Burden Of Road Traffic Accidents Research Articles

The economic burden of road traffic accidents and injuries: A small island perspective

The existing evidence on the economic burden of road accidents on GDP focused mainly on developed countries. This paper addresses an important gap in the literature by investigating into the impact of road traffic accidents and injuries on GDP in the small island of Mauritius. Mauritius, having perceived an important structural transformation over the past decades, is witnessing a rise in road accidents and injuries, which is a concern in terms of economic costs. In addition, it is a small island nation with limited road infrastructure, making it vulnerable to traffic congestion and accidents. The paper provides important insights for other island countries with similar geographic challenges. The Vector Error Correction Model (VECM) approach is used to assessing the existence of a long-run relationship between road traffic accidents and GDP in Mauritius from 1980 to 2020. In addition to road crashes, different levels of injury severity linked to road accidents are evaluated. The results reveal that on average a 1% rise in road accidents leads to a 0.42% fall in real GDP. Further, a 1% rise in casualties linked to road accidents is likely to cause a 0.18% decline in GDP. Although a long run relationship is established, there is no statistically significant impact of road accidents on GDP in the short-run.

Prediction of the burden of road traffic injuries in Iran by 2030: Prevalence, death, and disability-adjusted life years

PurposeRoad traffic accidents pose a global challenge with substantial human and economic costs globally. Iran experiences a high incidence of road traffic injuries, leading to a significant burden on society. This study aims to predict the future burden of road traffic injuries in Iran until 2030, providing valuable insights for policy-making and interventions to improve road safety and reduce the associated human and economic costs. MethodsThis analytical study utilized time series models, specifically autoregressive integrated moving average (ARIMA) and artificial neural networks (ANNs), to predict the burden of road traffic accidents by analyzing past data to identify patterns and trends in Iran until 2030. The required data related to prevalence, death, and disability-adjusted life years (DALYs) rates were collected from the Institute for Health Metrics and Evaluation database and analyzed using R software and relevant modeling and statistical analysis packages. ResultsBoth prediction models, ARIMA and ANNs indicate that the prevalence rates (per 100,000) of all road traffic injuries, except for motorcyclist road injuries which have an almost flat trend, remaining at around 430, increase by 2030. Based on estimations of both models, the rates of death and DALYs due to motor vehicle and pedestrian road traffic injuries decrease. For motor vehicle road injuries, estimated trends decrease to approximately 520 DALYs and 10 deaths. Also, for pedestrian road injuries these rates reached approximately 300 DALYs and 6 deaths, according to the models. For cyclists and other road traffic injuries, the predicted DALY rates by the ANN model increase to almost 50 and 8, while predictions conducted by the ARIMA model show a static trend, remaining at 40 and approximately 6.5. Moreover, these rates for the prediction of death rate by the ANN model increased to 0.6 and 0.1, while predictions conducted by the ARIMA model show a static trend, remaining at 0.43 and 0.07. According to the ANN model, the predicted rates of DALY and death for motorcyclists decrease to 100 and approximately 2.7, respectively. On the other hand, predictions made by the ARIMA model show a static trend, with rates remaining at 200 and approximately 3.2, respectively. ConclusionThe prevalence of road traffic injuries is predicted to increase, while the death and DALY rates of road traffic injuries show different patterns. Effective intervention programs and safety measures are necessary to prevent and reduce road traffic accidents. Different interventions should be designed and implemented specifically for different groups of pedestrians, cyclists, motorcyclists, and motor vehicle drivers.

Mortality due to road traffic injuries in older adults in the Republic of Ecuador between 1990 and 2018: a descriptive study

Mortality due to road traffic injuries in older adults in the Republic of Ecuador between 1990 and 2018: a descriptive study

The burden of road traffic accidents in trauma in low-resource settings: a retrospective cohort analysis of patient admissions to 2 Médecins Sans Frontières trauma facilities

