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The Decade Of Action for Road Safety 2 nd IRU – LAS – AULT International Seminar on Trade and Road Transport Facilitation in the LAS Region ALEXANDRIA, EGYPT, OCTOBER 2010 Dr Syed Jaffar Hussain MBBS, MPH, DrPH Regional Advisor Health Promotion/ Injuries, Violence and Disabilities WHO Regional Office for EMR

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Of All the Injury Causes-RTI causes the highest Mortality

The global burden of road traffic injuries  1.3 million die a year  20–50 million more are injured or disabled  9th leading cause of death  With every death, 20–30 people are injured  Account for 2.1% of all deaths globally Source: WHO (2008), Global Burden of Disease:2004 update

Number of deaths due to road traffic injuries in 2004, by WHO region Death rate per population in 2004, by WHO region Source: WHO (2008), Global Burden of Disease:2004 update

Modeled road traffic fatality rates (per population) by WHO region and income group, 2008 WHO region High- income Middle- income Low- income Total Africa a – Americas b –15.8 South-East Asia a – Eastern Mediterranean Europe Western Pacific Global a No high-income countries b No low-income countries Source: Global status report on road safety: Time for action. Geneva, WHO, 2009

Projected change (%) in road traffic fatalities between low- income and middle-income and high-income countries by % decrease 60% increase in fatality Deaths per population Source: Kopits E, Cropper M. Traffic fatalities and economic growth. Washington DC, The World Bank, 2003 (Policy Research Working Paper no. 3035)

Leading causes of burden of disease, 2004 and 2030 (projected) 1. Lower respiratory infections 2. Diarrhoeal diseases 3. Unipolar depressive disorder 4. Ischaemic heart disease 5. HIV/AIDS 6. Cerebrovascular disease 7. Prematurity and low birth weight 8. Birth asphyxia and birth trauma 9. Road traffic injuries 10. Neonatal infections 1. Unipolar depressive disorder 2. Ischaemic heart disease 3. Road traffic injuries 4. Cerebrovascular disease 5. Chronic obstructive pulmonary disease 6. Lower respiratory infections 7. Hearing loss, adult onset 8. Refractive errors 9. HIV/AIDS 10. Diabetes mellitus 2004 Disease or injury 2030 (projected) Disease or injury Source: The global burden of disease: 2004 update. Geneva, WHO, 2008

Road traffic crashes cause huge mortality and morbidity in the Region  In 2004 an estimated road traffic deaths, equivalent to 400 per day  95% of deaths were in low-income and middle- income countries  Road traffic ranked 6th in 2004 in terms of mortality  The Region has the highest rate of road traffic death among males  Road traffic injuries responsible for the loss of an estimated 5.1 million DALYs in 2002 Source: The global burden of disease: 2004 update. Geneva, WHO, 2008

Road traffic deaths per population, 2007 Showing mortality in descending order Source: Global status report on road safety: Time for action. Geneva, WHO, 2009

Road traffic deaths disaggregated by sex Source: Global status report on road safety: Time for action. Geneva, WHO, 2009 Data from 16 countries

Road traffic injuries: a social and economic issue

A social and equity issue  Road traffic injuries have a disproportionate effect on the poor and vulnerable, who have little influence over policy decisions  The poor are more exposed to risks. Even when they are aware of the risks, they often have little or no choice  Poorer people have limited access to post- trauma emergency health care  Cost of prolonged care and loss of income due to death or disability exacerbate poverty

Pedestrian Fatalities and Regions Source: Vasconcellos E A 2006: Equity, social ifferentiation, transport policy and road design. Paper presented in 8 th World Conference on Injury Prevention and Safety Promotion April 2006 Durban South Africa

Source: Jacobs G, Aeron-Thomas A, Astrop A. Estimating global road fatalities. Crowthorne, Transport Research Laboratory, 2000 (TRL Report 445). Economic cost of road traffic crashes Road Traffic Injuries-A major Public Health Concern 16 RegionGNP (Billion US$) Estimated annual crash cost As percentage of GNP Cost (Billion US$) Africa Asia Latin America and the Caribbean Middle East and North Africa Sub-total Highly motorized countries Total517.7

