Keeping Children Safe: a multicentre programme of research to increase the evidence base for preventing unintentional injuries in the home in the under-fives

Kendrick D, Ablewhite J, Achana F, Benford P, Clacy R, Coffey F, et al. Keeping Children Safe: a multicentre programme of research to increase the evidence base for preventing unintentional injuries in the home in the under-fives. Programme Grants Appl Res 2017;5(14)

Burns, scalds, falls and poisoning are major causes of death, disability and health service use in the under-fives. We undertook 13 studies to explore factors associated with injuries, what prevents injuries, the cost of the injuries to the NHS and parents, and what parents and children’s centres (which provide families with information, support and co-ordinated services from a range of professionals) were doing to prevent injuries.

We used evidence from these studies to design a resource [an injury prevention briefing (IPB)] for children’s centres to use with parents for preventing house fire injuries. We gave 12 children’s centres the IPB, with training and support to implement it, (IPB+ group) and 12 centres the IPB without training or support (IPB-only group). A further 12 centres were not given the IPB (usual-care group). Children’s centres in both IPB groups used the IPB and increased injury prevention activity, more markedly in the IPB+ centres. The IPB did not increase how many families had a fire escape plan in either IPB group, but did increase some fire escape behaviours in both groups. Providing the IPB without training and support cost less and was slightly more effective than not providing the IPB. Providing the IPB with training and support cost more but was only slightly more effective than not providing the IPB. Children’s centres can increase some fire safety behaviours in families with young children if they are provided with evidence-based resources such as the IPB. A further IPB has been produced for the prevention of fire-related injuries, falls, poisonings and scalds.

Impact of daylight saving time on road traffic collision risk

Bills have been put forward in the UK and Republic of Ireland proposing a move to Central European Time (CET). Proponents argue that such a change will have benefits for road safety, with daylight being shifted from the morning, when collision risk is lower, to the evening, when risk is higher | BMJ Open

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Background: Studies examining the impact of daylight saving time (DST) on road traffic collision risk can help inform the debate on the potential road safety benefits of a move to CET. The objective of this systematic review was to examine the impact of DST on collision risk.

Findings: Twenty-four studies met the inclusion criteria. Seventeen examined the short-term impact of transitions around DST and 12 examined long-term effects. Findings from the short-term studies were inconsistent. The long-term findings suggested a positive effect of DST. However, this cannot be attributed solely to DST, as a range of road collision risk factors vary over time.

Interpretation: The evidence from this review cannot support or refute the assertion that a permanent shift in light from morning to evening will have a road safety benefit.

Full reference: Carey, R.N. & Sarma, K.M. (2017) Impact of daylight saving time on road traffic collision risk: a systematic review. BMJ Open. 7:e014319

Road accidents biggest global killer of teenagers

Road traffic injuries are the biggest killer of teenagers globally, international data released by the World Health Organization reveals | BBC News

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In 2015, more than 1.2 million adolescents died. Road injuries were to blame for about one in 10 of these deaths. Most of the road fatalities involved males between the ages of 10 and 19. Chest infections and self-harm were the biggest global killers of girls and young women, however.

The top five killers of teens (aged 10-19):

  1. 1. Road injury
  2. 2. Lower respiratory infections
  3. 3. Self-harm (intentional and accidental suicide)
  4. 4. Diarrhoeal diseases
  5. 5. Drowning

According to the worldwide report, more than 3,000 adolescents die every day. Over two-thirds of these deaths happen in low- and middle-income countries in Africa and South East Asia. And most are preventable.

Read the full news article here

Preventing accidents in children under five

PHE have produced a new guide with the Child Accident Prevention Trust (CAPT) that equips all staff who work with children under five to help reduce the number of deaths and injuries | PHE

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Whether you work for a health service, early years education, play schemes, nurseries or are a childminder, this guide will help you help parents and carers keep their children safe from injuries. A serious accident has the potential to cause life-changing disability and disfigurement. A toddler who gets a severe bath water scald will require years of painful skin grafts. A fall at home can result in permanent brain damage. As well as the immediate physical impact, the injuries can have longer term effects on school readiness, education, employment, emotional wellbeing and family relationships.

This guidance, produced in association with the Child Accident Prevention Trust (CAPT), is for all staff working with children under 5 years and covers the 5 injury priorities:

  • choking, suffocation and strangulation
  • falls
  • burns and scalds
  • poisoning
  • drowning

The guidance also covers fire and roads. Each injury priority includes data for England, actions for health professionals and safety messages for parents and carers.

Read  the full overview here

Read the full guidance here