Introduction: Medecins Sans Frontieres (MSF) is known for its work providing surgical care for victims of violent trauma (VT) in conflict zones. However, the trauma centers also deal with road traffic accidents (RTAs) which may require different staffing, facilities and supplies as compared with those required for VT. This study aimed to compare differences in types of injuries, clinical outcomes, and resources needed to properly operate trauma centers in low and middle-income countries. Material and methods: This was a retrospective analysis of routine program data of >70,000 patient presentations in the emergency, in-patient, and operating departments of 2 of MSF’s major trauma centers, in Kunduz (Afghanistan) and Bujumbura (Burundi), using data from 2011 to 2018. Results: RTAs comprised a significant proportion of overall presentations to these centers (23% in Kunduz and 56% in Bujumbura). RTA patients presented with different patterns of injury, with higher rates of fractures, extremity injuries, and traumatic brain injury. RTA patients were 2.3 times more likely to have a peripheral injury (extremities and head) as VT patients, and 12.5 times more likely to undergo an orthopedic procedure. VT patients had higher rates of abdominal injury. However, there was no statistically significant difference in overall mortality and length of stay between the 2 groups. Conclusion: This study demonstrates that trauma centers, even in zones of conflict, need to be prepared and resourced to manage RTA cases. Policy-makers in such centers should be aware of the different injury patterns associated with this patient group and have appropriate, sustainable capacity to manage RTA trauma, particularly in terms of management of orthopedic injuries.

Road Traffic Accidents Presenting to the Emergency Department of a Tertiary Care Center: A Descriptive Cross-sectional Study.

Road Traffic Accidents have emerged as the leading cause of mortality and morbidity globally. The burden of road traffic accidents has escalated gradually in Nepal and is a common cause of injury and trauma. The study aims to identify the prevalence of road traffic accidents in the emergency department. This descriptive cross-sectional study was conducted among hospital records of cases admitted to the emergency department of tertiary care hospital between March to August, 2020. Ethical approval was taken from the ethical review board of College of Medical Sciences (reference number: 2020-035). Information was collected through pro-forma and hospital records. Convenience sampling was done. The data were entered in the Statistical Package for the Social Sciences version 24 and analysed using descriptive statistics. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Among 4050 cases presenting to the emergency department, 228 (5.6%) (4.9-6.3 at 95% Confidence Interval) cases of road traffic accidents were seen. The most common injuries involved were soft tissue injury 90 (39.47%) and head injury 77 (33.77%). Most patients admitted to the hospital were male 178 (78.07%) aged 21 to 30 years 79 (41.38%). The vehicles mostly involved in the accidents were motorized two-wheelers 120 (50.6%) and pedestrians 51 (22.4%). The prevalence of road traffic accidents was similar to the findings from similar studies. Strengthening the capacities of the pre-hospital care and emergency department is necessary along with preventive intervention in public to reduce such health burden.

Pattern and Burden of Road Traffic Accidents in Tertiary Care Public Hospital, District Central, Karachi from 2016 to 2018

Objective: To assess the burden of trauma during the last three years (2016-18) caused by road traffic accidents presenting to the trauma centre of tertiary care public hospital in district central, Karachi.Methods: All the accident cases presenting in the trauma center of the hospital in last three years who were defined as accidents occurring on a public road and involving at least one moving vehicle were included in the study. Those with incomplete medical records were excluded. This was a crosssectional study where records of a total of 2857 individuals were retrospectively collected and their socio-demographic information, history of road traffic crashes, clinical history and examination was noted. Data was analyzed through SPSS while descriptive statistical analysis of continuous and categorical variables was performed.Results: The mean age of patients admitted to the trauma centre was 29.3 ± 16.7 years with no significant difference between both gender. Out of 2857 patients with road traffic accident injuries, around 80.9% were males. The most prevalent age group was 16-30 years of age, which was over 40.2%, followedby subjects of 31 - 45 years age group which was 21%. The study results further showed that over 51.3% of the road traffic accident patients were discharged normally, followed by 46.7% subjects who left against medical advice. Overall death rate was 2% (n=57).Conclusion: This study helps to identify the latest accident burden and pattern of injuries to develop plans aimed at prevention of road traffic accidents. Looking at the burden, the most affected was the younger subjects (16-30 years) highlighting the need for targeting this population for educational programsand policies about safe driving. Among the road traffic accidents cases the subjects who left against medical advice cases was gradually decreasing from 2016 to 2018 suggesting better healthcare facilities at the tertiary care hospital and corresponding increasing patient's confidence in them.

An Overview of Emergencies in Otorhinolaryngology at a Tertiary Care Centre, Telangana.

