WORLD REPORT ON CHILD INJURY PREVENTION

CONTENT B-ROLL

The B-Roll contains general footage as well as footage on some specific types of injuries (and prevention of these injuries) that are mentioned in the World report on child injury prevention. The second part of the B-Roll is an interview with Dr Etienne Krug, Director of the WHO Department of Violence and Injury Prevention and Disability. He responds to several questions directly related to the report. These interviews with Dr Krug are recorded in English, French and Spanish. The questions he responds to are listed on the next page.

The images on this B-roll are WHO copyright and may only be used for media purposes directly related to the launch of the World report on child injury prevention.

Footage

General shots

0000 Shots of children: girl with little child, boy playing Bangladesh

0011 Home safety: mother walking around the house

with baby, showing effective interventions China

0028 Education on risks: classroom teaching India and China

Poisoning

0054 How to store dangerous goods Bangladesh

0109 Speaker in rural village explaining risk situations,

children and parents listening to speaker Bangladesh

Drowning

0147 Children playing in a pond Bangladesh

0156 Drowning children in distress in the open ocean,

resuscitation by lifeguard Australia

0225 Children swimming in a river Bangladesh

0237 Local initiative: survival swimming lessons Bangladesh

0300 Classroom teaching of how to use a life vest Viet Nam

0323 Swimming lessons UK

Road traffic injuries

0330 Bad road safety situation (no helmets, different

road users in risk situations) China

0345 Road traffic collision, different shots of the crash,

the traffic jam, the ambulance Brazil

0400 Young boy in a risky environment India

0407 Different road users in risk situations, close-ups

and general shots. India

0502 Three young children crossing unsafe busy road India

0509 Mum strapping her child in a booster seat Canada

0526 Children in-line skating, wearing helmets Canada

0543 Education of young kids in a road safety park at school China

Burns

0606 Close-up of cooking on an open fire Bangladesh

0616 Securing outside cooking space Bangladesh

0626 Severely burned young child in hospital with mother Bangladesh

Mother and infant filling bath tub and checking hot water Canada

Interview Dr Etienne Krug

1.  What are the main causes of child injury?

Globally, the leading causes of unintentional injury to children are road traffic injuries, drowning, fire-related burns, falls and poisoning. 830 000 children die every year in the world from those unintentional injuries, which is a considerable number: it represents the equivalent of the child population in Chicago. The World report on child injury prevention shows that once a kid reaches age 9, unintentional injuries become the leading cause of death until it reaches adult age.

2.  Are there differences in child injury across the various regions of the world? Which region of the world has the highest/lowest rates of unintentional injury to children?

We have noticed large differences: kids are not equal at risk as it comes to

unintentional injuries. In all countries, the kids from the poorest classes of society are at higher risk. Not only because they live in higher risk housing and play in higher risk areas, etc but they also benefit less from prevention efforts and have less access to quality trauma services once they are injured so the consequences for them are worse.

We found the highest rates in the world for child injury in Africa, that also has the highest rates for road traffic fatalities and poisoning. But it is in South-East Asia and Western Pacific where we find the highest drowning rates and in the Eastern Mediterranean and the Middle-East where we find the highest burn rates, particularly among teenage girls. Although it remains important to say that even in high-income countries unintentional injuries remain a very important cause of death among children. Large process has been made but still 40% of deaths among children are due to unintentional injuries.

3.  Why are children especially vulnerable to injuries?

Children are not just little adults. However, we often make them live in an environment and in housing that is designed for adults. Children are different. They are obviously smaller in size, but they also have a different level of maturity and they have different needs: to discover, to play and sometimes to take risks; which makes them in need for a different - safer - environment.

4.  What is the relationship between injuries and other child health issues?

Once a child reaches the age of 9, the leading cause of death becomes unintentional injuries. However, very often this is not recognized and prevention programmes for child health in general do not take this into account. The World report on child injury prevention, which is being launched, calls for integration of child injury prevention in child survival strategies.

5.  What are the key approaches to addressing child injuries in particular in developing countries that can help reduce the number of child injuries?

There are many child injury prevention programmes around the world that have shown success. We have seen hot water temperature regulation legislation and equipment put in place in Australia, the US and more recently in France. We've seen programmes to prevent falls dealing with equipment on playgrounds as well as avoiding falls from skyscrapers in New York, which was called "Children can't fly programme".

We've also seen other efforts to, for example, avoid poisoning by better packaging by Paraffin, that is being used in South Africa; as well as many different road safety efforts. One of the latest examples is the new legislation on helmets in Viet Nam where motorcycle helmets have been mandated by law for all passengers on motorcycles and which has shown an important reduction in sever head injuries.

The objective of our effort is to see those programmes implemented in all countries around the world.