Unrestrained or improperly restrained infants and children are at risk
of crash injuries and, if seated in front, risk injury from inflating
airbags. A pilot program to increase child restraint use and rear sea
ting position was conducted in Durham, North Carolina, in conjunction
with an ongoing statewide enforcement program. The programs included l
etters and pamphlets sent to parents, proper restraint use demonstrati
ons, and enforcement checkpoints. Elementary school children additiona
lly attended assemblies emphasizing proper restraint use. Proper use i
ncreased substantially at elementary schools (36% to 64%; 49% to 71%)
with smaller increases at the daycare centers (71% to 76%; 60% to 75%)
. Only slight increases occurred in the percentage of children in rear
seats. The pilot program indicated that short-term gains can be achie
ved in proper restraint use and suggest that enforcement is a key ingr
edient. (C) 1997 National Safety Council and Elsevier Science Ltd.