Otorhinolaryngology emergencies are a common complaint in the emergency department. These emergencies can occur in all the age groups and can present as a result of infection, trauma, foreign bodies, etc. The most common Ear, Nose and Throat (ENT) emergencies are epistaxis, foreign bodies in ear, nose and throat, stridor, trauma, facial bone fractures etc. Prompt assessment and immediate intervention can save lives and reduce the suffering arising out of these emergencies.The present study focusses on determining the magnitude and pattern, demographic characteristics and outcome of patients with ENT emergencies. A cross sectional study was carried out in the casualty and ENT department of Gandhi Hospital, which is a tertiary care center in Secunderabad, Telangana. The data was collected from June 2014 to May 2018. 2901 patients reported to casualty with ENT emergencies. Around 46.12% of emergencies were of Ear, 34.33% were related to nose and 19.54% were related to throat, neck and others. The most common ENT emergency among pediatric age group was foreign body in ear, nose, throat and aero digestive tract, while the most common ENT emergency in geriatric age group was Stridor. ENT emergencies are increasing in incidence due to increasing burden of road traffic accidents and early detection and institution of appropriate and adequate treatment may be important in preventing the progression of disease and minimizing complications.

Gastrointestinal Tract Colonization Rate of Extended-Spectrum Beta-Lactamase-Producing Gram-Negative Bacteria and Associated Factors Among Orthopaedic Patients in a Tertiary Hospital in Tanzania: Implications for Infection Prevention.

BackgroundThe dual burden of road traffic accidents and antimicrobial resistance in orthopaedic infections is challenging already strained health-care systems. Limited information exists in Tanzania on antimicrobial resistance surveillance to delineate the potential sources of multi-drug-resistant bacteria for specific mitigation strategies among orthopaedic patients.MethodsA longitudinal study was conducted at Bugando Medical Centre in Mwanza city between January and May 2020. It involved the collection of rectal swabs/stools, hand swabs, and environmental sampling to identify extended-spectrum beta-lactamase (ESBL)-producing gram-negative bacteria. Participants’ data were collected using a structured questionnaire and analysed to determine factors associated with ESBL colonization among index orthopaedic patients and correlates with other ESBL sources using OR (95% CI) and a cut-off p-value of ≤0.05.ResultsWe found that 47.2% (125/265) of index patients, 77.8% (14/18) of neighbouring patients, 8.3% (2/24) of health-care workers, 72.2% (13/18) of non-medical caregivers, and 31.4% (27/86) of samples taken from the hospital environment had ESBL producers. Escherichia coli and Klebsiella spp. predominated among participants and Acinetobacter spp. predominated in the environmental samples. Patients with open fractures had increased odds of being colonized with ESBL producers [OR (95% CI): 2.08 (1.16–3.75); p=0.015]. The floor below patients’ beds was commonly contaminated; however, the odds of environmental contamination decreased on the third round of sampling [OR (95% CI: 0.16 (0.04–0.67); p=0.012], apparently as a result of parallel infection prevention and control responsive measures against coronavirus disease 2019 (COVID-19).ConclusionWe found a high occurrence of ESBL colonization among participants and in the environmentat this tertiary hospital. The importance of routine ESBL surveillance among orthopaedic patients with open fractures on admission and strengthened decontamination of health-care premises is reiterated.

Pattern and Cause of Road Traffic Accidents in Morang District.

Road traffic accidents is growing continuously as a global burden and would be a leading cause of death in developing countries. The global burden of road traffic accidents continues to grow and promises to overtake tropical diseases as leading causes of death in the developing world. This study aimed to study the pattern and causes of road traffic accidents in Morang district. Record based descriptive cross-sectional study was used by reviewing all registered RTA cases of the District Traffic Police Office, Morang during fiscal year 2074/75 (Shrawan 2074 to Ashad 2075). 501 road traffic accident cases were found in the record and used for the study. The data was analysed using SPSS v 16 and presented in normal frequency tables and crosstables. Out of 501 accidents 32.2% occurred Friday and Saturday. In the evening time, most of the accidents occurred. In highways, 53.5% of accident cases occurred. 82% of the accidents occurred in blacktop road. Two-wheelers are mostly involved in accident cases (77%). Negligence (55.7%) and over-speed (36.5%) were the major reasons for accidents. In 33% of cases, accidents occurred involving pedestrians and cyclists. 80% of the drivers are below 40 years; similarly 80% of the victims are also below 40 years. Among victims who died 84.1% were male and among injured 73.3% were males. Weekends, evening, highways and two wheelers are more accident prone time, place and vehicles respectively. Overspeed and negligence of driver tends to major cause of accidents and majority of victims are the young bike riders and pedestrians.

