Safety of ‘the vulnerable road users’: current challenges and need for a new approach

Tiwari, Geetam

doi:10.1080/17457300.2018.1429211

Cited by 5 publications

(4 citation statements)

References 2 publications

(2 reference statements)

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“…The higher death rate for road injuries in India among motorcyclists and cyclists than the global average reflects a higher proportion of these types of road users in India and indicates that the road infrastructure and vehicle design in India gives priority to people with cars and not to those who might not be able to afford a car, so affecting their safety. [26][27][28][29] This pattern of ignoring the vulnerable road users in the planning, designing, and operation of roads and in vehicle design is prevalent in India, and is also seen in many low-income and middle-income countries. 1 The poor enforcement of speed limits, drink-driving laws, motorcycle helmet use, and seatbelt laws contribute further to the burden of deaths due to road injuries in India.…”

Section: Discussionmentioning

confidence: 99%

“…Of all road users, a significant but weak inverted U-shaped relationship was only seen for the agestandardised death rate for road injuries among motor vehicle occupants for both sexes combined with the state per-capita GDP (R²=0•20; p=0•020; appendix pp [22][23][24] and for the state per-capita vehicles (R²=0•20; p=0•044; appendix pp [25][26][27].…”

Section: Goamentioning

confidence: 99%

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Mortality due to road injuries in the states of India: the Global Burden of Disease Study 1990–2017

Dandona¹,

Kumar²,

Gururaj³

et al. 2020

The Lancet Public Health

109

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Background A systematic understanding of population-level trends in deaths due to road injuries at the subnational level over time for India's 1•4 billion people, by age, sex, and type of road user is not readily available; we aimed to fill this knowledge gap. Methods As part of the Global Burden of Diseases, Injuries, and Risk Factors Study, we estimated the rate of deaths due to road injuries in each state of India from 1990 to 2017 based on several verbal autopsy data sources. We calculated the number of deaths and death rate for road injuries by type of road user, and assessed the age and sex distribution of these deaths over time. Based on the trends of the age-standardised death rate from 1990 to 2017, we projected the age-standardised death rate to 2030 to assess if the states of India would meet the Sustainable Development Goal (SDG) target to halve the death rate for road injuries from 2015 by 2020 or 2030. We calculated 95% uncertainty intervals (UIs) for the point estimates. Findings In 2017, 218 876 deaths (95% UI 201 734 to 231 141) due to road injuries occurred in India, with an agestandardised death rate for road injuries of 17•2 deaths (15•7 to 18•1) per 100 000 population, which was much higher in males (25•7 deaths [23•5 to 27•4] per 100 000) than in females (8•5 deaths [7•2 to 9•1] per 100 000). The number of deaths due to road injuries in India increased by 58•7% (43•6 to 74•7) from 1990 to 2017, but the agestandardised death rate decreased slightly, by 9•2% (0•6 to 18•3). In 2017, pedestrians accounted for 76 729 (35•1%) of all deaths due to road injuries, motorcyclists accounted for 67 524 (30•9%), motor vehicle occupants accounted for 57 802 (26•4%), and cyclists accounted for 15 324 (7•0%). India had a higher age-standardised death rate for road injury among motorcyclists (4•9 deaths [3•9-5•4] per 100 000 population) and cyclists (1•2 deaths [0•9-1•4] per 100 000 population) than the global average. Road injury was the leading cause of death in males aged 15 to 39 years in India in 2017, and the second leading cause in this age group for both sexes combined. The overall agestandardised death rate for road injuries varied by up to 2•6 times between states in 2017. Wide variations were seen between the states in the percentage change in age-standardised death rate for road injuries from 1990 to 2017, ranging from a reduction of 38•2% (22•3 to 51•7) in Delhi to an increase of 17•0% (0•6 to 34•7) in Odisha. If the trends estimated up to 2017 were to continue, no state in India or India overall would achieve the SDG 2020 target in 2020 or even in 2030. Interpretation India's contribution to the global number of deaths due to road injuries is increasing, and the country is unlikely to meet the SDG targets if the trends up to 2017 continue. India needs to implement evidence-based road safety interventions, promote strong policies and traffic law enforcement, have better road and vehicle design, and improve care for road injuries at the state level to meet the SDG goal.

