TY - JOUR PY - 2004// TI - Preventing injury and injury-related disability in children and adolescents JO - Seminars in Pediatric Surgery A1 - Barlow, Barbara Ann A1 - Pressley, Joyce C. SP - 133 EP - 140 VL - 13 IS - 2 N2 - Injury is the leading cause of death and a prevalent source of disability and excess health expenditures in children and adolescents. There are predictable patterns to injury that provide clues to prevention. Epidemiologically-based theoretical frameworks are available to guide development of injury prevention strategies, to add structure to our observations, and focus to our prevention activities. While all-cause injury mortality rates have decreased in children and adolescents over the last 20 years, large ethnic disparities persist, indicating the need for intensified efforts in high-risk communities. Strong leadership from pediatric surgeons and pediatricians operating hospital-based community injury prevention programs has produced successful reductions in child and adolescent injury rates in resource-limited and minority neighborhoods. Among the program features considered essential are: (1) an ongoing injury surveillance system; (2) well-focused, multifaceted prevention activities, including both passive and active prevention approaches; (3) education; (4) enlistment of other health professionals, local government officials, community leaders, and the public; and (5) evaluation and refinement of prevention activities. LA - SN - 1055-8586 UR - http://dx.doi.org/ ID - ref1 ER -