A study on Private Car Accidents

In this study, road traffic injury (RTI) was defined as any injury resulting from a road traffic accident irrespective of severity and outcome. Road traffic accident (RTA) was defined as any crash on the road involving at least one moving vehicle, irrespective of it resulting in an injury. This could include collision with a vehicle or any non`moving object while driving/riding a vehicle, collision with a moving vehicle while walking/running/standing/ sitting on the road, or fall from a moving vehicle. The burden of road traffic accidents (RTA) is a leading cause of all trauma admissions in hospitals worldwide. Road traffic injuries cause considerable economic losses to victims, their families, and to nations as a whole. These losses arise from the cost of treatment (including rehabilitation and incident investigation) as well as reduced/lost productivity (e.g. in wages) for those killed or disabled by their injuries and for family members who need to take time off work (or school) to care for the injured. Road traffic fatality in the Kingdom of Saudi Arabia (KSA) is the highest, accounts for 4.7% of all mortalities. Road injuries also are reported to be the most serious in this country, with an accident to injury ratio of 8:6. In this study, we try to focus on some causes of the accidents in KSA, so we can implement the prevention plan.

Situational Analysis of Road Traffic Accidents- A case of Madurai District rural areas, Tamil Nadu

Background: Road traffic accidents (RTAs) have emerged as a major public health concern due to the growing number of motorized vehicles all over the world. In India, the burden of road traffic accidents is increasing and from 1991 to 2011, the number of fatal deaths has more than doubled. Madurai district is among road accident-prone regions of the state of Tamil Nadu. Objective: This paper aims to examine and understand trends and patterns of RTAs in rural areas of Madurai District between 2014-2018. Methods: The researchers collected RTAs data from Madurai District Crime Records Bureau. we have considered time-series data from 2014 to 2018 and the number and percentage of deaths by the distribution of relevant factors such as timing, gender, road type, and vehicles to understand holistic patterns of RTAs. Results: Totally 9950 road accidents were reported by Madurai District Crime Records Bureau between 2014 and 2018 and on an average over 1990 accidents have occurred every year. Nearly 40 per cent fatal accidents occurred between 15-21 h. Men were the victims in 87 per cent of deaths and men died 6.8 times higher than females during 2014-2018. Over 57 per cent of fatalities have occurred in National Highways. The proportion of two-wheelers contributed to road deaths is 28 per cent and two-wheelers caused maximum road deaths than other vehicles. Conclusion: The study shows a decreasing trend in road accidents and fatalities in Madurai district. However, a significant number of men dying in road accidents highlights the difficulties of their families.

Epidemiology and cost-analysis of emergency department patients treated following traffic accidents in Iran: A retrospective cross-sectional study

Introduction:Epidemiological analysis of traffic accidents can provide information for future plans to lower the cost and burden of road traffic accidents (RTAs). This study was aimed to determine the epidemiological characteristics of patients with RTAs.Methods:We conducted a retrospective cross-sectional study of RTA patients presenting in 2016 to the Emergency Department at Shahid Bahonar Medical Education Center in Kerman, Iran. A checklist including variables such as age, sex, month, in which the patient referred, final outcome, overall cost and the site of injury used to collect data. The diagnostic criteria were in accordance to ICD 10.Results:Of the total of 3277 patients who were studied, 2713 (82.78%) were men and 564 (16.66%) were women. Most of the accidents occurred at the age group of 16–30 years and the average cost of treatment in the hospital was 2152.45 USD. The most affected area was the lower limb. The majority of accidents occurred in spring and summer. The mortality rate was (2.74%).Discussion:Injuries and deaths due to RTAs are a major public health problem, especially in young age groups. Therefore, more preventive programs targeting young adults should be considered to reduce the burden of RTAs.

SUBSTANCE ABUSE AND DRIVING BEHAVIOR AMONG PROFESSIONAL MINIBUS DRIVERS AT ZAGAZIG CITY, SHARQIA GOVERNORATE, EGYPT.

