Safe Kids in Action 2013 - Global Activity Report by Safe Kids Worldwide

Safe Kids in Action 2013 Global Activity Report

Table of Contents 1.

LETTER FROM THE CEO

GLOBAL NETWORK OVERVIEW

KEY RISK AREAS ADDRESSED BY THE GLOBAL NETWORK

GLOBAL ACTIVITY REPORTS CONTENT IN EACH REPORT IS ORGANIZED BY THE FOLLOWING: ORGANIZATIONAL INTRODUCTION AND HEADQUARTERS

I. II. III. IV. V. VI. VII.

COUNTRY STATISTICS TOP FIVE INJURY RISK AREAS ORGANIZATIONAL PRIORITIES ACCOMPLISHMENTS (JULY 31, 2012 – JUNE 1, 2013) PROGRAMS MEDIA RELEASES AND RECOGNITION LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION

COUNTRY REPORTS AUSTRALIA

SOUTH KOREA

AUSTRIA

THAILAND

BRAZIL

UGANDA

CANADA

UNITED ARAB EMIRATES

CHINA

UNITED STATES

GERMANY

URUGUAY

INDIA

VIETNAM

ISRAEL JORDAN KENYA MALAYSIA MEXICO NEW ZEALAND PHILIPPINES QATAR SAUDI ARABIA SERBIA SOUTH AFRICA

Safe Kids Worldwide 2013 Global Activity Report

| Table of Contents |

Letter from the CEO Safe Kids Worldwide is a global organization dedicated to protecting kids from preventable injuries. There are Safe Kids network members in 26 countries on six continents doing extraordinary work every day to keep our children safe from preventable injuries and death. From promoting road safety, to education campaigns on how to prevent burns, drowning, poisoning and more, Safe Kids network members engage child safety and healthcare professionals, government corporations, teachers, parents and children in learning about and practicing ways to keep kids safe. Our global network brings together non-governmental organizations, academic institutions, government agencies and hospitals in a concerted effort to keep kids safe from injuries that we can predict and prevent. In the United States, more than 600 coalitions are active at the state and local levels. Some network members in countries like Austria, Australia and Germany, are well-established and have been part of Safe Kids for many years. Others, in countries such as Kenya, Mexico and Qatar are establishing newer child injury prevention programs. Serbia and Saudi Arabia also recently joined our ranks, and as we go to print with this report, we welcome Japan, our newest network member. We have made tremendous strides in a broad range of injury risk areas that lead to disabling injuries and death among children. Still, around the world, a child dies from an unintentional injury every 30 seconds. As we develop vaccines and other innovations that prevent illness, we must ensure that the gains in preventing and treating infectious disease are not eliminated by the losses caused by predictable and preventable injuries. This report demonstrates that around the world, we know what is working to keep kids safe. We just need our efforts to expand to reach children everywhere. I hope the Safe Kids in Action 2013 Global Activity Report will serve as a resource and inspiration for ongoing collaboration of network members and beyond.

Kate Carr President, CEO, Mom Safe Kids Worldwide

Safe Kids Worldwide 2013 Global Activity Report

| Letter from the CEO |

Global Network Overview In 1987, Dr. Martin Eichelberger, a pediatric surgeon at Children's National Medical Center in Washington, D.C. decided it was time to do something to stop the heartbreaking loss of children to preventable injuries, a leading cause of death for children around the world. With start-up resources from Johnson & Johnson, the National Safe Kids Campaign began. In 1999, the organization began collaborating with international partners and in 2005 was renamed Safe Kids Worldwide. Today, Safe Kids Worldwide is a U.S. 501(c)3 that brings together 600+ coalitions in the United States as well as a global network of partner organizations in 25 other countries. The organization is led by President and CEO, Kate Carr, who joined Safe Kids in October 2011. Since its inception, Safe Kids has gathered public health professionals, legislators, corporate leaders, parents, teachers and all who share a common vision, with a single-minded focus on reducing childhood injuries. Each year, nearly one million children die around the world from unintentional injuries. Millions more are severely injured, often sustaining injuries that lead to life-long disability. The human cost of child injuries is staggering, as is the economic cost in terms of productivity to families, communities and countries. Safe Kids invests resources to support risk-reducing programs, advocates for stronger laws to protect children and raises awareness of the actions communities must take to protect children. Organizations within the global network learn from one another, adopting strategies that will work in their country. It is a strategy that works as demonstrated by the reduction in child mortality from unintentional injuries measured in many but not all countries around the world. In New Zealand, the death rate from unintentional injuries has declined by 33 percent in the past 20 years; in Austria, by 83 percent in the past 25 years; and in the United States, by 55 percent since its inception. This report addresses the collective work that is ongoing in the major risk areas for the global network â&#x20AC;&#x201C; road safety, drowning, fire and burns. It also provides insight into programs that tackle emerging risks, such as button battery ingestion. Our shared challenge is to continue to drive the preventable injury rate down while reaching more and more children and families around the world. Working together, we can do just that.

26 Network Member Organizations and Growing

Safe Kids Worldwide 2013 Global Activity Report

| Global Network Overview |

Key Risk Areas Addressed by the Global Network The table below is a reference depicting risk areas each organization addressed through programs and research from July 31, 2012 through June 1, 2013. For information about programs conducted in previous years or programs not detailed in this report, please visit the organization’s website.

RISK AREAS RELATED TO PROGRAMS AND RESEARCH General Road Safety Bicycle/Helmet

COUNTRY Australia, Austria, Brazil, China, India, Israel, Malaysia, New Zealand, Saudi Arabia, South Korea, South Africa, Thailand, United Arab Emirates, Uruguay, United States, Vietnam Canada, Israel, New Zealand, South Korea, Thailand, United States, Vietnam

Motorcycle/Helmet

Thailand, Uruguay, Vietnam

Pedestrian

Brazil, Canada China, India, Malaysia, Mexico, New Zealand, Philippines, South Korea, Thailand, Uganda, United States, Vietnam

Rail

Canada

School Bus

South Korea, Uruguay

Vehicle Passenger

Australia, Canada, Israel, Malaysia, Mexico, New Zealand, Qatar, South Africa, South Korea, United Arab Emirates, Uruguay, United States

Drowning/Water Safety Swimming Pool Fire and Burns

Australia, China, Israel, Qatar, Thailand, Uganda, United States United States Australia, Israel, Serbia, South Africa, United States

Falls

Australia, Austria, Germany, Jordan, Qatar, South Africa, South Korea, United States Australia, China, Germany, Israel

Gas Leaks

China

Poisoning

Australia, Canada, China, Germany, United States

Product

China, Germany, Thailand, United States Austria, Jordan, Saudi Arabia, South Korea, United Arab Emirates

General Home Safety

School Safety Sports Safety

Austria, Canada, South Korea, United States

Playground

Australia, Canada, Thailand

Wheeled Sports

New Zealand, United States Australia, Austria, Brazil, Canada, Germany, Israel, Jordan, Kenya, New Zealand, Qatar, Saudi Arabia, Serbia, South Africa, South Korea, Thailand

All Risk Areas

*If a country has a program addressing multiple injury risk areas, it is listed under ‘All Risk Areas’.

Safe Kids Worldwide 2013 Global Activity Report

| Key Risk Areas Addressed by the Global Network |

Australia The Child Accident Prevention Foundation of Australia (Kidsafe) is the leading Australian non-governmental, not-forprofit charitable organization dedicated to preventing unintentional childhood injuries. Originally formed in 1979, Kidsafe became a member of Safe Kids Worldwide in 2001. Each year, an average of 240 Australian children ages 0-14 years are killed and 60,000 are hospitalized as a result of unintentional injuries. Kidsafe designs programs and interventions to create awareness of current issues that affect childrenâ&#x20AC;&#x2122;s safety and provides practical support services for families and the community to improve the safety environment for children. Kidsafeâ&#x20AC;&#x2122;s programs cover risk areas such as road safety, drowning, fire and poison prevention, home safety, sports, recreation and playground safety.

www.kidsafe.com.au The Child Accident Prevention Foundation of Australia (Kidsafe) C/-Kidsafe ACT G.P.O. Box 351 Mawson, ACT, 2607 Australia

Eric Chalmers Chief Executive, Kidsafe ACT chalmers@netspeed.com.au Eric Chalmers has served as Chief Executive of Kidsafe Australian Capital Territory (ACT) since 1999 and manages Kidsafeâ&#x20AC;&#x2122;s relationship with Safe Kids Worldwide. His background includes development and utilization of governance and policy-related change across a broad range of environments and a long involvement in risk management, research and contract management. Eric is also a leader and member of a variety of community organizations and has extensive experience working with the Australian commonwealth and state as well as overseas governments on education, sports and injury prevention programs.

Safe Kids Worldwide 2013 Global Activity Report

| Australia | 1

I. COUNTRY STATISTICS 24,109,0001 5,924,0001 High2

TOTAL POPULATION POPULATION AGE < 19 INCOME GROUP

$46,2002

GROSS NATIONAL INCOME PER CAPITA 1

Source: United Nations (UN) World Population Prospects (2011) Source: World Health Organization (WHO) Global Status Report on Road Safety (2013)

II. TOP FIVE INJURY RISK AREAS RANKING

MORTALITY

MORBIDITY

CAUSE

Road Traffic Injuries*

Falls

Drowning

Road Traffic Injuries*

Burns

Poisoning

Falls

Water-Related (Immersion)

Source: Estimations from various sources (2006); data refer to ages 0-14 years *Includes pedestrian, occupant and bicycle

III. ORGANIZATIONAL PRIORITIES Kidsafe has two layers of priorities, national and state/territory. At the national level, Kidsafe’s priority is to raise awareness of injury prevention and Kidsafe’s profile and ensure the commitment of the government to the issue. State and territory priorities also include increasing the profile of injury prevention, as well as providing practical support to Kidsafe’s national organization and achieving long-term gains in injury outcomes for areas of key concern in a particular state or territory. In 2013, the national and state/territory focus was on the restructuring and professionalization of the early childhood injury prevention sector; further implementation of new national road rules and standards for child restraints; collaborative initiatives on home safety, with a particular focus on button battery and fire safety campaigns with other Safe Kids Worldwide network members; initiatives in rural and remote communities; and the hospital research/information pilot in four states adapted from Beterem/Safe Kids Israel and Grosse Schützen Kleine/Safe Kids Austria. Several Kidsafe locations will move in the next three years, which will require a review and change in strategy, especially where change involves two existing hospital-based safety houses.

Safe Kids Worldwide 2013 Global Activity Report

| Australia | 2

IV. ACCOMPLISHMENTS (JULY 31, 2012 â&#x20AC;&#x201C; JUNE 1, 2013) 1.

Developed program components focused on indigenous communities and for culturally and linguistically diverse communities. Kidsafe translated a program brochure into additional languages and developed a DVD in seven languages in Western Australia (WA). A home safety storyboard was also redeveloped from a Queensland aboriginal campaign into a South Australian program. There are more than 600 indigenous languages and groups in Australia.

2. Increased involvement with multi-agency committees such as the Commissioner for Children, Child Death Review Committees, the Australasian New Car Assessment Program, Australasian College of Road Safety and key agencies such as the Australian Competition and Consumer Commission and the Department of Infrastructure and Transport. 3.

Developed the first nationally accredited training organization in WA, with training specifically focused on installation of child car restraints. There is opportunity to extend the program to other Kidsafe state/territory offices.

V. PROGRAMS

A. COMMUNITY TALKS FOCUS

- Road and Home Safety GOAL

- Provide education on road and home safety to lower the death and hospitalization rates as a result of preventable childhood injuries among communities and families with children, specific groups such as young/new mothers and families of children with special needs, rural and remote communities, indigenous families, child service providers, retailers and vocational and medical/nursing students. LOCATION

- Nationwide PARTNERS

Department of Justice Find A Babysitter Royal Automobile Club of Victoria Surf Life Saving South Australia Transport Accident Commission

VOLUNTEERS

- Varies by location: instructors from antenatal centers, early childhood clinics, preschools and primary schools, daycare providers, vocational and medical students, etc. ACTIVITIES - Depending on program location, community talks are conducted by Kidsafe staff or volunteers at hospitals, antenatal centers, early childhood clinics, play groups, community centers, vocational and higher education facilities, preschools, primary schools and Kidsafe demonstration houses and centers. Presentations focus on road safety, particularly passenger and pedestrian safety, safety in and around the home, water safety and safe, creative play for children. Community Talks may also support other community group messages. - Conducted a training pilot with early childhood nurses in New South Wales on educating parents about road and home safety.

Safe Kids Worldwide 2013 Global Activity Report

| Australia | 3

B. CHILD CAR RESTRAINT SERVICES FOCUS

- Passenger Safety - Kidsafe provides a range of support services associated with child car restraints as an ongoing service to the community and as a means of steady cash flow to support other activities. GOAL

- Promote child passenger safety among parents and caregivers, nursery retailers, extended families and communities. LOCATIONS

- Four states and territories in Australia: ACT, Queensland, Northern Territory and WA PARTNER

- Transport Accident Commission ACTIVITIES - Four Kidsafe states/territories offered child car restraint hire and loan services where people could rent baby capsules, a type of rear-facing car seat for children ages 0-6 months. A range of child car restraints, booster seats, restraints for children with special needs and accessories were also available for short-term hire. In one location, baby capsule car seats were loaned to 40 percent of new parents, while restraints for the majority of other new parents were fitted or checked. - In addition to loan services, Kidsafe provided child car restraint installation and checking services. In some locations, car seat checks were free, while in others both checks and installations were charged a small fee. In one location, approximately 10,000 restraints are checked or fitted each year. - In Canberra, Kidsafe provided a mobile service in remote locations that loaned child car restraints and checked them for free. This was supplemented by other related activities that varied by location such as regular restraint checks at preschools, family daycare centers, etc. In Perth, weekly child car restraint installation services were conducted for a small fee throughout the metropolitan area at maternity hospitals and nursery retailers. - In WA, six to eight free child car restraint checking days are held annually at shopping center parking lots in areas where a large number of young families live. Each four hour service attracts up to 100 parents and caregivers and runs on a first-come, first-served basis. Child restraint issues are identified and corrected, and instructions are provided for maintaining properly-fitted restraints. - In WA and Canberra, staff offered a service targeted for parents and caregivers who had difficulty fitting multiple restraints in a vehicle. Parents and caregivers visited the WA center where several restraint options were tested to find an individualized solution for transport of multiple children in one vehicle. In addition, this service supported transport of children with special needs, modification of restraints for children with temporary medical conditions and pre-term infants. - Developed the first Kidsafe training organization in WA for nationally accredited training, specifically on installation of child car restraints. There is an opportunity to expand the organization to other Kidsafe state/territory offices. - Involved in development and implementation of the revised national road rules and standards for child car restraints that are now being implemented by each state and territory government.

C. KIDSAFE CENTRES FOCUS

- All Risk Areas GOAL

- Educate and promote child safety among parents/caregivers and children ages 0-14 years through demonstrations, tours, professional recommendations and sale of safety products. LOCATIONS

- Safety houses attached to major childrenâ&#x20AC;&#x2122;s hospitals in Perth, Brisbane and Sydney.

Safe Kids Worldwide 2013 Global Activity Report

| Australia | 4

- Stores located in or near major childrenâ&#x20AC;&#x2122;s hospitals in Sydney, Brisbane, Adelaide, Perth and Canberra. - Playground Advisory Units in Sydney, Albany, WA and Adelaide. PARTNERS

- Find A Babysitter - Transport Accident Commission VOLUNTEERS

- Varies by location; generally Kidsafe staff are responsible for the Centres. ACTIVITIES

- Safety Houses: Kidsafe runs demonstration safety houses associated with the Kidsafe Centre and stores. Depending on location, houses offer either guided tours for adults and groups of children or self-guided tours.

- Stores: Provide car restraint services, sell and demonstrate safety products and provide safety information on-site,

over the telephone and through the Internet. Some locations also provide information for NGOs and government agencies on non-injury issues for children such as lifesaving, sudden infant death syndrome, prevention of neglect and abuse. Playground Advisory Units: Provide resources on safe, creative play for community and industry play space owners and operators. Playground Advisory Units also offer auditing, inspection and consultation services. Kidsafe also hosts a biannual National Design Awards program for playgrounds, sometimes in conjunction with a conference. The program has been extended across Australia. Advice Lines: Free telephone information services on all aspects of child safety. Mobile Education Van: A combination of mobile restraint services, information services and stores, depending on the funding structures and community need. Webinars: Provide child safety presentations to otherwise hard to reach regional populations. Web-based Resources: Publications and interactive spaces such as the Virtual Safety Demonstration House, Safety and Island school/child-based interactive website, Seat Me Safely resource for passenger safety and Grow Me Safely resource for plant safety.

D. DISPLAY PROGRAMS FOCUS

- All Risk Areas GOAL

- Conduct outreach and disseminate information on child safety and injury prevention to the general public, particularly parents and children ages 0-14 years. LOCATIONS

- Health and education establishments nationwide PARTNER

- Find A Babysitter ACTIVITIES - Permanent Safety Displays: Safety information displays located in health and education establishments such as hospitals, health clinics, daycare facilities and preschools. - Public Displays: Informational booths used at public events to disseminate information on child safety and injury prevention. Booths were set up at a variety of public events such as parents and babies expos, pet expos, home shows and the National Science Festival. - Professional Services and Workshops: Playground units held conferences, ran workshops, provided advice and issued reports. Some locations provided training services, advice to early childhood industry and hospitals, and workshops for professional groups, such as community nurses.

Safe Kids Worldwide 2013 Global Activity Report

| Australia | 5

- Workshops focused on issues for health professionals and the play industry. Varied by location and included public and private playgrounds, schools, hospitals and centers for children.

E. OTHER INITIATIVES FOCUS

- All Risk Areas GOAL

- Organize campaigns, advocacy and educational projects to raise awareness of major injury risk areas among the general public, specifically parents. LOCATION

- Nationwide PARTNERS

Adelaide Safe Community Australian Competition and Consumer Commission Australian Surf Life Saving Society Britax Burn units Child Restraint Task Force Department of Education and Early Childhood Development Department of Health Department of Justice Early Childhood Health Clinics Emergency services Family Day Care Australia Farmsafe Holden NRMA Insurance NRMA Motoring and Services Hospitals National Association for the Prevention of Cruelty and Neglect Offices of Fair Trading Playground Association Police Road and traffic authorities Royal Automobile Club of Victoria Royal Childrenâ&#x20AC;&#x2122;s Hospital Safety Centre Royal Life Saving Society of Australia Schools SIDS and Kids St. John Ambulance/Red Cross State and territory-based road and motor agencies Surf Life Saving South Australia The Cancer Council The Lions Crime Watch Committee

Safe Kids Worldwide 2013 Global Activity Report

| Australia | 6

- The Gro Company - The Wiggles - Volkswagen ACTIVITIES - Kidsafe activities generally focus on five major national injury prevention priorities: scalds and burns, poisoning, falls, water safety and road safety. At any one time there are more than 30 initiatives being implemented in these risk areas. Some of these initiatives cover a single national priority. Examples from the July 31, 2012 through June 1, 2013 reporting period are as follows: - Conducted the national button battery awareness campaign in partnership with the Australian Competition and Consumer Corporation, battery industry, commonwealth government and Energizer based on the successful Safe Kids Worldwide and Energizer program. - Conducted short publicity campaigns in two states including New South Wales to address specific issues related to falls from second-story windows and balconies. - Conducted drowning and immersion prevention activities in partnership with the Royal Life Saving Society of Australia and Australian Surf Life Saving Society. - Launched initiatives focused on risks at play, covering a broad range of activities and programs, from advice about specific locations to a wide variety of early childhood center-related work surrounding new national safety regulations and standards for childcare, preschools, kindergartens, etc. Kidsafe’s involvement varied between states and territories. - Conducted a child injury research pilot in WA to address an increase in the number of children injured on trampolines in Australia, particularly in WA, despite the introduction of enclosures. The pilot led to another research project by WA on behalf of the Australian Competition and Consumer Commission to inform a national campaign and influence proposed changes in the Australian Standard for Domestic Trampolines. - Children’s night clothes and treadmill safety are issues in two states and are emerging issues nationwide. This may lead to publicity assistance by Kidsafe on a new Mandatory Product Standard. - Worked with a number of state governments and private sector sponsors on various forms of low-speed run over campaigns. Kidsafe and the Australian government are also in the process of developing a national program that includes changes to the Australian building code. - Conducted drowning prevention initiatives for inflatable pools. - Kidsafe was involved in the development of new safety standards for strollers and prams and helped implement them in several states through awareness campaigns. - Safety in Schools was an annual program in WA, through which Kidsafe coordinated curriculum and safety-related activities in schools across the state, such as monthly safety days in partnership with injury prevention agencies. Kidsafe ACT is in the process of re-introducing a different program called School Safe that focuses on the school’s infrastructure and curriculum-based activities related to road safety in and around schools. - The Seasonal Childhood Injury Prevention Program in WA linked national injury prevention priority areas to the four seasons: autumn – falls; winter – burns and scalds; spring – poisonings; summer – water and transport safety. The seasonal program allows these issues to be annually promoted to parents, caregivers and health professionals and also includes a multi-media campaign. - Celebrated National Kidsafe Day in 2012 with a bloggers competition, nationwide competition for schools and activities involving the Governor General of Australia and prominent children’s entertainers, The Wiggles and media personality, Ryan “Fitzy” Fitzgerald. - Following Sesame Street Grover’s appointment as the Ambassador for the UN Decade of Action for Road Safety, Kidsafe Victoria launched a road safety initiative in partnership with Sesame Street. - Used an evidence-based resource kit specifically developed for Southern Australia’s workforce development training for a range of health professionals and early childhood workers. - Implemented a variety of school-based programs focused on road safety. - Each year, programs vary across states and territories and are driven by funding structures and priorities in each location. This depends on both the local injury outcomes and priorities of individual funding bodies.

Safe Kids Worldwide 2013 Global Activity Report

| Australia | 7

- Kidsafe staff participates in a variety of coordination councils, committees and standards bodies as part of the organization’s advocacy role. These include committees associated with Australian standards, product safety committees, National Water Safety Council, Road Trauma Clinical School Advisory Committee and Death Review Committees for children and youth.

F. CHILDHOOD INJURY PREVENTION RESEARCH

- Randomized Roadside Restraint Checks: Ongoing program involving random roadside restraint checks in ACT. The project provides a measure of the effectiveness of Kidsafe’s extensive loan, fitting, checking and information program, as well as promotion of restraint use. Current evidence shows a substantial reduction in misuse, from a national average of approximately 75 percent to fewer than 30 percent among checked restraints. - Conducted evaluation of restraint resources for culturally and linguistically diverse communities. - Monitored the uptake of new national road rules on child restraints across several states and territories. - Conducted collaborative research on child restraint use and misuse in various locations. - Conducted research on trampoline use and injury risks in conjunction with the national product safety regulator.

VI. MEDIA RELEASES AND RECOGNITION TRADITIONAL MEDIA - Publications: Kidsafe distributes a variety of its own publications and advisory information as well as that of partner organizations such as the fire brigade and emergency services, NGOs, Royal Life Saving Society, federal and state police, state emergency services, state road and traffic authorities, state offices for fair trade, federal and state family services. - Safety Videos/DVDs: Kidsafe developed a DVD called “Baby’s First Year” that focuses on child injury prevention during the first year of a baby’s life and the “Keeping Your Kids Safe” DVD. Kidsafe in WA produced a multicultural child injury prevention DVD, “Child Safety Is No Accident”, translated into seven languages and focusing on injury risks by stage of development. - TV Community Service Announcements: Media support included regular news-based contact on specific issues and a

sponsorship arrangement with Prime TV network, covering most regions in Australia. Prime TV has produced more than 20 ten and thirty-second safety advertisements, with three shown each month during primetime viewing. This allows Kidsafe to have regular access to sparsely populated areas of Australia. - Radio Advertising in WA and ACT: Combination of paid and community service announcements, state-wide for the Seasonal Childhood Injury Prevention Campaign. - Newspaper Advertisements and Editorials: Similar to the TV Community Service Announcements, with a major newspaper running a series of safety-related advertisements and editorials based on a year-long program of issues. - Featured in editorials and media interviews on current topics, providing national, regional and local reach. - Kidsafe Victoria was involved in several media launches/campaigns with state government ministers on issues such as children’s nightclothes, toys, leaving children unattended in vehicles and driveway safety. SOCIAL MEDIA - Online Communications: Kidsafe’s website includes a page for each of the state and territory associations and several profiles on Facebook, Twitter, etc. Kidsafe participates in a variety of community and commercial websites that deliver specific safety messages such as Webchild, a web-based version of a magazine published in a number of capital cities. Kidsafe’s Association in Victoria works with Webchild to regularly publish safety articles.

Safe Kids Worldwide 2013 Global Activity Report

| Australia | 8

VII. LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION Laws and regulations in Australia are a complex combination of state and federal legislation. Australia is a Federation in which residual power rests with the states. Two territories hold a combination of state powers and some powers normally in the hands of states are specifically withheld to the Commonwealth. LAW FOCUS

DESCRIPTION

Pool

Swimming pool regulation is addressed through separate legislation in some states and broad regulations within the building code in others. Enforcement is usually at the local government level; local councils are responsible for enforcement â&#x20AC;&#x201C; a structure that varies significantly even within an individual state. In some cases such as pool fencing, there are significant differences between states in both the core regulations and the way in which state governments and local councils enforce these regulations. One of Kidsafeâ&#x20AC;&#x2122;s key tasks has been and continues to be improvement in the consistency of laws and regulations across all states and territories and in particular to push for more consistent enforcement and awareness campaigns.

Product

There are major structural changes being put in place through an agreement between the commonwealth and state governments. In the case of product safety, a major shift in responsibility has been agreed to provide the commonwealth with greater regulatory and enforcement powers, but how this will be implemented in practice is still being worked through.

Road

There are road safety regulations and common mandatory standards in place for some national issues, such as car restraints and pedestrian safety, but most other regulations are state-based. The states and commonwealth governments agree on national road rules, but each jurisdiction then has to translate these into its own regulations. There are differences in detail, implementation structures and enforcement. There are also varying priorities in areas such as enforcement of regulations and education strategies.

Safe Kids Worldwide 2013 Global Activity Report

| Australia | 9

Austria Grosse Schützen Kleine is a non-profit child safety organization with offices in six Austrian provinces. Established in 1983, Grosse Schützen Kleine conducts research on child injuries, maintains an injury database and works with midwives, doctors and children’s nurses, parents, childcare workers and teachers to implement safety programs. Local network offices collaborate with the Red Cross, police and fire departments, local governments and other likeminded organizations to reach parents and caregivers with vital injury prevention information. Since 2008, Grosse Schützen Kleine has operated the first Austrian child safety house called BÄRENBURG, as well as organized and developed Safe Children Communities as part of the World Health Organization’s Safe Community movement. Approximately 1.3 million Austrian children have been reached through Grosse Schützen Kleine’s programs, which cover risk areas such as home and road traffic safety. Grosse Schützen Kleine became a member of Safe Kids Worldwide in 2001.

www.grosse-schuetzen-kleine.at Grosse Schützen Kleine Auenbruggerplatz 49 8036 Graz Austria

Peter Spitzer, Ph.D. Executive Director peter.spitzer@klinikum-graz.at Dr. Peter Spitzer, Ph.D. is the Executive Director of Research, Training, National Project Development and Fundraising at Grosse Schützen Kleine. Dr. Spitzer has worked with Grosse Schützen Kleine since 1993 and is responsible for research activities, the injury data bank and injury prevention training for several target groups that include students and adults. Dr. Spitzer is involved in research activities focused on childhood injuries among children ages 0-16 years, beginning with the issue of falls from changing tables to traffic safety and moped accidents. Dr. Spitzer is also responsible for the evaluation of internal and external projects and is a member of the Austrian Product Safety Board. More than 40 Austrian and international journals have featured Dr. Spitzer’s work as author or co-author.

Safe Kids Worldwide 2013 Global Activity Report

| Austria | 1

I. COUNTRY STATISTICS 86,208,0001 14,843,0001 High2

TOTAL POPULATION POPULATION AGE < 19 INCOME GROUP

$46,9202

GROSS NATIONAL INCOME PER CAPITA 1

Source: United Nations (UN) World Population Prospects (2011) Source: World Health Organization (WHO) Global Status Report on Road Safety (2013)

II. TOP FIVE INJURY RISK AREAS RANKING

MORTALITY CAUSE

MORBIDITY

NUMBER

RATE

CAUSE

NUMBER

RATE

Road Traffic*

0.73

Home

44,000

3,548

Other/Not Specified

0.56

Sports

41,000

3,306

Fire

0.32

School

40,000

3,225

Drowning

0.24

Leisure/Play

37,000

2,983

Falls

0.24

Road Traffic*

2,914

235

Source: Austrian Injury data base (2010); data refer to ages 0-14 years; rate per 100,000 children *Includes pedestrian, occupant and bicycle

III. ORGANIZATIONAL PRIORITIES Fundraising

Assure funds of regional and national governmental departments as well as private sponsorship.

Partnerships

Strengthen or establish partnerships with the following: City of Graz, Styria Federal Ministry of Agriculture, Forestry, Environment and Water Management Federal Ministry of Education Federal Ministry of Health and Women Federal Ministry of Social Security and Consumer Protection Federal Ministry of Transport, Infrastructure and Technology Regional Government of Styria Social Care Associations of Deutschlandsberg, Leibnitz, Voitsberg Zurich Insurance Company

Safe Kids Worldwide 2013 Global Activity Report

| Austria | 2

III. ORGANIZATIONAL PRIORITIES

Program

Conduct child safety activities at BÄRENBURG child safety house such as training for various target groups and establishment of the house as a center for child safety in Austria. Use the Austrian/Styrian Safe Community as a model to fulfill the international indicators for Safe Children Communities and develop an international designation process led by WHO Collaborating Center on Community Safety Promotion, Karolinska Institute, Sweden. Develop and organize a school safety project within the European community’s lifelong learning program, Comenius Regio. The program fosters cooperation among local and regional school authorities to enrich children’s education. Develop and organize the Safety House Project within the European community program, Grundtvig. The program was launched in 2000 with the aim to improve knowledge and skills among adults, as well as facilitate personal development and increase employment opportunities.

Research

Conduct the following research studies: Emergency Room Injury Surveillance at the Department of Pediatric and Adolescent Surgery – Austrian Child Accident Research Centre (ongoing) Evaluation (case-control study) of the Child Safe Community Project Pros and Cons of Helmet Use among Adolescents when Biking and Skiing – Is a Helmet Effective in Preventing Head Injuries? Study on Traffic Behavior of Students Ages 6-10 Years Styrian Certificate for Ski Slopes (ongoing)

Other

Organize Grosse Schützen Kleine 30th Anniversary activities including an international scientific meeting, a charity concert and four child safety activity days. Open new funding streams by using the first Austrian Child Safety House as a strong marketing tool for child safety.

IV. ACCOMPLISHMENTS (JULY 31, 2012 – JUNE 1, 2013) 1.

As a result of its work with the Affiliate Safe Community Support Centre for Children, Grosse Schützen Kleine was appointed as a member of the European Safe Community Network Board.

Following four years of multi-level intervention (2007-2011), preventative work in the Safe Children Community of Deutschlandsberg shows substantial effects. The number of injuries among children has dropped by 16 percent.

Following the establishment of Southwest Styria as a Safe Children Region for the next five years, activities were initiated by three participating regions.

V. PROGRAMS

A. NATIONAL PROGRAM ON PREVENTION COUNSELING BY PEDIATRICIANS FOCUS

- Home Safety - In 2003, injury prevention counseling became a mandatory part of children’s health check-ups in Austria as a result of ten years of intensive lobbying by Grosse Schützen Kleine. The organization developed informational materials for prevention counseling, as injury prevention is not part of medical training.

Safe Kids Worldwide 2013 Global Activity Report

| Austria | 3

GOALS

- Support pediatricians in their counseling efforts. - Regularly inform parents of children aged 6 years and younger about child safety. - Reduce the number of severe accidental injuries among children in the home. LOCATIONS

- Nationwide PARTNER

- Austrian Medical Association ACTIVITIES - Produced and distributed educational materials for prevention counseling, such as child safety tips on medical prescription pads and a detailed manual on child safety for doctors. - Pediatricians conducted prevention counseling at private practices during patients’ regular health check-ups. - Reached 80 percent of families with children ages 0-6 years over the course of the multi-year program, which has been integrated into the general health system.

B. SAFETY TRAINING COURSE FOR STUDENTS MAJORING IN EDUCATION FOCUS

- Traffic and School Safety; Sports Safety - There is no legal obligation to integrate child safety into teacher training although there is obligatory traffic safety education at primary schools. GOALS

- Educate university students majoring in Education for primary and secondary students aged 15 years and younger on traffic and school safety as well as sports safety, with a particular focus on physical education. LOCATION

- Styria PARTNER

- Austrian Traffic Safety Board - OÄMTC Automobile Club - University of Teacher Education Styria ACTIVITIES - Develop a curriculum for compulsory and optional/elective subjects with the University of Teacher Education Styria. - Develop a workshop. - Traffic and School Safety: Developed compulsory and optional courses, offered to students each year, with a total of 48 lessons per semester. Out of the entire student body, the course reached approximately 20 percent of students graduating in 2013. - Sports safety: Developed a compulsory course with two lessons per semester, offered to students each year. This course reached approximately 90 percent of students graduating in 2013.

C. BÄRENBURG – FIRST AUSTRIAN CHILD SAFETY HOUSE FOCUS

- All Risk Areas - The child safety house serves as national research center that helps raise awareness of childhood injury in Austria by demonstrating simple preventative measures. - More than 140,000 people frequent the Children’s Hospital Center at the Medical University Hospital each year, either as patients or visitors, while 12,000 children are treated as a result of accidents.

Safe Kids Worldwide 2013 Global Activity Report

| Austria | 4

GOALS

- Provide first-hand demonstrations of child injury prevention for children ages 14 years and younger, their parents and caregivers, teachers and related professional groups. - Serve as an information center on children’s safety for parents and caregivers. - Support the Medical University Hospital’s health promotional goals. LOCATION

- The vicinity of the Department of Pediatrics and Pediatric and Adolescent Surgery at the Medical University Hospital of Graz, Austria. PARTNERS

City of Graz Energie Steiermark Group Federation of Austrian Industry GRAWE Insurance Group GRAZ AG – The Municipal Utilities Company IKEA Austria Kastner & Öehler Raiffeisen Landesbank Styria Styrian Family, Youth and School Department Styrian Health Department Styrian Hospital Association Styrian Housing Department Styrian Road and Transport Department Styrian Tourism Department

VOLUNTEERS

- One retired pediatrician once a week ACTIVITIES - Provide child safety education for adults and children at the BÄRENBURG child safety house. - Develop interactive programs for kindergarten and school children in first and second grades, as well as a program for children in third and fourth grades. - Launched the virtual BÄRENBURG child safety apartment with important tips on child safety in the home. - Offered special child safety hours for children and adults as well as for various professional groups. - In 2012, Grosse Schützen Kleine educated more than 4,200 children and adults on child injury prevention in various risk areas such as home, traffic and sports at BÄRENBURG. - In 2012, 194 groups visited BÄRENBURG and received accident prevention training in accordance with their needs. Groups consisted of 15-20 people from kindergartens and schools, as well as professionals in the fields of medicine, pedagogic and social affairs. The number of visits increased by 25 percent since 2010. - To date, more than 15,000 visitors were educated on child safety since BÄRENBURG first opened in fall 2008. - Guests from Finland, Germany, Hungary and India received tours of BÄRENBURG along with information on distributing child safety information to target groups.

Safe Kids Worldwide 2013 Global Activity Report

| Austria | 5

D. SAFE CHILDREN COMMUNITY PROJECT – SAFE CHILDREN REGION SOUTHWEST STYRIA FOCUS

- Home, School, Traffic, Leisure and Sports Safety GOAL

- Based on the Safe Children indicators developed by WHO’s Collaborating Centre on Community Safety Promotion; Karolinska Institute, Sweden: - Build an infrastructure for child injury prevention on regional and local levels based on partnerships and collaborations governed by a group of managers, children/parents, volunteer organization representatives, technical staff and safety professionals responsible for child safety promotion. - Develop Safe Children policies in a Safe Community setting. - Develop long-term, sustainable operational programs covering all age groups of children, genders, environments and situations. - Develop programs that target high-risk groups and environments, along with programs that promote safety for vulnerable groups. - Develop programs that document frequency and cause of unintentional injuries. - Set evaluation measures to assess policies, programs, processes and the effects of change. - Ongoing participation in Safe Children networks at community, national and international levels. LOCATIONS

- Provinces of Styria: District of Deutschlandsberg (since 2007) and neighbor districts Leibnitz and Voitsberg beginning in 2013. TARGET POPULATION

- 190,275 regional residents and 27,000 children ages 14 years and younger. - Three districts: 108 communities and five cities. PARTNERS

- Ministry of Education - Social care associations of the districts Deutschlandsberg, Leibnitz and Voitsberg - Styrian Communities Department VOLUNTEERS

- Independent volunteers and Ministry of Education representatives ACTIVITIES - Determined most frequent injury types and what each community defines as significant problems by conducting an assessment on the number of injuries among children evaluated through local hospitals. - Raised public awareness on the importance of injury prevention by conducting child safety activities in different community settings and involving as many organizations, authorities, schools, families, professional groups, local media, etc. as possible. - Coordinated efforts at a regional level by assessing the district organizations’ level of involvement and integration of child safety activities. - Participated as a member of the Styrian Health Promotion Task Force. Grosse Schützen Kleine confirmed that injury prevention has become a key priority area in health promotional goals and objectives in Styria. - Ensured that powerful interest groups supported community efforts. For example, funding was provided by the regional community department in Styria and by the districts themselves. District supervisors of Deutschlandsberg, Leibnitz and Voitsberg were responsible for the project and served as key persons in bringing together important interest groups and collaborating with Grosse Schützen Kleine. - Undertook injury prevention programs that included information for authorities and the public, training for personnel, public education and development of checklists and other tools that specified behavioral change and environmental modifications.

Safe Kids Worldwide 2013 Global Activity Report

| Austria | 6

- In 2012, children and adults from the Safe Children Community in Deutschlandsberg participated in activities organized and coordinated by Grosse Schützen Kleine and the project’s steering committee. Activities included child safety days; safety trainings for professionals; traffic safety school trainings at schools for primary and secondary school students; and intensive regional and local print and electronic public relations and media work. - Established three steering committees, one for each district. Committee members met on a regular basis and came from relevant organizations, legal bodies and NGOs from each district and Grosse Schützen Kleine. - In 2012, the local hospital in Deutschlandsberg opened a child safety corner called “Mini BÄRENBURG”. Approximately 60,000 patients and others visited Mini BÄRENBURG, which features a kitchen, changing table, window and high chair. Visitors also received important information on child safety. This child safety corner is a subsidiary of the BÄRENBURG child safety house in Graz. - The Safe Children Community Deutschlandsberg steering committee developed a Child Safety Charta, signed by several organizations and institutions from July 2012 through June 2013. - The most significant event for the Safe Children Community Deutschlandsberg was the second Child Safety Week organized by the steering committee in July 2012. Sixty-one events were held in 24 communities, with participation of 3,740 children and youth, as well as 670 adults. - The number of people exposed to various child safety topics significantly increased as a result of media coverage and distribution of information. The increase was also due to participation of communities, emergency response services, public healthcare services, police, civil defense organizations, sports and recreational associations, schools, kindergartens, pet obedience schools, social services, municipality associations, chambers, health promotion bodies, parent associations, automobile and touring clubs and institutions for prevention of addiction and violence. - Between 2007 and 2011, the program shows a 16 percent drop in child injuries. Based on the Safe Children Community Deutschlandsberg project (2007-2012), the Styrian community department and social care associations of the districts Deutschlandsberg, Leibnitz and Voitsberg decided to provide financial support for the Safe Children Region Southwest Styria project. - Grosse Schützen Kleine and BAG Mehr Sicherheit für Kinder shared best practices and experiences on child safety work in communities and regions at a meeting in Bonn, Germany in summer 2012. - In May 2013, Grosse Schützen Kleine presented Safe Children Community Deutschlandsberg as an effective example of fulfilment of international indicators and moving the project from theory into practice at the international Safe and Healthy Mothers and Kids conference in Novi Sad, Serbia.

E. FIRST AUSTRIAN CHILD ACCIDENT RESEARCH CENTRE FOCUS

- All Risk Areas - Interpretation and use of statistics on morbidity, accidents and injuries is limited. Statistics such as location, age and gender for fatal injuries are available and classified by the international ICD-10 code. However, it is not feasible to obtain exact analyses on how, where and why accidents occurred. In order to obtain answers to inquiries, retrospective analysis must be supplemented or replaced by prospective analysis. GOALS

- Create an injury data collection/injury surveillance system, with a specific injury questionnaire integrated into the Medical Documentation System at the Emergency Department. The system will encourage further injury prevention activities at the national and regional levels. - Provide detailed information on the cause, consequences and circumstances of childhood injuries in Austria. - Conduct an analysis of accidental injuries among children ages 14 years and younger and in special topics among children ages 18 years and younger. LOCATIONS

- Department of Pediatric and Adolescent Surgery at the Medical University of Graz

Safe Kids Worldwide 2013 Global Activity Report

| Austria | 7

PARTNERS

- Austrian Social Insurance for Occupational Risks - Styrian Infrastructure and Research Department ACTIVITIES -

Developed a questionnaire that fits within the daily routine of a hospital. Installed a data collection system. Conducted ongoing data evaluation. More than 100,000 childhood accidents have been analyzed in the last seven years. Several detailed retrospective studies on various injury risk topics have been published in medical and injury prevention journals.

F. STYRIAN INJURY SURVEILLANCE SYSTEM (STISS) FOCUS

- All Risk Areas - Knowing which accidents happen where and classifying their severity make it possible to develop specific intervention programs and to spend funds efficiently. GOALS

- Conduct analysis of accidental injuries among the Styrian population based on hospital data. - Provide information on typical risk areas in Styria’s regions for development of effective injury prevention projects. LOCATIONS

- Styrian Hospitals, most part of the Styrian Hospital Holding PARTNERS

- Federal Ministry of Labor, Social Affairs and Consumer Protection - Government of Styria Science, Research and Health Departments - Medical University of Graz, Department of Pediatric Surgery - Styrian Hospital Network - Styrian Infrastructure and Research Department ACTIVITIES - Contributed information to the medical documentation system of Styrian hospitals an injury minimal data set. - Designed a search system, called the IT-search mask for data evaluation. - Analyzed local risk areas in the province of Styria, inhabited by approximately 1.2 million people, 15 percent of the Austrian population, to develop activities tailored to each region.

G. THE STYRIAN CERTIFICATE FOR SKI SLOPES FOCUS

- Leisure and Sports Safety - Safety culture for ski areas is a key factor in reducing the number of accidents and is an important sales/marketing tool. The safety audit of the “Styrian Certificate for Ski Slopes” analyzes the slopes at the beginning and during ski season. It helps identify hazardous sites, which can be made safer and help prevent accidents. GOALS

- Create a safer environment for skiers on Styrian ski slopes. - Reduce the number of ski accidents. LOCATION

- Styria province

Safe Kids Worldwide 2013 Global Activity Report

| Austria | 8

PARTNERS

Department of Pediatric and Adolescent Surgery Medical University of Graz Ministry of Education Styrian Board of Economy Styrian Tourism Department

VOLUNTEERS

- Johnson & Johnson volunteers and Ministry of Education representatives ACTIVITIES - Each winter, a group of experts visit ski areas and conducts a safety audit of the whole environment; makes unannounced visits to check the slopes; and analyzes current accidents and all standardized documents recording accidents in participating areas. - The “Styrian Certificate for Ski Slopes” includes four indicators: - Information for Guests: weather and snow conditions, FIS regulations and times of operation; - Orientation on the Slopes: marking system indicating levels of difficulty and panorama board; - Safety Audit; and - Documentation of Accidents. If one indicator is not fulfilled, a warning is given. If changes are not made, the certificate is withdrawn. Participation is voluntary and no fines are issued in case of failure to obtain the certificate. RESEARCH THE STYRIAN CERTIFICATE FOR SKI SLOPES (1999-2013) TARGET POPULATION

- Styria Province METHODOLOGY

- The Styrian Certificate for Ski Slopes was introduced in 1999 as an initiative of Grosse Schützen Kleine. Certification can be awarded by the Styrian government for a period of three years, provided that the statutes are being fulfilled and maintained during this time. Upon application by a ski slope operator, the first inspection is made either at the start or during the winter season by a commission of representatives from the provincial board of economy, government of Styria and Grosse Schützen Kleine. If all regulations are fulfilled, the commission will award the certificate; in the case of shortcomings, the slope operator will be given a certain time period to make corrections. If the slope operator fails to fulfill the requirements within the given period, the certificate will be withdrawn. Spot checks are made after the certificate is awarded. KEY FINDINGS

- An analysis of 4,000 winter sports injuries over a five-year period showed that the main cause of injury in winter sports is falls on ski slopes. Only the precise documentation of accidents, as laid down by the statutes for the Styrian Certificate for Ski Slopes, can provide the basis for effective injury prevention. The standards set by the Certificate could reduce injuries by 30 percent in all 12 participating ski areas. - During the winter seasons 2007-2008, the revised version of the data collection system for the Styrian Certificate for Ski Slopes was introduced. During the 2010-2011 seasons, a benchmark for injuries per skier days was developed, which should not be exceeded by the relative number of injuries in each ski area, or the quality standard. RESULTS

- Ten years following the start of the program, 13 Styrian ski areas have been certified; almost 85 percent of all Styrian ski facilities are working with this safety instrument. - Each year, approximately 2,000 accidents are analyzed. - The actual injury rate per 1,000 ski days is 1.16/1,000, lower than the Austria-wide rate of 1.30/1,000 and international benchmarks. - Within 10 years of the project launch, accidents declined from three to 40 percent at the four ski areas that have been participating in the project from the beginning.

Safe Kids Worldwide 2013 Global Activity Report

| Austria | 9

VI. MEDIA RELEASES AND RECOGNITION TRADITIONAL MEDIA From July 31, 2012 through June 1, 2013, Grosse Schützen Kleine held six press conferences, issued 15 press releases on child safety and secured coverage of child safety issues in local, regional and national Austrian media (print, TV, radio and Internet). AWARDS AND RECOGNITION Grosse Schützen Kleine received an Honorary Mention for the virtual BÄRENBURG child safety house at the International Safety Media Awards in New Zealand in 2012.

VII. LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION LAW FOCUS

DESCRIPTION

Bicycle

The compulsory use of bicycle helmets for children ages 12 years and younger became national law on May 30, 2011. After one year, the helmetwearing rate of children ages 12 years and older declined dramatically. Therefore, an extension to the age of 15 years will be put on discussion by the Minister of Traffic. Revision of National Prescription on Bike Safety — equipment standards (2001)

Falls

Standards are in place for safer homes. However, falls from heights such as trees, balconies, staircases, barriers/fences, windows, etc. are a common cause of injury among children and adolescents in Austria. The issue does not lie with existing laws or standards but in lack of parental supervision.

Fire & Burns

Alarms are required in public but not private buildings. Regulation on child-resistant lighters was passed in October 2006 and effective since March 2007. Grosse Schützen Kleine is advocating for mandatory smoke alarms in all buildings as well as regular battery checks.

Home

Standards are in place for safer homes, such as those pertaining to fire escapes, etc. However, smoke detectors and locking window guards are not obligatory.

Motorcycle

Playground

Children aged 16 years and younger may not travel faster than 45km/h while riding on a motorcycle. Helmets are required for all motorcycle drivers and passengers. Helmets are required by all drivers and passengers of motorcycles (?) Playground equipment must fulfill European Norm (ENs) standards. ENs are not laws but rather basis for court decisions. EN for playgrounds address technical and judicial issues.

Poisoning

Child resistant packing and warning labels must be displayed on products.

Pool

Fencing laws are not realistic at this time, as a large number of families use portable, inflatable pools. The organization needs to conduct more advocacy work with manufacturers and increase awareness among families. Grosse Schützen Kleine is till advocating for fencing of garden and fish ponds.

Safe Kids Worldwide 2013 Global Activity Report

| Austria | 10

VII. LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION LAW FOCUS

DESCRIPTION

Product

By law, all national standards must be at least equal to European Union (EU) standards. Federal EU countries can set better standards than the EU, but not poorer standards. Product safety is the responsibility of the Federal Ministry of Labor, Social Affairs and Consumer Protection. The Consumer Policy Division is responsible for the legal processes in product safety. It also carries out work related to the Cooperation Between Consumer Authorities Act (Federal Law Gazette I No. 148/2006), which implements EU regulations 2006/2004/EC.

Road Safety

Speed limits are in place in urban areas and in front of schools.

School

Laws and standards for school buildings are in place.

Sports

Laws and standards for recreational areas are in place.

Suffocation

Warning labels (e.g. not for use of children under the age of 3 years) are required on products.

Vehicle Passenger

Children up to the age of 12 years or the height of 150 cm must travel in a child safety seat. All other passengers must wear a seat belt.

Safe Kids Worldwide 2013 Global Activity Report

| Austria | 11

Brazil Criança Segura Brasil launched its first child injury prevention campaign and became a member of Safe Kids Worldwide in 2001. Since its inception, Criança Segura has partnered with various stakeholders such as schools, communities, corporations and governments to advance safety and reduce childhood injuries in Brazil. Criança Segura is headquartered in São Paulo and works across Brazil to address general and specific injury prevention risk areas, such as burn prevention, drowning, choking, falls, poisoning, motor vehicle and pedestrian safety.

www.criancasegura.org.br Criança Segura Rua Teodoro Sampaio, 1.020, Sala 1.008 Pinheiros, São Paulo, SP CEP 05406-050 Brazil

Alessandra Françoia National Coordinator alessandra@criancasegura.org.br Alessandra Françoia began working with Criança Segura as Regional Coordinator in 2001 and in 2009 became National Coordinator. Alessandra holds a degree in Social Communication Journalism from the Pontificia Universidade Federal do Paraná and also holds an MBA in Project Management with emphasis on Social Responsibility.

Safe Kids Worldwide 2013 Global Activity Report

| Brazil | 1

I. COUNTRY STATISTICS 203,328,0001 64,899,0001 Middle2

TOTAL POPULATION POPULATION AGE < 19 INCOME GROUP GROSS NATIONAL INCOME PER CAPITA

$9,5402

Source: United Nations (UN) World Population Prospects (2011) Source: World Health Organization (WHO) Global Status Report on Road Safety (2013)

II. TOP FIVE INJURY RISK AREAS RANKING

MORTALITY CAUSE

MORBIDITY

NUMBER

RATE

CAUSE

NUMBER

RATE

Road Traffic*

1,895

4.12

Falls

62,766

136.64

Drowning

1,184

2.57

Burns

21,472

46.74

Airway Obstruction

729

1.58

Road Traffic*

14,936

32.51

Burns

313

0.68

Poisoning

4,392

9.56

Falls

213

0.46

Airway Obstruction

613

1.33

Source: Ministry of Health (2010); data refer to ages 0-14; rate per 100,000 children *Includes pedestrian, occupant and bicycle

III. ORGANIZATIONAL PRIORITIES Coalition Building

Expand training program and partnerships through an e-learning program.

Communications

Increase reach to different audiences effectively, optimize resources and focus on social media use such as Facebook, Orkut and Twitter. Achieve national visibility and coverage through TV, Internet, radio and print media.

Education

Develop, fund and implement a training program for 4,000 health, education and traffic professionals as well as community leaders and others. Work with 20-30 strategic partners such as community leaders and companies, as well as state and local government agencies to develop unintentional injury prevention activities. Use systematic processes, tools and training strategies as guides and manuals.

Fundraising

Diversify sponsor portfolio. Develop and implement a fundraising plan.

Partnerships

Establish partnerships with the public sector and Program for Family Health.

Public Policy

Advocate for child injury prevention as a priority in the health agency budget. Support legislation that prohibits the sale of liquid alcohol as a cleaning agent. Initiate a legal project to obligate identification of deaths caused by accidents.

Safe Kids Worldwide 2013 Global Activity Report

| Brazil | 2

III. ORGANIZATIONAL PRIORITIES

Research

Increase understanding of how accidents happen in order to frame the message and work on advocacy to improve product safety. Develop quantitative and qualitative surveys with five hospitals in Brazil on how accidents happen. Release key findings about results of the surveys. Raise awareness of gaps in national data among government and media. Evaluate programs.

IV. ACCOMPLISHMENTS (JULY 31, 2012 – JUNE 1, 2013) 1. Alcohol Prohibition: A bill prohibiting the sale of liquid alcohol as a cleaning product was approved unanimously by the Commission on Social Security and Family, National Congress. Criança Segura played an instrumental role in passage of the bill, which will first go to the Commission of Constitutionality and Justice for approval, followed by the Senate. The ruling for the bill deems the product dangerous to society and bans it from the market. However, the industry can appeal it. 2. Government Four-Year Plan: Criança Segura focused on inclusion of unintentional injury prevention as a priority in the federal government’s plan and budget. For the first time in Brazil, the Human Rights Secretary, a federal agency, will include activities and strategies to promote unintentional injury prevention for children and adolescents in the government’s four-year plan.

V. PROGRAMS

A. SAFE KIDS IN TRAFFIC FOCUS

- Road Safety GOALS

- Prevent road traffic crashes and pedestrian-related accidents involving children through training sessions across the country for government agencies, health professionals, educators, traffic professionals, community leaders and others. - Involve local community organizations and government agencies in the issue in order to provide a safer traffic environment for children and to enforce car seat laws. - Raise awareness of traffic-related child fatalities and methods to prevent them among parents, educators, communities and children. LOCATION

- Nationwide PARTNERS

- FedEx ACTIVITIES - Identified and contacted key health and safety groups in Brazil. - Planned and implemented training workshops and online road safety courses for traffic, education, social and health professionals. - Supported the development of a local action plan to reduce traffic collisions involving children. - Evaluated activities. - Sensitized the government to the importance of a road safety curriculum at schools and car seat enforcement.

Safe Kids Worldwide 2013 Global Activity Report

| Brazil | 3

B. MODEL SCHOOL ZONE PROJECT (WALK THIS WAY) FOCUS

- Pedestrian Safety - A community needs assessment conducted by Criança Segura revealed that children traveling to and from Piragibe Municipal School encounter dangerous walking conditions due to lack of sidewalks and traffic signs. Most of the area surrounding the school is in poor condition for child pedestrians. GOAL

- Create a Model School Zone for 500 students at Indio Piragibe Municipal School in Santa Rita through research, education, environmental interventions and mobilization of the community. LOCATION

- Santa Rita, State of Paraíba PARTNERS

- FedEx ACTIVITIES - Conducted a needs assessment of the environment and road traffic behaviors. - Involved a working committee with community, school and government representatives. - Conducted educational activities and installed environmental modifications. - Conducted program evaluation.

C. CHILDHOOD INJURY PREVENTION TRAINING FOCUS

- All Risk Areas - Unintentional injuries are the number one cause of death to children ages 15 years and younger. Approximately 4,700 children die every year and 127,000 are hospitalized, costing Brazil’s public health budget $40 million USD. GOALS

- Promote a nationwide childhood injury prevention culture through workshops around the country and a widely accessible online course for government agencies, health professionals, educators, traffic professionals, community leaders, parents and others. - Empower government agencies, health professionals, educators, traffic professionals and community leaders to prevent unintentional injuries among children. LOCATION

- Nationwide PARTNERS

- FedEx ACTIVITIES - Identified and contacted key groups within the target populations. - Conducted a needs assessment for communities. - Planned and implemented training workshops for partners such as health and education professionals, government social professionals, non-governmental organizations and companies. - Tutored participants through an eight class, 60 hour online course on prevention of drowning, burns, falls, airway obstruction, passenger safety, bicycle and road safety. Participants also learned how to implement programs in the community. - Facilitated the development of local action plans to promote injury prevention in local communities. - Conducted program evaluation.

