MAIN MESSAGES 88 countries have reduced their road traffic deaths, but the global total at 1.24 million remains unacceptably high. Only 28 countries have comprehensive laws that cover 5 major risk factors. Half of all road traffic deaths are among pedestrians, cyclists and motorcyclists.
SOME COUNTRIES ARE MAKING PROGRESS, BUT THE ROAD TRAFFIC DEATH RATE REMAINS UNACCEPTABLY HIGH AT 1.24 MILLION PER YEAR
AFRICA HAS HIGHEST ROAD TRAFFIC DEATH RATES PER 100 000 POPULATION
35 COUNTRIES PASSED NEW LAWS BUT ONLY 7% OF THE WORLD'S POPULATION IS COVERED FOR ALL 5 RISK FACTORS
ONLY 59 COUNTRIES HAVE A COMPREHENSIVE URBAN SPEED LAW Comprehensive urban speed law = 50km/h and local authorities allowed to reduce limits
89 COUNTRIES HAVE A COMPREHENSIVE DRINK–DRIVING LAW Comprehensive drink–driving law = Blood Alcohol Concentration (BAC) of 0.05 g/dl.
90 COUNTRIES HAVE COMPREHENSIVE MOTORCYCLE HELMET LAWS Comprehensive motorcycle helmet law = All riders, all roads, all engine types + helmet standard.
111 COUNTRIES HAVE A COMPREHENSIVE SEAT-BELT LAWS Comprehensive seat-belt law = Applies to all vehicle occupants.
HALF OF ALL COUNTRIES HAVE A CHILD RESTRAINT LAW BUT ENFORCEMENT IS POOR
FEW COUNTRIES RATE THE ENFORCEMENT OF LAWS AS "GOOD" "Good" enforcement defined as 8 or more on a scale of 0 to 10.
HALF OF ALL DEATHS ARE AMONG VULNERABLE ROAD USERS
ONLY 35% OF COUNTRIES HAVE POLICIES WHICH PROMOTE WALKING AND CYCLING
VEHICLE STANDARDS SHOULD BE ADOPTED IN ALL COUNTRIES 52 countries were part of UN Forum for Harmonization of Vehicle Regulations in 2010. Only 30 countries take part in an New Car Assessment Programmes. Few vehicles are designed with the vulnerable road user in mind.
FOR EVERY PERSON WHO DIES, 20 ARE INJURED For every 1 person who dies in a road traffic crash, 20 are injured. 1 in 20 of those injured are left with a disability. Only 111 countries have a universal national access emergency number. Only 59 countries have an ambulance service able to transfer over 75% of injured patients. Less than 2/3 of doctors and <50% nurses are trained in emergency care in LMICs.
DATA SYSTEMS IN MOST COUNTRIES REMAIN POOR Most countries (71%) rely on Police data systems only, few (17%) combine databases. 50% of countries use a 30-day definition. Only 104 countries reported robust data (in terms of coverage and completeness). For 78 countries comparative estimates had to be generated using a statistical model.
RECOMMENDATIONS The pace of legislative change is too slow: increase adoption of comprehensive laws. Enforcement of strong road safety laws is essential for success and should be coupled with public awareness. Reducing road traffic deaths requires more consideration of the needs of pedestrians, cyclists & motorcyclists. Also need to make infrastructure safer, implement crash testing standards, as well as improve post-crash care and road safety databases.