Safety in Early Childhood Environments

Safety in Early Childhood Environments
By J. Bullard
Pearson Allyn Bacon Prentice Hall

After children reach one year of age, accidental injuries are the largest cause of death in the United States (National Center for Health Statistics (NCHS) Vital Statistics System, 2001; National Safety Council, 2001). Therefore, reducing injuries when working with this age group is a major concern. A longitudinal study of more than 1,200 children followed from birth through first grade found that children who spend more time in child care have a slightly reduced risk of injury compared with children spending more time in their own homes (Schwebel, Brezausek, & Belsky, 2006). Additionally, the majority of injuries (87%) that do occur in child care are minor. Only 1% are considered severe. However, because so many children in the United States are in child care, there are still a large number of children accidentally injured in these settings each year. For example, in one year, 31,000 children, 4 years old and younger were treated in U.S. hospital emergency rooms as a result of injuries sustained in child care. At least 56 children died in child care during the 1990s (U.S. Consumer Product Safety Commission, 1999). The majority of deaths were due to suffocation from nursery equipment or soft bedding. Most injuries (74%) in early childhood settings are due to playground accidents.

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