bloomberg global road safety program november 10, 2013 1
TRANSCRIPT
ROAD TRAFFIC INJURIES
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RANK 2010 2030
1 Heart Attack Heart Attack
2 Stroke Stroke
3 Chronic Lower Respiratory Disease
Chronic Lower Respiratory Disease
4 Lower Respiratory Infections
Lower Respiratory Infections
5 Trachea, Bronchus, Lung Cancers Road Traffic Injuries
6 HIV/AIDS Trachea, Bronchus, Lung Cancers
7 Diarrheal Diseases Diabetes
8 Road Traffic Injuries Hypertensive Heart Disease
9 Diabetes Stomach Cancer
10 Tuberculosis HIV/AIDS
cause 1.24 million deaths worldwide every year
Without intervention, Road Traffic Injuries will become the 5th leading cause of death globally by 2030
ROAD TRAFFIC INJURIES
FOCUS AND INTERVENTIONS
MEXICO
BRAZIL
TURKEY
EGYPT
KENYACAMBODIA
VIETNAM
CHINA
RUSSIAN FEDERATION
1.Helmets
2.Seat-Belts
3.Drinking & Driving Prevention
4.Speed Reduction
5.Infrastructure Improvements
6.Sustainable Urban Transport
INDIA
10 FOCUS COUNTRIES:
ACCOUNT FOR MORE THAN HALF OF ROAD
TRAFFIC DEATHS ANNUALLY
6 PROVEN INTERVENTIONS:
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BLOOMBERG GLOBAL ROAD SAFETY PROGRAM Countries and Interventions
Helmets Speed Seat-belts Drinking
and Driving Infrastructure Sustainable Urban Transport
Brazil Cambodia
China Egypt India Kenya
Mexico Russia Turkey
Vietnam
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BLOOMBERG GLOBAL ROAD SAFETY PROGRAMSTRATEGIES AND PARTNERS
World Health Organization
World Resources Institute/EMBARQ
Johns Hopkins Bloomberg School of Public Health
Global Road Safety Partnership
World Bank Global Road Safety Facility
Association for Safe International Road Travel
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BLOOMBERG GLOBAL ROAD SAFETY PROGRAMSTRATEGIES AND PARTNER ROLES
Interventions Program Initiatives Partner Organizations
Surveillance & Evaluation
• Policy level• Measurement of fatalities and injuries
• WHO• Hopkins
Environment • Reducing road crashes through transport and land-use policies
• Incorporating safety into road design
• EMBARQ• World Bank Global Road Safety Facility
Road Safety Behavior
• Legislation and best practices: helmets, speed, drinking and driving, seat-belt and child restraints
• Training and compliance
• WHO, GRSP, ASIRT
• WHO, GRSP
Post-Crash Care • Pilot program to show feasibility of delivering effective post-crash care
• Hopkins
Optimizing Interventions
• Public education/mass media• Training of public health professionals
• ASIRT, WHO, GRSP, EMBARQ
• Hopkins
NGO Development • Capacity building • ASIRT, GRSP, WHO
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BLOOMBERG GLOBAL ROAD SAFETY PROGRAM
Inputs Outcomes
Training Paid/Earned Media Capacity Reviews Road Safety Audits Legislative Review Political Economy ±
Improved legislation/regulation Improved enforcement/complianceIncreased seatbelt, helmet, child seatReduced drunk driving and speeding Improved, safer infrastructure Improved trauma care
AdvocacyMeasurement and Evaluation
Goal: Reduction in serious traffic injuries and traffic-related mortality
STATUS OF NATIONAL LEGISLATION2009
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Country
Drinking and Driving Helmets Seat-belts Speed
National Legislation Enforcement National
Legislation Enforcement National Legislation Enforcement National
Legislation Enforcement
Brazil Good Fair Fair Fair
Cambodia Poor Poor Poor Poor
China* Good Good Good Good
Egypt Poor Fair Fair Fair
India Fair Poor Poor Poor Set
subnationally
NA
Kenya Poor Poor Fair Poor
Mexico Fair Poor Good Poor
Russia Good Fair Poor Fair
Turkey* Good Good Good Good
Vietnam Fair Poor Source: GSRRS 2009Reported for Bloomberg Intervention Focus Areas Only
* Official government reports of legislation status for China and Turkey may not reflect on-the-ground reality.
STATUS OF NATIONAL LEGISLATIONNOVEMBER 2013
9Source: GSRRS 2009 & 2013 and RS10 updates November 2013
CountryDrinking and Driving Helmets Seat-belts Speed
National Legislation Enforcement National
Legislation Enforcement National Legislation Enforcement National
Legislation Enforcement
Brazil Good Fair Good Fair
Cambodia Fair Poor Fair Poor
China Good Good Good Fair
Egypt Fair Fair Fair Fair
India Fair Poor Fair Poor Set sub-nationally NA
Kenya Good Poor Fair Poor
Mexico Fair Fair Good Fair
Russia Good Fair Poor Fair
Turkey Fair Good Good Good
Vietnam Good Poor Good Good
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SPEED REDUCTION
Brazil, China, Egypt, Kenya, Russia, Turkey
Brazil –National law allows speed camera installation without public announcement
China –Speeding in Dalian from 32% (2011) to 9% (2012)
Egypt –Police installed 24 speed cameras along the Cairo Ring Road
Russia –Speeding reduced in Lipetsk from 47% (2011) to 26% (2013) & in Ivanovo 55% (2011) to 40% (2013)
Turkey –Local decrees mandating all drivers obey speed limits in Afyon and Ankara; reduction in Afyon from 43% to 29% (2012)
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DRINKING AND DRIVING
Brazil, Cambodia, China, India, Mexico, Vietnam
Brazil –Advocating for new national zero tolerance law
Cambodia –Phnom Penh from 10% (2011) to nearly 0% (2012)
China –Criminalized drinking & driving; passage of a National zero tolerance law
India –Significant police enforcement in Hyderabad; earned media
Mexico –New law in Guadalajara in 2010 reduced legal BAC from .15% to .05%.
Vietnam –Ninh Binh from 23% (2010) to 8% (2011)
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SEAT-BELT USE
Egypt, Mexico, Russia, Turkey
Egypt –awareness raising
Mexico –Guadalajara progress: prevalence 41% (2010) to 51.2% (2013)
Russia –Ivanovo progress: prevalence 48% (2011) to 90 % (2013) –Lipetsk progress: prevalence 52% (2010) to 74% (2013)
Turkey –Local decrees by governors of Afyon and Ankara Afyon prevalence 4% (2012) to 73% (2013)
HELMET USE
Cambodia, India, Kenya, VietnamCambodia –Phnom Penh increased from 32% (2010) to 57% (2013) &
Kandal 18% (2010) to 45% (2013)
India –Completed political mapping on helmet use in Hyderabad
Kenya –International standards adopted by Kenya Bureau of Standards
Vietnam –National level 40% pre-law in 2007 to 90% today; loop holes addressed
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SOCIAL MARKETING CAMPAIGNS & ENFORCEMENT IN RUSSIA
• INCREASED SEAT-BELT USE IN IVANOVO AND LIPETSK, RUSSIA
• SOCIAL MARKETING + ENFORCEMENT
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CHALLENGES
• Minimal civil society capacity• Lack of access to decision makers / politicians• Ministry of Health often not best entry point• Ineffective social marketing campaigns• Low road safety capacity at country level• Police commitment to enforce• Lack of access and poor quality surveillance data –
hospital and police
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