addressing road injuries in western asia: a public health perspective
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Addressing road injuries in Western Asia: A public health perspective. Adnan A. Hyder, MD MPH PhD International Injury Research Unit, Department of International Health, Johns Hopkins University, Bloomberg School of Public Health, USA. - PowerPoint PPT PresentationTRANSCRIPT
Addressing road injuries in Western Asia: A public health perspective
Adnan A. Hyder, MD MPH PhD
International Injury Research Unit, Department of International Health,
Johns Hopkins University, Bloomberg School of Public Health, USA
Road traffic injury improvements in the 20th Century in high income countries:
A Public Health Success Story!
What accounts such a decline in RTI fatalities?
• Speed control
• Roadway designs
• MV safety standards
• Visibility
• Seat belt use
• Car seat use
• Drinking and driving
• Helmets
Impact of Seat Belts:
Traffic injuries – what works?Interventions for RTI: Newly recognized needs…
Visibility Aids Helmets for Kids
Evidence based interventions for further consideration
• Child safety seat laws with distribution and education programs
• Primary seat belt laws with active enforcement
• Graduated driver’s licensing programs
• Sobriety checkpoints, minimum drinking age laws, .08 BAC legislation
Cost Effective Interventions Exist
Intervention Cost per Disability Adjusted Life Year
Improved enforcement
(LMIC average)
$5.25
Speed bumps at top 25%ile dangerous junctions (LMIC average)
$8.89
Bicycle helmets
(China)
$107
Motorcycle helmets
(Thailand)
$467
(Bishai and Hyder, 2006)
For Child Road Traffic Injuries:
Investment of US$ 1 in…
Reaps savings/benefits of
US$
Child restraints 29
Bicycle helmets 29
How did these changes occur?
How did these changes occur?
• Comprehensive, multi-disciplinary approaches
• Government leadership
• Sustained commitment to research
• Advocacy and public support
IOM, 1999; MMWR, 1999
The Focus of Road Safety…
On protecting people
On the pursuit of “efficiency” and “effectiveness”
Such a systems approach will deliver interventions which provide the largest reduction of injuries and deaths
• Identify a lead agency in government to guide the national road traffic safety effort.
• Assess the problem, policies and institutional settings.• Prepare a national road safety strategy and plan of
action. • Allocate financial and human resources to address the
problem. • Implement specific actions to prevent crashes, minimize
injuries and their consequences and evaluate the impact of these actions.
• Support the development of national capacity and international cooperation.
Recommendations World Report 2004:
Institutional Base
Interventions
Results
A Systems-Based Public HealthApproachTo Road InjuryPrevention
Thank you!
Dr. Adnan Hyder
International Injury Research Unit
www.jhsph.edu/IIRU