Attendees - who.int · Attendees : Mrs Ortrud Birk, Fédération International de L’Automobile (FIA) Mrs Samantha Cockfield, Transport Accident Commission, Victoria, Australia

1

17th Meeting of the UN Road Safety Collaboration

Geneva, Switzerland

Report of the Project Group: Safer Roads & Mobility

Thursday, 14 March 2013

Chair & Rapporteur: Susanna Zammataro (IRF)

Attendees:

Name Organisation

Claudia Adriazola-Steil EMBARQ, World Resources Institute

Ndèye Awa Sarr Laser International

Mohamed Faisal Al Hashemi Municipality of Abu Dhabi, UAE

Sami Musawi Al Hashemi Municipality of Abu Dhabi, UAE

Eisa Mubarak Al Mazrouei Municipality of Abu Dhabi, UAE

Rohit Baluja Institute of Road Traffic Education, India

Martin Bevalot Handicap International

Patrick Boeuf European Investment Bank

Suzy Charman TRL

John Chatterton-Ross International Motorcycling Federation

Bruce Corben Monash University Accident Research Centre, Australia

Barry Gilbert-Miguet IRF

Hilda Maria Gómez Vélez Latin American Development Bank

Steven Kassiima Commissioner of Police, Traffic & Road Safety, Uganda

Meleckidzedeck Khayesi WHO

Anne-Marie Leclerc PIARC

Gary Liddle VicRoads, Australia

Martin McKee European Bank for Reconstruction & Development

Thandi Moya Department of Transport, South Africa

João Raminhos Tomé European Investment Bank

Michael Tziotis ARRB, Australia

Geert van Waeg International Federation of Pedestrians

Hans-Joachim Vollpracht Former Chair of TC 3.1 on Road Safety, PIARC

Susanna Zammataro IRF

Apologies had been received from Mike Dreznes of IRF and Steve Lawson of iRAP.

Objectives

Following on from the previous meeting, which had finalised the Terms of Reference and addressed

work policies and strategic emphasis, the main aim of the session was to review progress with

respect to each focus area, identify deliverables for the next six months and define teams.

Significant work had been undertaken by the co-chairs and focus group leaders in advance of the

meeting with a view to consolidating past discussions (which had involved a wide variety rather

than a consistent set of participants) and synthesising these around key themes and targets.

2

Framework for Next Phase

This preparatory work was further refined and discussed during the meeting so as to agree a series

of outline work plans for each focus area, underpinned with templates designed to facilitate both

the division of work and the efficient collection of information and inputs.

On-line Platform

To help initiate the web-based emphasis agreed during the previous meeting, a dedicated page has

been set up for the Project Group work on the global Transport Knowledge Practice (gTKP) web-

site (www.gtkp.com). This has been designed to ensure common access to the latest work-in-

progress, serve as a forum for ongoing comment and, generally, facilitate work flow/coordination.

Going forward, the Group also agreed that the gTKP portal might serve as a useful model for the

organisation and dissemination of work emanating from the Group – as well as a potential host,

having the advantage of being both neutral and already well-established.

Synergies with other Groups and Resources

The group further agreed on the importance of cultivating constructive links and cooperation with

other groups so as to ‘pool’ resources and avoid duplication. For example, the focus group leaders

had identified several areas of potential synergy with the work programmes being developed by

their counterparts within the IRF Group of Experts on Road Safety.

Similarly, the work of the Group could be greatly facilitated and advanced by the extensive research

and tools kindly placed at its disposal by the World Road Association (PIARC). In this respect,

cooperation was initiated within the group to ensure that the concise, ‘user friendly’ summary

outputs envisaged by the Project Group would both reflect and complement the more

comprehensive PIARC materials – as well as guide those readers requiring more detailed

information towards them.

