A dramatic decline in walking and cycling to school has been observed in many geographic and cultural regions, and most children in the US are now driven to school in private vehicles. There are a number of health implications associated with the choice of commute mode, including traffic safety, exposure to air pollution, and levels of physical activity and obesity, and the risks and benefits of each must be weighed. This paper reviews current evidence on these risks and benefits for each health topic area. From a traffic safety perspective, buses are best, while the risks of private...