Assessing Safety Performance on Urban and Suburban Roadways of Lower Functional Classification: A Comparison of Minor Arterial and Collector Roadway Segments

Previous research of urban roadway safety performance has generally focused on roadways of high functional classifications, such as principal arterials. However,roadways with lower functional classifications, including minor arterials and collectors, typically possess characteristics that differ from those of higher roadway classes. Therefore, assumptions made on the general effect of the predictor variables from typical safety performance functions may not apply to lower roadway classes. Toaddress these knowledge gaps, a safety performance evaluation of urban/suburban minor arterial and collector roadway segments was performed using traffic androadway data along with eight years of crash data from 189 miles of two-lane urban and suburban roadways in Washtenaw County, Michigan. Mixed-effect negativebinomial models with segment-specific random intercept were developed for minor arterial and collector road segments, considering total, fatal+injury, and propertydamage only crashes. In general, minor arterial roadways showed greater crash occurrence compared to collector roads. Posted speed limit had a significant positiveassociation with crash frequency, and this effect increased when the speed limit exceeded 40 mph. The effect of speed limit was stronger on minor arterial segmentsand for fatal+injury crashes. Additionally, driveway density was found to have a significant effect on safety performance, which was stronger for commercial/industrialdriveways compared to residential driveways and for collector roads compared to minor arterials, particularly when considering residential driveways. On-street parkingwas associated with lower crash occurrence, with a stronger effect on collector roadways, likely due to greater parking turnover when compared to minor arterials.

Development and Evaluation of a Community Surveillance Method for Estimating Deaths Due to Injuries in Rural Nepal

Almost 10% of global deaths are secondary to injuries, yet in the absence of routine injury surveillance and with few studies of injury mortality, the number and cause of injury deaths in many countries are not well understood. This study aimed to develop and evaluate the feasibility of a method to identify injury deaths in rural Nepal. Working with local government authorities, health post staff and female community health volunteers (FCHVs), we developed a two-stage community fatal injury surveillance approach. In stage one, all deaths from any cause were identified. In stage two, an interview with a relative or friend gathered information about the deceased and the injury event. The feasibility of the method was evaluated prospectively between February 2019 and January 2020 in two rural communities in Makwanpur district. The data collection tools were developed and evaluated with 108 FCHVs, 23 health post staff and two data collectors. Of 457 deaths notified over one year, 67 (14.7%) fatal injury events were identified, and interviews completed. Our method suggests that it is feasible to collect data on trauma-related deaths from rural areas in Nepal. These data may allow the development of injury prevention interventions and policy.

Exploring Fatalities and Injuries in Construction by Considering Thermal Comfort Using Uncertainty and Relative Importance Analysis

Fatal injury and accidents in the construction industry occur under the influence of outdoor weather conditions such as temperature, humidity and wind speed in all four seasons. Previous research in this area has focused on hot and cold weather conditions: hot weather causes heat rash, heat cramps and heat fainting, while cold weather causes fatigue, lumbago, and cold finger sensations. However, other weather conditions are also associated with, and cause, fatal injury and accidents. Accordingly, this study analyzes injury and fatal accidents in the construction industry based on the physiological equivalent temperature (PET) as it pertains to thermal comfort using an uncertainty analysis. Furthermore, using a neural network, relative importance is analyzed considering injury and fatal accidents. This study is conducted in five steps: (i) Establishment of the database, (ii) Classification of accident types and weather conditions, (iii) Calculation of thermal comfort, (iv) Analysis of injury and fatal accidents based on thermal comfort, and (v) Calculation of the relative importance of thermal comfort during injury and fatal accidents. Via the research process, 5317 fatal incidents and 207,802 injuries are analyzed according to 18 accident types in all seasons. It was found that ‘falls’, were the most frequent fatal incident and injury (2804 fatal incidents and 71,017 injuries), with most of these occurring during the autumn season. The probabilities of injury and fatal accidents in the ‘fall’ category are 86.01% and 85.60%, respectively, in the outside comfort ranges. The contribution of this study can provide data for a database on safety management considering weather conditions.

Violence and Non-fatal Injuries among Vietnamese In-school Adolescents: National Prevalence Estimates and Associated Factors

Background: School violence and injury are major public health problems worldwide; however, current information on these issues in Vietnam is lacking. We aim to investigate the prevalence of violence and non-fatal injury and associated factors among Vietnamese adolescents aged 13-17 years old. Methods: We used data from the 2019 Vietnam Global School-based Student Health Survey (GSHS), which is a nationally representative survey developed by the World Health Organization to monitor behavioral risk factors among school-aged students. The Vietnam GSHS 2019 was conducted in 20 provinces and cities, with a sample size of 7,690 male and female students aged 13-17 years old. Results: We found the prevalence of violence and non-fatal injury was 14.5% and 21.4%, respectively. Common risk factors for both violence and non-fatal injuries included cigarette smoking, alcohol use, mental health problems, and living with neither parent; violence was also a risk factor for non-fatal injuries. Student older age was associated with lower odds of school violence. Parents played an important role in preventing violence among female students and non-fatal injuries in both genders. Conclusions: Future policies should consider individual factors as well as adolescent-parent bonding, to mitigate the burden of violence and injury among in-school adolescents in Vietnam