Skip Navigation
Death on the Road

Shehzad Noorani

Death on the Road

Because road crashes aren’t diseases, they haven’t always been seen as a public health issue. But there is no disputing their impact. About once every second on average, they injure someone; about twice per minute, they kill. Even in the U.S., they are one of the leading causes of death, and in the developing world their toll is much higher. Worldwide, road crashes claim more than 1.2 million lives every year.

In December, the Bloomberg Philanthropies announced that it would fund a $125 million, 5-year Global Road Safety Program. A consortium led by WHO will launch projects in 10 countries targeting some of the main factors that lead to crash casualties: driving too fast, driving without a seatbelt or child restraint, driving a motorcycle without a helmet, and driving drunk.

“This is the first international road safety investment of anywhere near this size,” says injury prevention researcher Adnan Hyder, who directs the Bloomberg School’s International Injury Research Unit (IIRU), which will evaluate the program’s impact.

Public education campaigns will be an important aspect of the interventions. But, says Hyder, “education alone has not been found to make huge impacts in the absence of specific interventions and law enforcement, so enforcement is key.” WHO representatives therefore will work with local law enforcement ministries, as well as with legislatures to add or tighten safety laws. Improving the availability of helmets, seatbelts and child restraints in some of the target countries will also be part of the program.

The crucial task of Hyder and the IIRU is to find out which of these interventions are effective. “We need to know the situations in these countries at the outset, and to see how they change after the program’s interventions are applied,” he says.

A related challenge is to make the driving experience safer regardless of driver and pedestrian behavior.  “Engineering roads and cars to protect people is just as important in developing countries as it has been here in the U.S.,” says injury prevention expert Susan Baker. “It can be very tempting, for example, to build roads to enable higher speeds, but then not to build dividers to keep opposing streams of traffic from colliding.”

Baker, a pioneer of road safety studies, points out that the cultural change leading to better driver behavior can take a long time, and typically requires stricter law enforcement, while engineering efforts see immediate results. “Enforcement has to be done 365 days a year,” she says, “while engineering approaches have to be done only once.”

  • Ratings
  • Comments

How would you rate this?

Average: 5/5 stars (22 votes)
* = required field

Read about our policy on comments to magazine articles.

design element
Online Extras

inSights with M. Daniele Fallin

inSights with M. Daniele Fallin

Genetic epidemiologist M. Daniele Fallin explains how the EARLI study may yield much-needed breakthroughs.

Watch Now

What's Your Priority?

What's your top research priority for public health?

Comment Now

Talk to Us

Amazed? Enthralled? Disappointed? We want to hear from you. Share your thoughts on articles and your ideas for new stories:

Download the PDF

Get a copy of all Feature articles in PDF format. Read stories offline, optimized for printing.

Download Now (3.6MB)

Talk to Us

Amazed? Enthralled? Disappointed? We want to hear from you. Share your thoughts on articles and your ideas for new stories:

interest