1. ROAD TRAFFIC ACCIDENTS & SAFETY DR.WAQAR ALI 1

2. FACTS 2

3. K EY FACTS  1 2 3  Road traffic WHO 2008 1.3 Malaria WHO 2008  <1 Tuberculosis WHO 2008 1.8 AIDS-related deaths UNAIDS 2008 Number of deaths (millions) 1.3 Nearly 1.3 million deaths Nearly 1.3 million deaths 20-50 million injured 20-50 million injured  3

4. C ONTINUE.. 3, 500 killed daily, one very six seconds. Without concerted action, the annual toll is forecast to rise to 1.9 million. You or someone you love could be the next victim. Most of these deaths are preventable. 3500 deaths each day—and more than half of these people are not travelling in a car. 4

5. C ONTINUE.. Twenty to fifty million more people sustain non-fatal injuries from a collision, and these injuries are an important cause of disability worldwide. Aside from road traffic injuries, increases in motorization have had a number of other negative consequences on human health and on the global environment. 5

6. K EY FACTS The leading cause of death of young people aged 15-29 years 6

7. R OAD TRAFFIC DEATHS 48% of road traffic deaths are pedestrians, cyclists and motorcyclists 48% Pedestrian, cyclists and motorized two-wheels riders and passengers 6% Others 46% Car occupants 7

8. Population Road traffic deaths Registered vehicles Deaths vs vehicle ownership 90% OF ROAD TRAFFIC DEATHS AND INJURIES OCCUR IN LOW - INCOME AND MIDDLE - INCOME COUNTRIES WHICH HAVE ONLY 48% OF THE WORLD ' S REGISTERED VEHICLES 8

9. Regional perspective Road traffic injury fatality rates* per 100 000 population, by WHO region and income group 9

10. W ORSENING SITUATION RankDisease or Injury 1Ischaemic heart disease 2Cerebrovascular disease 3Lower respiratory infections 4Chronic obstructive pulmonary disease 5Diarrhoeal diseases 6HIV/AIDS 7Tuberculosis 8Trachea, bronchus, lung cancer 9Road traffic injuries 10Prematurity & low-birth weight RankDisease or Injury 1Ischaemic heart disease 2Cerebrovascular disease 3Chronic obstructive pulmonary disease 4Lower respiratory infections 5Road traffic injuries 6Trachea, bronchus, lung cancer 7Diabetes mellitus 8Hypertensive heart disease 9Stomach cancer 10HIV/AIDS 20042030 Top 10 leading causes of death 10

11. The Decade of Action 11

12. The overall goal of the Decade is to stabilize and then reduce the forecast level of road traffic fatalities around the world by 2020 T HE G OAL 12

13. The Plan 13

14. P ILLARS OF THE P LAN P ILLARS OF THE P LAN Road safety management Safer roads and mobility Safer vehicles Safer road users Post –crash response 14

15. R OAD SAFETY MANAGEMENT  Strengthen institutional capacity  Put in practice United Nations road safety conventions  Develop a national road safety strategy  Set realistic and long-term targets  Develop data systems Road safety management Safer roads and mobility Safer vehicles Safer road users Post –crash response 15

16. S AFER ROADS AND MOBILITY  Improve safety-conscious planning, design, construction and operation of roads  Assess regularly safety of roads  Explore various forms of transport and safe infrastructure Road safety management Safer roads and mobility Safer vehicles Safer road users Post –crash response 16

17. S AFER VEHICLES  Harmonize global standards  Implement new car assessment programmes  Equip all new cars with minimum safety features  Promote use of crash avoidance technologies  Encourage managers of fleets to purchase, operate and maintain safe vehicles Road safety management Safer roads and mobility Safer vehicles Safer road users Post –crash response 17

18. S AFER ROAD USERS  Adopt model road safety legislations  Sustain or increase enforcement  Promote public awareness of risk factors  Call for activities to reduce work-related road traffic injuries  Establish graduated driver licensing programmes for novice drivers Road safety management Safer roads and mobility Safer vehicles Safer road users Post –crash response 18

19. P OST - CRASH RESPONSE  Develop pre-hospital care systems  Put in place single nationwide emergency telephone number  Provide early rehabilitation and support to injured patients and those bereaved by road traffic crashes  Establish insurance schemes  Investigate crashes and provide legal response Road safety management Safer roads and mobility Safer vehicles Safer road users Post–crash response 19

