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News from India and China Morbidity and mortality due to injuries have been oYcially recognised as significant public health problems in the high income countries (HICs). However, this is not true for the low income countries (LICs). This lack of recognition is assumed by many to be because of an absence of data regarding injuries and because of the prevalence of a "fatalistic attitude" in the population of these countries. Both these assumptions are probably wrong. If you examine the contents of newspapers in LICs, deaths due to injuries are clearly given a great deal of importance by the public and oYcials and these newspapers carry frequent editorials regarding the lack of safety in their respective societies. These newspapers also report the concern that citizens show by demanding safer roads, schools, and homes. This concern is expressed in the form of letters to the editor, formation of community groups to tackle the problem, and protests in response to tragic events. Some studies also report that poor people spend enormous amounts of money (as a proportion of their incomes) on the treatment of their injuries and other ailments. This evidence clearly shows that injuries are recognised as a serious problem by society and that the citizens at large do not have a fatalistic attitude toward life. If they did, they would not end up spending so much to have their injuries treated. However, what is true is that LICs have not been able to institute eVective programmes for injury control. This is largely because problems in LICs are very complex and there is very little precedence for eVective safety policies and interventions that suit low income societies. In addition, LICs also suVer from a lack of expertise and specialised institutions in the area of injury control. Unless local expertise is developed, promoting sustainable and eVective injury programmes will be diYcult. It appears that attempts are being made in some countries of Africa and Asia to move toward this goal of strengthening local expertise. Mr Hua Yong Hong of the TraYc Management Research Institute of the People's Republic of China organised a week long seminar on road traYc safety and congestion last October. The seminar was held in Hangzhou and attended by senior police oYcials representing the diVerent provinces of China. The lecturers at the seminar included experts from China, Japan, and India. The police oYcers from diVerent provinces made presentations on specific issues concerning safety and traYc congestion in their specific locations. With increases in motorisation, there are serious problems concerning pedestrians and bicyclists of which a large number constitute children. The conflict between the need for providing facilities for faster motorised traYc and ensuring the safety of vulnerable road users became evident in the discussions. At present there are clearly no clear guidelines for the resolution of these problems except the control of vehicular speeds through traYc calming and police enforcement. However, much more work needs to ...
News from India and China Morbidity and mortality due to injuries have been oYcially recognised as significant public health problems in the high income countries (HICs). However, this is not true for the low income countries (LICs). This lack of recognition is assumed by many to be because of an absence of data regarding injuries and because of the prevalence of a "fatalistic attitude" in the population of these countries. Both these assumptions are probably wrong. If you examine the contents of newspapers in LICs, deaths due to injuries are clearly given a great deal of importance by the public and oYcials and these newspapers carry frequent editorials regarding the lack of safety in their respective societies. These newspapers also report the concern that citizens show by demanding safer roads, schools, and homes. This concern is expressed in the form of letters to the editor, formation of community groups to tackle the problem, and protests in response to tragic events. Some studies also report that poor people spend enormous amounts of money (as a proportion of their incomes) on the treatment of their injuries and other ailments. This evidence clearly shows that injuries are recognised as a serious problem by society and that the citizens at large do not have a fatalistic attitude toward life. If they did, they would not end up spending so much to have their injuries treated. However, what is true is that LICs have not been able to institute eVective programmes for injury control. This is largely because problems in LICs are very complex and there is very little precedence for eVective safety policies and interventions that suit low income societies. In addition, LICs also suVer from a lack of expertise and specialised institutions in the area of injury control. Unless local expertise is developed, promoting sustainable and eVective injury programmes will be diYcult. It appears that attempts are being made in some countries of Africa and Asia to move toward this goal of strengthening local expertise. Mr Hua Yong Hong of the TraYc Management Research Institute of the People's Republic of China organised a week long seminar on road traYc safety and congestion last October. The seminar was held in Hangzhou and attended by senior police oYcials representing the diVerent provinces of China. The lecturers at the seminar included experts from China, Japan, and India. The police oYcers from diVerent provinces made presentations on specific issues concerning safety and traYc congestion in their specific locations. With increases in motorisation, there are serious problems concerning pedestrians and bicyclists of which a large number constitute children. The conflict between the need for providing facilities for faster motorised traYc and ensuring the safety of vulnerable road users became evident in the discussions. At present there are clearly no clear guidelines for the resolution of these problems except the control of vehicular speeds through traYc calming and police enforcement. However, much more work needs to ...
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