There is a circularity here, as the likelihood of achievement depends on the resources committed, which in turn depends on the importance of achieving a target. In 1992 in England and Wales 563 children under the age of 15 died as a result of an unintentional injury. There is relatively little evidence, so the report is particularly useful in bringing together what is available, and summarising it. Most area-wide interventions have some impact, but in a five town comparison, variation was noted. Road safety education appears to have limited effect.
Cycle helmets appear to be effective.
However, programmes which do not take financial considerations into account may have lesser impact. Car restraints work. There has been no evaluation of the impact of the 1989 legislation in Britain which made rear restraints for children under 14 compulsory. In the home environment interventions with safety devices, product design and education have met with some response. Social factors play a significant role.