Once we accept that road traffic injury control is a public health problem, and that we have an ethical responsibility to arrange for the safety of individuals, then it follows that health and medical professionals have to assume responsibility for participating in efforts to control this pandemic. Over 1.2 million people die of road traffic crashes annually. Road traffic injuries are among the second to the sixth leading causes of death in the age groups 15-60 years in all countries around the world. Control of road traffic injuries is going to require very special efforts as patterns are different in high- and lower-income countries, and while some countermeasures are applicable internationally, others will need further research and innovation. We will need to focus on the safety of pedestrians, bicyclists and motorcyclists, speed control, and prevention of driving under the influence of alcohol.
Worldwide, nearly 1.2 million people are killed in road traffic crashes every year and 20 million to 50 million more are injured or disabled. These injuries account for 2.1% of global mortality and 2.6% of all disability-adjusted life years (DALYs) lost. Low- and middle-income countries account for about 85% of the deaths and 90% of the DALYs lost annually. Without appropriate action, by 2020, road traffic injuries are predicted to be the third leading contributor to the global burden of disease. The economic cost of road traffic crashes is enormous. Globally it is estimated that US$518 billion is spent on road traffic crashes with low- and middle-income countries accounting for US$65 billion--more than these countries receive in development assistance. But these costs are just the tip of the iceberg. For everyone killed, injured or disabled by a road traffic crash there are countless others deeply affected. Many families are driven into poverty by the expenses of prolonged medical care, loss of a family breadwinner or the added burden of caring for the disabled. There is an urgent need for global collaboration on road traffic injury prevention. Since 2000, WHO has stepped up its response to the road safety crisis by firstly developing a 5-year strategy for road traffic injury prevention and following this by dedicating World Health Day 2004 to road safety and launching the WHO/World Bank World Report on Road Traffic Injury Prevention at the global World Health Day event in Paris, France. This short article highlights the main messages from the World Report and the six recommendations for action on road safety at a national and international level. It goes on to briefly discuss other international achievements since World Health Day and calls for countries to take up the challenge of implementing the recommendations of the World Report.
Atkins, R. M.; Turner, W. H.; Duthie, R. B.; Wilde, B. R.
Although there have been many reports on injuries to occupants of cars in road traffic accidents, there have been few prospective studies of injuries to pedestrians in such accidents. For this reason a two year prospective study of pedestrians in road traffic accidents in the Oxford region was carried out. The incidence of death in pedestrians was significantly higher than in car occupants or motorcyclists. The principal determinant of death was the weight of the vehicle concerned. The most common site of injury was the head because of a high incidence of brief concussion, but the most common site of serious injuries was the leg. Injuries to all regions of the body increased with age and with the weight of the vehicle in the collision. Accidents most often concerned young children or the elderly. PMID:3147003
In the course of the twentieth century road traffic injuries (RTIs) became a major public health burden. RTI deaths first increased in high-income countries and declined after the 1970s, and they soared in low- and middle-income countries from the 1980s onwards. As motorisation took off in North America and then spread to Europe and to the rest of the world discussions on RTIs have reflected and influenced international interpretations of the costs and benefits of 'development', as conventionally understood. Using discourse analysis, this paper explores how RTIs have been constructed in ways that have served regional and global development agendas and how 'development' has been (re-)negotiated through the discourse of RTIs and vice versa. For this purpose, this paper analyses a selection of key publications of organisations in charge of international health or transport and places them in the context of (a) the surrounding scientific discussion of the period and (b) of relevant data regarding RTI mortality, development funding, and road and other transport infrastructure. Findings suggest that constructions of RTIs have shifted from being a necessary price to be paid for development to being a sign of development at an early stage or of an insufficiently coordinated development. In recent years, RTI discussions have raised questions about development being misdirected and in need of fundamental rethinking. At present, discussions are believed to be at a crossroads between different evaluations of developmental conceptualisations for the future.
Newnam, Sharon; Sheppard, Dianne M; Griffin, Mark A; McClure, Roderick J; Heller, Gillian; Sim, Malcolm R; Stevenson, Mark R
Background Although road traffic injury is reported as the leading cause of work-related death in Australia, it is not clear, due to limitations in previous methods used, just how large a burden it is. Many organisations are unaware of the extent of work-related road traffic injury and, importantly, what can be done to reduce the burden. The proposed research will (i) estimate the prevalence of work-related road traffic injury and (ii) identify the organisational determinants associated with work-related road traffic injury. Methods and design The current study is designed to enumerate the problem and identify the individual driver-level, the supervisor-level and organisational-level factors associated with work-related road traffic injury. The multilevel systems protocol will involve a series of cross-sectional surveys administered to drivers of fleet vehicles (n=1200), supervisors of the drivers (n=1200) and senior managers (n=300) within the same organisation. Discussion The novel use of the multilevel systems protocol is critical to be able to accurately assess the specific determinants of driving safety within each context of an organisation. Results The results are expected to highlight that reducing injury in the workplace requires more than just individual compliance with safety procedures. It will also establish, for the first time, an occupational translation taskforce to ensure that the research findings are adopted into work-place practice and thereby directly contribute to reductions in work-related road traffic injury. PMID:24478230
Pérez, Katherine; Santamariña-Rubio, Elena; Borrell, Carme
Abstract Objective To determine the effect of criminalizing some traffic behaviours, after the reform of the Spanish penal code in 2007, on the number of drivers involved in injury collisions and of people injured in traffic collisions in Spain. Methods This study followed an interrupted times–series design in which the number of drivers involved in injury collisions and of people injured in traffic collisions in Spain before and after the criminalization of offences were compared. The data on road traffic injuries in 2000–2009 were obtained from the road traffic collision database of the General Traffic Directorate. The dependent variables were stratified by sex, age, injury severity, type of road user, road type and time of collision. Quasi-Poisson regression models were fitted with adjustments for time trend, seasonality, previous interventions and national fuel consumption. Findings The overall number of male drivers involved in injury collisions dropped (relative risk, RR: 0.93; 95% confidence interval, CI: 0.89–0.97) after the reform of the penal code, but among women no change was observed (RR: 0.99; 95% CI: 0.95–1.03). In addition, 13 891 men (P < 0.01) were prevented from being injured. Larger reductions were observed among young male drivers and among male motorcycle or moped riders than among the drivers of other vehicles. Conclusion The findings suggest that criminalizing certain traffic behaviours can improve road safety by reducing both the number of drivers involved in injury collisions and the number of people injured in such collisions. PMID:21673858
Boniface, Respicious; Museru, Lawrence; Kiloloma, Othman; Munthali, Victoria
Introduction Injuries represent a significant cause of morbidity and mortality worldwide and road traffic crashes accounts for a significant proportion of these injuries. Tanzania is among the countries with high rates of road traffic crashes. The aim of this study was to determine the pattern, associated factors and management of road traffic injury patients in Tanzania. Methods A cross-sectional study of patients involved in motor traffic crashes and attended in six public hospitals of Tanzania mainland between April 2014 and September 2014. Results A total of 4675 road traffic injury patients were seen in studied hospitals, 76.6% were males. Majority (70.2%) were between 18 - 45 years age group. Motorcycles were the leading cause of road traffic crashes (53.4%), and drivers (38.3%) accounted for majority of victims. Fractures accounted for 34.1%, and injuries were severe in 2.2% as determined by the Kampala trauma score II (KTS II). Majorities 57.4% were admitted and 2.2% died at the casualty. Factors associated with mortality were; using police vehicles to hospital (P = 0.000), receiving medical attention within 2 to 10 hours after injury (P = 0.000), 18 - 45 years age group (P = 0.019), not using helmet (P = 0.007), severe injuries (P = 0.000) and sustaining multiple injury (P = 0.000). Conclusion Road traffic Injuries in Tanzania are an important public health problem, predominantly in adult males, mostly due to motorcycle crashes. It is therefore important to reinforce preventive measures and pre-hospital emergency service is urgently needed. PMID:27217872
Gauvin, Lise; Plante, Céline; Fournier, Michel; Morency, Catherine
Objectives. We examined the extent to which differential traffic volume and road geometry can explain social inequalities in pedestrian, cyclist, and motor vehicle occupant injuries across wealthy and poor urban areas. Methods. We performed a multilevel observational study of all road users injured over 5 years (n = 19 568) at intersections (n = 17 498) in a large urban area (Island of Montreal, Canada). We considered intersection-level (traffic estimates, major roads, number of legs) and area-level (population density, commuting travel modes, household income) characteristics in multilevel Poisson regressions that nested intersections in 506 census tracts. Results. There were significantly more injured pedestrians, cyclists, and motor vehicle occupants at intersections in the poorest than in the richest areas. Controlling for traffic volume, intersection geometry, and pedestrian and cyclist volumes greatly attenuated the event rate ratios between intersections in the poorest and richest areas for injured pedestrians (−70%), cyclists (−44%), and motor vehicle occupants (−44%). Conclusions. Roadway environment can explain a substantial portion of the excess rate of road traffic injuries in the poorest urban areas. PMID:22515869
Lateef, Muhammad U
This article aims to assess the pattern of road traffic injuries (RTIs) and fatalities in Karachi metropolis. Assessing the pattern of RTIs in Karachi at this juncture is important for many reasons. The rapid motorisation in the recent years due to the availability of credit has significantly increased the traffic volume of the city. Since then, the roads of Karachi have continuously developed at a rapid pace. This development has come with a high human loss, because the construction of multilevel flyovers, signal-free corridors and the resulting high-speed traffic ultimately increase the severity of injuries. The reasons for this high proportion are inadequate infrastructure, poor enforcement of safety regulations, high crash severity index and greater population of vulnerable road user groups (riders and pedestrians). This research is the first of its kind in the country to have a geocoded database of fatalities and injuries in a geographical information system for the entire city of Karachi. In fact, road crashes are both predictable and preventable. Developing countries should learn from the experience of highly motorised nations to avoid the high burden of RTIs by adopting road safety and prevention measures.
Khorshidi, Ali; Ainy, Elaheh; Hashemi Nazari, Seyed Saeed; Soori, Hamid
Background Road traffic injuries (RTIs) are the main causes of death and disability in Iran. However, very few studies about the temporal variations of RTIs have been published to date. Objectives This study was conducted to investigate the temporal pattern of RTIs in Iran in 2012. Materials and Methods All road traffic accidents (RTAs) reported to traffic police during a one-year period (March 21, 2012 through March 21, 2013) were investigated after obtaining permission from the law enforcement force of the Islamic Republic of Iran. Distributions of RTAs were obtained for season, month, week, and hour scales, and for long holidays (more than one day) and the day prior to long holidays (DPLH). The final analysis was carried out using the Poisson regression model to calculate incidence rate ratios for RTIs. All analyses were conducted using STATA 13.1 and Excel software; statistical significance was set at P < 0.05. Results A total of 452,192 RTAs were examined. The estimated rate of all accidents was 219 per 10,000 registered vehicles, or 595 per 100,000 people. About 28% of all RTAs, and more than one third of fatal RTAs, occurred during the summer months. The incidence rate for all traffic accidents on DPLH was 1.20, compared to workdays as a reference category, and it was 1.40 for fatal crashes. The rate of fatal road traffic accidents in outer cities was 3.2 times higher than in inner ones. Conclusions Our findings reveal that there are temporal variations in traffic accidents, and long holidays significantly influence accident rates. Traffic injuries have different patterns on outer/inner city roads, based on weekday and holiday status. Thus, these findings could be used to create effective initiatives aimed at traffic management. PMID:27703958
Mock, Charles; Kobusingye, Olive; Anh, Le Vu; Afukaar, Francis; Arreola-Risa, Carlos
The definition of the ideal numbers and distribution of human resources required for control of road traffic injury (RTI) is not as advanced as for other health problems. We can nonetheless identify functions that need to be addressed across the spectrum of injury control: surveillance; road safety (including infrastructure, vehicle design, and behaviour); and trauma care. Many low-cost strategies to improve these functions in low- or middle-income countries can be identified. For all these strategies, there is need for adequate institutional capacity, including funding, legal authority, and human resources. Several categories of human resources need to be developed: epidemiologists who can handle injury data, design surveillance systems, and undertake research; engineers and planners versed in safety aspects of road design, traffic flow, urban planning, and vehicle design; police and lawyers who understand the health impact of traffic law; clinicians who can develop cost-effective improvements in the entire system of trauma treatment; media experts to undertake effective behaviour change and social marketing; and economists to assist with cost-effectiveness evaluations. RTI control can be strengthened by enhancing such training in these disciplines, as well as encouraging retention of those who have the needed skills. Mechanisms to enhance collaboration between these different fields need to be promoted. Finally, the burden of RTI is borne disproportionately by the poor; in addition to technical issues, more profound equity issues must be addressed. This mandates that people from all professional backgrounds who work for RTI control should develop skills in advocacy and politics.
Hazen, Alyson; Ehiri, John E.
Road traffic injuries (RTIs) are a leading cause of morbidity, disability and mortality in less developed countries. Globally in 2002, 1.2 million deaths resulted from RTIs, and about 10 times that were injured. RTIs are often preventable, and the technology and knowledge to achieve success in this area exist. In spite of this, it is projected that given the current trend and without adequate intervention, RTIs will rank third of all major causes of morbidity and mortality globally by 2020. Although > 85% of the global deaths and injuries from road traffic crashes occur in less developed countries, traffic safety attracts little public health attention in these nations, due in part to a plethora of other equally important problems, including infectious diseases. Unfortunately, the public health and economic impact of traffic-related injuries and disabilities can be incalculable in these countries, owing to their poorly developed trauma care systems and nonexistent social welfare infrastructures to accommodate the needs of the injured and the disabled. In this paper, we highlight the problem posed to public health in less developed countries by RTIs and examine contributing factors. To engender debate and action to address the problem, we reviewed interventions that have proven effective in industrialized nations and discussed potential barriers to their replication in less developed countries. PMID:16532982
Bunn, F; Collier, T; Frost, C; Ker, K; Roberts, I; Wentz, R
Objective: To assess whether area-wide traffic calming schemes can reduce road crash related deaths and injuries. Design: Systematic review and meta-analysis. Data sources: Cochrane Injuries Group Specialised Register, Cochrane Central Register of Controlled Trials, Medline, EMBASE, Sociological Abstracts Science (and social science) citation index, National Technical Information service, Psychlit, Transport Research Information Service, International Road Research Documentation, and Transdoc, and web sites of road safety organisation were searched; experts were contacted, conference proceedings were handsearched, and relevant reference lists were checked. Inclusion criteria: Randomised controlled trials, and controlled before/after studies of area-wide traffic calming schemes designed to discourage and slow down through traffic on residential roads. Methods: Data were collected on road user deaths, injuries, and traffic crashes. For each study rate ratios were calculated, the ratio of event rates before and after intervention in the traffic calmed area divided by the corresponding ratio of event rates in the control area, which were pooled to give an overall estimate using a random effects model. Findings: Sixteen controlled before/after studies met our inclusion criteria. Eight studies reported the number of road user deaths: pooled rate ratio 0.63 (95% confidence interval (CI) 0.14 to 2.59). Sixteen studies reported the number of injuries (fatal and non-fatal): pooled rate ratio 0.89 (95% CI 0.80 to 1.00). All studies were in high income countries. Conclusion: Area-wide traffic calming in towns and cities has the potential to reduce road traffic injuries. However, further rigorous evaluations of this intervention are needed, especially in low and middle income countries. PMID:12966005
O’Connor, Lydia R.; Ruiz, Roberto Andres Llanes
Each year, there are approximately 1.24 million deaths due to road traffic injuries, the majority of which occur in low- and middle-income countries. Since 2008, 35 countries have passed legislation to implement road safety strategies. However, many countries have yet to pass comprehensive legislation while others lack adequate enforcement of current policies. The annual global mortality rate due to road trauma remains unacceptably high and reflects the need for governments to prioritize the passage and implementation of road safety legislation. Alcohol is a leading risk factor for road trauma globally and the leading cause of death and disability in the Western Pacific region. Despite the overwhelming evidence that strict enforcement of drunk-driving policies can lead to a drastic reduction in alcohol-related road incidents, many countries in the Western Pacific lack sufficient data that could facilitate the design of appropriate drunk-driving interventions. This paper provides an analysis of the current status of policies and attitudes related to alcohol and road injuries throughout the Western Pacific region, with a specific focus on the Philippines. Following the passage of drunk-driving legislation in 2013, a medical records review of alcohol-related road trauma patients in Manila Doctors Hospital was conducted. The findings of this pilot project further highlight the pervasive problem of missing or unreliable data regarding alcohol’s role in road trauma. Assessing the burden of drunk driving is an important step in designing effective interventions and systematically changing attitudes about driving under the influence. PMID:25191146
Mock, Charles; Kobusingye, Olive; Anh, Le Vu; Afukaar, Francis; Arreola-Risa, Carlos
The definition of the ideal numbers and distribution of human resources required for control of road traffic injury (RTI) is not as advanced as for other health problems. We can nonetheless identify functions that need to be addressed across the spectrum of injury control: surveillance; road safety (including infrastructure, vehicle design, and behaviour); and trauma care. Many low-cost strategies to improve these functions in low- or middle-income countries can be identified. For all these strategies, there is need for adequate institutional capacity, including funding, legal authority, and human resources. Several categories of human resources need to be developed: epidemiologists who can handle injury data, design surveillance systems, and undertake research; engineers and planners versed in safety aspects of road design, traffic flow, urban planning, and vehicle design; police and lawyers who understand the health impact of traffic law; clinicians who can develop cost-effective improvements in the entire system of trauma treatment; media experts to undertake effective behaviour change and social marketing; and economists to assist with cost-effectiveness evaluations. RTI control can be strengthened by enhancing such training in these disciplines, as well as encouraging retention of those who have the needed skills. Mechanisms to enhance collaboration between these different fields need to be promoted. Finally, the burden of RTI is borne disproportionately by the poor; in addition to technical issues, more profound equity issues must be addressed. This mandates that people from all professional backgrounds who work for RTI control should develop skills in advocacy and politics. PMID:15868021
Vakili, Mahmood; Mirzaei, Mohsen; Pirdehghan, Azar; Sadeghian, Mohamadreza; Jafarizadeh, Majid; Alimi, Mojtaba; Naderian, Shadi; Aghakoochak, Arezoo
Objectives: To estimate the Disabled-adjusted Life Years (DALYs) of Road Traffic Accidents in patients referred to hospitals in Yazd Province, central Iran. Methods: This cross-sectional study was conducted in Yazd province during 2010. To calculate the Years of Life Lost (YLL) due to premature death and to calculate the incidence of non-fatal injuries and Years Lost due to Disability (YLD), the data were collected from Yazd death registration system and hospital records. The causes of death and nature of non-fatal injuries were classified using International Classification of Diseases (ICD-10). We estimated Disability Adjusted Life Years (DALYs) on the guidelines of the Global Burden of Disease Study (discount rate: 0.03, age weight: 0.04, constant age weight correction factor: 0.165). Age and sex composition was taken from the National Statistical Center for the year 2010. Results: During 2009, 483 deaths were caused by traffic accidents in Yazd Province, 382 (79.09%) of which were males, and 101 (20.91%) were females. The mortality rates for males and females were 70.98 and 20.15 in 100,000, respectively. The years of life lost due to premature deaths were 15.84/1000 in men and 4.75/1,000 in women. Total YLLs caused by traffic accidents were 10,908 years. The injuries caused by traffic accidents were calculated as 15.21 and 3.73/1,000 in males and females, respectively. The total YLDs was calculated 1.51/1,000. The total burden of Road Traffic Injuries in Yazd province was 12478 years (DALYs), 87.41% of which was due to premature death, and 12.59% was related to disability. Also, 78.32% was lost in males. The age specific peak of burden was in 15-29 year. Conclusion: This study showed that traffic accidents in Yazd impose a high burden. It seems that it is one of the health sector priorities. It is recommended to revise laws on use of motorcycles, especially on helmet use for motorcyclists, enforce strict laws in residential areas, and review social determinant
Background Both road safety campaigns and epidemiological research into social differences in road traffic injury risk often assume that road traffic injuries occur close to home. While previous work has examined distance from home to site of collision for child pedestrians in local areas, less is known about the geographic distribution of road traffic injuries from other modes. This study explores the distribution of the distance between home residence and collision site (crash distance) by mode of transport, geographic area, and social characteristics in England. Methods Using 10 years of road casualty data collected by the police, we examined the distribution of crash distance by age, sex, injury severity, area deprivation, urban/rural status, year, day of week, and, in London only, ethnic group. Results 54% of pedestrians, 39% of cyclists, 17% of powered two-wheeler riders and 16% of car occupants were injured within 1 km of home. 82% of pedestrians, 83% of cyclists, 54% of powered two-wheeler and 53% of car occupants were injured within 5 km of home. We found some social and geographic differences in crash distance: for all transport modes injuries tended to occur closer to home in more deprived or urban areas; younger and older pedestrians and cyclists were also injured closer to home. Crash distance appears to have increased over time for pedestrian, cyclist and car occupant injuries, but has decreased over time for powered two-wheeler injuries. Conclusions Injuries from all travel modes tend to occur quite close to home, supporting assumptions made in epidemiological and road safety education literature. However, the trend for increasing crash distance and the social differences identified may have methodological implications for future epidemiological studies on social differences in injury risk. PMID:23738624
Shamim, Shahzad; Razzak, Junaid A; Jooma, Rashid; Khan, Uzma
Our aim is to report the findings of the initial three years of road traffic injuries (RTI) surveillance at Karachi and to compare it with previously published RTI-related data from Pakistan and other low-and middle-income countries. Data were collected through the RTI surveillance programme at Karachi (RTIRP) from the five biggest emergency departments of the city, which receive almost all the major emergencies of the city for the period September 2006 till September 2009. A total of 99,272 victims were enlisted by the RTIRP during the study period. Annual incidence of RTI is calculated to be 184.3 per 100,000 populations and mortality is 5.7 per 100,000 populations. Eighty nine per cent of victims are male and 73% are between 15 and 44 years of age. Commonest road user to be affected is riders of two wheelers (45%). Only 7% of affected motorcyclists were found to be wearing helmets at the time of the accident. Trends of injuries remained uniform over the years. Most frequent injuries were external wounds, followed by orthopaedic injuries. On the basis of our surveillance system, we have presented the largest RTI-related data from a metropolitan city of Pakistan to date.
