This second Innocenti Report Card focuses on child death by injury in the member countries of the OECD. It presents, for the first time, a standardized league table ranking 26 of the world's richest nations according to their injury death rates for children aged 1 to 14. Even though child injury death rates have been falling for more than two decades, it would be wrong to conclude that the problem is simply going away. International comparisons in this publication dramatically demonstrate that most countries still have a long way to go. It is hoped that this report will be a cause for a policy change leading to further reductions in child injuries.