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Safety Coalition ensured incorporation of their perspective in the larger discussion and the Coalition’s policy position. ATV Safety Coalition members recognize that  enforcement of the new regulations, but much like the state’s bicycle helmet law, the Coalition pursued a requirement in the best interests of children. The hope is that  encounters with youth ATV operators to educate them on the new regulations and encourage helmet use and discourage carrying passengers.
CONCLUSION
As a result of advocacy by Nemours
REFERENCES
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2. Testimony of the American Academy of Pediatrics for the Oversight Hearing on Off- Highway Vehicle Management on Public Lands. United States Senate Committee on Energy and Natural Resources. Washington, D.C.: Department of Federal Affairs; 2008:7.
3. Topping J. Consumer Product Safety Commission. 2014 Annual Report of ATV-Related Deaths and Injuries. Available at: https://www.cpsc.gov/ s3fs-public/pdfs/2014atvannualreport.pdf. Accessed June 20, 2016.
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Children’s Health System and the
ATV Safety Coalition, there are now stronger regulations governing child and adolescent operation of ATVs in the State of Delaware. These regulations address two risk factors associated with severe injury among children: riding without a helmet and riding with a passenger.
The experience of the ATV Safety Coalition has shown the importance
of building a coalition and cultivating broad-based support for a policy issue. Nemours engaged those stakeholder groups with a vested interest in the issue in a process to craft a consensus policy position palatable to diverse groups. The formation of a coalition to advance this
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9. Rodgers GB. Factors associated with the all-terrain vehicle mortality rate in the United States: an analysis of state-level data. Accid Anal Prev. 2008;40:725-732.
policy issue serves as a model and offers lessons for coalition-building around other injury-prevention efforts.
CONTRIBUTING AUTHORS
■ PATRICIA P. MILLER, MPP is a population health specialist in the Division of Health & Prevention Services at Nemours Children’s Health System in Wilmington, Del.
■ DIANE C. HOCHSTUHL, MSN, RN, NP-C is Director of Trauma and Critical Care Transport Programs at Nemours/Alfred I duPont Hospital for Children in Wilmington, Del.
■ MONICA F. ROCHMAN, PhD, is a researcher in the Trauma Department at Nemours/ Alfred I. duPont Hospital for Children in Wilmington, Del.
road: a serious traffic safety and public health concern. Traffic Inj Prev. 2013;14:78-85.
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19. Delaware Code, Title 21: Motor Vehicles, Miscellaneous, Chapter 68. Registration and Control of Off-Highway Vehicles. State of Delaware website. Available at: http://delcode. delaware.gov/title21/c068/index.shtml.
20. Commonwealth of Massachusetts.
Chapter 90B: Motorboats, other Vessels and Recreational Vehicles. In: Massachusetts Co, ed. XIV. Massachusetts 2016. Available at: https://malegislature. gov/Laws/GeneralLaws/PartI/TitleXIV/ Chapter90B
21. South Carolina all-terrain vehicle law. Chidren's Trust of South Carolina website. Available at: http://www.scchildren.org/ keeping_kids_safe/all-terrain_vehicles/ south_carolina_atv_la
22. Specialty Vehicle Institute of America. State All-Terrain Vehicle Requirments 2016. Available at: http://www.atvsafety.org/downloads/ Summary_Chart_February_2016.pdf. Accessed June 20, 2016.
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