Pérez-Núñez, Ricardo; Híjar, Martha; Celis, Alfredo; Hidalgo-Solórzano, Elisa
Based on a review of secondary data and the scientific literature and an analysis of the ENSANut-2012 database, the current study provides a comprehensive overview of the current burden of road traffic injuries (RTI) in Mexico and analyzes the country's social response to RTI. The high collision, injury, mortality, and disability rates associated with this public health problem represent a high cost for Mexican society, especially for families. The paper argues that the Mexican response has focused on vehicle occupants while overlooking vulnerable road users and has prioritized strategies with limited effectiveness. Although the country's existing legislation addresses the main risk factors, enforcement has been limited. Finally, the paper makes some recommendations for strengthening the Mexican strategy to prevent RTI, such as safe, equitable, healthy, and sustainable mobility for all types of road users. Despite some strides in RTI prevention, there are still challenges and opportunities to be addressed in the future.
Alam, Khurshid; Mahal, Ajay
Globally, road traffic injuries accounted for about 1.36 million deaths in 2015 and are projected to become the fourth leading cause of disability-adjusted life years (DALYs) lost by 2030. One-fifth of these deaths occurred in South Asia where road traffic injuries are projected to increase by 144% by 2020. Despite this rapidly increasing disease burden there is limited evidence on the economic burden of road traffic injuries on households in South Asia. We applied a novel coarsened exact matching method to assess the household economic burden of road traffic injuries using nationally representative World Health Survey data from five South Asian countries- Bangladesh, India, Nepal, Pakistan and Sri Lanka collected during 2002–2003. We examined the impact of road traffic injuries on household out-of-pocket (OOP) health spending, household non-medical consumption expenditure and the employment status of the traffic injury-affected respondent. We exactly matched a household (after ‘coarsening’) where a respondent reported being involved in a road traffic injury to households where the respondent did not report a road traffic injury on each of multiple observed household characteristics. Our analysis found that road traffic injury-affected households had significantly higher levels of OOP health spending per member (I$0.75, p<0.01), higher OOP spending on drugs per member (I$0.30, p = 0.03), and higher OOP hospital spending per member (I$0.29, p<0.01) in the four weeks preceding the survey. Indicators of “catastrophic spending” were also significantly higher in road traffic injury-affected households: 6.45% (p<0.01) for a threshold of OOP health spending to total household spending ratio of 20%, and 7.40% (p<0.01) for a threshold of OOP health spending to household ‘capacity to pay’ ratio of 40%. However, no statistically significant effects were observed for household non-medical consumption expenditure, and employment status of the road traffic injury
Khan, Adeel Ahmed; Fatmi, Zafar
Road traffic injuries (RTIs) are one of the leading causes of death among productive age group. Using systems approach framework (SAF), current preventive strategies for RTI control were reviewed in Pakistan. A review of the literature was done using four international search engines. Only ten studies on preventive strategies for RTI stemming from Pakistan were found. The first Road Traffic Injuries Research Network (RTIRN) surveillance system for road traffic injuries was established in urban city (Karachi) in Pakistan has shown promise for injury control and should be scaled up to other cities. Enforcement of traffic laws on seat-belt and helmet wearing is poor. National Highway and Motorway Police Ordinance (2000) was one of the few legislative measure so far taken in Pakistan. Using SAF, efforts are required to implement interventions targeting human, vehicle design and also making environment safer for road users.
Khorasani-Zavareh, Davoud; Bigdeli, Maryam; Saadat, Soheil; Mohammadi, Reza
Abstract: By virtue of their variability, mass and speed have important roles in transferring energies during a crash incidence (kinetic energy). The sum of kinetic energy is important in determining an injury severity and that is equal to one half of the vehicle mass multiplied by the square of the vehicle speed. To meet the Vision Zero policy (a traffic safety policy) prevention activities should be focused on vehicle speed management. Understanding the role of kinetic energy will help to develop measures to reduce the generation, distribution, and effects of this energy during a road traffic crash. Road traffic injury preventive activities necessitate Kinetic energy management to improve road user safety. PMID:24284810
Santamariña-Rubio, Elena; Pérez, Katherine; Olabarria, Marta; Novoa, Ana M
There is no consensus on whether the risk of road traffic injury is higher among men or among women. Comparison between studies is difficult mainly due to the different exposure measures used to estimate the risk. The measures of exposure to the risk of road traffic injury should be people's mobility measures, but frequently authors use other measures such population or vehicles mobility. We compare road traffic injury risk in men and women, by age, mode of transport and severity, using the time people spend travelling as the exposure measure, in Catalonia for the period 2004-2008. This is a cross-sectional study including all residents aged over 3 years. The road traffic injury rate was calculated using the number of people injured, from the Register of Accidents and Victims of the National Traffic Authority as numerator, and the person-hours travelled, from the 2006 Daily Mobility Survey carried out by the Catalan regional government, as denominator. Sex and age specific rates by mode of transport and severity were calculated, and Poisson regression models were fitted. Among child pedestrians and young drivers, males present higher risk of slight and severe injury, and in the oldest groups women present higher risk. The death rate is always higher in men. There exists interaction between sex and age in road traffic injury risk. Therefore, injury risk is higher among men in some age groups, and among women in other groups, but these age groups vary depending on mode of transport and severity.
Andrade, Silvânia Suely Caribé de Araújo; de Mello-Jorge, Maria Helena Prado
ABSTRACT OBJECTIVE To estimate the potential years of life lost by road traffic injuries three years after the beginning of the Decade of Action for Traffic Safety. METHODS We analyzed the data of the Sistema de Informações sobre Mortalidade (SIM – Mortality Information System) related to road traffic injuries, in 2013. We estimated the crude and standardized mortality rates for Brazil and geographic regions. We calculated, for the Country, the proportional mortality according to age groups, education level, race/skin color, and type or quality of the victim while user of the public highway. We estimated the potential years of life lost according to sex. RESULTS The mortality rate in 2013 was of 21.0 deaths per 100,000 inhabitants for the Country. The Midwest region presented the highest rate (29.9 deaths per 100,000 inhabitants). Most of the deaths by road traffic injuries took place with males (34.9 deaths per 100,000 males). More than half of the people who have died because of road traffic injuries were of black race/skin color, young adults (24.2%), individuals with low schooling (24.0%), and motorcyclists (28.5%). The mortality rate in the triennium 2011-2013 decreased 4.1%, but increased among motorcyclists. Across the Country, more than a million of potential years of life were lost, in 2013, because of road traffic injuries, especially in the age group of 20 to 29 years. CONCLUSIONS The impact of the high mortality rate is of over a million of potential years of life lost by road traffic injuries, especially among adults in productive age (early mortality), in only one year, representing extreme social cost arising from a cause of death that could be prevented. Despite the reduction of mortality by road traffic injuries from 2011 to 2013, the mortality rates increased among motorcyclists. PMID:27706375
Abegaz, Teferi; Berhane, Yemane; Worku, Alemayehu; Assrat, Abebe; Assefa, Abebayehu
In low and middle income countries road traffic injuries are commonly under-reported. This problem is significantly higher among those less severely injured road users. The objective of this study was to determine the incidence and the level of ascertainment of road traffic injuries and deaths by traffic police and hospital registry. In this study two-sample capture-recapture method was applied using data from traffic police and hospital injury surveillance, through June 2012 to May 2013. The study was conducted on one of the busiest highways in Ethiopia, the Addis Ababa – Hawassa highway. Primary data were collected by accident investigators and hospital emergency nurses using a structured checklist. Four matching variables; name of the victim, sex, place and time of the accidents was used to get the matched cases. During the study period the police independently reported 224 deaths and 446 injuries/billion vehicle kilometer while hospitals reported 123 deaths and 1,046 injuries/billion vehicle kilometer. Both sources in common captured 73 deaths and 248 injuries/billion vehicle kilometer. Taking the two data sources into consideration, the capture-recapture model estimated the incidence of deaths and injuries ranged 368–390 and 1,869–1,895 per billion vehicle kilometer, respectively. The police source captured 57.4%–60.9% of deaths and 23.5%–23.9% of injuries while the hospital sources captured 31.5%–33.4% of deaths and 55.2%–56% of injuries. Deaths and injuries among females, younger age victims, cyclists/motorcyclists and pedestrians were under-reported by traffic police. In conclusion neither of the two sources independently provided accurate coverage of road traffic incident related deaths and injuries. Strengthening both systems is necessary to obtain accurate information on road accidents and human causalities. PMID:25054440
Abegaz, Teferi; Berhane, Yemane; Worku, Alemayehu; Assrat, Abebe; Assefa, Abebayehu
In low and middle income countries road traffic injuries are commonly under-reported. This problem is significantly higher among those less severely injured road users. The objective of this study was to determine the incidence and the level of ascertainment of road traffic injuries and deaths by traffic police and hospital registry. In this study two-sample capture-recapture method was applied using data from traffic police and hospital injury surveillance, through June 2012 to May 2013. The study was conducted on one of the busiest highways in Ethiopia, the Addis Ababa - Hawassa highway. Primary data were collected by accident investigators and hospital emergency nurses using a structured checklist. Four matching variables; name of the victim, sex, place and time of the accidents was used to get the matched cases. During the study period the police independently reported 224 deaths and 446 injuries/billion vehicle kilometer while hospitals reported 123 deaths and 1,046 injuries/billion vehicle kilometer. Both sources in common captured 73 deaths and 248 injuries/billion vehicle kilometer. Taking the two data sources into consideration, the capture-recapture model estimated the incidence of deaths and injuries ranged 368-390 and 1,869-1,895 per billion vehicle kilometer, respectively. The police source captured 57.4%-60.9% of deaths and 23.5%-23.9% of injuries while the hospital sources captured 31.5%-33.4% of deaths and 55.2%-56% of injuries. Deaths and injuries among females, younger age victims, cyclists/motorcyclists and pedestrians were under-reported by traffic police. In conclusion neither of the two sources independently provided accurate coverage of road traffic incident related deaths and injuries. Strengthening both systems is necessary to obtain accurate information on road accidents and human causalities.
Berecki-Gisolf, Janneke; Yiengprugsawan, Vasoontara; Kelly, Matthew; McClure, Roderick; Seubsman, Sam-ang; Sleigh, Adrian
Objectives The aim of this study was to investigate the impact of motorcycle to car transitioning and urbanisation on traffic injury rates in Thailand. Design Analysis of two consecutive surveys of a large national cohort study. Setting Thailand. Participants The data derived from 57,154 Thai Cohort Study (TCS) participants who provided relevant data on both the 2005 and 2009 surveys. Primary and secondary outcome measures Motorcycle and car traffic crash injury self-reported in 2009, with twelve months’ recall. Results In 2009, 5608(10%) participants reported a traffic crash injury. Most crashes involved a motorcycle (74%). Car access increased and motorcycle use decreased between 2005 and 2009. Among those who used a motorcycle at both time points, traffic injury incidence was 2.8 times greater compared to those who did not use a motorcycle at either time point. Multivariable logistic regression models were used to test longitudinal and cross sectional factors associated with traffic crash injury: in the adjusted model, cars were negatively and motorcycles positively associated with injury. Living in an urban area was not injury protective in the adjusted model of traffic crash injury. Conclusions Ongoing urbanisation in Thailand can be expected to lead to further reductions in road traffic injuries based on transition from motorcycles to cars in urban areas. Cities, however, do not provide an intrinsically safer traffic environment. To accommodate a safe transition to car use in Thailand, traffic infrastructural changes anticipating the growing car density in urban areas is warranted. PMID:25826214
Soori, H; Nasermoadeli, A; Ainy, E; Hassani, S A; Mehmandar, M R
This study investigated the efficacy of mandatory seatbelt legislation on traffic injuries and intensity of road traffic injuries (RTIs). We carried out a before- after interventional study. Data regarding road traffic accidents and injuries one year before and one and two years after the implementation of mandatory seatbelt legislation were obtained from the traffic police database. Traffic accident mortality was 13.0% of all RTIs during the year prior to implementation. This decreased to 9.7% and 11.4% during the first and second years after implementation, respectively (p < 0.001). The mortality rate was not consistent for seatbelt use since there was a slight increase in the mortality rate in second year after implementation of mandatory seatbelt use although this level was lower than the pre- implementation rate. Our findings suggest mandatory seatbelt use reduces the intensity of RTIs and reduces the crude number of RTIs.
Tetali, Shailaja; Murthy, G V S; Roberts, I
Background India is motorising rapidly. With increasing motorisation, road traffic injuries are predicted to increase. A third of a billion children travel to school every day in India, but little is known about children's safety during the school commute. We investigated road traffic injury to children during school journeys. Methods We conducted a cross-sectional survey in Hyderabad using a two-stage stratified cluster sampling design. We used school travel questionnaires to record any road injury in the past 12 months that resulted in at least 1 day of school missed or required treatment by a doctor or nurse. We estimated the prevalence of road injury by usual mode of travel and distance to school. Results The total sample was 5842 children, of whom 5789 (99.1%) children answered the question on road injury. The overall prevalence of self-reported road injury in the last 12 months during school journeys was 17% (95% CI 12.9% to 21.7%). A higher proportion of boys (25%) reported a road injury than girls (11%). There was a strong association between road injury, travel mode and distance to school. Children who cycled to school were more likely to be injured compared with children who walked (OR 1.5; 95% CI 1.2 to 2.0). Travel by school bus was safer than walking (OR 0.5; 95% CI 0.3 to 0.9). Conclusions A sixth of the children reported a road traffic injury in the past 12 months during school journeys in Hyderabad. Injury prevention interventions should focus on making walking and cycling safer for children. PMID:26701985
Azami-Aghdash, Saber; Gorji, Hassan Abolghasem; Shabaninejad, Hosein; Sadeghi-Bazargani, Homayoun
Introduction Due to the large number of Road Traffic Injuries (RTIs) in Iran, authorities have implemented a number of policies for the prevention of RTIs. However, a scientific analysis of these policies has thus far been neglected. Therefore, this study was conducted for policy analysis of RTIs prevention in Iran. Methods This qualitative study with a case study approach was conducted in Iran during 2016 in two phases: First, by reviewing literature and documents of the past ten years, policies that have been executed to prevent RTIs in Iran were identified. In the second phase of the study, the identified policies were ranked by prioritization matrices. The two policies with the highest scores were selected. ‘Policy triangle framework’ was used for Policy analyzing. Stakeholders of these policies (42 people) were interviewed. Data were analyzed manually by implementing Content-Analysis methods. Results The policies of “pupil liaisons” and “safety belt” were selected for analysis from thirteen potential identified polices. The results of some studies revealed that safety belts had not been properly used in Iran (less than 80%). There was an eight-year hiatus between the approval of the safety belts policy and implementation of this policy. Eight actors were identified for safety belts policy. Lack of diligence in implementation of the policy, failing to pay adequate attention to education and the culture of driving, and failing to select an organization for the implementation of the policy, were identified as the main weaknesses of this policy. For ‘pupil liaisons’ policy, five actors were identified. Following the implementation of this policy, the number of penalties was reduced (17.9%). Neglecting scientific findings and individual-based nature of the policy were identified as the primary weaknesses of this policy. Conclusions Taking serious measures to properly execute the policy, educating people, selecting an efficient organization that is
Strukcinskiene, Birute; Uğur-Baysal, Serpil; Raistenskis, Juozas
This study analyzes traffic mortality trends among road users from 1998 to 2012 in children and adolescents aged 0-19 years in Lithuania. National mortality data of pedestrians, cyclists, motorcyclists, and car occupants were used to compare trend lines. The study revealed that 56% of the deceased in road traffic crashes were car occupants, while 24% were pedestrians. The incidence of death from traffic injury was 2.5 times higher in boys than girls. Traffic injury mortality and pedestrian mortality rates declined significantly in the total group. There was also a significant decline in mortality among cyclists for the total group and female subgroup. Trends in mortality rates among motorcyclists and car occupants showed no significant changes. A long-term decline is more likely to be affected by efforts in the promotion of sustainable and permanent road safety. The reduced risk exposure may also have been influenced by the economic recession.
Matheka, Duncan Mwangangi; Kitonyi, Mercy Nzilani; Alkizim, Faraj Omar
Road traffic injuries continue to exert a huge burden on the health care system in Kenya. Few studies on the pattern of road traffic injuries have been conducted in Kenya. We therefore carried out a retrospective study to determine the pattern of road traffic injuries seen in a public hospital in Naivasha district, Kenya. A retrospective study on surgical patients admitted at Naivasha District Hospital over a three month period was carried out. Eighty two percent of all patients injured in the crashes were men, and eighty percent were aged between 20-49 years. Most of the patients sustained lower limb injuries (41.5%) followed by head injuries (35.4%). Thirty one percent were pedestrians, 27.7% cyclists, 24.6% passengers and 16.9% motor vehicle drivers at the time of injury. Road traffic crashes are a growing pandemic, leading to high morbidity and mortality. Efforts need to be taken to prevent injuries, long term complications and loss of lives that are robbing communities off loved ones, bread winners and productive manpower. PMID:26090036
Background Road traffic injuries among the elderly have recently become a public health issue; therefore, we investigated the clinical characteristics of such injuries among the elderly in Japan. Methods A retrospective study was performed using data from a medium-sized hospital emergency department. Data were extracted from medical records for one year, and patients were categorized into groups ages 18-64, 65-74 and 75+. Variables included demographic characteristics, injury circumstances, and nature of injury. Univariate and bivariate descriptive statistical analyses were performed, and multivariate logistic regression was used to evaluate injury severity and hospital admission by age groups. Results A total of 1,656 patients were studied. Patients aged 65+ had more chest wall injury, intracranial injury, lower extremity fracture, and intrathoracic injury than patients aged 18-64. Conclusions Injury circumstances and nature of injuries associated with traffic incidents showed different patterns by age groups, particularly among the elderly. PMID:20584283
Naghavi, Mohsen; Shahraz, Saeid; Bhalla, Kavi; Jafari, Nahid; Pourmalek, Farshad; Bartels, David; Puthenpurakal, Jerry Abraham; Motlagh, Mohammad Esmail
Recent studies have made it clear that Iran has too many road traffic injuries (RTI). This paper explains the reasons for high traffic injury rates and points to solutions. It also provides detailed data on the burden of traffic injury in Iran in 2005. Traffic injury rates have rapidly risen out of control because for a variety of possible reasons such as increasing number of non-standard cars and motorcycles, low gas price, decreasing ratio of travels via public transportation than with private vehicles, and problems with safety design. Besides a high need for a system safety approach, Iran needs to deal with the problem of producing a high number of cars and motorcycles. Providing safe mobility for the people of Iran needs to be a top priority of the government.
The objective of this study was to investigate road traffic crash injuries and fatalities. Cases of 3902 road traffic injuries (1709 drivers, 891 passengers, 376 pedestrians and 926 motorcyclists) and 1564 road traffic fatalities (RTFs; 1222 males and 342 females) were collected from 2005 to 2008 using the database of the police forces and Department of Forensic Medicine in Kerman, respectively. Results showed that 66% of the injuries were related to car occupants (drivers and passengers) and men/women ratio was 5:1. The highest men/women ratio was (12.2:1) for drivers, while the lowest ratio (1.8:1) was for pedestrians. Most of the injuries had taken place at 16:01-20:00 h followed by 08:01-12:00 h. Highest numbers of injuries were found in male with the age groups of 18-24 years. The highest fatality rate of 79 per 100,000 population occurred in 2007-2008. Fatality ratio indicated higher male ratio, four times higher than females. The victims were 39% male between 30 and 55 years of age. Head injuries were present in 69% of the cases. In our series of forensic autopsy cases, head injuries were more frequent in motor vehicle occupants, pedestrians and motorcyclists. On average, two people died per day in RTFs in Kerman.
Thompson, Jacqueline Y; Akanbi, Moses A; Azuh, Dominic; Samuel, Victoria; Omoregbe, Nicholas; Ayo, Charles K
Abstract Objective To estimate the burden of road traffic injuries and deaths for all road users and among different road user groups in Africa. Methods We searched MEDLINE, EMBASE, Global Health, Google Scholar, websites of African road safety agencies and organizations for registry- and population-based studies and reports on road traffic injury and death estimates in Africa, published between 1980 and 2015. Available data for all road users and by road user group were extracted and analysed. We conducted a random-effects meta-analysis and estimated pooled rates of road traffic injuries and deaths. Findings We identified 39 studies from 15 African countries. The estimated pooled rate for road traffic injury was 65.2 per 100 000 population (95% confidence interval, CI: 60.8–69.5) and the death rate was 16.6 per 100 000 population (95% CI: 15.2–18.0). Road traffic injury rates increased from 40.7 per 100 000 population in the 1990s to 92.9 per 100 000 population between 2010 and 2015, while death rates decreased from 19.9 per 100 000 population in the 1990s to 9.3 per 100 000 population between 2010 and 2015. The highest road traffic death rate was among motorized four-wheeler occupants at 5.9 per 100 000 population (95% CI: 4.4–7.4), closely followed by pedestrians at 3.4 per 100 000 population (95% CI: 2.5–4.2). Conclusion The burden of road traffic injury and death is high in Africa. Since registry-based reports underestimate the burden, a systematic collation of road traffic injury and death data is needed to determine the true burden. PMID:27429490
Tavakoli Kashani, Ali; Shariat-Mohaymany, Afshin; Ranjbari, Andishe
Abstract: Background: Iran is a country with one of the highest rates of traffic crash fatality and injury, and seventy percent of these fatalities happen on rural roads. The objective of this study is to identify the significant factors influencing injury severity among drivers involved in crashes on two kinds of major rural roads in Iran: two-lane, two-way roads and freeways. Methods: According to the dataset, 213569 drivers were involved in rural road crashes in Iran, over the 3 years from 2006 to 2008. The Classification And Regression Tree method (CART) was applied for 13 independent variables, and one target variable of injury severity with 3 classes of no-injury, injury and fatality. Some of the independent variables were cause of crash, collision type, weather conditions, road surface conditions, driver's age and gender and seat belt usage. The CART model was trained by 70% of these data, and tested with the rest. Results: It was indicated that seat belt use is the most important safety factor for two-lane, two-way rural roads, but on freeways, the importance of this variable is less. Cause of crash, also turned out to be the next most important variable. The results showed that for two-lane, two-way rural roads, "improper overtaking" and "speeding", and for rural freeways, "inattention to traffic ahead", "vehicle defect", and "movement of pedestrians, livestock and unauthorized vehicles on freeways" are the most serious causes of increasing injury severity. Conclusions: The analysis results revealed seat belt use, cause of crash and collision type as the most important variables influencing the injury severity of traffic crashes. To deal with these problems, intensifying police enforcement by means of mobile patrol vehicles, constructing overtaking lanes where necessary, and prohibiting the crossing of pedestrians and livestock and the driving of unauthorized vehicles on freeways are necessary. Moreover, creating a rumble strip on the two edges of roads
Hyder, Adnan Ali; Amach, Omar Hussein; Garg, Nitin; Labinjo, Mariam Temitope
Over a million people died from road traffic injuries (RTI) globally in the year 2000 and as many as 50 million were injured. Yet there has been little work focused on the South Asia region, let alone the vulnerable segments of population such as children and adolescents. This study aims at measuring the burden of disease caused by urban road traffic injuries among children and adolescents in South Asia. This study selected 26 studies for review and data extraction out of 1505 published articles. Data from the studies were pooled to calculate the proportion and characteristics of child and adolescent RTI, regional RTI incidence and mortality rates, and an estimate of the burden of disease caused by these injuries through the use of the healthy life years lost (HeaLY) composite measure. Our findings showed that the majority of injuries occurred in males (67-80%) and the most frequent age group injured was between ages 0 and 9 representing 40% of cases. Children and adolescents represent an average of 22% of all those with RTI whom seek care. Children and adolescents represented an average of 13% of all RTI deaths. Regional RTI incidence rate was calculated at 880 per 100,000 urban persons aged 0-19. Mortality due to RTI was at 17 deaths per 100,000 urban persons aged 0-19 in South Asia. Burden of disease was calculated 16 HeaLYs per 1000 general population from road traffic mortality alone. With disability data added, then 27.7 HeaLYs per 1000 general population are lost from road traffic injuries in South Asia. The increasing burden of RTI in young persons in South Asia is a call for considering appropriate research and effective interventions. This relatively high loss of healthy life from RTI needs to be addressed by public health systems in South Asia.
