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Paediatric low speed vehicle run-over fatalities in Queensland
Bronwyn Griffin1, Kerrianne Watt, Belinda Wallis
1Centre for Children's Burns and Trauma Research, The University of Queensland, Brisbane, Australia. b.griffin@uq.edu.au
Insights
Low speed vehicle run-over (LSVRO) incidents are a significant cause of child pedestrian fatalities in Queensland, particularly among very young children. Most occur on private property, often involving parents driving reversing vehicles.
Area of Science:
- Pediatric injury prevention
- Traffic safety research
- Public health surveillance
Background:
- Child pedestrian fatalities from low-speed vehicle incidents are under-reported in surveillance data.
- Identifying these specific fatal injury mechanisms is challenging.
- This study addresses the incidence of these preventable deaths.
Purpose of the Study:
- To determine the incidence of low speed vehicle run-over (LSVRO) fatalities in children aged 0-15 years in Queensland.
- To identify characteristics of LSVRO incidents.
- To inform intervention strategies for this under-reported injury mechanism.
Main Methods:
- Analysis of child pedestrian fatalities in Queensland from January 2004 to December 2008.
- Inclusion criteria: children aged 0-15 years involved in low speed vehicle run-over incidents.
- Data sourced from the Commission for Children and Young People and Child Guardian (CCYPCG).
Main Results:
- Fifteen LSVRO fatalities occurred between 2004-2008 (rate: 1.67/100,000).
- The majority of victims were infants and toddlers (0-3 years old).
- Most incidents (13/15) occurred on private property, often involving reversing vehicles driven by parents.
Conclusions:
- LSVRO fatalities represent a significant and under-recognized problem in Queensland.
- Unique data from child death reviews highlight the need for targeted interventions.
- Continued data collection by CCYPCG will support child advocacy and prevention efforts.
Introduction:
Child pedestrian fatalities associated with motor vehicles reversing or moving at low speed are difficult to identify in surveillance data. This study aims to determine the incidence of fatalities associated with what is thought to be an under-reported and preventable fatal injury mechanism.
Methods:
The term low speed vehicle run-over (LSVRO) incidents encompasses pedestrian fatalities where vehicles run-over a child at low speed. Data were obtained for children aged 0-15 years in the Australian state of Queensland (January 2004-December 2008).
Results:
There were 15 deaths (12 boys and 3 girls) during 2004-2008 (rate:1.67/100,000). Over half were aged 0 and 1 years of age (n=8; 53.3%, rate: 14.67/100,000), and one quarter were 2 and 3 years of age (n=4, 27%, rate 7.46/100,000). There were no LSVRO deaths recorded among 10-15 year olds. Most (13/15) of the incidents occurred on private property, and only two occurred on a street/road. Almost half of the fatalities were caused by a four wheel drive (4WD) vehicle; large family sedans were involved in four fatalities, and heavy vehicles were involved in three deaths. In 11 of the fatalities, parents were the drivers of the vehicle involved (mothers 5; fathers 6). In nine, the vehicle involved was reversing before it came in contact with the child. Fatalities occurred in each of the Socio-Economic Indexes For Areas (SEIFA) levels.
Conclusion:
The unique data provided by the child death review team has signalled that LSVRO fatalities are a significant problem in Queensland. The Commission for Children and Young People and Child Guardian (CCYPCG) continue to collect data, which, when combined, will provide outcomes that will act as an impetus for promoting intervention and child advocacy.
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