ABSTRACT
<p><b>OBJECTIVE</b>There is no safer way to transport a child than a school bus. Fatal crashes involving occupants are extremely rare events in the US. In recent years, school bus transportation began to develop in China. We want to bring advanced experience on school bus safety in Western countries such as the US to developing countries.</p><p><b>METHODS</b>We searched the papers related to school bus safety from Medline, Chinese Scientific Journals Database and the Web of the National Highway Traffic Safety Administration (NHTSA).</p><p><b>RESULTS</b>There were only 9 papers related to school bus safety, which showed that higher levels of safety standards on school buses, school bus-related transportation and environmental laws and injury prevention were the primary reasons for the desired outcome. Few school bus is related to deaths and injuries in the developed countries.</p><p><b>CONCLUSIONS</b>The developing countries should make strict environmental laws and standards on school bus safety to prevent children's injury and death.</p>