1. In each state department of public health, a focus for injury control should be responsible for developing objectives for injury control at the state and local level. 2. Injury control activities, including the state reporting of injuries and the development of a national injury surveillance system, should be funded adequately by the US government. 3. The US government and each state government should develop an explicit health policy for children. 4. The revenue that would be generated by a "user fee," a much heavier tax on tobacco and alcohol (alcohol plays a role in 40% to 50% of injuries) should be used to support public health programs for children. 5. A comprehensive school health education program should be established.