10

When riding in a car, use a car seat for children under 4, don’t hold them in your arms

Grade ABig benefitLifespanHigh costLittle timeNo willpower

For infants under one year old, using a car seat when riding cuts the risk of a fatal injury in a crash by roughly 70%. For children aged 1 to 4, the risk drops by about half. Holding a child in your arms provides no such protection; in a sudden stop you simply cannot keep them secure.

Benefit
According to the U.S. National Highway Traffic Safety Administration (NHTSA), car seats lower the risk of fatal injury for infants under one year old by 71% and for children aged 1 to 4 by 54%. The World Health Organization reports a similar 71% reduction in infant deaths.
Notes
Follow the manufacturer’s instructions to install the seat correctly; a faulty installation offers no protection. Infants under one year must be placed rear‑facing. These figures are based on official U.S. crash data.
Sources · 2
  1. NHTSA (2024). Occupant Protection in Passenger Vehicles: 2022 Data (DOT HS 813 573). crashstats.nhtsa.dot.gov/Api/Public/ViewPubli…
  2. WHO (2025). Road traffic injuries fact sheet. who.int/news-room/fact-sheets/detail/road-tra…

← Read the whole chapter: 1. How to avoid premature death

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