Confronting “Death on Wheels” Making Roads Safe in Europe and Central Asia . establishing multisectoral partnerships to address a silent epidemic PATRICIO MARQUEZ THE WORLD BANK KIEV, MAY 2010. Outline: Challenges and Opportunities in Addressing Road Safety in the ECA Region*.
establishing multisectoral partnerships to address a silent epidemic
THE WORLD BANK
KIEV, MAY 2010
*Baltic, Balkans, EE, CIS, Turkey.
2010Road Traffic Injury (RTI) Mortality Rate Trends Europe, EU-27 and CIS Countries, per 100,000, 1980–2007large, increasing disparities
CIS countries: Azerbaijan, Belarus, Georgia, Kazakhstan, Kyrgyzstan, the Republic of Moldova, Russia, Tajikistan, Turkmenistan, Ukraine, and Uzbekistan.
EU-27 countries: Austria, Belgium, Bulgaria, Cyprus, the Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, the Netherlands, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, and the United Kingdom.
Source:WHO EURO Health for All Data Base (2009).
Republic of Moldova
Low- and middle-income countries
Bosnia and Herzegovina
Deaths per 100 000 populationRTI Death Rates in WHO-EURO Member Countriesper 100,000 Population, 2007
Rep. of Moldova
Bosnia & Herzegovina
Fmr Yugoslav Rep. of Macedonia
Source: WHO-EURO, 2009
4-wheel vehicle occupants: 40-75% of RTI deaths in ECA
Young adults, especially men:
55% of road traffic deaths in ECA countries are people aged 15–44, mostly 15–29; > 80% of deaths are men
Cyclists, motorcyclists at high risk (but small % of total)
Motorcyclists, pedestrians at 7-9 times greater risk of death if in an road crash than people in vehicles
Pedestrians – more likely to be children or elderly, and people with lower incomes
In Albania, Belarus, Kyrgyzstan, Tajikistan, and Ukraine, pedestrians are ≥ 40% of all road fatalities, 31-38% in all ECA
(Data underestimate and underreport – especially non-fatal injuries, and differ in availability, quality, and completeness)
Globally, costs to governments > US$500 billion annually
Highest costs in ECA: large economies with big populations:
Russia (US$34 billion per year, 33,308 deaths in 2007)
Turkey (US$14 billion)
Poland (US$10 billion)
Ukraine (US$5 billion)
The Haddon Matrix: a holistic framework for intervention focusing on road transport and its risks
Source: Bliss and Breen, building on the frameworks of Land Transport Safety Authority, 2000; Wegman, 2001; Koornstra et al, 2002; Bliss, 2004
Traditional funding sources:
Alternative financing sources:
Source:Adapted fromOECD (2002) and Aeron-Thomas and others (2002), cited in Peden and others (2004); ECORYS (2006).
Source: Bliss, 2004
Better road design
Improve vehicle safety
Behavior change - education, law/regulation enforcement
Average cost per disability-adjusted life (DALY) year saved, adjusted for purchasing power parity
Source: Bliss, 2004
2004 World Report identifies 6 key steps for success:
Principles: systematic, sustained, successful effort has 3 parts: