WHO Decade Brochure April 2011

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Whythis document?

For many years road trafc crashes have been acknowledged by the

United Nations and its Member States to be a considerable challenge

to the achievement o health and development goals. It has only

been during the past decade, however, that the issue has gained the

prominence it deserves among the worlds most pressing international

health and development concerns. Following the highly successul FirstGlobal Ministerial Conerence on Road Saety hosted by the Government

o the Russian Federation in November 2009, a Decade o Action or

Road Saety 20112020 was ofcially proclaimed by the United Nations

General Assembly in March 2010. This document oers some key

inormation about the Decade and WHOs role.

WHO wishes to thank the United States Centers or Disease Controland Prevention and Bloomberg Philanthropies or their generous

fnancial support or the development and publication o this

document.

cknowledgements

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Road trafc crashes take the lives o nearly 1.3 million people every year, and injure

2050 million more.

Road trafc injuries have become the leading cause o death or people aged 1529 years.

Over 90% o road trafc deaths and injuries occur in low-income and middle-income countries,

which have only 48% o the worlds registered vehicles.

Nearly hal (46%) o those dying on the worlds roads are vulnerable road users: pedestrians,

cyclists and motorcyclists.

In addition to the grie and suering they cause, road trafc crashes result in considerable

economic losses to victims, their amilies, and nations as a whole, costing most countries

13% o their gross national product.

Without action, road trafc crashes are predicted to result in the deaths o around 1.9 million

people annually by 2020.

Only 15% o countries have comprehensive laws relating to fve key risks: speeding, drinking

and driving, and the non-use o helmets, seat-belts and child restraints.

Top 10 leading causes of death, 2004 and 2030 copared

2004 2030

Rank Disease or injury Rank Disease or injury

1 Ischaemic heart disease 1 Ischaemic heart disease

2 Cerebrovascular disease 2 Cerebrovascular disease

3 Lower respiratory infections 3 Chronic obstructive pulmonary disease

4 Chronic obstructive pulmonary disease 4 Lower respiratory infections

5 Diarrhoeal diseases 5 Road trafc injuries

6 HIV/AIDS 6 Trachea, bronchus, lung cancers

7 Tuberculosis 7 Diabetes mellitus8 Trachea, bronchus, lung cancers 8 Hypertensive heart disease

9 Road trafc injuries 9 Stomach cancer

10 Prematurity & low-birth weight 10 HIV/AIDS

Keyfacts

Decade of ction for oad Safety 20112020 Saving millions of lives

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Road trafc injury fatality ratesa per 100 000 population, by WH region and incoegroup

WHO region High-income Middle-income Low-income Total

African 32.2 32.3 32.2

The Americas 13.4 17.3 15.8

South-East Asia 16.7 16.5 16.6

European 7.9 19.3 12.2 13.4

Eastern Mediterranean 28.5 35.8 27.5 32.2Western Pacic 7.2 16.9 15.6 15.7

Global 10.3 19.5 21.5 18.8

a 30-day denition of a road trafc deathSource: Global Status Report on Road Safety, 2009

Population, road trafc deathsa, and registered otorized vehicles, by incoe group

HC15.6%

mC47.8%

C36.7%

Population

HC8.5%

mC49.6%

C41.9%

Road trafc deathsa

HC52.1%

mC38.7%

C9.2%

Registered vehicles

a 30-day denition, modelled data. HIC = high-income countries; MIC = middle-income countries; LIC = low-income countries

For ore key facts, visit:

Global status report on road saety 2009

http://www.who.int/violence_injury_prevention/road_saety_status/2009/en/index.html

Global Health Observatory road saety

http://www.who.int/gho/road_saety/en/index.html

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Decade of Action for Road afety

2011-2020A Global Plan or the Decade o Action or Road Saety 20112020 has

been drawn to guide eorts at national and local levels. I the Global

Plan is successully implemented, the Decade could achieve its goal to

stabilize and then reduce the orecasted level o road trafc atalities

around the world. I this ambitious target is achieved, a cumulative total

o 5 million lives, 50 million serious injuries and US$ 5 trillion could besaved over the Decade.