Capacity Building

One area that particularly highlighted both the need and potential for effective pooling of resources

and coordination was that of training and capacity building. Already, two UNRSC project groups (1

& 2) were engaged in compiling lists of reputable training institutions and courses in different parts

of the world and a separate circular had recently been circulated by the UNRSC Secretariat calling

for information across all groups regarding road safety training courses. The theme also cross-cut

the work of Thematic Sub-Group 2 of the IRF Group of Experts on Road Safety, which was dedicated

to Road Safety Education & Training for Sector Professionals.

In view of the limited time available to the meeting on this occasion (given the launch of the Global

Status Report on Road Safety 2013), the Chair proposed to follow up with the concerned individuals

within Project Group 1 and the UNRSC Secretariat to avoid overlap and ensure that the various

initiatives complemented each other. She would similarly initiate constructive cooperation in this

respect with the IRF Group of Experts.

3


Geneva, Switzerland

Report of the Project Group: Safer Roads Users


Chair: Pieter Venter, Global Road Safety Partnership (GRSP), on behalf of Gayle DiPietro (GRSP)

Attendees:

Ms Martine Aitken, European Road Safety Charter, P.A.U, Spain

Mr Grant Baldwin, CDC

Ms Kate Carr, Safe Kids Worldwide

Ms Janet Dore, Transport Accident Commission, Victoria, Australia

Mr Robert Hill, Victoria Police, Australia

Dr Melecki Khayesi, WHO

Mr Mampe Kumalo, South Africa Road Traffic Management Corporation

Mr Olivier Lenz, Fédération Internationale de l'Automobile (FIA)

Ms Carolina Pereira, Fundación González Rodríguez

Mr George Shikwambana, South Africa Road Traffic Management Corporation

Ms Kelly Larson, Bloomberg Philanthropies

Mr Iain Levy, Mobileye

Ms Thandi Moya, South Africa Road Traffic Management Corporation

Mr Mike Watson, GRSP/GRSI

Mr Ceri Woolsgrove, European Cyclist Federation

The proposed agenda for the discussion included:

• Update on progress of Pedestrian materials

• Discussion on dissemination and informations sharing on social marketing

• How to coordinate efforts to improve seat belt wearing rates globally

After an up-date about the Pedestrian Guidelines, the urgent need for the tool kit was expressed, as

organisations have to start the preparation of the week.

FIA intended to create a database of good practices for their members. They are considering

broadening this portal so that it could host some good practices coming from the working group.

GRSP reminded the group that they have opened a space in their website

(http://www.grsproadsafety.org/) for such publications. We referred also to the Global Transport

Knowledge practice (www.gtkp.com) which presents a selection of good practices.

Additional needs and issues for consideration for dissemination of good practice incldue:

- The need to work on good practice materials to underline the lessons learnt.

- Care should be taken to prevent duplicating tools.

- to the need to disseminate the information on identified tools so that they are more used:

P.A.U. Education proposes to create a Social marketing strategy to coordinate and

communicate about the working group achievements

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Ms Kelly Larson from Bloomberg Philanthropies presented on the Road Safety in 10 countries

(RS10) initiative. The initiative focuses on implementing effective measures in 10 countries to

address road safety and has started to have very good results. The results of the intiative are

described in the Bloomberg Philangropies 2010-2012 midway report “Leading the worldwide

movement to improve road safety report”. Information concerning the initiative and the report itself

are available on the WHO website,

http://www.who.int/violence_injury_prevention/road_traffic/countrywork/en/index.html, as well

as on the Bloomberg Philanthropies website,

http://mikebloomberg.com/index.cfm?objectid=4DCD9F53-C29C-7CA2-F5345D6A84C908A4.

The group did not have sufficient time to develop an approach on how to improve seat belts

wearing rates, so each member of the group will send its contribution for follow-up discussion.