20. GOODPractices 20

21. S EAT - BELTS AND AIRBAGS Only 57% of countries require seat-belts (front & rear)! Wearing a seat-belt reduces the risk of death among front-seat passengers by 40−65% and among rear-seat occupants by 25−75%. 21

22. M OTORCYCLE HELMETS Wearing a good quality motorcycle helmet can reduce the risk of death by ± 40% and severe head injury by >70%. Only 40% of countries have a comprehensive law and standards! 22

23. C HILD RESTRAINTS Infant seats, child seats and booster seats can reduce deaths of infants by ±70% and deaths of small children by between 54%–80% in the event of a crash. Less than 50% of countries have a child restraint law! 23

24. S PEED REDUCTION Urban speed limits should not exceed 50 km/h and local authorities should be able to reduce speeds where necessary. Only 29% of countries have such laws! 24

25. The Launch 11 M AY 2011 25

26. YOURContribution 26

27. Everybody's Decade PrivateCompanies NongovernmentalOrganizations Policy-Makers Victimsand Victims andSurvivors YoungPeople Media InternationalOrganizations A CULTURE OF SAFETY 27

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30. P AKISTAN R OAD S AFETY I SSUES 1. Institutional Issue Lack of coordination, cooperation, collaboration among safety stakeholders is identified as leading barrier for institutional capacity building. Currently there is no formal coordination and data sharing among agencies on road safety. Insufficient allocation of financial and human resources to road safety program. 30

31. Unavailability of trained Traffic Operation Engineers and Road Safety Auditors. Lack of training and educational opportunities to road safety professional. This is the first step in building the institutional capacity for road safety. 31

32. 2.R OAD U SERS I SSUES Law for helmet usage is present but its compliance is low. Based on interview of some young motorcyclists, it was learnt that warm weather and view restriction are among the reason for low compliance of helmet use. Motorist generally do not wear seat belt. There is currently no legislation mandating it. Motorway police and Islamabad traffic police has started awareness campaigns related to seat belt. Most of the vehicles plying on road are old and not equipped with the seat belts. 32

33. Use of cell phone while driving, walking and even motor-biking is increasing day by day. No government school has adopted road safety in their curriculum. However few privately managed school have included safety education in curriculam. 33

34. 3.P UBLIC T RANSPORTATIONS I SSUES Upto 20 years old buses are plying on our roadway. Shortage of public transportation is causing overloading of Public vehicles. Lack of government run public transportation has resulted into many small transportation companies and those are difficult to regulate. 34

35. R OAD I NFRASTRUCTURE I SSUES There is no policy on U-Turns. The illegal U-Turns made by the business owners are causing road crashes. Underpass chocked during rain making them unusable. Parking spaces are not available in the major cities, leading to congestion and road crashes due to unauthorized parked vehicles. 35

36. 4.V EHICLE S AFETY I SSUES The overloading of the trucks, which are not designed for that amount of load, cause severe damage to roads resulting in rutting of roads and creates safety problems. Illegal High intensity lights are being used by the drivers, which are a cause of glare and crashes during night time. Although fog lights are available in some of the new vehicles, drivers are not aware of their proper use and crashes which can be avoided, happen. 36

37. 5.L EGISLATION /R EGULATION I SSUES Most of the drivers who are involved in serious road crashes escape criminal and civil penalties. Crash victims and their relatives are generally not aware of their legal rights/compensation. 6.Hospital/Emergency Response Issues 37 State of the art trauma centers are generally not available in Pakistan. Growing congestion in urban area causes delay in patient transportation to hospital.

38. TARGETED AREAS Priority targeted areas for road safety in Pakistan are:- 1. Institutional capacity building 2. Development of National Road Safety Databank 3. Motorcycle Safety 4. Pedestrian/Bike safety 5. Roadside design 6. Road safety Audits 7. Pre-hospital care 8. Training and education of commercial drivers 9. Development of National Road Safety Fund 38

39. C ONCLUSION In order to combat the problem, there is a need for close coordination and collaboration, using a holistic and integrated approach, across many sectors and many disciplines. National Road Safety Secretariat structure be extended up to district level to achieve road safety objectives at grass root level. 39