Ainy, Elaheh; Soori, Hamid; Ganjali, Mojtaba; Le, Henry; Baghfalaki, Taban
We aimed to use the willingness to pay (WTP) method to calculate the cost of traffic injuries in Iran in 2013. We conducted a cross-sectional questionnaire-based study of 846 randomly selected road users. WTP data was collected for four scenarios for vehicle occupants, pedestrians, vehicle drivers, and motorcyclists. Final analysis was carried out using Weibull and maximum likelihood method. Mean WTP was 2,612,050 Iranian rials (IRR). Statistical value of life was estimated according to 20,408 fatalities 402,314,106,073,648 IRR (US$13,410,470,202 based on purchasing power parity at (February 27th, 2014). Injury cost was US$25,637,870,872 (based on 318,802 injured people in 2013, multiple daily traffic volume of 311, and multiple daily payment of 31,030 IRR for 250 working days). The total estimated cost of injury and death cases was 39,048,341,074$. Gross national income of Iran was, US$604,300,000,000 in 2013 and the costs of traffic injuries constituted 6·46% of gross national income. WTP was significantly associated with age, gender, monthly income, daily payment, more payment for time reduction, trip mileage, drivers and occupants from road users. The costs of traffic injuries in Iran in 2013 accounted for 6.64% of gross national income, much higher than the global average. Policymaking and resource allocation to reduce traffic-related death and injury rates have the potential to deliver a huge economic benefit.
Ainy, Elaheh; Soori, Hamid; Ganjali, Mojtaba; Le, Henry; Baghfalaki, Taban
We aimed to use the willingness to pay (WTP) method to calculate the cost of traffic injuries in Iran in 2013. We conducted a cross-sectional questionnaire-based study of 846 randomly selected road users. WTP data was collected for four scenarios for vehicle occupants, pedestrians, vehicle drivers, and motorcyclists. Final analysis was carried out using Weibull and maximum likelihood method. Mean WTP was 2,612,050 Iranian rials (IRR). Statistical value of life was estimated according to 20,408 fatalities 402,314,106,073,648 IRR (US$13,410,470,202 based on purchasing power parity at (February 27th, 2014). Injury cost was US$25,637,870,872 (based on 318,802 injured people in 2013, multiple daily traffic volume of 311, and multiple daily payment of 31,030 IRR for 250 working days). The total estimated cost of injury and death cases was 39,048,341,074$. Gross national income of Iran was, US$604,300,000,000 in 2013 and the costs of traffic injuries constituted 6·46% of gross national income. WTP was significantly associated with age, gender, monthly income, daily payment, more payment for time reduction, trip mileage, drivers and occupants from road users. The costs of traffic injuries in Iran in 2013 accounted for 6.64% of gross national income, much higher than the global average. Policymaking and resource allocation to reduce traffic-related death and injury rates have the potential to deliver a huge economic benefit. PMID:25438150
Sánchez-Vallejo, Patricia G; Pérez-Núñez, Ricardo; Heredia-Pi, Ileana
This study estimated the economic costs of permanent disability caused by road traffic injuries in Mexico during 2012. From the health system's perspective, a bottom-up approach was used to calculate direct medical costs (hospitalization, outpatient care, rehabilitation, and prostheses). From society's perspective, using a human capital approach, indirect costs were associated with loss of productivity for the victims and their caregivers. Permanent disability due to road traffic injuries takes a high toll on the health system and Mexican society. From the health system perspective, the cost was US$269,529,480.72, or US$1,496.33 per victim. The estimated average cost to society was US$3,445.45 during the first year. The total average cost per victim was US$4,941.77, resulting in a total economic cost of US$1,119,761,632.53 during 2012. The study's findings highlight the need to design and implement more rigorous and efficient public policies to control and prevent road traffic injuries in Mexico.
Stewart, Barclay; Yankson, Isaac Kofi; Afukaar, Francis; Medina, Martha Hijar; Cuong, Pham Viet; Mock, Charles
Synopsis Injuries result in nearly 6 million deaths and incur 52 million disability-adjusted life years annually, comprising 15% of the global disease burden. More than 90% of this burden occurs in low- and middle-income countries (LMICs). Given this burden, it’s not unexpected that injuries are the leading cause of death among travelers to LMICs, namely from road traffic crashes and drowning. Opportunely, the majority of injuries are preventable. Therefore, pre-travel advice regarding foreseeable dangers and how to avoid them may significantly mitigate injury risk, such as: wearing seatbelts, helmets and personal flotation devices when appropriate; responsibly consuming alcohol; and closely supervising children. Upon return, travelers to LMICs are in a unique position; having shared injury risks while abroad, travelers can advocate for injury control initiatives that might make the world safer for travelers and local populations alike. PMID:26900117
Bahadorimonfared, Ayad; Soori, Hamid; Mehrabi, Yadollah; Delpisheh, Ali; Esmaili, Alireza; Salehi, Masoud; Bakhtiyari, Mahmood
Road traffic injuries (RTIs) leading to death need the most essential concern for low, middle and high income societies. Mortality rate due to traffic injuries is considerable in Iran particularly during the last decade along with the industrialization process. The present study considered the trend of traffic injuries leading to death in Iran for a period of seven-years which started from March 2004 to March 2011. The formal merged Iranian database provided by the Ministry of Roads, the Legal Medicine Organization, the Traffic Police (NAJA), and the Ministry of Health covering 146, 269 deaths due to traffic injuries between 2004 and 2011 was analyzed. The time series method was carried out to determine the death trends of RTIs in the whole country. The Poisson regression model was used to estimate the changes in the frequency of events over time adjusting for associated known risk factors. The SARIMA (0, 1, 1)×(0, 1, 1)12 model was used for fitting to the time series of death rate. The death rate due to RTIs in Iran has statistically declined from 38 in 2004 to 31 per 100,000 populations in 2011. Based on the number of vehicles, the mortality rate has also declined from 38 to 12 cases per 10,000 vehicles from 2004 to 2011 respectively. However, the mortality rate was increased from 51 to 65 cases per 1000 accidents from 2004 to March 2011 respectively. Despite minor variations in mortality trends of RTIs in Iran according to different criteria, an annual average of 21,000 deaths is considerable and needs serious attentions. Modification of traffic laws, enhancement of police controls, improving transport infrastructure, holding education courses for drivers and providing optimal healthcare services are recommended. PMID:23724132
Bahadorimonfared, Ayad; Soori, Hamid; Mehrabi, Yadollah; Delpisheh, Ali; Esmaili, Alireza; Salehi, Masoud; Bakhtiyari, Mahmood
Road traffic injuries (RTIs) leading to death need the most essential concern for low, middle and high income societies. Mortality rate due to traffic injuries is considerable in Iran particularly during the last decade along with the industrialization process. The present study considered the trend of traffic injuries leading to death in Iran for a period of seven-years which started from March 2004 to March 2011. The formal merged Iranian database provided by the Ministry of Roads, the Legal Medicine Organization, the Traffic Police (NAJA), and the Ministry of Health covering 146, 269 deaths due to traffic injuries between 2004 and 2011 was analyzed. The time series method was carried out to determine the death trends of RTIs in the whole country. The Poisson regression model was used to estimate the changes in the frequency of events over time adjusting for associated known risk factors. The SARIMA (0, 1, 1)×(0, 1, 1)12 model was used for fitting to the time series of death rate. The death rate due to RTIs in Iran has statistically declined from 38 in 2004 to 31 per 100,000 populations in 2011. Based on the number of vehicles, the mortality rate has also declined from 38 to 12 cases per 10,000 vehicles from 2004 to 2011 respectively. However, the mortality rate was increased from 51 to 65 cases per 1000 accidents from 2004 to March 2011 respectively. Despite minor variations in mortality trends of RTIs in Iran according to different criteria, an annual average of 21,000 deaths is considerable and needs serious attentions. Modification of traffic laws, enhancement of police controls, improving transport infrastructure, holding education courses for drivers and providing optimal healthcare services are recommended.
Background The increasing number of older road users represents a public health issue because older individuals are more susceptible to traffic injury and mortality than the general population. This study investigated the association between socio-demographic factors and traffic injury and traffic mortality for the general population and among older road users in Japan. Methods An ecological study was conducted using national data in Japan. Multivariate regression methods were applied to investigate the association of traffic injury and traffic mortality for the general population and among older road users with significant demographic, economic, road traffic, and medical/cultural factors. Results Income per capita, total road length, and alcohol consumption per person were significantly associated with traffic injury and traffic mortality both for the general population and among older road users in Japan. Income per capita and alcohol consumption per person were negatively associated with traffic mortality for both groups. Meanwhile, for both groups, income per capita was positively associated with traffic injury, while total road length and alcohol consumption per person were negatively associated with traffic injury. Conclusions The effects of socio-demographic factors on traffic injury and traffic mortality in Japan were similar for both the general population and older road users. The study results suggest that injury preventive measures designed for the general population will be beneficial also for older road users in Japan. PMID:23083429
Donnelly-Swift, Erica; Kelly, Alan
Generalised linear regression models were used to identify factors associated with fatal/serious road traffic collision injuries for single- and multi-vehicle collisions. Single-vehicle collisions and multi-vehicle collisions occurring during the hours of darkness or on a wet road surface had reduced likelihood of a fatal/serious injury. Single-vehicle 'driver with passengers' collisions occurring at junctions or on a hill/gradient were less likely to result in a fatal/serious injury. Multi-vehicle rear-end/angle collisions had reduced likelihood of a fatal/serious injury. Single-vehicle 'driver only' collisions and multi-vehicle collisions occurring on a public/bank holiday or on a hill/gradient were more likely to result in a fatal/serious injury. Single-vehicle collisions involving male drivers had increased likelihood of a fatal/serious injury and single-vehicle 'driver with passengers' collisions involving drivers under the age of 25 years also had increased likelihood of a fatal/serious injury. Findings can enlighten decision-makers to circumstances leading to fatal/serious injuries.
Rahman, Nik Hisamuddin; Rainis, Ruslan; Noor, Syed Hatim; Syed Mohamad, Sharifah Mastura
BACKGROUND: The main aim of this study is to utilize the geographical information system (GIS) software and perform the spatial analysis in relation to clinical data for road traffic injury (RTI) pediatric cases attending the emergency department. METHODS: The study sample included pediatric patients (age less than 18 years) with road-related injuries within a district in Malaysia who attended emergency departments of two tertiary hospitals within the district. In addition to injury, pre-hospital care and outcome data, the coordinate of the locations were obtained by the ambulance paramedics by using portable handheld GPS unit brand Garmin® model GPS 72 H. The data was transferred into the excel format which in turn underwent GIS analysis by using ARCGIS® (by ESRI) software version 10.1 licensed to the study institution. RESULTS: A total of 102 (24.8%) of all motor vehicle crash (MVC) victims involved the pediatric age group (age 18 years and below). The mean (SD) age of the pediatric victims was 14.30 years (SD 3.830). Male comprised of 68 (66.7%) of the cases. Motorcyclists [88 (88.0%)] were the most common type of victims involved. Interestingly, the majority of the severely injured victims [75 (73%)] sustained the RTI on roads with maximum speed limit of 60 km/hour. The mean (SD) length of hospital stay was 7.83 days (5.59). CONCLUSION: The pediatric related road traffic injury in Malaysia causes significant health and social burden in the country. This study showed both important clinical and geographical factors that need to be taken into consideration for future preventive action. PMID:27547282
Matheka, Duncan Mwangangi; Omar, Faraj Alkizim; Kipsaina, Chebiwot; Witte, Jeffrey
Introduction Motorcycle injuries contribute a substantial number of deaths and hospital admissions in Kenya. There is paucity of data to inform prevention strategies to address the issue. Therefore, the current study sought to explore the characteristics of 2 and 3-wheeler related road traffic injuries (RTIs) in Kenya. Methods A cross-sectional survey of motorcycle drivers involved in a RTI in the preceding 3 months was conducted in 11 urban and rural sites in Kenya's Thika town through face- to -face structured interviews. Drivers’ demographic information, comprehensive crash characteristics and socioeconomic impact of injury data were collected. Results Of 200 drivers injured, 98% were male, with average age of 28.4 years (SD±6.6). Of these drivers, 33% were not wearing any protective equipment. Negligence was the most reported cause of crash (33%), followed by slippery roads (21.0%) and speeding (17.5%). The risk of sustaining a bodily injury was 1.3 times higher in drivers who had not received prevention education compared to those who had received such education. People injured at night were 5 times more likely to sustain a bodily injury compared to those injured during the day. Only 8.5% of the drivers reported the injury incident to the police. Conclusion Majority of motorcycle related injuries in Thika town occur among young, productive, working-age male drivers. A high proportion of injuries are due to negligence on riding while not wearing any protective equipment compounded by lack of injury prevention education. Initiatives to foster helmet wearing, provision of high-quality affordable helmets, responsible driving and advocacy for stronger legislation, are recommended. PMID:26401211
Karkee, Rajendra; Lee, Andy H
Objective To investigate the epidemiology of road traffic injury (RTI) in Nepal for the period 2001–2013. Methods 2 approaches, secondary data analysis and systematic literature review, were adopted. RTI data were retrieved from traffic police records and analysed for the incidence of RTI. Electronic databases were searched for published articles that described the epidemiology of RTI in Nepal. Results A total of 95 902 crashes, 100 499 injuries and 14 512 deaths were recorded by the traffic police over the 12-year period, 2001–2013. The mortality rate increased from 4/100 000 population in 2001–2002 to 7/100 000 population in 2011–2012. There were relatively more reported crashes yet fewer deaths in Kathmandu valley than the rest of the country. Of the 20 articles related to RTI, only 11 articles met the eligibility criteria, but these were mainly descriptive case series or cross-sectional hospital-based studies. The majority of RTI were reported to occur among motorcyclists and pedestrians, in males, and in the age group 20–40 years. The common sites of injury were lower and upper extremities. Only 3 articles mentioned possible causes of accidents that include pedestrian road behaviour, alcohol consumption and improper bus driving. Conclusions Nepal suffers a heavy burden of RTI, with higher fatalities on highways out of Kathmandu valley caused by bus crashes in hilly districts. The majority of published studies on RTI are descriptive and hospital based, indicating the need for more thorough investigation of causes of RTI and systematic recording of crashes for the development of effective interventions. PMID:27084283
Dandona, R; Kumar, G A; Raj, T S; Dandona, L
Objective To describe patterns of road traffic injuries (RTI) in a vulnerable population—pedestrians and users of motorized two‐wheeled vehicles (MTVs)—in Hyderabad, India. Methods 4019 pedestrians and 4183 MTV drivers provided information on the most recent road traffic crash (RTC) irrespective of the level of injury in the last one year for 17 454 and 17 242 household members, respectively. Crashes in which any household member was involved as a pedestrian or MTV user were analysed. Results Involvement in an RTC as a pedestrian or MTV user was reported for 1513 (4.4%, 95% CI 4.2 to 4.6%) people in the last one year. In these crashes, the person involved was an MTV user in 1264 (83.5%), aged 21–40 years in 973 (64.3%), and male in 1202 (79.4%). Six (0.4%) people died in RTCs and the cause was collision with a vehicle/person in 1133 (75%) crashes. Among the 1306 people who were injured and survived, 174 (13.3%) were treated as inpatients, 38 (2.9%) could not return fully to routine daily activities, 630 (48.2%) took leave from their regular occupation, and 13 (1%) lost their jobs following injury. Using a three month recall period, the annual incidence per 100 000 population of RTC as a pedestrian or MTV user was 2288 and of non‐fatal RTI was 1931, and that of fatal RTI using one year recall period was 17.3 in this population. Conclusions These findings on how RTI are caused, their type, and outcomes in pedestrians and MTV users can assist in identifying interventions to improve road safety for this vulnerable population in India, and can also be useful for monitoring the effectiveness of such interventions. PMID:16751450
Ghaffari-fam, Saber; Sarbazi, Ehsan; Daemi, Amin; Sarbazi, Mohammad Reza; Nikbakht, Hossein Ali; Salarilak, Shaker
Objectives: To determine the epidemiology of injuries of the motorcyclists in road traffic accidents (RTIs) between 2008 and 2014 in East Azarbayejan province of Iran. Methods: A cross-sectional study was performed in East Azerbaijan province in Imam Reza hospital on motorcyclists subjected to injuries in RTIs between 2008 and 2014. Demographic characteristics (age, sex), duration of hospitalization, final status of injured people after discharge from the hospital, admission ward, number of admissions due to injuries in RTIs, nature of injury, and the clinical services provided to injured people were gathered from hospital information system (HIS). Demographic characteristics (age, sex), duration of hospitalization, final status of injured people after discharge from the hospital, admission ward, number of admissions due to injuries in RTIs, injured site of the body, nature of injury, and the clinical services provided injured people were gathered from HIS. Standardized data collection form was used for uniform handling of the data. Results: Most of the victims (94.4%) were male. The most frequent injuries pertained to the age group of 18-30 with 1676 (51.4%) injuries. Head, abdomen, lower back, lumbar spine, and pelvis, were the most common injured sites, respectively. Reduction of fracture and dislocation and cranial puncture were the most common provided services. The lowest survival time belonged to the age group over 60 years old. Conclusion: Injuries to the head are the most prevalent injuries among motorcyclists in RTIs. So it is suggested that proper interventions be implemented to ensure wearing helmet by motorcyclist and pillion passengers. PMID:27878128
Ainy, Elaheh; Soori, Hamid; Ganjali, Mojtaba; Baghfalaki, Taban
Background and Aim: To allocate resources at the national level and ensure the safety level of roads with the aim of economic efficiency, cost calculation can help determine the size of the problem and demonstrate the economic benefits resulting from preventing such injuries. This study was carried out to elicit the cost of traffic injuries among Iranian drivers of public vehicles. Materials and Methods: In a cross-sectional study, 410 drivers of public vehicles were randomly selected from all the drivers in city of Tehran, Iran. The research questionnaire was prepared based on the standard for willingness to pay (WTP) method (stated preference (SP), contingent value (CV), and revealed preference (RP) model). Data were collected along with a scenario for vehicle drivers. Inclusion criteria were having at least high school education and being in the age range of 18 to 65 years old. Final analysis of willingness to pay was carried out using Weibull model. Results: Mean WTP was 3,337,130 IRR among drivers of public vehicles. Statistical value of life was estimated 118,222,552,601,648 IRR, for according to 4,694 dead drivers, which was equivalent to 3,940,751,753 $ based on the dollar free market rate of 30,000 IRR (purchase power parity). Injury cost was 108,376,366,437,500 IRR, equivalent to 3,612,545,548 $. In sum, injury and death cases came to 226,606,472,346,449 IRR, equivalent to 7,553,549,078 $. Moreover in 2013, cost of traffic injuries among the drivers of public vehicles constituted 1.25% of gross national income, which was 604,300,000,000$. WTP had a significant relationship with gender, daily payment, more payment for time reduction, more pay to less traffic, and minibus drivers. Conclusion: Cost of traffic injuries among drivers of public vehicles included 1.25% of gross national income, which was noticeable; minibus drivers had less perception of risk reduction than others. PMID:26157655
Chini, Francesco; Farchi, Sara; Camilloni, Laura; Giarrizzo, Maria Letizia; Giorgi Rossi, Paolo
The economic consequences of road traffic injuries (RTIs) are very important in terms of health care costs. The aim of this study is to provide estimates of health care costs of non-fatal RTIs and to estimate functional outcomes using in-hospital rehabilitation data. We identified all emergency department (ED) visits related to RTI during 2008 and then linked them with hospital discharges and rehabilitation admissions, health care costs following RTI were estimated from the integrated database. We performed an epidemiological evaluation of RTI with a comprehensive description of functional outcomes at 6 months. Health care costs have been estimated at about €80 million with a per person cost of €522. About 18% of the total cost was due to rehabilitation treatments. In multivariate analysis the variables that correlated better with higher total health care costs were: older age, injury severity, presence of spinal lesion. Patients requiring rehabilitation were: the elderly, patients suffering from a spinal cord injury and leg injuries. This study provides consistent health care cost estimates of RTI using administrative databases and it shows a picture of functional outcomes after RTI. Further research is needed for the estimation of other components of the total cost of RTI.