5


Geneva, Switzerland

Report of the Project Group: Post crash care


Chair: Dr Margie Peden, WHO

Co-chair: Ms Rochelle Sobel, ASIRT

Rapporteur: Dr Christina Huwer, WHO

Attendees:

Mrs Ortrud Birk, Fédération International de L’Automobile (FIA)

Mrs Samantha Cockfield, Transport Accident Commission, Victoria, Australia

Dr Adnan Hyder, Johns Hopkins, International Injury Research Unit

Dr Pablo Perel, London School of Hygiene and Tropical Medicine

Prof Manuel Ramos, FEVR

Dr Daouda Sagna, Laser International

Ms Ekaterina Saitgarieva, Russian Mission

Mr Edward Salahov, Russian Ministry of Health

Mrs Awa Ndèye Sarr, Laser International

Dr Uli Schmucker, German Trauma Society

Meeting summary:

After a brief self-introduction of participants Margie Peden provided a short review of the

objectives of the working group. This was followed by presentations by members and guests on

special programmes and topics relevant to post-crash care:

Tranexamic Acid (TXA) & The Global Plan for the Decade of Action

Dr Pablo Perel, London School of Hygiene and Tropical Medicine made a presentation on

Tranexamic Acid (TXA) & The Global Plan for the Decade of Action (Annex 1). TXA is a 50-year old

antifibrinolytic drug which is widely used during surgery and for some gynaecological conditions.

In studies on mortality and need for transfusion a positive effect was shown for TXA-use in surgery.

The CRASH 2 trial was developed to investigate if there are similar effects on reducing bleeding

among trauma patients. More than 20,000 patients from 274 hospitals in 40 countries were

enrolled and statistically significant reduction of the risk of death due to bleeding, less occlusive

vascular events and a general decrease in mortality were seen. The study also showed that the time

of administration of TXA is critical – it must be given within 3 hours after the injury. The conclusion

of the presentation was that TXA is a cost-effective intervention in bleeding trauma patients which

reduces the risk of death but the use of TXA in trauma patients is not very widespread yet.

The presentation was followed by a brief discussion on the problems of the slow implementation of

TXA use in countries despite of the published results of the trial. The group agreed that promotion

and facilitation of uptake is needed.

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Supporting trauma care in Kenya

Dr Adnan Hyder, Johns Hopkins International Injury Research Unit introduced a project to improve

care for injured patients in Kenya by improvement of the trauma system. Several steps are

necessary to mature a trauma system (stakeholder involvement, national EMS conference; training

of EMS providers; training of hospital based providers; trauma registry development and

implementation; equipment training; advice of EMS communication system; helping strengthen

trauma care legislation; and developing a QI programme). The project in Kenya can be used as an

example for other countries.

Post-crash care in Germany

Dr Uli Schmucker, DGU – German Trauma Society gave an overview over post-crash care in

Germany as an example from a high-income country. In Germany injury is seen as a “team disease”

and multidisciplinary treatment approach is implemented. Germany has a universal health

insurance, shared health services funding and a physician-based EMS. There are nationwide

standards of trauma care defined in a S3-guideline on trauma care and a whitebook on trauma care.

The whitebook contains auditable criteria for trauma centers and trauma networks. At the moment

there are 36 certified networks and more than 600 certified centers. 4 of the networks are cross-

border networks with neighboring countries, this is intended to be the start of an European rollout

of the system. In China, Dubai and Iran first steps to an international rollout are taken. It is aimed

for full network coverage of Germany in 2014, the European and international rollout will be

facilitated. The German national trauma registry includes more than 125,000 cases currently, 55%

of the cases are due to road crashes. Some specific registry data on road crash victims were

presented.

Crash Investigations

Prof Manuel Ramos, FEVR presented on post-crash investigation for victims of road crashes.

Information on best practices in post-crash investigation needs to be collected and used as

information for victims. It is known that the outcome of victims is worse without knowledge on the

investigation. So far there are few materials published and further research is needed. Often victims

don’t have access to information which creates further problems. Prof Ramos shared information

about ongoing work at the Economic Commission for Europe, Inland Transport Committee,

Working Party on Road Traffic Safety (WP1), including

• Multi-disciplinary crash investigation, information from Denmark, Norway, Turkey and the

United States of America during the 27–30 September 2010 session of WP.1 in Geneva

(http://www.unece.org/trans/roadsafe/wp12010.html) .

