We provide a brief critical review and assessment of engineering modifications to the built environment that can reduce the risk of pedestrian injuries. In our review, we used the Transportation Research Information Services database to conduct a search for studies on engineering countermeasures documented in the scientific literature. We classified countermeasures into 3 categories-speed control, separation of pedestrians from vehicles, and measures that increase the visibility and conspicuity of pedestrians. We determined the measures and settings with the greatest potential for crash prevention. Our review, which emphasized inclusion of studies with adequate methodological designs, showed that modification of the built environment can substantially reduce the risk of pedestrian-vehicle crashes.

Modern roundabouts are designed to control traffic flow at intersections without the use of stop signs or traffic signals. U.S. experience with modern roundabouts is rather limited to date, but in recent years there has been growing interest in their potential benefits and a relatively large increase in roundabout construction. This interest has created a need for data regarding the safety effect of roundabouts. Changes in motor vehicle crashes following conversion of 23 intersections from stop sign and traffic signal control to modern roundabouts are evaluated. The settings, located in seven states, are a mix of urban, suburban, and rural environments with the urban sample consisting of both single-lane and multilane designs and the rural sample consisting of only single-lane designs. A before-after study was conducted using the empirical Bayes procedure, which accounts for regression to the mean and traffic volume changes that usually accompany conversion of intersections to roundabouts. For the 23 intersections combined, this procedure estimated highly significant reductions of 40 percent for all crash severities combined and 80 percent for all injury crashes. Reductions in the numbers of fatal and incapacitating injury crashes were estimated to be about 90 percent. In general, the results are consistent with numerous international studies and suggest that roundabout installation should be strongly promoted as an effective safety treatment for intersections. Because the empirical Bayes approach is relatively new in safety analysis, the potential of this methodology in the evaluation of safety measures is demonstrated.

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Rural two-lane roads generally lack physical measures such as wide medians or barriers to separate opposing traffic flows. As a result, a major crash problem on these roads involves vehicles crossing the centerline and either sideswiping or striking the front ends of opposing vehicles. These types of opposing-direction crashes account for about 20% all fatal crashes on rural two-lane roads and result in about 4,500 fatalities annually in the US. The present study evaluated a potential engineering countermeasure for such crashes-installation of rumble strips along the centerlines of undivided rural two-lane roads to alert distracted, fatigued, or speeding motorists whose vehicles are about to cross the centerlines and encroach into opposing traffic lanes. Data were analyzed for approximately 210 miles of treated roads in seven states before and after installation of centerline rumble strips. An empirical Bayes before-after procedure was employed to properly account for regression to the mean while normalizing for differences in traffic volume and other factors between the before and after periods. Overall results indicated significant reductions for all injury crashes combined (14%, 95% confidence interval (95% CI) = 5-23%) as well as for frontal and opposing-direction sideswipe injury crashes (25%, 95% CI = 6-44%)--the primary target of centerline rumble strips. In light of their effectiveness and relatively low installation costs, consideration should be given to installing centerline rumble strips more widely on rural two-lane roads to reduce the risk of frontal and opposing-direction sideswipe crashes.

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Red light running is a frequent cause of motor vehicle crashes and injuries. A primary countermeasure for red light running crashes is police traffic enforcement. In recent years, many police agencies have begun using automated red light cameras as a supplement to conventional enforcement methods. The present study reviewed and evaluated available evidence in the international literature regarding the effectiveness of cameras to reduce both red light violations and crashes. Camera enforcement generally reduces violations by an estimated 40-50%. In terms of crash effects, most studies contain methodological flaws that, to varying degrees, either overestimate (failure to adjust for regression to the mean) or underestimate (comparison with nearby signalized intersections affected by cameras) crash effects. Mindful of these limitations, the research generally indicates that camera enforcement can significantly reduce injury crashes at signalized intersections, in particular right-angle injury crashes. Most studies reported increases in rear-end crashes following camera installation. Taken together the studies indicate that, overall, injury crashes, including rear-end collisions, were reduced by 25-30% as a result of camera enforcement.

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