Decade of Action for Road afety 2011-2020: saving illions of lives

2.0

0

1.6

1.4

1.2

1.0

0.8

0.6

0.4

1.8

Numberofdeaths(millions)

0.2

2011 202020192018201720162015201420132012

Year

Projected increasewithout action

Projectedreduction ifaction taken

5 illion lives saved


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Global Plan

for the Decade of ction forRoad afety 20112020

This pillar highlights the need

to improve the safety of road

networks for the benet of

all road users, especially the

most vulnerable: pedestrians,

bicyclists and motorcyclists.

Activities include improvingthe safety-conscious planning,

design, construction and

operation of roads; making

sure that roads are regularly

assessed for safety; and

encouraging relevant authorities

to consider all forms of

transport and types of safe

infrastructure when they

respond to the mobility needs ofroad users.

Pillar 2

Safer roads and mobility

This pillar addresses the need

for improved vehicle safety by

encouraging harmonization of

relevant global standards and

mechanisms to accelerate the

uptake of new technologies

which impact on safety.It includes activities such

as implementing new car

assessment programmes so

that consumers are aware of

the safety performance of

vehicles, and trying to ensure

that all new motor vehicles are

equipped with minimum safety

features, such as seat-belts.

Other activities covered includepromoting more widespread use

of crash avoidance technologies

with proven effectiveness,

such as electronic stability

control and anti-lock braking

systems. Managers of eets are

also encouraged to purchase,

operate and maintain vehicles

that offer high levels of

occupant protection.

Pillar 3

Safer vehicles

This pillar focuses on the need

to strengthen institutional

capacity to further national

road safety efforts. It includes

activities such as putting into

practice major United Nations

road safety conventions;establishing a lead agency

for road safety in the country

involving partners from a range

of sectors; developing a national

road safety strategy; and

setting realistic and long-term

targets for related activities

with sufcient funding for their

implementation. It also calls for

development of data systems tomonitor and evaluate activities.

Pillar 1

Road safety management

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The Global Plan or the Decade o Action or Road Saety20112020 was developed by the United Nations Road Saety

Collaboration (UNRSC) and stakeholders rom around the world.

To achieve its goal, the Global Plan eatures fve categories or

pillars o activities which are described below. Indicators have

been developed to measure progress in each o these areas.

This pillar focuses on developing

comprehensive programmes to

improve road user behaviour.

Activities include encouraging

the development and adoption

of model road safety legislation

and sustained or increasedenforcement of road safety laws

and standards. These efforts are

combined with public awareness

and education to increase seat-

belt and helmet wearing and

to reduce drinking and driving,

speeding and other risks. It also

calls for activities to reduce

work-related road trafc injuries

and promotes the establishmentof graduated driver licensing

programmes for novice drivers.

Pillar 4

Safer road users

This pillar promotes the

improvement of health and

other systems to provide

appropriate emergency

treatment and longer-term

rehabilitation for crash victims.

Activities include developingpre-hospital care systems,

including implementation of a

single nationwide telephone

number for emergencies;

providing early rehabilitation

and support to injured patients

and those bereaved by road

trafc crashes; establishing

insurance schemes to fund such

initiatives; and encouraginga thorough investigation into

crashes and an appropriate legal

response.

Pillar 5

Post-crash response

ForthefullversionoftheGlobalPlan,visit:

http://www.who.int/roadsafety/d

ecade_of_action/plan/en/inde

x.html


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pleenting the lobal Planfor the Decade of ction for Road

afety 2011-2020There is strong evidence about what works to prevent road trafc deathsand injuries. The Global Plan is based on the best evidence o what worksgiven successul experiences rom a number o countries. Here are someexamples below.

ustraliaReducing drinking and driving through random breath testing

Consuming alcohol beore driving increases the risk o a crash as well as the likelihood that death

or serious injury will result. Passing a drinking and driving law and enorcing it can reduce the

number o road deaths by around 20%. Random breath testing is the primary drinking and driving

law enorcement tool used throughout Australia. The police can stop and perorm a breath test

on a driver at any time, irrespective o their driving behaviour. Highly visible booze buses are

used to conduct testing while media campaigns support enorcement. The evaluation o random

breath testing has shown long-term reductions in alcohol-related crashes.

50

0

40

35

30

25

2015

10

45

Effectiveness of rando breath testing on alcohol-related crashes in Australia

%o

ffatallyinjuredmotorists

withB

AC0.0

5g/dl

5

Source: Department of Infrastructure, Transport, Regional Development & Local Government, 2009

1981

1982

1983

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1986

1987

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1998

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2001

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2006

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ranceCharting progress over decades

Since the early 1970s, France has made great strides in reducing atalities on the nations roads.

