1. The National Injury Prevention Program of the Hospital for Sick Children Safe Kids Canada; Product Safety and Child and Youth Injury Prevention ICPHSO - 6th International Meeting and Training Symposium International Cooperation on Product Safety October 27, 2009 Toronto, Canada

2. The National Injury Prevention Program of the Hospital for Sick Children Objectives of presentation About Safe Kids Canada An overview of product safety related injuries in Canada. The Canada Consumer Product Safety Act and International Product Safety Laws Questions and discussion

3. The National Injury Prevention Program of the Hospital for Sick Children About Safe Kids Canada Founded in 1992 by Dr. David Wesson, a trauma surgeon Program of SickKids Hospital National focus Community involvement of over 2000 injury prevention partners across Canada (national, provincial and local level). Knowledge broker of evidence-based information, resources and strategies National Expert Advisory Committee Member of Safe Kids Worldwide

4. The National Injury Prevention Program of the Hospital for Sick Children Our Main Goals To prevent serious unintentional injuries to children, To increase public awareness of knowledge and action regarding proper safety practices. To advocate for measures that will create safer environments and improve compliance with proper safety practices. To stimulate local action by providing services to those working in injury prevention at the community level. To provide and promote child injury prevention strategies and tools for the public, professionals and government bodies.

5. The National Injury Prevention Program of the Hospital for Sick Children Injuries in Canada Annual injury burden places on Canadians, our health care system and Canadian society overall: 13,677 deaths Over 211,000 Canadians hospitalized Over 3 million emergency room visits Over 67,000 Canadians permanently disabled

6. The National Injury Prevention Program of the Hospital for Sick Children The Injury Statistics

7. The National Injury Prevention Program of the Hospital for Sick Children Injuries in Canada Annual economic injury burden places on Canadians, our health care system and Canadian society overall: $10.7 billion in health care costs $19.8 billion in total economic costs. Economic burden of injury among children in Canada is estimated at $4 billion.  $20 billion is spent annually on drugs across Canada with more than 400 million prescriptions written for Canadians each year.  Current bilateral trade between India and Canada is $4.3 billion.  Golf accounted for an estimated $11.3 billion of Canada's gross domestic product in 2008.

8. The National Injury Prevention Program of the Hospital for Sick Children Child and Youth Injury in Canada Unintentional injuries are the leading cause of death among Canadian children and youth (1 to 19 years of age) In 2005, 720 young Canadians (19 years and younger) died as a result of injuries: a reduction of just over 40% since 1990, due primarily to the decline in motor vehicle traffic collision deaths. In 2005/06, there were 29,142 hospitalizations for treatment of injuries (19 years and younger): a reduction of almost 40% since 1994/95.

9. The National Injury Prevention Program of the Hospital for Sick Children Child and Youth Injury in Canada Between 1990 and 2007 more than 1.6 million injuries were treated in the emergency departments of the 16 hospitals participating in CHIRPP (ages 19 years and younger).  In recent years, almost half of these emergency department visits involved consumer products, including toys, magnets, furniture, window coverings etc.

10. The National Injury Prevention Program of the Hospital for Sick Children Product Related Injuries to Children & Youth

11. The National Injury Prevention Program of the Hospital for Sick Children Product Related Injuries to Children & Youth

12. The National Injury Prevention Program of the Hospital for Sick Children Product Related Injuries to Children & Youth From 1997 onward, the proportion of consumer product- related injuries has remained about 46%. Of all the cases involving a consumer product in children under 5 years, the product was a direct cause of injury in nearly two-thirds of cases, and a contributing factor in one- third. The 3 most frequent product categories as a direct cause of injury, from 0 to 4 years, are:  tables (17.6%),  other furniture items (15.3%) * all furniture excluding tables and beds, and  toys (7.1%).

13. The National Injury Prevention Program of the Hospital for Sick Children Dangerous Products for Children & Youth Between 1990 and 2007, there were 5,403 cases of injuries associated with bunk beds. Between 1993 and 2007 there were 328 cases of children aged 13 years or younger who sustained an injury associated with magnets. Just over half of these incidents involved ingestion of a magnet. About 60% of the magnets were associated with a toy and about one-quarter involved jewellery.

14. The National Injury Prevention Program of the Hospital for Sick Children Dangerous Products for Children & Youth Between 1990 and 2007 there were 2,192 baby walker related injuries among children aged 5-14 months, accounting for 2.6% of all injury events among this age group Magnets, bunk beds, trampolines and other furniture are all items that were not regulated under the Hazardous Products Act.

15. The National Injury Prevention Program of the Hospital for Sick Children Canada Consumer Product Safety Act For the overall safety of Canadians and injury prevention for children and youth, Safe Kids Canada supports; Prohibiting the manufacture, importation, advertisement or sale of consumer products that pose an unreasonable danger to children and human health. Mandatory recall powers for the government to remove unsafe consumer products from the market.

16. The National Injury Prevention Program of the Hospital for Sick Children Canada Consumer Product Safety Act The requirement of suppliers to provide test results and safety reports to Health Canada regarding any serious injuries or illnesses resulting from the use of their products. Offence related to false packaging or deceptive labeling of unsafe products.

17. The National Injury Prevention Program of the Hospital for Sick Children International Consumer Product Safety Laws The revised General Product Safety Directive (GPSD); The EU (2004)  Agreements with US and Chinese authorities on international co-operation on product safety (2005)  EU reaches agreement with China on a toy safety action plan (2006)

18. The National Injury Prevention Program of the Hospital for Sick Children International Consumer Product Safety Laws The Consumer Product Safety Improvement Act; The U.S. (2008);  mandatory product safety standards and rules declaring a product a banned hazardous product.  permanent surveillance program to prevent the entry of unsafe consumer products into the United States  Children’s products must be certified by a third party

19. The National Injury Prevention Program of the Hospital for Sick Children Anticipated Outcome – Better Results In 2003, Safe Kids Canada produced a National Report entitled Child & Youth Unintentional Injury: 1994-2003 10 Years in Review. The results revealed that death rates for childhood injury and hospitalization rates have dropped by 37% and 34% respectively.

20. The National Injury Prevention Program of the Hospital for Sick Children Anticipated Outcome – Better Results We are hopeful and anticipate even better childhood injury results with the implementation of the Canada Consumer Product Safety Act

21. The National Injury Prevention Program of the Hospital for Sick Children Questions and Discussion Pamela Fuselli Executive Director Safe Kids Canada/SecuriJeunes Canada T. 416-813-7602 pamela.fuselli@sickkids.ca safekidscanada.ca/securijeunescanada.ca