<h3>In Reply.</h3> —We agree with Drs Solomons and Elardo that accurately determining injury rates for children is important. The scope of our article was limited to a description of the published literature and was not intended to be a rigorous critique of the methods of all the studies of injury and infectious diseases. Because we limited our review to published data, we could not, for example, have calculated more precise injury rates from the data provided by several authors, including Solomons and Elardo in their published articles.<sup>1,2</sup>Hence, we chose to provide the most comparable data. Obtaining accurate estimates of both numerator and denominator is difficult. The question of whether to include treatment by paramedics with treatment by physicians is one example of the difficulty in choosing comparable numerators. We believe that the injuries most important to prevent are those that are most severe—those that result in death, permanent