Introduction: According to The Egyptian Central Agency for Public Mobilization and Statistics (CAPMAS), 72% of road traffic accidents occur due to aberrant driving behavior. Substance abuse particularly cannabis is commonly used among Egyptian commercial drivers and seriously affects safe driving. Aim of work: To assess the magnitude of substance abuse among a sample of professional minibus drivers, Zagazig city, Sharqia Governorate, Egypt, to investigate their driving behavior and to determine the predicting factors for the risky driving behavior as a major cause of road accidents. Materials and Methods: A cross sectional study was conducted in Al Ahrar main public station, Zagazig city, Sharqia Governorate, Egypt on a sample of 130 commercial drivers. A structured questionnaire was introduced to all participants and included data on socio occupational status and the driving behavior questionnaire (DBQ) which is composed of 26 items. Substance abuse was screened through rapid assessment urine test. Results: Among the participants, 57.7% tested positive for substance abuse and the most common abused substance was cannabis which represented 80% of the positive participants. The DBQ scores were higher among substance abused drivers with statistical significant difference particularly in most of violations and error items. The predictors for aberrant driving behavior were low income, excessive speeding, previous involvement in road traffic crash and substance abuse. Conclusion: Illicit drugs are commonly used by Egyptian professional drivers and seriously affect safe driving. Regular traffic police campaigns for screening of substance abuse among commercial drivers and applying of road safety awareness program can lower the prevalence and burden of road traffic accidents in Egypt.

The economic burden of road traffic accidents in Iran: The time to sound the alarm

Over the past half century, as a result of urbanization, overpopulation, and industrialization, the rapid development of comprehensive road transportation has been resulted. Increasing motorized traffic and following that, road traffic accidents (RTAs) were one of the undisputed results of such process. Hence, the casualties and financial and psychological losses caused by RTAs have become one of the most important challenges of human societies. It is common practice to assess the burden of RTAs in terms of disability‑adjusted life years (DALYs).

Burden of road traffic accidents in Nepal by calculating disability-adjusted life years

Objective To calculate the burden of road traffic accidents in Kathmandu Valley and then extrapolate this to the national level. Methods A prospective study was performed to compute the burden of road traffic accidents by quantification of disability-adjusted life years (DALYs) using the Global Burden of Disease Study method on the basis of 1-year data from nine hospitals in Nepal and the Department of Forensic Medicine and cross-checked with the Nepal Traffic Directorate. Multiple methods were applied to the extrapolated population metrics of the burden of road traffic accidents in Nepal. Results The total number of years of life lived in disability, years of life lost, and DALYs in Nepal were 38,848±194, 119,935±1464, and 158,783±1658 (95% confidence interval) respectively. The number of years lost because of morbidity and death was similar in Kathmandu Valley. Most (75%) of the DALYs resulted from years of life lost in Nepal. Males accounted for 73% of DALYs. Almost half (44%) of the DALYs were contributed by the group aged 15–29 years. Conclusion This study is the first to calculate the burden of road traffic accidents in Nepal using Nepal’s own data. Nepal needs to develop and enhance its own system to identify significant public health issues so as to set national priorities for prevention of road traffic accidents.

Global burden of road traffic accidents in older adults: A systematic review and meta-regression analysis

Purpose of the studyThis study aims to estimate the burden of road traffic accidents and death among older adults. Design and methodsA systematic literature review was conducted on 10 electronic databases for articles describing Road Traffic Accident(RTA) mortality in older adults until September 2016. A random-effects meta-regression analyses was conducted to estimate the pooled rates of road traffic accidents and death. ResultsA total 5018 studies were identified and 23 studies were included. Most of the reported older adults were aged between 60 and 74 years, with majority being male gender and sustained minor trauma due to Motor-Vehicle Collision (MVC). The overall pooled mortality rate was 14% (95% Confidence Interval, CI: 11%, 16%), with higher mortality rates in studies conducted in North America (15%, 95% CI: 12%, 18%) and older adults admitted to trauma centers (17%, 95% CI: 14%, 21%). Secondary analysis showed that the very elderly adults (aged >75years) and pedestrians had higher odds of mortality death (Odds Ratio, OR: 2.05, 95% CI: 1.25, 3.38; OR: 2.08, 95% CI: 1.63, 2.66, respectively). ImplicationA new comprehensive trauma management guidelines tailored to older adults should be established in low and middle-income countries where such guidelines are still lacking.

