Skip to Content
Streetsblog New York City home
Streetsblog New York City home
Log In
Department of Health & Mental Hygiene

Traffic Remains the Top Injury-Related Killer of NYC Kids Under 15

Last week, the city announced that it is kicking off the school year with the gradual roll-out of all 140 school zone speed cameras allowed under state law. There's good reason for the expansion: Despite drops in fatality rates over the past decade, a report from the Department of Health and Mental Hygiene shows that traffic remains the leading injury-related killer of New York City children.

NYC's streets remain the top cause of injury-related death for children. Photo: Susan Sermoneta/Flickr
Car crashes remain the top cause of injury-related death for children under 15 in NYC. Photo: Susan Sermoneta/Flickr
NYC's streets remain the top cause of injury-related death for children. Photo: Susan Sermoneta/Flickr

Each year, the health department releases a report on injury-related causes of death for New Yorkers under the age of 18, using data from death certificates and the medical examiner's office [PDF]. This includes fatalities from fire, drowning, suffocation, firearms, and falls.

As in previous reports, motor vehicle-related deaths are the top injury-related cause of death for New Yorkers ages 1 to 14, accounting for nearly 25 percent of all injury-related deaths in that age group from 2002 to 2011. Firearms account for a greater share of fatalities among 15- to 17-year-olds. In the 10-year study period, 216 New York City children age 1 to 17 died in motor vehicle crashes.

Things are worse in the rest of the country, where a higher mortality rate for people under 18 is driven in large part by a much higher death rate from car crashes. The motor vehicle fatality rate for children in the U.S. is more than four times higher than for children in New York City. This difference is most pronounced among children age 15 to 17. In New York, this age group is six times less likely to die in a motor vehicle crash than their peers in the rest of the nation.

Kids are more likely to be killed in NYC car crashes as pedestrians rather than as motor vehicle occupants, with children on foot accounting for 73 percent of traffic deaths among 5- to 14-year-olds. By examining NYC DOT's traffic fatality database, the authors determined many of these victims were children emerging from between parked cars or crossing against the light. Separately, DOT has identified driver speed as the top factor in fatal crashes overall, most recently using data from 2012.

"Injuries are often inaccurately seen as a result of incidents that cannot be anticipated or avoided," the report says. "However, most injuries follow patterns… that can be predicted and prevented." The report recommends educating children about street safety, encouraging adults to drive carefully, implementing safer street designs, and expanding the use of automated enforcement.

The report does not mention Vision Zero, but a guiding principle of that program seems appropriate to mention here: Streets should be places where people, especially very young people, can make mistakes without losing their lives.

Stay in touch

Sign up for our free newsletter

More from Streetsblog New York City

Queens Pol Trolls Her Own Constituents From Her Ticket-Covered Lincoln As They March For Car-Free Parks

Queens Council Member Joann Ariola mocked her own constituents in an "adolescent" and "antagonistic" move just because some people want a car-free park.

February 9, 2026

Snow Problem: Can New York City Handle Big Winter Storms Anymore?

There are eight million people in the big city. And 32 million opinions on the Mamdani administration's response to its first snow crisis.

February 9, 2026

Video: Another Way The Snow Reveals Our Misallocation of Public Space

New Yorkers barely use their cars and, instead, use them to seize public space.

February 9, 2026

Monday’s Headlines: Bureaucratic Morass Edition

Restaurants hoping to set up in the city's open streets hit a bureaucratic snag — but DOT said a solution is coming. Plus more news.

February 9, 2026

Andy Byford’s ‘Trump Card’ On Penn Station Keeps Wrecking New York’s Infrastructure Projects

What will become of the Amtrak executive's plans for Penn Station under President Trump?

February 6, 2026

FLASHBACK: What Happened To Car-Free ‘Snow Routes’ — And Could They Have Helped City Clear the Streets?

Remember those bright red signs that banned parking from snow emergency routes? Here is the curious story of how New York City abandoned a key component of its snow removal system.

February 6, 2026
See all posts