Adeoye, Peter Oladapo; Kadri, Dotun Musiliu; Bello, Jibril Oyekunle; Ofoegbu, Chima Kingsley Pascal; Abdur-Rahman, Lukman Olajide; Adekanye, Adedeji Olugbenga; Solagberu, Babatunde Akeeb
Introduction Road traffic injury (RTI) has assumed major public health importance world-wide and the burden is heavier on the health-care infrastructure of countries in Sub-Saharan Africa. In Nigeria, RTI is the leading cause of trauma related morbidity and mortality. While there are some published epidemiological reports on RTI in the region, studies on the mechanism of causation of road traffic crashes (RTC) are not available. Methods Over a 9-month period, we prospectively captured the 571 victims of RTC presenting to a single tertiary health care center in Nigeria. Data collected include demographic data, Mechanism of causation of RTC, Injuries sustained and outcomes. Results Over three-quarters of the victims are young people and half were either traders (27.5%) or students (20%). Pedestrians, motorcycle riders and open truck occupants (people sitting at the rear loading compartment of trucks) often had fatal injuries. Analysis of collision patterns showed that lone crashes were the most frequent though car-to-motorcycle crashes caused a quarter of the deaths. Host factors (over-speeding driver, driver misjudgment, sleeping driver etc.) were responsible for four-fifths of the crashes while vehicular and environmental factors accounted for the remaining. On binary regression analysis, head injured victims had higher odds of dying than the non-head injured (Odds ratio = 6.5). Conclusion This paper elucidates the mechanisms of causation of and types of injuries sustained following RTC in Nigeria and thus provide opportunities for prevention and control of this unacceptable situation. PMID:25780490
Ainy, Elaheh; Soori, Hamid; Ganjali, Mojtaba; Basirat, Behzad; Haddadi, Mashyaneh
Background Motorcycle riders are amongst some of the most vulnerable road users. The burden of motorcycles injuries from low and middle income countries is under-reported. Objectives In this study, the cost of traffic injuries among motorcyclists was calculated using the willingness to pay (WTP) method in Iran in 2013. Patients and Methods In a cross-sectional study, 143 motorcyclists were randomly selected. The research questionnaire was prepared based on the standard WTP method [stated preference (SP), contingent value (CV) and revealed preference (RP) models] taking into consideration perceived risks, especially those in Iran. Data were collected by a scenario for motorcyclists. The criteria for inclusion in the study consisted of having at least a high school education and being in the age range of 18 - 65 years. The final analysis of the WTP data was performed using the Weibull model. Results The mean WTP was 888,110 IRR (Iranian Rial) among motorcyclists. The statistical value of life was estimated according to 4694 death cases as 3,146,225,350,943 IRR, which was equivalent to USD 104,874,178 based on the dollar free market rate of 30,000 IRR (purchasing power parity). The cost of injury was 6,903,839,551,000 IRR, equivalent to USD 230,127,985 (based upon 73,325 injured motorcyclists in 2013, a daily traffic volume of 311, and a daily payment of 12,110 IRR for 250 working days). In total, injury and death cases came to 10,050,094,901,943 IRR, equivalent to USD 335,003,163. Willingness to pay had a significant relationship with having experienced an accident, the length of the daily trip (in km), and helmet use (P < 0.001). Conclusions Willingness to pay can be affected by experiencing an accident, the distance of the daily trip, and helmet use. The cost of traffic injuries among motorcyclists shows that this rate is much higher than the global average. Thus, expenditure should be made on effective initiatives such as the safety of motorcyclists. PMID:27679784
Hyder, Adnan A; Norton, Robyn; Pérez-Núñez, Ricardo; Mojarro-Iñiguez, Francisco R; Peden, Margie; Kobusingye, Olive
Road traffic crashes have been an increasing threat to the wellbeing of road users worldwide; an unacceptably high number of people die or become disabled from them. While high-income countries have successfully implemented effective interventions to help reduce the burden of road traffic injuries (RTIs) in their countries, low- and middle-income countries (LMICs) have not yet achieved similar results. Both scientific research and capacity development have proven to be useful for preventing RTIs in high-income countries. In 1999, a group of leading researchers from different countries decided to join efforts to help promote research on RTIs and develop the capacity of professionals from LMICs. This translated into the creation of the Road Traffic Injuries Research Network (RTIRN) - a partnership of over 1,100 road safety professionals from 114 countries collaborating to facilitate reductions in the burden of RTIs in LMICs by identifying and promoting effective, evidenced-based interventions and supporting research capacity building in road safety research in LMICs. This article presents the work that RTIRN has done over more than a decade, including production of a dozen scientific papers, support of nearly 100 researchers, training of nearly 1,000 people and 35 scholarships granted to researchers from LMICs to attend world conferences, as well as lessons learnt and future challenges to maximize its work.
Gao, Jinghong; Chen, Xiaojun; Woodward, Alistair; Liu, Xiaobo; Wu, Haixia; Lu, Yaogui; Li, Liping; Liu, Qiyong
Few studies examined the associations of meteorological factors with road traffic injuries (RTIs). The purpose of the present study was to quantify the contributions of meteorological factors to RTI cases treated at a tertiary level hospital in Shantou city, China. A time-series diagram was employed to illustrate the time trends and seasonal variation of RTIs, and correlation analysis and multiple linear regression analysis were conducted to investigate the relationships between meteorological parameters and RTIs. RTIs followed a seasonal pattern as more cases occurred during summer and winter months. RTIs are positively correlated with temperature and sunshine duration, while negatively associated with wind speed. Temperature, sunshine hour and wind speed were included in the final linear model with regression coefficients of 0.65 (t = 2.36, P = 0.019), 2.23 (t = 2.72, P = 0.007) and −27.66 (t = −5.67, P < 0.001), respectively, accounting for 19.93% of the total variation of RTI cases. The findings can help us better understand the associations between meteorological factors and RTIs, and with potential contributions to the development and implementation of regional level evidence-based weather-responsive traffic management system in the future. PMID:27853316
Gao, Jinghong; Chen, Xiaojun; Woodward, Alistair; Liu, Xiaobo; Wu, Haixia; Lu, Yaogui; Li, Liping; Liu, Qiyong
Few studies examined the associations of meteorological factors with road traffic injuries (RTIs). The purpose of the present study was to quantify the contributions of meteorological factors to RTI cases treated at a tertiary level hospital in Shantou city, China. A time-series diagram was employed to illustrate the time trends and seasonal variation of RTIs, and correlation analysis and multiple linear regression analysis were conducted to investigate the relationships between meteorological parameters and RTIs. RTIs followed a seasonal pattern as more cases occurred during summer and winter months. RTIs are positively correlated with temperature and sunshine duration, while negatively associated with wind speed. Temperature, sunshine hour and wind speed were included in the final linear model with regression coefficients of 0.65 (t = 2.36, P = 0.019), 2.23 (t = 2.72, P = 0.007) and ‑27.66 (t = ‑5.67, P < 0.001), respectively, accounting for 19.93% of the total variation of RTI cases. The findings can help us better understand the associations between meteorological factors and RTIs, and with potential contributions to the development and implementation of regional level evidence-based weather-responsive traffic management system in the future.
Bumbasirevic, Marko; Lesic, Aleksandar; Bumbasirevic, Vesna; Zagorac, Slavisa; Milosevic, Ivan; Simic, Marko; Markovic-Denic, Ljiljana
The objective of this study is to describe severe road traffic injuries (RTIs) in the population under 18 years in Belgrade, the capital of Serbia. We analysed both severe non-fatal and fatal RTIs in children and adolescents under 18 years old in the Belgrade area, during the period 2008-2011. Data sources were the official statistics of the Public Health Institute in Belgrade and forensic-medical records from two paediatric university hospitals and five university hospitals for adults. Using descriptive statistical methods, demographic characteristics, mechanism, type and time of injuries, surgical treatment procedures, injury severity scores (ISS), length of stay and outcome were evaluated. The admission and mortality rates were calculated. Among the total of 379 injured, 256 (67.5%) were male; the average age was 13.0 ± 4.7 (range: 0-18 years). The annual hospital admission rate of RTIs for both sexes decreased in average by 12.6% (95% CI = 9.3%-15.9%). The mean percentage of annual changes of mortality rates was 2.0 %; 95% CI = 1.3%-5.3% (5.7 per 100,000 in 2008, 5.6 in 2009, 4.7 in 2010 and 5.9 in 2011). The highest admission rates and mortality rates were for pedestrians, followed by passengers and cyclists. Accidents occurred most commonly on Monday (18.7%). Among children hospitalised for traffic injuries, 57.8% had head and neck trauma, 30.6% extremity fractures, 5% abdominal injuries, 4.2% chest and 2.4% multiple injuries. The average ISS was 22.4 (SD = 20.4), ranging from 1 to 75. Alcohol in blood was confirmed in 7.4% males and 3.3% females (p > 0.05). The average time of hospital stay was 8.8 days (SD = 16.7), ranging from 1 to 14. The increased rates require implementation of a well-defined national strategy in our country.
Waseela, Mariyam; Laosee, Orapin
This study investigates the incidence of nonfatal road traffic injuries (RTIs) in Malé, the capital city of the Maldives, and identifies risk factors associated with RTIs. A cross-sectional descriptive study was conducted among young adult motorcyclists in 3 public areas. A total of 350 self-administered questionnaires were distributed to the motorcycle riders who visited the study areas between December 2012 and January 2013. The incidence of RTIs for the previous 12 months was 39.8% among the 294 respondents who returned a completed questionnaire. About half (49.6%) of those were caused by the riders. The majority of riders were male (96.6%). None of the motorcycle riders wore a helmet. RTIs had a significant association with sex, age, and attitude. Young riders were 1.6 times more likely to be involved in an RTI (adjusted odds ratio [AOR] = 1.67; 95% confidence interval [CI] = 0.94-2.95). Having a negative attitude about road safety was a risk factor of RTIs (AOR = 1.84; 95% CI = 1.11-3.03). Based on the results of the present study, it is important to promote safe riding attitudes in young riders.
Ziyab, Ali H; Akhtar, Saeed
Road traffic injuries (RTIs), disabilities and deaths are recognised as a major public health problem worldwide. This study aimed to quantify the magnitude and the trends of RTI-related fatal and non-fatal injuries in Kuwait for the period 2000-2009. Data on road traffic crashes and related events (i.e., fatal and non-fatal minor and severe injuries) were obtained from police records, and the population data were sought from Ministry of Interior, Kuwait. From 2000 to 2009, 11,591 non-fatal RTIs and 3891 RTIs-related deaths occurred in Kuwait. Non-fatal severe RTIs accounted for 28.2% of the total non-fatal RTIs. Of the 2945 RTI-related deaths that occurred from 2003 to 2009, majority were amongst males (87.3%) and in the age range of 20-59 years (70.8%). The mean (SD) annual mortality rates for the 10-year study period (2000-2009) were 14 (1) per 100,000 population and 36 (2) per 100,000 registered vehicles. From 2000 to 2009, population-based and registered vehicle-based overall RTI-related crude mortality rates decreased by 20% and 29%, respectively. However, Poisson regression analyses showed that the overall slightly decreasing trends were statistically non-significant both for population-based crude mortality rate (trend coefficient=-0.016; p(trend)=0.587) and registered vehicle-based crude mortality rate (trend coefficient=-0.024; p(trend)=0.192). Furthermore, the trend in population-based age-adjusted RTI-related mortality rate for 2003-2009 was also statistically non-significant (trend coefficient=-0.050; p(trend)=0.284). For non-fatal severe RTIs, the overall mean (SD) annual rates per 100,000 population and 100,000 registered vehicles were 44 (23) and 113 (60) with corresponding total reduction of 61% and 66% from 2000 to 2009. The overall declining trends in minor and severe RTI rates (both population based and registered vehicles based) were statistically significant (p(trend)<0.001). Despite declined minor and severe RTI rates, the RTI-related crude
Staton, Catherine; Vissoci, Joao; Gong, Enying; Toomey, Nicole; Wafula, Rebeccah; Abdelgadir, Jihad; Zhou, Yi; Liu, Chen; Pei, Fengdi; Zick, Brittany; Ratliff, Camille D.; Rotich, Claire; Jadue, Nicole; de Andrade, Luciano; von Isenburg, Megan; Hocker, Michael
Background Road traffic injuries (RTIs) are a growing but neglected global health crisis, requiring effective prevention to promote sustainable safety. Low- and middle-income countries (LMICs) share a disproportionately high burden with 90% of the world’s road traffic deaths, and where RTIs are escalating due to rapid urbanization and motorization. Although several studies have assessed the effectiveness of a specific intervention, no systematic reviews have been conducted summarizing the effectiveness of RTI prevention initiatives specifically performed in LMIC settings; this study will help fill this gap. Methods In accordance with PRISMA guidelines we searched the electronic databases MEDLINE, EMBASE, Scopus, Web of Science, TRID, Lilacs, Scielo and Global Health. Articles were eligible if they considered RTI prevention in LMICs by evaluating a prevention-related intervention with outcome measures of crash, RTI, or death. In addition, a reference and citation analysis was conducted as well as a data quality assessment. A qualitative metasummary approach was used for data analysis and effect sizes were calculated to quantify the magnitude of emerging themes. Results Of the 8560 articles from the literature search, 18 articles from 11 LMICs fit the eligibility and inclusion criteria. Of these studies, four were from Sub-Saharan Africa, ten from Latin America and the Caribbean, one from the Middle East, and three from Asia. Half of the studies focused specifically on legislation, while the others focused on speed control measures, educational interventions, enforcement, road improvement, community programs, or a multifaceted intervention. Conclusion Legislation was the most common intervention evaluated with the best outcomes when combined with strong enforcement initiatives or as part of a multifaceted approach. Because speed control is crucial to crash and injury prevention, road improvement interventions in LMIC settings should carefully consider how the
Leijdesdorff, Henry A; van Dijck, Jeroen T J M; Krijnen, Pieta; Vleggeert-Lankamp, Carmen L A M; Schipper, Inger B
This epidemiological study analyzed the incidence, risk factors, hospital triage, and outcome of patients with severe traumatic brain injuries (sTBIs) caused by road traffic accidents (RTAs) admitted to hospitals in the Trauma Center West-Netherlands (TCWN) region. Trauma registry data were used to identify TBI in all RTA victims admitted to hospitals in the mid-West region of the Netherlands from 2003 to 2011. Type of head injury and severity were classified using the Abbreviated Injury Scale (AIS). Head injuries with AIS severity scores ≥ 3 were considered sTBI. Ten percent of all 12,503 hospital-admitted RTA victims sustained sTBI, ranging from 5.4% in motorcyclists, 7.4% in motorists, 9.6% in cyclists, and 12.7% in moped riders to 15.1% in pedestrians (p<0.0001). Among RTA victims admitted to hospital, sTBI was most prevalent in pedestrians (odds ratio [OR], 2.25; 95% confidence interval [CI], 1.78-2.86) and moped riders (OR, 1.86; 95% CI, 1.51-2.30). Injury patterns differed between road user groups. Incidence of contusion ranged from 46.6% in cyclists to 74.2% in motorcyclists, whereas basilar and open-skull fractures were least common in motorcyclists (22.6%) and most common in moped riders (51.5%). Hemorrhage incidence ranged from 44.9% (motorists) to 63.6% (pedestrians). Subdural and -arachnoid bleedings were most frequent. Age, Glasgow Coma Scale, and type of hemorrhage were independent prognostic factors for in-hospital mortality after sTBI. In-hospital mortality ranged from 4.2% in moped riders to 14.1% in motorists. Pedestrians have the highest risk to sustain sTBI and, more specifically, intracranial hemorrhage. Hemorrhage and contusion both occur in over 50% of patients with sTBI. Specific brain injury patterns can be distinguished for specific road user groups, and independent prognostic risk factors for sTBI were identified. This knowledge may be used to improve vigilance for particular injuries in specific patient groups and stimulate
Çelik, Ali Kemal; Oktay, Erkan
A retrospective cross-sectional study is conducted analysing 11,771 traffic accidents reported by the police between January 2008 and December 2013 which are classified into three injury severity categories: fatal, injury, and no injury. Based on this classification, a multinomial logit analysis is performed to determine the risk factors affecting the severity of traffic injuries. The estimation results reveal that the following factors increase the probability of fatal injuries: drivers over the age of 65; primary-educated drivers; single-vehicle accidents; accidents occurring on state routes, highways or provincial roads; and the presence of pedestrian crosswalks. The results also indicate that accidents involving cars or private vehicles or those occurring during the evening peak, under clear weather conditions, on local city streets or in the presence of traffic lights decrease the probability of fatal injuries. This study comprises the most comprehensive database ever created for a Turkish sample. This study is also the first attempt to use an unordered response model to determine risk factors influencing the severity of traffic injuries in Turkey.
DeNicola, Erica; Aburizaize, Omar S.; Siddique, Azhar; Khwaja, Haider; Carpenter, David O.
Injury was the largest single cause of disability-adjusted life years and death in the Kingdom of Saudi Arabia in 2013. The vast majority of injury-related fatalities are deaths caused by road traffic. Measures to control this serious public health issue, which has significant consequences for both Saudi families and the Saudi economy as a whole, have been underway for years but with little success. Most attempts at intervening revolve around attempts for enforcing stricter traffic laws and by installing automated traffic monitoring systems that will catch law breakers on camera and issue tickets and fines. While there has been much research on various factors that play a role in the high rate of road traffic injury in The Kingdom (e.g., driver behavior, animal collisions, disobeying traffic and pedestrian signals, environmental elements), virtually no attention has been given to examining why Saudi drivers behave the way that they do. This review provides a thorough account of the present situation in Saudi Arabia and discusses how health behavior theory can be used to gain a better understanding of driver behavior. PMID:27747208
DeNicola, Erica; Aburizaize, Omar S; Siddique, Azhar; Khwaja, Haider; Carpenter, David O
Injury was the largest single cause of disability-adjusted life years and death in the Kingdom of Saudi Arabia in 2013. The vast majority of injury-related fatalities are deaths caused by road traffic. Measures to control this serious public health issue, which has significant consequences for both Saudi families and the Saudi economy as a whole, have been underway for years but with little success. Most attempts at intervening revolve around attempts for enforcing stricter traffic laws and by installing automated traffic monitoring systems that will catch law breakers on camera and issue tickets and fines. While there has been much research on various factors that play a role in the high rate of road traffic injury in The Kingdom (e.g., driver behavior, animal collisions, disobeying traffic and pedestrian signals, environmental elements), virtually no attention has been given to examining why Saudi drivers behave the way that they do. This review provides a thorough account of the present situation in Saudi Arabia and discusses how health behavior theory can be used to gain a better understanding of driver behavior.
Novoa, Ana M.; Santamariña-Rubio, Elena; Marí-Dell'Olmo, Marc; Ferrando, Josep; Peiró, Rosana; Tobías, Aurelio; Zori, Pilar; Borrell, Carme
Objectives. We assessed the effectiveness of the penalty points system (PPS) introduced in Spain in July 2006 in reducing traffic injuries. Methods. We performed an evaluation study with an interrupted time–series design. We stratified dependent variables—numbers of drivers involved in injury collisions and people injured in traffic collisions in Spain from 2000 to 2007 (police data)—by age, injury severity, type of road user, road type, and time of collision, and analyzed variables separately by gender. The explanatory variable (the PPS) compared the postintervention period (July 2006 to December 2007) with the preintervention period (January 2000 to June 2006). We used quasi-Poisson regression, controlling for time trend and seasonality. Results. Among men, we observed a significant risk reduction in the postintervention period for seriously injured drivers (relative risk [RR] = 0.89) and seriously injured people (RR = 0.89). The RRs among women were 0.91 (P = .095) and 0.88 (P < .05), respectively. Risk reduction was greater among male drivers, moped riders, and on urban roads. Conclusions. The PPS was associated with reduced numbers of drivers involved in injury collisions and people injured by traffic collisions in Spain. PMID:20864703
Bener, Abdulbari; Al Humoud, Suhail M Q; Price, Penny; Azhar, Abdulaziz; Khalid, Muayad K; Rysavy, Martin; Crundall, David
The objective of the study was to examine the effect of seat-belt legislation on hospital admissions with road traffic injuries and was designed as a retrospective descriptive study. All motor vehicle crashes recorded during the period 2001 - 2004 were extracted from the Emergency Medical Service Department. Details of the crashes, injuries and safety devices used were studied. The present study revealed that safety belt usage rates have increased from 8% in 2001 to 67% in 2004 among patients admitted to hospital with injury after road traffic crashes. The admission rate of patients with road traffic injuries per 100 000 population reduced by 17.7%. The enforcement of the seat-belt legislation played a vital role in reduction of hospital admissions due to road traffic crashes.
Ideally, health policies should be based on valid scientific evidence and such evidence requires health research. Health research is also an essential tool for achieving equity in health and development. Although the need to carry out health research is noe well accepted, South Asia countries still lag behind and do not make any meaningful contribution to health research and development, This paucity in research work is due to a lack of incentives, shortage of skilled manpower, poor exposure and insufficient orientation to the methods and materials of biomedical research. Research capacity is a tool to help a country deal with it's national health problems in as effective and efficient a manner as possible. It is, therefore, part of the national health system ans should be integrated in a comprehensive national health plan for the promotion of health and the delivery of health services to the country. Capacity strengthening is recognized as a crucial step in the process of integrating the use od research doe decision-making in the health system of a country. This is especially true for conditions such as road traffic injuries, which present a new challenge for existing health systems.
Rashid, Harun Ar
Ideally, health policies should be based on valid scientific evidence and such evidence requires health research. Health research is also an essential tool for achieving equity in health and development. Although the need to carry out health research is now well accepted, South Asian countries still lag behind and do not make any meaningful contributions to health research and development. This paucity in research work is due to a lack of incentives, shortage of skilled manpower, poor exposure and insufficient orientation to the methods and materials of biomedical research. Research capacity is a tool to help a country deal with its national health problems in as effective and efficient a manner as possible. It is, therefore, part of the national health system and should be integrated in a comprehensive national health plan for the promotion of health and the delivery of health services to the country. Capacity strengthening is recognized as a crucial step in the process of integrating the use of research for decision-making in the health system of a country. This is especially true for conditions such as road traffic injuries, which present a new challenge for existing health systems.
