in the united states, annual baby-walker-related injuries dropped from around 21,000 in 1990 to around 3,200 in 2003, attributed to publicity about the danger of such devices and voluntary safety improvements by manufacturers. eight babies died from such injuries between 2004 and 2008. annual injuries dropped a further 23% after mandatory u.s. consumer product safety commission standards (adopted in 2010) went into effect, including testing requirements and brakes to prevent stair falls.