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Best Practices Catalogue

Areas of Injury Prevention > Fall Related Injuries
Targeted Age > Children

Children Can’t Fly: A New York Department of Health Initiative
A Window Falls Prevention Program

Background

 

 

Program Goals:

To reduce the number of children’s falls from windows by education and outreach. The  program targets any New York City adult responsible for the care of a child under 11 years of age, for any period of time.

 

Intent:

Unintentional

 

Risk Factors Addressed:

Falls through unsafe windows, especially in high rise buildings

 

Place of occurrence:

Home environment, high-rise buildings

 

Age/Age Range:

Children via caregivers

Resources

 

 

Year Developed:

1972; expanded from high risk areas to all of city after first 2 years

 

Collaborative Organization(s):

Developed by the NYC Department of Health
Relies on tenant and landlord cooperation

 

Funding Resource(s):

NYCHD

 

Costs:

A one-time fee of $10 per guard may be charged to tenants, but payments may be amortized over as many as 3 years
Tenants who receive public assistance do not pay the fees but submit the bill to the subsidizing agency

Implementation

 

 

Context/Setting:

Home and community

 

Strategies Used:

Evaluation, Education, Engineering, Enactment

 

Activities Used:

media campaign to raise awareness;
door-to-door outreach;
distribution of vouchers for free window guards to high risk families in need

 

Program Evaluation:

Ongoing evaluation via data collection through voluntary reports for health and law enforcement agencies
Included hospital staff and law enforcement agencies in data collection

 

Source of Best Practice:

Volpe, R., Lewko, J., & Battra, A. (2002). A Compendium of Effective, Evidence-Based Best Practices in Prevention of Neurotrauma. University of Toronto Press, Toronto.

 

Original Source:

Barlow, B., Niemirska, M., Gandhi, R.P, & Leblanc, W. (1983). Ten years of experience with falls from a height in children. Journal of Pediatric Surgery, 18(4), 509-511.

 

Supplementary Material:

N/A

 

Local Example(s):

N/A

 

Contact Information: 

Window Falls Prevention Program
Center for Integrated Prevention Programs
New York City Department of Health
2 Lafayette Street / 20th Floor
New York, NY 10007
Tel: (212) 676-2162
Fax: (212) 676-2161

Outcomes

 

 

Long-term outcomes/Effectiveness:

Successful defense of constitutionality of the legislation

 

Short-term outcomes:

 

A decrease in incidence of window falls by 50% in just three years;
Introduction of legislation that requires window guards in all multi-unit dwellings

 

Other

 

 

Date of Review:

2000

 

Classification:

Best Practice

References

Barlow, B., Niemirska, M., Gandhi, R.P., & Leblanc, W. (1983). Ten years of experience with falls from a height in children. Journal of Pediatric Surgery, 18(4), 509-511.

New York City Department of Health, Bureau of Window Falls Prevention. (1999. February). Understand the basics: The window guard law. Retrieved March, 2000 from the World Wide Web: http://www.ci.nyc.ny.us/html/doh/html/win/winbas2.html

Spiegel, C.N., & Lindaman, F.C. (1977). Children can’t fly: A program to prevent childhood morbidity and mortality from window falls. American Journal of Pediatric Health, 67(12), 1143-1147.

This best practice has been taken from the compendium volumes of best practices in neurotrauma prevention, identified and reviewed by Ontario researchers, with funding from the Ontario Neurotrauma Foundation (ONF). OIPRC has partnered with the ONF to abstract and web-enable this practice. Please direct inquiries about this best practice to richard.volpe@utoronto.ca.