Safe Kids Worldwide 2013 Global Activity Report

| Brazil | 4

D. CHILDHOOD INJURY RESEARCH - In 2012-2013, Criança Segura conducted a survey at five hospitals in São Paulo with caregivers and doctors of children who had suffered injuries to determine how those injuries occurred. - 916 interviews were conducted with parents and guardians of injured children from August through November 2012. Nurses and doctors responsible for patient cases were also interviewed. - Results revealed that 96 percent of injured children were residents of São Paulo. The majority of injuries, 61 percent, occurred among boys averaging 6 years of age. Most accidents occurred during the week at 65 percent, with 19 percent occurring on Sundays. - Falls were the most common cause of injuries with 433 cases, or 48 percent of total injuries recorded. Of these cases, 83 percent of injured children were aged 0-1 year, most often falling from adult beds. Most injuries occurred to the head, 58 percent, with 33 percent of cases diagnosed as traumatic brain injuries. Eight percent of victims were in need of surgery. - Sports injuries were the second leading cause, with 87 cases or 10 percent. The 10-14 year old age group was the most commonly affected by this type of injury, particularly fractures and contusions. Seven percent of cases were referred to surgery. - Other identified causes of accidents were being struck by a foreign body, seven percent; trampling, five percent; bicycle accidents, five percent or 46 cases; penetrating injury, four percent or 40 cases; bumps/hits and other injuries such as sprains, poisoning, crushing, burns and animal-related injuries. - Younger children aged 0-4 years most often suffered from falls, being struck by a foreign body, poisoning, burns, choking and suffocation. Older children between the ages of 5 and 14 years were most often injured in animalrelated accidents, strangulations, being struck by an object, bicycle injuries and sprains. - Homes were cited as the most common place for injuries to occur, followed by injuries at school and in daycare. - In most cases, the child was injured when they were alone or unsupervised. - Recurring injuries were also observed. Three out of ten injured children were repeat offenders. Injured children experienced repeat injuries of similar severity, particularly with falls. - In regard to medical diagnosis, 81 percent or 740 cases were high priority, 74 percent were cured and one to five percent was placed on observation following release from the hospital. - Six out of ten interviewed participants believed that the accident could have been avoided if preventative measures such as adult supervision, teaching safety methods to children and eliminating environmental hazards were considered.

VI. MEDIA RELEASES AND RECOGNITION TRADITIONAL MEDIA - 620 news stories were published in 20 Brazilian states and featured on TV, radio, in newspapers and magazines. - Five radio stations broadcast traffic injury prevention spots. SOCIAL MEDIA - Launched a web campaign on suffocation injuries.

Safe Kids Worldwide 2013 Global Activity Report

| Brazil | 5

VII. LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION LAW FOCUS

DESCRIPTION

Bicycle

Laws are in place requiring the use of helmets. However, the laws are not enforced and helmet use is not common.

Fire & Burns

Smoke alarms are not mandatory. Fire extinguishers are mandatory in areas with large numbers of people. Sales of the highly flammable liquid alcohol were restricted, but 12 companies have received permission to sell the product. Criança Segura is working with the National Sanitary Agency and National Pediatric Society to educate consumers and improve enforcement. A petition to restrict the sales of liquid alcohol as a cleaning agent is underway.

Motorcycle

Children ages 7 years and younger are prohibited from riding on motorcycles. Advocacy efforts are in place to increase the minimum age to 11 years. Helmets are required to be worn by all drivers and passengers on motorcycles.

Open-Water

Warning signs around open water are not regulated and can only be found in areas that are used frequently. Criança Segura is exploring possibilities for improvement in this area.

Pedestrian

Laws giving pedestrians the right of way are in place. There is a current campaign in many cities to educate drivers on pedestrian safety.

Playground

Advocacy efforts are in place to require every public playground to follow safety standards. Some safety standards are in place but are not mandatory. Examples of standards include soft flooring and height of equipment being in line with children’s approximate height.

Poisoning

Child-resistant packaging is not required for commercial medication and packaging of toxic cleaning agents is not regulated. There is current legislative activity to require safe packaging for medicine and cleaners. A new commission will develop the standard for child-resistant packaging.

Pool

In Rio de Janeiro, state law requires all swimming pools in clubs and gyms to have lifeguards, safety equipment and fencing. This law is not sufficient because the majority of drowning occurs in open water.

Vehicle Passenger

Other

Children ages 10 years and younger must ride in the back seat of a car, in the appropriate restraint system (June 2008). Enforcement began September 1, 2010. Laws are also in place for use of booster seats for children ages 5-7 years. Data Collection: There is no law requiring hospitals to record the number of deaths and hospitalizations due to accidents. Criança Segura is advocating for a law requiring hospitals to record the number and type of all accidents upon admission.

Safe Kids Worldwide 2013 Global Activity Report

| Brazil | 6

Canada Parachute is a national, charitable organization dedicated to preventing injuries and saving lives, formed in 2012 through a partnership between Safe Kids Canada, Safe Communities Canada, SMARTRISK and ThinkFirst Canada. Parachuteâ&#x20AC;&#x2122;s injury prevention programming and advocacy efforts are designed to help all Canadians reduce their risks of injury while enjoying long lives lived to the fullest. Parachute uses a multifaceted health promotion approach to increase knowledge, influence attitudes and motivate change in order to keep kids safe. Continuing the work of Safe Kids Canada, Parachute develops partnerships, conducts research, educates and advocates for the prevention of serious injuries among children, youth and their families. Working with close to 3,000 national partners, 48 active designated Safe Communities and 19 ThinkFirst chapters, Parachute educates parents, teachers and community members on major causes of injury and death and the simple measures they can take to protect children. Parachuteâ&#x20AC;&#x2122;s programs for children cover risk areas such as passenger and pedestrian safety, drowning, home safety, poisoning prevention, sports and recreation safety. Prior to the launch of Parachute, Safe Kids Canada led efforts across the country to reduce unintentional injuries, the leading cause of death among children and youth in Canada. Safe Kids Canada became a member of Safe Kids Worldwide in 2002.

www.parachutecanada.org www.parachutecanada.org/accueil Parachute 36 Eglinton Avenue W, Suite 704 Toronto, Ontario M4R 1A1 Canada

Louise Logan, J.D. President and CEO llogan@parachutecanada.org Louise Logan, J.D. is the President and CEO of Parachute. Louise has been involved in injury prevention at the provincial, national and international levels for more than 15 years in professional and volunteer capacities. Previously, Louise was the Inaugural President and CEO of the Public Services Health and Safety Association, which provides injury prevention services for 9,500 employers and 1.2 million employees of health and community care, education, municipal, emergency services and cultural sectors. Louise also served as Director General of Policy and Regulation at WorkSafeBC, where she was responsible for advising the Board of Directors on health and safety issues for employers and workers. Louise holds a Juris Doctor degree from the University of British Columbia. She is also a graduate of the executive program at the Ivey School of Business, University of Western Ontario.

Safe Kids Worldwide 2013 Global Activity Report

| Canada | 1

I. COUNTRY STATISTICS 36,433,0001 7,832,6001

TOTAL POPULATION POPULATION AGE < 19

High2 $43,2502

INCOME GROUP GROSS NATIONAL INCOME PER CAPITA 1

Source: United Nations (UN) World Population Prospects (2011) Source: World Health Organization (WHO) Global Status Report on Road Safety (2013)

II. TOP FIVE INJURY RISK AREAS 1

RANKING

MORBIDITY

MORTALITY CAUSE

NUMBER

RATE

CAUSE

NUMBER

RATE

Motor Vehicle Collisions

0.9

Falls

6,993

124.3

Drowning

0.52

Struck By or Against

1,578

28.1

Suffocation

0.50

Poisoning

956

17.0

Fire/Flame

0.27

Motor Vehicle Collisionsa

764

13.6

558

9.9

Falls

0.12

Natural/Environment

Source: Public Health Agency of Canada (2009); data refer to ages 0-14 years; age-specific rate per 100,000 Source: Public Health Agency of Canada (2009/2010); data refer to ages 0-14 years; age-specific rate per 100,000 a Motor Vehicle Collisions include pedestrian, occupant and bicycle b Natural Environment includes dog bites, contact with venomous animals and plants, exposure to excessive heat, cold or sunlight 2

III. ORGANIZATIONAL PRIORITIES Awareness and Growth

Raise national awareness of injury prevention and Parachute. Establish and implement new model for stakeholder relations. Expand knowledge, influence, credibility and capacity.

Coalition Building

Continue building partnerships with key stakeholders and organizations to further the goals of the organization and to raise the injury prevention profile.

Communications and Marketing

Promote social media tools: parent blog, Facebook, YouTube and Twitter. Create an image and story bank. Continue promotion through media outlets.

Fundraising

Nurture current funding relationships and seek new funding sources to meet budget needs. Diversify sources of funding to include more government grants.

Organizational Excellence

Establish a strategic plan. Establish operational infrastructure, process, systems, relationships, skills and expertise required to achieve goals. Create a healthy, safe and productive workplace.

Safe Kids Worldwide 2013 Global Activity Report

| Canada | 2

III. ORGANIZATIONAL PRIORITIES Partnerships

Maintain and strengthen communication with current network of partners Recruit new partners.

Program

Continue delivering funded programs and seek funding for priority programs. Continue adapting and improving current programs.

Support the National Injury Prevention strategy. Public Policy and Advocacy Monitor governmental developments at all levels. Continue to strengthen government relations.

Reduction in Preventable Injury

Establish a set of national priorities for injury prevention. Embed a culture of quality and ensure evidence-based programming and resources. Influence key policy and decision makers in priority areas. Identify clear prevention goals and methods for measuring and evaluating approach and impact.

Research/Knowledge Translation and Exchange

Work with the research community to remain a leader in knowledge translation and link between the research community and community-based agencies.

IV. ACCOMPLISHMENTS (JULY 31, 2012 – JUNE 1, 2013) Safe Kids Canada officially amalgamated with three other injury prevention organizations to become Parachute in July 2012. Parachute is a national, charitable organization dedicated to preventing injuries and saving lives. Parachute’s injury prevention solutions, knowledge mobilization, public policy and social awareness efforts are designed to help Canadians reduce their risks of injury while achieving Parachute’s vision of an injury free Canada. A result of close to three years of discussions, study and intensive work, the emergence of Parachute allows the organization to speak with one, strengthened voice on the critically important issue of injury. Most of Parachute’s staff comes from the founding organizations, bringing a continuity and level of expertise that eased the transition. Parachute aims to serve Canadians of all ages and to prevent both intentional and unintentional injury. With this united voice, Parachute looks forward to reaching even more Canadian children and their caregivers.

V. PROGRAMS

A. WALK THIS WAY FOCUS

- Pedestrian Safety GOAL

- Reduce child pedestrian injuries and deaths in Canada – one of the top causes of injury-related deaths to children. - Support the development of safe and active environments through community-based programs, educational resources and national media advocacy with professionals, parents, caregivers and educators. LOCATION

- Nationwide PARTNERS

- Safe Communities - Non-profit organizations

Safe Kids Worldwide 2013 Global Activity Report

| Canada | 3

VOLUNTEERS

- Community partners that have a mandate and/or interest related to unintentional injuries among children. ACTIVITIES - The Pace Car Program is a nationwide initiative that focuses on raising awareness around speed reduction in the community. Communities organize events to highlight the program and encourage drivers to pledge to drive with courtesy and safety in mind. Participants display a window cling or bumper sticker, and act as “mobile speed bumps”, slowing the traffic behind them and encouraging courteous driving. Throughout Canada, 1,565 stickers and window clings were distributed from September 2012 through May 2013. - Developed an evaluation framework for 2013-2014. - Honored three of “Canada’s Favorite Crossing Guard” winners in December 2012 for their exemplary service and dedication to ensuring the safety of child pedestrians as they walk to and from school. - Launched a pedestrian Public Service Announcement which aired from March through June, 2013.

B. SAFE CROSSING PROGRAM FOCUS

- Rail Safety GOAL

- Prevent rail-related injuries through educational and awareness building initiatives for professionals, parents, caregivers and children ages 5-12 years. LOCATION

- Nationwide PARTNERS

- Safe Communities - Non-profit organizations ACTIVITIES - Promoted resources such as an extensive elementary school curriculum, booklets, certificates and a Photovoice for Rail manual. - Strong social media component through use of YouTube, Twitter, Facebook and blogs. - Promoted Obie activity books on rail safety by designating reading times for children in public areas and distributing the books with the help of community partners. Obie books outline key messages for children and parents on staying safe around train tracks. - Worked with eight Boys and Girls Clubs and four YMCA’s to execute the Safe Crossing Program with children and youth. Club leaders were provided with Safe Crossings resources and delivered training to participants. - Distributed more than 2,080 Obie books and other resources in both English and French to communities across Canada.

C. KIDS THAT CLICK FOCUS

- Passenger Safety GOALS

- Advocate for stronger provincial booster seat legislation. - Assist parents in choosing and installing the correct child passenger restraint. - Increase awareness among parents and caregivers, policy makers and industry professionals. LOCATION

- Nationwide

Safe Kids Worldwide 2013 Global Activity Report

| Canada | 4

PARTNERS

- Non-profit organizations ACTIVITIES - Disseminated the Kids That Click DVD and brochure on selection and installation of child safety seats. - Provided information and answered questions regarding child restraint systems for parents and professionals via a toll-free number. - Conducted proactive (releases and articles) and reactive (calls) media outreach. - Continued advocacy support for provinces with no comprehensive booster seat laws in place. - Assisted community partners with outreach to new residents of Canada by providing technical expertise and resources in different languages. - Participating in ongoing discussions with a leading automobile industry partner to organize car seat clinics in Toronto, Montreal and Vancouver, as well as update resource content and branding.

D. SAFE KIDS WEEK 2012: POISON PREVENTION FOCUS

- All Risk Areas GOAL

- Raise awareness and provide education messaging about poison prevention to professionals, parents, caregivers, media and the government. LOCATION

- Nationwide PARTNERS

Alberta Centre for Injury Control Research Atlantic Network for Injury Prevention British Columbia Injury Research and Prevention Unit Health Canada/Public Health Agency of Canada Safe Communities Saskatchewan Injury Prevention ThinkFirst chapters Non-profit organizations

VOLUNTEERS

- Approximately 2,500 community partners participated in Safe Kids Week activities in 2012. ACTIVITIES - Researched best practices and interventions on poisoning prevention. - Gained community partner support through provision of online resources and grants to conduct local activities focused on the campaign topic. - Conducted media outreach. - Conducted public policy initiatives. - Awarded 25 grants for community partners to organize activities such as educational events in their communities and distribute carbon monoxide detectors and medication lock boxes. - Coordinated Safe Kids Week events and a media launch. Provided support for community activities. - Conducted a literature review in preparation for Parachuteâ&#x20AC;&#x2122;s Safe Kids Week 2013 to provide a more in-depth understanding of parental attitudes toward concussions.

Safe Kids Worldwide 2013 Global Activity Report

| Canada | 5

E. BRAIN DAY FOCUS

- Head, Brain, Sports and Recreation Injuries - Brain Day is a free, informative and fun half-day neuroscience presentation for fourth through sixth grade students. Trained volunteers with an understanding and passion for injury prevention bring the hands-on program to classrooms across Canada. GOALS

- Teach children about their brains and bodies, as well as the importance of protecting them from injury. - Raise awareness of brain, sports and recreation injuries among children, youth, volunteers and educators. LOCATION

- Nationwide PARTNERS

- ThinkFirst Chapters VOLUNTEERS

- 580 university aged volunteers at more than 30 Brain Day sites across Canada ACTIVITIES - Conducted Brain Day in 635 public and private school classrooms, reaching more than 17,000 students across Canada. - Conducted extensive data collection of pre and post-student surveys. - Distributed activity booklets, helmet fitting tips and Jell-O Brains to students.

F. TD (TORONTO DOMINION) THINKFIRST FOR KIDS FOCUS

- Brain and Spinal Cord Injuries - ThinkFirst for Kids is a school-based curriculum program for children in grades K-8. Designed as a teacherâ&#x20AC;&#x2122;s resource, ThinkFirst meets curriculum requirements among all Canadian provinces and territories. ThinkFirst for Kids is available on CD-ROM in English and French and is divided into four grade sets: Kindergarten; grades one through three; grades four through six; and grades seven through eight. - ThinkFirst for Kids addresses topics such as concussions, sports injuries and playground safety. It uses interactive and flexible lessons and activities to engage students in learning how to think about safety before participating in their favorite activities. The program also empowers children to make safe decisions while navigating risks in their daily lives. GOAL

- Educate children and youth on how to think first and play safely to prevent brain and spinal cord injuries, as well as increase awareness among families and educators. LOCATION

- Nationwide PARTNERS

- ThinkFirst chapters VOLUNTEERS

- Teachers and educators across Canada ACTIVITIES - Distributed 1,413 curriculum binders and CD-ROMS to schools between September 2012 and May 2013. - Conducted teacher evaluations.

Safe Kids Worldwide 2013 Global Activity Report

| Canada | 6

G. INJURY PREVENTION MULTI-MEDIA CAMPAIGNS FOCUS

- Playground and Pedestrian Safety GOALS

- Disseminate evidence-based messaging to parents, caregivers, children and youth in three important injury prevention risk areas: pedestrian safety, bicycle safety and safe play spaces. LOCATIONS

- Toronto and Quebec PARTNER

- Health Canada (public health agency) - Public Health Agency of Canada ACTIVITIES - Produced three animated 30-second Public Service Announcements called “Walk Safe”, “Bike Safe” and “Play Safe” with support from the Public Health Agency of Canada. Each Public Service Announcement incorporates evidence-based key messaging and was produced in four languages: English, French, Chinese and Punjabi. Media buys were purchased through OMNI, a multicultural TV channel and were aired in April, May and early June, 2013. Announcements were also aired by CBC Radio Canada and two French national CBC outlets (RDI and ARTV) the last two weeks of March.

H. CHILD INJURY RESEARCH LITERATURE REVIEW

- The “Ontario Regional Injury Data Report” was released in April 2013. This report contains numbers and rates for injury-related emergency room visits, hospitalizations and deaths, by cause of injury and age group for the six Ontario health regions. It also includes evidence-informed recommendations for injury prevention. - Conducted extensive literature reviews in preparation for programs on: - Injuries and Mental Health Among First Nations Youth - Distracted Driving Among Youth - Teen Driver Safety: A Review of Key Factors Influencing Teen Driver Behaviors

VI. MEDIA RELEASES AND RECOGNITION MEDIA REACH - Parachute garnered more than 38.5 million media impressions from October 2012 through May 2013. TRADITIONAL MEDIA - With help from FedEx, promoted Halloween safety tips to parents and drivers through a national media release in October. The media release garnered 11 hits and 904,487 media impressions. - June 2012 through May 2013: - More than 5,800 online views of the Kids That Click DVD - More than 4,880 downloads of car seat materials - Distributed 5,240 copies of the Kids That Click DVD and 4,185 hard copies of child passenger safety and booster seat brochures across Canada. - 1,983 resource downloads during Safe Kids Week - In August 2012, disseminated a back to school Pace Car program media release reminding parents and road users/drivers to stop at school crossings, as well as provided back to school safety tips. The release garnered eight hits and 481,536 media impressions.

Safe Kids Worldwide 2013 Global Activity Report

| Canada | 7

VI. MEDIA RELEASES AND RECOGNITION - Parachute conducted outreach for municipal associations across Canada to share information about playground

standards and safety as part of the Public Health Agency of Canada’s Play Spaces project. Outreach efforts resulted in the publication of an article on playground safety in several newsletters and communications to association members, along with a special issue on injury prevention in Manitoba's municipal association magazine. - Parachute’s literature review was featured in an Ontario Health Promotion E-Bulletin article. - 19,702,568 media impressions and 316 video views during Safe Kids Week. SOCIAL MEDIA - The Safe Kids Canada website (active until March 2013) had 1,201,222 page views and 26,940 downloads. The Parachute website went live on February 15, 2013 and had 80,868 page views and 28,393 visits as of July 2013. - Safe Kids Canada and Parachute’s YouTube channels had a combined 26,179 views from June 2012 through July 2013. - Parachute has more than 2,400 Twitter followers and 969 Facebook “Likes”. - 4,838 web page views for the Safe Crossing Program from June 2012 through May 2013. - 1,194 downloads of Safe Crossing resources, such as activities and lesson plans from June 2012 through May 2013. - 240 video views on the Safe Crossing webpage from June 2012 through May 2013. - 64,389 visitors to child passenger safety pages and 270,037 page views from June 2012 through May 2013. - 29,945 webpage views for Safe Kids Week.

VII.

LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION

Parachute engages all levels of the government to improve policies and legislative efforts for prevention of unintentional injuries among children and youth. Outreach to policy and decision makers at the federal and provincial levels to introduce Parachute has been initiated and is ongoing. Parachute is involved in a number of ongoing advocacy initiatives to advance child unintentional injury prevention. Current policy priorities include poison prevention, concussion awareness and playground safety.

LAW FOCUS

Bicycle

DESCRIPTION Six provinces and a number of municipalities have mandatory helmet legislation in place. However, not all require helmet use for all age groups. Parachute continues to advocate for provinces without legislation to adopt helmet laws and for those with legislation to expand them to include all ages. Manitoba passed mandatory helmet legislation for children ages 18 years and younger, in effect since May 2013.

Safe Kids Worldwide 2013 Global Activity Report

| Canada | 8

VIII.

LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION LAW FOCUS

DESCRIPTION

Fire and Burns

National Building Code – Hot Water Temperature Changes Building code changes passed, requiring a maximum delivery temperature of 49 degrees Celsius for tubs and showers, but only in newly-constructed buildings. This code established in 2010, applies to provinces and territories that choose to adopt the code in whole or in part. Regrettably, recent national model code changes included deleting existing maximum storage temperatures. Currently, Ontario is the only province with a scald prevention code change, in effect since 2004. Ontario’s regulations require that the maximum hot water temperature supplied to all taps not exceed 49 degrees Celsius in newly constructed and renovated projects.

Home

Bill 18: The Hawkins Gignac Act Amended the building code Act of 1992 to require carbon monoxide detectors in some residential buildings. This bill will require mandatory installation of carbon monoxide alarms in all residential buildings, regardless of age, in the province of Ontario. Current legislation in Ontario only requires carbon monoxide detectors in homes built after August 2001. It is a private member’s bill sponsored by MPP Ernie Hardeman. Bill 18 received first reading in the Ontario legislature in February 2013. Efforts to expedite its passage prior to the legislature’s summer break were unsuccessful. Bill 18 is currently awaiting its second reading in the legislature, likely occurring during the first half of the next legislative session in Fall 2013. Bill 18 represents the fourth iteration of this legislation. In May 2013, the Yukon became the first jurisdiction in Canada to require carbon monoxide alarms in all residences.

Motorcycle

Road safety laws and licensing regulations are in place. Provinces require mandatory helmet use while operating a motorcycle and have licensing regulations in place. Some provinces, like British Columbia, stipulate that drivers are responsible for ensuring that passengers under the age of 16 years wear a helmet. Motorcycle regulations require that all passengers be able to have their feet reach foot pegs or floorboards while riding a motorcycle. Passenger safety laws also require infants and children to be properly secured in the appropriate child safety seat for their stage of development.

Open-Water

Various regulations exist requiring the use of floatation devices while in open water, licensing requirements for boat use and lifeguard supervision.

Pedestrian

Many provinces have improved pedestrian safety through doubled fines in school zones, construction zones and community safety zones, while municipalities have traffic calming policies in place such as reduced speed limits in traffic calming areas. Physical traffic calming barriers, such as speed bumps, have been installed in communities where pedestrian safety is of particular concern.

Safe Kids Worldwide 2013 Global Activity Report

| Canada | 9

VIII.

LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION LAW FOCUS

DESCRIPTION

Playground

Playground standards in Canada are set by the Canadian Standards Association and are voluntary. Parachute participates on the Canadian Standards Association technical committee on play spaces for children. This committee is responsible for updating and revising the standard at regular intervals. Publication of an updated standard is expected in 2014.

Poisoning

Child-resistant packaging is required in Canada and is stipulated within the Canada Consumer Product Safety Act. In June 2013, Health Canada initiated a public consultation called the “Plain Language Labeling Initiative.” The initiative seeks to make amendments to the Food and Drug Regulations that govern drug product labeling and proposed modifications to drug product labeling processes at Health Canada. The regulatory proposal consists of five targeted amendments to current regulations: one general requirement for clear, understandable, plain language labels; and four pre-market requirements – contact information on labels to report problems; standard table format for non-prescription drug labels; submission of label and package mock-ups; and look-alike/sound-alike name assessments. Results of the consultation are expected in 2013-2014.

Pool

Four-sided pool fencing is now a bylaw in the city of Toronto, requiring all newly constructed outdoor home swimming pools to have four-sided fences with self-closing and self-latching gates. Partners across Canada are working to improve pool fencing bylaws in their communities. Ottawa City is considering a four-sided pool fencing bylaw and partners in the City of London are planning to present the issue to their local City Council. The town of Halton Hills is considering a staff report that recommends four-sided pool fencing. The following communities now have four-sided pool fencing bylaws: Township of Wellington North (Bylaw #45-08) Township of Montague (Bylaw #3010-2008) Municipality of Brockton (Bylaw #2008-31) Municipality of North Perth (Bylaw #75-2008) Quebec province passed province-wide pool safety legislation (Bill 18) and is working to develop regulations for pool fencing and pool safety standards.

Product

Canadian Consumer Product Safety Act, effective June 2011 calls for better protection of the health and safety of Canadians through effective enforcement measures such as mandatory testing and recalls of dangerous products. The legislation prohibits the importation and sale of consumer products that pose an unreasonable risk of injury to a user. Baby walkers are banned from being sold, manufactured, advertised, distributed, imported or used throughout Canada. The Consumer Product Safety Act restricts small parts that may pose a hazard to small children, as well as labeling regulations on all products. *Please see ‘Poisoning’ section for information on child-resistant packaging.

Safe Kids Worldwide 2013 Global Activity Report

| Canada | 10

VIII.

LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION LAW FOCUS

DESCRIPTION

Rail

It is illegal to trespass on railway property in Canada, or to disobey rail signals at crossings.

School

School safety regulations exist at the discretion of individual municipalities and school boards.

School Bus

Road safety regulations relating to the safe transportation of children on school buses and the safe interaction of school buses with other vehicles are in place.

Sports

Bill 39: The Concussion Amendment Act was introduced by the government in March 2012. It was halted through the legislative process when Ontarioâ&#x20AC;&#x2122;s government was prorogued in Fall 2012. When prorogation occurs, all bills currently moving through the legislative process must be reintroduced. The legislation would have required schools to introduce and follow specific return to play guidelines for students who have suffered a concussion while playing sports in school. Concussion remains a priority for the government. In lieu of legislation, the Ontario government is pursuing alternatives in order to introduce concussion guidelines in all schools. This includes providing training and tools in concussion recognition and management to all Ontario teachers. There is strong potential for the reintroduction of Bill 39 or other policy mechanisms for concussion during the 2013-2014 legislative sessions.

Vehicle Passenger

Manitoba passed booster seat legislation which will require booster seats for children who have outgrown forward-facing car seats, but are too small to safely use seatbelts alone. The new regulations will require children to ride in a booster seat until they are a minimum of four feet, nine inches (145 cm) tall, weigh 80 pounds (36 kg), or are 9 years of age. The new legislation will go into effect Fall 2013, leaving only Alberta, Saskatchewan and the three northern territories without booster seat legislation in Canada.

Safe Kids Worldwide 2013 Global Activity Report

| Canada | 11

China Safe Kids China was established as a representative office of Safe Kids Worldwide in 2004, following implementation of a Safe Kids campaign in China in 1999. Headquartered in Shanghai, Safe Kids China focuses on child injury prevention risk areas such as pedestrian, fire, sports and home safety. The organization brings together public health experts, corporations, foundations and government agencies to address preventable injuries, the leading cause of death for children ages 1 to 14 years. Safe Kids China works to reduce childhood injuries through research, education and environmental modifications as well as regulation promotion.

www.safekidschina.org Safe Kids China Room 303, Building A No. 521 Wanping South Road Shanghai 200032 China

Monica Cui Executive Director mcui@safekidschina.org Monica (Min-yan) Cui, Executive Director of Safe Kids China, has been responsible for the operation of Safe Kids programs in China since 2002. She leads nationwide child injury prevention initiatives such as injury data collection and surveys, public educational programs and environmental modifications promoting child safety. Monica also serves as a Committee Member for the Chinese Injury Prevention Branch, Chinese Preventive Medicine Association. Prior to joining Safe Kids, Monica was involved in patient education and public affairs as well as teaching. Monica received a Bachelor of Arts Degree from Shanghai Normal University in 1984 and joined the World Health Organizationâ&#x20AC;&#x2122;s MENTORVIP (Violence and Injury Prevention) training program in 2008.

Safe Kids Worldwide 2013 Global Activity Report

| China | 1

I. COUNTRY STATISTICS 1,380,687,0001 349,083,0001 Middle2

TOTAL POPULATION POPULATION AGE < 19 INCOME GROUP

$4,2401

GROSS NATIONAL INCOME PER CAPITA 1

Source: United Nations (UN) World Population Prospects (2011) Source: World Health Organization (WHO) Global Status Report on Road Safety (2013)

II. TOP FIVE INJURY RISK AREAS 1

RANKING

MORTALITY CAUSE

MORBIDITY PROPORTION

CAUSE

PROPORTION

Drowning

RATE 50.3%

Falls

50.8%

Road Traffic Accidents*

25.7%

Road Traffic Accidents*

13.6%

Suffocation

5.3%

Blunt Force Injuries

10.7%

Falls

5.1%

Animal Bites

10.2%

Poison

4.1%

Cuts/Stabs

6.0%

Source: Chinese Ministry of Health Death Report (2011); data refer to ages 0-14 years; rate per 100,000 children Source: Chinese National Injury Surveillance System (2010); data refer to ages 0-17 years; rates refer to the main causes of death as a result of injuries. *Includes pedestrian, occupant and bicycle 2

III. ORGANIZATIONAL PRIORITIES Coalition Building

Build coalitions through local collaboration and training.

Fundraising

Obtain one additional funder.

Partnerships

Strengthen partnerships with current sponsors Johnson & Johnson, FedEx and Honeywell and government agencies such as the China Centers for Disease Control (CDC) and Chinese Ministry of Health.

Research

Conduct a Model School Zone survey on promoting school zone safety in multiple ways. Conduct a survey on childrenâ&#x20AC;&#x2122;s behavior toward traffic safety and fire/burn prevention. Conduct a survey on child home safety promotion through home visits. Conduct a nationwide survey on seasonal trends among child injuries.

Safe Kids Worldwide 2013 Global Activity Report

| China | 2

III. ORGANIZATIONAL PRIORITIES

Other

Increase effectiveness of Safe Kids China’s website to reach more parents, children and safety advocates. Use Safe Kids Worldwide network members’ best practices as referral resources for new programs and interventions. Pursue the opportunity to link with the Decade of Action for Road Safety (2011-2020) to expand road safety program awareness, gain government support and advocacy through media.

IV. ACCOMPLISHMENTS (JULY 31, 2012 – JUNE 1, 2013) 1.

Conducted a ten-year data review of childhood injuries in China through a renewed collaboration with the China CDC. The review revealed that from 2000-2009, the injury mortality rate among Chinese children decreased from 24.7 per 100,000 to 17.6 per 100,000; a 28.5 percent decrease. Safe Kids China has made significant contributions to the reduction of childhood injuries and helped save the lives of nearly 29,000 children.

Launched a program focused on road safety for university students called “Be a Responsible Young Driver”.

Used new media such as Weibo (Chinese version of Twitter) and Wechat (Chinese version of Viber) to distribute injury prevention information in collaboration with major media outlets in China, such as China Central Television (CCTV). CCTV news reached five million Weibo followers.

V. PROGRAMS

A. WALK THIS WAY FOCUS

- Pedestrian Safety GOALS

- Reduce death and injury among child pedestrians in China. - Educate children on how to walk in and cross roads safely. - Promote road safety among the general public. LOCATIONS

- 28 cities: Beijing, Dongguan, Guangzhou, Shanghai, Tianjin, Wuhan, Xiamen, Zibo, Chongqing, Zhengzhou, Shenzhen, Suzhou, Xi’an, Shenyang, Haikou, Qingdao, Shijiazhuang, Nanjing, Jinan, Dalian, Hangzhou, Zhongshan, Chengdu, Taiyuan, Foshan, Hankou, Jiaxin and Wuxi PARTNERS

- FedEx - Ministry of Security - Local pediatric hospitals VOLUNTEERS

- 1,126 FedEx volunteers in FY13. - 3,700 FedEx volunteers since the inception of the program in 2004. ACTIVITIES - Conducted classroom education sessions for 395,620 students. - Distributed the Walk This Way curriculum to 1,200 primary schools.

Safe Kids Worldwide 2013 Global Activity Report

| China | 3

- Developed an education tool kit for teachers, available for free download on Safe Kids China’s online teaching center. - Conducted a capacity building training session for 119 teachers in Shijiazhuang. WALK THIS WAY MONTH

- Prepared materials and provided training sessions for FedEx volunteers to conduct successful in-school education sessions. - 134 FedEx volunteers from 10 cities participated in activities that reached 1,036 students at 12 schools. Activities included lectures and games for students, education evaluation through pre and post-tests, curriculum development through songs and other activities, and social media promotion through Weibo (Twitter). - 137 FedEx volunteers participated in 86 activities during FedEx Family Day, reaching 1,491 families in 59 cities. PEDESTRIAN SAFETY PROMOTION WITH CHINA NATIONAL BADMINTON TEAM (November 2012) - Hosted an event at one primary school in Shanghai with participation of the General Coach of the China National Badminton Team, Li Yongbo, and four champion players. Safe driving and walking activities facilitated by 14 FedEx volunteers were conducted with participation of 80 children and parents. The event garnered nine media impressions. NEW YEAR SAFE OUTING EVENT (January 2013) - Hosted a “Slow Down for Kids” and “Be a Socially Responsible Driver” event at the Capital Mall in Shanghai with participation of 13 FedEx and other volunteers. Nearly 50,000 people attended the event, which featured behaviororiented games on issues such as distracted driving and driving while intoxicated. The event garnered 17 media impressions.

“I’M WALKING FOR….” UN GLOBAL ROAD SAFETY WEEK - Conducted four advocacy activities in 12 cities from April 15 through May 12, 2013 attended by more than 2,000 people and 314 volunteers. Activities generated 18 media and 3.7 social million impressions. MODEL SCHOOL ZONE PROJECT

- Safe Kids China conducted the Model School Zone project, which aimed to improve pedestrian safety for children by modifying the environment at a school of the organization’s choice and sharing results of the initiative. The ultimate goal was to demonstrate that the Model School Zone project can be effective and adapted to benefit children in countries of varying resource levels, despite the diversity of risks and issues surrounding school zones. - Huamu Central School in Shanghai was selected for the project. The intervention plan was developed and implemented in accordance with baseline results. Safe Kids China conducted two environmental modifications and two enforcement activities. - Conducted knowledge pre and post-tests following safe crossing education for students. - Observed the number of parents gathering at the allotted pick-up areas before and after intervention. - Observed the number of cars double-parked in the temporary parking area for bicycles and motorbikes in the school zone before and after intervention. - Installed a speed limit enforcement tool and recorded vehicle speed in the school zone following the intervention. - Traffic police and safety guards enforced safety in the school zone and issued 45 parking tickets for illegal parking during and after school. RESEARCH MODEL SCHOOL ZONE TARGET POPULATION

- 558 children ages 7-11 years from Huamu Central Primary School in Shanghai METHODOLOGY

Conducted education evaluation with students through pre and post-test questionnaires. Observed pedestrian safety tool use. Observed the number of cars double-parked in the school zone. Monitored and recorded vehicle speed in the school zone by using a speed gun. Observed the number of parents gathered in the pick-up area at the school.

Safe Kids Worldwide 2013 Global Activity Report

| China | 4

KEY FINDINGS

- Following intervention, incorrect perception of safe crossing practices decreased by 14 percent among second grade students, and by 25 percent among fourth grade students. - 543 of 558 students were observed using a reflector tool. - Prior to setting up temporary parking signs, 14 cars were observed double-parking. Following the intervention, three cars were observed double-parking; a 79 percent drop in double-parked cars. - Observed 512 motor vehicles prior to installation of the speed reminder tool. Of these, 351 vehicles, 69 percent, went over the speed limit at 30 km/h, with 131 vehicles, 26 percent, traveling significantly over the speed limit at 40 km/h and above. Following the intervention, 543 motor vehicles were observed with 161 vehicles, 30 percent, traveling over the speed limit; 62 vehicles, 11 percent, far exceeded the speed limit. - Prior to setting up the allocated meeting area for parents, 43 parents were observed standing at the school gate. After the intervention, five parents remained waiting at the school gate; an 84 percent drop.

B. CHILD PRODUCT SAFETY FOCUS

- Product Safety GOALS

- Reduce child injuries related to products. - Raise awareness of the importance of product safety among parents of children ages 0-14 years. - Become the leading advocate and safety advisor for product safety in China. LOCATION

- Nationwide through the Internet and in-class education in Shanghai PARTNERS

- SGS (formerly Societe Generale de Surveillance) - Local pediatric hospitals VOLUNTEERS

- 17 SGS volunteers ACTIVITIES - Following the launch of a product safety website, conducted a launch event at a shopping mall with 100 families and 10 SGS volunteers in Shanghai. - Trained an SGS engineer for 58 kindergarten teachers on the product safety curriculum developed by Safe Kids China. - Trained teachers conducted education sessions and distributed informational leaflets to 20,000 parents. - Conducted pre and post-evaluations with 200 parents. RESEARCH EDUCATION EVALUATION OF PARENTS ON CHILD PRODUCT SAFETY TARGET POPULATION

- 200 parents in Shanghai METHODOLOGY

- Teachers conducted pre and post-tests in the form of questionnaires to measure change in knowledge following an education session among parents. KEY FINDINGS

- Following the education sessions, 63 percent of parents knew the importance of age-appropriate toys as opposed to 40 percent prior to training. Improvement among other safety aspects of products also increased after training.

Safe Kids Worldwide 2013 Global Activity Report

| China | 5

C. SUMMER SAFETY FOCUS

- Falls, Drowning and Poisoning Prevention GOAL

- Raise awareness of summer safety for children, particularly drowning, poisoning and falls prevention among children ages 3-12 years and their parents. LOCATIONS

- 33 cities: Beijing, Tianjin, Shanghai, Hanjing, Wuxi, Suzhou, Wuhan, Hangzhou, Xiaoshan, JiuJiang, Yichun, Fuzhou, Ningbo, Wenzhou, Guangzhou, Zhongshan, Shenzhen, ChaoGuan, Fushan, Nanjing, Hainan, Nantong, Changshu, Chengdu, Chongqin, Changsha, XiangFan, KunMing, Dongguan, Hefei, Jiaxing, Shaoxing and Nanchang PARTNERS

- Johnson & Johnson - Local pediatric hospitals VOLUNTEERS

- 1,716 Johnson & Johnson volunteers - 200 doctors ACTIVITIES - Analyzed data on child injury deaths. - Conducted a home product safety survey by collecting stories from parents. - Conducted “Safe Summer, Happy Kids” educational lectures at communities in seven cities, reaching 4,000 kindergarten classes. - Conducted a train-the-trainer program on injury prevention for 650 kindergarten teachers, who in turn conducted education sessions for more than 1.05 million families. - The program generated 61 media impressions. - Conducted an e-camp on child summer safety on Safe Kids China’s website and Twitter. The e-camp included child safety tips and videos on prevention of falls, poisoning and drowning. - Held “Safe Kids Month” in 33 cities: prepared materials and conducted training sessions for local Johnson & Johnson volunteers leading the program. Activities included interactive games for children and parents, as well as migrant home safety checks. RESEARCH SURVEY ON BEHAVIOR CHANGE TARGET POPULATION

- Preschool children - METHODOLOGY - Case control study on changes in children’s behavior using a behavior-oriented education methodology to evaluate behavior indexes related to road traffic crashes, choking, burns, falls, drownings and poisonings. - 40 preschool children from similar backgrounds in two groups: - Intervention Group: using the behavior-oriented education method. - Control Group: using the traditional instruction-oriented education method. - Each child’s behavior was observed after education by a third party. The child’s positive behavior indexes were recorded. KEY FINDINGS

- Results revealed that behavior-oriented education was more effective in changing children’s behavior compared to the instruction-oriented method. The intervention group showed a 75 percent positive behavior change, compared to 41 percent among the control group.

Safe Kids Worldwide 2013 Global Activity Report

| China | 6

D. WINTER VACATION SAFETY FOCUS

- Gas Safety GOAL

- Reduce burn injuries among children as a result of fires caused by gas leaks, particularly during winter vacation. LOCATIONS

- 13 cities: Shanghai, Nanjing, Nantong, Tianjin, Suzhou, Chongqing, Chengdu, Beijing, Guangzhou, Nantong, Shenzhen, Xi’an and Shijiazhuang PARTNER

- Honeywell VOLUNTEERS

- 780 Honeywell volunteers ACTIVITIES - Developed materials and conducted training sessions for Honeywell volunteers. - 86 Honeywell volunteers from eight cities participated in Gas Safety Month activities that reached 1,732 students at 13 schools. Volunteers spoke with and facilitated games with students; conducted education evaluations through pre and post-tests, curriculum development through songs and other activities, and social media promotion through Weibo (Twitter). - Conducted behavior-oriented education sessions with 639,767 students at 758 schools in 11 cities using behavior aid tools. - Conducted 1,000 pre and post-tests with students following education activities. - Produced a series of gas safety educational and advocacy micro-videos called “I’m a Gas Safety Guard”. - More than 100 teachers completed online training. ONLINE PROGRAM AND SOCIAL MEDIA PROMOTION

- Used the “I’m a Gas Safety Guard” badge to attract student’s interest in learning about gas safety. - Program website received 166,295 visits, a 37.7 percent increase in 2012. - The effort generated 599,127 program-related Tweets. RESEARCH GAS SAFETY CHECKLIST – BEHAVIOR CHANGE WITH BEHAVIOR AID TOOLS TARGET POPULATION

- 219 primary school students in four cities METHODOLOGY

- Case control study - The intervention group received a gas safety checklist and a behavior aid magnet reminding the family to complete the checklist. The control group only received the gas safety checklist. KEY FINDINGS

- The intervention group was observed using the gas safety checklist more often than the control group. The intervention group was also observed placing the gas safety checklist in more visible and accessible areas than the control group. EDUCATION EVALUATION THROUGH PRE AND POST-TESTS ON THE GAS SAFETY CHECKLIST TARGET POPULATION

- 1,000 students in nine cities METHODOLOGY

- Pre and post-test questionnaires KEY FINDINGS

- Following education, knowledge about the safe color of gas as blue increased by 44 percent. - Knowledge of the gas safety hotline increased by 41 percent.

Safe Kids Worldwide 2013 Global Activity Report

| China | 7

- Knowledge of cleaning up around the stove increased by 27 percent following education. - Knowledge on the amount of time before a pipe needs to be replaced increased by 22 percent following education.

E. YOUTH SAFE DRIVING PROGRAM FOCUS

- Road Safety GOALS

- Raise awareness of safe driving practices and reduce road traffic injuries among young drivers. - Raise awareness about the importance of using seat belts, paying attention to blind spots and abstaining from drinking and driving, distracted driving and speeding among new drivers. LOCATIONS

- Beijing and Shanghai VOLUNTEERS

- 33 volunteers from two universities in Beijing and Shanghai ACTIVITIES - Conducted a program launch ceremony at Tongji University in November 2012. The event generated 59 media impressions. - Trained 33 students from two universities in Beijing and Shanghai as program coordinators, who in turn trained 8,874 youth in schools. - Promoted the program and launch event through social and traditional media and on Safe Kids Chinaâ&#x20AC;&#x2122;s website. - Hosted four new driver health check stations in Shanghai, distributed program promotional cards to drivers and put up posters. One of the stations hosted an event with interactive games.

F. CHILD INJURY RESEARCH TEN YEAR REVIEW OF CHILD INJURY TRENDS IN CHINA PARTNER INVOLVED

- China CDC TARGET POPULATIONS

- Mothers, caregivers and health professionals METHODOLOGY

- Review national surveillance injury data from 127 hospitals KEY FINDINGS

- From 2000-2009, the mortality rate among Chinese children decreased by 28.5 percent, the equivalent of 29,000 lives saved. - Reviewed statistics regarding injuries to children, which will serve as a guide for strategic childhood injury prevention in China. The three key findings were: - The top three injury causes among children ages 0-14 years are falls, road traffic injuries and injuries related to blunt objects. - More than 44 percent of all injuries occurred in the home setting. - July and August are the peak months for childhood injuries.

Safe Kids Worldwide 2013 Global Activity Report

| China | 8

VI. MEDIA RELEASES AND RECOGNITION TRADITIONAL MEDIA - Garnered 91 media stories on gas safety promotion for the Winter Vacation Safety program. - Over 200 media reports were generated through print media, which include nationwide and local media. - Safe Kids China was highly exposed in the media through sponsored programs and by media active approaches. CCTV hosted two interviews, while local TV stations such as Shanghai TV and Hubei TV conducted several interviews and created documentaries on child injury prevention with Safe Kids China. SOCIAL MEDIA - Gained 599,127 social media impressions for the Winter Vacation Safety program. - Social media: Weibo (Twitter) gained over 90,000 fans since the siteâ&#x20AC;&#x2122;s launch in March 2011. - From the end of May through the first week of June, CCTV and Safe Kids China worked on an advocacy project through new media such as Weibo (Twitter) and Wechat (Viber).

VII. LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION LAW FOCUS

DESCRIPTION

Fire and Burns

Smoke alarms are required in some public areas such as hotels, offices and cinemas, but not in homes.

Motorcycle

Helmets are required for both motorcycle drivers and passengers.

Pedestrian

Regulations for safer environments around school zones were issued in many cities and more speed limit signs were installed around school zones.

Pool

Local regulations require public swimming pools to have trained lifeguards on duty. Schools in some cities (i.e. Shanghai) require swimming lessons.

Product

Toy recall regulation.

Road

Updated and enforced regulations on drinking and driving in May 2011.

School Bus

Safety standards, including buses being equipped with seat belts, are in place.

Vehicle Passenger

Children under the age of 12 years cannot sit in the front seat of a vehicle; listed in the Adolescent Protection Regulation in Henan Province, December 2010.

Safe Kids Worldwide 2013 Global Activity Report

| China | 9

Germany Mehr Sicherheit für Kinder works to raise awareness of and reduce childhood injuries by focusing on local projects as well as European-wide and international exchange and cooperation. In 2007, Mehr Sicherheit für Kinder developed a child safety action plan for Germany. The organization works to place injury prevention on the National Health Agenda and develops programs in various risk areas such as drowning, home safety and product safety. Mehr Sicherheit für Kinder became a member of Safe Kids Worldwide in 2001.

www.kindersicherheit.de Mehr Sicherheit für Kinder Heilsbachstrasse 13 D-53123, Bonn Germany

Martina Abel Managing Director Koordination@kindersicherheit.de Martina Abel received her Bachelor’s Degree in Psychology from the University of Cologne. She worked for public health institutions on the national and local levels and was responsible for health reporting, child health and health promotion for 14 years. In 2001, Martina became the Program Manager of the National “Child Safety Project” and Managing Director of Mehr Sicherheit für Kinder in 2002.

Safe Kids Worldwide 2013 Global Activity Report

| Germany | 1

I. COUNTRY STATISTICS 86,208,0001 14,843,0001 High2

TOTAL POPULATION POPULATION AGE < 19 INCOME GROUP

$42,9702

GROSS NATIONAL INCOME PER CAPITA 1

Source: United Nations (UN) World Population Prospects (2011) Source: World Health Organization (WHO) Global Status Report on Road Safety (2013)

II. TOP FIVE INJURY RISK AREAS 1

RANKING

MORTALITY CAUSE

MORBIDITY

NUMBER

RATE

CAUSE

RATE

Road Traffic*

107

1.0

Falls

90,000a

Drowning

0.5

Poisoning

8,054b

Suffocation

0.4

Burns

5,100b

Falls

0.2

Road Traffic*

4,906c

Burns

0.1

Drowning

500a

Source: Federal Statistical Office, Mortality Statistics (2010); data refer to ages 0-14 years; rate per 100,000 children Source: aEstimated number of inpatients basing on several studies; bFederal Statistical Office, Hospital Admission Statistics (inpatient 2009); cFederal Statistical Office, Road Traffic Accident Statistics; data refer to patients ages 0-14 years *Includes pedestrian, occupant and bicycle 2

III. ORGANIZATIONAL PRIORITIES Coalition Building

Set-up Safe Children Communities. Integrate local partners into the national platform through membership.

Fundraising

Set up a long-term and sustainable financial concept. Apply for a new program funded by the Ministry for the Environment on lobbying for child resistant packaging. Obtain the support of a large insurance company.

Partnerships

Acquire new members. Extend partnerships with the government with the aim to obtain seed funding, not just program-based funding. Recruit celebrities to support Mehr Sicherheit f端r Kinder.

Program

Sustainability of existing programs. Home Visiting Program; qualification and standards for multipliers.

Safe Kids Worldwide 2013 Global Activity Report

| Germany | 2

IV. ACCOMPLISHMENTS (JULY 31, 2012 – JUNE 1, 2013) 1. Successfully implemented a poisoning campaign. The “Beware: Poisonous” poisoning prevention program was nominated and received a special prize at the national Children’s Rights Awards in 2012, while the “Caution: Toxic” poster received an Honorable Mention in the Print category at the International Safety Media Awards in New Zealand. The poster, which displays hazards and safety tips and is available in eight languages, was a central component for the accidental poisoning prevention program for immigrant families. 2. Received sustainable support from the Ministry of Health for the organization’s action plans. The Federal Minister of Health also participated in two Mehr Sicherheit für Kinder events, sent a letter of appreciation and committed to provide organizational funding until 2016. 3. Worked with responsible key stakeholders and authorities to set up a policy on home visiting programs that includes unintentional injury prevention for early childhood as part of the new Child Protection Act.

V. PROGRAMS

A. BEWARE POISONOUS FOCUS

- Home Safety - Follow-up campaign to National Child Safety Day, 2012, conducted through January 2013. GOALS

- Get childhood injury prevention on the political agenda. - Sensitize parents, key stakeholders, politicians, the general public, parents and children with a particular focus on children ages 3-6 years, and educators to the importance of child safety. LOCATIONS

- Bonn, Berlin and nationwide PARTNERS

Academy for Prevention and Health Promotion Federal Institute for Risk Assessment Federal Ministry for the Environment Industrial Association for Personal Hygiene and Cleaning Agents

VOLUNTEERS

- Local stakeholders and business partners. Estimated 40 volunteers. ACTIVITIES - Strategy (2012-2013): - Inform parents about poisoning hazards. - Develop a new approach for immigrant children and their parents as high-risk groups for all types of injuries, including poisoning. The new approach consists of multi-ethnic focus groups and inter-cultural parental educational groups, invited and hosted by local health and migrant centers. - Start a national Poisoning Prevention Campaign including materials, trainings, and seminars for multipliers and parents. - 2012: - Continued promotion of the poisoning campaign by distributing existing materials. - Organized training sessions for parents, with participation of 90 parents from 10 different national backgrounds. - Conducted two seminars for 80 future “Child Safety Trainers.”

Safe Kids Worldwide 2013 Global Activity Report

| Germany | 3

- Developed comprehensive materials, campaign ideas and games on poisoning, including a new children’s picture book in German-Turkish, German-Russian and German-Arabic, and a poster in eight languages presenting safety tips for adults through effective use of words and photos. More than 52,000 posters and 15,000 picture books were distributed. - Distributed 500 folders with detailed information, methods and tools for multipliers/trainers to enable them to work with migrant populations to inform them about poisoning hazards. - 2013: - Continued implementation of the poisoning campaign through distribution of materials.

B. CHILD SAFETY DAY, “SAFETY FROM THE BEGINNING” FOCUS

- Home Safety GOALS

- Raise awareness of the high rates of injuries among babies and toddlers, ages 0-3 years. - Encourage parents to take precautions within the home from the beginning of a child’s life. - Provide simple safety tips to young parents, with a particular focus on children ages 0-3 years and on low-income families. - Set up effective communications tools to address the main hazards for young children. LOCATIONS

- Berlin and nationwide PARTNERS

Federal Ministry for the Environment Federal Ministry of Health Johnson & Johnson (Penaten) Network Children, Environment and Health Women in Europe for a Common Future

VOLUNTEERS

- 10 local volunteers from the Berlin-Wedding Family Center “Lerncafe Omas Garten” ACTIVITIES - Hosted a breakfast for 15 parents from underprivileged areas of Berlin at a family center on June 10, 2013. The Federal Minister of Health and the President of Mehr Sicherheit für Kinder also attended the breakfast. - Child Safety Day Strategy (June 2013): - Informed parents about typical hazards for babies and toddlers within the home. - Developed a new approach with simple messages for low-income families. - Created a new mobile illustrated exhibition with information on the top seven hazards for small children including falls from changing tables; suffocation and strangulation in cribs; window falls; falls related to baby walkers; choking; burns; medication and household chemical poisonings. The exhibit toured kindergartens, hospitals and town halls throughout Germany. - Developed fact sheets with illustrations and tips about the seven top hazards. - Created a new data sheet with information about children ages 0-3 years, appraisal of age-specific rates and injury mechanisms. - Created PowerPoint presentations with data details. - Disseminated a press release. - Planned for further tour events for the exhibition.

Safe Kids Worldwide 2013 Global Activity Report

| Germany | 4

C. RUNNING, JUMPING, CLIMBING: SURE IT WILL WORK FOCUS

- Home Safety - Falls campaign launched in 2011. GOAL

- Spread awareness among the general public about falls prevention for preschool-age children. - Provide information about falls and their prevention and teach children to move in an appropriate way. LOCATION

- Nationwide PARTNER

- Federal Ministry of Health ACTIVITIES - 150 children ages 3-5 years and their teachers participated in a safety training course, where they were welcomed by the Minister of Health and the President of Mehr Sicherheit für Kinder. - On September 20, 2012, celebrated Children’s Day in Berlin with a falls prevention event and press conference at the Federal Ministry of Health. - Conducted interactive activities and games for children. - Released a new flyer for parents with key messages and tips on prevention of falls.

D. HAZARDOUS HOUSE FOCUS

- Home Safety - Hazardous House is a mock home designed for children to practice safety in a home via hands -on interaction. - 60 percent of all injuries among children under the age of 6 years occur in the home environment. GOAL

- Teach children aged 4-6 years about home hazards in a fun and innovative way. LOCATION

- Iserlohn PARTNERS

ALCOA Foundation Aluminum Company of America Floriansdorf Iserlohn Landesfeuerwehrverband NRW

VOLUNTEERS

- Two staff from partner organization, Floriansdorf Iserlohn, and 10 trained safety instructors. ACTIVITIES - Conducted practice sessions at the hands-on exhibit located at an educational theme park. - Distributed educational materials and demonstration cards for use at Hazardous House (e.g., description of hazards, data, facts and safety tips). - Produced and distributed 5,000 picture books about Hazardous House. - Maintained the Hazardous House website, containing information about the concept, operating hours and bookings. - Reached and educated between eight and 12 children visiting the exhibit daily. The exhibit is open year-round except holidays – around 200 days per year.

