (2) The establishment of twenty-four new safety seat loaner/rental programs during the year, bringing the total number of on-going programs to 109; (3) The participation of an additional eight county Departments of Social Services in the Wards of the State Program during the year bringing the total number of counties providing safety seats to children in their care to 99 out of 100; (4) The continued development of the North Carolina Child Passenger Safety Association and the planning and coordination of the Second Annual N.C. Conference on Child Passenger Safety which brought together 200 safety advocates; and (5) The collection and analysis of data from N.C. Division of Motor Vehicles and observational surveys conducted by HSRC staff. This analysis was designed to evaluate the impact of the Child Passenger Proctection Law on restraint usage rates for children in North Carolina. Feedback was provided to the N.C. Legislature based on this DMV data. Analysis of 1982 N.C. accident data has shown that restraint usage rates for children have increased significantly above the level previously achieved through educational efforts alone. Recommendations are made relating to future North Carolina efforts to continue to provide education, technical assistance and readily available seats to parents.