AUBAKIROVA, Alma; KOSSUMOV, Alibek; IGISSINOV, Nurbek
Background: The article provides the analysis of death rates in road traffic accidents in Kazakhstan from 2004 to 2010 and explores the use of sanitary aviation. Methods: Data of fatalities caused by road traffic accidents were collected and analysed. Descriptive and analytical methods of epidemiology and biomedical statistics were applied. Results: Totaly 27,003 people died as a result of road traffic accidents in this period. The death rate for the total population due to road traffic accidents was 25.0±2.10/0000. The death rate for men was (38.3±3.20/0000), which was higher (P<0.05) than that for women (12.6±1.10/0000). High death rates in the entire male population were identified among men of 30–39 years old, whereas the highest rates for women were attributed to the groups of 50–59 years old and 70–79 years old. In time dynamics, death rates tended to decrease: the total population (Tdec=−2.4%), men (Tdec=−2.3%) and women (Tdec=−1.4%). When researching territorial relevance, the rates were established as low (to 18.30/0000), average (between 18.3 and 24.00/0000) and high (from 24.00/0000 and above). Thus, the regions with high rates included Akmola region (24.30/0000), Mangistau region (25.90/0000), Zhambyl region (27.30/0000), Almaty region (29.30/0000) and South Kazakhstan region (32.40/0000). Conclusion: The identified epidemiological characteristics of the population deaths rates from road traffic accidents should be used in integrated and targeted interventions to enhance prevention of injuries in accidents. PMID:23641400
Background Evaluation of interventions on road traffic injuries (RTI) going beyond the assessment of impact to include factors underlying success or failure is an important complement to standard impact evaluations. We report here how we used a qualitative approach to assess current interventions implemented to reduce RTIs in Peru. Methods We performed in-depth interviews with policymakers and technical officers involved in the implementation of RTI interventions to get their insight on design, implementation and evaluation aspects. We then conducted a workshop with key stakeholders to analyze the results of in-depth interviews, and to further discuss and identify key programmatic considerations when designing and implementing RTI interventions. We finally performed brainstorming sessions to assess potential system-wide effects of a selected intervention (Zero Tolerance), and to identify adaptation and redesign needs for this intervention. Results Key programmatic components were consistently identified that should be considered when designing and implementing RTI interventions. They include effective and sustained political commitment and planning; sufficient and sustained budget allocation; training, supervision, monitoring and evaluation of implemented policies; multisectoral participation; and strong governance and accountability. Brainstorming sessions revealed major negative effects of the selected intervention on various system building blocks. Conclusions Our approach revealed substantial caveats in current RTI interventions in Peru, and fundamental negative effects on several components of the sectors and systems involved. It also highlighted programmatic issues that should be applied to guarantee an effective implementation and evaluation of these policies. The findings from this study were discussed with key stakeholders for consideration in further designing and planning RTI control interventions in Peru. PMID:22269578
Road traffic is the most interfering noise source in developed countries. According to a publication of the European Union (EU) at the end of the twentieth century , about 40% of the population in 15 EU member states is exposed to road traffic noise at mean levels exceeding 55 dB(A). Nearly 80 million people, 20% of the population, are exposed to levels exceeding 65 dB(A) during daytime and more than 30% of the population is exposed to levels exceeding 55 dB(A) during night time. Such high noise levels cause health risks and social disorders (aggressiveness, protest, and helplessness), interference of communication and disturbance of sleep; the long- and short-term consequences cause adverse cardiovascular effects, detrimental hormonal responses (stress hormones), and possible disturbance of the human metabolism (nutrition) and the immune system. Even performance at work and school could be impaired.
Decker, Sebastian; Otte, Dietmar; Muller, Christian Walter; Omar, Mohamed; Krettek, Christian; Haasper, Carl; Brand, Stephan
Background While cyclists and pedestrians are known to be at significant risk for severe injuries when exposed to road traffic accidents (RTA) involving trucks, little is known about RTA injury risk for truck drivers. Objectives The aim of this study was to analyze the injury severity in truck drivers following RTAs. Patients and Methods Our local accident research unit prospectively documented 43000 RTAs involving 582 trucks between 2000 and 2011. Injury severity, including the abbreviated injury scale (AIS) and the maximum abbreviated injury scale (MAIS) were analyzed. Technical parameters (e.g. delta-v, direction of impact), the location of accident, and its dependency on the road type were also taken into consideration. Results Thirteen percent (77/582) of truck drivers were injured. Extremities were found to be at highest risk of injury with the lower extremities (36x) being injured most severely (10x: AIS 2 and 3). Death occurred only after collisions with other trucks, and severity of injuries increased with an increased speed limit. The maximum abbreviated injury scale was higher in the crash opponents (56x MAIS ≥ 3) compared to the truck drivers (8x MAIS ≥ 3). Overall, 82% of the crash opponents were injured. Conclusions The safety of truck drivers is assured by their vehicles, the consequence being that the risk of becoming injured is likely to be low. However, the legs especially are at high risk for severe injuries during RTAs. This probability increases in the instance of a collision with another truck. Nevertheless, in RTAs involving trucks and regular passenger vehicles, the other party is in higher risk of injury. PMID:27679790
Irving, J. B.
This case report describes the presentation and treatment of a case of aortic incompetence, resulting from a road traffic accident. The relevant literature is briefly reviewed. Aortic incompetence due to trauma has been described following non-penetrating chest injuries, such as kicks from horses (Barie, 1881), falls from heights and crushing accidents (Kissane, Koons and Clark, 1948; Levine, Roberts and Morrow, 1962). Despite the frequency of road traffic accidents, there have been no recent reports of traumatic aortic valve damage. PMID:4467876
Bodalal, Zuhir; Bendardaf, Riyad; Ambarek, Mohammed; Nagelkerke, Nico
Background Road traffic injuries (RTIs) are a major public health concern in Libya. In the light of the armed conflict in Libya that broke out on February 2011 and the subsequent instability, the rate and pattern of RTIs was studied. Methods RTI patient data were gathered from Al-Jalaa hospital, the main trauma center in Benghazi, from 2010 to 2011. Various parameters [i.e. age, gender, nationality, method of entry, receiving department, intensive care unit (ICU) admission, duration of stay, method of discharge, and fatalities] were compared with data from the previous year (2010), and statistical analyses were performed (t-test, chi-square, and Poisson regression). Results During the conflict period, 15.8% (n=2,221) of hospital admissions were RTIs, that is, a rate of 6.08 RTI cases per day, levels not seen for 5 years (t=−5.719, p<0.001). The presence of armed conflict was found to have caused a significant 28% decrease in the trend of RTIs over the previous 10 years (B=−0.327, CI=−0.38–−0.28, p<0.001). February and March, the peak period of active combat in Benghazi, witnessed the lowest number of RTIs during the conflict period. The average age of an RTI decreased to 28.35±16.3 years (t=−7.257, p<0.001) with significantly more males (84.1%, n=1,755) being affected (χ2=4.595, p=0.032, df=1). There was an increase in the proportion of younger aged patients (from 0 to 29 years) (χ2=29.874, p<0.001, df=8). More patients required admission to the ICU (χ2=36.808, p<0.001, df=8), and the mortality of an RTI increased to 5.2% (n=116) (χ2=48.882, p<0.001, df=6). Conclusion There were fewer RTIs during the conflict period; however, those that occurred had higher morbidity and mortality. The profile of an RTI victims also changed to an increased prominence of young males and motorcyclists. Further research is required to propose and analyze possible interventions. PMID:25673038
Xu, Chungui; Wang, Yanhua; Han, Na; Kou, Yuhui; Yin, Xiaofeng; Zhang, Peixun; Wang, Tianbing; Zhang, Dianying; Jiang, Baoguo
Background The aim of this study is to give a description of the road traffic injuries (RTIs) characteristics of floating migrant population by comparing with those of local residents in a harbor city of China. Methods A population-based descriptive study was carried out between 2007 and 2010 with RTI patient records from the Fifth Center Hospital of Tianjin. Inpatient diagnoses of RTI patients were defined using the International Classification of Diseases, Tenth Revision (ICD-10) codes. We analyzed the demographics and general characteristics of RTI patients that were in the hospital during the four years. In order to compare the group differences between local resident patients and floating migrant patients, the distribution of their ages, diagnoses, severity of injuries, duration of inpatient stays, hospitalization cost were analyzed. Results People between the ages of 16 and 55 were the most likely to suffer RTIs. The floating migrant patients between the ages of 16 and 45 had a higher incidence of accidents, while local resident patients between 46 and 55 had a higher incidence of accidents. Compared to local resident patients, floating migrant patients were more vulnerable to open injuries and severe traffic injuries. With the severity of injuries ranked from mild to severe, floating migrant patients had lower duration of inpatient stay, but higher hospitalization costs compared to local resident patients. Conclusions Floating migrant patients had a different age distribution, severity of injuries, diseases, inpatient duration and hospitalization cost compared with local resident patients. Compared to local resident patients, floating migrants had a higher risk to RTIs and were more vulnerable to severer traffic accidents at lower ages. PMID:24475023
Kudryavtsev, Alexander V; Nilssen, Odd; Lund, Johan; Grjibovski, Andrej M; Ytterstad, Børge
The study investigated trends in traffic crashes with fatal and non-fatal injuries in Arkhangelsk, Russia in 2005-2010. Data were obtained from the road police. Negative binomial regression with time regressor was used to investigate trends in monthly incidence rates (IRs) of crashes, fatalities, and non-fatal injuries. During the six-year period, the police registered 4955 crashes with fatal and non-fatal injuries, which resulted in 217 fatalities and 5964 non-fatal injury cases. The IR of crashes with fatal and non-fatal injuries per total population showed no evident change, while the IR per increasing total number of motor vehicles decreased on average by 0.6% per month. Pedestrian crashes constituted 51.8% of studied crashes, and pedestrians constituted 54.6% of fatalities and 44.5% of non-fatal injuries. The IRs of pedestrian crashes and non-fatal pedestrian injuries per total population decreased on average by 0.3% per month, and these were the major trends in the data.
Zhao, Ang; Chen, Renjie; Qi, Yongqing; Chen, Ailan; Chen, Xinyu; Liang, Zijing; Ye, Jianjun; Liang, Qing; Guo, Duanqiang; Li, Wanglin; Li, Shuangming; Kan, Haidong
Background Road-traffic injury (RTI) is a major public-health concern worldwide. However, the effectiveness of laws criminalizing drunk driving on the improvement of road safety in China is not known. Methods We collected daily aggregate data on RTIs from the Guangzhou First-Aid Service Command Center from 2009 to 2012. We performed an interrupted time-series analysis to evaluate the change in daily RTIs before (January 1, 2009, to April 30, 2011) and after (May 1, 2011, to December 31, 2012) the criminalization of drunk driving. We evaluated the impact of the intervention on RTIs using the overdispersed generalized additive model after adjusting for temporal trends, seasonality, day of the week, and holidays. Daytime/Nighttime RTIs, alcoholism, and non-traffic injuries were analyzed as comparison groups using the same model. Results From January 1, 2009, to December 31, 2012, we identified a total of 54 887 RTIs. The standardized daily number of RTIs was almost stable in the pre-intervention period but decreased gradually in the post-intervention period. After the intervention, the standardized daily RTIs decreased 9.6% (95% confidence interval [CI], 6.5%–12.8%). There were similar decreases for the daily daytime and nighttime RTIs. In contrast, the standardized daily cases of alcoholism increased 38.8% (95% CI, 35.1%–42.4%), and daily non-traffic injuries increased 3.6% (95% CI, 1.4%–5.8%). Conclusions This time-series study provides scientific evidence suggesting that the criminalization of drunk driving from May 1, 2011, may have led to moderate reductions in RTIs in Guangzhou, China. PMID:26947952
Rivas-Ruiz, Francisco; Perea-Milla, Emilio; Jimenez-Puente, Alberto
Background The aim of the present study is to describe the inter-province variability of Road Traffic Injury (RTI) mortality on Spanish roads, adjusted for vehicle-kilometres travelled, and to assess the possible role played by the following explicative variables: sociodemographic, structural, climatic and risk conducts. Methods An ecological study design was employed. The mean annual rate of RTI deaths was calculated for the period 2002–2004, adjusted for vehicle-kilometres travelled, in the 50 provinces of Spain. The RTI death rate was related with the independent variables described above, using simple and multiple linear regression analysis with backward step-wise elimination. The level of statistical significance was taken as p < 0.05. Results In the period 2002–2004 there were 12,756 RTI deaths in Spain (an average of 4,242 per year, SD = 356.6). The mean number of deaths due to RTI per 100 million vehicle-kilometres (mvk) travelled was 1.76 (SD = 0.51), with a minimum value of 0.66 (in Santa Cruz de Tenerife) and a maximum of 3.31 (in the province of Lugo). All other variables being equal, a higher proportion of kilometres available on high capacity roads, and a higher cultural and education level were associated with lower death rates due to RTI, while the opposite was true for the rate of alcohol consumers and the road traffic volume of heavy vehicles. The variables included in the model accounted for 55.4% of the variability in RTI mortality. Conclusion Adjusting RTI mortality rates for the number of vehicle-kilometres travelled enables us to identify the high variability of this cause of death, and its relation with risk factors other than those inherent to human behaviour, such as the type of roads and the type of vehicles using them. PMID:17897449
Rodríguez, Jorge Martín; Peñaloza, Rolando Enrique; Moreno Montoya, José
Objective To analyze the behavior temporal of road-traffic injuries (RTI) in Valledupar, Colombia from January 2008 to December 2012. Methodology An observational study was conducted based on records from the Colombian National Legal Medicine and Forensic Sciences Institute regional office in Valledupar. Different variables were analyzed, such as the injured person’s sex, age, education level, and type of road user; the timeframe, place and circumstances of crashes and the vehicles associated with the occurrence. Furthermore, a time series analysis was conducted using an auto-regressive integrated moving average. Results There were 105 events per month on an average, 64.9% of RTI involved men; 82.3% of the persons injured were from 18 to 59 years of age; the average age was 35.4 years of age; the road users most involved in RTI were motorcyclists (69%), followed by pedestrians (12%). 70% had up to upper-secondary education. Sunday was the day with the most RTI occurrences; 93% of the RTI occurred in the urban area. The time series showed a seasonal pattern and a significant trend effect. The modeling process verified the existence of both memory and extrinsic variables related. Conclusions An RTI occurrence pattern was identified, which showed an upward trend during the period analyzed. Motorcyclists were the main road users involved in RTI, which suggests the need to design and implement specific measures for that type of road user, from regulations for graduated licensing for young drivers to monitoring road user behavior for the promotion of road safety. PMID:26657887
Lieutaud, Thomas; Gadegbeku, Blandine; Ndiaye, Amina; Chiron, Mireille; Viallon, Vivian
Background Since 2002, France has been strengthening legislation on road traffic. This study is intended to evaluate the changes in Traumatic Brain Injury (TBI) incidence and mortality resulting from Road Traffic Collision (RTC) in the two 6-year periods before and after 2002. Methods We used a Registry of all RTC casualties in the Rhône Department of France. Each casualty was coded according to the Abbreviated Injury Scale (AIS). The study describes changes in demographic variables, TBI (AIS ≥ 2) incidence and mortality, other body lesions (AIS ≥ 3) associated with TBI, road user types, seatbelt and helmet wearing. Findings RTC casualty occurrences decreased by 21% (from 64,312 to 50,746) during the period after 2002. TBI occurrence accounted for 8.6% and 6.7% of all RTC in both periods. This corresponds to a reduction of TBI casualty incidence (-42%), which was much more pronounced than RTC casualty incidence (-25%) (p < 0.0001). Severe and critical TBI (AIS-4 and -5) incidences were reduced by half as much (-21%), compared to TBI incidence. TBI mortality rate (among population) and lethality (among TBI related to RTC casualties) decreased 56% and 23%, respectively. This reduction particularly affected car occupants and victims who deceased. TBI incidence decreased 43% in all 10-year age classes until 60 on average, this decrease declining with age in the period after 2002. After adjustment for age, sex, road user types, and severity of lesions at the head and other body regions, logistic regression analysis displayed a protective effect of the period following 2002, on the risk of death after RTC-related TBI. Interpretation The greater reductions in the incidence, severity and mortality of TBI when compared with the reduction of casualty incidence have mainly affected car users. These results should be attributable to the improvements in standards of care, primary safety of the car fleet and general road architecture safety. However, the increased reduction
Hsiao, Marvin; Malhotra, Ajai; Thakur, J S; Sheth, Jay K; Nathens, Avery B; Dhingra, Neeraj; Jha, Prabhat
Objectives To quantify and describe the mechanism of road traffic injury (RTI) deaths in India. Design We conducted a nationally representative mortality survey where at least two physicians coded each non-medical field staff's verbal autopsy reports. RTI mechanism data were extracted from the narrative section of these reports. Setting 1.1 million homes in India. Participants Over 122 000 deaths at all ages from 2001 to 2003. Primary and secondary outcome measures Age-specific and sex-specific mortality rates, place and timing of death, modes of transportation and injuries sustained. Results The 2299 RTI deaths in the survey correspond to an estimated 183 600 RTI deaths or about 2% of all deaths in 2005 nationally, of which 65% occurred in men between the ages 15 and 59 years. The age-adjusted mortality rate was greater in men than in women, in urban than in rural areas, and was notably higher than that estimated from the national police records. Pedestrians (68 000), motorcyclists (36 000) and other vulnerable road users (20 000) constituted 68% of RTI deaths (124 000) nationally. Among the study sample, the majority of all RTI deaths occurred at the scene of collision (1005/1733, 58%), within minutes of collision (883/1596, 55%), and/or involved a head injury (691/1124, 62%). Compared to non-pedestrian RTI deaths, about 55 000 (81%) of pedestrian deaths were associated with less education and living in poorer neighbourhoods. Conclusions In India, RTIs cause a substantial number of deaths, particularly among pedestrians and other vulnerable road users. Interventions to prevent collisions and reduce injuries might address over half of the RTI deaths. Improved prehospital transport and hospital trauma care might address just over a third of the RTI deaths. PMID:23959748
Aladelusi, Timothy; Akinmoladun, Victor; Olusanya, Adeola; Akadiri, Oladimeji; Fasola, Abiodun
The objective of this study was to determine the prevalence of road traffic crashes (RTC)–related maxillofacial injuries, the concomitant injuries occurring with them, and to assess the relationship between the severity of maxillofacial and concomitant injuries. This was a prospective study involving 201 victims of RTC seen at the Accident and Emergency Department of the University College Hospital, Ibadan with maxillofacial injuries during the study period. Demographic data of the patients, the types of maxillofacial injuries, and concomitant injuries sustained were recorded. Severity of maxillofacial injury was determined using the maxillofacial injury severity scale (MFISS), while the severity of concomitant injuries was based on the ISS. Correlations between types and severity of maxillofacial injury and types and severity of concomitant injury were conducted to determine the predictability of concomitant injuries based on maxillofacial injury severity. Data were processed using SPSS Statistical software (SPSS, version 20.0 for windows, IBM SPSS Inc, Chicago, IL). Maxillofacial injuries constituted 25.4% of RTC-related admission by the Accident and Emergency Department. A total of 151 (75.1%) patients who presented with concomitant injuries participated in the study. Eighty-one (53.6%) sustained injuries to more than one body region. Head injury was the commonest (99, 65.6%) concomitant injury, followed by orthopedic injury (69, 45.7%). Increasing severity of maxillofacial injury showed a positive correlation with increasing ISS. Also, positive correlation was noted with increasing severity of maxillofacial injury and presence of polytrauma (p = 0.01), traumatic brain injury (p = 0.034), and eye injuries (p = 0.034). There was a high prevalence of maxillofacial injuries in victims of RTC. There was a high incidence of concomitant injuries noted with these maxillofacial injuries. Significantly, this study showed a direct relationship between the
Ainy, E; Soori, Hamid; Mahfozphoor, S; Movahedinejad, AA
Objectives This study was conducted to assess political mapping in relation to road traffic injuries (RTIs) management and prevention to present a practical model for RTIs. Design A phenomenological qualitative study was developed to identify stakeholders on RTI in Iran in 2008. Setting The designed questions were discussed by systematic discussion with the relevant specialists. After receiving written consent from the main responsible stakeholders, the questionnaire was filled in by trained experts. Themes were determined and content was analysed in each part. Participants Main responsible stakeholders. Main outcome measures By comparing other countries' political mappings which were found in the library and by Internet searching, political mapping of RTI in Iran was suggested. Results Subjects were 26 experts from governmental and non-governmental organizations. The main proposed leading agencies were traffic police and presidency (13% each). Findings showed that only 31% of our political mapping was formed according to the World Health Organization (WHO). In 94% of cases, the involved organizations had unspecified roles; the reason was poor monitoring for RTI in 39% of organizations. Lack of adequate authority and suitable legislation, appropriate laws and tasks definition were 94% and 18%, respectively. The most essential policy to overcome problems was defined as appropriate legislation (21%), and the most frequent type of support needed was mentioned as adequate budgeting (25%). Conclusion Traffic police can play the leading agency role by government support, with strong leadership, appropriate legislation, defined tasks and adequate budget. PMID:22046498
Jirojwong, Sansnee; Rudtanasudjatum, Koolarb; Watcharavitoon, Pornpun; Sathitsathien, Wilai; Sangjun, Sunisa
The characteristics of patients with non-fatal road traffic injuries who received care from non-referral hospitals are described; an assessment of the difference between the characteristics of patients who received care at a referral hospital and those of patients who were treated at non-referral hospitals is made. A retrospective study, conducted in Chon Buri Province, Thailand, reviewed information from two sources: 324 records from eight non-referral hospitals and the 1999 Injury Surveillance Report of Chon Buri Hospital, a referral hospital. A data collection tool was designed to retrieve information from the non-referral hospitals. Data were analysed descriptively and analytically. The majority of the patients of the non-referral hospitals were male (71.1%) motorcyclists (84.2%), and received ambulatory care (83.9%). Young patients had a higher risk of being admitted to these hospitals. Non-motorcyclists, pedestrians, and nonlocal persons were more likely to receive care from the referral hospital. The results were similar to those of previous studies. The different characteristics of patients who receive care at referral--and non-referral hospitals need to be taken into account when designing traffic accident reduction programs.
Yang, Bong-Min; Kim, Jinhyun
The high rate of road traffic crashes, in conjunction with the absence of order on the road, has long been considered a critical social problem in Korea. The Korean public seems to agree that high priority ought to be placed on policies for improving road safety. Using data from government sources, this study describes what has happened in the area of road traffic crashes since 1970, the causes of traffic crashes, and the relative importance of traffic injuries as a cause of death in Korea. Road traffic crashes in Korea increased nearly eight-fold, from 37,000 in 1970 to 290,481 in 2000. The fatalities increased three-fold and injuries ten-fold over the same period. Road traffic injuries were the leading cause of death for people under 29. However, through multiple policy interventions, partly in response to the 2002 FIFA World Cup, about two thousand road traffic deaths and nine thousand traffic-related disabilities were averted in 2001 alone. The policy interventions included enforcement of penalties for seven risky driving behaviours, including drunk driving and speeding, installation of traffic-monitoring cameras, financial rewards for citizens who reported traffic violations, introduction of a road safety evaluation system, correction of accident black spots in existing roads, and road safety education programs. Through multiple policy interventions, road traffic crashes in Korea were reduced in a relatively short time period, along with their associated injuries and fatalities. However, road traffic crashes still pose a major public health problem, threatening the quality of life of the Korean people.