Safe Kids Worldwide 2013 Global Activity Report

| Germany | 5

E. TRAINER PROGRAM “CHILD AND SAFETY” FOCUS

- All Risk Areas - There is a need for qualified instructors to continue the work of Mehr Sicherheit für Kinder to educate the public about childhood injury prevention. GOAL

- Provide train-the-trainer instruction for qualified instructors who in turn train and advise parents on how to practice child safety with their children from an early age. Trained instructors conduct courses autonomously. LOCATION

- Bochum (University Hospital and Children’s Foundation Ruhrgebiet) TARGET POPULATIONS

- Young families PARTNERS

- Pediatric Association North Rhine-Westphalia - State Associations for Health Promotion VOLUNTEERS

- 20 qualified new instructors including nurses, midwives, educators and social workers, paid by local organizations such as hospitals, family and youth agencies, family enrichment centers, etc. ACTIVITIES - Conducted one train-the-trainer seminar in Bochum during which participants receive a manual and PowerPoint presentations. These materials are the basis for seminars taught to parents that the trainees organize and deliver to parents. - Updated manuals, guidelines and a standardized curriculum. - Trained 20 new instructors who will work with parents as well as with professional groups/multipliers. - Evaluation revealed that trainers’ knowledge increased through seminar participation in the following areas: child safety, physical and mental development of children, age-specific hazards and use of safety devices.

F. CHILDREN AS CONSUMERS FOCUS

- Product Safety GOAL

- Increase knowledge and competence of children ages 9-10 years regarding product safety, enabling them to decide which products are safe to use. LOCATION

- Nationwide PARTNERS

DIN German Institute for Standardization Federal Institute for Occupational Safety and Health Federal Ministry for Consumer Protection, Food and Agriculture Ministry of Economics and Labor National Toy Producer Association Stiftung Warentest Foundation Stokke (children’s furniture) TÜV SÜD (testing and assessment)

Safe Kids Worldwide 2013 Global Activity Report

| Germany | 6

ACTIVITIES - In May 2013, published the “Tracking Hazardous Products,” a comprehensive teaching manual describing products commonly used by students, characteristics of safe and unsafe products, and typical injuries caused by the products. The manual also offers background information about injury prevention, product safety legislation, rapid alert systems, market surveillance safety labels and standardization. The new manual was distributed to 100 teachers as a pilot to assist them in including product safety in their lesson plans. The goal is to enable school children to choose and purchase products wisely. The manual and other tools are available on the Mehr Sicherheit für Kinder website. - Prepared product safety teaching materials for education sessions in schools and shared basic information on product safety with children and parents. - Designed materials for school education sessions on product safety. Materials are still in development and will be designed based on teachers’ needs and experiences. - Published a fact sheet on specific groups of products. The fact sheet is used by teachers during school lessons and can also be beneficial for politicians, parents and the media. - With a new application for funds from the Federal Ministry for Consumer Protection, will be able to re-print 3,000 copies of the manual.

G. INTERNET FORUM FOCUS

- All Risk Areas GOAL

- Provide detailed information and exchange of experiences around-the-clock for parents and other consumers. LOCATION

- Online chat for parents and the public PARTNERS

Beachtlich (manufacturer of satchels and backpacks) Federal Ministry for Consumer Protection, Food and Agriculture Scout GmbH (manufacturer of satchels and backpacks) Stiftung Warentest Foundation

VOLUNTEERS

- Six Internet forum experts including an engineer, lawyer, sleep environment expert, health manager, traffic educator and surgeon ACTIVITIES - The online forum provides a place for parents to share information and receive advice from experts on all aspects of product safety, education and practical injury prevention. - 350 active visitors chatting about child safety daily. - 7,355 entries on the forum. - 1,104 registered users.

H. CHILD SAFETY ACTION PLAN FOCUS

- All Risk Areas GOALS

- Disseminate recommendations to promote child safety in Germany. - Strengthen national leadership and help implement proposed national activities. - Advance child safety systematically through the European Child Safety Action Plan.

Safe Kids Worldwide 2013 Global Activity Report

| Germany | 7

LOCATION

- Nationwide TARGET POPULATION

- Multipliers and politically responsible persons. PARTNERS

- ABUS Security Tech - DIN Verbraucherrat - Dr. Schnell (chemical products) - European Child Safety Alliance - Federal Center for Health Education - Federal Highway Research Institute - Federal Institute for Occupational Safety and Health - Federal Ministry of Health - Federal Statistical Office - German Forum for Prevention - German League for Child Protection - German Youth Institute - Healthy Cities Network - Magdeburg-Stendal University of Applied Sciences - National Center for Early Intervention - National Coalition “A World Fit for Children” (UN Convention for Children’s Rights) - Reer GmbH (safety device manufacturer) - Robert Koch Institute - Safe Communities Network - Signa-Iduna - WHO European Center for Environment and Health ACTIVITIES -

Compiled new data and shared program results. Controlled and managed the implementation of national recommendations. Observed a 20 percent reduction in the number of child injury deaths in a five-year period. Published new detailed data results for children ages 0-14 years. Data were collected and analyzed using various sources, including mortality data and hospital admission data through the Federal Statistical Office and the KiGGS – German Health Interview and Examination Survey for Children and Adolescents. - National Data Project: New results for the 0-3 year-old risk group and overview of evidence-based interventions. - Participation in the new European Program “TACTICS,” a large-scale, multi-year initiative with the aim to provide better information, practical tools and resources to support adoption and implementation of evidence-based good practices for the prevention of injury to children and youth in Europe.

VI. MEDIA RELEASES AND RECOGNITION TRADITIONAL MEDIA - Featured in two newspaper articles weekly. - Featured in interviews on prominent shows such as “Morgenmagazin (ARD/ZDF) viewed by approximately three million viewers. - Appeared on various radio programs, averaging one per month. SOCIAL MEDIA - Facebook account “Liked” by 300 people. - Website traffic: 38,000 visits per month, with an average of 400,000 clicks per month.

Safe Kids Worldwide 2013 Global Activity Report

| Germany | 8

VII. LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION LAW FOCUS

DESCRIPTION

Bicycle

There are ongoing discussions in Germany about obligatory helmets for bicyclists and related concerns about enforcement, decreased activity and resulting health consequences. No mandatory helmet laws exist at this time.

Falls

Federal State Building regulations. Germany consists of 16 Federal States and building is an autonomous affair of a State. There are 16 building regulations. Examples include the height and safe design for guardrails to prevent falls from balconies and stairs; safety locks at windows to prevent children from falling out.

Fire & Burns

Smoke Alarms: Ten out of 16 Federal States have regulations pertaining to smoke alarms (2012) required in every new building. Mehr Sicherheit f端r Kinder is advocating for a nationwide law to include the remaining six Federal States that do not have smoke alarm laws. Burns: Regulation in the General European Product Safety Directive, with a focus on burns; child-resistant lighters obligatory since March 2007.

Furniture

European norms and standards.

Home

The Child Protection Act was enacted in 2012 and includes home visiting programs for families with newborn children. Mehr Sicherheit f端r Kinder includes home safety checks and qualification materials for home visitors (nurses, social workers, etc.)

Motorcycle

Helmets are mandatory for all ages on motorbikes.

Pedestrian

German Traffic Law (1952) Reduced speed areas (30km) Traffic calming; council directive Vehicle safety for protection of pedestrian and cyclists (1974).

Playground

European norms and standards.

Poisoning

Child-resistant packaging standards for medications and non-pharmaceutical products (1992).

Product

European Toy Directive Amendment (2009). Mehr Sicherheit f端r Kinder is advocating for subsequent improvement. European norms and standards for products and technical devices. Advocating ban on baby walkers. New National Product Safety Law (December, 2011)

School

Guidelines of the Statutory Accident Insurance.

Sports European norms and standards. Suffocation Vehicle Passenger

Safety belts are mandatory (1992), as are child restraint systems (1991). The restraint rate for children ages 0-12 years is 83 percent; four out of five children are found to be properly restrained in a vehicle.

Safe Kids Worldwide 2013 Global Activity Report

| Germany | 9

VII. LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION LAW FOCUS

Water

DESCRIPTION There are no existing laws related to this water safety. Mehr Sicherheit f端r Kinder is advocating for a fencing law. There are other product-related laws addressing diving accessories, personal floatation devices and spas. In cooperation with the European Child Safety Alliance, a new Water Safety Guideline was developed in 2008.

Safe Kids Worldwide 2013 Global Activity Report

| Germany | 10

India Safe Kids Foundation India became a member of Safe Kids Worldwide in 2006 and launched its first program in Mumbai in October 2007. In India, preventable injuries kill more than 60,000 children each year, leaving many more disabled. Safe Kids Foundation works with non-profit organizations, governments and schools to promote awareness and teach that accidental deaths and injuries are preventable. Safe Kids Foundation expanded its work to Delhi in 2009, Ahmedabad in 2010, and Mumbai satellite cities, New Mumbai and Thane in 2011.

www.safekidsfoundation.org Safe Kids Foundation India Vasant Vilas, 5th Floor, 31, Dr.D.D. Sathye Marg Mumbai, 400004 India

Rupa Kothari Executive Director rupa@safekidsfoundation.org In 2006, Rupa Kothari attended the 6th World Conference on Injury Prevention and Safety Promotion in Durban, South Africa, and later visited Safekids New Zealand and Grosse Sch端tzen Kleine in Austria. These visits were instrumental in the development and launch of Safe Kids Foundation in India, where she has served as Executive Director since 2007. Rupa holds a degree in Commerce and Economics. In 2010 and 2012, Rupa was honored by the Mumbai Traffic Police for her work on road safety for children.

Safe Kids Worldwide 2013 Global Activity Report

| India | 1

I. COUNTRY STATISTICS 1,284,806,0001 497,767,0001

TOTAL POPULATION POPULATION AGE < 19 INCOME GROUP

GROSS NATIONAL INCOME PER CAPITA

Middle2 $1,2602

Source: United Nations (UN) World Population Prospects (2011) Source: World Health Organization (WHO) Global Status Report on Road Safety (2013)

II. TOP FIVE INJURY RISK AREAS RANKING

MORTALITY CAUSE

NUMBER

Road Traffic Accidents*

7,700

Drowning

4,794

Poisoning Snake and animal bites account for 1,278 deaths

2,264

Fire

1,476

Falls

964

Source: Ministry of Home Affairs Accidental Deaths and Suicides in India (2011); data refer to ages 0-14 years *Includes pedestrian, occupant and bicycle

III. ORGANIZATIONAL PRIORITIES Coalition Building

Build coalitions by holding meeting with key stakeholders and providing updates on Safe Kids Foundation activities.

Fundraising

Develop additional partnerships.

Partnerships

Strengthen partnership with current sponsor, FedEx.

Program

Continue implementing Walk This Way pedestrian safety program activities.

Research

Mumbai, Delhi and Ahmedabad-specific data collection. Pre and post-test evaluation. Knowledge retention survey.

Others

Increase the effectiveness of the Safe Kids Foundation website as a tool for reaching more parents, children and safety advocates.

Safe Kids Worldwide 2013 Global Activity Report

| India | 2

IV. ACCOMPLISHMENTS (JULY 31, 2012 – JUNE 1, 2013) 1. Reached nearly 2.5 million children and 60,000 parents and adults from 2007 through May 2013. 2. Reached 520 schools through the Walk This Way program in 2013. More than 1,860 teachers and volunteers were trained through July 2013.

V. PROGRAMS

A. WALK THIS WAY FOCUS

- Pedestrian Safety GOALS

Teach children ages 3-14 years how to walk safely in public areas. Increase knowledge and awareness among parents, children and teachers about safe road behaviors. Increase knowledge among teachers on methods to teach children about safe road behaviors. Gain understanding of road traffic injury incidence and trends in Mumbai, Delhi and Ahmedabad. Evaluate the effectiveness of program activities through pre and post-tests and an intervention research study. Results revealed an overall improvement in understanding after training sessions.

LOCATION

- Mumbai (including New Mumbai and Thane), Delhi and Ahmedabad PARTNERS

Ahmedabad Acharya Sangh Ahmedabad Municipal Corporation Ahmedabad Traffic Police Akhil Delhi Prathmik Shikshak Sangh All India Federation of Teachers’ Organizations Brihanmumbai Mahapalika Shikshak Sabha FedEx Gujarat State Secondary Teachers’ Federation Highway Police Maharashtra Municipal Corporation of Delhi Municipal Corporation of Greater Mumbai Mumbai Environmental Social Network Mumbai Traffic Police New Delhi Municipal Corporation New Mumbai Municipal Corporation Thane Municipal Corporation Urivi Vikram Charitable Trust, Delhi

VOLUNTEERS

- 57 FedEx volunteers ACTIVITIES - Conducted education sessions and other activities in schools for children in pre-primary through tenth grades. - Conducted an orientation and training program for teachers and volunteers.

Safe Kids Worldwide 2013 Global Activity Report

| India | 3

- Distributed 260 educational kits to teachers, trainers and volunteers in all participating cities. The kit includes a mock traffic demo with vehicular and pedestrian signals, a crosswalk on a flex sheet, pictures of vehicles, and a CD/flip chart with presentations for all age groups. - Developed two games and an activity/coloring book to reinforce road safety messages. - Organized activities to teach students about pedestrian safety, such as drawing; slogan, elocution and essay writing; model making; greeting cards; and putting on presentations during assemblies. - Organized awareness programs for parents and caregivers. - Conducted walking rallies in three cities. - Organized an inter-school essay competition with traffic police. - Conducted a Walk This Way program evaluation. - Conducted a Knowledge Retention Survey. - Distributed “Roadiquettes,” an animated film about pedestrian safety to schools. - Maximized the use of Photovoice and road safety posters to generate awareness among the population. SAFE KIDS FESTIVAL

- Conducted Safe Kids Festival in all participating cities. - Organized competitions and games for more than 3,190 children from 13 schools in December, January and February. - Linked road safety messages with cultural programs. - Held Photovoice photo and poster exhibitions. - Organized walking rallies with school children during which they interacted with drivers and pedestrians. ROAD SAFETY WEEK/FORTNIGHT (January 1-7 and January 1-15, 2013, respectively) - Designed and developed posters and banners and distributed them in three cities and the State of Maharashtra with the help of Highway Police. - Exhibited posters and photos from Photovoice. - Organized walking rallies with school children, during which they interacted with drivers about pedestrian safety. POSTER COMPETITION

- Held a poster competition with students from three art schools and colleges on topics: “Stop Before the Stop Line,” “Slow Down for Kids” and “Hazards of Drinking and Driving”. UN SECOND GLOBAL ROAD SAFETY WEEK (May 6-12, 2013) - Requested by the UN General Assembly, the week drew attention to the urgent need to better protect pedestrians worldwide, generate action on the measures needed to do so, and contribute to achieving the goal of the Decade of Action for Road Safety 2011-2020. - Hosted educational activities and games at a children’s traffic park on April 26 and at a sports park on May 11. - Organized a human chain with children, police, 16 FedEx volunteers and other NGOs holding signs with road safety messages on May 6. - Children presented a pedestrian safety skit, dance and song in the regional language on May 7. - Released a video showing Walk This Way activities and thanking FedEx for their support. - Released activity and coloring books. - Organized Long Short Walks at three locations. MODEL SCHOOL ZONE PROJECT

- Safe Kids Foundation conducted the project at St. Joseph’s High School, attended by 1,500 students in Mumbai. The project aimed to improve pedestrian safety for children by modifying the environment at the school. The ultimate goal was to demonstrate that the Model School Zone project can be effective and adapted to benefit children in countries of varying resource levels, despite the diversity of risks and issues surrounding school zones.

Safe Kids Worldwide 2013 Global Activity Report

| India | 4

- Collaborated with the Mumbai Environmental Social Network (MESN) and Brihanmumbai Mahapalika Shikshak Shabha (BMSS) to implement the project. MESN’s primary focus is providing discipline, governance-oriented information and solutions to the growing traffic congestion in Mumbai. BMSS is a group of municipal school teachers that regularly works with Safe Kids Foundation and implements the Walk This Way program in schools. - MESN and BMSS assisted Safe Kids Foundation in evaluating and finalizing plans for intervention. - Organized the Photovoice project with 10 students from the school and conducted educational sessions for students and teachers. - Discussed intervention plans with stakeholders including the principal, vice principal, teachers, parents, students, school staff, representatives of MESN and BMSS, a member of Action for Good Governance and Networking in India, a local NGO and the Mumbai Traffic Police. - Sought approval from the Mumbai Traffic Police and Municipal Corporation, Mumbai engineering department, road department and area ward office to complete interventions. Approval was received from the traffic and engineering and road departments. Permission is pending from the area ward office. RESEARCH SAFE KIDS WALK THIS WAY PROGRAM EVALUATION PARTNER INVOLVED

- All India Federation of Teachers Organization (AIFTO). - BMSS Teachers’ Association TARGET POPULATION

- 26,000 children in Mumbai (including Mumbai, New Mumbai and Thane), Ahmedabad and Delhi METHODOLOGY

- Safe Kids Foundation and BMSS developed a 12-question survey on pedestrian safety to measure the level of awareness before and after sessions. The survey was administered to the target population. - Training sessions were conducted by teachers from BMSS and AIFTO using PowerPoint presentations and flip charts. Follow-up sessions consisted of essays, drawings, slogans, games, assembly lectures, visits to the Traffic Safety Park, rallies, skits, songs, etc. The post-test was administered 3-10 days after training sessions. KEY FINDINGS

- There was a 44 percent increase in pedestrian safety knowledge, including walking with no sidewalks in place; wearing bright colors in the rain; importance following road rules for pedestrians; and the difference between green and yellow traffic lights. - Repeated sessions with teachers helped to reinforce the messages. KNOWLEDGE RETENTION SURVEY PARTNERS INVOLVED

- BMSS Teachers’ Association volunteers TARGET POPULATION

- 450 children in fifth through seventh grades at three schools METHODOLOGY

- The three selected schools are public schools and students are from similar backgrounds. - Two of the schools had previously conducted Walk This Way program activities. - A 15-question survey on pedestrian safety knowledge was developed and administered to 450 students from the three schools at the same time. KEY FINDINGS

- The two schools participating in the Walk This Way program showed better knowledge retention, an average of 95 percent, while the control school with no Walk This Way activities had a significantly lower awareness, 41 percent. This indicates that repeated sessions are required for better knowledge retention.

Safe Kids Worldwide 2013 Global Activity Report

| India | 5

- It was concluded that it is important to have education sessions at regular intervals for better knowledge retention.

VI. MEDIA RELEASES AND RECOGNITION TRADITIONAL MEDIA Programs generated 49 media reports and two features on radio stations in 2013.

VII. LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION LAW FOCUS

DESCRIPTION

Bicycle

There are bicycle helmet guidelines on the Delhi Traffic Police website but there is no law related to helmet safety. According to Delhi Traffic Police Guidelines, you should wear: A bicycle helmet made of light thermocol. Appropriate clothing for cycling and avoid clothing which may get tangled in the chain or wheel or could obscure bicycle lights. Light-colored, reflective, or fluorescent clothing to help other road users see on dark and poorly lit roads.

Fire & Burns

Buildings should be planned, designed and constructed to ensure fire safety in accordance with Part IV of the Fire Protection of National Building Code of India. All buildings above 15 meters in height should be equipped with fire alarm systems listed in by-laws. Building plans must be cleared by the Chief Fire Officer. There are no laws related to burns and scalds prevention.

Motorcycle

According to the Motor Vehicle Act (1988): Use of a helmet (conforming to relevant Indian standards) is compulsory for motorcycle drivers and passengers of all ages.

Pedestrian

Traffic police guidelines are in place but there are no laws for pedestrians. Guidelines state: Never walk on the main carriageway. Use footpaths, subways and pedestrian crossings for your safety. If footpaths are absent, walk against the direction of traffic for better visibility. If pedestrian crossings are absent, watch for traffic on both sides and cross when it is safe. Never read newspapers while walking on roads.

Pool

Lifeguards are required to be stationed near pools.

Product

Drug and cosmetics manufacturers must apply for permission to manufacture products.

Safe Kids Worldwide 2013 Global Activity Report

| India | 6

VII. LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION LAW FOCUS

DESCRIPTION

Road

Most states have a compulsory seat belt law for drivers, but there are no laws or regulations related to child safety seats or booster seats. Seat belt use for front seat passengers is city-specific and may or may not be compulsory. There is no law for rear seat passengers. Persons not wearing seats belts are penalized as per Section 177 of the Motor Vehicle Act (1988). Road Transport Organization ACT and Police ACT – As per rule 250 (A) (1) of Maharashtra Motor Vehicle Rules (1989), use of mobile phones is prohibited while driving or riding a motor vehicle, including two-wheelers.

School Bus

The Model School Bus Service was initiated in 2002. After successful implementation in several premier schools in Mumbai, the Maharashtra government formed a committee in July 2008 to work out a state policy for safe and coordinated transportation of school children. The policy, known as “The Maharashtra Motor Vehicle (Regulations for School Buses) Rules, 2012,” deals with aspects related to safety of vehicles, staff and students. Amendments are still being made. Therefore, the policy is yet to be formally implemented by the government. In Mumbai, the policy will be implemented by the District Committee chaired by the Commissioner of Police, Mumbai. Policy implementation will occur through schools and is governed by certain sections of the Motor Vehicles Act as well as directions from the State Education Department.

Safe Kids Worldwide 2013 Global Activity Report

| India | 7

Israel Beterem, meaning "beforehand" in Hebrew, is an Israeli non-profit organization with the aim to promote child safety and create a safer environment for children in Israel. Beterem was founded in 1995 at the Schneider Children’s Medical Center by Professor Yehuda Danon, founding Director of Schneider Children’s Medical Center and former Surgeon General, and Dr. Michal Hemo-Lotem, a pediatrician. Beterem is the only nationwide organization in Israel that works exclusively in child safety. In 2003, Beterem was officially recognized by the Israeli government as the national professional leader of child safety issues. The organization also serves as the Israeli representative in the European Child Safety Alliance. Beterem became a member of Safe Kids Worldwide in 2000. During the first decade of Beterem's activity, child mortality rates due to preventable injuries decreased by 30 percent. Beterem’s new goals are to reduce child mortality rates by an additional 35 percent by the year 2020, reduce mortality rates among Arab children and decrease the injury rate gap between Jewish and Arab children by at least 25 percent.

www.beterem.org Beterem Hasivim 18 Kiryat Matalon P.O.B 7050 Petach-Tikva 4917001 Israel

Orly Silbinger Chief Executive Officer orlys@beterem.org Orly Silbinger, Chief Executive Officer of Beterem since 2008, has been with the organization since its early stages in 1996 and is also one of its founders. Over the years, Orly has served in various executive roles and has been involved in most of the organization's programs and developments. In January 2008, Orly joined the Safe Kids Worldwide Board of Directors. Orly has extensive experience in entrepreneurship and establishment of public bodies, managerial experience of non-profit organizations, project planning, performance and administrative abilities for project management, fundraising, public health and marketing.

Safe Kids Worldwide 2013 Global Activity Report

| Israel | 1

I. COUNTRY STATISTICS 8,057,0001 2,738,0001 High2

TOTAL POPULATION POPULATION AGE < 19 INCOME GROUP GROSS NATIONAL INCOME PER CAPITA

$27,2702

Source: United Nations (UN) World Population Prospects (2011) Source: World Health Organization (WHO) Global Status Report on Road Safety (2013)

II. TOP FIVE INJURY RISK AREAS 1

RANKING

MORTALITY CAUSE

MORBIDITY

NUMBER

RATE

CAUSE

NUMBER

RATE

Pedestrian

0.92

Falls, Blunt Injury, Cut, Pierce

81,430

3,881.1

Motor Vehicle Crashesa

0.86

Road Traffic Crashesb

12,997

619.5

Suffocation

0.62

Foreign Body

4,226

201.4

Drowning

0.40

Burns

1,462

69.7

Fire/Flame

0.16

Intentional Injury

1,360

64.8

5 1

Sources: Mortality – Beterem', special analysis of mortality rates obtained from the Israeli Bureau of Statistics (2008-2010); data refer to ages 0-14 years; rate per 100,000 children. 2 Morbidity – Central Hospitalizations Database of the Ministry of Health (average 2009-2011); data refer to ages 0-14 years; rate per 100,000 children. a Includes vehicle occupant, other land transport and bicycle In 2009, the number of children who died due to injuries was exceptionally low; this does not necessarily reflect a trend. The injury type categorized as "Other" was excluded from the ranking as it includes various injury types and the number of child fatalities for each injury type is small. b Includes vehicle occupant, bicycle and pedestrian

III. ORGANIZATIONAL PRIORITIES Coalition Building

Hospitals and authorities

Communications and Marketing

Target marketing

Fundraising

Business development, new funds and donation fundraising

Partnerships

Business partnerships and funds

Program

Three major national projects; the Arab society

Public Policy and Advocacy

National Child Safety Action Plan

Research

National Pediatric Injury and Safety Surveillance (NAPIS)

Safe Kids Worldwide 2013 Global Activity Report

| Israel | 2

III. ORGANIZATIONAL PRIORITIES Strategic Goals

Decrease child injury mortality in Israel by 35 percent by the year 2020. Narrow the gaps in injury rates between Jewish and Arab children by 25 percent by the year 2020.

IV. ACCOMPLISHMENTS (JULY 31, 2012 – JUNE 1, 2013) 1.

Beterem received the Midot Seal of Outstanding Effectiveness in Social Achievement on December 2, 2012. This prestigious award was presented in cooperation with Ma’ala – Business for Social Responsibility and Sheatufim – The Israel Center for Civil Society. Beterem received the award for promoting awareness of child safety in Israel and its influence on decision makers and organizations such as government offices, local authorities and municipalities and hospitals.

2. National Pediatric Injury and Safety Surveillance System (NAPIS): As part of the National Child Safety Action Plan, the inter-ministerial committee, represented by ten offices and national bodies, unanimously recommended the establishment of a national child injury data system, based on Minimal Data Set, including operational recommendations at the national level and at the ministry and national institution levels. As a member, Beterem prepared proposals and position papers to help the committee reach an agreement on a uniform data collection code. Management features and operation will be considered as part of the overall agreement to manage the implementation of the National Child Safety Action Plan. Legislation will be required to arrange data transfer, and to integrate identified data. 3.

National Child Safety Action Plan, Inter-Ministerial Planning Activities: In March 2013, the ministerial mapping report, filing stage and establishment of inter-ministerial planning committees was completed. The Israeli government appointed Beterem as the project manager for the planning process of the program. In this capacity, Beterem consulted professional organizations and assisted 16 government ministries and national program partners with planning, using professional tools developed by Beterem. Partnering government ministries began promoting the planning of the inter-ministerial program based on mapping reports and remaining subjects that need to be promoted. Each ministry adopted a different format for the intra-managerial planning process based on its conduct, such as the inter-ministerial committee format, coordinating committee format and separate planning management for each division. The process for establishing sub-committees for the inter-ministerial committee, marked as having added value for cooperation between government ministries and auxiliary entities that are partners in the planning process was kicked off.

V. PROGRAMS

A. NATIONAL CHILD SAFETY ACTION PLAN FOCUS

- All Risk Areas GOALS

- Continue development of the Israeli Child Safety Action Plan (CSAP) within the framework of the CSAP initiative, a large-scale project led by the European Child Safety Alliance and Euro Safe with the European Commission, UN Children’s Fund, WHO, Health and Environment Alliance and partners in more than 30 countries.

Safe Kids Worldwide 2013 Global Activity Report

| Israel | 3

- CSAP aims to develop government-endorsed national action plans in European countries that enhance child and adolescent safety by increasing awareness of child injury issues as well as the adoption of proven prevention strategies by the government, industry, professionals, organizations and families in areas that relate to child and adolescent safety. LOCATION

- Nationwide PARTNERS

- Foundations - Ministry of Health ACTIVITIES - Submitted an intermediate review of the national multi-year child safety program planning process to the Deputy Minister of Health during a meeting in January 2013. The review included the main themes of the planning process: - Mapping of the child injury situation in Israel and existing government policy on the subject. - Forming a strategic outline based on five action strategies: data and information; training for professionals; education for the general public; intervention programs for at-risk populations; and standardization, legislation and enforcement. - In June 2013, Beterem participated in the Fifth International Health Conference of the Israel National Institute for Health Policy Research. The Director of Medical Administration at the Ministry of Health spoke about adapting international planning models for an Israeli implementation and the planning process for a multi-year national child safety program. INTER- MINISTERIAL PLANNING ACTIVITIES

- In March 2013, the ministerial mapping report, filing stage and establishment of inter-ministerial planning committees was completed. Partnering government ministries began promoting the planning of an inter-ministerial program based on mapping reports and remaining subjects that need to be promoted. Each ministry adopted a different format for the intra-managerial planning process based on its conduct, such as the inter-ministerial committee format, coordinating committee format and separate planning management for each division. - In April 2013, kicked-off the process for establishing sub-committees for the inter-ministerial committee, marked as having added value for cooperation between government ministries and auxiliary entities that are partners in the planning process. As a result, six subcommittees of the inter-ministerial committee were established. Of 15 broad subjects, the six subcommittee subjects were chosen by the committee for their added value in promoting interministerial cooperation. It is the role of the sub-committees to form an outline for implementing child safety standards in: - Child safety in educational settings and their surroundings - Professional child safety training - Data collection and use - Student transport - Education for children and parents - Business licensing at places of entertainment and leisure

B. NATIONAL PEDIATRIC INJURY AND SAFETY SURVEILLANCE SYSTEM (NAPIS) FOCUS

- All Risk Areas GOALS

- Initiated the national program as part of the National Child Safety Action Plan, as mandated by the Ministry of Health. Leading organizations in the initiation of NAPIS include Beterem, the Ministry of Health, and the National Council for the Promotion of Home and Leisure Safety.

Safe Kids Worldwide 2013 Global Activity Report

| Israel | 4

- Examine the need for a national system for collecting data on child injury. - Use NAPIS as a strategic tool for planning and managing child safety in Israel. NAPIS will incorporate data on injuries and injury prevention from a variety of resources in Israel, making it possible to identify at-risk populations by geographic or ethnic association, risk factors and preventative measures. - Use knowledge gained from NAPIS to support strategies for change such as training professionals, public education and awareness, and changes in legislation and enforcement to create safer environments. Information will be provided to organizations and communities interested in promoting child safety. LOCATION

- Nationwide PARTNER

- Ministry of Health - Ministry of Trade, Industry and Labor - National Council for the Promotion of Home and Leisure Safety ACTIVITIES - Minimal Data Set (MDS) Code: Assimilation of the MDS Code among all ministries/agencies that collect children's injury data, such as the Central Bureau of Statistics, Ministry of Health, Ministry of Education, Ministry of Industry, Trade and Labor, etc. - Established NAPIS using a homogeneous code within the framework of the National Child Safety Action Plan, which can be used by all government ministries and national entities. - Established the Business Intelligence system, which unifies four core databases for childhood injury, to enable output of analyzed data. - Expanded collaboration between local authorities and support facilities, such as medical centers. For example, data collection and transfer channels were formed between two hospitals and four local authorities to facilitate the sharing of information regarding child injuries requiring medical attention in the public domain. - Prepared 25 presentations on injury data for the Beterem in the City program, and preliminary data reports for authorities. - Prepared 15 MSD-ED and ATD reports and presentations in 2012. - In 2012, conducted MDS-ED child injury collection at eight hospitals and ATD data transfer at seven hospitals. NAPIS DATA SOURCES -

Beterem Data Sources: - Information publicized in traditional and web-based media on child injuries or near-misses is collected and stored in a specialized database. Data includes different levels of injury severity, starting from death and ending in nearmisses. - Through personal counseling for families of injured children called the Bedside Counseling Program, hospital staff trained by Beterem conducts in-depth hospital interviews with families following the event at ten nationwide hospitals. - Collected data on child injuries from eight Emergency Departments (EDs) through the Minimal Data Set Pilot Study (MDS-ED) based on WHO and U.S. Centers for Disease Control and Prevention minimal data set requirements for recording injuries. - Maintained a database that includes content from information requests and questions from the public requiring investigation and feedback from Beterem's safety expert call center. National Data Sources: - Specialized data requests from national databases such as the Central Bureau of Statistics. - Hospital Administrative Data: Based on records of children attending EDs following injury, as recorded in the existing hospital administrative system. In 2012, Beterem received child injury data from seven hospitals, which constitute about 30 percent of ED admissions. - Child injury data from Terem emergency medical centers. - Child injury data collection from educational institutes according to the MDS-ED Code.

Safe Kids Worldwide 2013 Global Activity Report

| Israel | 5

The process for NAPIS is ongoing. While several components have been completed since its inception in 2009, there are many others that are still in the initiation phase and are expected to take several years. The demand for NAPIS services and products has grown, including data mining, analysis of information and production of reports for medical centers, local authorities, government offices, regulatory boards, government committees, etc. The use of NAPIS data has expanded to include bodies of research such as the Knesset Research and Information Center, the Knesset Committee for Children's Rights, the National Council for the Promotion of Home and Leisure Safety, the Public Committee for Promoting Safety at Work and Employment Health (the Adam Committee), Ministry of Industry, Trade and Labor, Standardization Administration, UN Children’s Fund Israel, Ministry of Justice, Ministry of Interior, Ministry of Education, Israeli police, local authorities, international child safety organizations, mass media, commercial organizations, researchers, etc. Utilization of healthcare services by children seeking treatment due to injuries in two Arab cities and preparation for child injury data collection in community medical clinics in the Arab community in Israel: - The Ministry of Health resolution on implementation of the MDS data fields in the computerized systems of hospital EDs, including a recommendation for coding by the medical team of the ED. - Cooperation for sharing data between the Ministry of Health, Ministry of Education, Ministry of Industry, Trade and Labor and Maccabi Health Services and Israel Fire and Rescue Services.

NAPIS PUBLICATIONS

Mapping of information sources and current status report on work-related injuries among Israeli youth. Documentation of child ED admissions due to road traffic injuries in 2011-2012, Rambam Medical Center. Annual report on child mortalities from unintentional injuries, 2012. Tri-annual summation of child mortalities during summer months (June-August). Child mortalities during swimming season, 2012. RESEARCH EXPANDED MEASURE OF PEDIATRIC INJURY DESCRIPTION OF RESEARCH

- In Israel, Urgent Care Centers (UCCs) located in many communities are utilized for primary treatment of illness and injury, in lieu of EDs. UCCs provide many of the services available in the ED including X-ray and casting and are open 24 hours. They do not deal with serious trauma that may require hospitalization. This study is the first effort to estimate rate of child injury treatments at UCCs. PARTNER

- Terem UCCs OBJECTIVES

- Estimate the pediatric injury rate using both ED and UCC visits. - Compare types of injuries and demographics between children treated at UCCs and those treated at hospitals. - Compare between the use of health services by injured children in two cities. METHODOLOGY

- Injury data for children ages 0-17 years. - Analyze data from UCCs, the Hadassa Hospital in Jerusalem, and the Ministry of Health database on ED visits. KEY FINDINGS

- The “expanded” injury rate for Jerusalem and Maale Adumim was 730.5 and 1093.7 respectively. This “joint” value is 2.1 and 3.3 times higher respectively than the estimate by ED visits alone. This means that there are almost double the injury rates seen at the UCCs. Thus, there are many injuries that are not captured using only ED visits to record injury rates. - There are clear differences in injury type between children who were treated in EDs and children treated in UCCs. UCCs treated a greater percentage of lacerations and contusions and the EDs treated a greater percentage of falls and motor vehicle accidents.

Safe Kids Worldwide 2013 Global Activity Report

| Israel | 6

C. BETEREM IN THE CITY ALLIANCE – TRANSFORMING CITIES INTO A SAFER PLACE FOR CHILDREN FOCUS

- All Risk Areas GOALS

- Create a National Child Safety Municipalities Alliance, committed to promoting child safety locally and nationally. - Assist 26 existing and six new municipalities across Israel participating in the Alliance to manage and promote child safety practices supported by a variety of proven programs and tools. LOCATION

- Nationwide PARTNERS

- Hapoalim Bank - Local Municipalities ACTIVITIES - Each municipality leads a process of continued improvement in child safety locally, supported by various evidencebased programs that include aspects of marketing, risk management and partnerships with the city's residents. - Pooled resources and promoted cooperation between Beterem in the City municipalities and the National Child Safety Action Plan via specification of policy on the national level and implementation of recommendations on the local level. - Disseminate information among at-risk communities. Currently in the development phase, this is a cooperative program with municipalities within Arab, Russian and Ethiopian immigrant populations. Beterem is developing information for use within the education system, including teachers and upper-grade students who will provide instruction to younger students, complemented by municipalities’ local media campaigns. - Member municipalities are obliged to implement a three-year plan to promote child safety. Seven municipalities have completed their first three-year contract and signed their second three year contract. - Produced and distributed a structured workbook tool specifying professional processes required as part of the Alliance's goals among member municipalities. RESEARCH INJURY QUESTIONNAIRE HBSC ISRAEL (ONGOING STUDY) PARTNERS INVOLVED

- Dr. Yossi Harel, International Research Program on Well-being and Health of Youth, Faculty of Social Sciences, Bar Ilan University – HBSC Israel. TARGET POPULATION

- Children ages 11, 13 and 15 years - Representative sample of Jewish and Arab students OBJECTIVES

- Identify injury patterns and safety behaviors of youth in Israel. - Use questions based on WHO minimum data set for injury surveillance. METHODOLOGY

- Self-report survey conducted in 174 classrooms with 5,300 students in 2010-2011 on topics including: - Injury events in the past year – core questionnaire - Need for cast or stitches - School days missed due to injury - Injury location - Activity when injured - Type of injury - Treatment for injury

Safe Kids Worldwide 2013 Global Activity Report

| Israel | 7

Mode of travel to school Swimming skills Frequency of travel by bicycle Traffic Safety: self-report, friend report, parent report on helmet use, crossing on red, crossing mid-block (not at crosswalk) and seat belt use (front and back seat) - Alcohol and swimming KEY FINDINGS

- Analysis conducted in 2012. - The mortality rate due to injuries among youth ages 15-17 years is 2.25 times higher than that of the general population of children. - The injury rate among youth in Israel is high in comparison with the 40 countries participating in the study. Israel is ranked fifth, with four countries reporting a higher percentage of injuries than Israel. - About 53 percent of students reported being injured once or more in the past 12 months and required medical attention. - Among Arab students, 47 percent of injuries occurred at home or in the yard, in comparison with 21 percent among Jewish students. - Among Jewish students, 25 percent of injuries occurred on a sports field or in a facility outside of school, 23 percent occurred inside the school and 21 percent occurred in their home or yard. - Among all students in both sectors, girls reported a 1.6 times higher incidence of injury at home than boys. - Approximately 84 percent of Jewish students reported always wearing a seat belt as a passenger in the front seat of a vehicle, compared with 58 percent of Arab students. - Over the years, a significant increase in reporting on wearing seat belts in the back seat can be seen. This change applies to both sexes in both communities. - The older the age group, the lower the percentage of helmet use while cycling. Among Jewish students, 44 percent reported wearing a helmet in the sixth grade, up to 27 percent in the eighth grade and 19 percent in the tenth grade. A less significant trend can be seen among Arab students with a sharp decline from the sixth grade, 37 percent, to the eighth grade, 23 percent. Another slight decline was noted with transition to the tenth grade, with 20 percent of students reportedly wearing a helmet. - The lower the socioeconomic level of students, the less they reported having learned to swim: four percent of students in the higher socioeconomic level compared with 25 percent of students in the lower socioeconomic level. - About eight percent of students reported they went swimming after drinking alcohol, boys, 11 percent, more than girls, three percent. Arab students, in particular boys, reported swimming after drinking alcohol more frequently. In addition, sixth graders in the Arab community reported a particularly high percentage of swimming after drinking an alcoholic beverage, 21 percent. - Analysis on risk-taking behaviors and injuries was completed in Summer 2013, along with a report. STUDY OF CHILD TRAVEL PATTERNS AND ROAD SAFETY PARTNERS

- Israel Insurance Association - Jerusalem Transportation Institute TARGET POPULATION

- Children aged 6-12 years and their parents. OBJECTIVES

Identify travel and safety patterns using trip survey tools. Study the correlation between travel patterns and safety behaviors among children on the roads. Assess exposure of children to dangers on roads. Conduct all surveys in 2012. Conducted a survey analysis and produced a report in Summer 2013.

METHODOLOGY

- Conducted a survey with children ages 6-12 years in Jerusalem using Global Positioning System (GPS) technology.

Safe Kids Worldwide 2013 Global Activity Report

| Israel | 8

- Conducted an internet-based survey with children ages 6-12 years on their travel practices. - Conducted a knowledge, attitudes and behaviors survey with parents of children ages 5-13 years, using GPS tracking devices, which the parents kept with them for 24 hours. A specialized computer program downloaded GPS data from all trips and a face-to-face interview was conducted with children to obtain more information about individual trips including safety characteristics. KEY FINDINGS

- Initial highlights: - Walking is the primary mode of travel for children, including trips to and from school and for leisure. - Children travel without adult supervision from a young age. - Children traveling by foot or by bicycle often encounter vehicles that do not give them the right of way. - Other safety hazards were identified including lack of safety equipment and dangerous roadside conditions.

D. BETEREM IN THE ARAB SOCIETY FOCUS

- All Risk Areas - According to Beterem's Child Mortality Report, 121 children died due to unintentional injuries in 2012, with 54 percent of children identified as Jewish and 46 percent identified as Arab. Arab children comprise 27 percent of the Israeli child population. This means that out of every 100,000 injury deaths in 2012, Arab children were 2.3 times more likely to be affected compared to their Jewish peers. An even bigger gap in child mortality rates was found among road traffic accidents, with Arab children being 3.6 times more likely to be affected compared to their Jewish peers. It has been reported, that Arab children are most often killed in driveway back over injuries, and are 50.4 times more likely to die of such injuries that a Jewish child from the same type of accident. Driveway back over injuries constitute 30 percent of all unintentional injuries inside and outside of the home among the Arab population in Israel. Focused programs towards prevention of this type of accident will contribute immensely towards decreasing the gap of child mortality rates between Jewish and Arab children. GOAL

- Reduce the child mortality rate among Arab children and decrease the gap of child injury rates between Jewish and Arab children ages 0-17 years by at least 25 percent, by the year 2020. LOCATION

- Nationwide PARTNERS

- Israeli National Authority for Road Traffic Safety - Ministry of Health - Local Municipalities ACTIVITIES - Emergency Project #2 â&#x20AC;&#x201C; Promotion of Child Road Traffic Safety: This program, conducted with support from the Israeli National Authority for Road Traffic Safety (RSA), was a continuation of the Emergency Project #1, conducted in 2009-2010. The aim of Emergency Project #1 was to increase awareness of child road traffic safety and encourage the use of seatbelts and child restraint systems (CRS). Emergency Project #2 aimed to increase involvement of opinion leaders among the Arab population in Israel, including Muslim and Christian religious leaders, nurses and police. - In 2012, three additional Arab communities including Iksal, Hura and Tel Sheva joined the Beterem in the City Alliance. - Child Safety Internet Educational Software: Beterem and the Ministry of Health concluded the development stage of educational software for nurses at family centers and Well-Baby Clinics, started in 2011. The software instructs nurses on educating families about correct use of seat belts, prevention of back over injuries and walking safely to school.

Safe Kids Worldwide 2013 Global Activity Report

| Israel | 9

- Utilization of Healthcare Services by Children Seeking Treatment Due to Injuries in Two Arab Cities: Conducted child injury data collection and interviews with medical staff at community medical clinics in Tayibe and Shfar’am Arab communities for initial mapping. Worked in collaboration with AJEEC-NISPED, a non-profit organization that promotes peace and development, on promoting child safety among the Bedouin community in southern Israel by training 15 Bedouin grandmothers to promote awareness in their communities. Hosted the first convention on “Coping with Motor Vehicle Crashes in the Arab Society in Israel” held in Sakhnin together with Israeli Traffic Police, RSA, Abraham Fund Initiative and the Committee of Heads of Arab Municipalities. During the convention, an inter-organizational alliance was signed in response to increased involvement of the Arab sector in the issue of road traffic accidents. The Sakhnin Convention was attended by the Israeli Police Inspector General, Minister of Public Security, Deputy Minister of Health, Mayor of Sakhnin and the President of Sakhnin College. Promotion of Child Safety among At-Risk Populations: With support from the National Insurance Institute of Israel, the program, developed in 2012, aims to promote child safety via municipal platforms and includes development of child-focused safety materials, a training program and children's activity workbooks. Through the program, school teachers and high school students receive train-the-trainer instruction to teach elementary school students. In 2012, 40 elementary school teachers and 70 high school students received training, in turn reaching 1,500 children in first and second grades. Prevention of Back Over Accidents: This is an intervention program led by various community groups in several municipalities throughout Israel with the goal to increase awareness, promote a safe outdoor/backyard environment for children and proper supervision of children. Professionals including nurses, kindergarten teachers, religious leaders, police, Arab University students and volunteers were trained to provide safety-related guidance for parents of children ages 0-4 years. Nearly 8,000 families were reached. Hosted Beterem’s Northern Region Appreciation Conference for 200 dedicated volunteers from the Arab Community in April 2013. The volunteers, mainly women, came to receive the organization's esteem for their activities to promote child safety among the Arab community in Israel. Safe Kindergartens in East Jerusalem: Sponsored by the Jerusalem Fund and conducted with the Municipality of Jerusalem, the goal of this project was to provide train-the-trainer instruction to kindergartens and certified caregivers, to enable them to serve as child safety agents in their communities. Beterem used two approaches in cooperation with the Jerusalem Municipality Welfare Department: - Conducted six training programs for more than 150 nursery school teachers and their aiding staff on early childhood safety as well as provided them with operational tools to give to parents. - Conducted four lectures for 110 families on child safety at home including distribution of child safety equipment kits.

E. NEWBORN SAFETY FROM THE VERY FIRST MOMENT FOCUS

- Home and Road Safety GOALS

Promote infant and child safety in Israel among new parents and extended families. Introduce infant and child safety as part of a new parenting culture in Israel. Increase the correct use of child safety seats from birth. Turn the Newborn Safety Counseling service into a national standard of care at all hospitals, including a policy requiring the discharge of every newborn in a car safety seat that is appropriate for the infant's maturity and medical condition.

LOCATIONS

- 21 of 23 major Israeli hospitals

Safe Kids Worldwide 2013 Global Activity Report

| Israel | 10

PARTNERS

- Hospitals VOLUNTEERS

- 45 community volunteers - 50 hospital medical staff ACTIVITIES - Conducted training sessions for 230 healthcare professionals and volunteers implementing the program using updated materials. - Provided professional counseling. - Provided counseling for new parents and their extended families, through one-on-one or group sessions on four risk areas of concern for newborns: child passenger safety and correct use of car seats, falls prevention, drowning prevention and prevention of burns. - Distributed professional recommendations and a child safety informational booklet to new mothers. From August 2012-April 2013, 61,461 mothers were reached. - Negotiated with the Ministry of Health for approval of Beterem's Training for Mothers and Newborns Hospital Release Procedure into a national obligatory standard of care. RESEARCH PROMOTING CHILD PASSENGER SAFETY IN ISRAEL PARTNER

- Britax Group TARGET POPULATION

- Parents of children ages 0-8 years OBJECTIVES

- Assess characteristics, factors and causes related to child safety seat misuse in Israel. - Assess the level of awareness among parents in Israel about various child safety seats available on the market. - Assess use of ISOFIX or LATCH systems for car seats in Israel. METHODOLOGY

- Retrospective analysis of data on child restraint system (CRS) installation and misuse from child safety seat clinics held in 2008-2011. - Knowledge, attitudes and practices (KAP) survey with parents of children ages 0-8 years. - Market survey to assess the current availability of CRS in Israel. KEY FINDINGS

- Data analysis from child safety seat clinics indicated that more than 70 percent of seats had a critical misuse issue. The results of the KAP survey indicate that parents in Israel are aware of the need for CRS; 96 percent of parents reported that they use a CRS. However, there are issues with early graduation and evidence that CRS are not used on every trip. Between 55 and 70 percent of parents are unfamiliar with ISOFIX/ LATCH. Only a quarter of parents reported that their CRS has ISOFIX or LATCH and among those parents 72 percent use the system. - Findings in the market survey point to more than 180 models of CRS in the current Israeli market, of which 70 percent fall under the European standards and 30 percent fall under U.S. standards. Of the relevant seats, approximately 30 percent have ISOFIX or LATCH installation capability.

Safe Kids Worldwide 2013 Global Activity Report

| Israel | 11

F. BEDSIDE COUNSELING â&#x20AC;&#x201C; PERSONAL COUNSELING FOR FAMILIES OF INJURED CHILDREN FOCUS

- All Risk Areas - Studies have found that in families where one child has been injured as a result of an accident, it is likely that further injuries will occur to the same child or his/her siblings. This is particularly true among families of lower socioeconomic status, who suffer from a significantly higher incidence of unintentional injuries among children. GOALS

- Conduct training and provide instruction and tools for families to reduce the probability of future injuries among atrisk populations. - Provide personal guidance for at-risk families with a child hospitalized as a result of injury about child injury prevention and how to adopt habits for a safer environment for children at home. From August 2012-April 2013, more than 1,100 families of hospitalized children were reached. - Collect qualitative data on risk areas and injury types as part of Beterem's NAPIS activity. - Motivate families to become child injury prevention advocates in their communities. - Support pediatricians in their injury prevention counseling efforts. LOCATIONS

- Major hospitals throughout Israel: Emek Medical Center in Afula; Ziv Medical Center in Safed; Soroka Medical Center in Beer-Sheva; Hadassah Medical Center in Jerusalem; Hillel Yaffe Medical Center in Hadera; Edith Wolfson Medical Center in Holon; Barzilai Medical Center in Ashkelon; Baruch Padeh Medical Center; Poriya in the Lower Galilee; French Hospital of Nazareth; and the Western Galilee Medical Center in Nahariya. PARTNERS

- Hospitals - Shilav baby chain stores VOLUNTEERS

- 30 Beterem-trained volunteers among the general public - 50 hospital medical staff; nurses and social workers ACTIVITIES - Conducted child safety counselor training for hospital nurses, social workers, and/or volunteers to enable them to consult families of children hospitalized for injury and considered at-risk for repeat injury. Counselors also provided families with simple precautionary measures to prevent repeat injury. - Encouraged counselors to gain a better understanding of the circumstances that led to injury, whether it is behavioral patterns; poor physical infrastructure within the home, surrounding areas and public facilities; exposure to toxic substances; consumption of hazardous products such as toys without safety standards, etc. Counselors also inquire whether each incident is a first-time occurrence or a repeat injury in the family. - Counselors completed in-depth forms for research on child injuries to be used during community prevention activities. - Provided one-on-one parental guidance on specific risk factors including addressing major high-risk behaviors, explained to families as a part of the professional counseling provided to them, based on a risk management approach. - Delivered culturally tailored counseling in Hebrew and Arabic. - Distributed child safety tokens as giveaways: safety equipment demonstration kits for parents of children ages 0â&#x20AC;&#x201C;4 years; activity booklets with child safety messages for children ages 5-10 years; and key discs with clips and information on child safety for children ages 11-16 years.

Safe Kids Worldwide 2013 Global Activity Report

| Israel | 12

G. HOME VISITS â&#x20AC;&#x201C; PROMOTING CHILD SAFETY AND REDUCING CHILD INJURY AND MORTALITY RATES IN LOW SOCIOECONOMIC AT-RISK FAMILIES IN ISRAEL FOCUS

- All Risk Areas - A correlation was discovered between socioeconomic living conditions and injuries to children. The rate among children of lower socioeconomic backgrounds is higher than the average national rate. This can be attributed to exposure to inadequate or impaired physical infrastructures and lack of suitable, safe conditions for raising children. Children in low socioeconomic environments often lack adult supervision and are taken care of by their older siblings. Families are often large, housing is small and awareness of child safety issues is low, making this population particularly vulnerable. Each year, municipal welfare departments conduct home visits to underserved and at-risk homes within the framework of welfare services. Together with professionals in the fields of welfare and education, Beterem developed an awareness program to promote child safety among this population. GOALS

- Raise awareness of child safety issues among parents, siblings and caregivers. - Encourage attitude and behavior change toward child safety among the population. - Encourage infrastructure improvements in homes of families guided by trainees including: installation of window guards or window restriction devices; safe use of ovens and cooking facilities; removal of hazardous obstacles from the home surroundings; behavioral changes for indoor and outdoor activities, etc. LOCATIONS

- Low socioeconomic and underserved families in Dimona, Ofakim and Netivot in southern Israel. - Ultra-orthodox families in Bnei Brak, Ashdod, Beit Shemesh and Safed. PARTNER

- Israeli Insurance Research Fund VOLUNTEERS

- Municipal social welfare workers - Community nurses - Female volunteers from various voluntary associations in cooperation with authorities ACTIVITIES - Trained 176 municipal social welfare workers, community nurses and female volunteers to become child safety advocates and to provide guidance on child safety for parents during home visits among Ultra-Orthodox and underserved families throughout target areas. - At-risk families known to welfare services with children ages 0-5 years were selected for inclusion in the program carried out by the social welfare department in each municipality. - The child safety change agents performed home visits during which they: - Identified hazards in the home. - Conveyed two-to-three essential child safety measures and advised parents on creating a safer environment within the home through distribution of demonstrational safety equipment kits containing electrical outlet covers, closet locks, anti-slip stickers for the bath, etc. - Provided guidance to parents and older siblings on child safety and precautions to avoid risk through use of a home safety checklist with important safety tips for each room in the house. - Educated families on safety equipment such as smoke detectors, furniture stabilizers, window restriction devices and items included in the kit. Recommendations for other safety equipment are also provided. - Completed a checklist to describe the existing safety structure of each home and behavioral patterns observed during interviews. - Conducted a second home visit and completed a new checklist to ensure the environmental and behavioral changes were adopted. - Conducted parental counseling sessions for 500 Ultra-Orthodox families, 140 low socioeconomic/underserved families in Ofakim and 350 families in Dimona and Netivot.

Safe Kids Worldwide 2013 Global Activity Report

| Israel | 13

RESEARCH CHILD INJURY MORTALITY, SOCIOECONOMIC STATUS, NATIONALITY AND RELIGIOUS AFFILIATION TARGET POPULATION

- Children ages 0-17 years. OBJECTIVE

- Analyze the relationship between socioeconomic status (SES) and child injury mortality rates (CIMR) considering the special demographic characteristics of the population in Israel by using injury mortality data. METHODOLOGY

- Analyze child injury mortality data by town or city based on Central Bureau of Statistics data by comparing sociodemographic characteristics of each town or city. KEY FINDINGS

- The CIMR are two times higher in low SES municipalities, 510,000 children, compared with high SES municipalities, 442,000 children. - CIMR are 2.7 times higher in Arab municipalities, 361,000 children, compared with Jewish municipalities, 1,141,000 children. - 89 percent of low SES municipalities in Jewish communities are Ultra-Orthodox Jews. Among the low SES municipalities, CIMR are 3.6 times higher in non-Ultra-Orthodox municipalities than in Ultra-Orthodox municipalities. - Each one of the three factors: SES, nationality and religious affiliation has a significant effect on CIMR in Israel; however SES is the most important predictor of CIMR. - The Ultra-Orthodox community in Israel has a low CIMR considering socioeconomic status.

