Etiology and Epidemiology of VA

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    When faced with the threat of impact, a driver usually maneuvers his vehicle away to avoid

    collision. This happens when a driver is not paying attention to the road, or unable to suddenly

    stop his car

    10.Bad OvertakingOvertaking is the act of driving around another slower vehicle to get ahead of it. Collisions can

    occur when drivers miscalculate the distance and speed of oncoming vehicles.

    Epidemiology

    Around the world, someone gets killed or seriously hurt on the road every 6 secondsthat

    translates to about 1.3 million road deaths each year. Often, the victims are the young, the poor, and

    the vulnerable

    In the Global Status Report on Road Safety 2009 published by the World Health Organization, the

    Philippines was ranked 70th out of a total 178 countries.

    Traffic deaths in the Philippines were pegged at a rate of 20 people per 100,000 population. Thecountry recorded 1,185 traffic deaths for year 2009. Neighboring ASEAN countries Thailand and Laos are

    behind the Philippines at ranks 73 and 79, with deaths per 100,000 population at 19.6 and 18.3

    respectively.

    The status report also reveals that 90 percent of the worlds road fatalities happen in low -

    income and middle-income countries, and such countries only amount to 48 percent of registered

    vehicles around the world. Among the fatalities, common are pedestrians, users of two-wheeled

    vehicles like bicycles or motorcycles. The WHO also predicts that road traffic injuries will rise in the ranks

    of leading causes of deaths worldwide.

    In the Philippines, vehicular accidents occur on a daily basis and vary in severity. In unfortunatecases, road accidents lead to fatalities. The Department of Health (DOH) conducted a report about the

    status of vehicular accidents nowadays. The report revealed that a total of 3,077 vehicular accident-

    related injuries were reported for the first quarter of 2010 by its National Electronic Injury Surveillance

    System (NEISS).

    The NEISS report said that there were 9,521 injury cases reported in 77 government and private

    hospitals. Injuries often (24.9%) occurred between 4:00PM and 7:59PM. The leading external causes

    of injuries were vehicular accidents (32.32%), mauling (18.45%), sharp objects (11.87%), falls (11.71%),

    bites/stings (5.46%), and burns (1.26%).

    According to the report, the most common injuries were open wound/lacerations (40.1%),

    abrasion (35.3%), and contusion (17%). More than half (55%) of the total reported injury cases belonged

    to the 15-44 years age group. Children less than 5 years old and the elderly aged 65 years and above

    accounted for 7% and 3%, respectively.

    The highest number of injuries was recorded in Central Luzon (34.1%), followed by Davao

    Region (13.5%). Majority (99.68%) of those sustaining injuries were Filipinos. Other nationalities include

    Chinese, Canadian, Indian, and South Korean.

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    Collision accidents accounted for 41.2% of the cases. Almost half (45.1%) of the total vehicular

    accident-related injuries occurred in Central Luzon. Nearly two-thirds (61.5%) happened between

    8:00AM and 7:59PM. There were more males (76%) than females (24%) involved in vehicular accidents.

    The motorcycle was the most common (55.4%) mode of transport of the injured, while 15.1%

    were occupants of jeepney, cargo trucks, and other means of transportation. The primary reported risk

    factor for vehicular accident-related injuries was drunk driving (20.2%).

    Majority (99%) of those injured due to vehicular accidents reached the hospital alive, while 66%

    of those reported dead upon arrival were motorcycle occupants. Nearly three-fourths (73.9%) of injury

    cases were discharged after treatment, while 9.4% were admitted for further treatment.

    Most injuries occur on the road (44.4%) and at home (22.9%). Some injuries were leisure-

    related (20.2%) and 7.8% were work-related. About 17.8% of registered injuries have unknown place of

    occurrence.

    References:

    http://www.gmanetwork.com/news/story/267871/newstv/angpinaka/ang-pinaka-top-10-most-common-causes-of-road-accidents

    http://www.doh.gov.ph/vehicular_accidents.html