Road Safety in the Americas Dr' Alberto ConchaEastman PAHO WHO Washington, DC http:www'paho'org http

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Road Safety in the AmericasDr. Alberto
Concha-Eastman PAHO / WHOWashington,
DChttp//www.paho.orghttp//www.who.int/violence
_injury_prevention/en/conchaal_at_paho.org
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Content

• Highlights of the WHO WB World Report on Road
  Traffic Injuries Prevention
• The magnitude of the problem in the Americas as
  of 2003- Mortality, injuries, risk factors, who
  are affected
• Priority areas for policy in LAC and PAHO/WHO
  recommendations
• 4. Bogota case

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WRRTIP

• 5 chapters
• concepts,
• global burden,
• determinants,
• interventions,
• conclusions recommendations

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The majority of road traffic injuries occur in
low- and middle-income countries
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Most injured are vulnerable road users
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Road safety is a shared responsibility
GOVERNMENT LEGISLATIVE BODIES
USERS / CITIZENS
MEDIA
ROAD INJURY PREVENTION POLICY
INDUSTRY
PROFESSIONALS
NGOs, SPECIAL INTEREST GROUPS
POLICE AND DMV
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Road traffic injuries are a public health problem
Public Health
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WORLD HEALTH DAY 2004 AT PAHO/WHO HQ IN DC
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The Road Traffic Injury Problem in the Americas

• Fatalities estimated 133,783 people in 2002.
• Ranked as the 10th leading cause of death in the
  region.
• 7th leading cause of DALYs lost.
• Number of injured estimated at 1.2 million
  people.
• Economic and social costs
• Alcohol related 30 - 45

Sources World Health Organization/World Bank,
World report on road traffic injury prevention,
2004. Source for road traffic injuries was
Constance, P., The preventable plague, IDBAmérica
Magazine, January-February 2000.
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Road traffic fatalities (per 100,000) in the
Americas, by level of risk, latest available year
It is likely number of fatality cases for Haiti
was underreported.
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Motor vehicle-related fatal injuries by victim
Cali Colombia. 1993 2002 in percentages
Source CISALVA, PAHO/WHO CC
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Type of road user as a proportion of all road
traffic fatalities in the Americas, latest
available year
Road user categories were not uniform across
all country data. Data for Mexico and the
United States did not differentiate between
drivers and passengers. Drivers bar for these
two countries corresponds to the total of drivers
and passenger fatalities. Sources Data compiled
from the following sources. Canada,
2002Canadian Motor Vehicle Traffic Collision
Statistics 2002, http//www.tc.gc.ca/roadsafety/tp
/tp3322/2002/page3.htm Colombia, 2002Instituto
Nacional de Medicina Legal Costa Rica,
2003INEC El Salvador, 2003National Police
Jamaica, 2003Ministry of Health (original
figures from National Police Headquarters)
Mexico, 2000Consejo Nacional de Prevención de
Accidentes Saint Lucia, 2001Royal St. Lucia
Police Force (Traffic Department) Trinidad and
Tobago, Office of the Commissioner of Police
United States, 2002NHTSA.
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 Gender as a proportion of all road traffic
fatalities, Americas, 2000
Sources see tables that follow.
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Road traffic fatality rates (per 100,000
population), by gender and age group in the
Americas, 2002
Source WHO Global Burden of Disease project,
2002, Version 1.
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World Health Day / Week, 2004

• Risk factors
• Everybody is at risk
• Being migrant from rural to urban
• Illiteracy difficulty to understand urban
  codes
• Drinking and driving

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Recommendations applicable to all countries

• Speed
• Alcohol
• Seat belts and infants rear seats
• Helmets
• Visibility

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WHO / PAHO main message for policyimplications

• Road crashes are another form of social
  inequality

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WHO / PAHO main message for policyimplications

• Road safety is a public policy issue
• leadership is required

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Road safety areas of work

• Legislation and policy

• ALCOHOL CONTROL
• Protection and care of victims
• Improve Insurance coverage
• Law enforcement

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Road safety
- A successful case Bogotá, Colombia, 10 years
of continued multisectorial approach
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Public Policies on Road safety in
Bogota1995-2003 Aim influencing positive
changes on people behavior

• 1. Mayors leadership. Road safety is not only a
  public health and traffic concern but people
  behavior related
• Media messages and testimony
• 2. Gather reliable and timely data and encourage
  research
• 3. Work intersectorially

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Public Policies on Road safety in
Bogota1995-2003 Aim influencing positive
changes on people behavior

• 4. Alcohol consumption control.
• Early closing of bars and the like.
• Drunk drivers control and punishment
• Designated driver sustained campaigns
• 5. Public space recovery for pedestrians and

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Public Policies on Road safety in Bogota
1995-2003 Aim influencing positive changes on
people behavior

• 6. Firing corrupted traffic police officers.
• 7. Development of a new public transportation
  system Transmilenio.
• 8. Designated new lanes for cyclists

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Public Policies on Road safety in
Bogota1995-2003 Aim influencing positive
changes on people behavior
9. Mimes and civic guides (Misión
Bogotá) (focused on pedestrians crossing and seat
belt use). 10. Restricted vehicles at rush hour
11. One day with no private cars on the
streets 12. Critical spots highlighted 13.
Accountability and public scrutiny of public
policies (media involvement)
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PUBLIC SPACE RECOVERY
BEFORE
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PUBLIC SPACE RECOVERY
AFTER
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PUBLIC SPACE RECOVERY
BEFORE
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AFTER
PUBLIC SPACE RECOVERY
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BEFORE
PUBLIC SPACE RECOVERY
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PUBLIC SPACE RECOVERY
AFTER
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MAIN TRANSMILENIO ROAD OUTCOMES AFTER ONE YEAR
from 2000 to 2001
TRANSMILENIO
YEAR 2000
2001
Fuente Medicina Legal y Policía Metropolitana
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WHO / PAHO main message

• Road crashes are preventable
• Then .

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WHO / PAHO main message

• Our common goal is
• To reduce mortality, injuries and disabilities

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WHO / PAHO main messages

• FOR SAFER ROADS IN THE AMERICAS LET US WORK
  TOGETHER
• THANKS