H. PROMOTION OF CHILD SAFETY AMONG AT-RISK POPULATIONS: NEW IMMIGRANT POPULATIONS FROM ETHIOPIA AND RUSSIA FOCUS

- All Risk Areas GOALS

- Promote awareness of child safety among new immigrant populations from Ethiopia and Russia. - Promote child safety via municipal platforms. - Focus professional attention on specific child safety issues related to the target populations. LOCATIONS

- Netanya and Ashdod PARTNER

- National Insurance Institute of Israel (Social Security) ACTIVITIES NEW IMMIGRANTS FROM ETHIOPIA

- Trained municipal welfare social workers or Ethiopian mediators to conduct home visits to new immigrant families from Ethiopia. - Produced focused and adapted informational materials including brochures, posters and a child home safety pamphlet with messages in Amharic and Ethiopian, along with a pocket book for counselors. - Conducted lectures on child safety for parents. NEW IMMIGRANTS FROM RUSSIA

- Produced focused and adapted informational materials in Russian including child safety posters, an activity sheet for children and a pocket book for counselors with adapted child safety messages. - Developed a dedicated mini-site in the Russian language, published on several websites including hospitals, municipalities, Beteremâ&#x20AC;&#x2122;s website and at least ten additional dedicated websites for Russian-speaking people. - Conducted training sessions for 30 Russian kindergarten and nursery teachers and aiding staff across Israel.

Safe Kids Worldwide 2013 Global Activity Report

| Israel | 14

I. BETEREM IN HOSPITALS FOCUS

- All Risk Areas - This program uses each participating organization's infrastructure to educate medical staff and families with hospitalized children on child safety issues. The program also strives to create and deepen the connection between hospitals and the community. GOALS

- Establish a professional base for intra-organizational promotion and management of child safety among hospital medical and professional staff. - Provide support and guidance to hospitals through promotion and management of child safety among children hospitalized as a result of an unintentional injury and their families. LOCATIONS

- Rambam Health Care Campus, Haifa - Kaplan Medical Center, Rehovot ACTIVITIES - The hospital manager appoints two key personnel for the program: a chairperson, who is either the general manager or deputy of the hospital, and a manager, appointed by the general manager. The manager’s responsibilities are to: - Manage and head the hospitals formation to promote child safety. - Carry out the hospital's policy and work plan to promote child safety. Each hospital conducts its own unique activities, similar to the Beterem in Hospitals model. RAMBAM HEALTHCARE CAMPUS, HAIFA

- Conducted the Newborn Parenting Counseling Program. - Collected injury data in accordance with the MDS standard. KAPLAN MEDICAL CENTER, REHOVOT

Conducted the Newborn Parenting Counseling Program. Collected injury data in accordance with the MDS standard. Conducted parental counseling sessions in the children’s ward on child safety at home. Conducted a back-to-school event at the children's ward where recommendations were provided on selecting a safe walking route to school. - Conducted a safety survey in the new children's ward with participation of families with hospitalized children. - The hospital's children's ward director developed an evaluation tool for assessing children's falls in the ward. In addition, the hospital pays attention to any unintentional injuries that occur during the children's stay at the hospital.

J. BETEREM'S PROFESSIONAL CALL CENTER AND INFORMATION SERVICES FOCUS

- All Risk Areas - The Expert Call Center operates five days a week between 9:00 am and 1:00 pm Israel Standard Time, year-round. GOALS

- Distribute child safety messages to the general public including parents, grandparents and caregivers, professional functionaries, entrepreneurs, students and scholars through the Expert Call Center located at Beterem’s headquarters. - Raise awareness of child safety issues and provide the public with answers to questions related to child safety via the Expert Call Center. LOCATION

- Nationwide

Safe Kids Worldwide 2013 Global Activity Report

| Israel | 15

PARTNER

- Israeli National Authority for Road Traffic Safety - Shilav baby chain stores ACTIVITIES - Conducted annual professional training and monthly refresher meetings for Beterem staff operating the Call Center. - Provided information and guidance on child safety issues to the general public. Within the timeframe July 31, 2012June 1, 2013, 2,700 inquiries were responded to via phone, email and internet forums on Beteremâ&#x20AC;&#x2122;s website. - Distributed 15 monthly newsletters via email to 21,000 professionals, parents, donors and subscribers of Beterem. - Distributed bi-annual newsletters to professionals in Hebrew and Arabic. - Hosted three child safety forums on the Internet. - Held an annual event in August with the Israeli National Authority for Road Traffic Safety to answer parents' questions on general child safety and especially the new school year, which begins in September.

K. BETEREM ACCREDITATION FOR SAFE ENVIRONMENTS AND SERVICE STANDARDS FOR SAFE HOMES FOR CHILDREN FOCUS

- All Risk Areas - Although Israel has strict building regulations that include many safety aspects, specific standards that take child development into consideration are lacking. Accreditation is a powerful tool in making child safety an integral part of construction and getting child safety on the agenda of architectural professionals. - Beterem hopes that the "Beterem Accreditation for Safe Environments and Service Standards for Safe Homes for Children" will become a new seal of approval, meaning no building will be officially approved without following this standard. The seal of approval will enforce safety regulations in buildings, apartments etc. - The process for official standards was started in 2013 and the draft was shared with the general public. GOALS

- Obtain accreditation for safe environments and services deemed safe for children that will serve as a seal of approval for construction companies, architects, home buyers and parents. - Determine characteristics and criteria for the evaluation of child-friendly homes. Criteria will include: window safety; regulations for railing and barriers for porches and roofs; stairways; fire safety; electricity safety; safety in each room of the house, particularly the bathroom and kitchen; safety in the backyard; safety in public areas of buildings; private and group home swimming pools, etc. LOCATION

- Nationwide ACTIVITIES - Lobbied for implementation of safe home standards for children at the Standards Institution of Israel. - Composed and produced a draft for discussion of the Standard to serve as the basis for the final Standard, shared with the general public.

L. PROFESSIONAL SEMINARS, WORKSHOPS AND LECTURES; COUNSELING AND TRAINING CENTER FOCUS

- All Risk Areas GOALS

- Provide education and training for professionals on childhood injury prevention.

Safe Kids Worldwide 2013 Global Activity Report

| Israel | 16

- Provide professional and updated information on child safety for health, education, welfare and other professionals; government agencies; health organizations; commercial organizations; and the general public. - Provide professional consultation services on child safety for organizations committed to promoting the issue. - Expand the circle of professionals engaged in child safety activities. LOCATION

- Nationwide VOLUNTEERS

- 200 volunteers from health and education fields, government agencies and the general public ACTIVITIES - Conducted professional training for: - Professional functionaries who conduct home visits among at-risk populations and who counsel parents in newborn safety. - Municipal professional functionaries within the Beterem in the City Alliance. - Kindergarten and nursery teachers and aiding staff on relevant child safety issues. - Volunteers on various child safety issues and Beterem programs for implementation across Israel. - Hospital medical staff on child injury data collection. - Education personnel at elementary schools in Netanya. - Arab female volunteers to become child safety advocates and Arab grandmothers to promote child safety in their community. - Conducted a Child Passenger Safety (CPS) technician course. As of December 2012, 11 CPS Technicians were certified. - From August 2012 through May 2013, held 259 lectures and seminars from with approximately 4,717 participants, including professionals and the general public.

M. COMMUNITY GRANTS FOR SAFETY INITIATIVES FOCUS

- All Risk Areas GOALS

- Encourage communities to promote, carry out and implement child safety initiatives with support from Beterem. - Encourage interest in child safety among professionals not yet familiar with Beterem on promotion of child safety including municipalities, organizations seeking to promote child safety such as hospitals, kindergartens and nurseries. - Transfer resources to encourage and shift responsibility back to communities, municipalities and/or small public organizations to take ownership of child safety activities. LOCATION

- Nationwide PARTNER

- Ministry of Trade, Industry and Labor ACTIVITIES - Completed a committee review and approval of applications submitted to Beterem. - Provided counseling and training sessions for professionals and developed tools to help create and maintain longterm child safety programs. - Provided funds allocated for activities that are planned by professionals such as: - Professional training for professional municipality personnel; hospital medical staff on child injury data collection; professional functionaries to conduct home visits and carry out child safety intervention programs among immigrants residing in absorption centers; and community Well-Baby Clinics to promote child safety among new mothers.

Safe Kids Worldwide 2013 Global Activity Report

| Israel | 17

N. COMMERCIAL PARTNERSHIPS AND EXPOSURE PROGRAMS FOCUS

- All Risk Areas GOALS

- Expose the general public to child safety through commercial partnerships, collaborations and campaigns. - Increase fundraising opportunities and encourage donations from the general public, commercial organizations, etc. LOCATION

- Nationwide PARTNERS

- Alon Blue Square Israel LTD - Bank Hapoalim - Britax - Eshed Consulting - Grofit Construction Company LTD - Israel Highways LTD - Ogen - Shilav baby chain stores - Tyrec ACTIVITIES - Conducted check-out line campaigns with major chain store networks. - Sought sponsorship for production of brochures and informational materials for distribution. - Promoted child safety programs through commercial companies. - Conducted community activities promoting child safety with commercial organizations, as part of their corporate responsibility framework. - Worked with fundraising websites and initiations such as Roundups which offer credit card users to round-up the amount of every charge and donate the difference to a designated non-profit organization monthly. These website are only intended for this purpose and not for purchases. A steady increase of people who joined the initiation to donate to Beterem was observed. - Shilav baby chain stores hosted a check-out line campaign in August 2012 which resulted in raising nearly $40,000. - Bank Hapoalim continued its sponsorship of the Beterem in the City Alliance for the fifth year. - Eshed Consulting provided voluntary professional consulting services for the Beterem in the City Alliance for the development of a tool for grading the level of child safety in each city/municipality. - Alon Blue Square Israel LTD holdings supported production of child-focused safety messages for the Arab community in Israel as well as monthly child safety messages for the employees of one of their brand companies, Mega. - Grofit Construction Company LTD supported the development of child safety recommendations for implementation in their publicity materials. - Israel Highways LTD promoted CPS by training a group of employees to become child safety change agents in the company and the community. - Tyrec supported development of an article for parents and the general public on unintentional child injury at playground facilities and private homes in comparison to public areas. Publication of the article is expected sometime in 2013. - Ogen donated office space to Beterem. - Britax supported the promotion of CPS in Israel by sponsoring relevant KAP and market surveys; production of a pamphlet on the issue for distribution among parents; and design of a three year intervention program in Israel to promote the correct use of child safety seats and proper restraint of children.

Safe Kids Worldwide 2013 Global Activity Report

| Israel | 18

VI. MEDIA RELEASES AND RECOGNITION TRADITIONAL MEDIA - Published two articles in peer reviewed journals, five research reports and three policy papers. - Featured in 12 TV interviews and 17 radio interviews. - Received a mention in 240 print articles. SOCIAL MEDIA - Beterem reached high levels of awareness and increased online coverage of child safety and injury issues through 201 features on the Internet. - Each month, more than 9,100 users view Beterem’s website. AWARDS AND RECOGNITION - Beterem received the Midot Seal of Outstanding Effectiveness in Social Achievement on December 2, 2012. This prestigious award was presented in cooperation with Ma’ala – Business for Social Responsibility and Sheatufim – The Israel Center for Civil Society.

VII. LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION LAW FOCUS

DESCRIPTION

Bicycle

In 2007, a law was passed requiring helmet use by adults and children on all roads and sites while riding a bicycle or other wheeled object such as skateboards, skates etc. Nevertheless, the law was never enforced. In August 2011, the government minimized the law, excluding cyclists over 18 years of age riding in urban areas as well as in bicycle lanes from the obligation of wearing a helmet. The law was minimized as a result of pressure on bicycle organizations attempting to prevent a drop in the number of people riding bicycles, and Tel Aviv’s promotion of rental bicycles.

Drowning

National law requires a minimum number of lifeguards to be present on beaches or other areas specifically designated for leisure, as well as regular recertification of lifeguards. The Ministry of Education has regulations concerning water activities for students.

Falls

Building regulations contain minimum height requirements for windows. Other, more extensive measures to prevent falls have been proposed and are under review and consideration. Standards are in place for safe design of guardrails to prevent falls from balconies and stairs. Beterem is advocating for the mandatory installation of window guards to prevent falls in the New Building Code.

Fire and Burns

Building regulations contain requirements for safe pre-set exits. Hot water thermostats that are limited to 55 degrees Celsius are compulsory in all new buildings, and 45 degrees Celsius at institutions with vulnerable populations. Beterem is advocating for the New Building Code to require installed smoke alarms in every housing unit. At this time, the Building Code is being worked on although the government has confirmed their support regarding this matter.

Safe Kids Worldwide 2013 Global Activity Report

| Israel | 19

VII. LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION LAW FOCUS

DESCRIPTION

Furniture

Standards of Israel (SI) 681(Since 2010) – Baby Cribs, 1998; SI Part 1: Children's Cots And Folding Cots For Domestic Use: Safety Requirements; SI 682 Part 2 (Since 1999): Children's Cots And Folding Cots For Domestic Use: Test Methods; SI 682 Part 3 (Since 2010): Children's Cots And Folding Cots For Domestic Use: Cribs And Cradles - Safety Requirements, SI 681 Part 3 (Since 2010): Playpens For Domestic Use: Playpen Carriages – Safety Requirements And Test Methods.

Home

Beterem is advocating for consideration of child safety measures in the New Building Code. This is reflected in specific laws in regard to falls, fire and burns. Beterem is also advocating for a voluntary standard for safe homes, which is not currently law. On November 2012 a new standard committee started writing the standard “Safe Houses for Children: Requirements for Residential Units.”

Motorcycle

A motorcycle license can be obtained at age 16 for Powered Two Wheel (PTW) vehicles up to 125 cc; drivers ages 17 years and older may operate larger PTW vehicles. A license is required for All Terrain Vehicle (ATVs) operation beginning at age 16 years and for a personal vehicles beginning age 17. Between age 16 and 17 years, it is possible to drive ATVs only in agricultural areas. Drivers are only allowed to drive on roadways after age 17 (unless there are signs banning ATVs). There are problems with enforcement of these laws.

Open Water

The Shipping and Ports Authority within the Ministry of Transportation is responsible for small crafts (including kayaks, small boats, etc.) with standards for safety of equipment and regulations for licensure. National policy requires qualified risk assessment for all designated public water recreation areas. The local authority must evaluate dangerous parts of public beaches and take necessary steps to remove risks. This obligation applies to all locations, both designated for and prohibiting bathing.

Pedestrian

Several rules that influence child pedestrian safety are in place, such as speed limits in urban environments. There is also a general regulation requiring reduced speed when needed, for example, where a group of children stops. As of 2007, the Ministry of Transport forbids import of vehicles, primarily SUVs, that have an additional bumper/bull bars. The laws are not always enforced or followed, although in March 2012, fines in the law concerning child safety seats were tripled.

Safe Kids Worldwide 2013 Global Activity Report

| Israel | 20

VII. LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION LAW FOCUS

DESCRIPTION

Playground

The mandatory SI 1498 playground standard obligation for manufacturing, installation and maintenance of playground devices has been in place since 2006. Although there is a very comprehensive law and standard, there are still playgrounds that are not maintained properly. However, there has been significant improvement in the last few years. In November 2012, a new standard was approved, â&#x20AC;&#x153;Open Air Physical Training Modules: General Safety Requirements and Test Methods.â&#x20AC;? This standard includes safety requirements for preventing injuries to children. The modules are targeted to adults and children over the age of 14 years and are provided free of charge in public areas.

Poisoning

National law requires child resistant packaging for both pharmaceuticals and non-pharmaceuticals with potential to poison or cause corrosive injuries, such as house cleaners.

Pool

There are several rules that influence water safety, such as public swimming pool fencing; new private pool fencing; minimum number of lifeguards; recertification of lifeguards every two years, including certification in first aid; health statements every four years after visiting a doctor and optometrist; and standards for water depth marking, safety equipment and suction outlet covers.

Product

The Consumer Protection Law is a comprehensive law that includes all consumer products and does not include products sold to manufacturers, industrialists, etc. The law requires instructions and warning labels about these products to be posted and covers all products that do not have formal and non-formal standards. For products that do have standards, whether consumer products or not, guidelines are in place for warning signs. In some cases there is a reference to the Israeli Standard 2302, which relates to dangerous substances.

School

There are many standards concerning school safety such as building structure safety, kindergarten safety, safety in labs, sport activities, water activities, at summer camps and in certain fields such as agronomy or technology lessons.

School Bus

There is a national standard for bus safety that includes requirements for the bus, the bus company and the driver. Local authorities and bus companies sign a special contract listing all requirements. Requirements state that buses must be equipped with seat belts, lap only or lap-shoulder belts. Seat belt use in school buses is not always enforced. If they are, this is usually done at the beginning of the school year.

Suffocation

By law, snack food and hot dog packages require choking hazard warnings for children under the age of 5 years. When sold in loose form, additional instructions are also required.

Safe Kids Worldwide 2013 Global Activity Report

| Israel | 21

VII. LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION LAW FOCUS

Vehicle Passenger

DESCRIPTION Infants up to 1 year must be seated in a rear-facing position in an appropriate CRS; children up to 3 years must be seated in an appropriate CRS; children up to 8 years must be seated in a CRS or buckled in a booster seat; children seated in a CRS should not be seated in front of an active air bag. Recently, fines were increased to up to four times for failure to comply.

Safe Kids Worldwide 2013 Global Activity Report

| Israel | 22

Jordan The Royal Health Awareness Society (RHAS) is a Jordanian non-profit organization aimed at enhancing the overall wellbeing of the local community by raising health awareness and empowering Jordanians to embrace healthy lifestyles and behaviors. RHAS initiates and supports community-based health and safety interventions in partnership with public, private and civil society institutions, including Safe Kids Worldwide. RHAS became a member of Safe Kids Worldwide in 2009.

www.rhas.org.jo Royal Health Awareness Society Medical City Street P.O. Box 699 Amman 11821 Jordan

Enaam Al-Barrishi Director General ebarrishi@rhas.org.jo Enaam Al-Barrishi received her Masterâ&#x20AC;&#x2122;s degree in International Relations from the University of Nottingham in the United Kingdom, studied English literature at the Applied Science University in Jordan and attended the Leaders in Development Executive Program at Harvard University in the United States. With more than 12 years of experience in the NGO sector, Enaam has a wide range of experience in improving local communities through capacity building, education and awareness on issues related to education, employment and health. She has served as Director General of RHAS for seven years.

Safe Kids Worldwide 2013 Global Activity Report

| Jordan | 1

I. COUNTRY STATISTICS 6,610,0001 3,011,0001 Middle2

TOTAL POPULATION POPULATION AGE < 19 INCOME GROUP GROSS NATIONAL INCOME PER CAPITA

$4,1402

Source: United Nations (UN) World Population Prospects (2011) Source: World Health Organization Global Status Report on Road Safety (2013)

II. TOP FIVE INJURY RISK AREAS RANKING

MORBIDITY CAUSE

Fire and Burns

Poisonings

Road Traffic Accidents*

Falls

Electric Shocks

Source: Al Bashier Governmental Hospital, health records for children ages 5 years and younger (2012) *Includes pedestrian, occupant and bicycle

III. ORGANIZATIONAL PRIORITIES Fundraising

Increase funds for expansion of the ThinkFirst project.

Partnerships

Strengthen partnerships with current sponsors and governmental agencies. Continue to build strategic partnerships with other civil society institutions and communitybased organizations to strengthen the impact of projects at the grassroots level.

Project Expansion

Expand projects to additional schools throughout Jordan.

Research

Conduct a baseline study on Youth Behavioral Risk Factors.

Other

Conduct capacity building training for local community and ministry officials on project implementation.

Safe Kids Worldwide 2013 Global Activity Report

| Jordan | 2

IV. ACCOMPLISHMENTS (JULY 31, 2012 – JUNE 1, 2013) 1. RHAS and LDS Charities, a non-profit organization focusing on relief and development activities throughout the world, created puzzles used as an educational component during implementation of the ThinkFirst program. Puzzles address issues such as toddlers drowning in unattended buckets of water, children drinking gasoline from water containers, being exposed to second hand smoke, and playing on rooftops. These issues were outlined as common causes of injury to children in Jordan following a review of emergency room admission records at Al Bashir Hospital by LDS Charities. 2. The ThinkFirst community component was selected as a model on how to effectively link schools with communities as part of the Community Schools Project in Jordan. ThinkFirst was presented to decision makers and community leaders. 3. During the Second UN Global Road Safety Week, Safe Kids Jordan worked with partners and stakeholders including other NGOs, the WHO, Traffic Department and Ministry of Health to implement activities for the first time in Jordan. RHAS also gained an international presence through participation of FedEx, Total, LDS Charities and Global Alliance for Road Safety.

V. PROGRAMS

A. THINK FIRST FOCUS

- All Risk Areas - ThinkFirst is an injury prevention project with the aim to integrate injury prevention measures into the daily lives of young people in Jordan through the development of a local injury prevention curriculum reflecting the needs of Jordanian society. The project is implemented in schools on a national level and uses creative, child-friendly methods of teaching. The project will help students understand why their first choice must be to “think first”. Through this approach, children can practice the necessary safety habits to help minimize their risks of experiencing a brain or spinal cord injury over their lifetime. GOALS

- Prevent brain and spinal cord injury through education promoting healthy behaviors among children and youth ages 4-14 years (Grades K-7). Goals of the project include: - Enhance awareness and practice of injury prevention among school children and their parents. - Minimize risks of sustaining injuries in the school setting. - Increase awareness and practice of injury prevention at home. - Increase awareness of injury prevention in communities. - Increase Ministry of Education teacher capacity in delivering ThinkFirst curricula. LOCATIONS

- 96 schools in Amman, Al Salt and Madaba for the academic year 2012-2013, reaching approximately 70,000 students PARTNERS

LDS Charities (Center for Cultural and Educational Affairs for the Church of Jesus Christ of Latter-day Saints) Ministry of Education Sada’a for Training and Consultancy Total Jordan WHO

VOLUNTEERS

- 1,100 teachers from the Ministry of Education

Safe Kids Worldwide 2013 Global Activity Report

| Jordan | 3

- 32 nursing students from Philadelphia University (16 students per semester) trained to deliver the educational component during their graduating year - 20 Health Ambassadors from universities in Jordan helped conduct ThinkFirst Activities with kids - Sada’a for Training and Consultancy provided first aid training for other volunteers ACTIVITIES TRAINING AND CAPACITY BUILDING FOR MINISTRY OF EDUCATION SUPERVISORS AND TEACHERS

- Core team training for 22 supervisors and 100 teachers. - Cascade training by the core team for 400 teachers at participating schools. PROJECT IMPLEMENTATION

- Orientation and first aid sessions for parents of students at ThinkFirst participating schools. - Classes conducted by trained Ministry of Education teachers using available tools and resources, including e-learning content, songs, first aid, student and teacher booklets, parent guides, etc.

- Developed usernames and passwords to enable parents to access and read through e-content on the Edu-Wave website, a Ministry of Education Internet portal accessible by schools.

- School activities such as bulletin boards, flyers, plays, etc. - ThinkFirst puzzles were produced and distributed among participating schools. - Conducted events at the Children’s Museum in Amman and at Khawla Bint Thalaba public school during the Second UN Global Road Safety Week, attended by 525 students, teachers and supervisors from the Ministry of Education, along with 20 volunteers and 60 additional guests from different sectors. Awareness activities included a play, a lecture by the Traffic Department, a Long Short Walk and performance by a Jordanian singer. - Produced and distributed ThinkFirst books, manuals and more than 30,000 kits to participating schools. MONITORING AND EVALUATION

- Conducted a pre-assessment analysis on current awareness of injury prevention and safe behaviors in a sample of participating schools.

- Conducted a post-assessment analysis for stakeholders to assess the influence of the project on students’ behavior. - Installed a visitor’s counter on the RHAS website. - Conducted focus groups with 187 students in grades one through four at ThinkFirst project schools to test the new puzzles. Puzzles were well-received by teachers and students as a means of conveying information related to injury prevention. FOLLOW-UP BY CORE TEAM AND PROJECT MANAGER

- Supervisors followed-up with participating schools on a monthly basis and provided technical support where needed. - Project managers followed-up with their supervisor on a monthly basis. - Project managers conducted site visits to all schools at least once during the academic year. RESEARCH SURVEILLANCE OF INJURIES AT THINKFIRST SCHOOLS PARTNERS

- Ministry of Education and trained volunteers METHODOLOGY

- Comparative analysis of injury rates recorded in official school health records at the beginning and end of the academic year at participating ThinkFirst Schools. KEY FINDINGS

- A 24 percent decrease in injury rates was observed among students at ThinkFirst Schools. - Surveillance of ThinkFirst schools showed a 24 percent decrease in injuries officially registered in school health records at the beginning and end of the 2011-2012 academic year. RHAS ONE-YEAR EVALUATION OF SCHOOL HEALTH PROGRAMS

- Results of the study showed positive changes following one year of implementation:

Safe Kids Worldwide 2013 Global Activity Report

| Jordan | 4

- A four percent increase was observed in the number of students that have not sustained a serious injury in the last 12 months. - A four percent decrease was observed in the number of students that reported being injured three or more times during the last 12 months. - A seven percent decrease was observed in the number of students that were injured while playing â&#x20AC;&#x201C; the most common type of injury. - A 10 percent increase was observed in the number of students that received first aid and safety education.

VI. MEDIA RELEASES AND RECOGNITION TRADITIONAL MEDIA - Fifteen students from Balat el Shohadaa School presented ThinkFirst on 7 Stars, a Jordanian TV channel. Children displayed their knowledge and participated in a first aid role play and sang songs. The TV channel has a strong nationwide reach and is one of the most popular channels for children in Jordan. - The Second UN Global Road Safety Week in Jordan was documented by a photographer and videographer. The professional work was used in development of communications materials and was featured in various media outlets. Local media covered activities and interviewed children during the event. A press release was published in most Jordanian newspapers. Social media was also used to promote the weekâ&#x20AC;&#x2122;s events. - RHAS conducted three 45-minute interviews on two major Jordanian TV stations and was featured in three newspaper articles and on several radio spots. SOCIAL MEDIA - Since the beginning of the 2012-2013 academic year, there have been 2,742 visits to the RHAS website.

VII. LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION LAW FOCUS

DESCRIPTION

Motorcycle

Jordanian Traffic Law, Act 68: Motorcycle drivers cannot: Drive with one or no hands. Drive with others as passengers. Drive without a helmet.

Passenger

The Jordanian Traffic Law, Act 47, forbids children under age 10 to sit in the front seat of a vehicle. There are no laws related to car seats or booster seats for children in Jordan.

Safe Kids Worldwide 2013 Global Activity Report

| Jordan | 5

VII. LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION LAW FOCUS

DESCRIPTION

Pedestrian

Jordanian Traffic Law, Act 60: Priority goes to pedestrians when: They are crossing using a zebra crosswalk. Students are entering and leaving a schoolâ&#x20AC;&#x2122;s parameters. Traffic police are present and give pedestrians the right of way. There are no traffic lights or zebra crossings at an intersection. The pedestrian traffic light is green. The traffic light is blinking red or yellow, or if there is a stop sign at an intersection. The pedestrian has special needs or is blind. Jordanian Traffic Law, Act 61: When the drivers reach a zebra crossing, they must come to a complete stop to allow for pedestrian to cross. Jordanian Traffic Law, Act 62: Pedestrians are required to: Utilize crosswalks, obey traffic lights and traffic police signs. Walk on sidewalks or on the right side of the street where sidewalks are not available. Walk against traffic flow. Cross the street in a straight manner. Avoiding walking through tunnels. Avoid walking on train tracks.

School

Training: The Ministry of Education plans to train scouts/traffic safety volunteers to direct traffic in front of schools and assist younger students in crossing the street. Schools: The Ministry of Education plans to oversee the closing of all school gates facing main roads and open gates in safer surrounding areas. The Ministry of Education plans to incorporate road safety principles in the curricula. Infrastructure: The Ministry of Education plans to work with governorates, municipalities, and the Ministry of Public Affairs to install speed bumps, traffic signs and pedestrian crossings in school areas.

Water

Jordanian Civil Defense Regulations stipulate: Those who do not know how to swim should not enter a body of water. Persons who are not trained lifeguards should not attempt to rescue a drowning person. Avoid swimming if under the influence of alcohol, tranquilizers, or medications that cause drowsiness. Those with heart conditions should not swim alone. Children should be watched at all times when they are in any body of water.

Safe Kids Worldwide 2013 Global Activity Report

| Jordan | 6

Kenya Safe Kids Worldwide established a presence in Kenya in 2013 through Gertrude’s Children’s Hospital in Nairobi, Kenya. Gertrude’s was founded in 1947 and today is a 103 bed, free-standing pediatric hospital with nine satellite clinics throughout Nairobi and surrounding areas. It is the most established children’s hospital in East and Central Africa, serving children from Uganda, Tanzania, Democratic Republic of Congo, Rwanda, Burundi and Southern Sudan. As a charitable trust, proceeds go toward expansion and improvement of hospital facilities and providing free medical care to children from disadvangaged areas. Falls, burns and scalds are the most frequently seen injuries among children, often caused by widespread construction and lack of safety regulations in Kenya. There is a tremendous need for programs that address injury prevention in Kenya. Gertrude’s Children’s Hospital hopes to build a stronger injury prevention culture and awareness in Africa, joining Uganda and South Africa, therefore enabling more injury prevention work in a region suffering from a disproportionate number of child deaths and injuries in all risk areas.

www.gerties.org Gertrude’s Children’s Hospital Muthaiga Road P.O. Box 42325 – 00100 Nairobi Kenya

Gordon Otieno Odundo Chief Executive Officer godundo@gerties.org Gordon Otieno Odundo is the Chief Executive Officer (CEO) at Gertrude’s Children’s Hospital. He joined Gertrude’s Children’s Hospital in 1999 and was appointed CEO in 2003. Gordon holds a Master’s degree in Business Administration from International University in the United States and a post-graduate certificate in Hospital Management from Leeds University in the United Kingdom. Gordon is also a member of the Institute of Hospitality in the United Kingdom.

Safe Kids Worldwide 2013 Global Activity Report

| Kenya | 1

I. COUNTRY STATISTICS 44,107,0001 23,143,0001 Low2

TOTAL POPULATION POPULATION AGE < 19 INCOME GROUP

$8102

GROSS NATIONAL INCOME PER CAPITA 1

Source: United Nations (UN) World Population Prospects (2011) Source: World Health Organization (WHO) Global Status Report on Road Safety (2013)

II. TOP FIVE INJURY RISK AREAS RANKING

MORTALITY

MORBIDITY

CAUSE

Road Traffic Accidents*

Falls

Fire and Burns

Struck by an Object

Road Traffic Accidents*

Burns and Scalds

5 1

WHO World Report on Child Injury Prevention; data refer to ages 0-15 years (2008). Gertrude’s Children’s Hospital; data refer to ages 0-14 years (2012). *Includes pedestrian, motorcycle and occupant

III. ORGANIZATIONAL PRIORITIES Programs

Launch the Kenya Child Road Safety Campaign

Partnerships

Continue establishment of partnerships with other like-minded NGOs

Fundraising

Seek additional funding

IV. ACCOMPLISHMENTS (JULY 31, 2012 – JUNE 1, 2013) In April 2013, Gertrude’s Children’s Hospital received the Millennium Development Goal Award for its impact on the reduction of child mortality through its Well Baby Clinic immunization program.

Safe Kids Worldwide 2013 Global Activity Report

| Kenya | 2

Malaysia Safe Kids Worldwide established a presence in Malaysia in 2011 through a partnership with Universiti Putra Malaysia (UPM), Faculty of Medicine and Health Sciences. The Departments of Community Health and Pediatrics represent the Faculty of Medicine and Health Sciences at UPM, and work closely with the Road Safety Research Centerâ&#x20AC;&#x2122;s Faculty of Engineering to conduct research on children and road safety. UPM has worked in partnership with the National Road Safety Council of Malaysia since 1997 and works closely with the Road Safety Department of Malaysia, Malaysian Institute of Road Safety Research and Malaysian Ministry of Health.

www.medic.upm.edu.my Department of Community Health Faculty of Medicine and Health Sciences Universiti Putra Malaysia Serdang, Selangor, 43400 Malaysia

Kulanthayan K.C. Mani, Ph.D. Senior Lecturer Faulty of Medicine and Health Sciences kulan@medic.upm.edu.my Dr. Kulanthayan K.C. Mani, Ph.D. holds a Doctoral Degree in Transport Engineering from the UPM and a Diploma in Traffic Safety from the University of Lund, Sweden. Dr. Mani works with the Department of Community Health, Faculty of Medicine and Health Sciences at UPM as a Senior Lecturer. He also sits on the Editorial Board for the Journal of Injury and Violence Prevention based in Iran.

Safe Kids Worldwide 2013 Global Activity Report

| Malaysia | 1

I. COUNTRY STATISTICS 29,974,0001 11,416,0001 Middle2

TOTAL POPULATION POPULATION AGE < 19 INCOME GROUP GROSS NATIONAL INCOME PER CAPITA

$7,7602

Source: United Nations (UN) World Population Prospects (2011) Source: World Health Organization (WHO) Global Status Report on Road Safety (2013)

II. TOP FIVE INJURY RISK AREAS RANKING

MORTALITY CAUSE

RATE

Drowning

25.0

Road Traffic Crashes*

21.1

Burns, Corrosion and Exposure To Hot Substances

11.7

Falls

Rate Not Available

Source: Ministry of Health, Malaysia, 2007 *Includes pedestrian, occupant and bicycle

III. ORGANIZATIONAL PRIORITIES Fundraising and Partnerships

Research and contact potential partners.

Program

Traffic safety education intervention. Booster seat and bicycle helmet promotion programs. Motorcycle child helmet promotion program. Home injury intervention. Seminar on drowning.

Research

Evaluate safety intervention programs for childrenâ&#x20AC;&#x2122;s safety, such as traffic safety education, booster seats, bicycle helmets and motorcycle helmet programs for children.

Safe Kids Worldwide 2013 Global Activity Report

| Malaysia | 2

IV. ACCOMPLISHMENTS (JULY 31, 2012 – JUNE 1, 2013) 1. Built a covered pedestrian safety walkway for the benefit of 1,500 students, teachers and parents from Kajang Tamil School and its surrounding neighborhood to reduce injury risks to pedestrians on the main roadway adjacent to the school. 2. Secured several grants: A joint research grant with the Faculty of Medicine and Health Sciences, Universiti Putra Malaysia (UPM) from the Johns Hopkins Bloomberg School of Public Health for a one-year study on home injuries among children in Malaysia. A technical assistance grant from the WHO Western Pacific Region office to undertake a stakeholder study on drowning among children in Malaysia. A program grant for pedestrian safety from the Global Alliance of NGOs for Road Safety in conjunction with the Second UN Global Road Safety Week. A mini-grant through FedEx for program implementation during the Second UN Global Road Safety Week. An intervention grant on improving pedestrian safety. 3. Assigned two students – an undergraduate and post-graduate from the Johns Hopkins Bloomberg School of Public Health, to assist with research supported by the Global Health Established Field Placement Program for a period of two months. Also assigned three post-graduate students to assist with programs.

V. PROGRAMS ACTIVITIES

- On May 11 2013, the Faculty of Medicine and Health Sciences and the Road Safety Department of Malaysia (JKJR), Malaysia Institute of Road Safety Research Malaysia (MIROS), and Parent Teacher Association (PIBG) of Kajang Tamil School (SJKT Kajang) organized a pedestrian safety intervention event in conjunction with the Second UN Global Road Safety Week at Kajang Tamil School, during which the newly-built pedestrian walkway was revealed. - On May 14, 2013, the Faculty of Medicine and Health Sciences, JKJR and Allianz Insurance organized a Road Safety Advocacy Campaign at UPM. During the event, booster seats were distributed to children above 5 years of age to promote child passenger safety. - On May 21, 2013, the Faculty of Medicine and Health Sciences joined CEMEX Malaysia for their school outreach program, “Safe Kids, Safer Community” at Tai Thung Chinese School in Salak Selatan, Kuala Lumpur. - The Faculty of Medicine and Health Sciences and UPM together with Johns Hopkins Bloomberg School of Public Health conducted a joint study on home injuries involving children ages 5 years and younger in Hulu Langat District from July through December 2013. - The Faculty of Medicine and Health Sciences will conduct a study with stakeholders on drowning among children in Malaysia from August through November 2013. - Distributed reflective mini school bags to students from SJKT Kajang in cooperation with JKJR. PARTNERS

Kajang Tamil School Malaysia Institute of Road Safety Research Malaysia Parents Teachers Association Road Safety Department of Malaysia University Putra Malaysia

Safe Kids Worldwide 2013 Global Activity Report

| Malaysia | 3

RESEARCH PREVENTING CHILDHOOD INJURIES IN MALAYSIA: PILOTING A HOME ENVIRONMENT INJURY RISK ASSESSMENT AND MITIGATION PROGRAM (ONGOING) PARTNER

- Johns Hopkins Bloomberg School of Public Health METHODOLOGY

- Randomized control trial among households in 60 clusters in the district of Hulu Langat, Selangor.

VI. MEDIA RELEASES AND RECOGNITION TRADITIONAL MEDIA - Activities during UN Global Road Safety Week in May 2013 were featured in Utusan Malaysia Malay Daily Press, Kosmo Press and Malaysia Nanban Press, as well as on Astro, a Malaysian TV channel.

VII.

LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION LAW FOCUS

DESCRIPTION

Bicycle

No existing bicycle helmet usage laws.

Fire and Burns

Fire extinguishers are required in public buildings.

Motorcycle

The minimum age for riding a motorcycle is 17 years. All motorcyclists and passengers must wear a safety helmet irrespective of age.

Open-Water

Warning notices are erected in areas surrounding open-water about the dangers for unsupervised children.

Pedestrian

Vehicle speed limit must be reduced to 30 km/h in school zones.

Product

Warning labels are attached to products.

School Bus

No seat belt law for bus passengers.

Vehicle Passenger

No child seat usage law. All car occupants must wear seat belts.

Safe Kids Worldwide 2013 Global Activity Report

| Malaysia | 4

Mexico Safe Kids México was incorporated as an independent non-profit corporation in Mexico in 2008 and began operations in 2012. Based in Mexico City, Safe Kids México is the only non-governmental organization in the country dedicated to preventing unintentional injuries to children. Since launching its first program in 2012, Safe Kids México has implemented many initiatives that promote safety in the areas of child passenger and pedestrian safety.

www.safekidsmexico.org Safe Kids México Alejandro Dumas 211 Polanco, Delegaciόn Miguel Hidalgo Mexico, D.F. 11550 Mexico

Paco de Anda Orellana Executive Director pacodeanda@safekidsmexico.org Paco de Anda Orellana began his career in fundraising at the Mexican Association Against Cancer. He shifted his focus to road safety work in 2001. In 2004, Paco established the first road safety civil organization in Mexico. His experience includes conducting road safety training for children, drivers and traffic police, developing road safety content for the KidZania theme park and writing for a road safety column. Paco also worked at the National Council for Accident Prevention, Federal Ministry of Health and served as road safety advisor for the Pan American Health Organization.

Safe Kids Worldwide 2013 Global Activity Report

| Mexico | 1

I. COUNTRY STATISTICS 119,239,0001 43,507,6301 Middle2

TOTAL POPULATION POPULATION AGE < 19 INCOME GROUP GROSS NATIONAL INCOME PER CAPITA

$8,9302

Source: United Nations (UN) World Population Prospects (2011) Source: World Health Organization (WHO) Global Status Report on Road Safety (2013)

II. TOP FIVE INJURY RISK AREAS 1

RANKING

MORTALITY CAUSE

MORBIDITY CAUSE

NUMBER

RATE

1,227

3.0

Fire and Burns

31,843 14,759

Road Traffic Accidents*

Drowning

531

1.0

Road Traffic Accidents*

Falls

161

0.4

Poisoning (pesticides)

Poisoning

113

0.3

Fire and Burns

0.2

NUMBER

682

Dirección General de Información (DGIS), 2011; 1,000 citizens; data refer to ages 0-14 years SUIVE/DGE/Secretaría de Salud/Estados Unidos Mexicanos, 2011; 1,000 citizens; data refer to ages 0-14 years *Includes pedestrian and occupant Morbidity rates unavailable 2

III. ORGANIZATIONAL PRIORITIES Fundraising

Seek support from additional sponsors.

Coalitions

Begin building a coalition model in Mexico’s major cities.

Partnerships

Strengthen relationships with existing partners. Establish new partnerships.

Program

Continue work on the Walk This Way pedestrian safety program. Continue work on child passenger safety.

Research

Establish a three-year plan for drowning research in Mexico. Conduct research on school bus safety. Write a report on pedestrian child deaths and injury in Mexico City.

Other

Establish a new office location.

Safe Kids Worldwide 2013 Global Activity Report

| Mexico | 2

IV. ACCOMPLISHMENTS (JULY 31, 2012 – JUNE 1, 2013) 1.

Two Safe Kids México team members were certified as Child Passenger Safety Technicians.

Successfully implemented the Walk This Way Program in Mexico.

Collaborated with the municipal, state and federal governments, and with the legislative government of Jalisco State and Mexico City.

V. PROGRAMS

A. WALK THIS WAY FOCUS

- Pedestrian Safety GOALS

Increase road safety knowledge and skills among children ages 6-12 years and caregivers. Improve pedestrian safety infrastructure around schools. Advocate for legislation and policies to improve walking environments. Increase awareness among parents, caregivers, drivers, media, community and policymakers about the importance of road and pedestrian safety.

LOCATION

- Mexico City PARTNERS

CTS Embarq Delegación Cuauhtémoc FedEx iRAP/SEMIC Peatóni-k (Muévete x tu ciudad) Peatónito (Jorge Cáñez) Volvo Cars

VOLUNTEERS

- Three parent volunteers ACTIVITIES PHOTOVOICE II

- Partnered with local stakeholders such as parents, teachers, engineering experts and the government to determine and install environmental modifications around Quetzalcoatl Elementary School. - Installed environmental modifications to improve walking conditions for pedestrians. - Organized an exhibit to display photos and captions by students. - Organized a walk around the school to familiarize students with environmental modifications. EDUCACIÓN PEATONAL

Developed educational comic book art to teach children about pedestrian safety. Conducted education sessions for children. Partnered with local institutions to implement education sessions and distribute program materials. Produced the first poster in a five-poster series with road safety messages.

BACK TO SCHOOL

- Hosted a press event to raise awareness among drivers about being cautious while driving in school zones.

Safe Kids Worldwide 2013 Global Activity Report

| Mexico | 3

WALK TO SCHOOL DAY

- Organized a walk around Quetzalcoatl Elementary School with parents, children, loca l stakeholders and partners. - Organized a school assembly to promote safe walking practices. SLOW DOWN CAMPAIGN

- Produced four videos on the risks of speeding while driving that will be distributed via email and social media, as well as displayed in public areas. MODEL SCHOOL ZONE PROJECT

- Conducted the Model School Zone project, which aimed to improve pedestrian safety for children by modifying the environment at Benito Juárez and Constitucion de 1917 elementary schools. The ultimate goal was to demonstrate that the project can be effective and adapted to benefit children in countries of varying resource levels, despite the diversity of risks and issues surrounding school zones. - Partnered with the International Road Assessment Programme, a non-profit organization dedicated to saving lives through safer roads. Through this program, roads with the highest recorded rates of injuries and deaths are identified and inspected. Affordable, high-return, rapid countermeasures are then implemented. - Conducted a baseline assessment around Benito Juárez and Constitucion de 1917 elementary schools with local stakeholders, parents and NGOs. UN GLOBAL ROAD SAFETY WEEK

- Presented the Model School Zone baseline assessment results as part of the Walk This Way program. - Conducted a five mile Long Short Walk during which participants carried banners with messages of support for pedestrian safety. - Launched the "I Walk For..." video in which stakeholders, celebrities and the general public talk about their support for pedestrian safety. - Launched the "Pedestrian Justice League" in partnership with the NGO Muévete por tu Ciudad and Jorge Cáñez made up of three Mexican super heroes committed to pedestrian safety: Captain Road, Peatótito and Peatóni-k.

B. CHILDREN AS SAFE PASSENGERS FOCUS

- Child Passenger Safety GOALS

- Increase the use of child restraints among children below 1.45 meters in height, ages 6-12 years. - Raise awareness among parents, educators, caregivers, policymakers, teachers, drivers and media about the vulnerability of children in traffic. - Promote child restraints through interviews and reports by traditional media, and particularly through social networks. LOCATION

- México City PARTNERS

CTS Embarq Evenflo Global Road Safety Partnership National Council for Accident Prevention Pan-American Health Organization TV Mexiquense Volvo Cars

Safe Kids Worldwide 2013 Global Activity Report

| Mexico | 4

ACTIVITIES EASTER 2013 - Host a press event focused on raising awareness about passenger safety and car seat use, particularly during vacation travel. CAR SEAT CONFERENCE

- Organized two conferences focused on car seat use for more than 150 parents and caregivers at “Expo tu Bebé y tu”. The goal of the event was to teach parents about the importance of using car seats and correct installation. CAR SEAT FORUM

- In a two-year period, Safe Kids México will: - Organize a legislative forum in Guadalajara, Jalisco for the local Department of Health, Department of Economy, Department of Treasury, Federal Consumer Attorney, National Association of Pediatrics and representatives of the car seat industry. - Develop a strategy to support the enforcement of the car seat law for children. - Establish a scenario for construction of commercial/economic agreements between industry and government entities seeking sustainability measures.

VI. MEDIA RELEASES AND RECOGNITION TRADITIONAL MEDIA - 127 mentions in traditional media such as television, print and radio. SOCIAL MEDIA -

1,196 views on YouTube 530 friends on Facebook 270 followers on Twitter

Debut the “I Walk For..." video where stakeholders, celebrities and the general public talk about their support for pedestrian safety. The video was promoted on social media. In three months it reached 1,000 views on YouTube.

VII. LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION LAW FOCUS

DESCRIPTION

General Road Safety: Bicycle, Motorcycle, Pedestrian, Vehicle Passenger

Each state has specific traffic regulations that include these topics. For example, in Mexico City, cyclists must use reflective accessories at night, children younger than age 12 years cannot travel on a motorcycle and pedestrians must cross the street at corners or crosswalks. In Jalisco, children must travel in the back seat of a vehicle using a proper child restraint, until the age of 12 years.

Open-Water

There are safety requirements for open-water spaces and personal equipment such as the use of lifejackets and presence of lifeguards.

Poisoning

Cleaning products, paint and medication containers must be equipped with safety devices, such as child-resistant packaging and labels listing potential risks (Comisión Federal para la Protección contra Riesgos Sanitarios).

Pool

Sanitary and water quality requirements.

Safe Kids Worldwide 2013 Global Activity Report

| Mexico | 5

VII. LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION LAW FOCUS

DESCRIPTION

Product

Toys and school products: Limit bioavailability of metals in articles coated with potentially harmful paints and inks (Comisi贸n Federal para la Protecci贸n contra Riesgos Sanitarios).

School

According to Protecci贸n Civil, schools must have security regulations in order to prevent accidents.

School Bus

In some states, such as Estado de M茅xico, school buses must have seat belts for each passenger and low emissions.

Safe Kids Worldwide 2013 Global Activity Report

| Mexico | 6

New Zealand Safekids New Zealand is a national organization established by Starship Children’s Hospital Trauma Services to help reduce the incidence and severity of unintentional injury to children ages 0-14 years. Safekids New Zealand provides evidence-based information, services and consultation to government agencies, child health and safety providers, private industry, media, educators and families to improve child safety. Service delivery is guided by high levels of data accuracy, research integrity and recommendations based on international best practices. Safekids New Zealand became a member of Safe Kids Worldwide in 2001. Community engagement is the cornerstone of Safekids New Zealand’s injury prevention campaigns. Safekids is supported by both governmental and non-governmental community groups and agencies to deliver child injury prevention programs across the country that cover risk areas at home, on the road and at play.

www.safekids.org.nz www.mysafekids.org.nz www.safekidscreativequest.co.nz www.twitter.com/safekidsnz Safekids New Zealand P.O. Box 26488 Epsom, Auckland, 1344 New Zealand

Ann Weaver Director AnnWeaver@adhb.govt.nz Ann Weaver has a passion for the safety and wellbeing of New Zealand’s children and has particular strength in the delivery and implementation of legislative and regulatory change within the health and welfare sectors. Ann began her career as a qualified social worker, which then lead to public sector management. With a Master’s degree in Public Policy, Ann has held senior management and leadership roles in both community-based services and governmental organizations. She has also served on several elected boards and internationally convened committees.

Safe Kids Worldwide 2013 Global Activity Report

| New Zealand | 1

I. COUNTRY STATISTICS 4,669,0001 1,225,0001 High2

TOTAL POPULATION POPULATION AGE < 19 INCOME GROUP GROSS NATIONAL INCOME PER CAPITA

$29,3502

Source: United Nations World Population Prospects (2011) Source: World Health Organization Global Status Report on Road Safety (2013)

II. TOP FIVE INJURY RISK AREAS 1

RANKING

MORTALITY CAUSE

MORBIDITY

NUMBER

RATE

CAUSE

NUMBER

RATE

Accidental Threat to Breathinga

148

3.33

Falls

23,999

536.33

Vehicle Occupant

2.05

Mechanical Forces: Inanimateb

12,563

280.76

Pedestrian

1.01

Mechanical Forces: Animatec

2,884

64.45

Drowning/Submersion

0.97

Other Causes

2,795

62.46

0.92

Cycling

2,716

60.70

Assault

Source: New Zealand National Mortality Collection (2005-2009); data refer to ages 0-14 years; rate per 100,000 children Source: New Zealand National Minimum Dataset (2007-2011); data refer to ages 0-14 years; rate per 100,000 children a Accidental Threat to Breathing includes suffocation, choking and strangulation b Mechanical Forces: Inanimate include being accidentally struck, crushed or injured by an object c Mechanical Forces: Animate include being accidentally struck, crushed or injured by a person, dog bite, contact with plant thorns and sharp leaves, etc. d Intentional Injury 2

III. ORGANIZATIONAL PRIORITIES Partnerships and Coalition Work in partnership with governmental and non-governmental organizations, sponsors and Building community-based organizations to implement Safekids programs throughout New Zealand.

Programs

Continue implementing nationwide programs focused on risk areas such as bicycle and wheeled sports safety, child passenger safety and prevention of run over injuries to children to come closer to Safekidsâ&#x20AC;&#x2122; vision that children should be free to enjoy their childhood without being adversely affected by unintentional injury.

Research

Safekids aims to promote creation of policies, practices and environments that help ensure children's safety through research.

Safe Kids Worldwide 2013 Global Activity Report

| New Zealand | 2

IV. ACCOMPLISHMENTS (JULY 31, 2012 – JUNE 1, 2013) 1. At the 11th World Conference on Injury Prevention and Safety Promotion, Associate Minister of Transport, Simon Bridges, announced a new rule that raises the upper limit for the mandatory use of child restraints. Under the new rule, children ages 7 years and younger must be properly restrained in an appropriate child restraint system (CRS), while children ages between 7-8 years are required to use a CRS if one is available. The Minister acknowledged Safekids New Zealand’s work in influencing the new law. 1. 2. Safekids’ website was accredited by the New Zealand College of Public Health Medicine as an Advanced Training Site. The term “Advanced Training Sites” refers to nominated organizations or departments intending to provide work-based training for public health medicine registrars. Full site accreditation was granted until October 11, 2015. 3. Safekids influenced the New Zealand Housing Corporation to undertake a safety audit of nearly 13,000 houses with children aged 5 years and younger. The New Zealand Housing Corporation will also conduct a landscaping and gardening campaign to prevent driveway run over injuries and deaths to children.

V. PROGRAMS

A. SAFEKIDS CAMPAIGN ON CHILD CYCLING SAFETY AND SAFETY OUT AND ABOUT FOCUS

- Child Cycling Safety - More than 57 percent of bicycle-related hospitalizations occur among children ages 10-14 years. On average, 480 children in New Zealand are hospitalized, while two children die from bicycle-related injuries each year. Boys aged 1014 years are at a greater risk of fatal injury. Tamariki Māori boys accounted for half of all deaths involving motor vehicles and child cyclists. - Common bicycle-related injuries to children include upper and lower limb fractures; injuries to the face and neck, such as lacerations, fractures, tongue and mouth injuries; abdominal injuries and head injuries, such as skull fractures, concussion and scalp lacerations. GOALS

- The Safekids Campaign aims to promote internationally recognized interventions for safe cycling for children by: - Increasing awareness of the prevention of bicycle injuries among Tamariki (children), their Whānau (families) and communities. - Promoting bicycle safety through: a. Safe cycling behaviors: helmets; skills training; visibility; child, parent and driver education b. Engineering interventions to reduce vehicle speed and change driver behavior in residential areas and around schools c. Safe and convenient bicycle routes/grade separation for child cyclists LOCATION

- Nationwide TARGET POPULATION

- Children ages 0-14 years, their families and caregivers, with emphasis on children ages 10-14 years PARTNERS

Auckland Transport Bike New Zealand Cycling Advocates Network (CAN) Nelson City Council Safe and Sustainable Transport Association (SASTA) School of Population Health

Safe Kids Worldwide 2013 Global Activity Report

| New Zealand | 3

ACTIVITIES - Produced fact sheets and position papers with evidence and statistics to guide the development of campaign safety messages and public awareness campaigns, along with a policy submission template for community groups. - Planned capacity-building workshops across the country, during which individuals and community-based groups developed strategies for community action. - Developed the Creative Quest School Competition, a national public awareness campaign for print, radio and out-ofhome media and advertising (see details below). - Promoted a safe systems approach to bicycle safety through: - Safe cycling behaviors: use of helmets, skills training, visibility, child, parent and driver education. - Engineering interventions to reduce vehicle speed and change driver behavior around schools and in residential areas. - Safe and convenient cycling routes/grade separation of child cyclists and safer bicycles. - Developed resources with national agencies, private organizations and Safekids coalitions containing the following messages: - Primary Key Messages: - Be Smart – plan safe cycling routes with an adult; the best riders are skilled riders. - Be Safe – no helmet, no bike. - Be Seen – wear bright colors and use reflective gear. - For Drivers – slow down and look out for kids. - Secondary Key Messages: - Always ensure you wear a correctly fitted helmet. - Know road rules and use them. - Make sure the bicycle fits the rider. - Use and maintain bicycle safety gear such as a helmet, reflectors, visibility gear, lights, breaks and tires. - Children are more likely to wear their bicycle helmets if parents actively supervise and model safety behavior. - Be aware of people and objects around you. - Drivers should be aware of bicyclists. - Ride your bicycle in a safe environment, away from cars and other vehicles.

