Infants and young children living in Baltimore's inner-city homes are at risk for serious perils, including fires, falls and poisoning, according to a small but revealing study from the Johns Hopkins Children's Center.
A survey of 32 urban homes and their residents found that many lacked functioning fire alarms, staircase gates and safe storage for medications, researchers report in the August issue of Pediatrics. Fires, falls and poisonings are the top causes of childhood home injuries in Baltimore.
The study found that:
- 97 percent of homes had smoke detectors but only half had a working one on each level of the home.
- None of the homes had staircases blocked correctly.
- Only 17 percent of homes had adult medications stored safely in a locked place.
- Nearly two-thirds of the homes had staircases too narrow and banister design that wouldn't allow a gate to be fitted across the top of the stairs; one-third would not accommodate a gate at the bottom of the stairs.
- Nearly 20 percent had recognized environmental hazards such as using a gas stove to heat the home.
- Two of the 32 homes had exposed wires in the walls.
- Two homes had broken banisters or railings.
Not using home-safety devices such as stair-blocking gates, fire detectors and medicine-cabinet locks makes these homes dangerous for youngsters, researchers said. Barriers include poverty and the structural design of older urban homes that often doesn't allow for proper installation of such devices, they point out.
'there are many factors that come into play here, and parental knowledge and financial situation are just part of the problem, said study lead author Kimberly Stone, M.D., M.P.H., a pediatrician at the Johns Hopkins Children's Center.Clearly, the design of older urban homes and the lack of uniform measures to ensure home safety also play a role.