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Paediatric injury: An urgent call for action
Dennis Mazingi1, Kokila Lakhoo1
1University of Oxford Global Surgery Group, Nuffield Department of Surgical Sciences, University of Oxford. Level 6, Main Building, John Radcliffe Hospital, Headington, Oxford, OX3 9DU, UK.
Journal of Pediatric Surgery
|August 4, 2026
Summary
Childhood injury is a global crisis, especially in low-income nations. Paediatric surgeons can lead a public health approach with seven pillars to reduce child injury and improve trauma systems.
Area of Science:
- Public Health
- Paediatric Surgery
- Injury Prevention
Background:
- Childhood injury is a significant global cause of death and disability.
- Disparities in injury impact are evident, with low- and middle-income countries disproportionately affected.
- Effective prevention strategies exist but require broader implementation.
Purpose of the Study:
- To present a practical roadmap for reducing childhood injury.
- To highlight the extended role of paediatric surgeons in injury prevention beyond surgical intervention.
- To advocate for a public health approach integrating surgical expertise.
Main Methods:
- The paper proposes a framework based on a public health approach to injury prevention.
- Seven interdependent pillars are outlined: surveillance, risk factor identification, intervention development, implementation, trauma system strengthening, evaluation, and advocacy.
- The framework aims to translate evidence into sustained injury reduction.
Main Results:
- The proposed seven-pillar framework offers a comprehensive strategy for childhood injury reduction.
- Integration of these pillars can lead to contextually appropriate prevention strategies.
- Strengthening trauma systems is a key component for sustained impact.
Conclusions:
- Paediatric surgeons are pivotal in leading efforts to reduce childhood injury.
- A public health approach, guided by the seven pillars, provides a roadmap for effective prevention.
- Collaborative leadership from the paediatric surgical community is essential for global child injury reduction.
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