• The Consolidated Resolution on Road Traffic Multi-disciplinary crash investigation, during the

27–30 September 2010 WP1 session in Geneva

(http://www.unece.org/trans/roadsafe/wp12010.html).

• Consolidated Resolution on road Traffic: Multidisciplinary crash investigation (MDCI),

Submitted by the Governments of Norway, Sweden and USA, during the 18 -21 March 2013,

WP1 session in Geneva (http://www.unece.org/trans/roadsafe/wp12013.html).

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Global Alliance of NGOs for Road Safety

Mr Jeffrey Witte, AMEND presented the Global Alliance of NGO for Road Safety. The Global Alliance

of NGO for Road Safety provides information over and for NGOs working in the field of road safety.

The Alliance currently has over 140 member NGOs from 90 countries which are introduced on the

website roadsafetyngos.org. The third meeting of the Alliance will take place in Antalya on 4/5 April.

Due to time constraints, the presentation on Monitoring and evaluation of post-crash care by Dr

Margie Peden was delayed until the next meeting.

The presentations were followed by a discussion on possible future areas of activity for the working

group. The areas social campaigns/advertising, accessibility and rehabilitation as well as linking car

manufacturers to post-crash investigation were proposed for consideration.

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Geneva, Switzerland

Report of the Project Group: Work Related Road Safety


Chair: Mrs Ndeye Awa Sarr, Laser International

Rapporteur: Ms Rose Van Steijn, Fleet Forum

Attendance:

Ms Martine Aitken, European Road Safety Charter, P.A.U. Education, Spain

Mr Jack Hanley, NETS

Ms Rebecca Huang, UNECE

Mr Gabriel Kardos, Johnson & Johnson

Mr Hyunsoo Kong, ILO

Mr Frank Leys, ILO

Mr Iain Levy, Mobileye

Dr Daouda Sagna, Laser International

Mr George Shikwambana, South Africa Road Traffic Management Corporation (RTMC)

Ms Rose Van Steijn, Fleet Forum

Mr Elad Serfaty, Mobileye

Mr Mike Watson, Global Road Safety Partnership/GRSI

Minutes

1. Welcome by the chair

2. Introduction of the participants

3. Minutes of the previous meeting

a. Request from the chair to the participants to report back on the action points in time.

b. Mobileye requests to be participants of the work related road safety working group.

4. Discussion

a. Fleetsafe portal: more information on fleetsafe.org will be shared by Awa and Adrian.

Fleetsafe will be a tool for all of the participants with best practices to share.

How to disseminate the information on Fleetsafe: Good practices are classified by

region; this will also help to address the language issue. Contributions can be sent to

Adrian Walsh and Awa Sarr.

Recall of Jack Hanley (NETS): we need to discuss the navigation of the Fleetsafe

website, as indicated by Stephanie Pratt (NIOSH), group coordinator for the collection

of information.

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Before we start marketing the website, a website expert needs to clean the website

up and to bring more structure. Participants do agree that Fleetsafe should be used

as the portal.

Action: Awa will check with Adrian if he has a webmaster/designer. If not, the

participants will need to find funding to make the website attractive.

Action: Mobileye proposed to an in-kind contribution an expert, and build up a new

website gathering the same information and more attractive. This proposition will be

submitted to the UNRSC, since Mobileye is not member of the UNRSC, and participates as

an observer.

b. Marketing of the WRRSG mission, mainly of the Fleetsafe website needs to be planned and

executed. Two ways are suggested:

Through regional meetings: an African meeting in South Africa suggested.

Through local governments: the group can approach the governments and

make suggestions for how work related road safety can be implemented.

c. Additional follow up and comments:

- Johnson and Johnson: Gabriel Kardos provided shared information about the Johnson

and Johnson Worldwide updated Fleet safety standards, as follow up to 13 March

request for fleet safety guidelines standards to be shared with the group. This

includes legal disclaimer and terms of use information. Awa will circulate the

documents amongst the participants.

