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How safe are our schools?

T R Miller1, R S Spicer

  • 1National Public Services Research Institute, Children's Safety Network Economics and Insurance Resource Center, Landover, Md. 20785, USA.

American Journal of Public Health
|March 31, 1998
PubMed
Summary
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Annually, 3.7 million children sustain significant school injuries, costing billions in medical care and lost well-being. Despite supervision, school hours pose similar risks to non-school hours.

Area of Science:

  • Public Health
  • Injury Prevention
  • Epidemiology

Background:

  • School injuries represent a significant public health concern.
  • Understanding the frequency and economic impact of these injuries is crucial for developing effective prevention strategies.

Purpose of the Study:

  • To estimate the national incidence and economic burden of injuries sustained by children in school settings.
  • To compare the safety of school hours versus non-school hours regarding injury risk.
  • To identify specific areas for targeted injury prevention interventions.

Main Methods:

  • Utilized six years of National Health Interview Survey data to determine nonfatal injury rates.
  • Integrated multiple data sources to estimate injury fatalities.
  • Employed national highway crash data to assess school bus-related injuries.

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Main Results:

  • Approximately 3.7 million substantial school injuries occur annually, incurring an estimated $3.2 billion in medical costs and $115 billion in lost healthy life.
  • School bus injuries constitute 50% of school injury fatalities but less than 1% of total costs.
  • Injury incidence per hour suggests school hours are not significantly safer than non-school hours, despite increased supervision.

Conclusions:

  • Nonfatal injuries are a substantial problem within school environments.
  • Secondary schools show a higher concentration of injuries, indicating potential cost-effectiveness for interventions in these settings.
  • There is a critical need for more data on the specific causes of school-related injuries to inform prevention efforts.