Global Decade of Action for Road Safety : A Review Adnan A. Hyder, MD MPH PhD Chairman, RTIRN

Transcription

1 Global Decade of Action for Road Safety : A Review Adnan A. Hyder, MD MPH PhD Chairman, RTIRN

2 SAVING MILLIONS OF LIVES This presentation uses materials developed jointly with Department of Violence, Injury Prevention and Disability at the World Health Organization in Geneva; the United Nations Road Safety Collaboration; and Dr. Margie Peden of WHO/VIP and colleagues.

3 FACTS ON ROAD SAFETY

4 Key facts 3 Number of deaths (millions) Nearly 1.3 million deaths million injured <1 AIDS-related deaths UNAIDS 2008 Tuberculosis WHO 2008 Road traffic WHO 2004 Malaria WHO 2008

5 Key facts The leading cause of death of young people aged years

6 Road traffic deaths 46% of road deaths are pedestrians, cyclists, motorcyclists 46% Pedestrian, cyclists and motorized two-wheels riders and passengers 6% Others 48% Car occupants

7 Deaths vs vehicle ownership 90% of road deaths and injuries occur in low and middle-income countries which have only 48% of the world's registered vehicles Population Road traffic deaths Registered vehicles

8 Regional perspective Road injury fatality rates* per by WHO region and income group

9 Worsening situation Top 10 leading causes of death Rank Disease or Injury 1 Ischaemic heart disease 2 Cerebrovascular disease 3 Lower respiratory infections 4 Chronic obstructive pulmonary disease 5 Diarrhoeal diseases 6 HIV/AIDS 7 Tuberculosis 8 Trachea, bronchus, lung cancer 9 Road traffic injuries 10 Prematurity & low-birth weight Rank Disease or Injury 1 Ischaemic heart disease 2 Cerebrovascular disease 3 Chronic obstructive pulmonary disease 4 Lower respiratory infections 5 Road traffic injuries 6 Trachea, bronchus, lung cancer 7 Diabetes mellitus 8 Hypertensive heart disease 9 Stomach cancer 10 HIV/AIDS

10 The Decade of Action

11 The Decade November 2009 Called for by the Moscow Ministerial Declaration March 2010 Tabled by the Russian Federation, co-sponsored by 100 countries and declared by the United National General Assembly

12 The Goal The overall goal of the Decade is to stabilize and then reduce the forecast level of road traffic fatalities around the world by 2020

13 Global plan for the Decade Road safety management Safer roads and mobility Safer vehicles Safer road users Post-crash response

14 Road safety management Strengthen institutional capacity Put in practice United Nations road safety conventions Establish lead agency Develop a national road safety strategy Set realistic and long-term targets Develop data systems Road safety management Safer roads and mobility Safer vehicles Safer road users Post crash response

15 Safer roads and mobility Improve safety-conscious planning, design, construction and operation of roads Assess regularly safety of roads Explore various forms of transport and safe infrastructure Road safety management Safer roads and mobility Safer vehicles Safer road users Post crash response

16 Safer vehicles Harmonize global standards Implement new car assessment programmes Equip all new cars with minimum safety features Promote use of crash avoidance technologies Encourage managers of fleets to purchase, operate and maintain safe vehicles Road safety management Safer roads and mobility Safer vehicles Safer road users Post crash response

17 Safer road users Adopt model road safety legislations Sustain or increase enforcement Promote public awareness of risk factors Call for activities to reduce work-related road traffic injuries Establish graduated driver licensing programmes for novice drivers Road safety management Safer roads and mobility Safer vehicles Safer road users Post crash response

18 Post-crash response Develop pre-hospital care systems Put in place single nationwide emergency telephone number Provide early rehabilitation and support to injured patients and those bereaved by road traffic crashes Establish insurance schemes Investigate crashes and provide legal response Road safety management Safer roads and mobility Safer vehicles Safer road users Post crash response

19 GOOD Practices

20 Prevention works Evolution of the number of annual road traffic deaths in metropolitan France,

21 Best buys in road safety Speed reduction Seat-belts Child-restraints Helmets Drinking and driving Low cost engineering measures Safer vehicles Pre-hospital and Trauma care Laws Enforcement Standards Behavior

22 Drinking and driving BACs should be set at 0.05 g/dl for the general population. Less than 50% of countries set this limit!

23 Seat-belts and airbags Wearing a seat-belt reduces the risk of death among front-seat passengers by 40 65% and among rear-seat occupants by 25 75%. Only 57% of countries require seat-belts (front & rear)!