B. SAFEKIDS CREATIVE QUEST FOCUS

- Child Safety While Bicycling, Skating and Riding Scooters - Data show that injuries have doubled every year since 2008 – from just 697 claims in 2008 to a staggering 6,474 in 2012. Many of these injuries were severe enough to land children in the hospital. - Research shows that bicycle helmets are effective in reducing the likelihood of severe brain injury by 74 percent. GOALS

- Promote the use of safety helmets in schools. - Promote a safety culture among children when traveling to and from school. - Build partnerships with schools across the country. LOCATION

- Nationwide TARGET POPULATION

- Students ages 5-12 years - Primary and intermediate school staff including principals, teachers, school travel planners, and before and after school care services

Safe Kids Worldwide 2013 Global Activity Report

| New Zealand | 4

PARTNERS

- BCG2 (advertising and communications agency) - Coalitions and community partners across New Zealand - Mediacom - Ministry of Health - Starship Foundation ACTIVITIES - Launched Creative Quest “No Helmet…No Brain!”, a nationwide school competition among students to create the best bicycle safety messages targeted to students. Students had the opportunity to win cash prizes for their school, their class or for themselves. - Safekids asked students from participating schools to create a video, radio commercial or an illustrated story to communicate the importance of properly-fitted helmets while bicycling, scooting or skating. Winning entries were used for a public awareness campaign; illustrated stories were turned into posters or books; videos and radio commercials were featured on TV, online and on radio stations. Classes and students will be credited whenever the material appears. RESEARCH SAFEKIDS POSITION PAPER AND FACT SHEET: CHILD SKATEBOARD AND SCOOTER INJURY PREVENTION (JUNE 2013) PARTNERS INVOLVED

Accident Compensation Corporation Injury Prevention Research Unit Ministry of Health Key stakeholders

TARGET POPULATION

- Injury prevention practitioners and community members METHODOLOGY

- Electronic database searches were conducted by Safekids staff and an Auckland-based librarian, using various combinations of terms related to childhood injury and databases: Medline, Cochrane, SafetyLit and Safekids’ inhouse catalogue. - Articles and reports were included in the position paper if published in the year 2000 or later, or earlier if seminal references. - Articles and reports were assessed as to their currency, source, reliability and validity, coverage and relevance. KEY FINDINGS

- In New Zealand between 2007-2011: - 725 children were hospitalized with skateboard-related injuries. - 158 children were hospitalized with scooter-related injuries. - Skateboard-related injuries were most common among Māori and European males aged 10-14 years. - Scooter-related injuries were most common among European males aged 10-14 years, and European males and females aged 5-9 years. - Falls were the most common cause of skateboard and scooter-related injury. - Fractures were the most common injury. Other injuries included internal organ injury, open wounds and superficial injuries such as contusions. RESULTS

- Safekids recommended interventions such as the use of helmets, protective equipment, safe skate park design, and safe pedestrian space.

Safe Kids Worldwide 2013 Global Activity Report

| New Zealand | 5

C. DRIVEWAY RUN OVER CHILD SAFETY CAMPAIGN FOCUS

- Driveway Injuries - New Zealand has one of the highest recorded incidences of death and injuries to children in driveway incidents. On average, five children are killed by cars in private driveways each year. Within the Auckland region, at least one child is hospitalized overnight with driveway-related injuries every two weeks. Of all child pedestrian injuries in the Auckland region, 25 percent occur in private driveways. Most driveway injuries occur among smaller children, ages 2 and younger. The driver is usually a close family member. More than 77 percent of surveyed drivers were related to a child who was fatally injured. - Tamariki Māori children accounted for 51 percent of all driveway run over injuries, while Pacific peoples accounted for 22.4 percent of identified cases. GOAL

- Raise awareness of the dangers of slow-moving vehicles to young children in home driveways among parents and caregivers of children ages 0-5 years, drivers, indigenous Tamariki Māori and Pacific communities as well as injury prevention, child health and safety promotion workers. LOCATION

- Nationwide PARTNERS

- Accident Compensation Corporation - Auckland District Health Board (ADHB) - Automobile Association of New Zealand - BCG2 (advertising and communications agency) - Coalitions and community partners across New Zealand - Coronial Service of New Zealand – Ministry of Justice - Housing New Zealand Corporation - Injury Prevention Network Aotearoa New Zealand - Mediacom - Ministry of Health - Ministry of Social Development - Ministry of Transport - National Child Youth and Mortality Review Committee - New Zealand Injury Prevention Strategy - New Zealand Police - New Zealand Transport Agency - Pasifika Injury Prevention Aukilani - Royal New Zealand Plunket Society - Starship Children’s Health, Auckland District Health Board - Starship Foundation ACTIVITIES - Produced documents with evidence and statistics to guide development of campaign safety messages and a national public awareness campaign with print, radio and out-of-home media campaigns and advertisements. - Developed educational activities addressing three major risk factors: - Human factors: General lack of awareness among adults of the risk and impact of driveway run over injuries to children. - Vehicle design: lack of driver visibility from within vehicles, both rearward and forward. - Property design: environmental design can influence risk levels for driveway injury. - Organized 30 capacity-building workshops across the country where individuals and community-based groups developed strategies for community action.

Safe Kids Worldwide 2013 Global Activity Report

| New Zealand | 6

- Developed resources such as warning stickers, key rings, posters and flyers with national agencies, private organizations and Safekids coalitions containing the following messages: - Know where kids are before getting in the car; there's no going back. - CHECK for children before driving off. - SUPERVISE children around vehicles – always. - SEPARATE play areas from driveways. - Designed interactive driveway run over awareness resource kits to demonstrate blind zones to drivers, which are areas where they may not be able to see a child while in the driver's seat. Kits were distributed to Safekids coalitions and communities at risk of driveway run over injuries. - Published a series of articles in partnership with the New Zealand Herald, a flagship newspaper, on the “Backing into the Future” campaign. - Reviewed a range of reversing cameras currently available on the New Zealand market, in partnership with Consumer Magazine, New Zealand’s leading consumer-oriented reversing camera review. The goal is to give consumers informed decisions on reversing cameras as an aid in preventing driveway run over injuries, in addition to performing the “Check, Supervise and Separate” procedure. - Produced driveway run over prevention videos with tips for parents and caregivers, and developed a video-based website with prevention information such as facts, radio ads, tips on reversing cameras and other resources. - Worked with community groups to deliver safety messages such as graffiti driveway warning signs at footpaths and walls and 6,000 warning stickers. The stickers are used on car bumpers, displayed on walls, at kindergartens, primary schools, public car parks/parking lots, hospitals and other areas with high volumes of child and vehicle traffic. - Produced two documents to assist individuals or groups in advocating for the prevention of driveway run over injuries in their city, district or community: - “Safekids New Zealand Advocacy Guide – Working with Local Governments to Prevent Driveway Run Over Injuries” (June 2011). - “Submission Template to Include Driveway Safety Information within the Local Government’s Annual Plans and Other Local Government Documents” (June 2011).

D. SAFEKIDS CAMPAIGN ON MOTOR VEHICLE CHILD PASSENGER SAFETY (CPS) FOCUS

- Motor Vehicle CPS GOALS

- Promote the new child restraint law, in effect on November 1, 2013. - Raise public awareness on correct use of car restraints for children and the continued use of child restraints and booster seats for children until they reach the height of 148cm. LOCATION

- Nationwide PARTNERS

Accident Compensation Corporation Automobile Association of New Zealand BCG2 (advertising and communications agency) Coalitions and community partners across New Zealand Coronial Service of New Zealand – Ministry of Justice Injury Prevention Network Aotearoa New Zealand Mediacom Ministry of Business, Innovation and Employment (Formerly the Ministry of Consumer Affairs) Ministry of Health Ministry of Transport Ministry of Social Development

Safe Kids Worldwide 2013 Global Activity Report

| New Zealand | 7

- National Child Youth and Mortality Review Committee - New Zealand Injury Prevention Strategy - New Zealand Police - New Zealand Transport Agency - Pasifika Injury Prevention Aukilani - Royal New Zealand Plunket Society - Rural Women New Zealand - Starship Children’s Health, Auckland District Health Board ACTIVITIES - Worked with national organizations, Safekids coalitions and the Ministry of Transport to bring national child restraint laws in line with international best practices. - Assist the government with promotion of the new CPS law. - Developed resources with national agencies, private organizations and Safekids coalitions that promote the message “The Higher you Sit, The Safer the Fit – kids are safer in a car seat or booster seat if they are under 148cm tall”. - Held capacity building workshops for individuals and community groups across the country on correct installation and ways to keep primary and school-age children safely restrained in cars. - Worked with coalitions to distribute information at public events, through school-based projects, during child restraint check clinics and rental/purchasing schemes, through police programs, health services, parent education sessions and workforce capacity building exercises. Campaign materials were targeted toward families, parents, grandparents, Māori communities, Pacific peoples, Asian and new migrant communities, educational settings, rural and urban communities, children, professionals and decision-makers. - Held a national public awareness campaign with print, radio and out-of-home media campaigns, advertisements and resources using evidence and statistics to guide development of safety messages.

E. INFORMATION AND RESOURCE CENTRE FOCUS

- All Risk Areas - The Safekids Information and Resource Centre is a professional library service with a comprehensive collection of national and international material related to unintentional childhood injury collated since 1993. GOALS

- Provide a solid base of information on unintentional childhood injuries and prevention. - Promote and assist child injury prevention work by providing valuable resources and information services. LOCATIONS

- Nationwide/Worldwide PARTNERS

Accident Compensation Corporation Auckland District Health Board (ADHB) Automobile Association of New Zealand Burn Support Group Charitable Trust Coalitions and community partners across New Zealand Coronial Service of New Zealand – Ministry of Justice Housing New Zealand Corporation Injury Prevention Network Aotearoa New Zealand Kidz First Children’s Hospital, Middlemore Hospital, Counties Manukau District Health Board Ministry of Business, Innovation and Employment (Formerly the Ministry of Consumer Affairs) Ministry of Health Ministry of Social Development National Child Youth and Mortality Review Committee

Safe Kids Worldwide 2013 Global Activity Report

| New Zealand | 8

- New Zealand Fire Service - New Zealand Injury Prevention Strategy - New Zealand Police - New Zealand Transport Agency - Office of the Children’s Commissioner - Pasifika Injury Prevention Aukilani - Royal New Zealand Plunket Society - Rural Women New Zealand - Safe Communities Foundation - Starship Children’s Health, Auckland District Health Board - Starship Foundation - Te Kohanga Reo Trust - WaterSafe Auckland - Water Safety New Zealand ACTIVITIES - The database offers the following resources: - Materials and information on planning interventions, education, training sessions and campaigns - Child injury issues, trends and emerging issues - Academic literature, such as journal articles and research reports - Books on injury prevention, health promotion and program development - Journals and newsletters by prevention agencies - Examples of prevention programs and campaign literature, pamphlets and posters - Sample copies of New Zealand child safety resources - Training resources, teaching and information kits - Educational resources, such as DVDs - Newspaper clippings organized by subject - Access to significant electronic reference resources such as Medline and E-journals - Provided access to other online tools, such as an information search engine that searches Safekids’ library catalogue database, Twitter and useful links page, organized by subject.

VI. MEDIA RELEASES AND RECOGNITION TRADITIONAL MEDIA - Featured in 252 editorial articles in newspapers and magazines as well as on TV and radio spots. - Launched a media campaign on driveway run over injuries. New Zealand’s media was on board with the campaign, booking $32,000 NZ worth of advertisements, resulting in a return of more than $600,000 NZ of exposure value. SOCIAL MEDIA - More than 63,396 visits were recorded to Safekids’ website (www.safekids.org.nz) as of June 1, 2013. - More than 10,000 visits were recorded to Safekids’ newer website (www.mysafekids.org.nz) as of June 1, 2013. RECOGNITION AND AWARDS - Received an award in all but one category presented at the International Safety Media Awards during the Safety 2012 World Injury Conference in Wellington, New Zealand. Safekids won three gold awards in the Evaluation Category for the Booster Seat Campaign; Print Category for the Booster Rooster 148cm Height Chart; and Audio Category for the driveway run over prevention radio ads. Safekids also won awards in the New Media and Ultra-Short Video categories. - Granted full site accreditation by the New Zealand College of Public Health Medicine as an Advanced Training Site. The term “Advanced Training Site” refers to nominated organizations or departments intending to provide workbased training to public health medicine registrars. Safekids has been given full accreditation until October 2015.

Safe Kids Worldwide 2013 Global Activity Report

| New Zealand | 9

VII. LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION LAW FOCUS

DESCRIPTION

Bicycle

Land Transport (Road User) Rule (2004): Contents, Part 11 Requirements for particular road users. Clause 11.8, Safety helmets for cyclists: A person must not ride, or be carried on, a bicycle on a road unless the person is wearing a safety helmet of an approved standard that is securely fastened. This law pertains to both adults and children.

Fire and Burns

Product Safety Standards (cigarette lighters) Regulations (1998) Contents: Clause 6 - Child resistance. All disposable lighters must be childresistant.

Poisoning

There are a number of laws relating to packaging requirements for hazardous substances. Hazardous Substances (Packaging) Regulations (2001) Part 3 Packaging requirements specific to each hazardous classification. Packaging requirements are in place for toxic and corrosive substances. Clause 6 states that restricted substances must be packaged in tamper-proof and child-proof containers.

Pool

Fencing of Swimming Pools Act (1987) No 178, Public Act Building Act 2004 No 72, Public Act. The Act is intended to promote the safety of young children by requiring the fencing of certain swimming pools (i.e. private swimming pools). Pool owners must fence their swimming pools or spas along with immediately surrounding areas. In certain situations, exemptions from the provisions of the Act can be granted.

Safe Kids Worldwide 2013 Global Activity Report

| New Zealand | 10

VII. LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION LAW FOCUS

DESCRIPTION

Product

Mandatory Product Safety Fair Trading Act (1986) No 121, Public Act Product Safety Standards (Cigarette Lighters) Regulations (1998) Product Safety Standards (Baby Walkers) Regulations (2001) Product Safety Standards (Pedal Bicycles) Regulations (2000) Product Safety Standards (Children's Nightwear and Limited Daywear Having Reduced Fire Hazard) Regulations 2008. Product Safety Standards (Household Cots) Regulations (2005) Product Safety Standards (Children's Toys) Regulations (2005) Playground safety: Building Act (2004) No 72, Public Act A building consent is not required for the construction, installation, replacement, or alteration of playground equipment, if: (i) the work is for a government department, crown entity, licensed early childhood center, or territorial or regional authority and the playground equipment has been designed by a chartered professional engineer; or (ii) the playground equipment is for use by a single household and no part of the equipment exceeds three meters in height above the supporting ground level. Mandatory standards are also in place for toys, child restraints, voluntary products, bunk beds, playgrounds, prams and strollers, safety in the home handbooks and floatation aids, in addition to the standards listed above. NOTE: Following the Governmentâ&#x20AC;&#x2122;s announcement on proposed changes to child restraint legislation in October 2012, the New Zealand Transport Agency released a draft of the land transport amendment rule on child restraints. The new child restraint legislation comes into effect on November 1, 2013.

School Bus

Land Transport (Road User) Rule (2004): Contents, Part 5 Limits 5.6 Speed limits relating to school buses: When meeting or overtaking any stationary school bus stopped to discharge or embark school children, a driver must drive with due care for the safety of the children, and while passing any part of the school bus, not drive at a speed exceeding 20 km/h. A school bus driver must not drive on a road at a speed exceeding 80 km/h or any school bus that has a gross vehicle mass exceeding 2,000 kilograms.

Safe Kids Worldwide 2013 Global Activity Report

| New Zealand | 11

VII. LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION LAW FOCUS

Vehicle Passenger

Other

DESCRIPTION Child Restraints Land Transport (Road User) Rule 2004 (SR 2004/ 427) â&#x20AC;&#x201C; Part 7 Driver Responsibility and Occupant Protection, Parts 7.6-7.9: 7.6: The driver must ensure passengers younger than 5 years of age use child restraints. A driver must ensure that, while the vehicle is in motion, every passenger younger than the age of 5 years is properly restrained in an approved child restraint appropriate for that passenger. 7.7: The driver must ensure passengers between the ages of 5 and 8 years use a child restraint or seat belt. A driver must ensure that, while the motor vehicle is in motion, every passenger between the ages of 5 and 8 years: Is properly restrained in an approved child restraint appropriate for that passenger, if such a restraint is available in the vehicle; or If such a restraint is not available in the vehicle, the child should be restrained as securely as possible in the circumstances using any child restraint or seat belt that is available (whether or not that child restraint or seat belt is approved). The New Zealand Government has recently announced an improvement in the law covering the restraint of children when they travel as passengers in cars, requiring restraint in a size appropriate device until their 7th birthday. While this is a welcome change from the childâ&#x20AC;&#x2122;s 5th birthday, it is still minimalist and inconsistent with legislation in comparable countries. The change in legislation makes no improvement to CPS education for Kiwi families. The new child restraint legislation went into effect on November 1, 2013. Passenger safety for children ages 5-9 years has improved less than it has for younger children. Since the mid-1990s, the injury rate for 5-9 year-old children has been decreasing much slower than the rate for children aged 4 years or younger. Research has shown that 60 percent of children requiring a booster seat do not use one. Despite the new law, New Zealand is still behind in terms of international best practices for child restraint use by primary school-age children. Many serious child injuries and deaths could be prevented by ensuring children are appropriately restrained when traveling in a vehicle. Dog Control Act (1996) No 13, Public Act. The Act and its Amendments are implemented by local councils with the support of their communities. The intention of the Act is to improve public safety around dogs by making provision for the control of dogs.

Safe Kids Worldwide 2013 Global Activity Report

| New Zealand | 12

Philippines Safe Kids Philippines was established and joined the Safe Kids Worldwide network in 2004. It remains the first and only non-governmental organization in the Philippines dedicated to preventing unintentional injuries to children ages 14 years and younger. Based in Parañaque City, Metro Manila, Safe Kids Philippines brings together public health experts, corporations, volunteers and government agencies to address the leading killer of children through research, education and regulation promotion. Safe Kids Philippines focuses its efforts on pedestrian safety, drowning and home safety and enacts programs in five cities across the country.

www.safekidsphilippines.org Safe Kids Philippines Philippine Pediatric Society Building Room 408 #52 Kalayaan Avenue, Barangay Malaya Diliman Quezon City Philippines

Jocelyn J. Yambao-Franco, M.D. Board President jjyfmd@yahoo.com Dr. Jocelyn J. Yambao-Franco, M.D. has served as Vice President of Safe Kids Philippines' Board of Directors since 2004. In 2012, she became President of the Board and serves as the interim Executive Director of Safe Kids Philippines. Dr. Yambao-Franco is also Chair of Pediatrics at Manila Doctor’s Hospital, United Doctors Medical Center and MCU-FDT Memorial Medical Center, as well as Research Coordinator at the Philippine Children’s Medical Center. Dr. Yambao-Franco has published six articles in the Philippine Journal of Pediatrics and participated in national societies such as the Philippine Pediatric Society, Philippine Ambulatory Pediatric Association and Philippine Medical Association, among others.

Safe Kids Worldwide 2013 Global Activity Report

| Philippines | 1

I. COUNTRY STATISTICS 98,601,0001 43,763,0001 Middle2

TOTAL POPULATION POPULATION AGE < 19 INCOME GROUP

$2,0602

GROSS NATIONAL INCOME PER CAPITA 1

Source: United Nations (UN) World Population Prospects (2011) Source: World Health Organization (WHO) Global Status Report on Road Safety (2013)

II. TOP FIVE INJURY RISK AREAS 1

RANKING

MORTALITY CAUSE

MORBIDITY CAUSE

NUMBER

RATE

PROPORTION

1,176

3.9

Falls

26%

Drowning

Road Traffic Accidents*

804

2.7

Cuts

16%

Other Accidents and Late Effects of Traffic Accidents

422

1.4

Animal Bites

15%

Undetermined

368

1.2

Burns

14%

Falls

194

0.6

Choking

12%

Source: Philippine Health Survey (2005); data refer to ages 0-14 years; rates per 100,000 children 2 Source: National morbidity data is not available. Morbidity figures are based prevalence of non-fatal home injuries reported in the Sake Kids Philippines Home Survey (2009) in three beneficiary cities. *Includes pedestrian, occupant and bicycle

III. ORGANIZATIONAL PRIORITIES Coalition Building

Encourage buy-in of national agencies by actively participating in national technical working committees. Involve local government units in implementing safety initiatives.

Fundraising

Identify possible funding sources and create/submit proposals for additional program funding.

Partnerships

Strengthen partnerships with private and public organizations as well as local government units and national agencies to extend reach.

Program

Implement, sustain and expand road and home safety programs.

Research

Monitor implementation of the road safety curriculum at elementary schools. Utilize data from the Philippine Network of Injury Data Management System, now a 22member organization spearheaded by the Department of Health.

Safe Kids Worldwide 2013 Global Activity Report

| Philippines | 2

IV. ACCOMPLISHMENTS (JULY 31, 2012 – JUNE 1, 2013) 1. Safe Kids Philippines completed implementation of the Model School Zone project at St. Andrews School in Paranaque City, Metro Manila. With the help of FedEx volunteers, Safe Kids Philippines reached more than 2,000 children through education sessions; engaged more than 20 stakeholders from local organizations and the national government to participate in the project; installed more than 15 road signs; and painted crosswalks. 2. As part of the Second UN Global Road Safety Week with the theme “Stop for Pedestrians,” Safe Kids Philippines requested the Metro Manila Development Authority to display pedestrian safety messages on LED boards along the roads. As a result, more than 320,000 drivers were reached daily, with a total of 1.5 million drivers reached from May 6-12, 2013. Safe Kids Philippines and FedEx also worked to raise awareness among drivers by distributing “Stop for Pedestrians” stickers. 3. On June 17, 2013, Safe Kids Philippines celebrated the ninth annual National Safe Kids Week at the Mall of Asia’s Music Hall. The event highlighted the program “Be Careful Child,” translated from “Ingat Bata,” launched in 2006 by the Department of Health to raise awareness of keeping children safe from injuries at home, on the road and at school. During the week, Walk This Way program schools in Pasay and Paranaque cities participated in a jingle singing contest as part of Ingat Bata. The winning songs were performed during the event at the Mall of Asia, attended by 177 children and 200 parents, caregivers and others. The event was also attended by Board Chair of Safe Kids Philippines and representatives from the Department of Health, Department of Transportation and Communication, Metro Manila Development Authority, the Philippine National Police, Department of Education, Department of Public Works and Highways, Council for the Welfare of Children and WHO.

V. PROGRAMS

A. WALK THIS WAY FOCUS

- Pedestrian Safety - There is a need for agencies, experts and road safety professionals to work together in advocacy and support of pedestrian safety programs. GOALS

- Educate students in the fifth and sixth grades on pedestrian safety through classroom lessons, interactive sessions and events at 50 schools across five cities. - Raise awareness of the importance of pedestrian safety among children ages 10-14 years, local government officials and employees, parents, teachers and other stakeholders. - Encourage participation of local and national governments at Walk This Way events and activities in cooperation with the Department of Education, Department of Transportation and Communication (DOTC), and the Department of Health. - Monitor implementation progress of the National Elementary School Curriculum on pedestrian safety (part of the Department of Education curriculum), including all Walk This Way curriculum content. LOCATIONS

- Pasay, Paranaque, Olongapo, and Cebu cities PARTNERS

- CEMEX (building materials) -

Department of Education Department of Health Department of Transportation and Communication (DOTC) FedEx

Safe Kids Worldwide 2013 Global Activity Report

| Philippines | 3

- National Council of Social Development - Philippine Global Road Safety Partnership VOLUNTEERS

- 596 FedEx volunteers participated in classroom lessons, interactive sessions and events in the past seven years. - 957 volunteers from non-governmental organizations participated in the past seven years including members of Feed the Children Philippines, Pasay City Barangay Health Workers Federation, Cebu City Task Force for Street Children and Open Heart Foundation Philippines. ACTIVITIES - Conducted pedestrian safety lectures during flag ceremonies and interactive sessions with students in the fifth and sixth grades. - Organized volunteer activities through coalitions to conduct classroom education sessions and lectures during flag ceremonies on pedestrian safety and to assist in organizing and supporting events, particularly National Safe Kids Week and International Walk to School Month. - Worked with the government on the revision, monitoring and implementation of activities for the Road Safety Action Plan through the Road Safety Management Teams at the DOTC. - Held Technical Working Committee meetings with the Department of Health to push for the Philippine Network for Injury Data Management System which integrates injury data among national agencies and hospitals. - With the Philippine Global Road Safety Partnership, planned projects to increase safety for child pedestrians as well as other road users. - Conducted research on children’s knowledge using pre and post-tests, walking conditions of children through walkability checks and on behavior of children and motorists through behavioral surveys. - Actively helped create the Families of Road Victims and Survivors Support Group. - Oriented Paranaque City teachers on support information to the Road Safety Curriculum for fifth and sixth grades. - Conducted 17,573 walkability checks in the past eight years with 2,275 walkability checks completed in FY13. - Reached 165,881 children during 2012-2013 through classroom and interactive sessions and events. - Administered 3,105 pre-tests and 3,824 post-tests staggered over the past year. Pre and post-test results, administered half a year and one year following educational sessions, showed improved knowledge among children on pedestrian safety, with significant information retention. - 6,636 children participated in National Safe Kids Week and International Walk to School Day activities in 2012. MODEL SCHOOL ZONE PROJECT

- Conducted the Model School Zone project, which aimed to improve pedestrian safety for children by modifying the environment at a school of the organization’s choice and sharing results of the initiative. The ultimate goal was to demonstrate that the Model School Zone project can be effective and adapted to benefit children in countries of varying resource levels, despite the diversity of risks and issues surrounding school zones. - Conducted road safety education sessions for fifth grade students at St. Andrews School. - Instructed fifth grade students on photography to present graphic evidence on walking conditions in and around the school. - Conducted road safety education sessions for parents and 152 employees of St. Andrew’s School. Participants were later invited to join National Safe Kids Week activities in June and International Walk to School Month activities in October. - Hosted stakeholder meetings to engage concerned agencies in keeping the school environment safe. - Conducted an intensive three-day assessment of the pedestrian environment in and around St. Andrews School using the School Zone Assessment Tool. - Painted six crosswalks with support of Barangay La Huerta and the Metro Manila Development Authority. - Cleared sidewalks along Quirino Avenue in La Huerta, Paranaque City by enforcing the law prohibiting motorcycles from parking on national highways. - Cleaned and painted the barrier along Quirino Avenue in front of St. Andrews School in partnership with Barangay La Huerta.

Safe Kids Worldwide 2013 Global Activity Report

| Philippines | 4

- Installed 19 road signs: school zone, speed limit, no loading and unloading anytime, no U-turn and hospital zone signs. - Students at the Metropolitan Manila Development Authority’s traffic academy learned and reviewed the fundamentals of traffic enforcement to enable them to issue traffic violation receipts. - Worked with St. Andrews School to construct a covered pedestrian walkway to protect students and other pedestrians from heat, rain and vehicles moving through the parking area. - Proposed the rerouting of St. Andrews School traffic during arrival and dismissal by opening another gate near St. Andrews Church. NATIONAL SAFE KIDS WEEK

- Celebrated annually every third week of June since 2006 to bring road safety messages to as many people as possible. - Announced the integration of road safety into the Department of Education’s school curriculum for fifth and sixth grades. - Launched the Model School Zone Campaign. - Held events in Paranaque, Cebu and Olongapo cities: Paranaque highlighted the Model School Zone project; Cebu distributed tarpaulins on celebrating National Safe Kids Week along with pedestrian safety tips to fifth and sixth graders at beneficiary schools; Olongapo held a poster making contest and painted two strategic pedestrian lanes in the city. - Traced the history and accomplishments of the Child Injury Prevention Program and Violence and Injury Prevention Program of the Department of Health, which considers Safe Kids Philippines as its strategic partner. - Held a Jingle Singing Contest with the theme “Ingat Bata! Continuing Safety at Home, on the Road and at School” with participation of Pasay and Paranaque beneficiary schools. INTERNATIONAL WALK TO SCHOOL MONTH

- Celebrated every October since 2006 to focus on safe walking environments for children as they walk to and from school. - Obtained a commitment from 20 Paranaque and five Pasay City schools to emulate the environment of a model school zone. UN GLOBAL ROAD SAFETY WEEK

- Conducted an advocacy walk supporting the Long Short Walk Campaign of Zenani Mandela for pedestrian safety on May 6, 2013. - Led a group of volunteers during the walk to distribute “STOP for Pedestrians!” safety stickers to be attached to bumpers or in strategic areas in their vehicles. - Disseminated the safety message “Pedestrian Safety is Everyone’s Concern.” - Posted a safety message for drivers on the Metro Manila Development Authority’s LED board with the pedestrian safety message “STOP for Pedestrians!” WORLD DAY OF REMEMBRANCE

- To sustain interest for the World Day of Remembrance for Road Traffic Victims, the Road Safety Management Teams of the DOTC planned a series of activities leading up to the day in November 2012. Safe Kids Philippines set up a Photovoice exhibit during a forum at the Philippine National Police Headquarters. The forum focused on the plight of road traffic victims and the Philippine Road Safety Action Plan.

Safe Kids Worldwide 2013 Global Activity Report

| Philippines | 5

VI. MEDIA RELEASES AND RECOGNITION TRADITIONAL MEDIA - Safe Kids Philippine’s projects on keeping kids safe in a school zone, along with statistics obtained by Safe Kids Philippines were featured on four major TV stations. - Garnered seven media impressions, with six in print and one online in the first quarter; 32 impressions in the second quarter, with nine in print, 18 online, four on TV and one on the radio; and two impressions in the fourth quarter with one in print and one online.

VII. LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION LAW FOCUS

DESCRIPTION

Bicycle

Local Ordinance 2008-068 provides safe parking facilities for bicycles and motorcycles in the central business district of Naga City. There are no existing laws or regulations pertaining to helmet use.

Fire and Burns

The Fire Code of the Philippines, or Presidential Decree No. 1185, repealed by Republic Act No. 9514, recognizes that fire prevention and suppression require the adoption of uniform fire safety standards, the incorporation of fire safety construction and provision of protective and safety devices in buildings and structures. Fire prevention and fire safety shall be given equal, if not greater emphasis as the suppression or extinguishment of fires. Fire prevention education shall be undertaken continuously involving all sectors of the community. Installation of fire alarms in public buildings is required; smoke detectors are not.

Home

Motorcycle

The Philippine National Building Code contains standards to safeguard life, health, property and public welfare, and to provide a framework of minimum standards and requirements to regulate and control the location of buildings, site, design, quality of material, construction, use and maintenance. The Child and Youth Welfare Code or Presidential Decree 603 contains provisions to ensure a child’s basic needs, whether physical, educational or emotional. This includes providing shelter and adequate supervision. Republic Act No. 10054, known as the “Motorcycle Helmet Act of 2009,” mandates that all motorcycle riders wear standard protective motorcycle helmets while driving and face penalties when not abided. The law mandates that all motorcycle riders and drivers should wear protective motorcycle helmets at all times. These requirements are currently under debate and are not inclusive of children. Based on recommendations and assessment by Safe Kids Philippines’ President (on leave), Dr. Rafael Consunji, the Philippine Pediatric Society issued a policy statement recommending that children not be permitted on motorcycles. However, if this is the only mode of transportation, children should be physically able to place their feet on the foot pegs, wrap their arms around and securely hold on to the driver and wear a helmet.

Safe Kids Worldwide 2013 Global Activity Report

| Philippines | 6

VII. LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION LAW FOCUS

DESCRIPTION

Pedestrian

Senate Bill No. 57, known as the â&#x20AC;&#x153;Road Safety for Children Act of 2007,â&#x20AC;? is up for ratification in the Senate. The act would institute a policy for national road accident prevention and safety awareness scheme for children and for other purposes. The explanatory note of the bill cited the research of Safe Kids to stress the urgency of the bill.

Playground

Facilities must be compliant with the National Building Code of the Philippines.

Poisoning

Recognizing the need to increase public awareness of preventive aspects of poisoning at home, in school, the workplace, and general environment, Presidential Proclamation No. 1777 of 2009 has designated the fourth week of June as National Poison Prevention Week. Letter of Instruction 986 established the National Pesticide Analytical Laboratories (NPAL) under the Bureau of Plant Industry (BPI) in major areas of the country. BIP and NPAL work together to monitor pesticides and provide analytical services to industry and regulatory agencies in an effort to monitor pesticide use in the field.

Product

Republican Act No. 7394 or the Consumer Act of the Philippines protects the interests of the consumer and promotes consumer protection against hazards to health and safety. ARTICLE 80: Special Packaging of Consumer Products for the Protection of Children states: The concerned department may establish standards for the special packaging of any consumer product if it finds that: a) the degree or nature of the hazard to children in the availability of such product, by reason of its packaging, is such that special packaging is required to protect children from serious personal injury or serious illness resulting from handling and use of such product; and b) the special packaging to be required by such standard is technically feasible, practicable and appropriate for such product. In establishing a standard under this Article, the concerned department shall consider: 1. the reasonableness of such a standard; 2. available scientific, medical and engineering data concerning special packaging and concerning accidental ingestions, illnesses and injuries caused by consumer product; 3. the manufacturing practices of industries affected by this Article; and 4. the nature and use of consumer products. The Consumer Act presents vague information and does not include details on child resistant packaging, small parts warnings or requirements for passing regulations prior to the sale of a product.

Safe Kids Worldwide 2013 Global Activity Report

| Philippines | 7

VII. LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION LAW FOCUS

DESCRIPTION

Road

Republican Act No. 4136, or the Land Transportation and Traffic Code, lists Traffic Rules that apply to road safety, such as speed limit and keeping to the right of the road, overtaking and passing of vehicles, right of way and signals, turning, parking and other traffic rules including no driving or parking on sidewalks.

School

The National Building Code of the Philippines, or Republic Act No. 6541, provides design, location, siting, construction, alteration, repair, conversion, use, occupancy, maintenance, moving and demolition of, and addition for, public and private buildings and structures. Schools are often clustered among government buildings.

School Bus

The Implementing Rules and Regulations of the Land Transportation Franchise and Regulatory Board give franchise to school buses, which are required to have a fire extinguisher, seat belts and screened or grilled windows. Noncompliance means revocation of franchise.

Vehicle Passenger

Other

The “Seat Belt Use Act of 1999,” or Republic Act No. 8750, requires mandatory compliance by motorists of private and public vehicles to use seat belt devices and requires vehicle manufacturers to install seat belts in all manufactured vehicles. This law prohibits children 6 years of age and younger from sitting in the front seat of any running motor vehicle. There are no current laws or activity mandating car seats for children. Executive Order No. 1137 was signed by the President, declaring National Safe Kids Week every third week of June. Driving Under the Influence – Republic Act No. 10586 is known as the “AntiDrinking and Driving Act of 2013″. This law makes it unlawful for any person to drive a motor vehicle while under the influence of alcohol, dangerous drugs or other similar substances. However, the law does not specify any level of intoxication. A person displaying the behavior of a person under the influence will be subjected to a field sobriety test and failing this can be tested using a breathalyzer if suspected of being under the influence of alcohol; or testing for drugs under Republic Act No. 9165 or the Comprehensive Dangerous Drugs Act of 2002. The implementing rules and regulations are still being crafted.

Safe Kids Worldwide 2013 Global Activity Report

| Philippines | 8

Qatar Safe Kids Worldwide established a presence in Qatar in 2013 through Hamad International Training Centre (HITC). HITC is part of Hamad Medical Corporation (HMC), the premier non-profit healthcare provider in Doha, Qatar and has a strong commitment to childhood injury prevention activities through programs and research. In 2012 and 2013, HITC focused its efforts on water safety, home safety, child passenger safety and technician training. Following training and certification by Safe Kids Worldwide, HITC will now offer Child Passenger Safety Technician (CPST) courses to increase awareness and knowledge of the use of child car restraints among professionals and members of the public. In September 2012, HITC launched the Kulluna for Health and Safety public awareness campaign (Kulluna is Arabic for “all of us”). Support for this program is provided through a five-year partnership between HMC and ConocoPhillips, a producer of oil and natural gas. The first phase of the campaign focuses on child safety and marked the beginning of the partnership between Safe Kids Worldwide and HMC.

www.hmc.org.qa Hamad International Training Centre P.O. Box 3050 Doha Qatar

Khalid Abdulnoor Saifeldeen, M.D. Director KSaifeldeen@hmc.org.qa

Dr. Khalid Abdulnoor Saifeldeen, M.D. graduated from the Royal College of Surgeons in Ireland and holds a Fellowship from the College of Emergency Medicine in the United Kingdom. Dr. Saifeldeen currently serves as Director of HITC at HMC and previously served as Chair of Emergency Medicine at HMC. He is Qatar’s focal point for violence and injury prevention within the World Health Organization and serves as the lead for Qatar’s National Emergency Healthcare development strategy. He is also Chairman of the Kulluna campaign. Dr. Saifeldeen is a strong believer in the need for creating a safety culture for child passengers in Qatar.

Safe Kids Worldwide 2013 Global Activity Report

| Qatar | 1

I. COUNTRY STATISTICS 1,979,0001 378,0001 High2

TOTAL POPULATION POPULATION AGE < 19 INCOME GROUP

$73,0602

GROSS NATIONAL INCOME PER CAPITA 1

Source: United Nations (UN) World Population Prospects (2011) Source: WHO Global Status Report on Road Safety (2013)

II. TOP FIVE INJURY RISK AREAS 1

RANKING

MORTALITY CAUSE

MORBIDITY NUMBER

CAUSE

NUMBER

Motor Vehicle Accidents

Falls

159

Drowning

Motor Vehicle Accidentsa

132

Falls

Motor Vehicle Accidentsb

Burns

Electrocution

ATV Injuries

Mortality data from Qatar Statistics Authority Vital Statistics, Annual Bulletin, Births and Deaths; data refer to ages 0-19 years (2011) Morbidity data from HGH Trauma Registry; data refer to ages 0-18 years (2009-2010) a Passenger-related injuries b Pedestrian-related injuries

III. ORGANIZATIONAL PRIORITIES

Programs

Extend the Kulluna child safety program efforts focused on water safety, home safety and child car seats in December 2013. Expand Kulluna in terms of capacity and outreach. Develop programs focused on water safety such as lifeguard training and learn to swim campaign to continue regulation efforts for swimming pools in Qatar. Conduct the third CPST course and train in-country CPST instructors for the first time.

Coalition Building

This is a key target area for HITC. The goal is to build a strong coalition network with other health and education sectors, the Ministry of Interior, etc.

Partnerships

There are a number of agencies in Qatar that have expressed interest in child safety. HITC is seeking partnerships with these agencies and is looking for additional sponsors for support of child car seat initiatives.

Fundraising

HITC mainly uses its own funds but is likely to have government and private funders on board in the future.

Research

Research on injury prevention is a key element of HMCâ&#x20AC;&#x2122;s current structure. Effort is underway to establish a dedicated research program on child passenger safety.

Safe Kids Worldwide 2013 Global Activity Report

| Qatar | 2

IV. ACCOMPLISHMENTS (JULY 31, 2012 â&#x20AC;&#x201C; JUNE 1, 2013) 1. Activities commenced in 2012 with the launch of the first-ever child safety campaign in Qatar; Kulluna for Health and Safety. Topics included water safety, home safety and the use of car safety seats for children. The Kulluna campaign will be re-launched and expended in December 2013, in conjunction with several other child-focused events. 2. HITC conducted two CPST courses since 2012, training people from Doha as well as the Middle East.

Safe Kids Worldwide 2013 Global Activity Report

| Qatar | 3

Saudi Arabia Safe Kids Worldwide established a presence in Saudi Arabia in 2013 through a partnership with the Ministry of Health (MOH), Kingdom of Saudi Arabia. MOH aims to strengthen their efforts in child injury prevention and control for the nine million children in the Kingdom and to gain access to experience from the global network. The MOH has a particular interest in addressing child road traffic injuries. The MOH is also focusing their efforts on home and school injuries among children.

www.injury.gov.sa/safekids Ministry of Health Kingdom of Saudi Arabia Riyadh 11176 Saudi Arabia

Faisal M. Alanazi, M.D. Director ksainjury@hotmail.com Dr. Faisal M. Alanazi, M.D. is an epidemiologist and Director of the Injuries and Accidents Prevention Program (IAPP) at the MOH, which he established for inclusion in the 2010-2019 MOH strategy. Dr. Alanazi also serves as the national focal point for prevention of injuries, violence and disabilities for the Kingdom of Saudi Arabia within the World Health Organization. For the past 10 years he has served as a representative for the health sector of national strategies related to injuries, such as the 2014-2023 national strategy for road safety and transportation. Dr. Alanazi also established a national electronic system for injury surveillance as part of IAPP.

Safe Kids Worldwide 2013 Global Activity Report

| Saudi Arabia | 1

I. COUNTRY STATISTICS 29,497,0001 11,042,0001 High2

TOTAL POPULATION POPULATION AGE < 19 INCOME GROUP

$16,6102

GROSS NATIONAL INCOME PER CAPITA 1

Source: United Nations (UN) World Population Prospects (2011) Source: WHO Global Status Report on Road Safety (2013)

II. TOP FIVE INJURY RISK AREAS 1

RANKING

MORTALITY

MORBIDITY

CAUSE

Road Traffic Injuries*

Falls

Burns

Road Traffic Injuries*

Struck by a Foreign Body

Burns

2 4

Falls

Poisoning

Animal Bites

Source: MOH Statistical Year Book (2012) *Includes pedestrian, occupant and bicycle

III. ORGANIZATIONAL PRIORITIES

Programs

Partnerships

Fundraising

Continue implementation of Injuries and Accidents Prevention Program (IAPP) with the aim to shift perceptions of injury prevention and reduce the incidence of injuries and death among children. Re-design and re-print the IAPP educational cartoon booklet for children on home, school and road safety in Arabic and include Safe Kids branding. Produce the first annual national report on child injuries as part of the national electronic injury surveillance system. Conduct 10 community workshops on home, school and road safety for 500 primary and secondary school teachers. Conduct 100 education lectures for employees of healthcare centers and hospitals. Conduct the first national workshop on Safe Kids Saudi Arabia with 20 speakers and 200 participants. Establish a scientific committee with experts in various sectors including medical, education, media, law, university, etc. Current funding comes from the MOH. If any other sponsors or resources become available, the number and size of activities will be increased.

Safe Kids Worldwide 2013 Global Activity Report

| Saudi Arabia | 2

III. ORGANIZATIONAL PRIORITIES Research

Conduct research on three topics: - Knowledge, attitudes and practices on injury prevention at schools - A survey on injuries among children within the home. - The burden of road traffic injuries among children.

Other

Prepare office space for Safe Kids Saudi Arabia and hire team members. Establish a website for Safe Kids Saudi Arabia. Establish the epidemiologic profile of children injuries in the Kingdom of Saudi Arabia and evaluate the magnitude, burden, incidence and characteristics of injuries through the national injury surveillance system. Build capacity and training for medical and non-medical workers in the field of injuries prevention.

IV. ACCOMPLISHMENTS (JULY 31, 2012 â&#x20AC;&#x201C; JUNE 1, 2013) 1. Designed, established and piloted the national injury surveillance system. 2. Objectives for child safety were included in national strategies. 3. Conducted the first lectures in schools on the importance of injury prevention.

Safe Kids Worldwide 2013 Global Activity Report

| Saudi Arabia | 3

Serbia Safe Kids Worldwide established a presence in Serbia in 2012 through a partnership with the National Center for Injury Prevention and Safety Promotion (NCIPSP). NCIPSP is an Affiliate Safe Community Support Center of the World Health Organizationâ&#x20AC;&#x2122;s Collaborating Center on Community Safety Promotion. NCIPSP aims to make Serbia a safer country for children by promoting effective projects and programs. The goal is to increase public awareness, help prevent injuries and violence among children, and reduce the frequency of injuries and accidents among children through collaboration with community groups, local corporations, businesses, organizations, associations, schools, healthcare establishments, government agencies and the general public. NCIPSP also aims to become the primary catalyst for making Serbia a safe community, creating a safe and healthy environment, and promoting a safe and healthy culture.

www.bezbednazajednica.org National Center for Injury Prevention and Safety Promotion Drage Spasic 13 21000 Novi Sad Serbia

Mirjana Milankov, M.D., Ph.D. Director drmirjana.milankov@gmail.com Dr. Mirjana Milankov, M.D., Ph.D. is the founder and Director of NCIPSP and is a specialist in social medicine. She also works as a preschool teacher and sports trainer at a vocational high school in Subotica City. Since 2002, Dr. Milankov has led the Safe Community Serbia project and serves as a Safe Communities expert for the World Health Organization. Since 2008, Dr. Milankov has served as Co-Chair of the European Safe Community Network and as Chair of the Southeast European Safe Community Network since 2009. She is the author and co-author of 12 monographs and 96 scientific and professional papers on injuries and injury prevention.

Safe Kids Worldwide 2013 Global Activity Report

| Serbia | 1

I. COUNTRY STATISTICS 10,187,0001 2,306,0001 Middle2

TOTAL POPULATION POPULATION AGE < 19 INCOME GROUP GROSS NATIONAL INCOME PER CAPITA

$5,6302

Source: United Nations (UN) World Population Prospects (2011) Source: WHO Global Status Report on Road Safety (2013)

II. TOP FIVE INJURY RISK AREAS RANKING

MORTALITY CAUSE

% OF TOTAL

Road Traffic

42%

Fire and Burns

20%

Self-Inflicted Injuries

17.1%

Falls

16.4%

Poisoning

4.5%

Database Institute for Public Health (2008), Vojvodina Province; data refer to children ages 0-14 years Mortality and Morbidity Database is insufficient

III. ORGANIZATIONAL PRIORITIES Fundraising

Seek support from additional sponsors and potential partners.

Partnerships

Establish new partnerships.

Program

Establish a Walk This Way pedestrian safety program and develop a traffic safety program.

Research

Conduct research on the trauma registry an on traffic safety.

Other

Begin building a coalition model in major cities.

Safe Kids Worldwide 2013 Global Activity Report

| Serbia | 2

IV. ACCOMPLISHMENTS (JULY 31, 2012 – JUNE 1, 2013) On May 21-22, 2013, the National Center for Injury Prevention and Safety Promotion (NCIPSP) and the Vojvodina Academy of Sciences and Arts hosted the Safe and Healthy Mothers and Kids Conference at City Assembly Hall in Novi Sad, Serbia with support from local organizations. The conference was attended by more than 50 guests from Serbia and abroad, including professors from Austria, Bosnia and Herzegovina, Croatia, Denmark, Estonia, Lithuania, Norway, Sweden, Slovakia and the United States; all members of the International Safe Community Network with designated Safe Communities. Opening and closing remarks were provided by Dr. Bo Henricson, who was instrumental in establishing Safe Communities in the Balkan Region, particularly in Vojvodina. The conference encouraged guests and experts to share best practices and exchange knowledge on improvement of health and quality of life for mothers and children, injury prevention and safety promotion, all part of WHO’s “Health in the 21st Century” strategy, which is part of the international Safe Community movement.

V. PROGRAMS

A. STOP PYROTECHNICS FOCUS

- Burns - In Serbia, celebrations such as New Year’s and Christmas are associated with the use of pyrotechnics such as torches, fireworks, firecrackers and sprinklers. Pyrotechnics are often sold illegally and in most cases are of dubious quality. As a result, children have easy access to pyrotechnics, often leading to injuries such as burns, contusions, eye damage, and amputation of fingers and hands. Most often, injuries occur among children ages 5-7 years and youth ages 14-18 years. Many of these children become permanently disabled and according to experts, treatment can last for months or years, with issues such as mental disorders remaining even after physical healing. GOALS

- Provide information to school children and youth about pyrotechnics, risks of using pyrotechnics, injury prevention and first aid. - Prevent injuries caused by pyrotechnics among school children ages 10-18 years. LOCATION

- Subotica City PARTNERS

- Red Cross, Subotica City - Faculty for Preschool Teachers and Sports Trainers VOLUNTEERS

- Ten students from the Faculty for Preschool Teachers and Sports Trainers in Subotica City ACTIVITIES - Questionnaire: 130 students aged 10-18 years participated in a questionnaire designed to reveal knowledge of safe pyrotechnics use. - Education Sessions: 50 children ages 10-18 years from an elementary school and secondary technical school in Subotica participated in education sessions conducted by the student volunteers. Results of the questionnaire were presented during education sessions, which focused on types of pyrotechnics, existing legislation, injury risks, injury prevention and first aid. - Sessions also included first aid demonstrations for injuries by volunteers from the Subotica Red Cross. - Evaluation: Participants demonstrated what they learned about injuries caused by pyrotechnics by administering first aid on the volunteer models.

Safe Kids Worldwide 2013 Global Activity Report

| Serbia | 3

B. UNINTENTIONAL INJURIES WHILE YOU ARE HELPING SOMEONE FOCUS

- All Risk Areas - In Serbia, children and youth typically do not learn first aid and basic safety measures until they attempt to pass their driving test. Thus, children often experience unintentional injuries while trying to help their friends or others in need, due to lack of knowledge. - Examples of injuries include burns; electric shocks to the hands or legs caused by touching electrical cables; moving an injured person before checking for fractures; and approaching an injured person without making sure the area is secure and free of any glass or other potentially dangerous materials. GOALS

- Improve first aid and basic safety knowledge among youth ages 15-18 years. - Prevent children from harming themselves while trying to help someone else. - Teach children about what they should do if they encounter someone who is injured. LOCATION

- Municipality Plandiste, Plandiste City PARTNER

- Red Cross Serbia VOLUNTEERS

- Five volunteers from the Red Cross ACTIVITIES - Conducted an educational program on avoiding unintentional injuries while helping others with 30 youth ages 15-18 years. The program was conducted by three Red Cross and NCIPSP volunteers at an elementary school. The first part of the program focused on concrete examples and most common mistakes that result in injury. Risk areas discussed included terrain safety, prevention of electric shocks and what to do after witnessing a car accident. The second part of the program focused on the importance of child supervision and preventing injuries such as burns. Instructions were provided on steps to take when an injury occurs.

C. EDUCATING CHLDREN ON FIRE AND BURN PREVENTION FOCUS

- Fire and Burn Prevention GOALS

- Provide an overview of fire prevention practices and existing discrepancies in the education field. - Improve knowledge of fire and burn prevention among school children ages 7-14 years. LOCATION

- Municipalities of Kovin and Novi Sad PARTNERS

- Fire and rescue units in Kovin municipality VOLUNTEERS

- One fire protection engineer and two firefighters from the volunteer fire brigade in Kovin ACTIVITIES - Conducted education sessions for 20 students on the importance of fire and burn prevention and what to do in case of a fire.

Safe Kids Worldwide 2013 Global Activity Report

| Serbia | 4

VI. MEDIA RELEASES AND RECOGNITION TRADITIONAL MEDIA - The Safe and Healthy Mothers Conference was covered by national and local television channels, radio stations and newspapers. - The chair of the Safe and Healthy Mothers Conference organizing committee was featured on local TV and radio news. - Other work and information about NCIPSP was featured in local newspapers, TV and radio news. SOCIAL MEDIA - Promoted the work of NCIPSP on Facebook. RECOGNITION AND AWARDS - NCIPSP received recognition from the AP Vojvodina Council and the City of Novi Sad Council.

VII. LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION LAW FOCUS

DESCRIPTION

Bicycle

There is no law for helmet use among cyclists.

Fire and Burns

Several guidelines are in place in regards to fire protection for children, such as family emergency escape plans.

Motorcycle

According to Article 91, All motorcyclists must wear a safety helmet. Specifically, “drivers and passengers on motorcycles, mopeds, tricycles and quadricycles must wear a homologated helmet, as stipulated by the manufacturer's declaration helmets.” Article 118: Children under 12 years of age cannot be transported on a moped, tricycle or motorcycle.

Vehicle Passenger

Children under 3 years of age must be secured in a child safety seat. All car occupants are required to wear seat belts.

Traffic Safety Law

Drivers and front seat passengers must wear a safety belt.

Safe Kids Worldwide 2013 Global Activity Report

| Serbia | 5

South Africa Safe Kids Worldwide established a presence in South Africa in 2007 through a partnership with Childsafe. Childsafe is a campaign of the Child Accident Prevention Foundation of Southern Africa (CAPFSA) that promotes optimal health and development of all children in South Africa. Childsafe aims to reduce intentional and unintentional injuries of all degrees of severity through research, education, environmental change and recommendations for legislation. To achieve this, Childsafe works in cooperation with government, industry, non-governmental and community-based organizations, community groups and individuals. Thousands of children in South Africa below the age of 18 years die as a result of road accidents, drowning, burns, poisoning, falls, choking and suffocation. Childsafe believes that every child has a right to grow and flourish in a safe environment without the threat of being hurt.

www.childsafe.org.za Childsafe Child Accident Prevention Foundation Of Southern Africa Red Cross War Memorial Children’s Hospital 6th Floor, ICH Building Rondebosch, Cape Town, 7700 South Africa

Professor Sebastian van As, Ph.D. National President sebastian.vanas@uct.ac.za Dr. Sebastian van As, Ph.D. has served as head of the Trauma Unit at the Red Cross War Memorial Children’s Hospital in Cape Town since 2000 and as Professor at the Department of Pediatric Surgery, School of Child and Adolescent Health at the University of Cape Town. He has been President of Childsafe since 2006 and was recently elected as President of the Global Road Safety Partnership in South Africa. Dr. van As has published more than 180 publications and was editor of a textbook on pediatric trauma and child abuse. In his various capacities, he has been active in a wide range of research projects, educational initiatives and advocacy roles for child safety, including injuries and abuse to children. Dr. van As is currently involved in 17 international collaborations that include academic institutions on all five continents, the Global Susy Safe Project, Safe Kids Worldwide, World Health Organization and United Nations Children’s Fund.

Safe Kids Worldwide 2013 Global Activity Report

| South Africa | 1

I. COUNTRY STATISTICS 51,319,0001 19,937,0001 Middle2

TOTAL POPULATION POPULATION AGE < 19 INCOME GROUP GROSS NATIONAL INCOME PER CAPITA

$6,0902

Source: United Nations (UN) World Population Prospects (2011) Source: World Health Organization (WHO) Global Status Report on Road Safety (2013)

II. TOP FIVE INJURY RISK AREAS RANKING

MORBIDITY CAUSE

NUMBER

Falls

2,399

Assaultsa

1,649

Other Injury Causes

1,293

Burns

1,088 b

Motor Vehicle Accidents

248

Source: Patients treated at Red Cross War Memorial Children’s Hospital in Cape Town (2011-2012); data refer to ages 0-12 years a Intentional injury b Includes pedestrian, occupant and bicycle Mortality data unavailable

III. ORGANIZATIONAL PRIORITIES Advocacy

Develop policy recommendations to alleviate child injury trends.

Education

Continue to expand the Safer Candle Project into more communities. Develop a “Playing Safely” poster.

Fundraising

Fundraise for a permanent Safe House.

Research

Use existing Child Injury Surveillance Database to increase awareness of the extent of child injuries through reports and papers.

Other

Expand staff.

IV. ACCOMPLISHMENTS (JULY 31, 2012 – JUNE 1, 2013) 1. Launched the Buckle Up program at the Red Cross War Memorial Children’s Hospital. 2. Established the Childsafe Research and Education Centre. 3. Implemented the Discovery Trust, Safe Travel to School.

Safe Kids Worldwide 2013 Global Activity Report

| South Africa | 2

V. PROGRAMS

A. NATIONAL CHILD SAFETY MONTH (AUGUST 2012) FOCUS

- All Risk Areas GOALS

Highlight various child injury risk factors in the home, school and community environment. Promote an integrated approach in child safety. Raise awareness about childhood injuries among injury prevention stakeholders, schools and the general public. Educate children on injury prevention and safety promotion measures. Emphasize the importance of child supervision to parents and caregivers by providing insight into children’s abilities and limitations based on their developmental stages. - Promote awareness of child safety and inform parents and caregivers on more effective ways to keep children away from harm. LOCATION

- Cape Town and the surrounding areas of Western Cape PARTNER

- Woolworths VOLUNTEERS

- Key stakeholders, members of general public and student interns ACTIVITIES - Conducted safety exhibitions at Red Cross War Memorial Children’s Hospital to promote safe practices among caregivers. - Conducted weekly Safer Candle Project demonstrations in the outpatient department of the hospital. - Distributed educational leaflets to parents and caregivers at the hospital. - Conducted child safety presentations at schools. - Hosted the Annual General Meeting at Red Cross War Memorial Children’s Hospital in August 2012 with sponsors, stakeholders and Childsafe staff to share annual financial reports. - Held safety exhibitions at exits and entrances of the children’s hospital.

