Injury to children 1 to 14 years of age is the leading cause of death worldwide. The US has made concerted efforts to reduce the injury death rate to children by 45%. Such success depends on a multifaceted strategy that requires local, community coalitions and effective customized solutions. During a natural disaster, the risk of injury for children increases with the movement to a "safe environment." Implementation of low cost, effective injury prevention has a salutary impact upon the lives of children and can reduce the risk of preventable unintentional injury during a natural disaster.