1. 2013. 10. 29

2.  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

3.  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

4. 2002200320042005200620072008200920102011 Cancer 131.3132.4134.2135.3135.8139.1141.4142.5146.6145 Cardiovascular 127.4124.2119.9115.6114.7117.2112.3109.2112.5113.5 Respiratory 34.429.929.2 29.130.332.434.337.139.8 Road traffic accident 19.11917.116.315.915.514.714.413.712.6 Suicide 17.922.623.724.721.824.8263131.231.7 Major cause of death in Korea by year (per 100,000 population) 2013 Cause of death statistics, National statistics office

5.  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 7- 2013, Road Traffic Accident Statistics in Korea, National Policy Agency

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

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

10. 2013, KCDC

11.  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

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

13. ROAD SAFETY Category Cost (US$)% Total 11,516,126100.0 Personal Damage 3,007,90926.1 Property Damage 7,602,44566.0 Social Mechanism 905,7727.9 1.0% 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)

14.  Ministry of Land (2011)  The 7 th National Traffic Safety Master Plan for 2012 - 2016 ROAD SAFETY

15.  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

16.  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

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

18.  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

19.  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.

20.  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)

21.  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

22.  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

23. 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

24.  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

25. ROAD SAFETY