Bahrain Islamic Republic of Iran JordanLebanon Libyan Arab Jamahiriya Qatar Saudi Arabia Sudan Syrian Arab Republic Tunisia 5.3 million 6.1 billion 396 million 0.56 million 2.21 million 11.3 million 352 million 110 million 168 million 329 million Based on studies conducted by 10 countries Source: Global status report on road safety: Time for action. Geneva, WHO, 2009 Direct costs Medical Medical Mental health Mental health Emergency response services Emergency response services Law enforcement services Law enforcement services Judicial services Judicial services Medical Medical Mental health Mental health Emergency response services Emergency response services Law enforcement services Law enforcement services Judicial services Judicial services Premature deaths Premature deaths Lost productivity Lost productivity Absenteeism Absenteeism Economic development Economic development Quality of life Quality of life Other intangible losses Other intangible losses Premature deaths Premature deaths Lost productivity Lost productivity Absenteeism Absenteeism Economic development Economic development Quality of life Quality of life Other intangible losses Other intangible losses Indirect costs Recent data on the cost of road traffic crashes in selected countries (US$)

Decade of Action

UN General Assembly resolutions WHA resolution and launch of the World report on road traffic injury prevention UN Road Safety Collaboration

First Global Ministerial Conference on Road Safety: Time for Action Moscow, November 2009 Moscow Declaration 1. Encourage the implementation of the recommendations of the World report on road traffic injury prevention, 2. Reinforce governmental leadership and guidance in road safety, including by designating or strengthening lead agencies; 3. Set ambitious yet feasible national road traffic casualty reduction targets and mobilize the necessary resources; 4. Make particular efforts to develop and implement policies and infrastructure solutions to protect all road users in particular those who are most vulnerable; 5. Begin to implement safer and more sustainable transportation, including through land-use planning initiatives and by encouraging alternative forms of transportation; 6. Promote harmonization of road safety and vehicle safety regulations and good practices through the implementation of relevant United Nations resolutions;

Moscow Declaration--Contd 7. Strengthen or maintain enforcement and awareness of existing legislation; 8. Encourage organizations to contribute actively to improving work-related road safety through adopting the use of best practices in fleet management; 9. Encourage collaborative action by fostering cooperation between relevant entities of public administrations, organizations of the United Nations system, private and public sectors, and with civil society; 10. Improve national data collection and comparability at the international level and facilitating international cooperation to develop reliable and harmonized data systems; 11. Strengthen the provision of prehospital and hospital trauma care, rehabilitation services and social reintegration;

Objectives of the Decade  draw attention to the Decade and more generally to the impact of the global road safety crisis and the prospects for prevention;  provide an opportunity for governments, international agencies, civil society organizations, the private sector and other stakeholders to announce their respective plans for the Decade. Road Traffic Injuries-A major Public Health Concern 22

A framework for a Decade of Action  Goal and specific objectives: The overall goal of the decade will be to halt or reverse the increasing trend in road traffic fatalities around the world by increasing activities at the national level, through:  Setting an ambitious target for reduction of road fatalities by 2020;  strengthening the global architecture for road safety;  increasing the level of global funding to road safety and putting in place a global funding mechanism;  increasing human capacity within countries relating to road safety;  providing technical support to countries using successful experiences from others;  improving the quality of data collection at the national, regional and global levels;  monitoring progress on a number of predefined indicators at the national, regional and global levels including both the public and private sectors.

Planning Framework

Details of Activities  Activity 1: Increase global funding for road safety.  Activity 2: Advocate for road safety at the highest levels.  Activity 3: Increase awareness of risk factors and the prevention of road safety  Activity 4: Provide guidance to countries on strengthening road safety management systems and implementing road safety good practices and trauma  Activity 5: Improve the quality of road safety data collection

Potential indicators  Number of road traffic deaths (Global road safety surveys in 2012 and 2014)  Regional databases (e.g. IRTAD, ECE, etc),  Intermediate indicators (helmet wearing, seat-belt wearing, network speeds etc)  Amount of funding available at a global level available for road safety

Funding of activities  Initial estimates set the required funding for national activities to around $200 million per year, i.e. $2 billion for the whole decade.  Global Road Safety Commission advocated a $300 million ten-year fund for this global action plan, to catalyze a stronger focus on improving the safety outcomes of planned large-scale investments in road infrastructure over the coming decade and beyond.

Evaluation of the Decade  The Decade of Action will be formally evaluated at both the mid-term point and the end date by external consultants. Baseline data will be obtained through country surveys conducted for the 2nd Global road safety status report due for publication in  During the formal evaluation process, both outcome and process indicators will be assessed.

Strengthening road safety management capacity; Implementing safety approaches in the planning, design, construction, operation, and maintenance of road infrastructure projects; Improving safety performance measures; and Mobilizing more and new resources for road safety Global Commitments by leading developmental agencies

Potential Lives Saved

Conclusions  The burden of road traffic crashes is increasing globally and in our Region  Road traffic crashes and the resultant unnecessary deaths and disabilities can be prevented  Road safety is a social, economic and equity issue  It is a multisectoral and public health issue and requires a public health response  The Decade of Action provides an opportunity for Governments, Civil Society and Organizations to foster synergy in their action

Thank you