I would agree with Dr. Snowdon. It needs to be part of a comprehensive plan because of the high burden that it has in terms of deaths and hospitalizations. Again, the one-size-fits-all approach does not work, but there are certainly similarities across interventions.
One example that has been quite successful is in Vietnam. The SickKids Vietnam group has worked on getting helmets on every child's head and really focusing on what works for that community and what leaders they needed to engage to make this something that was popular and acceptable. Not that this would work for everyone, but they actually engaged in their own helmet production facility so that they could control the style and the standards. They really worked hard at all those different levels in terms of looking at what children needed, how they needed to be protected, how that was going to be enforced, and working at the multiple levels in terms of education, enforcement, and environmental change.
It certainly is not an easy fix and it does take time, but there are some success stories out there that we can look to for guidance.