- ILO: as follow-up to the last meeting discussions/comments about the lack of

sufficient input from trade unions, Jens Hügel informed the group that ILO will

organise a sectoral meeting in 2 years’ time which could be an opportunity, in future,

for dissemination of WRRS practices. The meeting will be a tri-partite between

governments, employers and employees (trade unions). The activity will focus on

HIV/AIDs, X-ray, packing containers, safe loading etc, fleet safety items.

- European Road Safety Charter: Martine Aitken stated that countries will need to be

identified for holding meetings to discuss/plan dissemination of best practices.

- LASER International: Awa Sarr reported on Regional Road Safety Forums as

opportunities for dissemination. Laser and Fleet Forum organised a Regional Road

Safety Forum in June 2012 in Dakar with the theme of Road Safety and New

Infrastructure, Centrality of Public and Private Fleet. A follow-up forum should be

held in 2013. The objectives of the 2012 forum were:

Highlight innovations and best practices in terms of infrastructure and new

road safety national, regional and global policies.

Harmonize one of the MDGs goals with the Decade of Action for Road Safety

ones: infrastructure development, and securing corporate fleets.

Provide a platform for sharing and exchange for public and private fleets in

terms of road safety policy for a common vision; safe, sustainable solutions.

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Strengthen the commitment of fleets and the establishment of a common

approach and standards.

- Fleet Forum: Rose Van Steijn informed the group that Fleet Forum has organised

successful round tables in India in which joint road safety initiatives came together

to share fleet best practises. Fleet Forum will also organise similar round tables in

Africa this year.

Action: Martine Aitken to identify European countries (action point from last meeting)

Action: Rose Van Steijn will share the date / location of the round tables.

- Awa Sarr requested volunteers for the Fleetsafe website but also for the

dissemination of knowledge through forums and round tables.

Volunteers for organising a meeting on work related road safety in South

Africa: Rose Van Steijn, Mike Watson, Gabriel Kardos, Awa Sarr, and Daouda

Sagna.

Volunteers for the Website: Iain Levy, Adrian Walsh and Stephanie Pratt.

- The group considered a catalogue or products to sponsor the website however,

determined that this was contrary to the objectives of the group and the UNRSC

TOR, antitrust concerns and lack of a mechanism to assess the quality of the

products. However, the group agreed to consider presenting general information

about available technology and its uses in promoting WRRS on the Fleet safe

website.

- International road safety film festival: to be held 23 and 24 April UNESCO Paris.

Everybody is invited to send in road safety movies. More information can be found

on www.Lasereurope.org or www.Globalroadsafety.org.

11


Geneva, Switzerland

Report of the Project Group: Monitoring and Evaluation (M&E) of the Decade of Action (DoA)

for Road Safety


Chair: Dr Adnan Hyder, RTIRN/JHU

Co-chair: Dr Tami Toroyan, WHO

Rapporteur: Dr Grant Baldwin, CDC

Meeting Aims:

• review work on the set of "global" indicators for M&E of the DoA since last meeting;

• discuss new data from Global Road Safety Status Report 2;

• explore other sources of data offered by UNRSC members; and

• recommend approaches for data presentation for M&E of the DoA

Discussion

The table of indicators for each Pillar was updated, most recently with data from the 2nd GSRRS. The

group reviewed indicators for each pillar and discussed whether and how new data sources could

be tapped to populate the missing (See Annex 2).

While there were suggestions of additional indicators that could be added, notably by adding more

detailed questions to the GSRRS, it was recognized that this questionnaire already contains over 80

questions. While the questionnaire will be modified based on data received this time, it will not be

possible to add additional questions that resulting allowing richer information, will make this

instrument too long.

