Pless I B
CMAJ. 1996 Nov 15;155(10):1429-31.
The publication in this issue of an article describing the fatal strangulation of two children on clothing drawstrings (see pages 1417 to 1419) coincides with National Child Day. This juxtaposition prompts the author to examine Canadian child health policy and practices in relation to injury prevention and product safety. The absence of a central body in Canada responsible for injury prevention may reflect the absence of advocacy groups concerned exclusively with the prevention of childhood injuries and stands in sharp contrast to the attention given to various "high-profile" but comparatively rare childhood diseases. In Canada, taking a firm regulatory or legislative approach to product safety appears to be the exception rather than the rule. Instead, we rely on product safety bulletins, the effectiveness of which has never been evaluated. The adoption of tougher measures would be facilitated by the establishment of a national centre for injury prevention and control. Such centres in the United States and Sweden have been successful and demonstrate that the creation of a Canadian body responsible for addressing the epidemic of accidental injury is long overdue.
本期发表了一篇描述两名儿童因衣服拉绳窒息死亡的文章（见第1417至1419页），恰逢全国儿童节。这种巧合促使作者审视加拿大在儿童伤害预防和产品安全方面的儿童健康政策与实践。加拿大缺乏一个负责伤害预防的中央机构，这可能反映出专门关注预防儿童伤害的倡导团体的缺失，这与对各种“备受关注”但相对罕见的儿童疾病的重视形成鲜明对比。在加拿大，对产品安全采取强硬的监管或立法手段似乎是例外而非惯例。相反，我们依赖产品安全公告，但其有效性从未得到评估。设立一个国家伤害预防与控制中心将有助于采取更严厉的措施。美国和瑞典的此类中心已取得成功，表明早就应该设立一个负责应对意外伤害流行问题的加拿大机构了。
