Childhood drug overdoses are a continuing important public health prob
lem. Although drug overdoses are no longer the important cause of chil
dhood mortality they once were, such poisonings account for highly fre
quent and unacceptable instances of childhood injuries. These poisonin
gs exact a high cost from society. They result in many emergency depar
tment visits and hospitalisations, with the attendant indirect costs o
f suffering, parental anxiety, and lost days of work or school. Childh
ood drug overdoses are preventable: those children and families at hig
hest risk show identifiable characteristics, and the medications which
pose the greatest hazard to children have already been identified. Th
ese injuries divert expensive and scarce medical resources from societ
y's other health problems. Thus, clinicians must do more to prevent ch
ildhood drug overdoses whenever possible.