This has been the result o myriad actors, including adoption and enorcement o legislation on

speeding, seat-belts and drinking and driving. Since 2002, a combination o actors including

a stated commitment rom the highest level o government, stricter enorcement o legislation

especially through the use o speed cameras, and media campaigns explaining the trafc rules

and risks has accelerated the decrease in annual atalities. From the early 1970s to 2009, deaths

have declined rom more than 16000 annually to just over 4000 annually.

Evolution of the nuber of annual road trafc deaths in etropolitan France, 19702009

Source: Graphique reproduit avec lautorisation de lObservatoire national interministriel de la scurit routire (ONISR), France

16 000

0

14 000

12 000

10 000

8 000

6 000

4 000

2 000

Dec1970

Dec1971

Dec1972

Dec1973

Dec1974

Dec1975

Dec1976

Dec1977

Dec1978

Dec1979

Dec1980

Dec1981

Dec1982

Dec1983

Dec1984

Dec1985

Dec1986

Dec1987

Dec1988

Dec1989

Dec1990

Dec1991

Dec1992

Dec1993

Dec1994

Dec1995

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Dec1997

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Dec1999

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Dec2009

Jul 1978Law on drinking anddriving prevention Oct 1990

Random breathtesting initiatedby the police

Nov 1974General speedlimits: 90 km/h on

departmentalroads

110 km/h on dualcarriageways

130 km/h onmotorways/highways

Oct 1979Seat-beltmandatory

for front seatpassengersin urbanareas

Dec 1983Alcohol:

BAC limitset at0.08 g/dlblood

Jun 1973 Speed limits 110 km/h on

roads with heavy trafc and100 km/h on other roads

Seat-belts mandatory for frontseat passengers outside urbanareas

Helmet mandatory

Jul 1992Introductionof the driverlicensingpointsystem

Sep 1995Alcohol: BAC limit

set at0.05 g/dlblood

14 Jul 2002Statement of thePresident of the Republic

Nov 2003Introductionof speedcameras

Change o defnitionSince January 2005, thedenition of a road trafcdeath has changed toinclude deaths for up to30 days after the crash(instead of 6 days)

Dec 1990Speed limit of 50 km/h in

urban areasSeat-belts mandatory for

back seat passengers

Annualnumber

ofroadtrafcdeaths


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hanaEstablishing a nation-wideambulance service

Until the early 2000s, emergency trauma care in

Ghana was inormal and extremely limited. Most

patients injured in a road crash were taken by

their relatives to a health acility where they would

receive limited frst aid. In 2001, eorts to address

emergency trauma care gained political support. In

2004 the government established a nationwide ambulance service and a dedicated emergency

hotline. In less than our years:

the number o cases handled by the national ambulance system rose rom 205 in 2004 to

8250 in 2008;

the average response time or ambulances decreased rom 17 minutes in 2006 to 13 minutes

in 2008; and

the average time spent at the scene decreased rom 19 minutes in 2006 to 14 minutes in 2008.

MalaysiaModifying road infrastructure to improve safety

Separating dierent types o vehicles, or example,

two and three wheeled vehicles rom our or more

wheeled vehicles is a proven intervention to reduce

road trafc crashes. Exclusive motorcycle lanes area means to do so. These lanes are dedicated solely

or use by vehicles such as motorcycles, scooters

and bicycles. They are becoming common in a

number o Asian cities, where they have proven

to dramatically reduce collisions and resultant

injuries by creating saer driving environments or

all road users. For example, evaluation o the Federal

Highway Route 2 in Malaysia which includes an exclusive motorcycle lane revealed that crashes

were reduced by 39% ater this lane was built.

ANZak

ariah/GAS

KRajam/WPRO

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viet amImproving helmet-wearing ratesthrough enforcement of legislation

Research has shown that correctly wearing a

motorcycle helmet can cut the risk o death by 40%

and reduce the risk o serious head injuries by 70%.In 2007 the Government o Viet Nam passed a law

requiring all motorcycle drivers and passengers to

wear helmets. Strict enorcement o this law by

police around the country led to a tripling in helmet

wearing rates, reaching over 90% among both drivers and passengers. Within a year o the

Governments decision, police had intensifed their enorcement and the fnes or not wearing a

helmet had increased substantially, while hospitals reported a 16% reduction in the risk o a head

injury compared to the previous year. Police reports show that over 1500 lives were saved and

over 2500 serious injuries prevented in the year ater the helmet law was passed. Motorcycles

comprise 95% o all registered vehicles in Viet Nam, and this policy on helmet use is thereore

likely to have contributed signifcantly to these positive road saety benefts.

