A/HRC/22/31 G. Injuries, accidents and disabilities 57. Among children aged between 5 and 9 years, injuries, road traffic accidents, falls and fires contribute significantly to the disease burden, and can lead to physical disabilities. The leading cause of mortality among people aged between 10 and 24 years is traffic accidents. 58. Reducing the burden of child injuries requires strategies and measures to reduce road traffic accidents, drowning, burns and other accidents in the home, such as appropriate legislation and enforcement, especially with regard to road safety; product and environmental modification; education, skills development and behaviour change; community-based projects; and pre-hospital and acute care, as well as rehabilitation.16 The health system should enable early diagnosis of physical disabilities, including visual and auditory disabilities and, in the case of children with disabilities, the prompt application of appropriate rehabilitation and care services as close to the community as possible. 59. In addition, some of the submissions received raised concerns about the consequences of certain dangerous games, such as the “choking” or “fainting” game”17 on health. Although no figures are available, parents associations are being established in some countries to raise awareness of the consequences of such games. Prevention in schools is essential. H. Mental health 60. Mental health problems among adolescents are increasing, such as developmental and behavioural disorders, depression, anxiety, psychological trauma resulting from abuse, violence or exploitation, self-harm and suicide. The problems are often diagnosed late and inadequately addressed. 61. In its 2012 resolution on mental health (WHA65.4), the World Health Assembly noted that there was increasing evidence of the effectiveness and cost-effectiveness of interventions to promote mental health and prevent mental disorders, particularly in children and adolescents. Such interventions should be scaled up by mainstreaming them through a range of sectoral policies and programmes, including health, education and protection, with the involvement of families and communities. This should include interventions targeted at children at risk due to their family and social environments, in order to improve their coping skills and promote protective and supportive environments. Providing psychosocial support in schools and other community settings may help to promote the mental health of children. 62. There is growing recognition of the need for greater attention to the diseases and behavioural and social issues that undermine children’s mental health, psychosocial wellbeing and emotional development. Many mental health disorders can be prevented and treated more effectively by investing in primary-care approaches that facilitate the early detection and treatment of children’s psychosocial, emotional and mental problems. 16 17 12 WHO, World report on child injury prevention: summary, Geneva, 2008. Available from http://whqlibdoc.who.int/hq/2008/WHO_NMH_VIP08.01_eng.pdf. A voluntary strangulation game with the aim of experiencing new sensations provoked by cutting off the oxygen supply to the brain.

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