Road traffic injury and deaths (RTID) are an important public health problem in Kenya, primarily affecting uneducated and disenfranchised people from lower socioeconomic groups. Studies conducted by Kenyan experts from police reports and surveys have shown that pedestrian and driver behaviors are the most important proximal causes of crashes, signifying that the occurrence of crashes results directly from human action. However, behaviors and risk factors do not fully explain the magnitude of RTID neither does it account for socioeconomic gradient in RTID. Instead, a social justice approach to RTID highlights the need for emphasizing distal causal factors. They allow us to understand how social inequities determine risk for RTID. Hence, designing policies that focus on behaviors will simply mask the underlying systemic causes of this growing phenomenon. To eradicate the RTID and address the gradient, a broader policy framework that includes the social dimension of injury, a strong political will to address the underlying causes of RTID and an effective partnership with stakeholders needs to be developed. PMID:20664752
Schwebel, David C.; Li, Li; Hu, Guoqing
Background Data from the Chinese police service suggest substantial reductions in road traffic injuries since 2002, but critics have questioned the accuracy of those data, especially considering conflicting data reported by the health department. Methods To address the gap between police and health department data and to determine which may be more accurate, we conducted a simulation study based on the modified Smeed equation, which delineates a non-linear relation between road traffic mortality and the level of motorization in a country or region. Our goal was to simulate trends in road traffic mortality in China and compare performances in road traffic safety management between China and 13 other countries. Results Chinese police data indicate a peak in road traffic mortalities in 2002 and a significant and a gradual decrease in population-based road traffic mortality since 2002. Health department data show the road traffic mortality peaked in 2012. In addition, police data suggest China’s road traffic mortality peaked at a much lower motorization level (0.061 motor vehicles per person) in 2002, followed by a reduction in mortality to a level comparable to that of developed countries. Simulation results based on health department data suggest high road traffic mortality, with a mortality peak in 2012 at a moderate motorization level (0.174 motor vehicles per person). Comparisons to the other 13 countries suggest the health data from China may be more valid than the police data. Conclusion Our simulation data indicate China is still at a stage of high road traffic mortality, as suggested by health data, rather than a stage of low road traffic mortality, as suggested by police data. More efforts are needed to integrate safety into road design, improve road traffic management, improve data quality, and alter unsafe behaviors of pedestrians, drivers and passengers in China. PMID:27071008
Road traffic crashes are globally a leading cause of death. The current study tests the effect of traffic tickets issued to drivers on subsequent crashes, using a unique dataset that overcomes some shortcomings of previous studies. The study takes advantage of a national longitudinal dataset at the individual level that merges Israeli census data with data on traffic tickets issued by the police and official data on involvement in road traffic crashes over seven years. The results show that the estimated probability of involvement in a subsequent fatal or severe crash was more than eleven times higher for drivers with six traffic tickets per year compared to those with one ticket per year, while controlling for various confounders. However, the majority of fatal and severe crashes involved the larger population of drivers who received up to one ticket on average per year. The current findings indicate that reducing traffic violations may contribute significantly to crash and injury reduction. In addition, mass random enforcement programs may be more effective in reducing fatal and severe crashes than targeting high-risk recidivist drivers.
Isaac, Kihurani N; Van Niekerk, Ashley; Van As, Arjan Bastiaan
Road traffic crashes are a significant cause of the disease burden among children, with the highest mortality in low- and middle-income countries. This observational study explores such injuries in Cape Town, South Africa through an analysis of data for cases in 1992, 2002 and 2012 at the Red Cross War Memorial Children's Hospital, a referral paediatric hospital for children younger than 13 years. Descriptive and time trend analysis of demographic data as well as of the causes, severity and place of injury was conducted. Logistic regression and generalised linear models described factors influencing hospital admission. In the years 1992, 2002 and 2012, a total of 4690 patients presented with injuries sustained as a result of a road traffic crash. Nearly 50% (n = 2201) of them were between five and nine years of age, with 1.7 males for every female. Three-quarters of those who got injured were pedestrians while the second most commonly injured ones were unrestrained passengers. The majority had minor injuries (58%), but with notably higher proportions with moderate to severe injuries in the years 2002 and 2012. Forty per cent were admitted for inpatient treatment, with the highest proportion (50%) in 2002. Admission was related to mechanism and severity. The epidemiological factors assessed remain largely unchanged over the assessment points calling into question the impact of local safety strategies.
Babalola, Oladimeji Ranti; Oluwadiya, Kehinde; Vrgoč, Goran; Akpati, Ugochukwu; Sindik, Joško; Čoklo, Miran; Marinović, Marin; Bakota, Bore
Road traffic injuries are a major cause of death in the emergency room. The goal of this study was to highlight the demographic pattern of road traffic-related deaths in the accident and emergency room of a regional trauma centre. This was a 5-year retrospective study in which road traffic-related cases of emergency room mortality between June 2009 and June 2014 were reviewed. A total of 33 road traffic crash-related deaths occurred during this period with a male-to-female ratio of 2.3:1. Most of these patients were pedestrians with severe injuries involving two or more Abbreviated Injury Scale (AIS) coded regions. The mean time between injury and presentation in the first trauma facility was 112.1 (±55.4)min, and between presentation in the emergency room and death was 410 (±645)min. Mangled lower extremity, bilateral long bone lower limb fractures, pelvic injuries, blunt injuries to the chest and abdomen, and cranial fossae fractures were the common injury pattern. Median ISS and NISS in these patients were 22 (interquartile range [IQR]=11) and 25 (IQR=17), respectively. Severe injuries, delayed presentation, multiple referrals and delayed resuscitative measures contribute to road traffic crash-related mortality.
Mawaddah, Azman; Goh, Bee See; Kew, Thean Yean; Rozman, Zakaria
Neurologic and airway compromise as a result of traumatic vascular injuries to the neck region often lead to more severe complications and thus require special consideration. Furthermore, these cases pose diagnostic and therapeutic challenges to healthcare providers. Here, we report a case of a 28-year-old motorcyclist presenting with progressively enlarged Zone 2 neck swelling on the left side following a high impact collision. There were no symptoms or signs suggesting neurologic or laryngeal injury. Computed tomography angiogram of the neck revealed signs of an active arterial bleed. The apparent vascular injury was managed by close observation for signs of airway compromise, urgent angiogram, and selective catheter embolisation of the left lingual artery. The patient subsequently recovered without further operative exploration of the neck. At 6 months post-trauma, the neck swelling fully subsided with no complications from angioembolisation. This case illustrates the individualised treatment and multidisciplinary approach in managing such cases. We review our rationale for this diagnostic and therapeutic approach.
Wainiqolo, Iris; Kafoa, Berlin; Kool, Bridget; Robinson, Elizabeth; Herman, Josephine; McCaig, Eddie; Ameratunga, Shanthi
Objective To investigate the association between kava use and the risk of four-wheeled motor vehicle crashes in Fiji. Kava is a traditional beverage commonly consumed in many Pacific Island Countries. Herbal anxiolytics containing smaller doses of kava are more widely available. Methods Data for this population-based case-control study were collected from drivers of ‘case’ vehicles involved in serious injury-involved crashes (where at least one road user was killed or admitted to hospital for 12 hours or more) and ‘control’ vehicles representative of ‘driving time’ in the study base. Structured interviewer administered questionnaires collected self-reported participant data on demographic characteristics and a range of risk factors including kava use and potential confounders. Unconditional logistic regression models estimated odds ratios relating to the association between kava use and injury-involved crash risk. Findings Overall, 23% and 4% of drivers of case and control vehicles, respectively, reported consuming kava in the 12 hours prior to the crash or road survey. After controlling for assessed confounders, driving following kava use was associated with a four-fold increase in the odds of crash involvement (Odds ratio: 4.70; 95% CI: 1.90–11.63). The related population attributable risk was 18.37% (95% CI: 13.77–22.72). Acknowledging limited statistical power, we did not find a significant interaction in this association with concurrent alcohol use. Conclusion In this study conducted in a setting where recreational kava consumption is common, driving following the use of kava was associated with a significant excess of serious-injury involved road crashes. The precautionary principle would suggest road safety strategies should explicitly recommend avoiding driving following kava use, particularly in communities where recreational use is common. PMID:26930404
Al Marzooqi, Ali Hassan; Badi, Mohamed; El Jack, Aizeldin
Road traffic injuries (RTIs) are among the leading causes of mortality in Dubai, and the burden of the problem on the health system is vast. This study aims to explore trends in road traffic accidents and to identify the most common factors associated with RTIs. A cross-sectional study was conducted using secondary data for the period from 2002 to 2008. Dubai reported steadily increasing numbers of road traffic injuries, from 2203 in the year 2002 to 3043 in the year 2008, representing a 38% increase. The associated mortality showed the same trend with an overall increase of 54% during the same period. The age distribution of road traffic injuries per 100 000 in the population shows 2 peaks in the age groups 18 to 26 years and 63 to 71 years. The trend of road traffic fatalities is increasing among UAE nationals as well as expatriates. RTIs were found to be more frequent on roads with high speed limits and with the presence of trucks. Further research is needed to identify associated risk factors.
Background Road traffic injuries are a major global public health problem. Improvements in pre-hospital trauma care can help minimize mortality and morbidity from road traffic injuries (RTIs) worldwide, particularly in low- and middle-income countries (LMICs) with a high rate of RTIs such as Iran. The current study aimed to explore pre-hospital trauma care process for RTI victims in Iran and to identify potential areas for improvements based on the experience and perception of pre-hospital trauma care professionals. Methods A qualitative study design using a grounded theory approach was selected. The data, collected via in-depth interviews with 15 pre-hospital trauma care professionals, were analyzed using the constant comparative method. Results Seven categories emerged to describe the factors that hinder or facilitate an effective pre-hospital trauma care process: (1) administration and organization, (2) staff qualifications and competences, (3) availability and distribution of resources, (4) communication and transportation, (5) involved organizations, (6) laypeople and (7) infrastructure. The core category that emerged from the other categories was defined as "interaction and common understanding". Moreover, a conceptual model was developed based on the categories. Conclusions Improving the interaction within the current pre-hospital trauma care system and building a common understanding of the role of the Emergency Medical Services (EMS) emerged as key issues in the development of an effective pre-hospital trauma care process. PMID:21059243
Nik Hisamuddin, R.; Ruslan, R.; Syed Hatim, N.; Sharifah Mastura, S. M.
This was a Prospective Cohort Study commencing from July 2011 until June 2013 involving all injuries related to motor vehicle crashes (MVC) attended Emergency Departments (ED) of two tertiary centers in a district in Malaysia. Selected attributes were geospatially analyzed by using ARCGIS (by ESRI) software version 10.1 licensed to the institution and Google Map free software and multiple logistic regression was performed by using SPSS version 22.0. A total of 439 cases were recruited. The mean age (SD) of the MVC victims was 26.04 years (s.d 15.26). Male comprised of 302 (71.7%) of the cases. Motorcyclists were the commonest type of victims involved [351(80.0%)]. Hotspot MVC locations occurred at certain intersections and on roads within borough of Kenali and Binjai. The number of severely injured and polytrauma are mostly on the road network within speed limit of 60 km/hour. A person with an increase in ISS of one score had a 37 % higher odd to have disability at hospital discharge (95% CI: 1.253, 1.499, p-value < 0.001). Pediatric age group (less than 19 years of age) had 52.1% lesser odds to have disability at discharge from hospital (95% CI: 0.258, 0.889, p-value < 0.001) and patients who underwent operation for definitive management had 4.14 times odds to have disability at discharge from hospital (95% CI: 1.681, 10.218, p-value = 0.002). Overall this study has proven that GIS with a combination of traditional statistical analysis is still a powerful tool in road traffic injury (RTI) related research.
Wang, Junjie; Wei, Dong; He, Kun; Gong, Hang; Wang, Pu
Using road GIS (geographical information systems) data and travel demand data for two U.S. urban areas, the dynamical driver sources of each road segment were located. A method to target road clusters closely related to urban traffic congestion was then developed to improve road network efficiency. The targeted road clusters show different spatial distributions at different times of a day, indicating that our method can encapsulate dynamical travel demand information into the road networks. As a proof of concept, when we lowered the speed limit or increased the capacity of road segments in the targeted road clusters, we found that both the number of congested roads and extra travel time were effectively reduced. In addition, the proposed modeling framework provided new insights on the optimization of transport efficiency in any infrastructure network with a specific supply and demand distribution. PMID:24553203
Al-Ghaweel, Ibrahim; Mursi, Saleh A.; Jack, Joel P.; Joel, Irene
Objectives: The aim of the study was to evaluate the factors responsible for road traffic accidents in Benghazi. Material and Methods: Retrospective and descriptive studies were done in the years 2006-2007. The data was collected from Traffic and License Department, Benghazi. The data were analyzed, based on fatalities, the severely handicapped, hit and run victims and were correlated with age, sex, time, environmental factors, type of roads, etc. Results: One-Thousand-Two-Hundred-Sixty-Five accidents occurred between the years 2006-2007 within the Benghazi city limits; 11.14% of the injuries were fatal; 67.35% of the victims had severe injuries and 21.51% escaped with minor injuries. Table 1 shows that 73.04% lost their lives within the city limits, 13.47% on the fly-over, and 2.12% on minor roads connected to main roads within the city limits. The mean of the accidents and its standard deviation were 16.66± 25.67 with a variance of fatality of 1.54. Conclusion: It is concluded from the studies that major road traffic accidents occur because of environmental stress factors. In addition, fatalities and the seriousness of the accidents depend on a number of factors such as the age of the vehicle, safety measures, human error and time and place of accident. PMID:23012183
Guerrouahane, N.; Aissani, D.; Bouallouche-Medjkoune, L.; Farhi, N.
We present in this article a stochastic queuing model for the raod traffic. The model is based on the M/G/c/c state dependent queuing model, and is inspired from the deterministic Godunov scheme for the road traffic simulation. We first propose a variant of M/G/c/c state dependent model that works with density-flow fundamental diagrams rather than density-speed relationships. We then extend this model in order to consider upstream traffic demand as well as downstream traffic supply. Finally, we show how to model a whole raod by concatenating raod sections as in the deterministic Godunov scheme.
Plainis, S; Murray, I J; Pallikaris, I G
A disproportionate number of fatal injuries occur after dark. The paper presents some statistics of road traffic injuries in a novel way which suggests that low luminance plays a major role in this effect. A sound physiological explanation for this is advanced based on the poor temporal characteristics of rod photoreceptors. It is argued that processing information based on low luminance, low contrast targets is much slower than that for high contrast bright targets. To test the idea, simple visual reaction times were measured under typical low visibility conditions encountered on non‐lit roads and were found to be substantially longer than under optimal conditions. It is shown that longer reaction times translate into significantly increased stopping distances. This important point has received insufficient attention in the road safety literature, by the Highways Agency, the police, injury prevention officials, and the UK Highway Code. PMID:16595429
Gopinath, Bamini; Jagnoor, Jagnoor; Harris, Ian A; Nicholas, Michael; Maher, Christopher G; Casey, Petrina; Blyth, Fiona; Sindhusake, Doungkamol; Cameron, Ian D
Objectives This prospective cohort study aimed to investigate whether there are differences in health outcomes among persons with mild or moderate injuries who were hospitalised compared with those not hospitalised following a road traffic crash. Setting Sydney Metropolitan, New South Wales, Australia. Participants Persons aged ≥18 years involved in a motor vehicle crash were surveyed at baseline (n=364), and at 12 (n=284) and 24 months (n=252). A telephone-administered questionnaire obtained information on a range of socioeconomic, and preinjury and postinjury psychological and heath characteristics of all participants. Primary outcome measure Participants who reported admission to hospital for 24 h or more (but less than 7 days) after the crash were classified as being hospitalised; those admitted for less than 24 h were classified as non-hospitalised. Results Around 1 in 5 participants (19.0%) were hospitalised for ≥24 h after the crash. After adjusting for age and sex, hospitalised participants compared with those not hospitalised had approximately 2.6 units (p=0.01) lower Short Form-12 Physical Component Summary (SF-12 PCS) scores (poorer physical well-being) and approximately 4.9 units lower European Quality of Life visual analogue scale (EQ-VAS) scores (p=0.05), 12 months later. After further adjusting for education level, whiplash, fracture and injury severity score, participants who were hospitalised had approximately 3.3 units lower SF-12 PCS (p=0.04), 12 months later. The association with EQ-VAS did not persist after multivariable adjustment. No significant differences were observed between the 2 groups in health outcomes at 24-month follow-up. Conclusions These findings indicate that long-term health status is unlikely to be influenced by hospitalisation status after sustaining a mild/moderate injury in a vehicle-related crash. PMID:26408286
Pérez, Katherine; Seguí-Gómez, María; Arrufat, Vita; Barberia, Eneko; Cabeza, Elena; Cirera, Eva; Gil, Mercedes; Martín, Carlos; Novoa, Ana M; Olabarría, Marta; Lardelli, Pablo; Suelves, Josep Maria; Santamariña-Rubio, Elena
Road traffic injury surveillance involves methodological difficulties due, among other reasons, to the lack of consensus criteria for case definition. Police records have usually been the main source of information for monitoring traffic injuries, while health system data has hardly been used. Police records usually include comprehensive information on the characteristics of the crash, but often underreport injury cases and do not collect reliable information on the severity of injuries. However, statistics on severe traffic injuries have been based almost exclusively on police data. The aim of this paper is to propose criteria based on medical records to define: a) "Hospital discharge for traffic injuries", b) "Person with severe traffic injury", and c) "Death from traffic injuries" in order to homogenize the use of these sources.
Mansuri, Farah A.; Al-Zalabani, Abdulmohsen H.; Zalat, Marwa M.; Qabshawi, Reem I.
Objectives: To identify the changing trends and crucial preventive approaches to road traffic accidents (RTAs) adopted in the Kingdom of Saudi Arabia (KSA) over the last 2.5 decades, and to analyze aspects previously overlooked. Methods: This systematic review was based on evidence of RTAs in KSA. All articles published during the last 25 years on road traffic accident in KSA were analyzed. This study was carried out from December 2013 to May 2014 in the Department of Family and Community Medicine, Taibah University, Al-Madinah Al-Munawwarah, KSA. Results: Road traffic accidents accounted for 83.4% of all trauma admissions in 1984-1989, and no such overall trend was studied thereafter. The most frequently injured body regions as reported in the latest studies were head and neck, followed by upper and lower extremities, which was found to be opposite to that of the studies reported earlier. Hospital data showed an 8% non-significant increase in road accident mortalities in contrast to police records of a 27% significant reduction during the years 2005-2010. Excessive speeding was the most common cause reported in all recent and past studies. Conclusion: Disparity was common in the type of reporting of RTAs, outcome measures, and possible causes over a period of 2.5 decade. All research exclusively looked into the drivers’ faults. A sentinel surveillance of road crashes should be kept in place in the secondary and tertiary care hospitals for all regions of KSA. PMID:25828277
Sygna, Karin; Aasvang, Gunn Marit; Aamodt, Geir; Oftedal, Bente; Krog, Norun Hjertager
This study examines the relationship between road traffic noise, self-reported sleep quality and mental health. The study is cross-sectional and based on data from a survey conducted in Oslo, Norway, in 2000. Psychological distress (Hopkins Symptom Checklist, HSCL-25) was measured along with self-reported somatic health, sleep quality, noise sensitivity and socioeconomic variables. Questionnaire data were combined with modeled estimates of noise exposure. The total study sample consisted of 2898 respondents. After adjustment for potential confounders and stratifying for sleep quality, we found a positive, but not statistically significant association between noise exposure and symptoms of psychological distress among participants with poor sleep quality (slope=0.06, 95% CI: -0.02 to 0.13, per 10 dB increase in noise exposure). In the same sleep quality group, we found a borderline statistically significant association between noise exposure and a symptom level indicating a probable mental disorder (HSCL≥1.55) (odds ratio=1.47, 95% CI: 0.99-1.98, per 10 dB increase in noise exposure). We found no association between road traffic noise and mental health among subjects reporting good and medium sleep quality. The results suggest that road traffic noise may be associated with poorer mental health among subjects with poor sleep. Individuals with poor sleep quality may be more vulnerable to effects of road traffic noise on mental health than individuals with better sleep quality.
Griffiths, I. D.; Langdon, F. J.
A study consisting of acoustic measurements at fourteen sites in the London area and 1200 interviews dealing with the effects of the noise conditions prevailing at each of these sites has been carried out with the object of developing acceptability criteria for traffic noise from roads in residential areas. Dissatisfaction with the noise…
Cutolo, Alfredo; Manzo, Rosanna; Rarità, Luigi
In this work, we aim to investigate the effects of traffic lights regulation at road junctions, modelled by a fluid dynamic approach. Numerical simulations prove that it is possible to plan some optimization strategies for green and red phases for networks consisting of more nodes.
Ning, Peishan; Schwebel, David C.; Huang, Helai; Li, Li; Li, Jun; Hu, Guoqing
We aimed to examine progress in global road injury mortality since the initiation of Global Plan for the Decade of Action for Road Safety 2011–2020. We examined annual percent changes in age-adjusted road traffic mortality using data from the Global Burden of Disease Study 2013. Association between changes in road traffic mortality and legislative efforts in individual nations was explored using data from Global Status Reports on Road Safety 2013 and 2015. We found that global age-adjusted mortality, both overall and for user-specific road traffic injuries, decreased significantly between 2010 and 2013 (annual percent change in rates range from -1.43% to -0.99%). Developed countries witnessed a larger decrease than developing countries in both overall and user-specific road mortality (about 2.0–4.6 times). However, there were substantial disparities within developed countries and within developing countries, with some countries seeing large reductions in mortality rates and others seeing none. The annual percent change in road traffic mortality during 2010–2013 was significantly correlated with total national law enforcement score (Spearman rs = -0.38). We concluded that results highlight the need for continued effort to reduce the burden of road injury mortality, especially in LMIC countries. PMID:27727318
de Andrade, Luciano; Vissoci, João Ricardo Nickenig; Rodrigues, Clarissa Garcia; Finato, Karen; Carvalho, Elias; Pietrobon, Ricardo; de Souza, Eniuce Menezes; Nihei, Oscar Kenji; Lynch, Catherine; de Barros Carvalho, Maria Dalva
Background Road traffic injuries (RTI) are a major public health epidemic killing thousands of people daily. Low and middle-income countries, such as Brazil, have the highest annual rates of road traffic fatalities. In order to improve road safety, this study mapped road traffic fatalities on a Brazilian highway to determine the main environmental factors affecting road traffic fatalities. Methods and Findings Four techniques were utilized to identify and analyze RTI hotspots. We used spatial analysis by points by applying kernel density estimator, and wavelet analysis to identify the main hot regions. Additionally, built environment analysis, and principal component analysis were conducted to verify patterns contributing to crash occurrence in the hotspots. Between 2007 and 2009, 379 crashes were notified, with 466 fatalities on BR277. Higher incidence of crashes occurred on sections of highway with double lanes (ratio 2∶1). The hotspot analysis demonstrated that both the eastern and western regions had higher incidences of crashes when compared to the central region. Through the built environment analysis, we have identified five different patterns, demonstrating that specific environmental characteristics are associated with different types of fatal crashes. Patterns 2 and 4 are constituted mainly by predominantly urban characteristics and have frequent fatal pedestrian crashes. Patterns 1, 3 and 5 display mainly rural characteristics and have higher prevalence of vehicular collisions. In the built environment analysis, the variables length of road in urban area, limited lighting, double lanes roadways, and less auxiliary lanes were associated with a higher incidence of fatal crashes. Conclusions By combining different techniques of analyses, we have identified numerous hotspots and environmental characteristics, which governmental or regulatory agencies could make use to plan strategies to reduce RTI and support life-saving policies. PMID:24498051
Utama, D. N.; Zaki, F. A.; Munjeri, I. J.; Putri, N. U.
