Confronting “Death on Wheels”
Making Roads Safe in Europe and
Establishing multisectoral partnerships to address a silent epidemic
World Bank Report No. 51667-ECA - 2009
Europe and Central
Available online PDF [114p.] at: http://bit.ly/bRtpgw
“……A combination of weak road safety management capacity, deteriorated roads, unsafe vehicles, poor driver behavior, and patchy enforcement of road safety laws, alongside exponential growth in the number of vehicles, have contributed to road traffic injuries and fatalities multiplying at a rapid pace.
This report provides an overview of the challenges and opportunities in addressing road safety in the ECA Region. It presents information on the size, characteristics, and causes of the problem; presents evidence on the effectiveness of measures that countries world-wide have adopted to improve road safety; briefly describes current international road safety policy; and discusses a range of strategies and actions that could be undertaken by the World Bank in coordination and partnership with the World Health Organization (WHO), multilateral development banks, other international agencies and donors, as well as with private and civil society institutions…..”
TABLE OF CONTENTS
Executive Summary
1. Negative transport-related environmental and health impacts
2. What is a road traffic injury (RTI)?
3. RTIs risks from increasing motorization in LMICs
4. The broad potential benefits of road safety policies
5. Road safety: The way forward
6. Report objectives
Chapter II. The Epidemic of Road Traffic Injuries
Chapter III. Interventions and Results: What Is the Evidence?
1. Engineering measures that improve road design and make roads safer
2. Vehicle design and safety equipment
3. Education, laws and enforcement
4. Traffic management and reducing risk exposure to RTIs
5. Private sector role and practices to support road safety efforts
6. Cost-effectiveness of selected interventions and financial gains to society
7. How to finance road safety efforts?
8. Country experiences: Selected international good practices
9. Country-level responses in ECA
Chapter IV. The Role of Health Systems in Preventing RTIs and Helping Victims
1. Public health actions
2. The role of primary care services in RTIs prevention
3. Emergency medical care systems to deal with crash victims
4. The importance of blood transfusion services in dealing with RTIs
5. Rehabilitation services
6. Good practices in organizing emergency medical services
Chapter V. Road Safety Approaches and Policies
Chapter VI. World Bank Support for Road Safety Improvements in ECA and in other Regions
Chapter VII. Priorities for Intersectoral Work on Road Safety in ECA
Chapter VIII. The Task Ahead: Operationalizing an Effective Response in ECA
Epilogue
Annexes: The Response in ECA – Selected Indicators by Country
References
This report was prepared by Patricio Marquez, Lead Health Specialist, Human Development Department (ECSHD), George Banjo, Senior Transport Specialist, Elena Chesheva, Transport Operations Officer, and Stephen Muzira, Young Professional, Sustainable Development Department (ECSSD),
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