Getting data from the UN regional commissions were considered essential, notably to Pillar 2,

which is currently very sparsely populated. Similarly, it was suggested that data from the

development banks should also be gathered to fill some of the current gaps. It was suggested that

the chair of the M&E group circulate an excel sheet to the relevant partners and that if these cells

cannot be populated by the next UNRSC, perhaps we should consider dropping the indicators. Some

specific comments:

- For Pillar 3, there are major concerns about the reliability of the data collected by the

GSRRS on vehicle safety, and alternative methods for getting this information will need to

be proposed (for example, on manufacturing data).

- Pillar 4 is relatively well populated. Questions about including driver fatigue and drugged

driving were raised, but these are unlikely to be addressed by the GSRRS so alternative

sources would need to be found if they were to be added. Information on the number of

countries adopting the ISO standard should now be available.

Pablo Perel

The CRASH-2 trial collaborators

Effect of tranexamic acid (TXA)

in trauma patients

Annex 1

Outline

• Background

• The evidence for TXA (CRASH-2 trial)

• Cost effectiveness of TXA

• Potential global impact of TXA use

• Current use of TXA for trauma patients

Background

Bleeding CNS injury

Organ failureOther

45% 41%

10%4%

• Large proportion of trauma deaths are due to bleeding

Sauaia A et al. Epidemiology of trauma deaths: a reassessment. J Trauma 1995;38:185-193

�Tranexamic Acid (TXA) is a synthetic

derivative of the amino acid lysine.

� It has a very high affinity for the lysine

binding sites of plasminogen.

� It blocks these sites and prevents binding

of plasmin to the fibrin surface, thus

exerting its antifibrinolytic effect.

Background

TXA reduces bleeding in surgery (Henry et al, 2011)

TXA

TXA better TXA worse

0.61 (0.57–0 .66)

RR (95% CI)

0.4 0.8 1.2 1.6

Need for transfusion

TXA

RR (95% CI)

TXA better TXA worse

0 0.4 0.8 1.2 1.6

0.57 (0.34-0.98)

Mortality

65 trials (4,842 patients) 30 trials (2,917 patients)

Background

A randomised, placebo controlled trial among

trauma patients with significant hemorrhage,

of the effects of tranexamic acid on death

and vascular occlusive events

The CRASH-2 trial

10,096 allocated TXA 10,115 allocated placebo

10,093 baseline data 10,114 baseline data

Followed up = 10,060

(99.7%)

Followed up = 10,067

(99.5%)

20,211 randomised

1 consent

withdrawn

47 lost

to follow-up

33 lost

to follow-up

3 consent

withdrawn

Trial profile

TreatmentDose

(TXA or placebo)

Loading1 gram / 10 minutes

(IV infusion)

Maintenance1 gram / 8 hours

(IV infusion)

Methods

Participating countries

Cause of death TXA Placebo Risk of death P value

10,060 10,067

Bleeding 489 574 0.85 (0.76–0.96) 0.0077

V. occlusive events 33 48 0.69 (0.44–1.07) 0.096

Multiorgan failure 209 233 0.90 (0.75–1.08) 0.25

Head injury 603 621 0.97 (0.87–1.08) 0.60

Other 129 137 0.94 (0.74–1.20) 0.63

Any death 1463 1613 0.91 (0.85–0·97) 0·0035

Cause of death

Early treatment is better

� Tranexamic acid safely reduces the risk of death due to

bleeding if administered within the first three hours.

� On the basis of these results, it should be considered for

use in trauma patients with or at risk of bleeding.

Conclusion

Guerriero et al. PLoS One. 2011 May 3;6(5):e18987.

� The estimated incremental cost per LY gained of

administering TXA is $48, $66 and $64 in Tanzania, India

and the UK respectively

� Early administration of TXA to bleeding trauma patients is

likely to be highly cost effective in low, middle and high

income settings

Cost effectiveness

Ker et al. BMC Emerg Med. 2012 Mar 1;12:3.