B. SABC EDUCATION BABA INDABA FOCUS

- Home Safety - The Education Baba Indaba is an annual, three-day child safety expo focused on babies, toddlers and parents that is held in different provinces of South Africa. The expo aims to provide parents and caregivers with parenting tools through various exhibitor booths. Childsafe was invited to participate as a national charity and hosted a booth at all exhibitions. A portion of the proceeds went to Childsafe. GOALS

- Sensitize and increase awareness of child injuries in and around the home among the general public, parents, caregivers, children, politicians and key stakeholders. - Work toward getting childhood injury prevention on the political agenda. LOCATIONS

- Cape Town, Western Cape; Sandton and Pretoria, Johannesburg ACTIVITIES - Reached more than 5,000 families by providing valuable exposure to childhood injury prevention.

Safe Kids Worldwide 2013 Global Activity Report

| South Africa | 3

C. “YOU’RE BIGGER – BE THE ADULT” CHILD SAFETY COMMUNICATION CAMPAIGN FOCUS

- All Risk Areas GOALS

- Increase awareness among parents, caregivers and the general public of the high prevalence of child injuries in different communities. - Educate communities on ways to reduce injuries to children. - Work in partnership with Woolworths stores and introduce them as a caring brand that, alongside Childsafe, plays an active role in communities to help keep children safe. LOCATION

- Nationwide PARTNER

- Woolworths VOLUNTEERS

- Woolworths staff nationwide ACTIVITIES - Reached more than 10,000 families. - Provided valuable exposure and raised awareness of child safety in and around the home. - Designed and produced billboards with child safety messages. - Displayed child safety messages on taxis and buses. - Featured in radio and television advertisements that were broadcasted nationally. - Displayed child safety messages in Woolworths stores’ broadsheets.

D. COMMUNITY TALKS AND WORKSHOPS FOCUS

- General Home Safety GOAL

- Teach community groups, parents and caregivers about various home safety topics such as burns, poisonings, choking, etc., and provide information about preventative measures to help reduce the number of hospitalizations and deaths to children as a result of injuries. LOCATION

- Nationwide PARTNER

- Medical Education Center VOLUNTEERS

- General public, parents, caregivers and interns ACTIVITIES - Conducted Community Talks upon request by various groups such as clinics, community-based organizations, churches, primary schools, universities and day care facilities; or based on need. - The program reaches approximately 80 percent of the Western Cape population.

Safe Kids Worldwide 2013 Global Activity Report

| South Africa | 4

E. NURSES BURN CARE PROGRAM FOCUS

- Fire and Burn Prevention - This program was designed to deepen knowledge among nurses on prevention, management and treatment of burns in South Africa, to ensure they play a vital role in burn care management. GOALS

- Conduct monthly education sessions for nurses representing various clinics and hospitals throughout South Africa on causes and prevention of burns. - Ensure that nurses are equipped with the necessary child safety skills to work with patients. - Ensure that nurses include child safety information in their daily routines at work. LOCATION

- Red Cross War Memorial Children’s Hospital, Cape Town PARTNERS

- Children of South Africa - Wolanani, Western Cape College of Education VOLUNTEERS

- The program constitutes a multi-disciplinary hospital staff team of doctors, social workers, nurses and physiotherapists working in the care and treatment of burn patients. ACTIVITIES - Conducted a two-day training program at Red Cross hospital for nurses from different provinces that focused on various aspects of burn care, such as burn care and management, causes, treatment, prevention and rehabilitation. - The first day of the program consisted of an overview of burns that included microbiology, causes and treatment, rehabilitation and wound healing. Day two focused on the prevention of burns, wound assessment and dressing, pain and infection control, and nutrition for burns. - Each nurse that completed training received copies of safety pamphlets and the “Living Safely” burn prevention education poster produced by Childsafe. - The training reaches an average of 200 nurses annually.

F. CHILDSAFE SAFER CANDLE PROJECT FOCUS

- Fire and Burn Prevention - The Safer Candle Project was developed after research revealed that a significant number of children were injured or died as a result of burn-related injuries caused by fallen candles in their homes. A simple preventative measure was developed – a candle positioned in a large recycled jar filled with dry sand. GOALS

- Prevent burn injuries and death among children and destruction of property due to fires caused by fallen candles. - Raise awareness of the dangers of leaving candles unattended and ways to use them safely. - Facilitate and promote Safer Candles by using a large recycled glass jar, dry sand and shortened candles. LOCATION

- Nationwide as well as in Malawi, Zimbabwe and other African countries PARTNERS

Burn Foundation NFPA-USA City of Cape Town Fire and Rescue Services City of Cape Town Playparks (throughout Cape Town) City of Cape Town’s Disaster Planning Task Team

Safe Kids Worldwide 2013 Global Activity Report

| South Africa | 5

Department of Community Safety Department of Education Department of Health Directorate of Road Safety Management Health Promotion Department of Health Gauteng Province Medical Research Council Resources Aimed at Prevention of Child Abuse and Neglect Western Cape Department of Education, Health and Transport World Wildlife Fund

VOLUNTEERS

- Dorothy Schulman, a Childsafe volunteer, continued to manage the initiative, assisted by local and international volunteers from Red Cross War Memorial Children’s Hospital Friends Association. Pumla Mtambeka, Deputy Director of Childsafe, also conducted demonstrations for nurses attending the Burns Prevention Courses at the hospital and for community groups. ACTIVITIES - Conducted educational talks and distributed educational leaflets to nurses. - Conducted demonstrations on the use of Safer Candles and distributed candle jars along with educational leaflets to parents in outpatient waiting rooms of Red Cross children’s hospital, as well as community groups. Safer Candles and leaflets were also distributed to NGO partners in South Africa. Approximately 1,100 Safer Candle jar units and 550 leaflets were distributed in the past year throughout Bloemfontein, Beaufort West, Saldanha and Plettenburg Bay, and other African countries, such as Malawi and Zimbabwe. - Requested candle donations from South African retailers such as Woolworths. - Worked with the City of Cape Town’s Fire Prevention/Disaster Planning Task Team to provide ongoing recommendation in homes where candles are used for lighting. - Conducted the Emergency Services Fire Prevention Program in the City of Johannesburg for health promoters. - Held exhibitions in Cape Town and Johannesburg and distributed materials to attendees. - Safer Candle was featured on the World Wide Fund for Nature website during Earth Hour 2013. - Produced a video on the use of Safer Candles and an illustrated leaflet.

G. CHILDSAFE RESEARCH AND EDUCATION CENTRE FOCUS

- General Child Safety - The Red Cross War Memorial Children’s Hospital has started construction of a dedicated research and education center for Childsafe. GOAL

- Improve child safety and injury prevention efforts. LOCATION

- Red Cross War Memorial Children’s Hospital, Cape Town PARTNER

- Woolworths VOLUNTEERS

- General public and interns ACTIVITIES - The Centre will offer child safety education and skills training programs for patients and their families as well as the general public. - Provide valuable exposure and raise awareness of child safety, particularly in and around the home.

Safe Kids Worldwide 2013 Global Activity Report

| South Africa | 6

- Conduct research through collection of relevant trauma data. By providing input into child safety legislation, adequate and appropriate standards regarding children’s products and safer environments can be created. - The Centre will host a Safety Demonstration House modeled after existing lower-income households to provide information to parents and caregivers on the most optimal ways to assemble their homes, particularly bathrooms and kitchens, to help prevent injuries. - Childsafe’s trauma unit research database will continue to be managed with the help and dedication of volunteers and staff. The previously backlogged database of injury data is up to date and captures 7,818 patient cases. This represents a six percent decrease in childhood injury cases since 2011.

H. BUCKLE UP FOCUS

- Child Passenger Safety GOALS

- Raise awareness and advocate for use of child safety restraints. - Educate South African motorists on the importance of child passenger safety practices. LOCATION

- Nationwide PARTNERS

City of Cape Town Fire and Rescue Services Department of Community Safety Directorate of Road Safety Management Health Promotion Department of Health Gauteng Province Resources Aimed at Prevention of Child Abuse and Neglect Woolworths

VOLUNTEERS

- Department of Health and Department of Transport volunteers ACTIVITIES - Hosted a joint press conference with the Ministries of Health and Transport during the holiday season on road traffic safety for children in Western Cape Province. - Conducted interviews with all media types. - Provided information to the general public through a call center.

I. CHILD SAFETY RESEARCH EXPLORING AND EXAMINING THE PRACTICE OF CARRYING CHILDREN IN AFRICA (ONGOING) PARTNERS

Red Cross War Memorial Children’s Hospital, Department of Pediatric Surgery University of Cape Town, Department of Psychiatry University of Stellenbosch, Disaster for Sustainable Livelihoods and Mitigation Program University of Zimbabwe, Department of Geography and Environmental Science

TARGET POPULATIONS

- Mothers, caregivers and health professionals. METHODOLOGY

- Data collection and analysis comprised both qualitative and quantitative research methods. - A total of 100-200 household questionnaires were administered between Zimbabwe and South Africa with the aim to determine socio-demographic profiles of the target populations.

Safe Kids Worldwide 2013 Global Activity Report

| South Africa | 7

- Conducted field observations to determine who practices back-carrying; focus group discussions on caregivers and mothers’ perceptions of carrying their children; and key informant interviews with health professionals. - Using descriptive statistics to analyze quantitative data, complemented by qualitative data. EXPLORING THE DESIGN, IMPLEMENTATION AND UTILIZATION OF PEDIATRIC TRAUMA REGISTRIES: A CASE STUDY AT THE RED CROSS WAR MEMORIAL CHILDREN’S HOSPITAL, CAPE TOWN, SOUTH AFRICA (ONGOING) PARTNERS

- Johns Hopkins International Injury Research Unit - Red Cross War Memorial Children’s Hospital - University of Cape Town TARGET POPULATION

- Hospital patient records. METHODOLOGY

- Collect data, using hospital charts and records on injury type, number of days spent at the hospital, time and number of surgical procedures performed, and functional status of children admitted to the hospital with injuries. - Identified children admitted to the hospital for injuries through Childsafe’s Trauma Registry. - Using descriptive statistics to analyze quantitative data.

VI. MEDIA RELEASES AND RECOGNITION TRADITIONAL MEDIA - Conducted successful radio interview campaigns that reached more than 10,000 people during National Child Safety Month. - More than 250 articles were published in print media for the Buckle Up program. - Obtained exposure for the Buckle Up program through one TV channel and in 21 radio interviews. - Conducted three TV ads on burn prevention, road safety and drowning prevention. - Produced a video for the Long Short Walk conducted during the Second UN Global Road Safety Week. SOCIAL MEDIA - Updated the Childsafe website, which received more than 300,000 visits; an average of 271 visits per day. Website viewers are mainly South Africans; however a significant number are from the United States, China, Saudi Arabia, Australia and Singapore. - Childsafe opened a Twitter account and had 40 followers as of June 1, 2013.

VII. LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION LAW FOCUS

DESCRIPTION

Playground

All schools must ensure the physical safety of students.

Poisoning

Safe packaging of agricultural products is required.

Pool

Municipal bylaws include requirements for private pool fencing, nets or covers for the pool.

Rail

The National Railway Safety Regulator Act (2002) ensures the safety of all persons including children, and the environment.

Road

The National Road Traffic Act of 1996 stipulates that every driver must pass the K53 drivers’ license test.

Safe Kids Worldwide 2013 Global Activity Report

| South Africa | 8

VII. LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION LAW FOCUS

DESCRIPTION

School

All school governing bodies must maintain and improve school property.

School Bus

School buses cannot be overloaded. Children are not required to wear seatbelts.

Sports

All school governing bodies must administer and control property, buildings and school grounds.

Vehicle Passenger

Legislation stipulates that all passengers in a motor vehicle should wear a safety belt. It is the driverâ&#x20AC;&#x2122;s responsibility and legal obligation to ensure that children are buckled in a car safety seat, child restraint or safety belt where available. An adult is guilty of a criminal offense if he or she allows a child younger than 14 years of age to travel unrestrained in a motor vehicle equipped with safety belts or car safety seats.

Safe Kids Worldwide 2013 Global Activity Report

| South Africa | 9

South Korea Safe Kids Korea was launched and joined Safe Kids Worldwide in 2001. Its headquarters are in Seoul, South Korea (Republic of Korea). By partnering with various stakeholders, such as government agencies, corporations, non-profit organizations, schools and communities, Safe Kids Korea continues to be successful in reducing unintentional childhood injuries. The organization focuses on a variety of injury prevention areas, such as school, bicycle, home, fire, sports, water and pedestrian safety, and also equips children and adults with first aid knowledge and tools.

www.safekids.or.kr Safe Kids Korea 5F, Yonsei Foundation Y-Building, 565 Seongsan-ro, Seodaemun-gu Seoul, 120-160 South Korea

Jong-Deuk Hong Secretary General jdhong@safekids.or.kr Jong-Deuk Hong became Secretary General of Safe Kids Korea in 2005. Since 2000, he also works as a professor at MyongJi University. He previously served as a professor at Yonsei University and Dean of Academic Affairs at Korea Cyber University (currently SoongSil Cyber University). Jong-Deuk has experience working with the media and in public relations, fundraising and networking.

Safe Kids Worldwide 2013 Global Activity Report

| South Korea | 1

I. COUNTRY STATISTICS 49,973,0001 10,759,0001 High2

TOTAL POPULATION POPULATION AGE < 19 INCOME GROUP GROSS NATIONAL INCOME PER CAPITA

$19,7202

Source: United Nations (UN) World Population Prospects (2011) Source: World Health Organization (WHO) Global Status Report on Road Safety (2013)

II. TOP FIVE INJURY RISK AREAS 1

RANKING

MORTALITY CAUSE

MORBIDITY

NUMBER

RATE

CAUSE

NUMBER

RATE

55,488 50,608

Road Trafficc

137

1.75

Fall/Slipa

Drowning

0.64

Bumpb

Falls

0.47

Road Trafficc

2,419,04 8 2,187,61 8 939,861

Fires

0.19

Lacerations

639,762

14,588

Poisoning

0.01

Burns

231,429

5,418

21,088

Source: South Korean National Statistics on causes of death (2011); data refer to ages 0-14 years; rates per 100,000 children 2 Source: South Korean Ministry of Health and Welfare (2009); data refer to ages 0-19 years; rates per 100,000 children a Falling or slipping from an elevated surface b Hitting a hard surface such as a door, furniture, etc. c Includes pedestrian, occupant and bicycle

III. ORGANIZATIONAL PRIORITIES Coalition Building

Continue building relationships with local government organizations.

Fundraising

$577,000 (potential) Acquire sustainable business development for child safety.

Research

Pre and post-tests among child pedestrians. Conduct a school bus safety survey.

IV. ACCOMPLISHMENTS (JULY 31, 2012 – JUNE 1, 2013) 1. Established relationships with local governmental organizations and press contacts. 2. Increased the diversity of programs and risk areas. 3. Recruited facilitators – specialists in safety education who will provide effective safety education to children and help evaluate and improve Safe Kids Korea’s programs.

Safe Kids Worldwide 2013 Global Activity Report

| South Korea | 2

V. PROGRAMS

A. BUCKLE UP COURSE FOCUS

- Passenger Safety GOALS

- Encourage the correct use of car seats, booster seats and seat belts. - Conduct the program with 70 children ages 5-7 years. LOCATIONS

- Kindergartens and nurseries in Bucheon, Suwon and Anyang PARTNER

- Hanhwa General Insurance VOLUNTEERS

- Eight Hanwha General Insurance volunteers ACTIVITIES - Launched the program in May 2013. - Educated students by conducting activities during class and distributing safety tips on the correct use of car seats, booster seats and seat belts.

B. WALNUT BIKER CAMPAIGN FOCUS

- Bicycle Safety - Bicycle-related head injuries are a major cause of death in South Korea, yet only three percent of children wear helmets. Based on 2007-2011 police data, 8,805 children were injured and 58 children died as a result of bicyclerelated injuries. There is a lack of awareness about the importance of wearing helmets among the general public. While laws regarding helmets exist, there are no penalties for failure to follow them. - The “walnut” symbolizes a helmet. GOALS

- Teach children ages 14 years and younger how to ride a bicycle safely and the importance of wearing a helmet. LOCATION

- Nationwide, through Safe Kids Korea’s website PARTNER

- SsangYong Motor Company ACTIVITIES - Developed an online bicycle safety class on Safe Kids Korea’s website. - Conducted an online campaign inviting children to pledge to wear a bicycle helmet. - Selected 20 children who had signed the pledge and rewarded them with a free bicycle helmet. - Distributed 80 bicycle helmets to supporters of the online campaign. “Supporters” are campaign participants that complete an application to promote the campaign. - Recruited 16 families and conducted a Walnut Biker safety class at a traffic safety park for children. - Held a welcoming ceremony for former participants of the offline Walnut Biker safety class, who also acted as supporters and promoters of the campaign during the month of October.

Safe Kids Worldwide 2013 Global Activity Report

| South Korea | 3

C. HAPPY SCHOOL CAMPAIGN FOCUS

- All Risk Areas GOAL

- Prevent accidents among elementary school students in first and second grades at home, at school and on their way to and from school. LOCATIONS

- Seven elementary schools in Gyeongsangnam-do (Busan), Jeju, Gyeonggi-do (Henam, Ansan, Guri), Jeollabuk-do (Jeonju) and Gyeongsangbuk-do (Gumi) provinces: one school per province, per month in January, February, and June-August . PARTNER

- Samsung Fire & Marine Insurance VOLUNTEERS

- 140 Samsung Fire & Marine Insurance volunteers ACTIVITIES

- Selected an elementary school once a month with conditions deemed unsafe for children based on the Road Traffic -

Authority’s road safety index. Installed the Traffic Safety Experience Center for sharing road safety experiences, including traffic accident cases and ways to prevent accidents, crosswalk and traffic lights replicas. Installed notice boards with pedestrian safety tips, a Happy Road Map or school route and traffic sign examples. The notice boards were also made in the shape of a car and used to demonstrate how to cross the street safely. Distributed traffic safety tools such as crossing flags and rain coats to Children’s Traffic Guides. Conducted classroom education sessions and distributed Happy School Kits containing a first aid kit, reflectors, transparent umbrellas, safety lamps, and other safety tools to 1,407 children at seven elementary schools. Conducted seven Happy School donation ceremonies at selected elementary school auditoriums to increase parents’ and related agencies’ awareness of the campaign and promote continuous interest and aid. Invitees included Samsung Fire & Marine Insurance representatives, parents, police, education agencies, etc. An average of 40 people attended each ceremony. Supported the practicing of safe road behaviors at a traffic safety park.

D. ANGEL EYES CAMPAIGN FOCUS

- School Bus Safety GOAL

- Prevent school bus-related injuries among kindergarten children ages 4-7 years. LOCATIONS

- Kindergartens in Seoul, Incheon and Gyeonggi PARTNER

- S-oil Total Lubricants ACTIVITIES - Conducted 100 surveys with teachers and bus drivers to determine the safety of kindergarten school buses. (See survey results below.) - Revised the online school bus safety class for children, parents, teachers and drivers to contain updated statistics and accident cases.

Safe Kids Worldwide 2013 Global Activity Report

| South Korea | 4

- Selected 10 kindergartens once a month and installed the ‘Angel Eyes’ kit consisting of safety devices such as a rear camera, monitor, sensor and warning devices in school buses to prevent accidents caused by the rear blind zones of buses. - Educated 4,913 children from 60 kindergartens about school bus safety and distributed reflectors and certificates from August 2012 through May 2013. - Shared participating kindergarten’s impressions and photos on Safe Kids Korea’s website. RESEARCH SCHOOL BUS SAFETY SURVEY PARTNER

- S-oil Total Lubricants TARGET POPULATION

- 100 teachers and bus drivers at nurseries and kindergartens in Seoul, Incheon and Gyeonggi Province METHODOLOGY

- Survey on school bus safety KEY FINDINGS

- 21 percent of kindergartens do not install safety devices to prevent accidents caused by rear blind zones in school buses such as rear cameras, monitors, sensors and warning devices. - 13 percent of kindergartners do not wear seat belts in school buses. - 28 percent of kindergarten buses exceed seating capacity.

E. BE SAFE EVERYDAY FOCUS

- All Risk Areas GOALS

- Help children live and grow safely by teaching the importance of road, school and home safety, as well as first aid. - Conduct educational activities for 496 elementary school students, ages 7-13 years at childcare facilities. LOCATIONS

- 17 childcare facilities in Seoul, Gyeonggi and Chungcheongnam PARTNER

- Hanhwa General Insurance VOLUNTEERS

- 226 Hanwha General Insurance volunteers ACTIVITIES

- Educated students and provided tips on road, school, home and sports safety, as well as first aid. - Supported safe outdoor activities focused on traffic and fire safety, and included lessons on putting on a seat belt, using a fire extinguisher and learning about fire evacuation during visits to the Safety Experience Center with children. The center, opened in May 2010, is operated by the Seoul Metropolitan Fire and Disaster Headquarters and aims to improve the public’s ability to handle disasters such as traffic accidents, fire, earthquakes and typhoons. - Encouraged and increased children’s self-esteem through interaction with other children and volunteers. - Arranged for volunteers to visit a childcare facility once a month from April to November, where the children received safety education. - Conducted a survey with teachers who are appointed by the childcare facilities to promote safety. All survey participants indicated positive changes in children’s safety knowledge, attitudes and behaviors as a result of the program.

Safe Kids Worldwide 2013 Global Activity Report

| South Korea | 5

F. WALK THIS WAY FOCUS

- Pedestrian Safety - Pedestrian accidents are a leading cause of child injury and death in South Korea. Community child centers lack the manpower and resources for pedestrian education. GOALS

- Prevent pedestrian injuries, especially around school zones, by educating elementary school students, ages 7-13 years on pedestrian safety. - Provide children with the opportunity to develop sensible road safety behaviors. - Increase public awareness on child pedestrian safety through media exposure. - Increase knowledge and skills among teachers on how to effectively conduct pedestrian safety education in classrooms. LOCATIONS

- Elementary schools in Seoul and community child centers in Gyeonggi Province and in the cities of Seoul, Busan, Daejeon and Incheon. PARTNER

- FedEx VOLUNTEERS

- Eight FedEx volunteers ACTIVITIES - Conducted teacher training sessions for teachers of Community Child Centers. The centers are registered as child welfare facilities under the Child Welfare Act and provide comprehensive welfare services. - Assisted teachers in effectively conducting pedestrian safety education in classrooms by holding three teacher training sessions in Seoul, Daejeon and Busan. Training covered topics such as understanding road traffic accidents involving children, first aid theory and teaching methods for use of educational resources. - Helped students learn about child pedestrian safety through the Walk This Way curriculum, which includes a pedestrian safety book and DVD. - Measured knowledge, attitudes and behaviors among 300 students at Community Child Centers before and after pedestrian safety education. WALKING SCHOOL BUS PROJECT

- Determined a safe Walking School Bus route for 42 students of Yongkang Elementary School in Seoul to prevent accidents as they walk to and from school.

- Identified five Walking School Bus conductors to ensure a safe and environmentally friendly journey for children on their way to and from school.

- Gave children the opportunity to learn about and develop good road safety behaviors with Walking School Bus conductors. - Conducted a survey with 38 parents of 42 students who participated in the Walking School Bus in December. Thirtysix parents, 95 percent, felt that the project was helpful and meaningful in protecting children from accidents and dangerous situations around the school. MODEL SCHOOL ZONE PROJECT

- Selected Gumsan Elementary School as the target school for the project to improve pedestrian safety for children. - Investigated pedestrian conditions near elementary schools with stakeholders and children using photojournalism to identify hazardous areas for pedestrians.

- Repaired and enhanced the pedestrian safety environment around Gumsan Elementary school by installing skidproof pavement, adding directional signs for drivers and painting the walls outside of the school. - Held education sessions for students and administered 368 pre and post-traffic knowledge surveys. - Held an education session for parents and distributed letters with information about the project and new environmental modifications around the school.

Safe Kids Worldwide 2013 Global Activity Report

| South Korea | 6

PEDESTRIAN SAFETY DRAWING COMPETITION

- Held a drawing competition in October 2012 at Yoido Park in Seoul to increase awareness of road traffic accidents involving child pedestrians. - Recruited 39 students from 23 schools in three cities and their families to participate in the “Pedestrian Safety in 2050” competition with support of five FedEx volunteers. - Selected eight winning drawings and exhibited them online. Winners were awarded a certificate and a cash prize. “PREVENT DISTRACTED WALKING BEHAVIOR ” CAMPAIGN - Held an education session on distracted walking at a traffic park in Busan with 16 children and FedEx volunteers. Children were shown pictures of dangerous situations for child pedestrians and were asked to take a quiz on the pictures using O and X signs for answer selection. - 160 children from three preschools took the “Painted Hand Pledge” at the Busan traffic park, with participation of three FedEx volunteers. Children used painted hands as a stamp to promise not to walk distractedly. “2013 SAFE SEOUL FESTIVAL ” - Participated in the festival hosted by Seoul Metropolitan Fire and Disaster Headquarters, in support of UN Global Road Safety Week. - Provided pedestrian safety education and distributed the Walk This Way pedestrian safety books, an animation DVD and reflectors to 2,475 children and their families. - Hosted a photo exhibition with participation of the Safe Kids Korea mascot. RESEARCH PRE AND POST-TESTS FOR CHILD PEDESTRIANS PARTNER INVOLVED

- FedEx TARGET POPULATION

- 1,006 community childcare center students, ages 7-13 years METHODOLOGY

- Survey on changes in knowledge, attitudes and behavior before and after pedestrian safety education KEY FINDINGS

- Students’ knowledge and attitudes toward walking in and crossing the street improved. - Knowledge of walking in and crossing the street safely increased from 72 percent to 86 percent and from 80 percent to 89 percent, respectively. - Students’ attitudes toward walking in and crossing the street safely also showed positive improvement from nearly 73 percent to 79 percent.

G. MOM’S HAND CAMPAIGN FOCUS

- Pedestrian Safety - The injury rate among child pedestrians is highest in early March when school starts, in part because first grade students face unfamiliar circumstances on their way to school. GOAL

- Prevent road crossing-related injuries among children. LOCATIONS

- 249 elementary schools nationwide PARTNER

- Daekyo VOLUNTEERS

- 30 Daekyo volunteers and 249 police officers

Safe Kids Worldwide 2013 Global Activity Report

| South Korea | 7

ACTIVITIES

- Educated 61,200 first grade students at 249 elementary schools about how to cross the road safely. - Supported an outdoor activity at crosswalks in front of each school with volunteers who carried a yellow plastic placard resembling a “Mom’s Hand” to guide children safely across the street.

H. MESSAGE BOARD WITH THE 10 COMMANDMENTS OF CHILDREN SAFETY FOCUS

- All Risk Areas GOAL

- Prevent childhood unintentional injuries by raising awareness among families. LOCATIONS

- 573 Daekyo learning centers nationwide PARTNER

- Daekyo ACTIVITIES

- Developed contents and design and distributed 60,000 Message Boards with the 10 Commandments of Child Safety. The Commandments are as follows: 1. When not in use, cover electrical outlets with safety covers. 2. Do not place medicine or dangerous substances within the reach of children. 3. Put on protective equipment and stretch before and after exercise. 4. Cover sharp edges of furniture with soft buffer material. 5. Use a bright umbrella and wear bright-colored clothing in inclement weather (snow, rain, fog). 6. Install anti-slide devices in bathrooms and stairs to prevent slipping. 7. Look around during outdoor activities and remove dangerous objects. 8. Do not place furniture or other objects used as support near balconies or windows. 9. Know evacuation routes and how to use a fire extinguisher in case of fire. 10. Know emergency telephone numbers. - Encouraged families to post Message Boards in clearly-visible areas of the home, such as the front door or refrigerator, as safety reminders and ways to prevent accidents.

I. BIKE SAFETY SCHOOL FOCUS

- Bicycle Safety GOAL

- Teach elementary school students, ages 7-13 years about bicycle safety. LOCATIONS

- Traffic safety parks in Busan VOLUNTEERS

- Nine volunteers from traffic safety parks ACTIVITIES - Provided bicycle safety knowledge through an online curriculum and test for 31 students. - Tested bicycle safety skills through 10 courses at traffic safety parks. - Issued bicycle driver’s licenses to children who passed an on-site test on bicycle safety skills and an online test on bicycle safety knowledge.

Safe Kids Worldwide 2013 Global Activity Report

| South Korea | 8

J. CHILD BICYCLE DRIVING CERTIFICATION PROGRAM FOCUS

- Bicycle Safety GOAL

- Teach children about bicycle safety as part of the City of Seoul’s initiative for children to receive bicycle driving licenses, awarded by the Mayor of Seoul. LOCATION

- A Traffic Safety Park in Seoul PARTNER

- Seoul City ACTIVITIES - Worked with the City of Seoul to distribute applications for participation and conduct licensing tests. - Distributed applications for participation in the program. - Carried out the Child Bicycle Driving Certification program which consists of writing test and riding test. - Reached 484 elementary school students and provided certificates to 416 students who passed the test.

K. SAFETY PROGRAM FOR “SAFE COMMUNITY” FOCUS

- All Risk Areas GOAL

- Prevent injuries to children through safety education on road traffic, school safety, water safety, fire prevention, safety in public, home safety, sports safety and first aid. LOCATIONS

- Four elementary schools and 62 childcare facilities in Gwacheon City PARTNER

- Gwacheon City ACTIVITIES - Educated children during visits to each elementary school and childcare facility. - Provided safety education and comprehensive safety training for teachers. - Supported safe activities focused on traffic and fire safety during visits to the Safety Experience Center. - Conducted surveys with teachers to measure changes in children’s knowledge, attitudes and behaviors as a result of the safety program.

Safe Kids Worldwide 2013 Global Activity Report

| South Korea | 9

VI. MEDIA RELEASES AND RECOGNITION TRADITIONAL MEDIA - Generated 167 media hits and provided background information on child safety to nine media outlets: - Walnut Biker Campaign: 35 media hits including online and print articles and reached 223 people who participated in the online class. - Happy School Campaign: 71 media hits. - Walk This Way program: 33 media hits. - Mom’s Hand Campaign: 28 media hits. - Published a monthly e-newsletter and informational leaflet. SOCIAL MEDIA - Signed up for new Facebook and Twitter accounts. - Updated Safe Kids Korea’s website with activities, 2011 statistics and analysis of childhood injuries in Korea. RECOGNITION AND AWARDS - Safe Kids Korea won an excellence award in the volunteer sector of the “2012 Competition for Excellence in Safety Culture” from the Ministry of Public Administration and Security.

VII. LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION LAW FOCUS

DESCRIPTION

Bicycle

Helmets are recommended for children under the age of 13 years when riding a bicycle driven by an adult. Bicyclists should ride on designated bicycle lanes. If no bicycle lanes are available, they should ride on the road. Children may ride on a sidewalk and should ride slowly, stopping for pedestrians.

Playground

Playground equipment should meet the standards prescribed by law and receive check-ups more than once every two years.

Product

A declaration states that manufacturers must use child protective packaging for products and submit them for review to the Safety Certificate Authority.

School

Childcare facilities (with <100 people) can designate a school zone according to traffic conditions by the Chief of the National Police Agency and the Mayor. The law on school zone accidents was added to the 11 gross negligence accident laws in 2009. Drivers who are involved in a minor car accident in a school zone will receive a criminal penalty (2009). Such drivers will receive the penalty regardless of whether they reached an agreement with the victim(s).

School Bus

Vehicle Passenger

School bus drivers and managers should receive training on school bus safety. This is a recommendation; there is no penalty for not completing training. Whenever children exit a school bus, school bus drivers or teaching assistants should exit before the children and lead them to a safe place away from cars. Drivers and passengers are required to wear seat belts. Infants must be in a secure car safety seat.

Safe Kids Worldwide 2013 Global Activity Report

| South Korea | 10

Thailand Safe Kids Worldwide established a presence in Thailand in 2009 through a partnership with the Child Safety Promotion and Injury Prevention Research Center (CSIP). CSIP is a non-profit, hospital-based organization committed to promoting childhood safety in collaboration with existing programs such as Safe Communities, Safe Schools and Safety Helmet for Motorbikes. The Walk This Way pedestrian safety program was the first child safety program conducted by CSIP.

www.csip.org Child Safety Promotion and Injury Prevention Research Center (CSIP) Ramathibodi Hospital, Mahidol University Rama VI Road, Bangkok, 10400 Thailand

Adisak Plitponkarnpim Director aplitponkarnpim@gmail.com Professor Adisak Plitponkarnpim received his Master’s degree in Public Health from the Department of Public Health Sciences at the Karolinska Institute in Sweden. He was also a Stecker scholarship fellow at the Columbus Children’s Hospital in Ohio. Currently, Professor Plitponkarnpim serves as Director of CSIP’s Ambulatory Pediatrics and Child Adolescent Health Promotion Division, Department of Pediatrics, Faculty of Medicine at Ramathibodi Hospital, Mahidol University. He is also an associate professor of child health promotion, pediatric primary care and child abuse at Mahidol University.

Safe Kids Worldwide 2013 Global Activity Report

| Thailand | 1

I. COUNTRY STATISTICS 71,576,0001 18,778,0001 Middle2

TOTAL POPULATION POPULATION AGE < 19 INCOME GROUP

$4,1502

GROSS NATIONAL INCOME PER CAPITA 1

Source: United Nations (UN) World Population Prospects (2011) Source: World Health Organization (WHO) Global Status Report on Road Safety (2013)

II. TOP FIVE INJURY RISK AREAS RANKING

MORTALITY

CAUSE

MORBIDITY NUMBER

1,164

CAUSE

NUMBER

RATE

Road Traffic Accidents*

8,369

37.13

Drowning

Road Traffic Accidents*

613

Falls

6,111

27.11

Electrocution

Inanimate Mechanical Forces

4,356

19.32

Suffocation

Animate Mechanical Forces

880

3.91

Contact with Venomous Animals

749

3.32

5 1

Source: Child Safety Promotion and Injury Prevention Research Center (2011); data refer to ages 1-14 years. Mortality rates unavailable. 2 Source: Injury Surveillance Bureau of Epidemiology (2009); data refer to ages 1-14 years; rate per 100,000 children *Includes pedestrian, occupant and bicycle

III. ORGANIZATIONAL PRIORITIES Coalition Building/Partnerships

Develop a safety network with related agencies to work jointly on child injury prevention.

Communications and Marketing

Strengthen reach through the CSIP website, TV, radio and social media.

Fundraising

Seek funding for operational support and expansion of current child injury prevention programs.

Program

Partner with related safety organizations to develop programs for children under the age of 15 years, such as Safe Communities for Children, Safe Schools, Walk This Way, toy safety, baby product safety, playground safety, traffic safety, drowning, etc.

Public Policy and Advocacy

Expand public policy efforts by generating resources to support the governmentâ&#x20AC;&#x2122;s advocacy proficiency. Address child safety issues, such as Child Death Deliberation, product safety, child abuse network, toy safety network, etc.

Research

Conduct studies on child safety issues such as persistently dangerous provinces for children, safety rights of children, Child Death Deliberation, booster seats for kindergarten children, playground safety standards, toy safety standards, motorcycle safety and programs such as Walk This Way.

Safe Kids Worldwide 2013 Global Activity Report

| Thailand | 2

IV. ACCOMPLISHMENTS (JULY 31, 2012 – JUNE 1, 2013) 1. CSIP, the Wangsaiphun District Administration and other relevant agencies worked for the Tambon Wangsaiphun Community in Wangsaiphun District, Phichit Province to be designated as the 228th International Safe Community by the WHO Collaborating Center on Community Safety Promotion. 2. CSIP, the Talad Kriab Municipality and other relevant agencies worked for the Talad Kriab Municipality Community in Bang Pa-In District, Ayutthaya Province to be designated as the 229th International Safe Community by the WHO Collaborating Center on Community Safety Promotion. 3. CSIP, the Nan Municipality, and other relevant agencies worked for the Nan Municipality Safe Community to be designated as the 316th International Safe Community by the WHO Collaborating Center on Community Safety Promotion.

V. PROGRAMS

A. WALK THIS WAY FOCUS

- Pedestrian Safety GOALS

Increase education and awareness of safe road behaviors among children and teachers. Educate teachers on methods of teaching safe road behaviors to children. Increase awareness and recognition of the Walk This Way program and FedEx co-branded artwork and logo. Collect data on child pedestrian safety, knowledge, attitudes and behaviors, as well as injuries and mode of transport at four schools in three communities. - Encourage FedEx employees to participate in program activities. - Expand the reach of program activities to provinces outside of Bangkok. - Engage community leaders and policymakers in program activities and goals. LOCATIONS

- Schools: - Senanikom and Surao Sai Kong Din primary schools in Bangkok - Klongbangkeaw and Wat Bang Chalong Nai primary schools in Samut Prakan Province - Communities: - Eight communities in Bangkok – Lang Krom Thang Luang, Kong Rodfai Yommarat, Soi Dang Bu Nga, Blue Light, Sam Yak Klong Lao Lae, Phumphokrang, Wat Wisetkarn and Suwanprasit TARGET POPULATION

- Primary school students in grades one through six, ages 6-12 years, teachers, parents, community leaders and related agencies, general public and media PARTNERS

14 hospitals in 14 districts of Nan Province Asian Transportation Research Society Bangkok Metropolitan Administration Board of Community Empowerment for Injury and Disaster Prevention Crown Property of Bureau Department of Education Don’t Drink and Drive Foundation FedEx Global Road Safety Partnership Metropolitan Police Bureau

Safe Kids Worldwide 2013 Global Activity Report

| Thailand | 3

Ministry of Education Office of Welfare Promotion Protection and Empowerment of Vulnerable Groups Road Safety Directing Center Road Safety Group Thailand Thai Cycling Club Thai Health Promotion Foundation Traffic and Transportation Department Schools and communities in Bangkok and up-country

VOLUNTEERS

- 20 Safe Kids Thailand Club youth - 108 FedEx volunteers - 99 teachers (eight teachers from four targets schools and 91 teachers from the Teacher Training Workshop) - Eight community leaders ACTIVITIES - Conducted the Photovoice project at four schools (Senanikom, Surao Sai Kong Din, Klongbangkeaw, and Wat Bang Chalong Nai) with participation of 40 students and in eight communities (Lang Krom Thang Luang, Kong Rodfai Yommarat, Soi Dang Bu Nga, Blue Light, Sam Yak Klong Lao Lae, Phumphokrang, Wat Wisetkarn and Suwanprasit) with participation of 163 children. - Conducted a teacher training workshop about teaching students road safety behaviors for 99 teachers from primary schools in Bangkok and Samut Prakan Province. Once trained, teachers conducted education sessions for their students and administered pre and post-tests to 100 students from each school. A total of 9,100 students were reached as a result of the education sessions. PEDESTRIAN RESEARCH WITH CHILDREN

- Collected data on the travel mode, injuries and number of pedestrians among 3,045 students at four schools (Senanikom, Surao Sai Kong Din, Klongbangkeaw and Wat Bang Chalong Nai). - Conducted pre and post-tests on knowledge, attitudes and behaviors of 460 students from four schools (Senanikom, Surao Sai Kong Din, Klongbangkeaw, and Wat Bang Chalong Nai) and 214 children from three communities (Lang Krom Thang Luang, Kong Rodfai Yommarat, and Soi Dang Bu Nga). PEDESTRIAN SAFETY EDUCATION

- Used pedestrian safety walk rallies to educate 460 students on pedestrian safety at four schools (Senanikom, Surao Sai Kong Din, Klongbangkeaw, and Wat Bang Chalong Nai schools) and 337 children in eight communities (Lang Krom Thang Luang, Kong Rodfai Yommarat, Soi Dang Bu Nga, Blue Light, Sam Yak Klong Lao Lae, Phumphokrang,Wat Wisetkarn, and Suwanprasit). - Conducted “Pedestrian Safety in the Classroom” sessions with 2,995 students at three schools (Senanikom, Surao Sai Kong Din, and Klongbangkeaw). PUBLIC OUTREACH

Organized a Photovoice exhibition in Bangkok in January 2013. Conducted International Walk to School Day activities in November 2012. Organized Walk This Way activities to commemorate the Second UN Global Road Safety Week. Conducted Photovoice – Train the Trainer in Rayong Province in May 2013. Publicized findings of Walk This Way research. - 108 FedEx volunteers participated in the above-mentioned activities. MODEL SCHOOL ZONE PROJECT

- The Model School Zone project aimed to improve pedestrian safety for children by modifying the environment at a school of the organization’s choice and sharing results of the initiative. The ultimate goal was to demonstrate that the Model School Zone project can be effective and adapted to benefit children in countries of varying resource levels, despite the diversity of risks and issues surrounding school zones.

Safe Kids Worldwide 2013 Global Activity Report

| Thailand | 4

- Poolcharoenwittayakhom School in Bang Phli, Samutprakarn was selected for the project. - CSIP collected information to assess the current child pedestrian safety situation in areas surrounding the school. - Approximately 2,000 vehicles pass the school each day. There are no road signs indicating a school zone in surrounding areas. No sidewalk is present â&#x20AC;&#x201C; only a 20 meter footpath that leads to the school entrance â&#x20AC;&#x201C; forcing students to walk alongside the road on their way to and from school. Because students also share the narrow footpath with factory workers who are on their way to work, students often end up walking in the road.

B. CHILD SAFETY MANAGEMENT PLAN: PROCESS DEVELOPMENT FOR CHILD SAFETY EQUITY FOCUS

- All Risk Areas - A study on deaths of children ages 0-14 years due to injuries and violence conducted in 1999-2011 revealed that most deaths occur among low-income groups in urban areas with the most rapid economic and industrial growth. The study also revealed that there is a significant difference in child safety practices and policies between lowincome and other groups. In order to decrease child deaths in cities with rapid growth, all related sectors should participate in addressing child safety for all children equally. GOALS

- Set the minimum criteria for Child Safety Rights and the minimum level of safety for children in schools, childcare centers and in communities, among children ages 15 years and younger. - Set minimum safety standards at schools, daycare centers and the community. - Develop new methods of determining risks to high-risk groups at hospitals. - Conduct analysis on factors that influence injury and violence-related child deaths and correlation with poverty. - Obtain findings on child safety with follow-up and evaluation. LOCATIONS

- Four provinces: Samut Prakan, Chachoengsao, Kanchanaburi and Rayong TARGET POPULATION

- Children ages 15 years and younger PARTNERS

Board of Community Empowerment for Injury and Disaster Prevention Child Health and Child Development Network and Media Child Protection Network Consumer Protection Network Mahidol University Ramathibodi Hospital Safety Network Thai Health Promotion Foundation

VOLUNTEERS

- Safe Kids Thailand Club youth volunteers ACTIVITIES PERSISTENTLY DANGEROUS PROVINCES FOR CHILDREN AND SAFETY RIGHTS OF CHILDREN

- Studied factors influencing child deaths caused by injury and violence and the relationship between injury and poverty in cities with social change as a result of industrialization. - Drafted criteria for at-risk schools, daycare centers and communities. Criteria were based on a study of factors related to child deaths caused by injuries and violence in relation to poverty in cities, as well as social change as a result of industrialization among children ages 15 years and younger at schools, childcare centers and in communities.

Safe Kids Worldwide 2013 Global Activity Report

| Thailand | 5

BEHAVIORAL AND ENVIRONMENTAL RISKS TO HIGH- RISK GROUPS IN THE COMMUNITY, SCHOOL AND DAYCARE CENTERS

- Determined risks for high-risk groups in hospitals, schools and daycare centers, and conducted preventative activities such as education sessions. - Conducted follow-up and evaluation. CHILD DEATH DELIBERATION

- Collected information on child death rates from external factors in Bangkok and six provinces. - Organized meetings on Child Death Deliberation (CDD) caused by injury and violence. - Supported the local team in proposing preventative action plans and solutions to prevent child deaths. Disseminated information in communities. - Called for national multi-disciplinary collaboration meetings. SAFETY NETWORKING MOBILIZATION

- Child Protection Network: - Examined the causes of child deaths through the Board of CDD and the National Board of Juvenile Protection. - Studied children with occupational risks, such as child boxing, through the Office of Welfare Promotion, Protection and Empowerment of Vulnerable Groups, Ministry of Social Development and Human Security. - Consumer Protection Network: - Promoted safe playgrounds through the Board of Safety Protection for Safe Playgrounds, Office of Consumer Protection. - Verified unsafe products and items for babies through the Board of Product Testing Center, Office of Consumer Protection. - Promoted the use of child helmets through the Thai Industrial Standards Institute. SAFETY NETWORK

- Mobilized the Safe Community through designation by WHO’s Board of Community Empowerment for Injury and Disaster Prevention. - Encouraged safe school policies based on the International Safe School standards through the Bureau of Academic Affairs and Educational Standards, Ministry of Education. - Promoted pedestrian safety through the Walk This Way program, the Board of Safe Pedestrians for Students, Board of Law Enforcement, Road Safety Directing Center and the Ministry of the Interior. - Promoted drowning prevention through the Board of Drowning Prevention and the Injury Prevention and Control Board, Ministry of Public Health. CHILD HEALTH AND DEVELOPMENT NETWORK

- Promoted the pediatrician network. - Developed child safety centers at hospitals through the Pediatrician Network and the Royal College of Thai Pediatricians. - Proposed a draft standard of childcare centers through the Ministry of Social Development and Human Security, the Provincial Office for Local Administration and Department of Health. - Developed public networks through media outlets and the Internet.

C. SAFE COMMUNITY: INTEGRATED MANAGEMENT OF COMMUNITY SAFETY FOCUS

- All Risk Areas - Injury, violence and natural disasters are the leading causes of death worldwide. The WHO’s Collaborating Center on Community Safety Promotion, the coordinating body for the Safe Community movement, promotes that "Safety is essential to maintaining good health of the people." Therefore, people should have the right to live in a safe environment. It is the community’s responsibility to establish and maintain well-being within their community. This project was launched in November 2012 and is expected to be completed in April 2014.

Safe Kids Worldwide 2013 Global Activity Report

| Thailand | 6

GOAL

- Implement the Safe Community program in 100 communities and encourage them to create safer environments for the general public and address accidents, pollution, agricultural hazards, violence, natural disasters, etc. LOCATIONS

- 100 communities TARGET POPULATION

- Children, families, the disabled and elderly, and community networks PARTNERS

Centre for Road Safety Environment Committee (Community Environment Subcommittee) Consumer Protection Committee (Subcommittee of the sub-district Administrative Organization) Municipalities National Safety Council WHO Collaborating Center for Safe Community

VOLUNTEERS

- Safe Kids Thailand Club youth, communities, schools, childcare centers and parents ACTIVITIES - Strengthen 100 communities and link the network by naming community champions and a community team to address nine key issues for a safe community. - Drive the governmentâ&#x20AC;&#x2122;s policy on the Safe Community program. - Advocate for a Safe Community Network on the national and international level.

D. CHILD DEATH DELIBERATION 2011-2013 FOCUS

- All Risk Areas - Child Death Deliberation (CDD) is a tool used to understand the causes and factors of child deaths caused by accidents and violence. CDD results are expected to lead to the prevention of child deaths as they will influence policies and practices at the local and national levels. GOALS

- Conduct more accurate and informative analysis for CDD. - Monitor the number of child deaths caused by accidents and violence. - Analyze unsafe behaviors of children ages 15 years and younger, dangerous environments and products related to child deaths. - Encourage faster and more efficient performance of departments involved in CDD. LOCATIONS

- 10 provinces PARTNERS

Board of Community Empowerment for Injury and Disaster Prevention Mahidol University National Board of CDD Thai Health Promotion Foundation Provincial Board for Juvenile Protection Provincial Board of CDD Ramathibodi Hospital

VOLUNTEERS

- Safe Kids Thailand Club youth and the CDD team (social workers, health sector workers, police, etc.)

Safe Kids Worldwide 2013 Global Activity Report

| Thailand | 7

ACTIVITIES - Collected data on child deaths related to injury, violence and natural disasters. - Held meetings with multi-disciplinary professionals, the National Provincial Boards of CDD and population registration officers in Bangkok every three months to determine preventative solutions to child deaths. - Published a public report and conducted injury prevention education sessions. - Established the national and provincial boards of CDD. - The Provincial Board of Juvenile Protection adopted CDD as a compliance tool with the Act of Child Protection, 2003. - Proposed injury and death prevention guidelines for children to the public via media. - Developed the provincial working team to collect data on child deaths. - Reported on the situation of child deaths from external causes, such as accidents and violence, in 10 pilot provinces totaling 332 cases. - Conducted the child death deliberation process in six provinces (Nan, Phichit, Buriram, Sa Kaeo, Phranakhon Si Ayutthuya and Songkhla) which included: - Collecting in-depth data from interviews with parents, caregivers, witnesses and any involved officials. - Conducting deliberation meetings for each individual case to establish guidelines for prevention of future deaths. - Preparing a report on deliberation results to present to agencies charged with taking action. - Extended the use of deliberation results of children ages 18 years and younger from external causes to 11 pilot provinces: Nan, Phichit, Buriram, Sa Kaeo, Ayutthaya, Songkhla, Rayong, Kanchanaburi, Samut Prakarn, Chachoengsao and Nakhon Nayok. - Conducted four District Registration Officials meetings on development of child death data collection within the Bangkok Metropolis. Meeting discussions focused on analysis of 123 child deaths from 35 districts in Bangkok. Meeting attendees were able to divide the causes of death into 16 categories: drowning, traffic accidents, suffocation, physical assault and other types of violence.

E. HOME AFTER SCHOOL FOCUS

- All Risk Areas - Many working parents cannot be at home to supervise their children after school. This program aims to organize an after school program with the help of volunteers. GOALS

- Encourage children ages 15 years and younger to be productive after school and to stay safe. - Assist parents who work late with care of their children. - Supervise children to prevent potential accidents while playing outdoors after school. LOCATIONS

- Seven communities in Ratchathewi District, Bangkok PARTNERS

- Ministry of Public Health - Ratchathewi District Office, Bangkok VOLUNTEERS

- Family and community members - University students ACTIVITIES - Organized working group meetings to discuss the schedule and organization of various after school activities for 250 children. - Invited volunteers to be guest speakers and study mentors for children.

Safe Kids Worldwide 2013 Global Activity Report

| Thailand | 8

- Organized two off-site field trips for children from the seven selected communities to educate them about the importance of safety such as crossing the road safely and wearing a bicycle helmet. - Presented the project during a forum and other meetings related to children in communities with participation of the National Health Assembly and Ministry of Public Health.

F. MOTORCYCLE SAFETY RESEARCH RISK BEHAVIORS AND MOTORCYCLE USE FOR TRAVEL FROM HOME TO SCHOOL AMONG CHILDREN IN PRESCHOOLS AND SIXTH GRADE TARGET POPULATION

- Children in preschool, ages 2-6 years and sixth grade children, ages 12-13 years METHODOLOGY

- Retrospective descriptive research - The study was conducted using an observation checklist with 4,500 children from 75 kindergartens and 25 childcare centers in nine provinces (Bangkok, Samut Prakarn, Ayutthaya, Kanchanaburi, Chachoengsao, Rayong, Buriram, Phichit and Nan). A checklist was conducted for each child traveling as a passenger on a motorcycle. - CSIP organized a national press conference to reveal findings. KEY FINDINGS

- Research revealed that only 304 of 4,500 or 6.8 percent of children wore a helmet while riding on a motorcycle as a passenger. - 1,109 or 24.5 percent of younger children were seated in the rear of the motorcycle and had to hold on to the driver with their arms. - Sixty-seven children or 2.3 percent were reportedly involved in vehicle collisions while riding as a passenger. Most accidents involved falling and overturned vehicles, but no crashes. Seventy-four children or 2.6 percent were involved in accidents that did not involve a crash while 17 children or 0.6 percent fell off a vehicle in an accident not involving a crash. Forty-three or 1.5 percent of children nearly fell off a vehicle when it fell or overturned, but did not involve a crash. - Research also focused on underage driving among children in the sixth grade. A total of 2,935 children from 55 primary schools in nine provinces (Bangkok, Samut Prakarn, Ayutthaya, Kanchanaburi, Chachoengsao, Rayong, Buriram, Phichit, and Nan) participated in the questionnaire. Research revealed that 1,627 children or 57 percent could drive a motorcycle on their own. - Data will be used to develop guidelines for prevention of accidents, environmental modifications and safety devices.

VI. MEDIA RELEASES AND RECOGNITION TRADITIONAL MEDIA - More than 50 news releases were sent to TV, radio, newspapers and magazines. - CSIP was featured in more than 40 news stories on child injury prevention on TV and radio and in news publications. SOCIAL MEDIA - Successful reach through online communications such as the CSIP website, Facebook and YouTube.

Safe Kids Worldwide 2013 Global Activity Report

| Thailand | 9

VII. LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION LAW FOCUS

DESCRIPTION

Drowning

Child Drowning Prevention Policy is administered by the Ministry of Public Health.

Motorcycle

Encouraged domestic manufacture of helmets for children ages 2 years and older. CSIP works with domestic manufacturers to develop child helmets and with policymakers to initiate a child helmet standard policy.

Playground

CSIP successfully advocated for the establishment of an academic committee Monitor the use of child helmets with the Injury and Disaster Prevention for playground standards. The Ministry of Industry set up playground Department, Ministry of Public Health, and Road Safety Center. standards committees responsible for creating national playground standards. According to the Thai Traffic Act, if a passenger does not wear a helmet, both Warning labels and instructions for use must be attached to playground the passenger and the driver will be fined. equipment.

Poisoning

CSIP’s goal Substance is to help pass Hazardous Act a new draft standard for helmets. Public Health Regulation, Food and Drug Administration

Pool

Bangkok Metropolitan Regulation has environment and sanitation regulations in place for swimming pools as part of the Building Control Act.

Product

The Product Verification Center was established for regulation of products deemed unsafe. The Center monitors safety levels of baby walkers, roller skates, water coolers and toys. National standards are in place for playground equipment and toys. Standards still need to be passed for appliances, other products for children and substances containing BPA. CSIP pushed for product safety law enforcement in collaboration with the Office of Consumer Protection, which has the enforcement authority for unsafe products.

School

Safety standards for childcare centers have been established in collaboration with the Provincial Office for Local Administration, Ministry of Social Development and Human Security, Department of Health, Ministry of Public Health, and Bangkok Metropolitan. CSIP contributed to the drafting process of standards. Successfully advocated for the establishment of the “Safety Standards for Childcare Centers,” passed by the Ministry of Social Development and Human Security, the Bureau of Woman and Child Welfare Protection, Department of Social Development and Welfare and the Bureau of Social Development and Welfare, Bangkok Metropolitan Administration.

Sports

Proposed Bill for Safety Promotion in Sports and Recreation for Children, to the Ministry of Social Development and Human Security.

Vehicle Passenger

The Road Traffic Act requires children to be restrained in car safety seats or buckled in a seat belt.

Safe Kids Worldwide 2013 Global Activity Report

| Thailand | 10

VII. LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION LAW FOCUS

Other

DESCRIPTION Established Child Safety Indicators based on World Fit for Children. Established the Board of Community Empowerment for Injury and Disaster Prevention and Safe Community policy supervised by the Board. Established Board of Bangkok â&#x20AC;&#x201C; Safe City for Kids. Established the National Board of CDD supervised by the National Board of Juvenile Protection.

