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Addressing road injuries in Western Asia: A public health perspective. Adnan A. Hyder, MD MPH PhD International Injury Research Unit, Department of International Health, Johns Hopkins University, Bloomberg School of Public Health, USA.
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Addressing road injuries in Western Asia: A public health perspective Adnan A. Hyder, MD MPH PhD International Injury Research Unit, Department of International Health, Johns Hopkins University, Bloomberg School of Public Health, USA
Road traffic injury improvements in the 20th Century in high income countries: A Public Health Success Story!
Speed control Roadway designs MV safety standards Visibility Seat belt use Car seat use Drinking and driving Helmets What accounts such a decline in RTI fatalities?
Interventions for RTI: Newly recognized needs… Traffic injuries – what works? Visibility Aids Helmets for Kids
Evidence based interventions for further consideration • Child safety seat laws with distribution and education programs • Primary seat belt laws with active enforcement • Graduated driver’s licensing programs • Sobriety checkpoints, minimum drinking age laws, .08 BAC legislation
Cost Effective Interventions Exist (Bishai and Hyder, 2006)
How did these changes occur? • Comprehensive, multi-disciplinary approaches • Government leadership • Sustained commitment to research • Advocacy and public support IOM, 1999; MMWR, 1999
The Focus of Road Safety… On protecting people On the pursuit of “efficiency” and “effectiveness” Such a systems approach will deliver interventions which provide the largest reduction of injuries and deaths
Recommendations World Report 2004: • Identify a lead agency in government to guide the national road traffic safety effort. • Assess the problem, policies and institutional settings. • Prepare a national road safety strategy and plan of action. • Allocate financial and human resources to address the problem. • Implement specific actions to prevent crashes, minimize injuries and their consequences and evaluate the impact of these actions. • Support the development of national capacity and international cooperation.
A Systems-Based Public Health Approach To Road Injury Prevention Results Interventions Institutional Base
Such crashes are unacceptable in Western Asia in the 21st Century
Thank you! Dr. Adnan Hyder (ahyder@jhsph.edu) International Injury Research Unit www.jhsph.edu/IIRU