Several ways and efforts have been already conducted to formally solve the road traffic congestion. However, the objective strategy type of road traffic engineering could not be proven truly. Try and error is one inefficient way in road traffic engineering to degrade the level of congestion. The combination between fuzzy-logic and water flow algorithm methods (called FWFA) was used as a main method to construct the decision support system (DSS) for selecting the objective strategy in road traffic engineering. The proposed DSS can suggest the most optimal strategy decision in road traffic engineering. Here, a main traffic road of Juanda in area Ciputat, Tangerang Selatan, province Banten, Indonesia; was selected as a research object in this study. The constructed DSS for road traffic engineering was structurally delivered in this paper.
Tripp J. L.; Mortveit, H. S.; Hansson, A. A.; Gokhale, M.
This work demonstrates that road traffic simulation of entire metropolitan areas is possible with reconfigurable supercomputing that combines 64-bit microprocessors and FPGAs in a high bandwidth, low latency interconnect. Previously, traffic simulation on FPGAs was limited to very short road segments or required a very large number of FPGAs. Our data streaming approach overcomes scaling issues associated with direct implementations and still allows for high-level parallelism by dividing the data sets between hardware and software across the reconfigurable supercomputer. Using one FPGA on the Cray XD1 supercomputer, we are able to achieve a 34.4 x speed up over the AMD microprocessor. System integration issues must be optimized to exploit this speedup in the overall simulation.
Al-Shorbaji, N; Haux, R; Krishnamurthy, R; Marschollek, M; Mattfeld, D C; Bartolomeos, K; Reynolds, T A
The United Nations has recently adopted 17 sustainable development goals for 2030, including ensuring healthy lives and promoting well-being for all at all ages, and making cities and human settlements inclusive, safe, resilient and sustainable. Road injuries remain among the ten leading causes of death in the world, and are projected to increase with rapidly increasing motorisation globally. Lack of comprehensive data on road injuries has been identified as one of the barriers for effective implementation of proven road safety interventions. Building, linking and analysing electronic patient records in conjunction with establishing injury event and care registries can substantially contribute to healthy lives and safe transportation. Appropriate use of new technological approaches and health informatics best practices could provide significant added value to WHO's global road safety work and assist Member States in identifying prevention targets, monitoring progress and improving quality of care to reduce injury-related deaths. This paper encourages the initiation of new multidisciplinary research at a global level.
Su, Fei; Dong, Honghui; Jia, Limin; Sun, Xuan
Traffic state evaluation is a basic and critical work in the research on road traffic congestion. It can provide basic data support for the improvement measures and information release in traffic management and service. The aim of this research is to obtain a comprehensive value to describe traffic state accurately based on the evaluation index system. In this paper, it is carried out using fuzzy c-means (FCM) algorithm and fuzzy entropy weight method. In the framework, traffic flow was classified into six different states to determine the fuzzy range of indices using the improved FCM clustering analysis. Besides, fuzzy entropy weight method is proposed to compute the evaluation result of traffic state for section, road and road network, respectively. The experiments based on the traffic information in a subset of Beijing’s road network prove that the findings of traffic evaluation are in accordance with the actual situation and people’s sense of traffic state.
Salifu, Mohammed; Ackaah, Williams
Having reliable estimates of the shortfalls in road traffic crash data is an important prerequisite for setting more realistic targets for crash/casualty reduction programmes and for a better appreciation of the socio-economic significance of road traffic crashes. This study was carried out to establish realistic estimates of the overall shortfall (under-reporting) in the official crash statistics in Ghana over an eight-year period (1997-2004). Surveys were conducted at hospitals and among drivers to generate relevant alternative data which were then matched against records in police crash data files and the official database. Overall shortfalls came from two sources, namely, 'non-reporting' and 'under-recording'. The results show that the level of non-reporting varied significantly with the severity of the crash from about 57% for property damage crashes through 8% for serious injury crashes to 0% for fatal crashes. Crashes involving cyclists and motorcyclists were also substantially non-reported. Under-recording on the other hand declined significantly over the period from an average of 37% in 1997-1998 to 27% in 2003-2004. Thus, the official statistics of road traffic crashes in Ghana are subject to significant shortfalls that need to be accounted for. Correction factors have therefore been suggested for adjusting the official data.
Rad, Mahdieh; Martiniuk, Alexandra LC.; Ansari-Moghaddam, Alireza; Mohammadi, Mahdi; Rashedi, Fariborz; Ghasemi, Ardavan
Background: In the present study, the epidemiologic aspects of road traffic crashes in South East of Iran are described. Methods: This cross-sectional study included the profile of 2398 motor vehicle crashes recorded in the police office in one Year in South East of Iran. Data collected included: demographics, the type of crash, type of involved vehicle, location of crash and factors contributing to the crash. Descriptive statistics were used for data analysis. Results: Collisions with other vehicles or objects contributed the highest proportion (62.4%) of motor vehicle crashes. Human factors including careless driving, violating traffic laws, speeding, and sleep deprivation/fatigue were the most important causal factors accounting for 90% of road crashes. Data shows that 41% of drivers were not using a seat belt at the time of crash. One- third of the crashes resulted in injury (25%) or death (5%). Conclusions: Reckless driving such as speeding and violation of traffic laws are major risk factors for crashes in the South East of Iran. This highlights the need for education along with traffic law enforcement to reduce motor vehicle crashes in future. PMID:27157159
Kohl, Vanessa P.; Walker, David M.; Tomassoni, Anthony J.; Cone, David C.; Vaca, Federico E.
Background. Road traffic crash fatalities in the United States are at the lowest level since 1950. The reduction in crash injury burden is attributed to several factors: public education and prevention programs, traffic safety policies and enforcement, improvements in vehicle design, and prehospital services coupled with emergency and acute trauma care. Globally, the disease burden of road traffic injuries is rising. In 1990, road traffic injuries ranked ninth in the ten leading causes of the global burden of disease. By 2030, estimates show that road traffic injuries will be the fifth leading causes of death in the world. Historically, emergency medicine has played a pivotal role in contributing to the success of the local, regional, and national traffic safety activities focused on crash and injury prevention. Objective. We report on the projected trend of the global burden of road traffic injuries and fatalities and describe ongoing global initiatives to reduce road traffic morbidity and mortality. Discussion. We present key domains where emergency medicine can contribute through international collaboration to address global road traffic-related morbidity and mortality. Conclusion. International collaborative programs and research offer important opportunities for emergency medicine physicians to make a meaningful impact on the global burden of disease. PMID:24719768
Gabbe, Belinda J; Simpson, Pamela M; Cameron, Peter A; Ekegren, Christina L; Edwards, Elton R; Page, Richard; Liew, Susan; Bucknill, Andrew; de Steiger, Richard
Objectives To establish the association between the patient's perception of fault for the crash and 12-month outcomes after non-fatal road traffic injury. Setting Two adult major trauma centres, one regional trauma centre and one metropolitan trauma centre in Victoria, Australia. Participants 2605 adult, orthopaedic trauma patients covered by the state's no-fault third party insurer for road traffic injury, injured between September 2010 and February 2014. Outcome measures EQ-5D-3L, return to work and functional recovery (Glasgow Outcome Scale—Extended score of upper good recovery) at 12 months postinjury. Results After adjusting for key confounders, the adjusted relative risk (ARR) of a functional recovery (0.57, 95% CI 0.46 to 0.69) and return to work (0.92, 95% CI 0.86 to 0.99) were lower for the not at fault compared to the at fault group. The ARR of reporting problems on EQ-5D items was 1.20–1.35 times higher in the not at fault group. Conclusions Patients who were not at fault, or denied being at fault despite a police report of fault, experienced poorer outcomes than the at fault group. Attributing fault to others was associated with poorer outcomes. Interventions to improve coping, or to resolve negative feelings from the crash, could facilitate better outcomes in the future. PMID:26610765
Bartels, D; Bhalla, K; Shahraz, S; Abraham, J; Lozano, R; Murray, C J L
We used data from various sources to triangulate to a national snapshot of the incidence of fatal and non-fatal road traffic injuries in Mexico in 2005. Data sources used include national death registration data, national hospital discharge data and a nationally representative health survey. We estimate that in 2005, 19,389 people died due to injuries and nearly one million were injured in road traffic crashes. While deaths in high-income countries are declining, this is not the case in Mexico. Young adult males are the demographic at the highest risk in non-fatal crashes, but the elderly have the highest road death rates primarily due to pedestrian crashes. Pedestrians alone comprise nearly half (48%) of all deaths. Cars pose a substantial threat to occupants (38% of deaths and 39% of hospital admissions) and to other road users.
Papadakaki, Maria; Ferraro, Ottavia Eleonora; Orsi, Chiara; Otte, Dietmar; Tzamalouka, Georgia; von-der-Geest, Marco; Lajunen, Timo; Özkan, Türker; Morandi, Anna; Sarris, Markos; Pierrakos, George; Chliaoutakis, Joannes
The current study aimed to follow-up a group of road crash survivors for one year and assesses the impact of injury on their psychological and physical condition. All crash survivors that were admitted to the intensive or sub-intensive care units of selected hospitals in Greece, Germany and Italy over one year period (2013-2014), were invited to participate in the study and were interviewed at three different time-points as follows: (a) at one month (baseline data), (b) at six months, and (c) at twelve months. The study used widely recommended classifications for injury severity (AIS, MAIS) and standardized health outcome measures such as the Disability Assessment Schedule II (WHODAS 2.0) to measure disability, "Impact of Event Scale" (IES-R) to measure Post-Traumatic Stress Disorder (PTSD), Center for Epidemiological Studies Depression Scale (CES-D Scale) to measure depression. A total of 120 patients were enrolled in the study in all the partner countries and 93 completed all follow up questionnaires. The risk of physical disability was 4.57 times higher [CI 1.98-2.27] at the first follow up and 3.43 times higher [CI 1.43-9.42] at the second follow up as compared with the time before the injury. There was a 79% and an 88% lower risk of depression at the first and the second follow up respectively, as compared with the baseline time. There was also a 72% lower risk of Post-Traumatic Stress at the second follow up as compared with the baseline time. A number of factors relevant to the individuals, the road crash and the injury, were shown to distinguish those at higher risk of long-lasting disability and psychological distress including age, marital status, type of road user, severity and type of the injury, past emotional reaction to distress. The study highlights the importance of a comprehensive and holistic understanding of the impact of injury on an individual and further underlines the importance of screening and treating psychological comorbidities in injury
Cryer, P; Westrup, S; Cook, A; Ashwell, V; Bridger, P; Clarke, C
Research question—Does a database of hospital admission data linked to police road traffic accident (RTA) reports produce less biased information for the injury prevention policymaker, planner, and practitioner than police RTA reports alone? Design—Data linkage study. Study population—Non-fatal injury victims of road traffic crashes in southern England who were admitted to hospital. Data sources—Hospital admissions and police RTA reports. Main outcome measures—The estimated proportion of road traffic crashes admitted to hospital that were included on the linked database; distributions by age, sex, and road user groups: (A) for all RTA injury admissions and (B) for RTA serious injury admissions defined by length of stay or by nature of injury. Results—An estimated 50% of RTA injury admissions were included on the linked database. When assessing bias, admissions data were regarded as the "gold standard". The distributions of casualties by age, sex, and type of road user showed major differences between the admissions data and the police RTA injury data of comparable severity. The linked data showed smaller differences when compared with admissions data. For RTA serious injury admissions, the distributions by age and sex were approximately the same for the linked data compared with admissions data, and there were small but statistically significant differences between the distributions across road user group for the linked data compared with hospital admissions. Conclusion—These results suggest that investigators could be misinformed if they base their analysis solely on police RTA data, and that information derived from the linked database is less biased than that from police RTA data alone. A national linked dataset of road traffic crash data should be produced from hospital admissions and police RTA data for use by policymakers, planners and practitioners. PMID:11565992
Orriols, Ludivine; Foubert-Samier, Alexandra; Gadegbeku, Blandine; Delorme, Bernard; Tricotel, Aurore; Philip, Pierre; Moore, Nicholas; Lagarde, Emmanuel
Studies assessing the impact of epilepsy and its medication on the risk of road traffic crashes have shown inconsistent results. The aim in this study was to assess this risk using French databases. Data from three French national databases were extracted and matched: the national health care insurance database, police reports, and the national police database of injurious crashes. Only antiepileptics prescribed predominantly in epilepsy were studied (phenobarbital, phenytoin, ethosuximide, valproic acid, vigabatrin, tiagabin, levitiracetam, zonisamide, and lacosamide). A case-control analysis comparing responsible and non-responsible drivers and a case-crossover analysis were performed. Drivers (72 685) involved in an injurious crash in France between July 2005 and May 2008, were included. Drivers exposed to prescribed antiepileptic medicines (n = 251) had an increased risk of being responsible for a crash (OR 1.74 [1.29-2.34]). The association was also significant for the most severe epileptic patients (n = 99; OR = 2.20 [1.31-3.69]). Case-crossover analysis found no association between crash risk and treatment prescription. Patients with prescription of antiepileptic drugs should be cautioned about their potential risk of road traffic crash. This risk is however more likely to be related to seizures than to the effect of antiepileptic medicines.
Tahir, Navid; Naseer, Rizwan; Khan, Samina Mohsin; Macassa, Gloria; Hashmi, Waseem; Durrani, Mohsin
The objective of this retrospective study was to describe demographic characteristics, injury patterns and causes of road traffic crashes (RTCs) managed by Rescue 1122 in Lahore, Pakistan during the period 2005-2010. In total 123,268 RTCs were reported and responded by Rescue 1122 ambulance service during the study period. Of the 132,504 victims of RTCs, there were 67% male and 33% female subjects, and the maximum share (65%) was reported among people aged 16-35 years. Motorcyclists were involved in 45% of crashes, with over-speeding (40%) found to be the major reason of these collisions. Similarly, minor injuries (65%) and fractures (25%) were the most reported outcome of these crashes. It is concluded that data from ambulance services, if appropriately collected, can provide valuable epidemiological information to monitor RTCs in developing countries. However, in Pakistan, the collection of data as well as the registration process needs further improvement.
Kenardy, Justin; Heron-Delaney, Michelle; Bellamy, Nicholas; Sterling, Michele; Connelly, Luke
Background To date research investigating how mental health impacts physical recovery following a road traffic crash (RTC) has focused on cohorts with severe injuries. The UQ SuPPORT study aims to study the physical and psychological outcomes of claimants with minor injuries following an RTC under the Queensland common law compulsory insurance scheme. Objectives This paper outlines the protocols of this study as a platform for future publications. Methods The 2-year longitudinal cohort study collected interview and survey data from claimants at 6, 12, and 24 months post-RTC. Measures used in the telephone interview included the DSM-IV Composite International Diagnostic Interview for posttraumatic stress disorder, generalized anxiety disorder, major depressive episode, panic attacks, agoraphobia; and self-reported disability (WHO-DAS-II). Quality of life (SF-36v2), alcohol use (AUDIT), social support (MSPSS), quality-adjusted life years (EQ-5D), and return to work outcomes were assessed via postal questionnaires. Results A total of 382 claimants consented to participate at the beginning of the study, and these participants were approached at each wave. Retention was high (65%). The average age of participants at Wave 1 was 48.6 years, with 65% of the sample sustaining minor injuries (Injury Severity Score=1–3). Conclusions This study has collected a unique sample of data to investigate recovery patterns of claimants with minor injuries. Future publications will more fully assess the effects of the collected measures on recovery rates 2 years post-RTC. PMID:24799996
Butāns, Ž.; Gross, K. A.; Gridnevs, A.; Karzubova, E.
Constantly increasing intensity of road traffic and the allowed speed limits seem to impose stronger requirements on road infrastructure and use of road safety systems. One of the ways to improve road safety is the use of road restraint systems. Road safety barriers allow not only reducing the number of road traffic accidents, but also lowering the severity of accidents. The paper provides information on the technical requirements of road safety barriers. Various types of road safety barriers and their selection criteria for different types of road sections are discussed. The article views an example of a road traffic accident, which is also modelled by PC-Crash computer program. The given example reflects a road accident mechanism in case of a car-to-barrier collision, and provides information about the typical damage to the car and the barrier. The paper describes an impact of the road safety barrier type and its presence on the road traffic accident mechanism. Implementation and maintenance costs of different barrier types are viewed. The article presents a discussion on the necessity to use road safety barriers, as well as their optimal choice.
Ho, Kwok M.; Rao, Sudhakar; Burrell, Maxine; Weeramanthri, Tarun S.
Background Road trauma is a leading cause of death and injury in young people. Traffic offences are common, but their importance as a risk indicator for subsequent road trauma is unknown. This cohort study assessed whether severe road trauma could be predicted by a history of prior traffic offences. Methodology and Principal Findings Clinical data of all adult road trauma patients admitted to the Western Australia (WA) State Trauma Centre between 1998 and 2013 were linked to traffic offences records at the WA Department of Transport. The primary outcomes were alcohol exposure prior to road trauma, severe trauma (defined by Injury Severity Score >15), and intensive care admission (ICU) or death, analyzed by logistic regression. Traffic offences directly leading to the road trauma admissions were excluded. Of the 10,330 patients included (median age 34 years-old, 78% male), 1955 (18.9%) had alcohol-exposure before road trauma, 2415 (23.4%) had severe trauma, 1360 (13.2%) required ICU admission, and 267 (2.6%) died. Prior traffic offences were recorded in 6269 (60.7%) patients. The number of prior traffic offences was significantly associated with alcohol-related road trauma (odds ratio [OR] per offence 1.03, 95% confidence interval [CI] 1.02–1.05), severe trauma (OR 1.13, 95%CI 1.14–1.15), and ICU admission or death (OR 1.10, 95%CI 1.08–1.11). Drink-drinking, seat-belt, and use of handheld electronic device offences were specific offences strongly associated with road trauma leading to ICU admission or death—all in a ‘dose-related’ fashion. For those who recovered from road trauma after an ICU admission, there was a significant reduction in subsequent traffic offences (mean difference 1.8, 95%CI 1.5 to 2.0) and demerit points (mean difference 7.0, 95%CI 6.5 to 7.6) compared to before the trauma event. Significance Previous traffic offences were a significant risk factor for alcohol-related road trauma and severe road trauma leading to ICU admission or
Wang, Jingyuan; Mao, Yu; Li, Jing; Xiong, Zhang; Wang, Wen-Xu
Mitigating traffic congestion on urban roads, with paramount importance in urban development and reduction of energy consumption and air pollution, depends on our ability to foresee road usage and traffic conditions pertaining to the collective behavior of drivers, raising a significant question: to what degree is road traffic predictable in urban areas? Here we rely on the precise records of daily vehicle mobility based on GPS positioning device installed in taxis to uncover the potential daily predictability of urban traffic patterns. Using the mapping from the degree of congestion on roads into a time series of symbols and measuring its entropy, we find a relatively high daily predictability of traffic conditions despite the absence of any priori knowledge of drivers' origins and destinations and quite different travel patterns between weekdays and weekends. Moreover, we find a counterintuitive dependence of the predictability on travel speed: the road segment associated with intermediate average travel speed is most difficult to be predicted. We also explore the possibility of recovering the traffic condition of an inaccessible segment from its adjacent segments with respect to limited observability. The highly predictable traffic patterns in spite of the heterogeneity of drivers' behaviors and the variability of their origins and destinations enables development of accurate predictive models for eventually devising practical strategies to mitigate urban road congestion. PMID:25849534
Wang, Jingyuan; Mao, Yu; Li, Jing; Xiong, Zhang; Wang, Wen-Xu
Mitigating traffic congestion on urban roads, with paramount importance in urban development and reduction of energy consumption and air pollution, depends on our ability to foresee road usage and traffic conditions pertaining to the collective behavior of drivers, raising a significant question: to what degree is road traffic predictable in urban areas? Here we rely on the precise records of daily vehicle mobility based on GPS positioning device installed in taxis to uncover the potential daily predictability of urban traffic patterns. Using the mapping from the degree of congestion on roads into a time series of symbols and measuring its entropy, we find a relatively high daily predictability of traffic conditions despite the absence of any priori knowledge of drivers' origins and destinations and quite different travel patterns between weekdays and weekends. Moreover, we find a counterintuitive dependence of the predictability on travel speed: the road segment associated with intermediate average travel speed is most difficult to be predicted. We also explore the possibility of recovering the traffic condition of an inaccessible segment from its adjacent segments with respect to limited observability. The highly predictable traffic patterns in spite of the heterogeneity of drivers' behaviors and the variability of their origins and destinations enables development of accurate predictive models for eventually devising practical strategies to mitigate urban road congestion.