24 Motorcycle helmets Wearing a good quality motorcycle helmet can reduce the risk of death by ±40% and severe head injury by >70%. Only 40% of countries have comprehensive law and standards!

25 Child restraints Infant seats, child seats and booster seats can reduce deaths of infants by ±70% and deaths of small children by between 54% 80% in the event of a crash. Less than 50% of countries have a child restraint law!

26 Speed reduction Urban speed limits should not exceed 50 km/h and local authorities should be able to reduce speeds where necessary. Only 29% of countries have such laws!

27 The Launch

28 11 May 2011 Statements of support from national and international leaders Projection of the tag on national landmarks in New York, London, Rio de Janeiro, Geneva, Moscow, Warsaw, Colombo, others Over 300 launch events in more than 80 countries

29 Launch day: 11 May 2011

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31 Monitoring and Evaluation of the Decade

32 PILLAR 1 Road safety management CORE INDICATORS 2010 OPTIONAL INDICATORS 2010 Number of countries which have adhered to the United Nations road safety related agreements and conventions; Number of new regional road safety legal instruments developed (and number of countries participation in them); Number of countries which have a clearly empowered agency leading road safety; Number of countries with a national strategy; Number of countries with time-based road safety targets; Number of countries with data systems in place to monitor progress in achieving road safety targets; 70 WPRO RC (2012) 121* 142* 75* 187 Number of countries which have adhered to the United Nations road safety related agreements and conventions Number of countries that have dedicated funds to implement their road safety strategy; Number of countries that have made progress towards achieving their defined targets. Number of countries with time-based road safety targets; 68*? Number of countries that collect annual road traffic crash data consistent with internationally accepted definitions. 80 use 30 day + 28 use unlimited * From GSRRS1, will be updated to 2010 data in February 2013

33 Pillar 2 Safer roads and mobility CORE INDICATORS 2010 OPTIONAL INDICATORS 2010 OTHER USEFUL STATISTICS 2010 Number of countries where road authorities have statutory responsibility to improve road safety on their networks; Number of countries with a defined allocation of expenditure for dedicated road infrastructure safety programmes; Number of countries with a target to eliminate high-risk roads by 2020; 98* Number of countries that have adopted sustainable urban mobility policies;? Number of countries with specialist infrastructure road safety units monitoring safety aspects of the road network; Number of countries with systematic safety audit, safety impact and/or road assessment policies and practices in place. Number of countries which have adhered and/or fully implement the regional road infrastructure agreements developed under the auspices of the United Nations regional commissions; Number of new regional road infrastructure instruments developed (and number of countries participating to them);??? 98* on new roads, 105* on all roads * From GSRRS1, will be updated to 2010 data in February 2013?? Number of countries with a defined Number of countries with the integration of safety needs as part of land-use and transport planning allocation functions; of Number of countries expenditure with effective for property access control and development control procedures dedicated road Number infrastructure of countries with regular, safety ongoing conduct of network safety rating surveys; programmes; Number of countries where the safety ratings for the highest volume 10% of roads is above a defined threshold); Number of countries with minimum safety rating standards for new road projects; Number of countries with a defined allocation of expenditure for dedicated road infrastructure safety programmes; Number of countries reporting vehicle miles travelled.?????? National policies that encourage cycling and walking as an alternative to car travel 57* National policies that encourage the use of public transport as an alternative to car travel National polcies to protect vulnerable road users 99*?

34 PILLAR 3 Safer vehicles CORE INDICATORS 2010 OPTIONAL INDICATORS 2010 Number of countries who participate in the United Nations World Forum for Harmonization of Vehicle Regulations and apply relevant standards; 58 parties to 1958 agreement, unclear how many signed 1998 agreement (see map below) Number of countries enacting laws to prohibit the manufacture of vehicles without specific vehicle safety features, such as Electronic Stability Control We will get this from GSRRS2 OTHER USEFUL STATISTICS Total number of vehicles by vehicle type per country 2010 See GSRRS1, will be updated in GSRRS2 Number of countries that participate in NCAP ("New Car Assessment") programmes; Number of countries enacting laws that prohibit the use of vehicles without seat-belts (front and rear). 105* Number of countries enacting laws Global NCP + 7 regional to prohibit the manufacture of NCAPS = how many vehicles without specific vehicle coutnries? safety features, such as Anti-Lock Braking Systems. Number of countries enacting laws that prohibit the use of vehicles without seatbelts (front and rear) Number of countries enacting laws to prohibit the manufacture of vehicles without specific vehicle safety features, such as airbags We will get this from GSRRS2 We will get this from GSRRS2 Number of countries enacting laws that prohibit the importation of second hand cars without front and rear seat-belts Number of countries enacting laws that prohibit the importation of second hand cars without ABS? Number of countries enacting laws that prohibit the importation of second hand cars without ESC?? ad-traffic-and-road-safety.html Number of countries enacting laws that prohibit the importation of second hand cars without airbags? * From GSRRS1, will be updated to 2010 data in February 2013

