2. 4
Collision vs. “accident”
• Approximately 1.25 million died in road traffic injuries in 2015
• An RTI is no “accident”
• It is both “preventable and predictable”
• We can study risk factors and understand them
• We can prevent collisions from causing RTIs
• We can immediately respond to RTIs when they happen
• We can manage RTIs over the long term to minimize their impact on health
3. 5
Defining key terms
• Road traffic crash: “a collision or incident that may or may not lead to injury,
occurring on a public road and involving at least one moving vehicle”
• Road traffic injury: “non-fatal injuries incurred as a result of a road traffic crash”
• Road traffic fatality: “a death occurring within 30 days of a road traffic crash”
Source: WHO. (2014).
5. RTIs in low- and middle-income countries
• Although low- and middle-income countries only possess 54% of the world’s
registered vehicles, they suffer ninety percent of the world road traffic deaths
• Road traffic death rates are more than twice as high in LMICs than HICs
Source: WHO. (2015).
6. Morbidity
• Each year there are between 20 and 50 million nonfatal RTIs around the world
that necessitate:
• Emergency department visits
• Acute hospitalization
• Rehabilitative care
• Treatment and recovery keep persons from work and, in some instances, forces
family members to borrow money or stay away from work themselves
• 120 years lived with disability (YLD) per 100,000 in 2013
Source: WHO. (2015).
7. Public health response
• Holistic road safety interventions must aim to do the following:
• Reduce exposure to risk
• Prevent road traffic crashes from occurring
• Reduce the severity of injury
• Reduce the consequences of injury through improved post-collision care
• Types of interventions: five pillars of Decade of Actions