Safe Kids Worldwide 2013 Global Activity Report

| Thailand | 11

Uganda Safe Kids Worldwide established a presence in Uganda in 2003 through the Injury Control Center – Uganda (ICC-U). ICC-U delivers injury prevention programs through three coalitions in the Mbale, Gulu and Kampala areas and is currently developing injury surveillance systems at hospitals. ICC-U also provides training for injury prevention specialists, conducts injury research, advocates for road and home safety and develops injury prevention programs in schools and Ugandan homes.

www.iccu.or.ug Injury Control Center – Uganda P.O. Box 7072, Old Mulago Hospital Kampala Uganda

Mable Nakitto Tomusange Executive Director tatiana_mabele@yahoo.co.uk Mable Nakitto Tomusange is the Executive Director of ICC-U and has been with the organization for 11 years. She obtained her Bachelor’s and Master’s degrees in Library and Information Sciences and is certified in Project Management and Planning. Mable’s past experience includes administration, community work, injury prevention and information management. She also served as a member of the Chartered Institute for Logistics and Transport and as Eastern Regional Representative for the Injury Prevention Initiative for Africa.

Safe Kids Worldwide 2013 Global Activity Report

| Uganda | 1

I. COUNTRY STATISTICS 36,889,0001 21,711,0001 Low2

TOTAL POPULATION POPULATION AGE < 19 INCOME GROUP GROSS NATIONAL INCOME PER CAPITA

$5002

Source: United Nations (UN) World Population Prospects (2011) Source: World Health Organization (WHO) Global Status Report on Road Safety (2013)

II. TOP FIVE INJURY RISK AREAS RANKING

MORTALITY

MORBIDITY

CAUSE

Road Traffic*

Falls

Burns

Road Traffic*

Burns

Stabs and Cuts

Animal/Snake Bites

Source: Regional referral hospital surveillance (2010), ranking refers to ages 0-14 years. National data not available. *Includes pedestrian, occupant and bicycle

III. ORGANIZATIONAL PRIORITIES Coalition Building

Strengthen existing coalitions in Mbale, Gulu and Kampala.

Fundraising

Raise funds, particularly from local potential sponsors.

Partnerships

Strengthen existing partnerships and gain new ones.

Program

Engage school children in road safety programs in Kampala and initiate a school-based violence prevention program in post-conflict Gulu.

Research

Develop a research agenda for childhood injury in Uganda.

Other

Train health workers on trauma management and laypersons (traffic police, teachers, community leaders, etc.) on first-response. Support the hospital-based surveillance system.

IV. ACCOMPLISHMENTS (JULY 31, 2012 – JUNE 1, 2013) Sustaining the Injury Control Center – Uganda with the bare minimum of funding.

Safe Kids Worldwide 2013 Global Activity Report

| Uganda | 2

V. PROGRAMS

A. UN GLOBAL ROAD SAFETY WEEK FOCUS

- Pedestrian Safety GOALS

- Improve pedestrian safety knowledge among school children aged 4-21 years. - Create safe environments for children near schools. - Contribute to the reduction of child pedestrian injuries in Uganda. LOCATION

- Nationwide PARTNERS

- Ministry of Health - Mulago National Referral Hospital - Prestige Driving School - Sunrise Primary School - Traffic Police - University of South Africa - WHO ACTIVITIES - Painted five zebra crossings and installed 10 road signs around five primary schools in downtown Kampala. - Produced and distributed 2,000 pedestrian safety flyers to school children in Kampala. - Conducted school safety audits. - Created a road safety poem and song to be used for future advocacy and education activities with children. - Trained school traffic crossing guards. - Conducted media outreach and coverage (TV, radio and print).

B. DROWNING RESEARCH INCIDENCE OF DROWNING IN LAKE VICTORIA AND SURROUNDING COMMUNITIES PARTNER

- WHO TARGET POPULATION

- Children ages 18 years and younger and their families living near Lake Victoria. METHODOLOGY

- Descriptive cross-sectional study. STUDY GOALS

Determine risk factors associated with drowning. Determine fatal versus non-fatal rates of drowning. Review drowning prevention initiatives. The study is underway; results will be available in 2014.

Safe Kids Worldwide 2013 Global Activity Report

| Uganda | 3

VI. MEDIA RELEASES AND RECOGNITION TRADITIONAL MEDIA ICC-U was featured on three television channels: NBS, UBC, and WBS; in one radio and one television interview; in three newspapers: Monitor, New Vision, and Observer; and in a journal article about roads. SOCIAL MEDIA ICC-U promoted their work on their website and Facebook page.

VII. LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION LAW FOCUS

DESCRIPTION

Drowning

There is no legislative activity on drowning prevention. Findings from the upcoming drowning study with WHO will guide future advocacy efforts.

Fire and Burns

No laws and no legislative activity, although school safety standards regarding fires have been recommended by the government.

Home

There are no laws pertaining to home safety in Uganda. Through advocacy efforts, there is a possibility of standards being developed in the future.

Motorcycle

Helmets are required for both commercial motorcyclists and their passengers, but not children. However, adult compliance is very low. There are no child helmets on the Ugandan market. ICC-U is planning advocacy in the future.

Open-Water

There are some regulations in place, including life jacket use.

Passenger Pedestrian

ICC-U is planning advocacy in the future.

Playground

Embedded within school regulations.

Poisoning

No legislative activity on this topic. Findings from the paraffin study with WHO, Pediatric Association of Uganda and the South African Paraffin Safety Association will guide future advocacy efforts. Study results not yet accessible.

Pool

Regulations exist for private pool owners only. There are no public pools in Uganda.

Product

Potential standards and/or regulation of products by the standards agency, Uganda Bureau of Standards.

Rail

The Ministry of Works and Transport has regulations in place pertaining to rail safety, but none pertaining specifically to children.

Road

The Road Safety Act exists but needs review as it mainly focuses on adults.

School

The Ministry of Education and Sports has regulations in place pertaining to school safety. The Education Standards Agency overlooks school safety.

Safe Kids Worldwide 2013 Global Activity Report

| Uganda | 4

VII. LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION LAW FOCUS

DESCRIPTION

School Bus

The Standards Agency for Education has regulations in place regarding school buses. For example, all vans transporting children should be appropriately labeled.

Sports

Embedded within school regulations.

Vehicle Passenger

Laws exist for adult seatbelt use only. There are no car safety seats or seatbelt laws for children in Uganda.

Water

Water safety is a neglected area in Uganda. Some regulations pertaining to water safety exist, but they are outdated and require review.

Safe Kids Worldwide 2013 Global Activity Report

| Uganda | 5

United Arab Emirates Safe Kids United Arab Emirates (UAE) joined Safe Kids Worldwide in 1999. In the past fourteen years, Safe Kids UAE has made significant strides in improving child safety, such as working toward the passage of the first law addressing passenger safety in the UAE which requires that children under the age of 10 years ride in the back seats of motor vehicles. Safe Kids UAE is led by Safe Kids volunteers and works with corporations, the Ministry of Health, Road and Traffic Authority and other government agencies to implement programs in hospitals, schools and the community.

www.safekids-me.com Safe Kids United Arab Emirates Dubai Healthcare City P.O. Box 505080 Dubai United Arab Emirates

Nahed Sabry Morgan Program Manager nahedsabry@gmail.com Nahed Sabry Morgan has served as the Professional Program Manager for Johnson & Johnson Middle East since 2005.

Safe Kids Worldwide 2013 Global Activity Report

| United Arab Emirates | 1

I. COUNTRY STATISTICS 8,214,0001 1,818,0001 High2

TOTAL POPULATION POPULATION AGE < 19 INCOME GROUP GROSS NATIONAL INCOME PER CAPITA

$39,6402

Source: United Nations (UN) World Population Prospects (2011) Source: World Health Organization (WHO) Global Status Report on Road Safety (2013)

II. TOP FIVE INJURY RISK AREAS RANKING

MORTALITY CAUSE a

NUMBER

RATE

Road Traffic Accidents

3,773

439

Drowning

1,008

117

Falls

813

Other Unintentional Injuries

500

Violenceb

287

Source: WHO (2011); data refer to children ages 1-14 years; rate per 100,000 children a Includes pedestrian, occupant and bicycle b Intentional injury

III. ORGANIZATIONAL PRIORITIES Fundraising

Obtain funding from local sponsors.

Partnerships

Ministry of Education Ministry of Health Municipalities Road and Transport Authority (RTA)

Program

Develop programs for schools and hospitals, as well as awareness of the Traffic Week program.

Research

Obtain child accidental injury statistics in the UAE.

Safe Kids Worldwide 2013 Global Activity Report

| United Arab Emirates | 2

IV. ACCOMPLISHMENTS (JULY 31, 2012 – JUNE 1, 2013) 1.

Created and distributed “Protect Your Baby in Your Car” leaflets to most schools in the UAE, hospitals and at public events.

Legislation requiring the use of child safety seats was enacted.

V. PROGRAMS

A. MONTHLY SAFETY DRAW FOCUS

- Passenger Safety - There is a lack of awareness in the UAE related to the importance of car seats, particularly among Arab and Asian mothers. GOAL

- Educate between 800 and 1,000 new mothers on a monthly basis and promote safety and the importance of using car safety seats for newborns. LOCATIONS

- Latifa Hospital and Dubai Hospital (both are located in Dubai) PARTNERS

Hospital Staff Ministry of Health Municipalities RTA

VOLUNTEERS

- Independent volunteers ACTIVITIES - Conducted the Child Safety Program at Latifa and Dubai hospitals once a month. Groups of new mothers were recruited by hospital volunteers. - RTA and Johnson & Johnson volunteers shared car safety tips and information, answered questions and distributed child safety books to each mother. - Held a prize drawing for mothers that previously received a child safety book for a chance to win a car seat. - Created awareness about car safety issues and distributed free car seats to more than 100 mothers.

B. FIRST TRAFFIC VILLAGE FOCUS

- Road Safety GOAL

- Educate 60,000 children ages 5-12 years about general road safety and the importance of taking safety precautions. LOCATION

- Al Aqsa School PARTNERS

- Ministry of Education - Municipalities - RTA

Safe Kids Worldwide 2013 Global Activity Report

| United Arab Emirates | 3

VOLUNTEERS

- Independent volunteers ACTIVITIES - Educated children about road safety and encouraged them to practice safe road behaviors at a mock village modeled after real-life traffic situations, including roads and roundabouts. - Increased road safety awareness among children through activities and games.

C. HOSPITAL AWARENESS CAMPAIGN FOCUS

- Child Passenger Safety GOAL

- Educate new mothers on general childhood injury prevention and provide safety tips. LOCATION

- Nationwide PARTNERS

- Hospital Staff - Ministry of Health VOLUNTEERS

- Johnson & Johnson volunteers, Ministry of Health representatives and hospital staff. ACTIVITIES - Provide new mothers with training on car seat use and other safety precautions for newborns. The mothers then passed information along to their families. - Mothers who received a child safety book at the hospital also had the chance to win a car seat in a monthly drawing. - Reached 50,000 mothers.

D. SCHOOL AWARENESS CAMPAIGN FOCUS

- School Safety GOAL

- Educate school children ages 4-15 years and staff on general childhood injury prevention and offer safety tips. LOCATION

- Nationwide PARTNERS

- Ministry of Education - Municipalities - RTA VOLUNTEERS

- Independent volunteers, Ministry of Education representatives and RTA representatives. ACTIVITIES - Schools and provinces received visits from the Safety Bus, which provides training on general safety precautions to school children and staff. - Reached 200,000 children. - School managers noticed a drop in injuries among children at their schools, following visits from the Safety Bus.

Safe Kids Worldwide 2013 Global Activity Report

| United Arab Emirates | 4

E. GULF TRAFFIC WEEK FOCUS

- Road Safety GOAL

- Educate parents and adults visiting malls about general injury precautions and the importance of using car safety seats. LOCATIONS

- Shopping Malls PARTNERS

- Ministry of Education - Municipalities - RTA VOLUNTEERS

- Johnson & Johnson volunteers, Ministry of Education representatives and RTA representatives. ACTIVITIES - Distributed safety leaflets with tips on safety and conducted a drawing for a chance to win a car safety seat. - Reached more than 100,000 people.

VI. MEDIA RELEASES AND RECOGNITION TRADITIONAL MEDIA - Programs and initiatives were covered by several newspapers, one of which covered child safety trainings for mothers.

VII. LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION LAW FOCUS

DESCRIPTION

Bicycle Motorcycle

Helmets are required.

Pedestrian

Pedestrians must cross at crosswalks and wait for cars to stop before crossing. Cars must stop at crosswalks.

School Bus

All school buses are required to be painted bright yellow and to have seatbelts installed.

Vehicle Passenger

In June 2011, a new law on children's car seat installation was passed by the Ministry of Interior's High Committee for Child Protection. Seat belts are required for all children under 135cm in height and 36kg in weight. Children who are nursing or are less than one year old must be seated in a child car safety seat. Children ages 0-1 years and weighing 10kg or less are required to be seated in a car seat. Children under 10 years of age must ride in the back seat. Booster seats are not required.

Safe Kids Worldwide 2013 Global Activity Report

| United Arab Emirates | 5

United States Safe Kids Worldwide works to ensure every child, no matter where they live, can grow up safe from preventable injuries. A tireless advocate for kids and a trusted partner for parents, Safe Kids Worldwide works with an extensive network of more than 600 coalitions in the United States and with partners in 26 countries around the world to reduce traffic injuries, drownings, falls, burns, poisonings and more. Since 1988 when Safe Kids was founded by Children’s National Medical Center with support from Johnson & Johnson, there has been a 55 percent decrease in the unintentional injury rate among children ages 19 years and younger.

www.safekids.org @safekidsusa Facebook.com/safekidsusa

Safe Kids Worldwide 1301 Pennsylvania Avenue NW Suite 1000 Washington, DC 20004 United States

Kate Carr Chief Executive Officer kcarr@safekids.org Kate Carr serves as the President and Chief Executive Officer (CEO) of Safe Kids Worldwide. Prior to joining Safe Kids in October 2011, she served as Managing Director of Malaria No More and played a lead role in resource mobilization and expansion of programmatic activities in Africa. Kate’s experience in leading worldwide organizations includes the Elizabeth Glaser Pediatric AIDS Foundation where, as President and CEO, she expanded the Foundation’s work beyond the United States and promoted global education, awareness and compassion about children with HIV/AIDS. While there, she established the Glaser Pediatric Research Network to support clinical research beyond HIV/AIDS in children. Kate also served as President and CEO at Accelerate Brain Cancer Cure (ABC2) and focused efforts on collaborative support for translational research in brain cancer. Kate’s political experience includes serving as Special Assistant to the President, Office of Public Liaison at the White House and working on multiple local, state and national campaigns.

Safe Kids Worldwide 2013 Global Activity Report

| United States | 1

Torine Creppy Chief Program Officer tcreppy@safekids.org As Chief Programs Officer for the Safe Kids Worldwide network, Torine provides leadership and strategic direction for all Safe Kids’ programs and coalition partners in the United States and around the world. Previously, she served as leader of Safe Kids’ child passenger safety program, Safe Kids Buckle Up. Earlier, Torine was Operations Manager for the Radio-Television News Directors Association. In that role, she led efforts managing the association's day-to-day business operations and was the project lead for the Edward R. Murrow Award. Torine is a graduate of Morgan State University.

I. COUNTRY STATISTICS 330,722,0001 84,986,0001

TOTAL POPULATION POPULATION AGE < 19 INCOME GROUP GROSS NATIONAL INCOME PER CAPITA

High2 $47,3502

Source: United Nations (UN) World Population Prospects (2011) Source: World Health Organization (WHO) Global Status Report on Road Safety (2013)

II. TOP FIVE INJURY RISK AREAS 1

RANKING

MORTALITY

MORBIDITY

CAUSE

NUMBER

RATE

Motor Vehicle Traffic*

4,120

4.95

Suffocation

1,176

Drowning

1,027

CAUSE

NUMBER

RATE

Falls

2,876,929

3,453

1.41

Struck By or Againsta

2,080,320

2,511

1.23

Overexertionb

877,809

1,060

553,494

668

476,773

576

Poisoning

838

1.01

Cut/Pierce

Other Transportation

492

0.59

Motor Vehicle Occupant

Source: Centers for Disease Control and Prevention (CDC), 2010; data refer to ages 0-19 years; rates per 100,000 children Source: CDC 2011; data refer to ages 0-19 years; rates per 100,000 children. *Includes pedestrian, occupant and bicycle. a Struck By or Against refers to being hit by or hitting an object other than a motor vehicle or machinery, such as another person, furniture or sports equipment. b Overexertion” refers to overworking the body causing damage to a muscle or body part, such as through lifting, pushing or pulling. c Cut/Pierce refers to injuries from an incision or puncture from a pointed or sharp object, such as a weapon. 2

Safe Kids Worldwide 2013 Global Activity Report

| United States | 2

III. ORGANIZATIONAL PRIORITIES Develop a performance based culture of excellence. Align strategies, structures, people and processes to strengthen the network. Strengthen the network to Leverage all channels to enhance a culture of sharing information across the network. obtain measurable reductions Deliver a valued service to all network members. in unintentional injuries Strengthen partnerships with key collaborators including universities and medical centers, NGOs, governments and international organizations.

Focus on the delivery of key implementation programs

U.S. Continue to build and improve on existing efforts for community-delivered programs focused on road, home and recreational safety. Continue to address emerging issues. Enhance Countdown2Drive to address adolescent driving fatalities. Initiate a water safety program for targeted communities. Develop a comprehensive home safety program. Expand sports safety partners. Develop a new parent program. GLOBAL Expand road safety efforts by working to make affordable car seats available, expanding the National Highway Traffic Safety Administrationâ&#x20AC;&#x2122;s Certification program, developing a short course for the child passenger safety program and expanding pedestrian and motorcycle/bicycle helmet programs. Initiate a water safety program for targeted communities. Develop a fire and burn program for low-income countries.

Become the leading voice for injury prevention

Produce high quality, evidence-based research. Deliver high impact programs of excellence. Grow advocacy capacity to pass laws that save lives. Serve as the key voice for child injury prevention awareness. Build leadership position with key partners.

Safe Kids Worldwide 2013 Global Activity Report

| United States | 3

III. ORGANIZATIONAL PRIORITIES Steward and retain existing donors. Diversify the funding base by developing a robust pipeline and identifying potential Accelerate growth by securing future targets. increased revenue and Build on the successful launch of Safe Kids Day. resources Seek funding from corporate and non-corporate foundations, individual donors and through government grants. Expand cause related marketing strategies.

IV. ACCOMPLISHMENTS (JULY 31, 2012 â&#x20AC;&#x201C; JUNE 1, 2013) 1.

Re-branded Safe Kids Worldwide and created a new look and feel for the organization. The new logo was personalized for more than 400 coalitions in the United States and 23 network members around the world. Safe Kids Worldwide also updated the organizational tone by re-crafting the language used to describe both the organization and the way parents are approached about injury prevention. New brand guidelines were distributed to partners to communicate the refreshed colors, style and tone.

On May 18, Safe Kids celebrated the first annual Safe Kids Day. Coalitions around the country held child-friendly safety events to raise awareness of unintentional childhood injury prevention and raise funds for Safe Kids. Safe Kids Worldwide hosted a signature event at the Highline Stages in New York City, attended by more than 300 parents and children. This event raised more than $600,000 USD and featured safety games for children.

On June 19-22, Safe Kids Worldwide hosted the Childhood Injury Prevention Conference in Washington, D.C. The conference, attended by more than 450 people, offered 35 sessions featuring an array of speakers that included Safe Kids Worldwide global network members, local coalition coordinators, fire marshals, injury specialists and representatives of federal organizations. Safe Kids also hosted 36 exhibitors who shared information on the latest technologies available to protect children.

V. PROGRAMS

A. BUCKLE UP FOCUS

- Child Passenger Safety (CPS) in and around Vehicles. GOALS

- Promote and enable community activities relating to safe behaviors of children, caregivers and drivers in and around motor vehicles. LOCATION

- United States PARTNERS

Auto Alliance Baby Center; Education.com Car seat manufacturers Childrenâ&#x20AC;&#x2122;s Hospital Philadelphia; Riley Hospital Church of the Latter Day Saints General Motors (GM) Foundation; Chevrolet Hamad Medical Corporation

Safe Kids Worldwide 2013 Global Activity Report

| United States | 4

Health Authority of Abu Dhabi Insurance Institute for Highway Safety Lifesavers National Child Passenger Safety Board National Highway Traffic Safety Administration (NHTSA) New York Times Parents Magazine Safe Ride News Transport Canada W.K. Kellogg Foundation University of San Francisco (Golden Gate Weather) United States Embassy in Bahrain Utah-Jordan Project

VOLUNTEERS

- Certified Child Passenger Safety Technicians (CPSTs) and Instructors - Fire rescue - Healthcare organizations - Law enforcement - Local Safe Kids coalition members - National Organization for Youth Safety ACTIVITIES IN AND AROUND VEHICLES

- Coalitions registered on the CPS management tool for programs such as Never Leave Your Child Alone, Spot the Tot, Safety Belt Fit and Trunk Entrapment. - Monitored and tracked heatstroke public awareness campaigns, fatalities and near-misses. The Coalition Network was notified of each fatality and provided with a resource toolkit to reach out to media. - Held regional press conferences with NHTSA Administrator David Strickland and Safe Kids Worldwide President and CEO Kate Carr in Georgia, Mississippi, Missouri, Nevada and Washington, D.C. with parent advocate support. - Distributed a monthly activity report to the Coalition Network, advocates and national partners. - Safe Kids coalitions held community events to educate parents and caregivers through the use of an interactive heat display that measures the temperature inside of a vehicle. - Conducted 100 community events with car side demonstrations about the importance of all drivers walking around a vehicle before entering and starting the engine. - Promoted messaging on how to prevent accidental vehicle frontovers and backovers. - The primary focus of sponsor-related events was keeping kids safe in and around vehicles. Interactive displays and demonstrations were provided for children and parents to learn about proper restraint use and preventing heatstroke and backovers. COUNTDOWN2DRIVE - Promoted the web-based program for soon-to-be drivers and their parents through community events. - Increased awareness about the safety challenges encountered by new and student drivers, and the importance of parents discussing these issues with future drivers. - Monitored and tracked Countdown2Drive website activity including number of visits and the agreement completion rates. - 120 Countdown2Drive rallies were conducted nationwide. CPS WEEK

- From September 16-22, 2012 Safe Kids Worldwide engaged coalitions and GM dealerships to participate in CPS Week. - Supported NHTSA’s “National Seat Check Saturday” event and encouraged GM dealerships and coalitions to register online for CPS Week activities and grants.

Safe Kids Worldwide 2013 Global Activity Report

| United States | 5

- Administered and distributed 201 grants to Safe Kids coalitions. - Conducted two webinars for coalitions. - Evaluated and documented coalition activities, events and checklists. CPS EVENTS AND INSPECTION STATIONS

- Coalitions participating in the Buckle Up program provide safe and technically sound car seat check-up events for families. - Coalitions registered events/inspection stations on the CPS management tool, recruited qualified senior checkers and certified CPSTs who complete Safe Kids checklist forms, and submitted quarterly reports. - 566 check-up events were held with participation of 120 GM dealers; 177 events took place on Seat Check Saturday in 2012. HIGH-WEIGHT HARNESS CAR SEAT DISTRIBUTION

- With a grant from the W.K. Kellogg Foundation, provided 24 coalitions with 400 specialized car seats equipped with a high-weight harness for heavier babies and toddlers who cannot yet travel in a booster seat. - The seats were distributed to Head Start families at 33 locations. Head Start is a program that provides education, health and nutrition services to low-income children and their families. SPECIAL EVENTS

- With support from local coalitions, managed special initiatives and sponsor-related events, including: - 33 Automotive Safety Patch Program events - 120 Never Leave Your Child Alone [in a car] events in 2012 and more than 200 in 2013.

B. CHILD PASSENGER SAFETY (CPS) CERTIFICATION PROGRAM FOCUS

- Training and Certification GOALS

- Continue to serve as the national certifying body for the National CPS Certification Training Program, as well as administer and maintain a directory of nationally certified CPSTs. - Certify and re-certify CPS technicians (CPSTs) and instructors. LOCATION

- United States PARTNERS

- NHTSA - State Farm CPS Board VOLUNTEERS

- 36,000 CPSTs ACTIVITIES CERTIFICATION AND RE-CERTIFICATION COURSES

- The CPS Certification Course is three to four days long and combines classroom instruction, hands-on work with car seats and vehicles, and a community safety seat check-up event. Successful completion of this course certifies the individual as a CPST for two years. - The one-day Certification Renewal Course is offered to CPSTs whose certification has expired but who have maintained their CPS knowledge and hands-on skills. Successful completion of this course certifies the individual as a CPST for two years. - In FY13, 651 certification courses were held in every state except Vermont. Courses were also held in Washington, D.C., American Samoa, Qatar, Israel and Canada. - 149 Renewal Courses were held in 39 states, Washington, D.C., American Samoa and Israel. - These 800 courses resulted in 8,379 newly-certified individuals. The total number of certified individuals increased by almost 900 during FY13, ending at 36,049 in June 2013. The re-certification rate was 56.9 percent.

Safe Kids Worldwide 2013 Global Activity Report

| United States | 6

CONTINUING EDUCATION

- Technicians are required to earn at least six hours of continuing education as part of the re-certification process. - Hosted eight free online webinars with information on the latest car seats and vehicle technologies attended by 2,758 people. - Technical updates provide an opportunity for technicians to learn about new technologies directly, often from experts in the field. Twelve local technical updates were held in identified State Farm regions. An average of 137 CPSTs attended each technical update. CUSTOMER SERVICE AND SOCIAL MEDIA

- CPS certification customer service staff handled more than 9,800 phone calls and 1,100 emails in FY13. - Obtained 1,246 new “Likes” on the Certification Facebook page in FY13 to total 4,250 “Likes”.

C. FIRE AND BURN SAFETY FOCUS

- Fire and Burn Safety for Preschool Children GOALS

- Provide materials and resources to coalitions, families and caregivers on prevention of fire and burn injury and death. - Provide fire and burn safety education for children and their families living in three states with the highest rate of deaths and injuries as a result of fire (Arkansas, Mississippi and South Dakota), through the Safe Kids Start Safe Fire program. - Create a Model Program Report with details on how to form community partnerships and use model programs, like Start Safe Fire, to implement fire and burn safety education in local communities. LOCATION

- United States PARTNER

- United States Fire Administration VOLUNTEERS

- Safe Kids coalition members and partners - Fire departments ACTIVITIES START SAFE FIRE

- During summer 2013, implemented the Start Safe Fire program in at least two preschool classrooms in the states with the highest rate of child deaths as a result of fire (Arkansas, Mississippi and South Dakota). - Collaborated with local fire departments to conduct Start Safe Fire education sessions. - Safe Kids Worldwide developed evaluation and reporting tools for the three target state coalitions to collect information about their implementation process and how each classroom used the Start Safe Fire curriculum. For quality control, Safe Kids conducted a conference call with each state to ensure the implementation and use of all materials was consistent and in line with the intended structure of the curriculum. - Updated all Start Safe Fire materials, which were also made available online. - Used focus groups as a qualitative research method to gain information about the revised Start Safe Fire materials. All new materials were tested by the program’s target population in two focus groups. - The implementation of the Start Safe Fire program resulted in new recommendations for future use of the program and similar safety programs. - More than 300 students were reached through program implementation in three targeted states; Arkansas, Mississippi and South Dakota. SUMMER FIRE SAFETY CAMPAIGN

- In July 2012, a fire safety campaign was launched with an emphasis on grilling and fireworks safety. The campaign included social media outreach on Facebook and Twitter, the Safe Kids website and a radio media tour.

Safe Kids Worldwide 2013 Global Activity Report

| United States | 7

- The Summer Fire Safety public awareness campaign was featured in 14 radio interviews that reached 3,548 radio outlets with a combined audience of 4,153,900 people. NATIONAL FIRE PREVENTION WEEK

- During National Fire Prevention Week on October 7-13, 2012, fire safety organizations throughout the country emphasized the importance of planning and practicing a home fire escape plan. A special feature on fire safety was created for the Safe Kids Facebook page. - The National Fire Prevention Week Facebook feature generated 13,789,487 impressions and 26,145 new “Likes” for the Safe Kids Facebook page. The Facebook campaign also promoted the U.S. Fire Administration’s campaign “Fire is Everyone’s Fight.” A post featuring a video from the U.S. Fire Administration was shared or forwarded more than 1,200 times by Facebook users. - The social media campaign generated 53,147,836 impressions and 288 new “Likes” on the Safe Kids Facebook page.

D. SAFE KIDS WALK THIS WAY FOCUS

- Child Pedestrian Safety GOALS

- Prevent pedestrian-related injury and death to children ages 19 years and younger. - Promote safe, walkable communities through education, research, environmental improvements and advocacy. LOCATION

- United States PARTNERS

AAA Federal Highway Administration (FHWA) FedEx National Center for Safe Routes to School (SRTS) National Head Start Association NHTSA University of North Carolina Highway Safety Research Center

VOLUNTEERS

- 773 FedEx employees volunteered a total of 2,971 volunteer hours ACTIVITIES INTERNATIONAL WALK TO SCHOOL DAY

- Awarded grants to 186 Safe Kids coalitions across the country to host International Walk to School Day events on October 3, 2012. - Created step-by-step guides and downloadable materials for coalitions, teachers and caregivers. - Hosted an International Walk to School Day event at Piney Branch Elementary School in Takoma Park, Maryland with partners from the National Center for Safe Routes to School and the U.S. Department of Transportation. - To coincide with the release of the pedestrian safety research report and Back to School campaign, Safe Kids Worldwide hosted a Facebook photo contest, “Show Us Your Cool School Shoes” where parents, caregivers and Safe Kids coalitions were asked to post photos of students’ new school shoes. Photo submissions were voted on by the public and the two photos with the most votes won a pedestrian safety grant for a school in their community. - More than 256,000 children were reached through 773 International Walk to School Day events. - International Walk to School Day media coverage and social media activity resulted in 103 million total impressions. HALLOWEEN

- Awarded grants to 150 coalitions to host Halloween safety events. - Provided coalitions with a toolkit containing bilingual educational materials to promote visibility, communications tools and retro-reflective zipper pulls to distribute at fun and engaging safety events.

Safe Kids Worldwide 2013 Global Activity Report

| United States | 8

- Created and distributed the “Staying Safe on Halloween” video. - Safe Kids coalitions held 560 Halloween events with 343,000 participants. - Halloween safety campaign efforts created 90 million total impressions. ENVIRONMENTAL TASK FORCES

- Safe Kids awarded $25,000 grants to 10 communities with high incidences of pedestrian safety injuries and deaths. The grants empowered Pedestrian Safety Task Forces to conduct in-depth analysis on safety needs and make longterm infrastructure improvements such as signals, sidewalks, and crosswalks in their communities. - The Environmental Task Force grants resulted in more than 70 engineering modifications and 30 pedestrian safety educational events at 19 schools. START SAFE TRAVEL

- The Start Safe Travel program supports Safe Kids coalitions and Head Start centers across the country to work together to reach children, parents and caregivers with important messages and information to help kids travel to school safely. - Safe Kids awarded grants to 100 coalitions to provide Head Start centers with an educational toolkit and work with staff to host car seat check-up events. - Safe Kids coalitions participating in Start Safe Travel checked 1,472 car seats. Coalitions partnered with 263 Head Start Centers and educated 5,100 caregivers and Head Start staff. Pre-surveys had an average score of 75.7 percent, while the average score for post-surveys was 90.8 percent. RESEARCH WALKING SAFELY: A REPORT TO THE NATION (AUGUST 2012) PARTNERS INVOLVED

- FedEx TARGET POPULATION

- Children ages 19 years and younger METHODOLOGY

- The report examines motor vehicle-related pedestrian injuries among children ages 19 years and younger in the United States. Fatality data was obtained from NHTSAs Fatality Analysis Reporting System database which is a compilation of annual nationwide databases of traffic fatalities. Nonfatal data were obtained from NHTSA’s General Estimates System, based on a nationally representative sample of motor vehicle crash police records. Population data were obtained from the U.S. Census Bureau and combined with NHTSA’s data to calculate rates. KEY FINDINGS

- More than 61 children are injured every day severely enough to seek medical attention. - More than 500 children are killed every year. - There was a 25 percent increase in injuries among 16 to 19 year old children from 2006-2010, as compared to 20012005. - The death rate among older adolescents is now twice that of younger children. At the time of the report, 14-19 year olds accounted for 50 percent of child pedestrian injuries. Distraction caused by texting, talking on a cell phone or listening to music with headphones may be related to the observed increased risk for adolescents. - A 53 percent decline in the pedestrian death rate and a 44 percent decline in the pedestrian nonfatal injury rate among children ages 19 years and younger over the past 15 years was observed.

Safe Kids Worldwide 2013 Global Activity Report

| United States | 9

E. SAFE KIDS BIKE AND WHEELED SPORTS SAFETY FOCUS

- Bicycle and Wheeled Sports Safety GOALS

- Prevent bicycle-related injuries and deaths to children ages 19 years and younger. - Promote biking to school as a safe and fun method of transportation and raise awareness about important bike safety information. LOCATION

- United States PARTNERS

Easton-Bell Sports (Bell) Federal Highway Administration (FHWA) George Washington University National Center for Safe Routes to School (SRTS) National Highway Traffic Safety Administration (NHTSA) University of North Carolina Highway Safety Research Center

VOLUNTEERS

- Local Safe Kids coalition members ACTIVITIES BIKE TO SCHOOL DAY

- With support from Bell, Safe Kids hosted the second annual National Bike to School Day (NBTSD) on May 8, 2013 at Lincoln Park in Washington, D.C. with SRTS, NHTSA, FHWA, Washington, D.C. Department of Transportation, Capitol Hill Parents Teacher Association and students from local Washington, D.C. schools. - In support of the second annual Bike to School Day, 85 coalitions hosted Bike to School Day events in their communities. In 2013, Safe Kids offered 60 coalitions an additional opportunity â&#x20AC;&#x201C; a chance to conduct a bike rodeo at their NBTSD event. - Distributed toolkits, including tip sheets, posters, a press release, and retro-reflective stickers to 85 Safe Kids coalitions that hosted an event at a school in their community. - Safe Kids created a specialized Facebook page to raise awareness of NBTSD and UN Global Road Safety Week to promote bicycle safety and helmet use. - Safe Kids coalitions reached 28,680 students at 232 events through Bike to School Day activities.

F. WATER SAFETY EDUCATION FOCUS

- Drowning Prevention GOALS

- Educate parents and caregivers about using layers of protection to keep children safe in and around water. - Emphasize the importance of enrolling children in swim lessons and for adults to learn cardiopulmonary resuscitation (CPR). - Raise awareness of drowning-related injuries among children by promoting key messages in the community, media and through partner organizations. - Establish partnerships to enhance the impact of water safety efforts. LOCATION

- United States PARTNERS

- National Head Start Association - Pool Safely

Safe Kids Worldwide 2013 Global Activity Report

| United States | 10

- U.S. Consumer Product Safety Commission (CPSC) VOLUNTEERS

- Local Safe Kids coalitions and partners ACTIVITIES COALITION PROGRAMS

- Safe Kids coalitions partnered with local organizations and business to educate community members, disseminate educational materials and provide resources such as access to free or discounted swim lessons and CPR certification classes. START SAFE : WATER

- Utilized and distributed Start Safe Water, a preschool curriculum for children ages 2-4 years and their families. - Increased awareness by promoting key drowning prevention messages. - The 2013 summer pool safety week campaign on Facebook generated 544 “Likes” and was shared by 143 people. - The World’s Largest Swimming Lesson campaign on Facebook generated 10,128 impressions.

G. SPORTS SAFETY FOCUS

- Youth Sports Injury Prevention GOALS

- Offer sports safety clinics and events to coaches, parents and athletes, to deliver practical information and skills that will increase knowledge around sports injury prevention. - Increase knowledge and skills specifically around sudden cardiac arrest, heat illness, concussion prevention, overuse injuries, sports safety equipment and emergency response. LOCATION

- United States PARTNERS

- American Orthopedic Society for Sports Medicine -

Centers for Disease Control and Prevention (CDC) DePuy Synthes Heads Up Concussion Campaign Johnson & Johnson National Athletic Trainers’ Association - STOP Sports Injuries Campaign VOLUNTEERS

- Local Safe Kids coalition coordinators and members, physicians nurses, pediatricians, certified athletic trainers and sports medicine practitioners including sports orthopedists, physical therapists and pediatric neuropsychologists ACTIVITIES SPORTS SAFETY EDUCATION

- Developed and disseminated youth sports safety educational resources to the Coalition Network including parent, coach and child safety checklists; concussion guides for coaches, parents and schools in partnership with CDC Heads Up partners; sports safety tip sheets; dehydration fact sheets and overuse injury prevention tip sheets.

Safe Kids Worldwide 2013 Global Activity Report

| United States | 11

SPORTS SAFETY CLINIC GRANT PROGRAM

- Awarded grants to 50 Safe Kids coalitions ranging from $1,200-$1,500 USD to plan and execute sports safety clinics in their communities. - Grantees partnered with sports medicine professionals and other volunteers to host free sports safety clinics and provide high-quality presentations by top sports experts. - Sports safety clinics are designed for a variety of audiences, depending on the community/coalition’s needs. Target audiences include parents, coaches, youth athletes, school administration and sports league officials. - More than 150 sports safety clinics were executed to date, reaching more than 7,500 parents, coaches and athletes. SPORTS SAFETY ZONE PILOT PROGRAM

- Piloted a child-focused sports safety clinic model, “Sports Safety Zone”, with 11 top-performing Safe Kids coalitions. Sports Safety Zone can be comprised of up to six “safety stations” that children and their parents can visit. Stations are highly interactive and engage children and adults to learn about important youth sports injury prevention topics such as proper hydration, concussion recognition and the importance of pre-participation physical exams. - Developed custom materials for Sports Safety Zone events including a sports safety checklist for children, sports zone scorecard and a Safe Kids Coordinator Guide for assistance in planning a child-focused clinic. Pilot participants were given a choice of receiving a concussion goggles kit or collapsible Safe Kids-branded water bottles as giveaways for the events. - 11 Sports Safety Zone events were held, reaching an estimated 2,000 youth athletes and parents who have been exposed to the clinic. COALITION-FOCUSED MEDIA CAMPAIGNS

- Planned and executed two national and social media campaigns – Hydration Campaign and Sports Safety Campaign – in partnership with the Safe Kids Coalition Network and sports safety partners, national organizations and leading sports injury prevention experts. - Developed and disseminated media materials to coalitions to support their efforts in conducting a sports safety campaign in their community. Resources included a national research report, sports injury infographic, social media guide, talking points, press release and B-roll. - Created a sports safety video focused on knee injury prevention, particularly anterior cruciate ligament (ACL) injuries, for parents, coaches, athletes and sports medicine professionals. The video features U.S. soccer star Ali Krieger, who performs various knee exercises to help prevent knee injuries during sports. - Hosted a webinar to share final results from the national report, “Game Changers” as well as provide coalitions with communications and marketing tools for the national sports safety campaign. More than 55 Safe Kids coalitions participated. - The Safe Kids hydration campaign garnered 2.8 million Facebook impressions and 120,231 views on YouTube. SPORTS SAFETY EVENTS WITH DEPUY SYNTHES

- Partnered with local sports medicine practices sponsored by DePuy Synthes to host free nationwide sports safety events for parents, coaches and young athletes. Events provided attendees with an opportunity learn about critical sports safety measures with a special emphasis on overuse injury prevention an d ACL/knee safety. - Nine major sports safety events were held to date, reaching nearly 2,500 youth athletes, parents and coaches with overuse injury prevention knowledge and training. RESEARCH COACHING OUR KIDS TO FEWER INJURIES: A REPORT ON YOUTH SPORTS SAFETY (2012) PARTNERS INVOLVED

- Johnson & Johnson - Harris Interactive TARGET POPULATION

- Parents, coaches, sports leagues, sports medicine community and public health/injury prevention specialists

Safe Kids Worldwide 2013 Global Activity Report

| United States | 12

METHODOLOGY

- With support from Johnson & Johnson, conducted a survey to gain understanding of injuries reported by parents, coaches and youth athletes, as well as attitudes and knowledge levels around critical sports injury topics such as concussion management, hydration, overuse injury and rest. - Utilized the Harris Interactive Youth Omnibus online survey to collect data on 516 youth athletes aged 8-18 years, 750 parents and 752 coaches. Participants were asked about reported injuries sustained by athletes, along with their own behaviors and knowledge levels related to sports injuries and preventative practices. KEY FINDINGS

- More than half of all coaches surveyed believed there is an acceptable amount of head contact during play. - 40 percent of parents underestimated the amount of water a typical child athlete needs per hour of play. - The overwhelming majority of parents, 90 percent, said they rely heavily on coaches to keep their children safe. However, only two-in-five parents knew how much sports injury prevention training their childrenâ&#x20AC;&#x2122;s coaches had received. - Among children, 31 percent believe good players should keep playing even when they are hurt.

H. THE BATTERY CONTROLLED FOCUS

- Button Battery Safety GOALS

- Educate parents and caregivers about the risks associated with children swallowing coin lithium button batteries and share information on what caregivers can do to prevent ingestion of batteries. - Raise awareness of button battery-related injuries to young children by promoting key messages in the community, the media and through partner organizations. - Engage medical professionals in outreach efforts and raise awareness about the symptoms and treatment options for button battery ingestions. - Establish partnerships to enhance the impact of campaign efforts. LOCATION

- United States PARTNERS

- Energizer Battery, Inc. - The Battery Controlled ACTIVITIES COALITION GRANT PROGRAM

- Safe Kids coalitions partnered with local organizations and businesses to educate community members, disseminate educational materials, promote The Battery Controlled campaign video among community members and partners, and utilize media tools to engage local media networks. - 18 coalitions in Connecticut, Georgia, Illinois, Missouri, North Carolina, North Dakota, New Jersey, Ohio, Pennsylvania and Tennessee received funding to organize education sessions and events for target audiences of parents, caregivers and medical professionals. - Conducted a 14 station radio media tour on national outlets and major state and local stations which resulted in more than 140 airtime minutes. Radio interviews reached 6,236 outlets with a combined audience of 8,524,600 people. - Launched an audio news release to 2,200 ABC radio affiliates, 6,800 affiliates of Washington Audio News Service and to 538 CBS radio affiliates with a combined potential audience of 15,659,000 people. - Interviewed by Fox News Edge which reached a combined audience of 183,807 people and is valued at $18,138 USD.

Safe Kids Worldwide 2013 Global Activity Report

| United States | 13

- Through Facebook promotion, The Battery Controlled campaign video was viewed by 93,632 people, which resulted in 754 “Likes”, 16 comments and 295 shares. - Facebook garnered 145,835 impressions, 2,777 clicks, 2,470 actions and 500 page “Likes.” Tips and facts were posted on Twitter and were re-tweeted by partners and followers.

I. SAFE STORAGE, SAFE DOSING, SAFE KIDS FOCUS

- Medication Safety GOALS

- Educate parents, grandparents and other caregivers about responsible storage, dosing and disposal of medicines. - Raise awareness of medication-related injuries to children ages 5 years and younger by promoting key messages in the community, media and through partner organizations. - Establish partnerships to enhance the impact of medication safety efforts. LOCATION

- 39 Safe Kids coalitions in 24 states: Arizona, California, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Kentucky, Massachusetts, Michigan, Missouri, North Carolina, North Dakota, New Jersey, New York, Ohio, Oklahoma, Pennsylvania, South Carolina, Tennessee, Texas, Washington and Wisconsin. PARTNERS

- CDC - McNeil Consumer Healthcare VOLUNTEERS

- Local Safe Kids coalition members and partners - Local organizations and businesses ACTIVITIES COALITION GRANT PROGRAM

- Developed and disseminated educational materials and tools to the U.S Coalition Network to conduct the campaign at the local level. - Organized education sessions and events for target audiences including parents, grandparents and other caregivers. - Promoted the campaign video to community members and partners. - Utilized media tools to engage local media networks. - Established local partnerships to raise awareness and distribute educational materials. - The awareness campaign had a total of 306,575,593 media impressions from internal/coalition efforts, the mat release and multimedia news release. - “Safe Storage, Safe Dosing, Safe Kids” video views increased from 3,000 views at the end of Year 1 to 164,875 views at the end of Year 2. - Facebook drew 21,100,408 impressions, 29,587 clicks, 27,162 actions and 17,802 page “Likes.” RESEARCH AN IN-DEPTH LOOK AT KEEPING YOUNG CHILDREN SAFE AROUND MEDICINE (MARCH 2013) PARTNERS INVOLVED

American Association of Poison Control Centers (AAPCC) CPSC McNeil Consumer Healthcare Salter Mitchell

TARGET POPULATION

- Families of children ages 5 years and younger

Safe Kids Worldwide 2013 Global Activity Report

| United States | 14

METHODOLOGY

- This report explores trends in unsupervised medication overdoses and dosing errors, and explains some of the barriers and misconceptions that prevent parents and caregivers from safely storing and administering medications. - The report mines data from the CPSC’s National Electronic Injury Surveillance System and AAPCC’s National Poison Data System, and includes qualitative findings from focus groups with parents and grandparents of children ages 5 years and younger. KEY FINDINGS

- In 2011, more than 67,000 young children ages 4 years and younger were treated in an emergency departments (EDs) after an accidental medication exposure. That’s one child every eight minutes. - In 67 percent of ED cases, the medication was left within reach of the child, in places such as a purse, on a counter, or under a sofa cushion. - In 86 percent of the serious cases seen in the EDs, a child had gotten into an adult’s medicine. - In 7 out of 10 cases, a child ingested medication belonging to their mother or grandparent. - Errors related to timing and measurement account for 31 percent and 30 percent of dosing errors, respectively, in children ages 5 years and younger. - In focus groups, mothers spoke about the challenge of getting distracted when giving medicine to their children, if the phone rings or another child needs help, as well as the challenge of multiple caregivers giving medication. - There’s been a 30 percent increase in the number of young children needing such treatment over the last decade alone. Nine out of ten times, ED visits for medicine poisoning are due to children getting into adult medicine rather than their own. Every 61 seconds, a parent or caregiver calls the poison control center after a young child gets into medication or is given the wrong dose – 500,000 calls a year.

J. EVERY BREATH MATTERS FOCUS

- Safe Sleep GOALS

- Identify risk factors and disparities among infant suffocation deaths through a literature review of peer-reviewed journal articles and improve understanding of factors related to geographic variations in infant suffocation deaths. - Convene a meeting of safe sleep experts to develop a consensus on the priorities and needs for addressing infant sleep-related deaths. LOCATION

- United States PARTNERS

- CDC ACTIVITIES SAFE SLEEP ROUNDTABLE MEETING

- Convened a meeting of safe sleep experts to develop a consensus on the priorities and needs for addressing infant sleep-related deaths. - 15 organizations were represented at the roundtable meeting: Association of Maternal and Child Health Programs, Children’s Hospital Association, Children's Safety Network, First Candle, National Center for the Review and Prevention of Child Deaths, Indian Health Service, National Sudden Infant Death Syndrome (SIDS)/Sudden Unexpected Infant Death Syndrome (SUIDS) Center and CDC. Findings from the research study and insights from the roundtable discussion will inform the development of a national safe sleep program. - Risk area experts from the roundtable meeting identified several needs and challenges of safe sleep interventions and research that can potentially be addressed, including: - Uniform safe sleep messages across programs and among experts in the field;

Safe Kids Worldwide 2013 Global Activity Report

| United States | 15

Consistent messages supported by practical solutions; Education and resources for families and healthcare providers, and better understanding of external and environmental influences; and - Strong data to support programs, health system policies and legislation. RESEARCH STATE-BY-STATE VARIATIONS IN INFANT SLEEP-RELATED DEATHS (2013) -

PARTNERS INVOLVED

- CDC TARGET POPULATION

- Families of children ages 0-1 years. METHODOLOGY

- U.S. Census and CDC Sortable Statistics 2.0 were used to collect data to map key demographic characteristics, compared with a state-level choropleth map using CDC WONDER data for SIDS, infant suffocation and unknown cause of death. CDC WONDER is an online database for circulating public health data and information. KEY FINDINGS

- Race/ethnicity (African American and American Indian/Alaska Native) and smoking are positively correlated with higher SUID rates. Cultural and behavioral practices including bed sharing and infant positioning may be key risk factors.

K. TV AND FURNITURE TIP-OVERS FOCUS

- TV and Furniture Tip-Overs GOALS

- Prevent death and injury to children in the United States from television and furniture tip-overs. - Conduct research and leverage findings to create compelling messages in order to generate media and increase awareness. - Develop a program to educate parents and caregivers about the importance of securing all televisions and furniture in the home to prevent tip-overs from occurring. LOCATION

- 16 states across the United States PARTNERS

- CDC - Sanus VOLUNTEERS

- Coalitions in partnership with local organizations and businesses ACTIVITIES COALITION GRANT PROGRAM

- Awarded grants to 24 coalitions to integrate TV and furniture tip-over messaging into existing home safety programs. - Coalitions organized educational sessions and events for target audiences of parents, grandparents and other caregivers. - Coalitions disseminated educational materials and promoted the campaign video to community members and partners. - Utilized media tools to engage local media networks. - Established local partnerships to raise awareness and distribute educational materials. NATIONAL AWARENESS CAMPAIGN

- Created compelling messages to generate media in order to increase awareness of the dangers of TV and

Safe Kids Worldwide 2013 Global Activity Report

| United States | 16

furniture tip-overs. - The release of new research was featured on the Today Show and USA Today. - The campaign garnered more than 556 million media impressions from print and online broadcast, social media, video, multimedia releases and mat releases. - The Safe Kids TV and furniture tip-over video had over 460,000 views on YouTube. - Coalitions that received grants attended 115 events such as safety fairs and information booths, and held 160 education sessions conducted in English and/or Spanish that directly reached 2,155 parents. - Coalitions distributed 45,192 tip sheets through hospital discharge education materials, outpatient clinics, safety fairs, community events and through local partners. RESEARCH A REPORT TO THE NATION ON HOME SAFETY: THE DANGERS OF TV TIP-OVERS (DECEMBER 2012) PARTNERS

- CPSC - Sanus TARGET POPULATION

- Families of children ages 5 years and younger. METHODOLOGY

- With support from Sanus, conducted a national survey of more than 1,000 parents with children ages 10 years and younger in October 2012. The survey aimed to better understand the knowledge, attitudes and behaviors towards securing televisions and furniture in the home. The survey also allowed Safe Kids to gauge familiesâ&#x20AC;&#x2122; awareness of televisions as a home safety risk. - Reviewed a 2011 report released by CPSC and performed a new analysis of risks posed by television and furniture tipovers. - Mined and provided an in-depth analysis of data from the CPSCâ&#x20AC;&#x2122;s National Electronic Injury Surveillance System from 2002 to 2011 for children ages 19 years and younger with an injury caused by a television tipping over. KEY FINDINGS

- A 31 percent increase was observed in the number of injuries caused by televisions and furniture tipping onto children ages 19 years and younger. - 72 percent of children who were injured were aged 5 years and younger. - An estimated 5,740 children required hospitalization. - The poll showed that only 28 percent of parents secure their flat screen televisions to the wall, and two percent of parents with cathode ray tube entertainment centers, 33 percent. - Flat screen televisions were most commonly positioned on a TV stand, 48 percent, or an entertainment center, 33 percent. - Reasons parents gave for not mounting included the concern that it would damage the wall, 26 percent, not thinking it mattered, 22 percent, and worry that it might fall down, 19 percent. - Between 2000 and 2010, a child died every three weeks from a television tipping-over. The number increased in 2011. A child visits an emergency department as a result of a television tipping over and injuring them every 45 minutes.

Safe Kids Worldwide 2013 Global Activity Report

| United States | 17

VI. MEDIA RELEASES AND RECOGNITION TRADITIONAL MEDIA - Media outreach continued to be a priority to get the word out to parents about how to protect their children from various injuries. Through media outreach, often leveraging new research, Safe Kids Worldwide generated about a billion media impressions over the course of the year. SOCIAL MEDIA - Safe Kids Worldwide focused on growing Facebook presence. In May 2012, Safe Kids had 86,000 Facebook “Likes”. By May 2013, Safe Kids’ Facebook page had grown to 300,000 “Likes”. Growth was stimulated by promotional campaigns for various risks areas and improved engagement strategies. - Safe Kids refurbished the public-facing web presence by merging SafeKids.org and SafeKidsWorldwide.org into one site to more accurately reflect the organization. More than 1,500 pages were re-written and re-designed to incorporate the new look and feel. The website is now optimized for mobile platforms. - See programs for more information on media reach.

VII. LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION LAW FOCUS

DESCRIPTION

Airway Obstruction (swallowing dangerous products)

The federal Child Safety Protection Act, enforced by CPSC, requires choking hazard warning labels on packaging for small balls, balloons, marbles and certain toys and games containing small parts. This act also bans any toy intended for use by children under the age of 3 years that may pose a choking, aspiration or ingestion hazard. With Safe Kids’ urging, CPSC ordered tiny rare earth magnets, called Buckyballs, to be taken out of the marketplace because of the danger they create when swallowed by children.

Bicycle

Twenty-one states, Washington, D.C. and 200 localities have enacted some form of bicycle helmet legislation. Eight states and Washington, D.C. also require children to wear a helmet while participating in other wheeled sports, such as skateboarding or inline skating. Safe Kids supports laws that require children to wear helmets when on bicycles, scooters, skateboards and inline skates. In many states and localities, Safe Kids coalitions were actively involved in advocacy efforts to help pass helmet laws. Safe Kids supports legislative efforts to prohibit bicyclists from having infants as passengers on bicycles. Safe Kids is also deeply involved in initiatives to develop safe ways for kids to walk and bike to school.

Drowning

Safe Kids worked to pass the Virginia Graeme Baker Pool and Spa Safety Act; a law that established standards for the way drains in pools and spas are designed. Safe Kids also supports laws that require the installation of physical barriers, such as fences or walls. States and many communities have enacted laws related to swimming pool safety. States have enacted safety laws requiring the use of anti-entrapment devices in residential swimming pools. These generally consist of mandatory anti-entrapment safeguards, such as the installation of drain covers or multiple drains. California passed a law requiring warning labels to be placed on four-to-six gallon buckets.

Safe Kids Worldwide 2013 Global Activity Report

| United States | 18

VII. LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION LAW FOCUS

DESCRIPTION

Falls

States and local jurisdictions adopted building codes requiring window guards to prevent children from falling out of windows. For example, Minnesota, passed “Laela’s Law” to require residential buildings to have window guards.

Fire and Burns

Most states and local governments have laws that require smoke alarms be installed in new and/or existing dwellings, though they differ in many respects. Safe Kids supports laws to ensure that all residences be equipped with smoke alarms, as well as in buildings frequented by children such as schools and daycare centers. Safe Kids is now advocating for state and local laws to require advanced smoke alarms that last up to 10 years. States and some localities have enacted laws prohibiting or regulating the sale of novelty cigarette lighters because they resemble toys. Safe Kids coalitions were actively involved in advocacy efforts to help pass novelty lighter laws in several states. Federal law requires that disposable lighters and novelty lighters be child resistant. This rule aims to reduce injuries and deaths that occur when children younger than 5 years light fires while playing with cigarette lighters.

