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A surveillance programme by Cardiff’s health and local authorities led to a reduced number of accidents in children’s playgrounds. By recording the numbers of injuries Sibert et al identified arm fractures on thin bark surfaces and a high rate of fractures from monkey bars (p 1595). The council provided a thicker layer of bark in northern playgrounds and replaced monkey bars with a rope climbing frame in one of these playgrounds. The rate of accidents was compared with that in playgrounds that had not been remodelled—and was found to be significantly reduced.