Abstract

BackgroundRoad traffic injuries (RTIs) are the eighth-leading cause of death worldwide, with low- and middle-income countries sharing a disproportionate number of fatalities. African countries, like Rwanda, carry a higher burden of these fatalities and with increased economic growth, these numbers are expected to rise. We aim to describe the epidemiology of RTIs in Kigali Province, Rwanda and create a hotspot map of crashes from police data.MethodsRoad traffic crash (RTC) report data from January 1, 2013 to December 31, 2013 was collected from Kigali Traffic Police. In addition to analysis of descriptive data, locations of RTCs were mapped and analyzed through exploratory spatial data analysis to determine hotspots.ResultsA total of 2589 of RTCs were reported with 4689 total victims. The majority of victims were male (94.7 %) with an average age of 35.9 years. Cars were the most frequent vehicle involved (43.8 %), followed by motorcycles (14.5 %). Motorcycles had an increased risk of involvement in grievous crashes and pedestrians and cyclists were more likely to have grievous injuries. The hotspots identified were primarily located along the major roads crossing Kigali and the two busiest downtown areas.ConclusionsDespite significant headway by the government in RTC prevention, there continue to be high rates of RTIs in Rwanda, specifically with young males and a vulnerable road user population, such as pedestrians and motorcycle users. Improvements in police data and reporting by laypersons could prove valuable for further geographic information system analysis and efforts towards crash prevention and targeting education to motorcycle taxis could help reduce RTIs in a severely affected population.

Highlights

  • Road traffic injuries (RTIs) are the eighth-leading cause of death worldwide, with low- and middle-income countries sharing a disproportionate number of fatalities

  • 60 % of road traffic deaths occur in individuals between 15 and 44 years old and over 75 % of road traffic deaths occur in males [4]

  • Vulnerable road users (VRUs) such as motorcyclists, pedestrians, and bicyclists bear a disproportionate share of the injury burden [5]

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Summary

Introduction

Road traffic injuries (RTIs) are the eighth-leading cause of death worldwide, with low- and middle-income countries sharing a disproportionate number of fatalities. Like Rwanda, carry a higher burden of these fatalities and with increased economic growth, these numbers are expected to rise. Injuries are a major global health problem contributing annually to over 4.5 million deaths worldwide [1]. Over 90 % of these unintentional injuries and 90 % of disability adjusted life years occur in low and middle-income countries (LMICs) [2, 3]. The number of worldwide road deaths has steadily risen from 1990 to 2013 with the majority of deaths. Vulnerable road users (VRUs) such as motorcyclists, pedestrians, and bicyclists bear a disproportionate share of the injury burden [5].

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