Carbon Monoxide Poisoning

A majority of the states and some local jurisdictions have passed legislation requiring the use of carbon monoxide detectors in the home. Safe Kids supports laws that ensure that all residences, including existing and new construction, be equipped with working carbon monoxide alarms. States and local governments have laws requiring detectors in buildings frequented by children such as schools and daycare centers. Safe Kids is actively fighting for laws requiring carbon monoxide detectors in schools.

Home

CPSC has been active in regulatory and educational efforts involving products in the home that a curious child might swallow. These range from rare earth magnets to small toys. The agency is also engaged in educational efforts that would reduce deaths and injuries occurring from furniture and television tipovers in the home. Safe Kids is examining ways to provide parents with the tools to prepare for emergency situations (e.g. hurricanes, tornadoes, wildfires, acts of terrorism, etc.) that might separate them from their children. It is also looking at ways to ensure home safety and education for parents in military housing.

Open Water

Forty-eight states and Washington, D.C. have enacted laws that require children to wear personal flotation devices (PFD) while participating in recreational boating. These laws vary in age requirements, exemptions and enforcement procedures. In 2002, the U.S. Coast Guard issued a rule requiring children under the age of 13 years to wear a PFD aboard recreational vessels on waters regulated by the Coast Guard. Safe Kids supports laws to ensure that all children wear PFD’s while participating in recreational boating. The rule is applicable to states without a current PFD law. The Coast Guard has also set rules banning the use of cell phones by operators of vessels. Safe Kids supports state and federal action against boating while intoxicated.

Safe Kids Worldwide 2013 Global Activity Report

| United States | 19

VII. LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION LAW FOCUS

DESCRIPTION

Pedestrian

There are many state and local laws that affect childhood pedestrian safety, such as low speed limits in residential areas, protection of pedestrians in crosswalks, provision of pedestrian walkways, prohibition of vehicles passing school buses while they load and unload passengers, provision of crossing guards and requiring pedestrians to cross only at designated crosswalks. In 2005, federal law established the Safe Routes to School program, a federally funded program designed to make it safer for children to walk or bike to school. Through this program, states could, for example, execute traffic calming and speed reduction measures, introduce new technologies, improve pedestrian and bicycle crossings and conduct public education campaigns to encourage walking and biking to school. The Safe Routes to School program was downsized in a 2012 federal highway law. Safe Kids supports advocacy efforts to restore the Safe Routes to School program to its original status as a federal program and encourages states to invest in programs to promote safer walking environments.

Playground

States have adopted all or parts of the CPSC model guidelines for public playgrounds. Largely based on the guidelines, 16 states have passed laws and regulations dealing with playground safety with a sliding scale of stringency.

Poisoning (see also carbon monoxide poisoning)

The Poison Prevention Packaging Act, a federal law, required the U.S. Consumer Product Safety Commission to set rules requiring child-resistant packaging for certain types of household products. The federal Poison Control Center Enhancement and Awareness Act of 2000 provided funding to establish a national toll-free phone number for poison control center services, to implement a national educational campaign and to financially stabilize regional poison control centers, but federal funding has been reduced in the past several years. Safe Kids has aggressively advocated for full funding of poison control centers, and, in fact, in 2013, the U.S. Senate proposed a slightly higher amount. The Federal Hazardous Substances Act bans any toy or childrenâ&#x20AC;&#x2122;s article that contains any hazardous substance, including hazardous levels of lead, or presents an electrical, mechanical or thermal hazard.

Safe Kids Worldwide 2013 Global Activity Report

| United States | 20

VII. LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION LAW FOCUS

DESCRIPTION

Product

Several federal laws work together to protect children from risks presented by toys in the U.S. The Consumer Product Safety Improvement Act (“CPSIA”) was passed in 2008 and significantly heightened the CPSC’s role and power regarding children’s products and toys. The Act makes ASTM F963, Consumer Safety Specifications for Toy Safety mandatory and requires that toys be tested to ensure their compliance with those and other CPSC standards. In addition, the CPSIA requires labels on advertisements for certain toys and games that contain small parts in catalogues and online. Finally, toys must be marked with tracking labels to make it easier to identify recalled items and remove them from homes and store shelves. Note that the Consumer Product Safety Improvement Act also requires the CPSC to study and develop safety standards for certain infant and toddler products. The Commission must either make the existing ASTM voluntary safety standard mandatory or develop a stricter safety standard. Once the safety standard is in place, it will be illegal to manufacture, sell or import a product that violates the standard. CPSC, by law, has become much more aggressive about seizing dangerous products at U.S. ports, many of which would pose risks to children. Safe Kids supports CPSC’s role in closely regulating infant cribs, and supports bans on crib bumpers because they pose a suffocation risk. The organization is carefully monitoring whether legislation or regulation will be sought regarding television and furniture tip-overs.

Sports

Forty-eight states, Washington, D.C. and the City of Chicago have enacted laws to mitigate the risk of concussions for youth athletes. These laws generally require education and training in concussion identification for coaches, a signed parental consent form and the mandate that a young athlete who had experienced a concussion only be allowed to return to play with a medical statement that they are well enough to engage in sports activity. Safe Kids supports these concussion prevention laws and public health experts who believe that many sports-related injuries occurring in games and practices are likely preventable. Safe Kids coalitions have been active in advocating for the passage of the laws and assisting in their effective implementation. Many coalitions are working with states to implement the “return-to-play” laws. Safe Kids supports federal legislation to better ensure the safety of sports safety equipment and discourage companies from misrepresenting the efficacy of their products.

Suffocation

Safe Kids supports federal legislation that would standardize the child death review process involving infants who die from suffocation and promote public education on safe sleep environments. Safe Kids’ letter to the 2013-2014 Congress in support of such legislation was co-signed by the American Academy of Pediatrics and the Children’s’ Hospital Association among eight others. It has worked with the CDC on programs to reduce child suffocation.

Safe Kids Worldwide 2013 Global Activity Report

| United States | 21

VII. LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION LAW FOCUS

Vehicle Passenger

DESCRIPTION Forty-nine states and Washington D.C. have child occupant protection laws in place, which vary widely in their age requirements, exemptions, enforcement procedures and penalties. New Hampshire is the exception. In addition, 48 states and Washington, D.C. have enacted child booster seat laws, which require older child passengers to be properly secured in a child safety seat. Safe Kids believes that every child restraint law should require the correct restraint of all children in all seating positions in motor vehicles. In many states, Safe Kids coalitions were actively involved in advocacy efforts to upgrade their state's law. A significant number of states and Washington, D.C. have primary enforcement seat belt laws, meaning that a law enforcement officer can stop a vehicle and issue a citation solely for a violation of the seat belt law. Many states have laws against a parent leaving children of varying ages in a car alone, and they differ in severity. Even in states without a law, parents may be prosecuted for â&#x20AC;&#x153;child endangerment.â&#x20AC;? Safe Kids is developing a model law that deals with children left alone in cars in a specific way and will target states where deaths occurred that do not already have laws in place. Many states and local governments recognize the significance of distraction affecting drivers, passengers and pedestrians and have passed laws banning the use of cell phones (including for text messages) while driving. Safe Kids supports reasonable innovations in cars to prevent backovers. Safe Kids has become deeply involved in the passage and enforcement of strict anti-drunk driving laws because research shows that children younger than 19 years are at greater risk of being injured by drunk drivers as passengers, drivers and pedestrians. Safe Kids supports laws requiring all motorcycle drivers to wear helmets and has fought against several efforts to repeal them in some states. Safe Kids has become active in influencing the regulatory process by formally offering expert opinion on rules, regulations and other matters.

Safe Kids Worldwide 2013 Global Activity Report

| United States | 22

Uruguay Fundación Gonzalo Rodríguez (FGR) is a non-governmental, non-profit organization founded in 2000 in memory of Uruguayan race car driver Gonzalo “Gonchi” Rodríguez (1971-1999), with a vision to improve education, health and development among children. FGR is also registered in the United States and in England, and became a member of Safe Kids Worldwide in 2011. From its inception, FGR has worked to improve the quality of life for thousands of Uruguay’s children through development of programs and educational activities. In 2007, FGR began implementing EDU-CAR, a road safety program focused on proposing public action and policies on road safety for children. Globally, FGR is a member of the FIA Foundation (Fédération Internationale de l'Automobile), International Road Assessment Program (iRAP), United National Road Safety Collaboration (UNRSC), Global Alliance of NGOs for Road Safety, Ibero-American Road Safety Observatory (OISEVI), as well as a member and Secretariat of FICVI (IberoAmerican Federation of Road Traffic Accident Victims), and partner and Secretariat of Latin NCAP (New Car Assessment Program).

www.gonzalorodriguez.org Fundación Gonzalo Rodríguez 26 de Marzo 3454 - Of. 102/CP 11300 Montevideo Uruguay

Rosa Gallego Executive Director rg@gonzalorodriguez.org Rosa Gallego began her work with FGR in 2008 as the Road Safety Project Coordinator, and in 2013, became Executive Director of the organization. Rosa is responsible for the design, implementation, execution and evaluation of strategies, scientific studies, campaigns and fundraising. She conducts lectures on safer vehicles nationally and internationally as part of the Latin NCAP and was an active participant in the creation of the Seal of Recommendations for child restraint systems (CRS), a joint effort between the Uruguayan Society of Pediatrics, market importers and FGR. In 2011, Rosa graduated from the FIA Foundation’s Traffic Safety Scholarship Program and conducts courses on correct installation of CRS. She also has experience as a technician in quality management and human resources management.

Safe Kids Worldwide 2013 Global Activity Report

| Uruguay | 1

I. COUNTRY STATISTICS 3,535,0001 1,005,0001 Middle2

TOTAL POPULATION POPULATION AGE < 19 INCOME GROUP GROSS NATIONAL INCOME PER CAPITA

$10,2902

Source: United Nations (UN) World Population Prospects (2011) Source: World Health Organization (WHO) Global Status Report on Road Safety (2013)

II. TOP FIVE INJURY RISK AREAS Disaggregated national data related to unintentional injuries is not available.

III. ORGANIZATIONAL PRIORITIES Fundraising

Obtain funding from multilateral organizations.

Partnerships

Establish partnerships with national and regional governments and the Pan American Health Organization.

Programs

Research

Replicate EDU-CAR as a regional program. Foster a mandatory child restraint systems (CRS) law in the Latin America and Caribbean (LAC) region. Support the School Transport Law and the Road Safety General Regulations Act Nº 19,061 regarding mandatory use of CRS. Promote CRS use at the national level through a communications campaign designed and conducted together with the World Bank and the National Road Safety Agency. The campaign will be advertised throughout the country on television, at public venues and on the Internet. Conduct research on child safety as passengers on motorcycles traveling to and from school as well as a general mode of travel in 2013-2014.

IV. ACCOMPLISHMENTS (JULY 31, 2012 – JUNE 1, 2013) 1. FGR gained political support and civil society engagement in advocating for installation of three-point, heightadjustable seat belts and CRS for small children in 100 percent of school buses in Uruguay. 2. FGR and several insurance companies signed agreements to include CRS in insurance policies and to maintain that the CRS will meet recognized standards and will not exceed shelf life of more than 10 years. 3. After five years of hard work, on December 2012 National Act Nº 19,061 was passed in Uruguay. According to article one of the new law (regulation pending), children ages 0-12 years and adolescents up to the age of 18 years and under 1.5 meters in height must travel in rear seats using CRS. Approval of the law is a historical event of great importance for Uruguay and the LAC region.

Safe Kids Worldwide 2013 Global Activity Report

| Uruguay | 2

V. PROGRAMS

A. EDU-CAR FOCUS

- Road Safety - Traffic accidents are a global health epidemic, and in Uruguay they are the leading cause of death for children under the age of 15 years and youth ages 15-24 years. The EDU-CAR plan is part of a long-term project focused on child road safety with the aim to identify challenges faced by children as pedestrians, passengers of two-wheeled and private vehicles, and passengers on school buses and public transport. EDU-CAR was designed to demonstrate the need for children to be seen as road users as much as adults; the effectiveness of multi-sectorial interventions in order to promote safe traffic conditions for children; and to share best practices with other Latin American countries. GOALS

- Raise awareness of the importance of road safety for children ages 0-14 years among parents and caregivers, other NGOs, government, policymakers and media. - Protect and educate children today as the drivers of tomorrow. - Provide solutions for data collection and for the statistical system on road traffic accidents for children ages 0-14 years. - Foster legislation and government commitment to the protection of children as road users. - Promote a cultural change of values and respect for safe behavior in traffic. - Develop and implement a public campaign and interventions for information, education, training and awareness. LOCATIONS

- Nationwide and throughout LAC regions. PARTNERS

- Association for Safe International Road Travel (ASIRT) - Canadian Embassy, Uruguay (Canada Fund for Local Initiatives – Department of Foreign Affairs and International -

Trade) Centers for Disease Control and Prevention (CDC) FIA Foundation FIA IV Region FICVI Fundación MAPFRE Fundación Quirós Tanzi Global Alliance of NGOs for Road Safety Global Road Safety Facility – World Bank Ibero-American Federation of Victims’ Associations Against Road Violence International Road Assessment Program (IRAP) International Union for Health Promotion and Education (IUHPE) Municipality of Flores Ministry of Public Health, Uruguay National Board of Kindergarten and Primary Education (ANEP) OISEVI School of Medicine, University of the Republic Swiss Embassy, Uruguay UNRSC Uruguayan Society of Pediatrics

VOLUNTEERS

- Student volunteers majoring in social sciences were available for specific activities such as research and observational studies.

Safe Kids Worldwide 2013 Global Activity Report

| Uruguay | 3

ACTIVITIES EDUCATION AND TRAINING

- Conducted lectures, both nationwide and abroad, on child road safety, including information on CRS and safe school transport for medical students, health professionals, traffic inspectors, school transport companies, other likeminded organizations and education professionals. Lectures often resulted in train-the-trainer initiatives. For example, the Municipality of Montevideo aims to continuously train Traffic Police through lectures on child safety topics including CRS provided by FGR. - Learning to Travel Safely: With support from Fundación MAPFRE, Municipality of Flores and ANEP, FGR launched the “Right to Circulate” learning software. Activities were designed from a child’s perspective and aim to foster the idea that they have a right to a family that protects and looks after them, to social welfare and to road safety. In 2012, FGR was invited by the Director of Learning from One Laptop per Child to present the project “Right to Circulate” to those responsible for the program in seven LAC countries. FGR began working with Fundación Quirós Tanzi in Costa Rica to implement the learning software in their country. - CPS Training Program for LAC: Plan to replicate the basic concepts of the “National Certification on Child Passenger Safety" program carried out by Safe Kids Worldwide in the U.S. In 2012, FGR conducted a course on CPS attended by representatives from Brazil, Chile, México, Argentina and Uruguay. The course contents were adapted to the needs of LAC. - In 2012, 305 adults were trained and 335 CRS were installed in 270 vehicles. AWARENESS AND ADVOCACY

- Conducted active dissemination of best practices on CRS and activities to raise awareness. Activities were held during the first and second anniversaries of the Decade of Action for Road Safety, Second UN Global Road Safety Week and National Road Safety Week. Tips and information about road safety for children are regularly posted on FGR’s webpage, Twitter and Facebook accounts. - Conducted advocacy activities to sensitize the government to the importance of child road safety. FGR presented a request to the National Parliament of Uruguay to accelerate the process for the inclusion of a law to make CRS mandatory. FGR is advocating for a preventive approach to address the issue of children transported on motorcycles, based on results of the “Analysis of Child Road Accidents in Uruguay: A Preventive Approach”, a research study conducted by FGR to examine school environments and modes of transport for children. - Contacted regional governments, such as the Government of the City of Buenos Aires, Government of Chile and Government of Colombia to disseminate information about EDU-CAR and to propose replicating actions that have produced successful results. ASSESSMENT OF CRS FOR PURCHASE AND INSTALLATION

- FGR is working with market importers and the Uruguayan Society of Pediatrics on the “Seal of Recommendation for CRS.” Through this initiative, CRS commercialized in Uruguay that meet international technical standards will display the message “Recommended by the Uruguayan Society of Pediatrics,” upon obtaining validation through FGR. This will help parents identify products that comply with technical standards. - FGR conducted weekly CRS checkpoints with trained technicians on correct installation of different types of CRS and provided safe travel tips. FGR also conducted CRS checkpoints in Argentina, Chile and Colombia. FGR plans to conduct CRS checkpoints and lectures in six provinces of Uruguay in 2013. PUBLICATIONS

- Continued to use the Manual of Best Practices, published in 2010 that includes results showing significant statistical change over time. For example, the pre and post “Use CRS” media campaign studies showed a decrease in the number of children not properly restrained in a car seat. Explanations for using safety regulations for protection of children on the roads are also provided in the manual. - Ibero-American “Faces of Latin America” Project: FGR participated in this project with the aim to raise awareness about the high incidence of road traffic accidents by providing stories and faces of people affected, such as family members, friends and survivors with permanent injuries. Story topics included speeding, alcohol consumption, failure to follow road traffic signs, street racing, bicycle and pedestrian accidents among others. The diversity of factors encouraged different recommendations from involved organizations.

Safe Kids Worldwide 2013 Global Activity Report

| Uruguay | 4

- The publication was produced with support from the CDC, International Union for Health Promotion and Education and the Ibero-American Federation of Victims’ Associations Against Road Violence. Project objectives include: - Raise awareness about the reality of road traffic accidents and tragic consequences using the Ibero-American approach. - Give victims a "face" in each country. - Obtain recommendations from participating organizations. - Encourage change in road safety policies. - Position road traffic accidents and their consequences as a global health problem. PUBLIC SERVICE CAMPAIGNS

- “Safely Back to School”: This public campaign, conducted by FGR since 2011, provides information for adults responsible for transporting children. In 2012-2013, the message was not only the importance of seat belt use in school buses but also the importance of CRS use for children ages 3 years and younger. The campaign originated with the passage of an Executive Order in July 2010, regulating national school buses and providing information on nationwide requirements and regulations to the general public. The Executive Order is implemented and effectively audited by authorities in Uruguay. According to campaign messaging: - All school buses must be qualified and approved for use by departmental governments. - Approved vehicles with a minimum of 24 seats must be equipped with seatbelts. - Seat belts should be three points with height adjustment and meet internationally accepted technical standards. - Children below 3 years of age should travel properly restrained in a CRS. - “Use CRS” Campaign: The campaign was launched in 2010 and re-launched in 2012 with three objectives: to raise awareness about the need for CRS as the only possible way for children under 1.5 meters in height or under age 12 years to travel safely; raise awareness among authorities and stakeholders and encourage regulations promoting the use of CRS; and to motivate the general public to develop the habit of using CRS. - Conduct the “To Use a Child Car Seat is Mandatory by Law” campaign, launched in 2013 to disseminate information about approval of the National Act Nº 19,061 in Uruguay, making CRS use mandatory by law. The campaign will include a television appearance and production of materials. RESEARCH SCHOOL CHILDREN SURVEY (2011-2012) PARTNER

- Agencia Nacional de Investigación e Innovación (ANII) TARGET POPULATION

- 977 of approximately 115,000 children attending schools in Montevideo province. METHODOLOGY

- Face-to-face survey with randomly selected children from the target population based on: - Geographical zones: the eight existing municipalities were grouped in two broader zones; Center Coast (municipalities along the city’s coast and the city center) and the Outskirts (municipalities outside the Centre-Coast zone), for socioeconomic, operative and statistical reasons. - System: public or private funding. KEY FINDINGS

- Modes of travel to and from school for children in Montevideo: - 43 percent walk - 23 percent by four-wheeled private vehicle - 19 percent by public transit - 9 percent by school bus - 6 percent by motorcycle - The two most popular modes of travel to and from school are based on school location: - Center Coast: - 48 percent by four-wheeled private vehicle - 30 percent by walking

Safe Kids Worldwide 2013 Global Activity Report

| Uruguay | 5

- Outskirts: - 54 percent by walking - 24 percent by public transit SCHOOL BUS LAW COMPLIANCE (2011-2012) PARTNERS

- ANII - Department of Traffic, province level TARGET POPULATION

- Sample size: 18 of the 19 provinces in Uruguay. METHODOLOGY

- School bus law compliance: "National Traffic Act" (NTA, Nº 18191) Section 31 and Decree Nº 206/010 (TO 65) state that all school buses must have three-point seat belts in all seating positions. The aim of this study was to assess the compliance at province level. - Telephone surveys with qualified informants from the Department of Traffic, province level, to determine school bus law compliance. KEY FINDINGS

- The study found three distinct approaches to compulsory regulations for school buses: - Group I: Four provinces including Montevideo and Canelones, created provincial regulations based on specific standards for restraint systems.

- Group II: Twelve provinces are implementing and enforcing the National Act, not taking into account specific standards for restraint systems. - Group III: Two provinces neither developed provincial regulations nor control school transport vehicles. MOTORCYCLE OBSERVATIONAL STUDY (2011-2012) PARTNER

- ANII METHODOLOGY

- Non-participant observational study in surrounding areas of 47 out of approximately 500 kindergartens and schools in Montevideo province, based on: - Geographical zones – municipalities. - System – public or private funding. KEY FINDINGS

- 35 percent of children traveling by motorcycle in the vicinity of kindergartens and primary schools wear a helmet. - 65 percent of children do not wear a helmet, while half of those that do wear helmets, wear them in a potentially incorrect way. - 62 percent of motorcycles carried two passengers (an adult and a child), while 38 percent of motorcycles carried three passengers or more. TRANSPORTATION MODES AND SCHOOL CONTEXT (2011-2012) PARTNER

- ANII METHODOLOGY

- Information about the existence or lack of traffic signs in the surrounding areas of 33 out of approximately 300 schools in Montevideo was collected International standards recommend signs for slowing down in school zones; safety barriers; pedestrian crossings, traffic lights; and demarcations between sidewalk and street. Schools were randomly selected based on: - Geographical zones – municipalities - System – public or private funding

Safe Kids Worldwide 2013 Global Activity Report

| Uruguay | 6

KEY FINDINGS

12 percent of schools in Montevideo have none of the elements considered. 45 percent have one or two elements. 42 percent have three or four elements. None of the schools had all five elements. CRS IN LAC – ANALYSIS OF VIABILITY TO IMPLEMENT MANDATORY USE (2013) PARTNER

- Fundación MAPFRE TARGET POPULATION

- Agencies responsible for implementation of road safety plans in the LAC region. - NGOs at regional, national and international levels, as well as members of the national government, transit police, inspectors, insurance and private companies. - Manufacturers and brand representatives of CRS at the regional, national and international levels. - Children ages 0-14 years, parents, caregivers, education and health professionals. - State and private university students majoring in Engineering, Law, Economics, Medicine and Psychology. OBJECTIVES

- Identify the market situation in countries participating in the study, seeking information such as availability and accessibility of CRS in order to determine the medium-term viability of implementation, enforcement of legislation, and/or regulations that mandate the use of CRS. More specifically: - Diagnose the situation in participating countries in terms of CRS production, import, legislation and any applied tariff/taxation policies. - Diagnose the situation in participating countries in terms of CRS cost, availability and supply by make and model, use, availability of technical standards and access to related information. METHODOLOGY

- Research statistical data and conduct a survey with private and non-governmental organizations in Uruguay, Argentina, Chile Paraguay and Peru. GOALS

- Provide benchmark report results for all categories evaluated. - Report interagency actions in each participating country. - Produce a final project report with recommendations on steps for each participating country for medium-term implementation, enforcement of laws and regulations that mandate the use of CRS.

VI. MEDIA RELEASES AND RECOGNITION TRADITIONAL MEDIA - From July 31, 2012-June 1, 2013, EDU-CAR garnered more than 280 media hits on radio and television, in print and on the Internet. SOCIAL MEDIA - FGR’s website received an average of 1,900 visits per month. - FGR’s Facebook account has more than 9,200 likes. - FGR’s Twitter account has nearly 170 followers. RECOGNITION AND AWARDS - At the XII FIA American Congress, the Automobile Club of Uruguay recommended that check-up events be implemented in the rest of the Automobile Clubs in the IV Region due to their high social impact. - FGR received the “Prince Michael International Road Safety Award” in New York on May 2, 2012. - The “Use CRS” Campaign won a Golden Bell national advertising prize – the most prominent award in Uruguayan advertising in the public services category, as well as an EFFIE (2011), an international award that stands for effectiveness in marketing communications.

Safe Kids Worldwide 2013 Global Activity Report

| Uruguay | 7

VII. LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION LAW FOCUS

DESCRIPTION

Bicycle

Nº 18.191 – The National Traffic Act is Uruguay’s road safety law and is inclusive of all road safety regulations, such as mandatory use of car lights, seatbelts and regulation of alcohol limit. This law applies to all vehicles. Nº 19.061 – The Road Safety General Regulations include the following requirements for bicycles and other vehicles: Article 7: Drivers and passengers of motorcycles, mopeds, bicycles or similar modes of transport must wear a reflective vest, jacket or reflective bands that meet technical requirements for reflective gear in accordance with regulations, on all public roads. Article 9: Cyclists must wear a safety helmet that meets technical requirements. Article 10: Bicycles, motorcycles, mopeds, quads and similar vehicles must be in compliance with security standards and have front and rear brakes; rearview mirrors; a bell or horn; and light system consisting of a white light and reflector at the front of the vehicle, and red light and reflector at the rear of the vehicle. These should be visible at a safe distance in good weather. All bicycles must have at least two retro-reflective devices on each of its wheels and retro-reflective bands on the front of each pedal. Article 11: Bicycles intended for racing and competitions shall be exempt from these provisions during the event. Article 12: Zero kilometer vehicles such as bicycles, scooters, motorcycles and mopeds must be registered upon purchase and accompanied by purchase of a certified helmet.

Motorcycle

Nº 18.191 – The National Traffic Act is Uruguay’s road safety law and is inclusive of all road safety regulations, such as mandatory use of car lights, seatbelts and regulation of alcohol limit. This law applies to all vehicles. Children and adolescents may ride as passengers on motorcycles and other similar vehicles at any age, provided that they can comfortably reach the footrest with their feet. In Uruguay, no helmets are produced specifically for use by children. In 2013, FGR conducted efforts to promote the above laws and helmet use among children.

Road

School Bus

School bus law compliance: "National Traffic Act" (NTA, Nº 18.191) Section 31 states that all school buses must have three-point seat belts in all seating positions. Decree Nº 206/2010 regulates Law Nº 18.191. Circular No. 64/12 from the Board of Pre-School and Primary Education: circular on the use of seat belts for children. Decree Nº 206/2010 regulates Law Nº 18,191.

Safe Kids Worldwide 2013 Global Activity Report

| Uruguay | 8

VIII. LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION LAW FOCUS

Vehicle Passenger

DESCRIPTION Nº 18.191 – The National Traffic Act is Uruguay’s road safety law and is inclusive of all road safety regulations, such as mandatory use of car lights, seatbelts and regulation of alcohol limit. This law applies to all vehicles. Seat belts are mandatory and have been enforced by law since 2007. Nº 19.061 – Children ages 0-12 years and adolescents ages 18 years and younger and less than 1.5 meters (4.92 ft.) in height must travel in the rear seat of vehicles and be restrained in an appropriate CRS. Decree Nº 206/2010 (TO 65) regulates Law Nº 18,191.

Safe Kids Worldwide 2013 Global Activity Report

| Uruguay | 9

Vietnam Safe Kids Worldwide established a presence in Vietnam in 2002 through a partnership with the Asia Injury Prevention (AIP) Foundation. AIP Foundation focuses primarily on road injury prevention and believes the most effective way to improve road safety in developing countries is to build partnerships with interested parties, such as non-profit organizations, businesses and governments. The rationale behind this approach is that working together toward a common goal of road safety for children has a greater impact than working individually.

www.asiainjury.org Asia Injury Prevention Foundation 18bis/21 Nguyen Thi Minh Khai St, District 1 Ho Chi Minh City Vietnam

Mirjam Sidik Chief Executive Officer mirjam.sidik@aipf-vietnam.org

*AIP Foundation has reach into 24 provinces through its programs.

Mirjam Sidik is the Chief Executive Officer of the AIP Foundation and is responsible for all of the organization’s operations. Mirjam graduated from the Justus-Liebig University in Germany and holds a Master’s degree in International Business. She lived and worked in Germany, France and Switzerland before moving to Asia in 2001. She currently resides in Ho Chi Minh City, Vietnam.

Safe Kids Worldwide 2013 Global Activity Report

| Vietnam | 1

I. COUNTRY STATISTICS 91,955,0001 28,287,0001 Middle2

TOTAL POPULATION POPULATION AGE < 19 INCOME GROUP GROSS NATIONAL INCOME PER CAPITA

1,1601

Source: United Nations (UN) World Population Prospects (2011) Source: World Health Organization (WHO) Global Status Report on Road Safety (2013)

II. TOP FIVE INJURY RISK AREAS 2

RANKING

MORBIDITY

MORTALITY CAUSE

Drowning

Road Traffic Accidentsa

RATE

RATE 8.1

CAUSE

RATE *

Road Traffic Accidents

552.2

4.1

Falls

468.3

Falls

2.3

Animal Bites

150.5

Poisoning

0.1

Sharp Objects

93.0

Inter-Personal Violence

0.9

Burns

68.1

Vietnam National Injury Survey, 2010; data refer to ages 0-18 years Vietnam National Injury Survey, 2010; data refer to ages 0-19 years a Corresponding population numbers unavailable * Includes pedestrian, occupant, bicycle and motorcycle 2

III. ORGANIZATIONAL PRIORITIES Fundraising

Create a sustainable and stable funding base to meet budget needs. Increase the number of private sector and foundation donors.

Partnerships

Engage local partners such as research institutes and local universities to support and enrich programs. Provide technical assistance to government partners and advocate for greater enforcement and strengthening of helmet laws. Engage international injury prevention and road safety research organizations in research program partnerships. Engage universities abroad to build fellowship and internship opportunities for undergraduate and graduate students.

Safe Kids Worldwide 2013 Global Activity Report

| Vietnam | 2

III. ORGANIZATIONAL PRIORITIES

Programs

Expand current programs beyond major cities to include rural areas, minority groups and underprivileged communities. Invigorate current program activities with new activities based on evaluation of the effectiveness of programs. Adapt successful programs in Vietnam in developing countries through the Global Helmet Vaccine Initiative. Establish best practices for programs, making them easier to replicate worldwide.

Research

Evaluate the effectiveness of school-based programs and traffic safety education. Conduct pre and post-assessments for each phase of the three-year child helmet use campaign.

IV. ACCOMPLISHMENTS (JULY 31, 2012 – JUNE 1, 2013) 1. AIP Foundation, in coordination with the WHO and the National Traffic Safety Committee (NTSC), developed and implemented a plan for enhanced enforcement of child helmet use, combined with a communications campaign. The WHO is funding the majority of the enforcement component, and AIP Foundation has taken the lead with local authorities to develop the plan of action and coordinate activities. 2. Through a commemorative event in November 2012, the Vietnamese Government officially observed the World Day of Remembrance for Road Crash Victims for the first time.

PROGRAMS

A. WALK THIS WAY FOCUS

- Pedestrian Safety - Pedestrian casualties in Vietnam, and particularly adverse effects on children, are largely under-reported. Official data sources do not include reliable estimates of these indicators. AIP Foundation conducted the first study focused exclusively on pedestrian safety in Vietnam, using Dong Nai Province as a case study. Findings included: - The Provincial General Hospital reported that all of its pedestrian road traffic injury cases occurred among children ages 16 years and younger. - At the pediatric hospital, a quarter of road traffic injuries were pedestrians. - An estimated 5,900 to 7,800 primary students in the province reported having been injured by a vehicle within six months while walking to and from school.1 GOALS

- Promote pedestrian safety among primary school children, teachers, parents and local communities in Binh Dinh and Dong Nai provinces, and secondary school students, teachers, parents and community members in Ho Chi Minh City. - Encourage and inspire children to practice safe behavior on the roads. - Involve the local community and government agencies to provide a sustainable and safe environment for children. - Make permanent infrastructure changes. - Support the pedestrian safety-themed Second UN Global Road Safety Week on May 6-12, 2013. 1

L Brondum, M Florian. “Under-reported: child pedestrian road traffic injuries in Vietnam.” Injury Prevention 2012; 18:A219 doi:10.1136/injuryprev-2012-040590v.2

Safe Kids Worldwide 2013 Global Activity Report

| Vietnam | 3

LOCATION

- Ho Chi Minh City; Binh Dinh and Dong Nai provinces PARTNERS

AusAID Departments of Education and Training in Ho Chi Minh City, Binh Dinh and Dong Nai Provinces FedEx Global Alliance of NGOs for Road Safety Ministry of Education and Training National Traffic Safety Committee (NTSC) Princeton, Asia Road Safety Fund Traffic Police in Ho Chi Minh City, Binh Dinh and Dong Nai Provinces Traffic Safety Committees in Ho Chi City, Binh Dinh and Dong Nai Provinces University of Wisconsin

VOLUNTEERS

- One intern, 104 university students and 17 FedEx employees ACTIVITIES - Provided pedestrian and general road safety education support for Phu My District, Binh Dinh Province and Trang Bom District, Dong Nai Province. - Conducted environmental modifications around schools in the two districts. DONG NAI PROVINCE

- Provided a controlled environment for primary school students to practice the skills and situations they learn in the classroom at the Traffic Safety Park, built in 2010. - Trained 31 teachers from primary schools in Trang Bom District, Dong Nai Province in November 2012 on running practice sessions for students. - Equipped as many as 3,100 students with road safety skills through practice at the Traffic Safety Park led by trained teachers on Saturdays between December 2012 and April 2013. - Conducted the Model School Zone project at Nguyen Thi Minh Khai Primary School to improve pedestrian safety for children by modifying the environment and sharing results of the initiative. The ultimate goal was to demonstrate that the project can be effective and adapted to benefit children in countries of varying resource levels, despite the diversity of risks and issues surrounding school zones. During the project, AIP Foundation: - Selected the school based on certain program criteria, such as location, school size and pedestrian safety needs. - Organized a working committee of stakeholders to ensure the integration and compliance of governmental and school authorities. - Conducted a baseline assessment to identify safety issues and opportunities for improvement. - Developed an intervention plan with participation of local stakeholders. - Conducted environmental modifications at Nguyen Thi Minh Khai School and the surrounding area to address challenges children face during their travel due to a lack of safe sidewalks and crosswalks and an exposed drainage channel that forced them to walk along a road with high traffic volume. - Installed one set of warning traffic lights, four rumble strips, three zebra crossings, four school zone signs and four speed limit signs; covered 248 meters of drainage tunnel and reconstructed 384 square meters of sidewalk. - Painted traffic safety murals on school walls to help students remember what they learned in the classroom. - Conducted an information session for 300 parents at the school in September 2012 to provide tips on how to teach children to stay safe while walking and riding bicycles, as well as sitting on the back of a motorbike. Parents had positive feedback about the content and reported feeling confident in applying the information from the session to teaching their children to be safer road users. - Conducted an evaluation on interventions to identify program strengths and lessons learned.

Safe Kids Worldwide 2013 Global Activity Report

| Vietnam | 4

- Results revealed that: - The number of parents reporting feeling comfortable allowing their child walk to school doubled. - The percentage of students using the crosswalk increased by 40 percent and those using the sidewalk by 75 percent. - From 2012 to 2013, Trang Bom traffic police reported a district-wide decrease in crash cases, 84 percent and in road deaths, 67 percent. Non-fatal injuries were reduced to zero. BINH DINH PROVINCE

- Installed traffic calming measures in front of six target schools in Phu My District, Binh Dinh Province such as warning traffic lights and zebra crossings. - Distributed pedestrian safety informational booklets to students. - Provided reflective jackets to students to increase their visibility as they walk to and from school and around their neighborhoods, especially at night. - Provided helmets for students through the bicycle helmet subsidy activity. - Provided e-Learning Click on Safety software and technical support for primary schools in Phu My District. - Conducted an effective workshop on traffic safety teaching methods in October 2012, focused on new educational methods, road safety information, and interactive teaching skills. Thirty core teachers from 30 primary schools practiced opening group discussions, raising questions, organizing games, incorporating physical activities and integrating their own personal experiences into their lesson plans. - Trained 13,744 primary school students and 1,817 secondary school students in Phu My District from February to April 2013 on safe pedestrian, bicycle and motorcycle behaviors. - Conducted extracurricular activities enabling primary and secondary school students to understand the enormity of the traffic accident situation and poor traffic culture in Vietnam, as well as learn to apply and practice safe road behaviors. - Conducted pre and post-tests to assess change in studentsâ&#x20AC;&#x2122; knowledge, attitudes and behaviors. - Results revealed that: - Rates of motorcycle helmet use increased from approximately 26 to 90 percent at six target schools. - Rates of bicycle helmet use increased from approximately 0.4 to 80 percent at six target schools. - Students wearing reflective jackets when travelling on the road increased from 0 to 69 percent. PEDESTRIAN CAMPAIGN IN HO CHI MINH CITY

- Conducted a pedestrian safety photo contest in partnership with the Ho Chi Minh Department of Education and Training and the Traffic Safety Committee to focus the community's attention on risks faced by pedestrians on the roads. The contest also aimed to raise awareness of the need for improved pedestrian safety â&#x20AC;&#x201C; the theme of the Second UN Global Road Safety Week. - Encouraged students from all 24 districts to log onto the contest website, read information about pedestrian safety, complete a pedestrian quiz, take photos of their surroundings and submit these photos through the website from March 1 to May 11, 2013. - Built and maintained a contest website, which attracted 16,461 page views, 2,343 registered accounts, 542 comments and 311 completed quizzes. - Leveraged Facebook for public voting to select the top 100 entries. A panel of judges then selected six winning photos from 100 finalists. - Held an award ceremony for winners who received prizes, such as iPads, cameras and iPods, and a photo exhibition for 60 photos that received the most Facebook "likes" at the Youth Cultural House from May 11-16. More than 20,000 people visited the exhibit. UN GLOBAL ROAD SAFETY WEEK

- Hosted Long Short Walks in Ha Tinh Province, Hanoi, and Districts One and Nine in Ho Chi Minh City to advocate for the rights of pedestrians on the roads. - Engaged the chief secretariat of the National Traffic Safety Committee to lead the walk in Ho Chi Minh City, which was combined with an exhibition and award ceremony for the pedestrian campaign.

Safe Kids Worldwide 2013 Global Activity Report

| Vietnam | 5

MEDIA ACTIVITIES

- Held the Model School Zone launch at Nguyen Thi Minh Khai Primary School in October 2012. - Conducted six project handover ceremonies at each target school in Phu My District, Binh Dinh Province. - Concluded the pedestrian safety campaign with an exhibit opening, award ceremony and walking event in Ho Chi Minh City in May 2013. RESEARCH - Brondom L., M. Florian (2012), “Under-reported: child pedestrian road traffic injuries in Vietnam.”; 18:A219 doi:10.1136/injuryprev-2012-040590v.2

B. HELMETS FOR KIDS FOCUS

- Motorcycle, Bicycle, and Helmet Safety - In contrast to the high compliance rates among adults, 85-95 percent, rates for child helmet use were estimated at 18 percent across areas of Vietnam’s major cities in September 2012. Motorcycles account for 95 percent of the total registered vehicles in the country and function as the primary means of transportation for Vietnamese families. Children are exposed to the same traffic risks as their parents when they are driven to school every day, too frequently without helmets. As a result, more than 2,000 children die from preventable injuries on the road every year.2 Helmets for Kids aims to reduce road traffic fatalities among children through increased and sustained child helmet wearing rates in target schools and communities. GOALS

- Provide children and teachers with quality helmets. - Educate primary school children, teachers, parents and the local community about the safety value of helmets and correct helmet use. LOCATION

- Nationwide – 24 provinces in Vietnam PARTNERS

AusAID Departments of Education and Training in Ha Tinh, Quang Binh, Hanoi, Hai Duong, and Dong Nai Provinces Diversey Hygiene Johnson & Johnson Ministry of Education and Training NTSC Princeton, Asia Traffic Safety Committees in in Ha Tinh, Quang Binh, Hanoi, Hai Duong, and Dong Nai Provinces University of Wisconsin UPS Foundation

VOLUNTEERS

- 88 sponsor volunteers ACTIVITIES - Conducted helmet donations at 38 primary schools for school students and teachers and distributed 13,819 free helmets to students. The donation ceremonies aimed to engage schools and sponsors and to increase public awareness of child helmet use. - Conducted training on helmets and helmet use for 13,707 students and 215 teachers at 38 primary schools. - Conducted parental commitment and communications meetings/workshops. 2

Vietnam Ministry of Health, 2011

Safe Kids Worldwide 2013 Global Activity Report

| Vietnam | 6

- Hosted extracurricular activities at project schools to sustain students’ enthusiasm and helmet use. - Tracked change through pre and post-behavior observations and knowledge assessments.

C. “CHILDREN ALSO NEED A HELMET” PUBLIC AWARENESS CAMPAIGN FOCUS

- Motorcycle and Helmet Safety GOALS

- Increase awareness among parents, children, teachers and the local community about the importance of child helmet use and the safety value of helmets. - Combat myths about child helmet use, such as the myth that helmets are unsafe for children. - Create an environment where non-helmet use among children is socially unacceptable. - Increase child helmet use by 80 percent in target areas by 2015. - Enhance capacity of media and related government officials in communications and enforcement of child helmet law. LOCATION

- Target areas in Hanoi, Ho Chi Minh and Danang cities PARTNERS

Atlantic Philanthropies AusAID Departments of Education and Training in Ho Chi Minh City, Hanoi and Danang Provinces FIA Foundation Ministry of Education and Training NTSC Princeton, Asia RMIT University Vietnam Traffic Police in Ho Chi Minh City, Hanoi and Danang Provinces Traffic Safety Committees Ho Chi Minh City, Hanoi and Danang Provinces University of Wisconsin WHO

VOLUNTEERS

- 300 sponsor volunteers and 10 Youth Union volunteers ACTIVITIES PHASE I

- Installed 220 billboards at primary schools and in public locations in Hanoi, Ho Chi Minh City and Danang to encourage helmet use among children. - Combined communications activities with enhanced helmet wearing enforcement operations, supported by WHO, to target school-aged children who ride as passengers on motorcycles in five districts of Ho Chi Minh City from September to December 2012. - Set-up information counters in five target districts and distributed 10,000 flyers and 500 helmets to violators stopped by police. A booth was also set up at a public event co-organized by the Youth Union on September 23 with more than 1,000 participants. - Developed 10,000 booklets about World Day of Remembrance for Road Traffic Victims, the traffic law in Vietnam and safe road behaviors, and distributed across 24 districts in Ho Chi Minh City. - Held a meeting with 15 stakeholders in Hanoi in December 2012 to review the first phase of the campaign and to map out next steps for a successful Phase II. PHASE II

- Held local stakeholder workshops in March 2013 in Hanoi and Ho Chi Minh cities to introduce new campaign activities and expand target districts in Hanoi, Ho Chi Minh City and Danang.

Safe Kids Worldwide 2013 Global Activity Report

| Vietnam | 7

- Installed 319 billboards in front of schools, on main roads and in public areas throughout the target areas to encourage helmet use for children. - Through Facebook, the campaign website and at public events, collected pledges from parents to make sure their children wear helmets on motorcycles. - Hosted family-friendly events in District 11, Ho Chi Minh City on March 24 and at the Botanical Gardens in Hanoi on May 4, 2013 engaging more than 9,000 parents, children, celebrities and road safety stakeholders through traffic safety games and activities. - Coordinated with WHO and dedicated units of traffic police in Hanoi in April 2013 to combine communications activities with increased helmet enforcement operations, targeting school-aged children who ride as passengers on motorcycles in three districts. - Conducted 60 information sessions for parents at schools in new target districts in three cities. - Distributed 196,000 informational packets and helmet vouchers to teachers, parents and students at all primary schools in target districts throughout May 2013. - Results through a post-evaluation of Phase II revealed that since baseline research was conducted in September 2012, child helmet use had risen from 17 to 47 percent across three target cities and, particularly impressive, from nine to 53 percent in Hanoi. - Conducted helmet observations and public opinion surveys before and after each of the three campaign phases. Note: Phase III is in its planning stages and will begin in September 2013. - Conducted capacity building activities with support from the Global Road Safety Partnership for media and related government agencies by conducting: - A training needs assessment and presenting findings to related government agencies. - Training courses for 30 journalists and 30 government officials in Hanoi, Ho Chi Minh, Da Nang, Ha Tinh, Quang Binh and Dong Nai. - An online forum and content for training courses online. - Post-course follow-up and six months of support for trainees. - Evaluation of the capacity building component. RESEARCH

- Vietnam National University (2012), Child helmet use evaluation. Ho Chi Minh City. - Tran, H.M. (2012), Vietnam child helmet usage survey report (Phase I evaluation). Hanoi: CCIHP. - Parker, L., T. H. Duong, M. Florian (2013), Perceptions of safe driving norms in Vietnam. Ho Chi Minh City: RMIT University â&#x20AC;&#x201C; Vietnam Centre of Communication and Design; Asia Injury Prevention Foundation. - Tran, H.M. (2013), Helmet observation survey report (Phase II evaluation). Hanoi: CCIHP.

D. ZOOMING IN ON ROAD SAFETY FOCUS

- General Road Safety - Zooming in on Road Safety utilizes photography as a medium to give secondary students the opportunity to represent road traffic dangers in their community. Participants engage their broader school communities through presentations and discussions of their projects. The project is based on the idea that creativity and advocacy are strongest as simultaneous pursuits. By learning to identify problems and to visualize a future in which those problems have been solved, young adults participating in Zooming in on Road Safety not only become smarter road users, but more astute citizens as well. GOALS

- Raise awareness about road safety among school students, teachers, parents and the local community. - Help improve presentation and photography skills of secondary school students. - Capture the reality of young road users through images, which can spark social change through the production process and issues framed.

Safe Kids Worldwide 2013 Global Activity Report

| Vietnam | 8

- Raise awareness of road safety among parents, teachers, communities, non-core students and local authorities through a photo exhibition and family day event, promoted by a celebrity ambassador. LOCATION

- District 9, Ho Chi Minh City PARTNERS

AusAID Departments of Education and Training in Ho Chi Minh City Intel Products Vietnam Ministry of Education and Training NTSC Princeton, Asia Traffic Safety Committees Ho Chi Minh City University of Wisconsin

VOLUNTEERS

- 230 sponsor volunteers ACTIVITIES - Conducted school assessments that included visits and interviews and identified three schools to participate in the pilot project during the 2012-2013 school year based on the proximity to high-risk roads and commitment to road safety. - Conducted an orientation workshop in October 2012 to introduce project objectives, activities and the evaluation system to 50 stakeholders, such as sponsor representatives, local authorities, teachers and school administrators. - Selected 15 core students at each school based on interest in road safety, demonstrated leadership skills, time management and high academic achievement and provided them with 45 digital cameras. - Conducted three road safety, photography and presentation skills training sessions for 44 core students (one student withdrew). - Held field trips for students to research road safety issues in the community and take photos. - 42 core students presented 126 photo submissions to their classmates through exhibitions at each school. - Arranged voting by a panel of judges based on image quality, issues framed, creativity and feasibility of proposed solutions. - Hosted a family event in May 2013 to exhibit 45 selected photos, engage parents and students in traffic safety games, recognize the dedication of core students, award finalists, encourage government action and raise awareness throughout the community.

E. GLOBAL HELMET VACCINE INITIATIVE (GHVI) FOCUS

- Motorcycle Safety, Helmet Safety - Road traffic accidents are an enormous, but largely unrecognized development challenge, causing approximately 1.24 million deaths and 20 to 50 million injuries each year. Nearly 90 percent of all fatalities take place in low and middle-income countries. The simple act of wearing a helmet provides a direct solution to the high incidence of head and traumatic brain injuries faced by road users. Motorcycle helmets are a straight-forward, inexpensive and highly effective intervention proven to reduce the risk of head injury by 69 percent and death by 42 percent in a road traffic crash.

Safe Kids Worldwide 2013 Global Activity Report

| Vietnam | 9

- AIP Foundation developed the GHVI model in Vietnam to support the establishment of country-level helmet vaccine initiatives, led by non-governmental organizations and involving government, corporate and research partners using the GHVI five pillar approach: targeted programs; public awareness education; global and legislative advocacy; research, monitoring and evaluation; and helmet production. GOALS

- Improve helmet use and road safety knowledge among high-risk road users in countries of operation. - Increase global recognition of the importance of helmet use throughout the UN Decade of Action for Road Safety 2011-2020. - Achieve local ownership and global adoption of proven solutions piloted in Vietnam. LOCATIONS

- Cambodia, Tanzania, Thailand, Uganda and Vietnam PARTNERS

AusAID Centers for Disease Control and Prevention/IUHPE Federation Internationale de Motocyclisme FIA Foundation Inter-American Development Bank Princeton, Asia University of Wisconsin World Bank ACTIVITIES TARGETED PROGRAMS

- Combine road safety education, access to quality helmets and environmental modifications to promote safe behavior among high-risk road users. PUBLIC AWARENESS EDUCATION

- Coordinate national mass media campaigns to elicit social change regarding road safety and correct helmet use. HELMET PRODUCTION

- Establish helmet assembly and testing facilities as a social enterprise to improve the presence and accessibility of high-quality, affordable and contextually appropriate helmets to the regional market, and reinvest profits from helmet sales into traffic safety education initiatives. GLOBAL AND LEGISLATIVE ADVOCACY

- Support integration of road safety into global poverty reduction efforts and, on a national or local level, advise on the development of appropriate helmet standards, comprehensive, enforced road safety laws and national traffic safety curricula. RESEARCH , MONITORING , AND EVALUATION

- Collect baseline data and conduct ongoing monitoring and post-project evaluation to identify high-risk road users, track progress toward program targets, adapt to changing circumstances and contribute to the dissemination of best practices.

Safe Kids Worldwide 2013 Global Activity Report

| Vietnam | 10

VI. MEDIA RELEASES AND RECOGNITION TRADITIONAL MEDIA - From August 2012 through May 2013, AIP Foundation’s work in child safety generated 116 print, 287 online and 74 television news stories. - “Children Also Need a Helmet” Public Awareness Campaign: - Participated in a talk show segment hosted by VTV9 in September 2012 on the child helmet situation in Vietnam and enhanced police enforcement, featuring AIP Foundation Director of Programs. - Created the “When I Grow Up” public service announcement, which aired on national and local TV stations from June to November 2012. - Aired the “When I Grow Up” public service announcement on national and local TV stations from April to June 2013. - On May 2013, TV stations nationwide aired “In Retrospect,” a documentary co-produced by AIP Foundation and the National Traffic Safety Committee about the need for children to wear helmets on motorcycles. SOCIAL MEDIA - Developed a campaign website for the “Children Also Need a Helmet” Public Awareness Campaign to coordinate online activities targeting parents, which also connected to blogs, Facebook and discussion forums. RECOGNITION AND AWARDS - “In Retrospect” was awarded the grand prize at the Global Road Safety Film Festival on 24 April at the UN Educational, Scientific and Cultural Organization (UNESCO) Headquarters in Paris. Movie actor and Global Road Safety Ambassador Michelle Yeoh presented the award to AIP Foundation on May 7.

VII. LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION LAW FOCUS

DESCRIPTION

Bicycle

A helmet use resolution was issued by the Vietnamese Prime Minister in June 2007 and others are under codification. No formal regulations on bicycle helmet use are currently enforced.

Fire and Burns

Decree 27/2001/QH10 dated 29/06/2001: To enhance the effectiveness of state management and promotion for those responsible for fire prevention activities/firefighting, health and property of government offices, organizations and individuals for environmental protection, security, social order and safety. The law does not require installation of smoke alarms in buildings. Families and schools are mentioned generally as households and organizations and are required to have general measures to prevent fire such as safe design of buildings, safe household appliances, etc. The law also outlines responsibilities and roles of agencies as well as resources for fire prevention.

Motorcycle

In May 2010, the traffic law, Decree 34, was expanded to require all children ages 6 years and older to wear helmets on motorcycles. However, while adult helmet use rates have remained consistently above 90 percent since the initial helmet law in 2007, child helmet use rates were estimated at 18 percent across areas of Vietnam’s major cities in September 2012.

Safe Kids Worldwide 2013 Global Activity Report

| Vietnam | 11

VII. LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION LAW FOCUS

DESCRIPTION

Open-Water

The waterway transport safety law was approved in January 2005. However, there are still gaps in relation to its enforcement: many boats do not have a license or certification; the quality of ships and ferries is poor; there is a lack of safety equipment, especially life buoys; ships/ferries carry more passengers than their registered capacity; and there is a poor management of wharfs in some provinces. The Mekong River Delta region experiences serious floods in the monsoon season. For this region, Directive No. 40 from the Minister of Agriculture and Rural Development contains interventions to ensure the safety of children in flooded areas. These include engineering measures, organizing specific places for child monitoring and boats to transport children to and from school.

Pedestrian

Children under the age of 7 years must hold hands with an adult while crossing the street.

Poisoning

While there are laws regulating the preservation, processing and storage of food in Vietnam, the level of enforcement is limited, particularly for food outlets in public markets across Vietnam. One Vietnamese study on childhood poisoning indicated that half of all food poisoning cases in children were due to ingestion of unhygienic street food. Many foods for sale by street vendors were not hygienically prepared, cooked and/or stored. Vietnam, like many other low and middle-income countries, lacks specific regulations regarding child resistant packaging and warning labels for products with significant toxicity levels. The Vietnam Ministry of Labor, Invalids and Social Affairs is reviewing international standards and developing strategies to improve existing legislation.

Pool

The law on physical training and sports, passed in November 2006, stipulates conditions of facilities, equipment and staff expertise required to operate sports facilities pertaining to swimming and scuba diving. There are no specific safety provisions â&#x20AC;&#x201C; only general safe conditions are mentioned. The law on public pools states that pools must meet Federation Internationale de Natation (FINA) standards (lane markings, width, length, etc.). There are no specific provisions about fences, drain covers, etc.

Product

Notifications indicating the age at which material cannot be viewed by children must be posted in publications, on toys, radio programs, television, art and cinema, if the content is deemed inappropriate for children. Twelve TCVN safety compliance standards by toy manufacturers are in place for childrenâ&#x20AC;&#x2122;s toys.

Rail

The railway law provides for planning, investment, construction and infrastructure protection of railways and railway transport; rights and obligations of organizations and individuals involved in railway operations; provides rules and traffic signs to ensure order and safety of railway traffic.

Safe Kids Worldwide 2013 Global Activity Report

| Vietnam | 12

VII. LEGISLATION RELATED TO CHILDHOOD INJURY PREVENTION LAW FOCUS

DESCRIPTION

Road

Conditions to ensure the safety of road users, infrastructure, facilities, road traffic and road transport activities must be in place. For example, there should be adequate safety corridors along the roads, blood alcohol limit, compulsory helmet use, etc.

School

The government has the responsibility to ensure the right to education, and preschool and school establishments must have the necessary conditions for teachers and physical facilities and teaching equipment to ensure quality education. There is no specific language regarding safety provisions.

Sports

According to a regulation in Decree 36, issued in March 2005 regarding child protection, care and education: families, schools and society should create conditions for children to play and participate in recreational activities, cultural activities, art, physical education, sports and tourism appropriate for their age. Peopleâ&#x20AC;&#x2122;s Committees are responsible for planning and construction of space for such activities. The regulation focuses on sports facility construction and does not address sports injuries.

Vehicle Passenger

Passengers and children ages 6 years and older are included in the Mandatory Adult Helmet Law. The law applies to motorcycles and mopeds. Passengers in the front seat of vehicles are required to wear a seat belt. Vehicle safety requirements do not include air bags or seat belts.

Safe Kids Worldwide 2013 Global Activity Report

| Vietnam | 13