A total of 112,000 lives could be saved each year

� WHO List of Essential Medicines

� WHO IMAI District Clinician Manual

� UK Army (UK Defence Medical Service)

� US Army (Tactical Combat Casualty Care)

� European Guideline (Bleeding following Trauma)

� Japan Advanced Trauma Evaluation and Care

� Pre-hospital treatment UK (JRCALC)

� Major Trauma Best Practice Tariff 2013-14

� Local hospital protocols worldwide

TXA incorporated in

TXA promise

http://www.traumapromise.org/

DoA monitoring and evaluation: an update, March 2013

DoA monitoring and evaluation: an update, March 2013

Monitoring and Evaluation Project

Group

Annex 2

PILLAR 1Road safety management

CORE INDICATORS 2010 OPTIONAL INDICATORS 2010

Number of countries which have adhered to

the United Nations road safety related

agreements and conventions;

70Number of countries that have dedicated funds

to implement their road safety strategy;

119 partially or

fully funded

Number of new regional road safety legal

instruments developed (and number of

countries participation in them);

WPRO RC (2012)Number of countries that have made progress

towards achieving their defined targets.?

Number of countries which have a clearly

empowered agency leading road safety;162

Number of countries with a national strategy;

139 (single or

multiple national

strategies)

Number of countries with time-based road

safety targets;

112 fatality targets,

62 non fatal targets

Number of countries with data systems in place

to monitor progress in achieving road safety

targets;

?

Number of countries that collect annual road

traffic crash data consistent with internationally

accepted definitions.

92 use 30 day + 19

use one year, and 17

use unlimited

* From GSRRS1, will be updated to 2010 data in February 2013

Pillar 2Safer roads and mobility

CORE INDICATORS 2010 OPTIONAL INDICATORS 2010 OTHER USEFUL STATISTICS 2010

Number of countries where road

authorities have statutory responsibility to

improve road safety on their networks;

98*

Number of countries with the integration of

safety needs as part of land-use and

transport planning functions;

?

National policies that encourage cycling

and walking as an alternative to car travel 68

Number of countries with a defined

allocation of expenditure for dedicated

road infrastructure safety programmes;

?

Number of countries with effective

property access control and development

control procedures

?

National policies that encourage the use of

public transport as an alternative to car

travel

107

Number of countries with a target to

eliminate high-risk roads by 2020; ?Number of countries with regular, ongoing

conduct of network safety rating surveys; ?National polcies to protect vulnerable road

users 79

Number of countries that have adopted

sustainable urban mobility policies; ?

Number of countries where the safety

ratings for the highest volume 10% of roads

is above a defined threshold);

?

Number of countries with specialist

infrastructure road safety units monitoring

safety aspects of the road network; ?

Number of countries with minimum safety

rating standards for new road projects; ?

Number of countries with systematic

safety audit, safety impact and/or road

assessment policies and practices in place.

140 on

new roads,

142 on

part or all

roads

Number of countries reporting vehicle

miles travelled.

?

Number of countries which have adhered

and/or fully implement the regional road

infrastructure agreements developed

under the auspices of the United Nations

regional commissions;

?

Number of new regional road

infrastructure instruments developed (and

number of countries participating to

them);

?


PILLAR 3

Safer vehicles

CORE INDICATORS 2010 OPTIONAL INDICATORS 2010OTHER USEFUL STATISTICS

2010

Number of countries who

participate in the United Nations

World Forum for Harmonization of

Vehicle Regulations and apply

relevant standards;

52

Number of countries enacting

laws to prohibit the manufacture

of vehicles without specific vehicle

safety features, such as Electronic

Stability Control

11**

Total number of vehicles by

vehicle type per country

available

Number of countries that

participate in NCAP ("New Car

Assessment") programmes; 30




safety features, such as Anti-Lock

Braking Systems.

20***


laws that prohibit the importation

of second hand cars without front

and rear seat-belts130


laws that prohibit the use of

vehicles without seat-belts (front

and rear).

