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    Shopping Dangers Lurk for Kids

    Shopping Carts and Escalators Pose Hazards for Children
    WebMD Health News
    Reviewed by Louise Chang, MD

    Aug. 7, 2006 -- Shopping carts and escalators are significant hazards for children, two new studies show.

    Shopping carts aren't exactly designed for child safety. Last year, shopping-cart-related injuries sent 20,000 U.S. kids to emergency rooms. But the correct use of belts or harnesses can reduce the risk of injury to a young child.

    Not many parents actually use these shopping cart seat belts, finds Ohio State University researcher Gary A. Smith, MD, DrPH. But a simple intervention -- a greeter who offers parents safety advice along with a $2 coupon -- gets about half of parents to use them correctly.

    "The good news is that we were able to significantly increase restraint use by young children in shopping carts with a modest in-store intervention," Smith says, in a news release. "However, one-half of the children still remained unrestrained or incorrectly restrained despite our efforts."

    Smith's report appears in the August issue of Pediatrics, the journal of the American Academy of Pediatrics (AAP). The AAP is now calling for a redesign of shopping carts to make them less likely to tip over. Until that happens, the AAP says, parents should avoid putting children in shopping carts.

    For parents who still choose to put kids in shopping carts, the AAP recommends the use of an age- and size-appropriate seat belt or harness. And the AAP issues several stern warnings:

    • Never leave a child alone in a shopping cart.
    • Never let a child stand up in a shopping cart.
    • Never put an infant carrier on top of a shopping cart.
    • Never let a child ride in the basket.
    • Never let a child ride on the outside of a shopping cart.
    • Never let an older child climb on a cart -- or even push a cart -- with another child inside.

    Escalator Injuries

    Carts aren't the only shopping hazard. Escalators, too, are a hazard -- especially for kids under the age of 5 years. About 2,000 children a year are injured on escalators, report Ohio State University researcher Jennifer McGeehan, MPH, Gary A. Smith, MD, DrPH, and colleagues in the August issue of Pediatrics.

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