International Experiences to Children with Special Needs for Travel Insurance

Seven days ago I started a small series dedicated to safety in the car when travelling with children who have special needs, we anticipated that he would give continuity, and the first thing I have to say is that I feel that I delayed in bringing you the second post.

On that occasion we gave an overview of special needs, and extend the information with the advice of the American Academy of Pediatrics. Today we will talk about legislation in this aspect, as well as on the experiences of countries that provide clear guidelines and guidance to the parents of these children, to be able to adapt in cars most appropriate security systems.

I remind you that these summaries are extracted from the reports of the Mapfre Foundation called ‘children with special needs and their safety in the car’.
There are many laws and regulations, national and international, which stipulates that children with disabilities have the same right as anyone else to a life as independent as possible, as well as active participation in society. One of the basic principles of the Convention of the rights of the child (of the UN) is, precisely, that “the child, by reason of his physical and mental immaturity, needs special safeguards and care, both before and after birth”.

In relation to the mentally or physically disabled children, article 23 of the Convention indicates that ‘they should enjoy a full and decent life in conditions that ensure dignity, promote to fend for itself, and facilitate the active participation of the child in the Community’

In terms of the rights of persons with disabilities, and on the fundamental issue of accessibility, the corresponding UN Convention obliges States to identify and eliminate obstacles and barriers to access for persons with disabilities have access to the physical environment, to transportation, to the facilities and services of the information technologies and communications and public.

Seats for children with special needs should also be homolagados

Baby car seats which will be used by children with special needs they must be homologated according to the same technical regulations applicable to conventional child seats: the European Regulation ECE R44/04.

Experiences in other countries:

Canadá

In this country the Ministry of transport has published a guide called ‘ Transporting infants and children with special needs in private vehicles – a guide to best practices for health professionals ‘. The text can be considered one of the currently most complete documents in relation to this theme.

The guide aims to provide useful information on transport in the private automobile of children and infants with special needs health care professionals

Distinguish between conventional seats, available through catalog special child seats, and custom seats. It also takes into account that the conditions of the families may be changing over time.

In Canada, it is possible a certificate of exemption from the use of the restraint systems when exceptional conditions suffer. However it is worth highlighting that, according to the Canadian guide, the Medical Association of Canada has stated clearly that ‘there is no medical condition that justifies the exemption of the use of the seat belt’

When you can not use a conventional seat, medical staff must be everything that parents used special or custom seats, especially in those cases where expected that such seats should be employees for long periods of time (over six months). Providing information on the different seating options, and where to get them, is essential to prevent parents from using unsafe and homemade solutions. The mentioned Guide also includes in the last part, a section to the attachment on the vehicle of the medical team that should be continually used by children with special needs.

United States

It is perhaps the country that more attention been paid to the travel with children with special needs or, at least, the country with more accessible information on this subject. The American Academy of Pediatrics advocates that are pediatricians who act as prescribers of the importance of safety systems for children with special needs.
In this nation there are different guides and prescriptions made by associations of motorists, hospitals and other entities.

Among the specific recommendations from the AAP, are:

For babies,

  • Many children with special health care need can use infant car seats and conventional, in these cases, the best alternative is to use a normal seat. The use of “special” child restraint systems may be postponed, on many occasions, until the child exceeds the maximum weight or size allowed by conventional infant car seat.
  • Child restraint systems must never be modified or used differently than that indicated by the manufacturer, except if, after modification, seat has returned to be subjected to tests and comply with the homologation of car seats.
  • When the child seat is too upright, and it causes the head forward dropping the child when you sit in a child seat rear-facing, it is recommended to fit under the seat base a towel or a piece of rolled fabric to ensure that the backrest of the child seat not to exceed the 45 ° and matches that specified by the manufacturer of the seat.
  • Before leaving the hospital, premature or underweight children should be seated in their seats and observed and monitored by medical staff. If your child experiences any of the following symptoms, should then be transported in a carrycot or carrycot where to go lying down: low level of oxygen in the blood, pace slow heart or apnea.

For big kids,

  • When a child reaches the maximum limit of weight or height of your infant car seat, but still need additional postural support (for example, in the case of children with cerebral palsy, poor control of the neck or the head, or with certain neuromuscular disorders), There are different alternatives to continue traveling protected.
  • Some children with disabilities can get better posture and support-level trunk if they travel on conventional booster seats. The booster seats help to correctly place the belt of the vehicle on the pelvis and chest children.
  • Conventional three-point belts may also be sufficient to properly hold the chest of some children with special needs. Belts, in any case, be used correctly: the lower band should be low and flat over the hips, and the upper band should be adjusted without gaps on his chest.

Specific recommendations follow others who respond to all types of special conditions that may present children with special needs

Sweden

Sweden is another country with more information on this subject in the international literature. A manual in Swedish (and subsequently translated into English) was published in 2003, is called ‘ travel insurance: road safety for children with disabilities ‘.

Swedish manual It is primarily aimed at parents of children with special needs, but is also used regularly by officials and heads of transport and social welfare policies, school and special transport drivers, workers centers of technical AIDS and pediatric clinics, companies of insurance, as well as tutors or teachers of children with special needs.

The only general advice that can be offered is that it is always necessary to consult the doctor or pediatrician what are specific mobility solutions for each child with special needs

And once reviewed parts of international experiences, I challenge them to the next installment, in which is They described some of the solutions for special situations.

Gallery

South Haven Tribune

South Haven Tribune

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South Haven Tribune

South Haven Tribune

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South Haven Tribune

South Haven Tribune

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Giant Image Management

Giant Image Management

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Spalding High School News

Spalding High School News

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Giant Image Management

Giant Image Management

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Giant Image Management

Giant Image Management

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Effects of Hurricane Katrina in New Orleans

Effects of Hurricane Katrina in New Orleans

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Giant Image Management

Giant Image Management

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http://www.gogofinder.com.tw/books/anita/35/ 高雄市政府專刊-創新高雄

http://www.gogofinder.com.tw/books/anita/35/ 高雄市政府專刊-創新高雄

Source: www.gogofinder.com.tw

Giant Image Management

Giant Image Management

Source: giantimagemanagement.com

http://www.gogofinder.com.tw/books/anita/35/ 高雄市政府專刊-創新高雄

http://www.gogofinder.com.tw/books/anita/35/ 高雄市政府專刊-創新高雄

Source: www.gogofinder.com.tw

South Haven Tribune

South Haven Tribune

Source: www.southhaventribune.net

South Haven Tribune

South Haven Tribune

Source: www.southhaventribune.net

South Haven Tribune

South Haven Tribune

Source: www.southhaventribune.net

Giant Image Management

Giant Image Management

Source: giantimagemanagement.com

Spalding High School News

Spalding High School News

Source: www.spaldinghigh.lincs.sch.uk

Giant Image Management

Giant Image Management

Source: giantimagemanagement.com

Giant Image Management

Giant Image Management

Source: giantimagemanagement.com

Effects of Hurricane Katrina in New Orleans

Effects of Hurricane Katrina in New Orleans

Source: www.thefullwiki.org