35 PILLAR 4 Safer road users CORE INDICATORS 2010 OPTIONAL INDICATORS 2010 OTHER USEFUL STATISTICS 2010 Number of countries with speed limits appropriate to the type of road (urban, rural, highway); Number of countries with blood alcohol concentration limits less than or equal to 0.05 g/dl; Number of countries with blood alcohol concentration limits lower than 0.05g/dl for young/novice and commercial drivers; Number of countries with national data on the proportion of alcohol-related fatal crashes; Number of countries with a comprehensive helmet use law (including standards); Number of countries with national data on helmet-wearing rates; Number of countries with a comprehensive seat-belt law; Number of countries with national data on seat-belt wearing rates (front, rear) Number of countries with a child restraint law; Number of countries with a formal policy to regulate fatigue among commercial vehicle drivers. 116*# 91* 98* 64* 82* 62* 101*+ 53* 87* * From GSRRS1, will be updated to 2010 data in February 2013 # speed limit of 50km/hr on urban road used as a proxy? Number of countries with national data on network speeds by road type;? Similar to Core 1 Number of countries with blood alcohol concentration limits less than or equal to 0.05 g/dl; Number of countries with national data on child restraint wearing rates;? Number of countries which have adopted the new ISO standard; Only published in 2012 Number of countries that report road traffic crashes as a category among? data recorded for occupational injuries; Number of countries hosting regular road safety weeks.? Number of countries with a comprehensive helmet use law (including standards); Number of countries with a ban on hand-held mobile phone use while driving Number of countries with a ban on hand-held and handsfree mobile phone use by driving Number of countries with a ban on texting while driving Will get this from GSRRS2 Will get this from GSRRS2 Will get this from GSRRS2

36 PILLAR 5 Post-crash response CORE INDICATORS 2010 OPTIONAL INDICATORS 2010 OTHER USEFUL STATISTICS 2010 Number of countries that require third-party insurance schemes for all drivers; Number of countries with one national emergency access number; Number of countries with designated trauma care centres. Will check green card system 123*? Number of countries where specific trauma care training is required for emergency care personnel. Will be obtained from GSRRS2 Number of countries with one national emergency access number Number of countries that celebrate World Day of Remembrance Number of countries with vital registration systems Number of countries with emergency-room based injury information systems # Will be obtained from GSRRS2 Proportion of seriously injured patients transported to hospital by ambulance Will be obtained from GSRRS2 * From GSRRS1, will be updated to 2010 data in February 2013 # from World Statistical Report, Many of the 118 countries have poor coverage and completeness. + From WDR website and FEVR

37 OUTCOME INDICATORS CORE INDICATORS 2010 OTHER INDICATORS 2010 Number of road traffic deaths, as a core composite indicator for all activities; Amount of funding that is dedicated to road safety that is provided by the international donor community (including development and donor agencies, foundations, the private sector and other donors): Amount of funding that has been made available at a regional and sub-regional level in support of road safety; and the number of regional or sub-regional organizations and institutions setting road safety targets to reduce road traffic fatalities by * From GSRRS1, will be updated to 2010 data in February million* World Bank World Bank World Bank Number of patients admitted to hospital wards as a result of road traffic crashes Proportion of road traffic injuries that result in a permanent disability Proportion of road traffic deaths by sex Proportion of road traffic deaths by age groups Proportion of road traffic deaths by road user Estimated proportion of GDP lost as a result of RT crashes Trends in road traffic deaths over the Decade GSRRS2 GSRRS2 77% male* GSRRS2 VRUs = 46%* GSRRS2 GSRRS2 will be baseline

38 YOUR Contribution

39 What to do for rest of Decade? Policy / strategy / targets / data systems Speed reduction Drinking and driving Helmets Seat-belts Child-restraints Low cost engineering measures Safer vehicles Pre-hospital and Trauma care Laws Enforcement Standards Behaviour

40 Everybody's Decade Victims and Survivors Private Companies Media Policy-Makers A CULTURE OF SAFETY Young People International Organizations Nongovernmental Organizations

41 Resources

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