These researchers calculated and ranked unintentional child injury death rates based on external cause of injury, with the aim of developing recommendations for child unintentional injury prevention. NZ’s score for each of the 12 domains (based on external causes of injury) from the New Zealand Child and Adolescent Report Card was compared to scoring from 25 European countries. Death as a motor vehicle occupant accounts for 49% of all child unintentional injury deaths, followed by pedestrian (10%) and drowning deaths (8%). According to the overall score of the NZ Report Card, NZ ranks as 15th among the participating European countries. NZ is yet to implement important policy and legislative actions.