United tates of mericaIncreasing seat-belt wearing through the Click It or Ticketcampaign

Wearing a seat-belt reduces the risk o

being ejected rom a vehicle and suering

serious or atal injury by between 40%

65%. Click It or Ticket is the most successul

seat-belt enorcement campaign ever

conducted in the country. The cornerstone

o the campaign is the national Click it or

Ticket May Mobilization, during which law

enorcement agencies join orces across

the country. Their eorts are supported by

national and local media campaigns. From

20002009, over 140 000 Americans

lives were saved by seat-belts.

18 000

0

14 000

12 000

10 000

8 000

6 000

4 000

2 000

16 000

2000 200920082007200620052004200320022001

ives saved by seat-belts, UA, 20002009

Livessaved

Year

Source: http://www-nrd.nhtsa.dot.gov/

WHO/M.Peden


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WHs contributions to theDecade of Action for Road afety

2011-2020WHO will support implementation o the Global Plan or the Decade oAction or Road Saety 20112020. Below are descriptions o some othe ways WHO plans to be involved in the coming years.

Coordinating global effortsWHO, in collaboration with the United Nations regional commissions, is the coordinator o

road saety across the United Nations system. In this regard WHO acts as the secretariat or

the United Nations Road Saety Collaboration (UNRSC), a network o 60 governments, United

Nations agencies, nongovernmental organizations, oundations and private companies. Across

the Decade, the UNRSC will be instrumental in guiding global eorts by continuing as it has since

2004 to advocate or road saety at the highest political levels; compile and disseminate good

practices in prevention; share inormation with the public on risks and ways to mitigate those;

and draw attention to the need or increased unding. The UNRSC will coordinate and plan the

key milestone events o the Decade.

monitoring progress through global status reportsWhile the UNRSC will be in charge o evaluating the overall impact o the Decade, WHO will

provide one o the tools or doing so through its status reports. The Global status report on road

safety, published in 2009, provided the frst comprehensive assessment o the road saety

situation globally. With data rom 178 Member States, the report continues to be a reerence or

policy-makers, practitioners and the media and serves as a catalyst or change in many countries.

These status reports collect inormation on the number and rates o atalities; the existence o

national strategies and targets; legislation and enorcement on a number o key risks; and the

current state o post-crash care. The orthcoming Global status report on road safety, to be released

on 2012, will serve as a baseline or monitoring activities relating to the Decade, with subsequentreports published every two years.

upporting road safety prograes in countriesIn 2010, WHO and fve other consortium partners received unding rom Bloomberg Philanthropies

to urther road saety in ten countries. Dubbed the Road Saety in 10 Countries (RS10) Project,

this initiative supports the governments o Brazil, Cambodia, China, Egypt, India, Kenya, Mexico,

the Russian Federation, Turkey and Viet Nam. In all countries, the RS10 Project ocuses on

selected key risks or road trafc crashes. For example, the ocus in Kenya is on helmets and

speeding; in Mexico on seat-belts and drinking and driving; and in the Russian Federation on

seat-belts and speeding. Eorts are ocused on strengthening legislation and enorcement and

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educating the public through social marketing campaigns. WHO also supports road saety eorts

in other countries such as Malawi and Mozambique to improve saety around schools. Over the

Decade, WHO will continue to support these and other national road saety initiatives leading to

sustainable government programmes.

Helping to iprove eergency servicesAnother important contribution to the Decade will be WHOs support as part o the RS10 Project

to pilot projects to improve emergency services in India and Kenya. In addition WHO is working

with a number o partners to create the Global Alliance or the Care o the Injured. The partners

involved in this nascent network have been instrumental in producing many o the guides released

by WHO and others in recent years.

