scholarly journals Reducing deaths and injuries in cities around the world through a city multi-sector comprehensive approach

2021 ◽  
Vol 31 (Supplement_3) ◽  
Author(s):  
S Ratte

Abstract Road traffic crashes kill over 1.35 million people worldwide and injure up to 50 million people. They are the leading cause of death among the young. City governments, in conjunction with national governmental agencies, are critical to reducing road traffic deaths. Cities are well placed to demonstrate effective implementation of evidence-based interventions and catalyse national action. Proven road safety strategies include: → enforcing road safety laws on speeding, drink driving, motorcycle helmets and seat-belts → designing and building safer roads → managing speed effectively → implementing transportation systems to make urban mobility safer → promoting safe driving and building public support for road safety via communication campaigns → using data from high-quality monitoring and evaluation systems for policy and planning. This presentation will highlight the successes and challenges in some selected cities participating in the Bloomberg Philanthropies Initiative for Global Road Safety and share lessons learned in the implementation of a multi sector evidence-based comprehensive approach at city level.

2019 ◽  

In the three years since the last road safety report was issued, the number of road traffic deaths has continued to increase throughout the Americas, reaching 154,997 deaths in 2016 (latest year of available data). However, the death rate from road traffic crashes has remained stable (15.6 per 100,000 population in 2016 as compared to 15.9 per 100,000 population in 2013). Data presented in this report show that aspects of road safety management, legislation, and post-crash care have improved in some countries. However, the improvements have been modest and it is clear that the Sustainable Development Goal (SDG) target 3.6, to halve road traffic deaths by 2020, will not be achieved... Since 2014, more countries in the Region have implemented road safety legislation. Two additional countries, the Dominican Republic and Uruguay, established laws on drink-driving based on best practice, bringing the total to eight countries. Ecuador implemented legislation on helmet use (resulting in a total of seven countries), Dominican Republic implemented legislation on seat-belts (19 countries in total), while Chile implemented child restraint laws (two countries in total). However, no new speed laws have been enacted in the Region. Overall, four countries (Chile, Dominican Republic, Ecuador, and Uruguay) have amended their laws regarding one or more road safety risk factors to bring them in line with best practice. Despite these legislative developments, enforcement remains a major challenge in most countries...


2020 ◽  
Vol 15 (2) ◽  
pp. 213-217
Author(s):  
Md Moshiur Rahman ◽  
Farzana Zafreen ◽  
Abu Noman Mohammed Mosleh Uddin

Introduction: Road traffic accidents (RTA) are the eighth leading cause of death globally, and the leading cause of death in Bangladesh. The road safety situation in Bangladesh has been deteriorating with increasing number of road accident deaths, largely as direct consequences of rapid growth in population, motorization, urbanization and lack of investment in road safety. Objectives: To describe the injury characteristics of road traffic accidents cases that reported at Combined Military Hospital (CMH), Dhaka. Materials and Methods: This descriptive cross-sectional hospital based study was conducted on all the RTA cases reported to medical inspection room CMH, Dhaka from 01 March to 30 June 2010. A total of 126 RTA victims irrespective of age and sex were included, data were collected by face to face interview using a pre-tested questionnaire. Results: A total of 126 road traffic accident victims both sexes were studied. The majority of the study subjects were men 103 (81.7%) and most of them were in 31-40 years group (27%), Muslims (98.41%) were the majority. In our study regarding educational qualification of RTA victims most of them were SSC qualified (44’4%) and primary level (15.1%). Military services holder (45.2%) was the majority of road traffic crash victims. Bus/Minibus (32.5%) was responsible for the majority of road traffic crashes and motor vehicle passengers (42.9%) were main victims. Laceration & cut injury were (38.1%) and multiple injury (18.3%) were the most common injury. Main roads (49.2%) were the commonest site of the accidents.  Regarding place of occurrence main roads 62 (49.2%) was the most common site and noon 41 (32.5%) was the most common time of occurrence of accidents. Conclusion: Road traffic crashes constitute a major public health problem in our setting and contribute significantly to unacceptably high morbidity and mortality. Urgent preventive measures targeting at reducing the occurrence of road traffic crashes is necessary to reduce the morbidity and mortality resulting from these injuries. Early recognition and prompt treatment of road traffic injuries is essential for optimal patient outcome. JAFMC Bangladesh. Vol 15, No 2 (December) 2019: 213-217


2010 ◽  
Vol 14-15 (1) ◽  
pp. 321-332
Author(s):  
Irfan Ullah ◽  
Janusz Szpytko

Effects of Improved Traffic Management on Sustainable Distributed Road Transportation Safety Based on Asian Experiences Knowledge of the improved traffic management and its effect on road safety is an important component in the process of sustainable road network development. Having in mind that so many road traffic casualties occur, a key priority in transport policy is making highways as safe as possible. The mentioned objective is attained by means of sustainable safety. The paper focuses on sustainable road safety and his principles, based on selected Asian countries experiences. The knowledge base covers institutional responsibility of road safety, the development of a road safety action plan, raising awareness and understanding of road safety problems, road crash data systems, road safety education and training, traffic safety legislation, enforcement of traffic laws and monitoring and evaluation of the effectiveness of road safety activities. In order to improve road transportation safety an organized sustainable approach is needed via concentrated action of all of participants in the process of realizing the transport service such as: governments at all levels, those who are professionally engaged in transport and traffic engineering and road users themselves.


