 Population : 50,948,272  GDP : US$ 1,163 billion  US$ 30,254 per capita  Member of OECD since 1996  Rapidly aging  In 2000, >7% elderly population (>65 years) of population  In 2012, this rate grows to 11.8%  Total road length: 105,705km

 Regulation related to road safety  Maximum limits urban roads : 80km/h  Unmanned speed camera!!  Speed and traffic signal  BAC(Blood alcohol concentration) limits : 0.05(g/dl)  motorcycle helmet law : applies to all drivers and passengers  Seat-belt law : applies to all occupants – just driveway (not all road)  Child restraint law : applies to child under 6

Cancer Cardiovascular Respiratory Road traffic accident Suicide Major cause of death in Korea by year (per 100,000 population) 2013 Cause of death statistics, National statistics office

 Road traffic Deaths  The 9 th cause of death in 2012 (vs. 6 th in 2001)  Total victims of road traffic accident : 349,894 persons in 2012 CategoryFatalNon-Fatal Total 5, 329 (1.5%)344,565 (98.5%) Male 3,961 (1.8%)211,350 (98.2%) Female 1,424 (1.1%)123,215(98.9%) Unknown , Road Traffic Accident Statistics in Korea, National Policy Agency

 Deaths by User Catergory ROAD SAFETY 2012, Traffic Accidents Statistics Analysis, Road Traffic Authority

 Trend in Road Traffic Death related with Over-speed or Drinking Driving 2013, Road Traffic Accident Statistics in Korea, National Policy Agency

2013, KCDC

 Seat-belt Wearing Rate by Driver(2012) 2013, Road Traffic Accident Statistics in Korea, National Policy Agency 2011, Korea Health Statistics, Korea Centers for Disease Control & Prevention

 Protection equipment wearing rate 2013, Actual Conditions Survey Report of Traffic Culture, Traffic Safety Authority

ROAD SAFETY Category Cost (US$)% Total 11,516, Personal Damage 3,007, Property Damage 7,602, Social Mechanism 905, % of estimated GDP lost due to road traffic crashes 6.1% of estimated national budget lost due to road traffic crashes Socioeconomic burden of road traffic accident (2011)

 Ministry of Land (2011)  The 7 th National Traffic Safety Master Plan for ROAD SAFETY

 Pedestrian Protection  Enhanced crosswalk lighting system  e.g., LED(light-emitting diode)  Safe pedestrian walkway  Cycle time adjustment of traffic signal for the  weak in traffic (children, the aged) : 0.8m/s by walk  Zone30  local roads in residential and school areas, limit the speed to be less than 30km/h

 Improvement Road Condition  Increase in retroreflectivity of Road Markings from current standards for the visibility in rainy day or at night  (present: 130 mcd/m2Lux, cf. US: 250 mcd/m2Lux)  Location adjustment of traffic light on crossroad  Improvement & expansion of road safety inspection system and safety guards

 Ministry of Health and Welfare  - Health Plan 2020 ROAD SAFETY

 Trauma care system  Prehospital  Field triage by EMT : documentation for severe injury  Fast and professional transport : Doctor heli  Hospital  Specialized hospital care : trauma center  Community  Injury surveillance for QI and monitor ROAD SAFETY

 Field triage system by EMT  Modified the CDC field triage scheme  If the patient is suspected of getting severe injuries by this scheme, EMT have to transport to proper hospital within 10 min by protocol  If ground transportation will be expected to take over 10 minute, EMT can request the helicopter.

 Immediate EMS transportation system  Doctor Heli  Boarded by doctor and nurse(or EMT) with emergency medical rescue equipment  Enables the medical team to begin its emergency treatment on-site and during the transportation to a nearby medical facility  4 helicopters (Incheon, Jeounnam, Gangwon, Gyeongbuk)

 Trauma Center  Provide immediate medical care for MAJOR TRAUMA PATIENTS at any time  Comprehensive full capacity trauma centers  17 centers designated as a level 1 trauma centers  Establish 60 beds(20 intensive care, 40 general) and 2 operating rooms by centers  Goal : 24/7 surgery and care for trauma patients

 Injury surveillance system(KCDC is leading) 1. Korean National Hospital Discharge Survey  Survey of injury for sampled 9% discharge patients from 170 sample hospitals 2. ED-Based Injury in-depth surveillance  Survey of injury type and risk factors for all the injury patients visiting 20 hospitals

1. EMS-assessed severs casualty incidents  The survey of patient with abnormal field RTS  It contains outcome of these patients including disability by medical record review.  Pan-Asian Trauma Outcome Study (PATOS)  an international registry program for trauma  It has begun with participation of several Asian country, Korea, Singapore, Japan, Taiwan and so on.  PATOS will be an useful program of development the agenda for injury prevention and trauma care improvement.  In aspect of road traffic accident, PATOS will be an important role to make an international collaboration

 Setup of National Injury Surveillance System  Setup of the Road Traffic Injury Monitoring system and Continuous Monitoring – evaluation of intervention  Integration of Injury Surveillance System  Action of Preventable Program  Host-Agent-Environment  Pre-Event-Post  Legislation enforcement  Education and advocacy  Safe walk and driving  First aid for trauma patient : call 119, keep safety

ROAD SAFETY