2. Emergency Capacity Building Project Safety, Security & Civil/Military Relations

3. “The Silent Disaster”

4. Road Safety in the New Millennium As the world develops, the way people travel and communicate changes accordingly… ? Hi,Venus You look familiar

5. …The Global Policy on Road Safety will also change accordingly Policy A plan of action, statement of ideas, etc, proposed or adopted by a government, political party, business, social group, individual, etc LawRules Regulations Plan of Action

6. Reality and Positive Change Policy should based on reality and for positive change

7. Introduction  WHO was founded in 1946.  World Health Day is organized by WHO annually on 7 April.  Focus on one health issue: It promotes awareness, understanding, discussion and debate about the issue and it mobilizes action to address the issue through prevention and treatment.

8.  Every one form different sectors, age and societies can contribute to the World Health Day  This year it focus on road traffic injuries and measures to prevent them.  The slogan for the day is “Road Safety is No Accident”  It does not happen accidentally, but requires deliberate effort by government and its many partners

9. The World First Death by Motor Vehicle  In 17 August 1896, Bridget Driscoll, age 44 years old a mother of two children struck by a car while crossing a road to see a dance performance at Crystal Palace in London  “The car was going at tremendous speed” – 8 Miles /hr (12 Km / hr)  A young men was driving, to demonstrate new invention and may be to impress female passenger.  “This must never happen again”

10. What Has Happened Since?  Road users  Cars, vans, buses, lorries, motorcycles, mopeds  Motorized two and three wheelers  Non motorized types : Bicycle, roller boards, locally made trawlers for venders  High income countries: 1 car = 3 persons  Indonesia: 1 Vehicle = 8 persons

11. Trends in road crashes and injuries  In 2002, road crashes killed 1.8 Million people.  Indonesia contributed 9,762 deaths in 2002  5 Millions were disabled for life.  If the trend continues, more 60% deaths by 2020  Will become # 3 to the leading contributors to the global burden of disease and injuries  How about “Healthy Indonesia 2010”? and Millennium Development Goals by 2015?  It ranks # 4 in productive age groups of 15 to 40 years

12. Top 10 Leading Contributors to the Global Burden of Diseases Disease or injury 1990Disease or injury 2020 1Lower respiratory infection1Ischemic heart disease 2Diarrhoeal diseases2Unipolar major depression 3Perinatal conditions3Road traffic injuries 4Unipolar major depression4Cerebrovascular disease 5Ischemic heart disease5Chronic obstructive pulmonary disease 6Cerebrovascular disease6Lower respiratory infection 7Tuberculosis7 8Measles8War 9Road traffic injuries9Diarrhoeal diseases 10Congenital abnormalities10HIV

13. Road Traffic Injury Mortality Rate  Global rate: 19.0 per 100,000 people  High income countries: 12.6  Europe: 11.0  UK: 5.4  Low and middle income countries: 20.2 (Contributes 90 %)  Africa and Eastern Mediterranean Region: 26.3 to 28.3  Indonesia, in 2002 : 4.1 (???)

14. Road Users Most Likely to be Injured and Sufferers  Pedestrians  Raiders of bicycles, motorcycles and mopeds  Male  Older people  Children especially poor ones  Disables  Net work of relatives and friends, neighbors, employers, colleagues, teachers, classmates, etc.

15. Cause and Type of Injuries  Type of vehicles: Motorcycles and cars  Indonesia: Motorcycle = 47 %  Type of causes: Human  Indonesia: Human = 90 %  Type of injury: Head upper limbs and below knees  Indonesia: Head = 30 %, Limbs = 31 %

16.  Global: Annual estimated cost, approximately US$ 520 Billion, 2 % of Gross National Product (GNP).  Only 25 to 35 Million US$ goes to health related road safety research and development.  Lower and middle in-come countries: US$ 65 Billion, 2 % of GNP.  More than developing countires receive in developing aids.  Burden is mainly on victim and families.  Indonesia: 45 Billion Rp, an average medical cost for one person is around 800 US$ in 2003  If one invest in road safety, the financial return rages from 9% to 22 %. per year.

17. Other Side Affects  Air and noise pollution  Physical and mental fitness  Economy of family and nation

18. Road Traffic Injuries as a Public Health Problem Public Health Injury surveillance Research Prevention and control Evaluation Policy Service Advocacy

19. Road Crashes and injuries Driver Passengers Manufacturer traders Special situation Road bridges Law enforcement Traffic Policies, rules Vehicle Public service planning EP&R National Coordination Body, Gov, Donors, Int: Org, NGOs Insurance Edui cation First aid Ambulance Health facilities Family friends Media Post Hospital care Safe community NGOs

20. Development of Road / Traffic Safety Policies Involves a wide rage of participants representing diverse group of interest Road injury Prevention policy Users / citizens Professionals NGOs & Special Interest groups Police Industry Gov: & Legislated bodies Media

21. Factors Pre-crashCrash Post crash

22. A System Approach  Identify problems  Formulate strategies  Set targets  Monitor performance

23.  In 1997, Sweden's parliament adopted Vision Zero, a bold new road safety policy on four principles. It serve as model for many countries. 1. Ethics: Human life and health are paramount 2. Responsibility: Users, providers & enforcers must share 3. Safety: Minimize human errors and harm done 4. Mechanisms for change: All parties concern should coordinate and change to improve safety

24. Road safety experts met in 2001 and developed 5 years WHO strategy for road injury prevention:  To build better systems for gathering and reporting data on road traffic injuries.  To make prevention of road traffic injuries a public health priority in all countries  To advocate for prevention and promote appropriate prevention strategies

25.  Human life is too valuable  A sudden lost to the family and friends  Road injuries are mostly cause by human eras  It is preventable  Has impact on health, environment & economy  Just need good coordination and change

26. I tried to change the world but I could not So I tried to change my country and I could not So I tried to change my family and I could not Then only I realized that: If I have changed myself first I could have changed my family And I could have changed my country And in the end, I could have changed the world

27. “Change is a normal process. Let us all change ourselves first and we all can change the system to serve the health needs of the people”

28. Super Thanks for Your Support!