Author(s):  
Tingru Zhang ◽  
Alan H.S. Chan ◽  
Hongjun Xue ◽  
Xiaoyan Zhang ◽  
Da Tao

With the dramatic increase in motorization, road traffic crashes have become the leading cause of death in China. To reduce the losses associated with road safety problems, it is important to understand the risk factors contributing to the high crash rate among Chinese drivers. This study investigated how driving anger and aberrant driving behaviors are related to crash risk by proposing and testing one mediated model. In this model, the effects of driving anger on road crash risk were mediated by aberrant driving behaviors. However, unlike previous studies, instead of using the overall scale scores, the subscales of driving anger and aberrant driving behaviors were used to establish the mediated model in this study. To test the validity of this model, an Internet-based questionnaire, which included various measures of driving anger, aberrant driving, and road crash history, was completed by a sample of 1974 Chinese drivers. The results showed that the model fitted the data very well and aberrant driving behaviors fully mediated the effects of driving anger on road crash risk. Findings from the present study are useful for the development of countermeasures to reduce road traffic crashes in China.


2021 ◽  
Vol 21 (3) ◽  
pp. 1498-1506
Author(s):  
Jimmy Osuret ◽  
Stellah Namatovu ◽  
Claire Biribawa ◽  
Bonny Enock Balugaba ◽  
Esther Bayiga Zziwa ◽  
...  

Background: Pedestrians in Uganda account for 40% of road traffic fatalities and 25% of serious injuries annually. We explored the current pedestrian road traffic injury interventions in Uganda to understand why pedestrian injuries and deaths continue despite the presence of interventions. Methods: We conducted a qualitative study that involved a desk review of road safety policy, regulatory documents, and reports. We supplemented the document review with 14 key informant interviews and 4 focus group discussions with par- ticipants involved in road safety. Qualitative thematic content analysis was done using ATLAS. ti 7 software. Results: Five thematic topics emerged. Specifically, Uganda had a Non-Motorized Transport Policy whose implementation revealed several gaps. The needs of pedestrians and contextual evidence were ignored in road systems. The key program- matic challenges in pedestrian road safety management included inadequate funding, lack of political support, and lack of stakeholder collaboration. There was no evidence of plans for monitoring and evaluation of the various pedestrian road safety interventions. Conclusion: The research revealed low prioritization of pedestrian needs in the design, implementation, and evaluation of pedestrian road safety interventions. Addressing Uganda’s pedestrian needs requires concerted efforts to coordinate all road safety activities, political commitment, and budgetary support at all levels. Keywords: Pedestrian; safety intervention; qualitative; Uganda.


2021 ◽  
Author(s):  
Nirmalchandra K Shetty

Global road safety is a complex problem. Annually 1.4 million people are killed, while over 50 million are injured in road traffic crashes worldwide. It endangers the victims' life or health and has a heavy social and economic impact on their families, on medical facilities, and the nation's economy.There have been numerous global efforts by the UN, WHO, World Bank, among others, to address the road safety crisis. According to research, human error is the root cause of 90% of crashes, which is largely attributed to the driver. In 2006, a serendipitous idea led to my discovery of the invisible primary cause of road traffic deaths and injuries - the obstruction of the driver's field of vision by the blind region of the A-pillar in all vehicles, which is a universal design flaw. Road traffic crashes are difficult to avert if vehicles and other road users or objects are invisible to the driver before the crash. Thus, this problem, including its proposed A1-pillar design solution, was conveyed to the UN, WHO, among others, in 2006. In spite of the positive response, these organisations did not pursue it. Despite commendable efforts by global institutions and governments, stricter traffic laws, and automotive safety technology advancements, road traffic deaths and injuries are steadily increasing. Could a key causative factor have been ignored so far? Thus, this article explores the blind region created by the A-pillar and offers a sustainable design solution for new vehicles as well as a retrofit idea for existing ones. Urgent action is needed to validate and overcome this major causative factor in road traffic deaths and injuries worldwide. Along with the existing global road safety measures, this comprehensive solution has the potential to help resolve the global road safety crisis and save lives.


2019 ◽  
Vol 34 (s1) ◽  
pp. s6-s6
Author(s):  
Oluwafunbi Awoniyi ◽  
Michael Molloy ◽  
Alexander Hart ◽  
Amalia Voskanyan ◽  
Ritu Sarin ◽  
...  

Introduction:Road Traffic Crashes (RTC) are one of the most preventable causes of death worldwide, yet are the number one cause of death in Nigeria. In March 2010, the United Nations General Assembly launched “The Decade of Action for Road Safety (2011-2020)” to “reduce road traffic deaths and injuries by 50% by 2020.”Aim:To analyze trends in RTC and deaths in relation to current road safety laws in Nigeria, and possible future interventions.Methods:Annual reports from 2013-2017 were obtained from the Federal Road Safety Corps (FRSC) of Nigeria. These reports were analyzed for trends in RTC, deaths, and reported causes to find areas of possible improvement.Results:The number of RTC and deaths declined yearly from 2013-2017. Crashes decreased from 23.4% in 2013-2014 to 6.2% in 2015, to 0.4% in 2016, and then increased to 3.2% in 2017. Results showed that fatalities from RTC in 2013-2014 decreased by 8.4%, then by 9.3% in 2015, and by 7.1% in 2016, but had a 1.3% increase in fatalities from 2016-2017. Analysis showed that speed violations (SPV) were the top cause of RTC. These had a decrease in the number of crashes from 5,495 (32% of RTC) in 2013, to 3,496 (29%) in 2014, to 3,195 (26.5%) in 2015. They then increased to 3,848 (33.9%) in 2016 and to 4,840 (44.1%) in 2017. There was a decline in reports of RTC caused by driving under the influence (DAD) from 1% in 2013, to 0.8% in 2014, and 0.5% in 2015 and 2016.Discussion:Current road safety laws have been effective in decreasing the total number of RTC and deaths. While certain laws such as those regarding DAD have been effective, other laws such as speed limits have been less successful and may require further changes in legal codes and/or enforcement.


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