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Open access. Submitted: 07 November Published: 12 September Violence against children cuts across boundaries of geography, race, class, religion and culture. Injury and violence are serious threats to the health and well-being of children worldwide. Children are at high risk from injuries that can lead to death or disability.

A small proportion of violence against children leads to death, but most often the violence does not even leave visible marks. The World Health Organization WHO estimates that 40 million children below the age of 15 suffer from abuse and neglect, and require health and social care.

In the past decade, much has changed in central and Eastern Europe, economically, politically and socially. Some positive changes are seen in child injury rates in this region, and hopefully the East-West gap in European child mortality will diminish. Violence against children is defined as any form of violence, whether physical, mental and sexual, abandonment or negligence, ill-treatment or exploitation that puts their lives in danger or negatively impacts their lives, physical or psychological health dignity, or development.

In this chapter we present recent trends and current situation of child injury mortality in Estonia. We also describe the forensic medical system, examination of the child and the expert report, and give an overview of cases physical and sexual child abuse in Estonia.