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Subject:
From:
"Margaret G. Bickmore" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sun, 18 Jun 2006 10:19:43 -0600
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>Wondering, maybe with someone with more time than I could compare 
>the risk of an unrestrained child vs the risk of formula?
>Joylyn

I just did this last month on an LLL email list.  The Chen and Rogan 
study from Pediatrics (2004) estimates 720 deaths per year between 28 
days and 1 year of age in the US. 
http://pediatrics.aappublications.org/cgi/content/abstract/113/5/e435

I was not able to find car seat usage data specific to the 0-1 year 
age group.   According to the National Highway Transportation and 
Safety Administration (NHTSA), 751 children aged 0-7 years died in 
motor vehicle crashes in 2004.  Of these, 311 were not restrained (ie 
potentially preventable by appropriate car seat use) and 440 were. 
http://www-nrd.nhtsa.dot.gov/pdf/nrd-30/NCSA/RNotes/2006/810595.pdf

Another report using five years of data from 1998-2002 breaks out 
children 0-3 years old: 
http://www-nrd.nhtsa.dot.gov/pdf/nrd-30/NCSA/Rpts/2005/809784.pdf
This report's numbers work out to about 400 fatalities per year in 
this age group (153 unrestrained and 246 restrained).

In order to compare apples to apples, we really need to know how many 
of those motor vehicle deaths were in babies under 1 year old, and 
the NHTSA statistics are not presented that way.  But it's probably a 
safe guess that fewer than 150 deaths per year are infants.  And 
probably 50 or fewer of the *unrestrained* (potentially preventable) 
deaths are infants.

It seems clear from this data that *many* more babies die in the US 
each year from not being breastfed than from improper car seat use.

Margaret
Longmont, CO

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