60**




safety features, such as airbags

17***



of second hand cars without ABS 42



of second hand cars without ESC29



of second hand cars without

airbags

36http://www.unece.org/transport/resources/publications/road-traffic-and-road-safety.html


PILLAR 4

Safer road users

CORE INDICATORS 2010 OPTIONAL

INDICATORS

2010 OTHER USEFUL STATISTICS 2010

Number of countries with speed

limits appropriate to the type of

road (urban, rural, highway);

114 have urban limit =<50kmh, 100

allow local authorities to reduce

national limits where appropriate

Number of countries with

national data on network

speeds by road type;? Similar to Core 1

Number of countries with a ban on

hand-held mobile phone use while

driving142

Number of countries with blood

alcohol concentration limits less

than or equal to 0.05 g/dl; 89


national data on child

restraint wearing rates;?


hand-held and handsfree mobile

phone use by driving34

Number of countries with blood

alcohol concentration limits lower

than 0.05g/dl for young/novice and

commercial drivers;

42 have limits =<0.02 for young-

novice drivers (23 countries have

lower limits for this group than for

gen population), 50 have limits

=<0.02 for commercial drivers

Number of countries which

have adopted the new ISO

39001 standard;

Only published in

2012


texting while driving

42

Number of countries with national

data on the proportion of alcohol-

related fatal crashes;

73 countries test all fatally injured

drivers, 95 countries have some data

on alcohol related crashes

Number of countries that

report road traffic crashes

as a category among data

recorded for occupational

injuries;

?

Number of countries with a

comprehensive helmet use law

(including standards);

90

Number of countries

hosting regular road safety

weeks.

?


data on helmet-wearing rates; 69

Number of countries with a

comprehensive seat-belt law; 111


data on seat-belt wearing rates

(front, rear)

84

Number of countries with a child

restraint law; 96

Number of countries with a formal

policy to regulate fatigue among

commercial vehicle drivers.?

PILLAR 5

Post-crash response

CORE INDICATORS 2010 OPTIONAL INDICATORS 2010 OTHER USEFUL STATISTICS 2010

Number of countries that require

third-party insurance schemes for all

drivers; Will check

green card

system

Number of countries where specific

trauma care training is required for

emergency care personnel.

124

countries

training for

doctors, 96

training for

nurses

Number of countries that celebrate

World Day of Remembrance

50+

Number of countries with one

national emergency access number;123

Number of countries with vital

registration systems160

Number of countries with designated

trauma care centres.

?


emergency-room based injury

information systems 77

Proportion of seriously injured

patients transported to hospital by

ambulance 33 countries


# from World Statistical Report, 2012. Many of the 118 countries have poor coverage and completeness.

+ From WDR website and FEVR

OUTCOME INDICATORS

CORE INDICATORS 2010 OTHER INDICATORS 2010

Number of road traffic deaths, as a core

composite indicator for all activities; 1.24 million*

Number of patients admitted to

hospital wards as a result of road

traffic crashes

GSRRS2 **

Amount of funding that is dedicated to road

safety that is provided by the international donor

community (including development and donor

agencies, foundations, the private sector and

other donors):

World Bank

Proportion of road traffic injuries that

result in a permanent disability1 in 20, ranging from

>1% to 25%, median

5%

Amount of funding that has been made

available at a regional and sub-regional level in

support of road safety; and

World Bank

Proportion of road traffic deaths by

sex 77% male*

the number of regional or sub-regional

organizations and institutions setting road safety

targets to reduce road traffic fatalities by 2020.World Bank


age groups 60% between ages of

15 and 44


road user

23% pedestrians, 5%

cyclists, 27%

motorcyclist, 31% car

occupants

Estimated proportion of GDP lost as

a result of RT crashesranges from 0.8 to 6.6

Trends in road traffic deaths over the

Decade

GSRRS2 will be

baseline


Documents

Attendees - who.int · Attendees : Mrs Ortrud Birk, Fédération International de L’Automobile (FIA) Mrs Samantha Cockfield, Transport Accident Commission, Victoria, Australia