Traffic safety and city structure: lessons for the future.

OBJECTIVE To understand the critical factors that are likely to influence road traffic fatality rates in large cities around the world in the next few decades. MATERIAL AND METHODS Road traffic fatality data for 56 cities around the world and for cities with a population of greater than 100,000 in the USA were collected and analysed to understand factors affecting differences in fatality rates. RESULTS There are wide variations in fatality rates across income levels and within similar incomes levels. The risk varies by a factor of about 20 between the best and the worst cities. CONCLUSIONS These patterns appear to indicate that it is not enough to have the safest vehicle and road technology to ensure low road traffic fatality rates. City structure, modal share split, and exposure of motorists and pedestrians may have a significant role in determining fatality rates, in addition to enforcement, vehicle crashworthiness and road design.

[1]  F. Bongard,et al.  Pedestrian versus motor vehicle accidents: an analysis of 5,000 patients. , 1999, Journal of the American College of Surgeons.

[2]  C. Mock,et al.  Childhood injuries in an urban area of Ghana A hospital-based study of 677 cases , 1998, Pediatric Surgery International.

[3]  G. Tiwari,et al.  Road traffic injury prevention training manual , 2006 .

[4]  R C Harruff,et al.  Analysis of circumstances and injuries in 217 pedestrian traffic fatalities. , 1998, Accident; analysis and prevention.

[5]  Kai-Kuo Chang,et al.  Using data linkage to generate 30-day crash-fatality adjustment factors for Taiwan. , 2006, Accident; analysis and prevention.

[6]  D. Watson.  School bus-related deaths and injuries in New South Wales. , 1997, Medical Journal of Australia.

[7]  E A Vasconcellos,et al.  Urban development and traffic accidents in Brazil. , 1999, Accident; analysis and prevention.

[8]  Margaret M. Peden,et al.  World Report on Road Traffic Injury Prevention , 2004 .

[9]  E. Fernández,et al.  Epidemiologic aspects of pediatric multiple trauma in a Spanish urban population. , 2000, Journal of pediatric surgery.

[10]  M. Híjar,et al.  Analysis of fatal pedestrian injuries in Mexico City, 1994-1997. , 2001, Injury.

[11]  M. Cropper,et al.  Traffic Fatalities and Economic Growth , 2003, Accident; analysis and prevention.

[12]  C. Russell,et al.  Older people's lives in the inner city: hazardous or rewarding? , 1998, Australian and New Zealand Journal of Public Health.

[13]  B P Black,et al.  School bus‐related deaths and injuries in New South Wales , 1997, The Medical journal of Australia.

[14]  I B Pless,et al.  Children's exposure to traffic and pedestrian injuries. , 1998, American journal of public health.

[15]  F Wegman,et al.  SUNFLOWER: A COMPARATIVE STUDY OF THE DEVELOPMENTS OF ROAD SAFETY IN SWEDEN, THE UNITED KINGDOM, AND THE NETHERLANDS , 2002 .

[16]  U Shankar.  PEDESTRIAN ROADWAY FATALITIES , 2003 .

[17]  Robert B Noland,et al.  Traffic fatalities and injuries: the effect of changes in infrastructure and other trends. , 2003, Accident; analysis and prevention.