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Challenges and Recommendations
for Child Safety in Europe
Dr. Gabriella Pall for the European Child Safety Alliance, EuroSafe
June 11, 2007
Vienna, Austria
In Europe, more
children die of
injuries than all
other childhood
diseases
combined.
Proportion of burden attributable to
environmental factors among
European children 0-19 years of age
% of all cause DALYÕs
100
80,7
75
64,2
50
25
4,3
8,9
3,3
0
All main
env ironmental
factors
Injuries
Lead
Water,
sanitation and
hygiene
Indoor air
pollution
WHO, 2004
The cost to society and families is high
• An estimated 10 billion euros was spent in
1999 to treat children 0 to 14 years in the
European Union
• Death of a young child often has devastating
effects on immediate family and can
dismantle the family unit
What is killing our children?
Leading causes of injury death for children 0-14 years
in the European Union
Other violence 6%
Homicide 6%
Road
accidents 34%
Suicide 4%
Other unintentional
21%
Other transport
accidents 5%
Poisoning 2%
Drowning 13%
Fires 4%
Falls 5%
WHO 1996-2000 national sources average
Not only is injury preventable
but prevention is profitable!
€ 1 spent on smoke alarms saves € 69
€ 1 spent on bicycle helmets saves € 29
€ 1 spent on child safety seats saves € 32
€ 1 spent on road safety saves € 3
€ 1 spent on prevention counselling by
paediatricians saves € 10
€ 1 spent on poison control saves € 7
Adapted from: Centers for Disease Control, 2000
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Selected effective policy measures to reduce childhood
deaths and serious injuries in Europe
A ustria
Belgium
Czech Republic
Denmark
Est onia
France
Germany
Greece
Hungary
Iceland
Ireland
Italy
Luxembourg
Net herlands
Norway
Poland
Port ugal
Spain
Sweden
Swit zerland
UK
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Legend
Legislation in place; varying implementation
Note: smoke detector legislation applies for new
buildings only
Source: updated from Towner and Towner, 2004
If what we know about effective
prevention strategies was applied by
member states today researchers
estimate that 90% of injuries could
be prevented.
Despite this no country in the
European region has implemented
all of the top 20 proven effective and
recommended strategies to reduce
child injury.
The Way Forward
• Adopt and enforce regulations, legislation and
standards for proven prevention strategies at
the EU and Member State levels.
• Improve surveillance to better measure the
impact and burden of childhood injury and
evaluate impact of prevention measures.
• Support and fund the development and
implementation of National Child Safety Action
Plans to prevent injuries and promote safety.
The end result will
be a safer Europe.
Not only for children,
but their families,
communities and
society as a whole.