Building capacitiesThrough the RS10 Project and other national road saety initiatives, WHO will support the

building o capacities among WHO sta and its partners to design, implement and evaluate

road saety programmes. As part o these broader capacity building eorts, doctors are trained

to more accurately prepare death certifcates, journalists are trained to better report on road

trafc crashes, and sta rom nongovernmental organizations are trained to strengthen their

collaboration with the media. Road saety is also an important component o TEACH-VIP and

MENTOR-VIP, two WHO-led capacity building eorts.

upporting nongovernental organizationsIn recent years, WHO has increasingly recognized the value o nongovernmental organizations, in

particular in the area o advocacy. Such groups are key to increasing political will and generating

a demand rom the public or saer roads. Across the Decade WHO will support a strategic

approach to advocacy by such groups. WHO will also support establishment o a more ormal

global network o nongovernmental organizations to support implementation o the Global Plan.

WH global and regional focal points for the DecadeTo contact WHO headquarters and regional ofce ocal points or the Decade, visit:

http://www.who.int/roadsaety/decade_o_action/ocal/who_regional_ofces/en/index.html


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The Decade o Action or Road Saety 20112020 is everybodys Decade.We all have an interest in ensuring that the vision o the Decade becomesa reality. Below are some ideas or what you might do to support theDecade.

Policy-akers: release national or local plan in line with the Global Plan;

enact new legislation or improve enorcement o existing legislation;

ensure unds to support the national plan.

ongovernental organizations: create awareness raising tools;

organize high-profle public events;

inuence the creation or modifcation o legislation.

Private copanies: release a eet saety policy;

support campaigns in the communities in which the company operates;

contribute fnancially to the Road Saety Fund.

Young people: serve as ambassador or road saety;

join a youth assembly;

ensure the saety o roads around schools.

Victis and survivors: share stories o the consequences o road crashes;

host an event on the annual World Day o Remembrance or Road Trafc Victims;

support nongovernmental organizations.

media: commit to reporting news and eatures on road saety;

report responsibly on road trafc crashes, using reports on crashes as an opportunity to

address prevention;

serve as a conduit or social marketing and mass media campaigns.

What can you do to support theDecade of Action for Road afety

2011-2020?

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A symbol for all: the road safety tagThe road safety tag is the new global symbol for road safety and

the key visual for the Decade of Action for Road Safety. It will unite

efforts which take place in the context of the Decade. A promotional

web site for the tag encourages groups marking the launch of the

Decade to Wear. Believe. Act. by wearing the road safety tag anddisplaying it on advocacy materials for Decade-related events;

reecting on the impact of road trafc crashes and the possibilities

for prevention; and taking action to ensure greater safety on the

roads. To purchase the tag as a wearable or decorative item, request

the artwork for printed materials or contribute nancially to the

newly established Road Safety Fund, visit:

http://www.decadeofaction.org

Photo credits or title page: iStockphoto.com; WHO/M. Peden; WHO/K. Bartolomeos; WHO Russia; WHO/ K. Rajam. Page 13: Pedro Costa/Lusa;

PAHO; WHO/M. Peden; PAHO. Back cover: Make Roads Sae campaign; WHO; Make Roads Sae campaign; Make Roads Sae campaign; Bloomberg

Philanthropies


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DD D S20112020www.who.int/roadsafety/decade_of_action

Recognition is growing about the critical development and public health

challenge posed by road trafc deaths and injuries. I call on Member States,

international agencies, civil society organizations, businesses and community

leaders to ensure that the Decade of Action for Road Safety leads to real

improvements.

Mr Ban Ki-moonSecretary-General, United Nations

The Decade of Action for Road Safety creates the political platform needed to

scale up some well-dened measures. Evidence tells us that these measures

work, and can save millions of lives.

Dr Margaret ChanDirector-General, World Health Organization

It is time for those who can make a real difference to step up to meet this

challenge and to commit to the Decade of Action for Road Safety.

The Most Reverend Desmond TutuArchbishop Emeritus of Cape Town

By making road safety a priority over the Decade of Action for Road Safety,

we have the potential to save millions of lives, and to prevent many millions of

injuries and disabilities.

Ms Michelle Yeoh

Actress and Global Ambassador for the Make Roads Safe Campaign

Too many people are killed or injured on the worlds roads. The World Health

Organization predicts that road trafc injuries will rise to become the fth

leading cause of death by 2030. The time is now to commit to action. The

Decade of Action for Road Safety has the potential to save millions of lives.

Mr Michael BloombergMayor of the City of New York

WHO/NMH/VIP 11.07

World Health Organization 2011 All rights reserved

Documents

WHO Decade Brochure April 2011