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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
PubMed

Insights

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.

Keywords:
Childhood injuryGlobal surgeryInjury preventionLow- and middle-income countriesTrauma systems

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