Study on risk factors of road traffic accident victims attending a tertiary care hospital at Tirupati

Background: Road traffic accidents stand as one of the leading causes of mortality and morbidity across the globe. Increase in the number of motor vehicles, poor enforcement of traffic safety regulations, inadequacy of health infrastructure, and poor transport facilities makes the situation still worse. The objective of the study is to know the role of victims and various risk factors related to RTA. To determine the association of risk factors with type of injury and to know the pre-existing medical disorders in RTA victims.Methods: A hospital based, cross sectional study with victims of road traffic accidents admitted in S.V.R.R. Government General Hospital, Tirupati, as study subjects was done during June 2013 to May 2014 for one year where 820 victims of road traffic accidents were interviewed after taking prior consent using a predesigned questionnaire.Results: Most of the victims were drivers (48.5%) followed by passengers (31.7%) and pedestrian (19.8%). No two wheeler driver was wearing helmet. 74% of the four wheeler occupants were not using seat belts. Among drivers and pedestrians, 29.2% were under the influence of alcohol and 12.7% were listening to music. 55.8% of the passengers felt that their vehicle was going with over speed. 17.1% & 11.0% of the participants had history of hypertension and diabetes.Conclusions: There is a need to develop integrated surveillance system to identify the road traffic injury burden and the causal/risk factors. Enforcement of stringent road traffic laws to bring down the burden of road traffic accidents.

The Global Burden of Disease: A critical resource for informed policy making in the Gulf region

The Gulf countries have made tremendous improvements in their health systems in a short period of time due to extensive investments. However, during the same time period, rapid changes in lifestyle habits led to a changing burden of disease. In this manuscript, we report the burden of disease and risk factors for the Gulf countries (Bahrain, Kuwait, Oman, Qatar, Kingdom of Saudi Arabia, United Arab Emirates, and Yemen) measured by causes of death, years of life lost due to premature mortality (YLLs), years of life lived with disability (YLDs), and disability-adjusted life years (DALYs) for the years 1990 to 2013. Our findings showed a decline of infectious diseases and a rising burden of road traffic accidents and non-communicable diseases while Yemen is still facing a large burden from communicable diseases. Our findings call for the development and implementation of programmes to reduce these burdens and engage other sectors such as the Government and the community in these efforts. These programmes need to be developed and adopted locally since many of the programmes found in the literature may not succeed in the region. Moreover, there is an urgent need for a political will and legislations to ensure their success.

Epidemiology of patients admitted to a major trauma centre in northern India

ObjectiveTrauma in India is an increasingly significant problem, particularly in light of rapid development and increasing motorization. Social changes are resulting in alterations in the epidemiology of trauma. The aim of the study was to assess the various epidemiological parameters that influence the cause of injury in the patients admitted to a major trauma centre in northern India. MethodsAn observational study of 748 patients chosen by random assortment was carried out over a period of 1 year (August 2008 to July 2009). Age, sex, injury type and pattern were noted. Injury mode of upper and lower limbs was also noted. ResultsInjuries occur predominately in the age group of 15-30 years. Males incurred more injury with male to female ratio of 6:1. The most vulnerable group was motorcycle users. Among the injured, farmers were the most commonly involved. Blunt injuries (94.92%) were much more common than penetrating injuries. Among patients with head injury, two wheelers related accidents were the most common (40.3%). Most spinal cord injuries were caused by falls from height (51.09%). Most lower limb fractures were simple type. Compound fractures of the lower limb were more common than upper limb fractures. ConclusionStrict enforcement of traffic rules, combined with improved infrastructure and behavior change can decrease the burden of road traffic accidents in India and other developing countries. This study could assist in raising the profile of road traffic accidents as a public health problem which needs to be addressed as a preventable cause of mortality and morbidity, and planning appropriate interventions for this major challenge. Preventive strategies should be made on the basis of these epidemiological trends.

Global plan for the decade of action for road safety: Expectations from developing nations

Globally, 1.24 million people die every year because of road traffic accidents (RTAs) and almost 20-50 million people sustain non-fatal injuries. Realizing the magnitude and the global distribution of the problem, the current decade 2011-2020 has been proclaimed as the Decade of Action for road safety, with a target of first stabilizing and then decreasing the estimated magnitude of morbidity and mortality by intensifying the global efforts on national and international platform. The primary step is to develop a surveillance network for data collection to identify the causative factors and estimate the accurate magnitude of RTA so that rational policy can be planned for achieving the best possible allocation of limited resources, especially in developing countries. Other measures such as creating public awareness; strict enforcement of road safety legislations; establishing prompt and good quality post-crash response; and establishing monitoring and evaluation system to assess the outcome of implemented measures can be strategically implemented to counter the burden of road traffic accidents.