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GLOBAL BURDEN OF ROAD TRAFFIC INJURY Adriana Blanco Marquizo MD, MA Unit Chief, Risk Factors and Nutrition Department of Noncommunicable Diseases and Mental Health PAHO/WHO CUGH Global Health Conference 2017 “Healthy People, Healthy Ecosystems: Implementation, Leadership and Sustainability in Global Health” Washington, D.C., April 8, 2017

GLOBAL BURDEN OF ROAD TRAFFIC INJURYGLOBAL BURDEN OF ROAD TRAFFIC INJURY Adriana Blanco Marquizo MD, MA Unit Chief, Risk Factors and Nutrition Department of Noncommunicable Diseases

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Page 1: GLOBAL BURDEN OF ROAD TRAFFIC INJURYGLOBAL BURDEN OF ROAD TRAFFIC INJURY Adriana Blanco Marquizo MD, MA Unit Chief, Risk Factors and Nutrition Department of Noncommunicable Diseases

GLOBAL BURDEN OF

ROAD TRAFFIC INJURY

Adriana Blanco Marquizo MD, MA

Unit Chief, Risk Factors and Nutrition

Department of Noncommunicable Diseases and Mental Health

PAHO/WHO

CUGH Global Health Conference 2017 “Healthy People, Healthy Ecosystems: Implementation, Leadership and Sustainability in Global Health”

Washington, D.C., April 8, 2017

Page 2: GLOBAL BURDEN OF ROAD TRAFFIC INJURYGLOBAL BURDEN OF ROAD TRAFFIC INJURY Adriana Blanco Marquizo MD, MA Unit Chief, Risk Factors and Nutrition Department of Noncommunicable Diseases

Outline• The problem

• Unequal burden

• Status of legislation

• Global commitments

• The way forward

• Conclusions

1

Page 3: GLOBAL BURDEN OF ROAD TRAFFIC INJURYGLOBAL BURDEN OF ROAD TRAFFIC INJURY Adriana Blanco Marquizo MD, MA Unit Chief, Risk Factors and Nutrition Department of Noncommunicable Diseases

Public Health & Development Problem

• 1.25 million deaths worldwide

• 9th cause of death in 2013, estimated 7th for 2030

• First cause of death ages 15 to 29 years old

• Plus up to 50 million people with non-fatal injuries

• Economic losseso 3% of GDP globally

o 5% of GDP in low- and middle-income countries

• Source of health inequities

Page 4: GLOBAL BURDEN OF ROAD TRAFFIC INJURYGLOBAL BURDEN OF ROAD TRAFFIC INJURY Adriana Blanco Marquizo MD, MA Unit Chief, Risk Factors and Nutrition Department of Noncommunicable Diseases

Unequal Burden

Source: Global status report on road safety 2015

Page 5: GLOBAL BURDEN OF ROAD TRAFFIC INJURYGLOBAL BURDEN OF ROAD TRAFFIC INJURY Adriana Blanco Marquizo MD, MA Unit Chief, Risk Factors and Nutrition Department of Noncommunicable Diseases

Road traffic death by user & region

Source: Global status report on road safety 2015

World

Page 6: GLOBAL BURDEN OF ROAD TRAFFIC INJURYGLOBAL BURDEN OF ROAD TRAFFIC INJURY Adriana Blanco Marquizo MD, MA Unit Chief, Risk Factors and Nutrition Department of Noncommunicable Diseases

Legislation on behavioral risk factors (2011-2014)

Source: WHO Global status report on road safety 2015

Page 7: GLOBAL BURDEN OF ROAD TRAFFIC INJURYGLOBAL BURDEN OF ROAD TRAFFIC INJURY Adriana Blanco Marquizo MD, MA Unit Chief, Risk Factors and Nutrition Department of Noncommunicable Diseases

Global Plan for the Decade of Action

for Road Safety 2011-2020

Road safety mana-gement

Safer roads and mobility

Safer vehicles

Post –crash respon-se

FIVE PILLARS

Safer road users

Page 8: GLOBAL BURDEN OF ROAD TRAFFIC INJURYGLOBAL BURDEN OF ROAD TRAFFIC INJURY Adriana Blanco Marquizo MD, MA Unit Chief, Risk Factors and Nutrition Department of Noncommunicable Diseases

Process for the Development of Global Targets

Page 9: GLOBAL BURDEN OF ROAD TRAFFIC INJURYGLOBAL BURDEN OF ROAD TRAFFIC INJURY Adriana Blanco Marquizo MD, MA Unit Chief, Risk Factors and Nutrition Department of Noncommunicable Diseases

Sustainable Development Goals

Page 10: GLOBAL BURDEN OF ROAD TRAFFIC INJURYGLOBAL BURDEN OF ROAD TRAFFIC INJURY Adriana Blanco Marquizo MD, MA Unit Chief, Risk Factors and Nutrition Department of Noncommunicable Diseases

The Way Forward…

2001 2004 2007 2010 2013 2017 2020

Years

Page 11: GLOBAL BURDEN OF ROAD TRAFFIC INJURYGLOBAL BURDEN OF ROAD TRAFFIC INJURY Adriana Blanco Marquizo MD, MA Unit Chief, Risk Factors and Nutrition Department of Noncommunicable Diseases

The Save LIVES package

Save LIVESSpeed management

Leadership

Infrastructure design and improvements

Vehicle safety

Enforcement of traffic laws

Survival

Page 12: GLOBAL BURDEN OF ROAD TRAFFIC INJURYGLOBAL BURDEN OF ROAD TRAFFIC INJURY Adriana Blanco Marquizo MD, MA Unit Chief, Risk Factors and Nutrition Department of Noncommunicable Diseases

4th United Nations Global Road Safety Week

5% cut in average speed can result in 30% reduction in the number of fatal crashes

Page 13: GLOBAL BURDEN OF ROAD TRAFFIC INJURYGLOBAL BURDEN OF ROAD TRAFFIC INJURY Adriana Blanco Marquizo MD, MA Unit Chief, Risk Factors and Nutrition Department of Noncommunicable Diseases

Conclusions• Progress is being made: number of deaths stabilizing,

but pace of improvements is slow

• Many countries lag far behind in terms of best practice

legislation

• Enforcement is weak across risk factors globally

• The needs of pedestrians and cyclists are still

neglected, yet making walking and cycling safer is

essential to reducing road traffic deaths, and will have

other health co-benefits

Page 14: GLOBAL BURDEN OF ROAD TRAFFIC INJURYGLOBAL BURDEN OF ROAD TRAFFIC INJURY Adriana Blanco Marquizo MD, MA Unit Chief, Risk Factors and Nutrition Department of Noncommunicable Diseases

Thank you

WHO Department for Management of Noncommunicable Disease, Disability, Violence and Injury Prevention (NVI)

Etienne Krug, Director;

Margie Peden, Coordinator Unintentional Injury Prevention

PAHO Department of Noncommunicable Disease and Mental Health (NMH)

Anselm Hennis, Director;

Adriana Blanco, Unit Chief, Risk Factors and Nutrition;

Eugênia Rodrigues, Advisor on Road Safety;

Alessandra Senisse, Regional Data Coordinator on Road Safety.

[email protected]