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Section: Discussionmentioning

confidence: 99%

Section: Goamentioning

confidence: 99%

Mortality due to road injuries in the states of India: the Global Burden of Disease Study 1990–2017

Dandona¹,

Kumar²,

Gururaj³

et al. 2020

The Lancet Public Health

109

View full text Add to dashboard Cite

show abstract

“…Vulnerable road users are easily injured or killed in a car-dominated road space [91][92][93][94]. Issues and deficiencies in the city's road design, vehicle design and transport policies can be key factors in the increased risk for vulnerable road users [95,96]. However, several studies about urban and street design, including suitable land use characteristics for road users to avoid using a car and promotion of public transportation or active transportation, require further consideration [18].…”

Section: Discussionmentioning

confidence: 99%

The Transition of Land Use and Road Safety Studies: A Systematic Literature Review (2000–2021)

2023

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About 1.3 million deaths occur every year due to road traffic crashes, making road safety a growing concern in many cities. This study considers the extent to which road safety challenges contribute to the built environment. In this paper, we applied the visualization technology of Bibliometrics supported by VOSviewer software and CitesSpace to develop a systematic review to understand the research status and identify gaps in road safety related to built environmental issues. This method has advantages in comprehensive quantitative statistics, visual information display, accurate description, and evaluation. Data was gathered from Scopus databases between 2000 to 2021, and a final number of 437 publications were retrieved. Road safety and land use were the primary keywords to locate relevant publications and identify their relationship. The analysis included the number of publications, research areas, and keywords for an in-depth evaluation. The result was visualized and bibliographically analyzed by demonstrating the existing occurrences between crucial terms, keywords and research areas. The findings revealed that road safety plays a vital role in significant issues, among others, that relate to land use and urban planning in the particular area associated with road safety. Therefore, it is essential to deliberately consider road safety in the very beginning to ensure that proper future solutions can be implemented through appropriate planning and design that is consistent with the surrounding city.

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“…In order to provide a better road safety and its effective management, different countries report road safety data daily, but for having comparable data among the countries, they should be properly collected, processed and analyzed. 18 , 19 , 20 Although high-income countries rely on records of trauma registries and police databases, in low and middle-income countries, the data sources that provide data are not mature and surveillance systems are not well established. 21 , 22 Surveillance, as WHO definition is the process of ongoing data collection, data analysis and dissemination of health information to stakeholders.…”

Section: Introductionmentioning

confidence: 99%

Road safety data collection systems in Iran: A comparison based on relevant organizations

Sadeghi‐Bazargani

Sharifian

Khorasani‐Zavareh

et al. 2020

Chinese Journal of Traumatology

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Purpose Various organizations and institutions are involved in road traffic injury (RTI) and crash registration such as police, forensic medicine organization, hospitals and emergency medical services. But there is a substantial uncertainty in interpreting the data, duplicated data collection and missing data in relation to RTI in most systems. This study aims to identify data sources for RTI surveillance in Iran and to explore traffic safety data source domains, data elements and detailed information by each data source. Methods This is a qualitative study which was conducted in 2017 in Iran. Data were collected employing semi-structured interviews with informants in road safety organizations in relation to traffic safety including Police, Ministry of Health and Medical Education as well as Forensic Medicine Organization and other authorities-in-charge. For completing the preliminary extraction information, the minimum data set was used and compared in each system. Results Eight different organizations relevant to road traffic safety were identified. The main domain of data provided by each one consists of Emergency Medical System form, Police KAM114 form, Ministry of Transport and Road Administration, Red Crescent Organization/Disaster Management Information System, Ministry of Health and Medical Education, Forensic Medicine Organization, Insurance Company and Ministry of Justice. Each system has its own database, based upon its scope and mainly at crash and post-crash status and little on pre-crash circumstance. Conclusion All current registry systems are not surveillance systems for RTI prevention. Huge data have been collected in various registry systems in Iran, but most of the collected variables are duplicated in each system. On the other hand, some variables like alcohol and substance abuse, child seat belt, helmet use in relation to RTI prevention are missed in all systems. Accordingly, it is a critical need to integrate and establish a comprehensive surveillance system, with focus on the goal of each system and collection of minimum data in each organization, which currently is underway.

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Safety of ‘the vulnerable road users’: current challenges and need for a new approach

Cited by 5 publications

References 2 publications

Mortality due to road injuries in the states of India: the Global Burden of Disease Study 1990–2017

Mortality due to road injuries in the states of India: the Global Burden of Disease Study 1990–2017

The Transition of Land Use and Road Safety Studies: A Systematic Literature Review (2000–2021)

Road safety data collection systems in Iran: A comparison based on relevant organizations

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