Mohtasham-Amiri, Zahra; Dastgiri, Saeed; Davoudi-kiakalyeh, Ali; Imani, Ali; Mollarahimi, Keyvan
Objective: To determine the epidemiological characteristics of the road traffic injuries (RTIs) in Guilan province, northern Iran. Methods: This study was a cross-sectional study which included all of RTIs admitted to medical centers of Guilan province (northern Iran) during 2012. ICD-10 was used as diagnostic criteria. Demographic variables also injury circumstance and in hospital variables such as length of stay, time of admission, type of surgery, ICU admission, final outcome and mechanism of injury, anatomical part of injury according to Abbreviated Injury Scale (AIS) classification were derives from records by trained research team. Descriptive data is reported. The predictors of mortality were also determined. Results: The prevalence of road traffic injuries in Guilan province was 31 in 10,000 populations. Of total 7671 accidents, 5976 (77.9%) were men and 1695 (22.1%) were women. Mean age of these victims was 33.3 ± 17.289 years (32.64±16.939 for men, 35.62±18.312 for women). Most of them (32.5%) were 20-29 years old. Motorcycle-car accidents had the highest frequency followed by car-car crashes and car accidents involving pedestrians. Most of the patients (85.9%) were hospitalized and 280 injured died (3.7%). Upper extremities were the most sites of injuries. Male sex, length of hospital stay, multiple injuries and increased age were associated with road traffic accident associated mortality. Conclusion: RTIs cause enormous death and disability in this area and more road traffic preventive programs should be enforcement in these areas to reduce incidences RTI. PMID:27878129
The road traffic accident (RTA) is a global misfortune and the leading cause of death among young drivers. In safeguarding and developing innovative safety strategies to curtail the situation, the factors causing this menace needs proper attention and investigation. The objective of this study is to identify the potential factors responsible for causing a traffic accident in Ghana. In studying these factors extensively, a descriptive study with quantitative technique was employed. Analyses used data between 2001 and 2011 obtained from the Building and Road Research Institute (BRRI) with specific focus on the age, drinking, vehicle defect, driver/rider error, injury, road surface type and weather. A total of 200,528 cases of drivers/riders were analysed and discovered that, people with younger age (21-40) contribute 62.97% of total crashes. Crashes reduce steadily as drivers/riders age increases. Also, the vehicle defect analysis shows that 87.46% of accidents cannot be linked to the fault of the vehicle before incidence, while the majority (75.38%) of drivers/riders had no injury during a traffic accident. Higher number of fatalities are recorded on tar good roads (81.57%) and clear weather (91.75%). The fight against this canker by the authorities must consider periodic refresher courses for younger drivers/riders on traffic law to bring to bear the adherence of good driving/riding principles and attitudes to ensure that safety is guaranteed for all road users in the country.
The road traffic accident (RTA) is a global misfortune and the leading cause of death among young drivers. In safeguarding and developing innovative safety strategies to curtail the situation, the factors causing this menace needs proper attention and investigation. The objective of this study is to identify the potential factors responsible for causing a traffic accident in Ghana. In studying these factors extensively, a descriptive study with quantitative technique was employed. Analyses used data between 2001 and 2011 obtained from the Building and Road Research Institute (BRRI) with specific focus on the age, drinking, vehicle defect, driver/rider error, injury, road surface type and weather. A total of 200,528 cases of drivers/riders were analysed and discovered that, people with younger age (21-40) contribute 62.97% of total crashes. Crashes reduce steadily as drivers/riders age increases. Also, the vehicle defect analysis shows that 87.46% of accidents cannot be linked to the fault of the vehicle before incidence, while the majority (75.38%) of drivers/riders had no injury during a traffic accident. Higher number of fatalities are recorded on tar good roads (81.57%) and clear weather (91.75%). The fight against this canker by the authorities must consider periodic refresher courses for younger drivers/riders on traffic law to bring to bear the adherence of good driving/riding principles and attitudes to ensure that safety is guaranteed for all road users in the country. PMID:24999145
Kurzhanskiy, Alex A; Varaiya, Pravin
Active traffic management (ATM) is the ability to dynamically manage recurrent and non-recurrent congestion based on prevailing traffic conditions in order to maximize the effectiveness and efficiency of road networks. It is a continuous process of (i) obtaining and analysing traffic measurement data, (ii) operations planning, i.e. simulating various scenarios and control strategies, (iii) implementing the most promising control strategies in the field, and (iv) maintaining a real-time decision support system that filters current traffic measurements to predict the traffic state in the near future, and to suggest the best available control strategy for the predicted situation. ATM relies on a fast and trusted traffic simulator for the rapid quantitative assessment of a large number of control strategies for the road network under various scenarios, in a matter of minutes. The open-source macrosimulation tool Aurora ROAD NETWORK MODELER is a good candidate for this purpose. The paper describes the underlying dynamical traffic model and what it takes to prepare the model for simulation; covers the traffic performance measures and evaluation of scenarios as part of operations planning; introduces the framework within which the control strategies are modelled and evaluated; and presents the algorithm for real-time traffic state estimation and short-term prediction.
Ðurić, Predrag; Peek-Asa, Corinne
Objectives Political violence has not been examined as a risk factor for traumatic injuries from road traffic crashes. We identify trends in road traffic crashes related to war-related military activity and international economic sanctions in the Autonomous Province of Vojvodina, Serbia. Methods Overall road traffic crashes and crashes leading to hospitalization and fatality in Vojvodina, Serbia were examined from 1996 through 2001. Rates were calculated per 100,000 population and per 10,000 registered vehicles. Three time periods were examined: years with international sanctions and military activity; years with international sanctions but no military activity; and, years with neither sanctions nor military activity. Results Compared to the period with neither sanctions nor military activity, severe injury crashes were 1.23 times more frequent (95% CI = 1.19 – 1.27) during the period with sanctions and military activity and 1.21 times more frequent (95% CI= 1.16 – 1.27) during the period with sanctions but no military activity. Conclusions Our data suggest that vehicle travel became safer following the end of military action and economic sanctions. Road traffic safety needs to be a priority both during periods of political unrest and its recovery phase. PMID:19074242
Shaikh, M A; Shaikh, I A; Siddiqui, Z
Road rage and road traffic accidents increase the burden of morbidity and mortality in a population. A cross-sectional survey with convenience sampling was conducted among commercial vehicle drivers in Lahore, Pakistan (n = 901) to record their behaviours/experiences regarding road rage and road traffic accidents. Respondents were asked about incidents of shouting/cursing/rude gestures or threats to physically hurt the person/vehicle, by others or themselves, in the previous 24 hours or 3 months, and their involvement in road traffic accidents in the previous 12 months. Auto-rickshaw drivers were significantly more likely to report various road rage experiences/behaviours and involvement in accidents compared with bus and wagon drivers. A total of 112 respondents (12.4%) reported being involved in a road traffic accident in the previous 12 months but traffic police did not record the accident in 52.7% of cases. The results of this study underline the need to improve road safety in Pakistan.
Orriols, L; Philip, P; Moore, N; Castot, A; Gadegbeku, B; Delorme, B; Mallaret, M; Lagarde, E
The aim of the study was to investigate the association between the use of benzodiazepine or benzodiazepine-like hypnotics and the risk of road traffic accidents. Data from three French national databases were matched: the health-care insurance database, police reports, and the police database of injury-related traffic accidents. A total of 72,685 drivers involved in injury-related road traffic accidents in France, from 2005 to 2008, were included in the study. The risk of being responsible for a traffic accident was higher in users of benzodiazepine hypnotics (odds ratio (OR) = 1.39 (1.08-1.79)) and in the 155 drivers to whom a dosage of more than one pill of zolpidem a day had been dispensed during the 5 months before the collision (OR = 2.46 (1.70-3.56)). No association was found between the use of zopiclone and risk of traffic accidents. Although this study did not find any association between the use of zolpidem as recommended and causation of traffic accidents, the potential risk related to possible abuse of the drug and risky driving behaviors should be further investigated. The results related to benzodiazepine hypnotics are consistent with those of previous studies.
Cao, Jin-Liang; Shi, Zhon-Ke
Due to the existence of curved roads in real traffic situation, a novel lattice traffic flow model on a curved road is proposed by taking the effect of friction coefficient and radius into account. The stability condition is obtained by using linear stability theory. The result shows that the traffic flow becomes stable with the decrease of friction coefficient and radius of the curved road. Using nonlinear analysis method, the Korteweg-de Vries (KdV) and modified Korteweg-de Vries (mKdV) equation are derived to describe soliton waves and the kink-antikink waves in the meta-stable region and unstable region, respectively. Numerical simulations are carried out and the results are consistent with the theoretical results.
Rapid increases in the number of vehicles, urban sprawl, exurban development and infrastructure development for energy and water have led to dramatic increases in both the size and extent of the global road network. Anecdotal evidence suggests that off-road vehicle traffic has also increased in many...
Missoni, Eduard; Bozić, Boris; Missoni, Ivan
were caused by drivers with more than 0.5 per thousand and up to 1.5 per thousand in 2005 (in 2006 - 2,582), along with 53 fatalities (1 fewer than in 2006). Drivers with more than 1.5 per thousand participated in 2,809 accidents (2006 - 2,844), with the number of killed drivers amounting to 57, three fewer than in 2006. In light of these facts, alcohol use still remains a significant factor in road traffic accidents and is an important area for injury prevention efforts.
Borge, Rafael; de Miguel, Isabel; de la Paz, David; Lumbreras, Julio; Pérez, Javier; Rodríguez, Encarnación
Many cities in Europe have difficulties to meet the air quality standards set by the European legislation, most particularly the annual mean Limit Value for NO2. Road transport is often the main source of air pollution in urban areas and therefore, there is an increasing need to estimate current and future traffic emissions as accurately as possible. As a consequence, a number of specific emission models and emission factors databases have been developed recently. They present important methodological differences and may result in largely diverging emission figures and thus may lead to alternative policy recommendations. This study compares two approaches to estimate road traffic emissions in Madrid (Spain): the COmputer Programme to calculate Emissions from Road Transport (COPERT4 v.8.1) and the Handbook Emission Factors for Road Transport (HBEFA v.3.1), representative of the 'average-speed' and 'traffic situation' model types respectively. The input information (e.g. fleet composition, vehicle kilometres travelled, traffic intensity, road type, etc.) was provided by the traffic model developed by the Madrid City Council along with observations from field campaigns. Hourly emissions were computed for nearly 15 000 road segments distributed in 9 management areas covering the Madrid city and surroundings. Total annual NOX emissions predicted by HBEFA were a 21% higher than those of COPERT. The discrepancies for NO2 were lower (13%) since resulting average NO2/NOX ratios are lower for HBEFA. The larger differences are related to diesel vehicle emissions under "stop & go" traffic conditions, very common in distributor/secondary roads of the Madrid metropolitan area.In order to understand the representativeness of these results, the resulting emissions were integrated in an urban scale inventory used to drive mesoscale air quality simulations with the Community Multiscale Air Quality (CMAQ) modelling system (1 km2 resolution). Modelled NO2 concentrations were compared
Nakahara, S; Wakai, S
Background—Significant underreporting of road traffic injuries by the police has been documented, even in developed countries. The objective of this study was to clarify the magnitude of underreporting of police data in Japan. Methods—Police reports were compared with those of the fire department and the Marine and Fire Insurance Association of Japan. Results—The results reveal significant underreporting by police of child vehicle occupant injuries. The true incidence of these injuries in preschoolers was twice as high as that provided by official police reports. Conclusion—Police reports would underestimate the magnitude of vehicle occupant injuries in children and distort any evaluations of preventive initiatives. Improving the police report system, and establishing a more comprehensive trauma registry, that would include data from hospitals and insurance companies should be implemented. PMID:11565993
Eberhardt, J. L.
The influence of road traffic noise on the sleep of adults and 6-11 year old children was studied by using electrophysiological methods. Young adults, unaccustomed to traffic noise, were disturbed by continuous and intermittent traffic noise at 45 dB(A). No sleep disturbances were found for continuous traffic noise at 36 dB(A). Car passages with a peak noise level of 55 dB(A) caused awakenings. The equivalent sound pressure level ( Leq) did not correlate with sleep disturbance effects. A better noise dose description was found in the number of vehicles per night that made most noise. Children wer about 10 dB(A) less sensitive than adults to awakening reactions, and even less sensitive with respect to disturbances of REM sleep and deep sleep. Total habituation to road traffic noise did not occur, even after at least one year of exposure. Sound reduction in the bedroom induced increased amounts of deep sleep for adults and reduced falling-asleep time for children. Road traffic noise during the first hours of a night's sleep tended to disturb sleep more than when it ocurred later in the night, the main effects being a reduction of the total amount of REM sleep during the night and an increased duration of intermittent wakefulness during the hours of exposure.
This study aimed to investigate the amount of consolation compensation that road accident perpetrators were willing to pay victims. It used 2010 statistics for general road accidents from Taiwan's National Police Agency (NPA) for further sampling and to mail questionnaires. In investigating consolation compensation, the framework of the contingent valuation method was used, and the data were collected through the design of different scenarios. In this study, five injury levels were designed to further analyse the consolation compensation price the perpetrators were willing to pay: minor injury, moderate injury, serious injury, disability, and death. The results revealed the price that many perpetrators were willing to pay was zero; however, we overcame this issue by using the Spike model. The estimated results showed that road accident perpetrators were willing to pay more consolation compensation with increased injury severity.
Jafari, Seyed Ali; Jahandideh, Sepideh; Jahandideh, Mina; Asadabadi, Ebrahim Barzegari
Road traffic injuries (RTIs) are realised as a main cause of public health problems at global, regional and national levels. Therefore, prediction of road traffic death rate will be helpful in its management. Based on this fact, we used an artificial neural network model optimised through Genetic algorithm to predict mortality. In this study, a five-fold cross-validation procedure on a data set containing total of 178 countries was used to verify the performance of models. The best-fit model was selected according to the root mean square errors (RMSE). Genetic algorithm, as a powerful model which has not been introduced in prediction of mortality to this extent in previous studies, showed high performance. The lowest RMSE obtained was 0.0808. Such satisfactory results could be attributed to the use of Genetic algorithm as a powerful optimiser which selects the best input feature set to be fed into the neural networks. Seven factors have been known as the most effective factors on the road traffic mortality rate by high accuracy. The gained results displayed that our model is very promising and may play a useful role in developing a better method for assessing the influence of road traffic mortality risk factors.
Imawan, Ardi; Indikawati, Fitri Indra; Kwon, Joonho; Rao, Praveen
The escalation of traffic congestion in urban cities has urged many countries to use intelligent transportation system (ITS) centers to collect historical traffic sensor data from multiple heterogeneous sources. By analyzing historical traffic data, we can obtain valuable insights into traffic behavior. Many existing applications have been proposed with limited analysis results because of the inability to cope with several types of analytical queries. In this paper, we propose the QET (querying and extracting timeline information) system—a novel analytical query processing method based on a timeline model for road traffic sensor data. To address query performance, we build a TQ-index (timeline query-index) that exploits spatio-temporal features of timeline modeling. We also propose an intuitive timeline visualization method to display congestion events obtained from specified query parameters. In addition, we demonstrate the benefit of our system through a performance evaluation using a Busan ITS dataset and a Seattle freeway dataset. PMID:27563900
Imawan, Ardi; Indikawati, Fitri Indra; Kwon, Joonho; Rao, Praveen
The escalation of traffic congestion in urban cities has urged many countries to use intelligent transportation system (ITS) centers to collect historical traffic sensor data from multiple heterogeneous sources. By analyzing historical traffic data, we can obtain valuable insights into traffic behavior. Many existing applications have been proposed with limited analysis results because of the inability to cope with several types of analytical queries. In this paper, we propose the QET (querying and extracting timeline information) system-a novel analytical query processing method based on a timeline model for road traffic sensor data. To address query performance, we build a TQ-index (timeline query-index) that exploits spatio-temporal features of timeline modeling. We also propose an intuitive timeline visualization method to display congestion events obtained from specified query parameters. In addition, we demonstrate the benefit of our system through a performance evaluation using a Busan ITS dataset and a Seattle freeway dataset.
BAKHTIYARI, Mahmood; MEHMANDAR, Mohammad Reza; RIAHI, Seyed Mohammad; MANSOURNIA, Mohammad Ali; SARTIPI, Majid; BAHADORIMONFARED, Ayad
Background: Due to their specific nature, such as high incidence, high intensity and direct involvement of all members of society, traffic injuries are of particular importance. Through a mega data, this study investigated the epidemiological aspects and depict current situation of road traffic injuries in Iran. Methods: Using legal medicine and traffic police data, deaths from road traffic injuries in men were predicted through determining the most appropriate model for death using time series statistical models; and then most important human factors associated with it in a period of 6 yr in Iran was analyzed using multi-nominal regression model. Results: The frequency of deaths from traffic injuries in the last seven years was 172,834 cases and the number of deaths at the accident scene was 42798 cases, of which 24.24% (41,971 cases) were recorded by the Traffic Police experts. Death rate from traffic injuries has been declined from 38 cases per 100,000 people in 2004 to 31 cases per 100,000 people between 2009 and 2010. Fatigue and sleepiness (AOR=10.36, 95% CI: 8.41–13.3) was the most significant human risk factors for death outcome in the urban and suburban traffic injuries. According to the predictions, the death rate is about 16488 (CI 95%, 8531–24364) for the year 2012. Conclusion: Despite all measures to prevent such injuries, even fatal injuries have still a high incidence. Intervention in the human risk factors field would be more effective due to their important roles in traffic injuries in Iran. PMID:27252920
Alimohammadi, Iraj; Zokaei, Mojtaba; Sandrock, Stephan
Background: Traffic noise is one of the main important sources in urban noise pollution, which causes various physiological and psychological effects that can cause disturbs in performance, sleep disturbances, hearing loss and impact on job performance. This study was conducted to verify the impact of road traffic noise on reaction time in terms of extraversion and sex. Methods: Traffic noise was measured and recorded in 10 arterial streets in Tehran, and then the recorded noise was emitted towards participants in an acoustic room. The participants were 80 (40 cases and 40 controls) students. Personality type was determined by Eysenck Personality Inventory (EPI) questioner. Reaction time before and after exposure to traffic noise was measured. Results: Reaction time before exposure to traffic noise did not differ (P=0.437) significantly between introverts and extraverts. However, it was increased significantly in both groups after exposure to traffic noise (P<0.01). Introvert’s reaction time was more increased than that of extraverts. Conclusion: Traffic noise augmented reaction time of both males and females. This study also revealed that exposure to traffic noise leads to increase in reaction time. PMID:26634199
Kerner, Boris S.; Klenov, Sergey L.
Based on empirical and numerical analyses of vehicular traffic, the physics of spatiotemporal phase transitions in traffic flow on multilane roads is revealed. The complex dynamics of moving jams observed in single vehicle data measured by video cameras on American highways is explained by the nucleation-interruption effect in synchronized flow, i.e., the spontaneous nucleation of a narrow moving jam with the subsequent jam dissolution. We find that (i) lane changing, vehicle merging from on-ramps, and vehicle leaving to off-ramps result in different traffic phases—free flow, synchronized flow, and wide moving jams—occurring and coexisting in different road lanes as well as in diverse phase transitions between the traffic phases; (ii) in synchronized flow, the phase transitions are responsible for a non-regular moving jam dynamics that explains measured single vehicle data: moving jams emerge and dissolve randomly at various road locations in different lanes; (iii) the phase transitions result also in diverse expanded general congested patterns occurring at closely located bottlenecks.
Kerner, Boris S; Klenov, Sergey L
Based on empirical and numerical analyses of vehicular traffic, the physics of spatiotemporal phase transitions in traffic flow on multilane roads is revealed. The complex dynamics of moving jams observed in single vehicle data measured by video cameras on American highways is explained by the nucleation-interruption effect in synchronized flow, i.e., the spontaneous nucleation of a narrow moving jam with the subsequent jam dissolution. We find that (i) lane changing, vehicle merging from on-ramps, and vehicle leaving to off-ramps result in different traffic phases-free flow, synchronized flow, and wide moving jams-occurring and coexisting in different road lanes as well as in diverse phase transitions between the traffic phases; (ii) in synchronized flow, the phase transitions are responsible for a non-regular moving jam dynamics that explains measured single vehicle data: moving jams emerge and dissolve randomly at various road locations in different lanes; (iii) the phase transitions result also in diverse expanded general congested patterns occurring at closely located bottlenecks.
Yadav, Santosh Kumar; Shrestha, Suraksha
Objectives: Patients are usually left in a vulnerable state after an accident. Because of this, they long for a good encounter when they are brought to the hospital. Physical impairment and psychological morbidities are some of the complications that can occur to them. Traditionally, surgeons tend to pay little attention to a patient's emotional and psychological perspective. The aim of this study was to understand the experience of oral and maxillofacial trauma patients due to road traffic accident right from immediate after the accident till the end of definitive treatment. Materials and Methods: Phenomenological approach of qualitative study was used to explore these patients’ experience. Twenty subjects involved in road traffic accidents without any cognitive impairment aged 18 and above were recruited. Purposive sampling was used to include maximal variation sample regarding age, gender, types of injury, and types of treatment received. Semi-structured and open-ended interview approach was used to obtain in-depth information. Results: Seven themes were identified to describe the patients’ response to and experience after meeting with a road traffic accident; they are unreal experiences, emotional responses, need to inform and need for information, need for assistance, their perception toward the maxillofacial injury, their experience on treatment and staff-patient interaction. Conclusion: This qualitative study has provided an in-depth understanding of patients experience during maxillofacial trauma and treatment, which otherwise cannot be obtained by the use of surveys and test questions. PMID:28250673
Liam, C K; How, L G; Tan, C T
Three patients involved in road traffic accidents were suspected to have obstructive sleep apnoea (OSA). Two of them fell asleep while riding motorcycles and one patient fell asleep behind the wheel of a truck causing it to overturn. The diagnosis of OSA in each case was suspected based on a history of loud snoring, restless sleep, and excessive daytime somnolence and was confirmed by sleep studies.
Road traffic noise affects a large number of people, especially in urban areas and is generally a major source of complaints. This paper refers to a study of the problem of traffic noise on roads which have been transformed into streets in the city of Erzurum. Noise levels are measured and the impacts suffered by the community are documented. Manual noise measurements were made along 12 streets exploring sources of maximum noise levels. Noise from different types of vehicles driven in a realistic way in inner city traffic was measured. The results from the measurements showed that, of 750 measured events, approximately 5% of the vehicles exceeded 70 dB(A) and less than 2% exceeded 80 dB(A) maximum noise level. In summary, the result showed that the most important vehicle component as regards the maximum noise level in inner city traffic was a medium-weight vehicle. Among the higher noise levels measured (>80 dB(A)) this type of vehicle was dominant. PMID:23369534
Yoshida, T.; Osada, Y.; Kawaguchi, T.; Hoshiyama, Y.; Yoshida, K.; Yamamoto, K.
A questionnaire-based study was performed in an area of about 16 ha near a main road in Tokyo to elucidate any relations between road traffic noise and the effects of this noise among women living on both sides of the road. Questions concerned annoyance, sleep disturbance, interference with daily activities, health-related symptoms and disease histories. 366 inhabitants were analyzed. Dose-response relationships were found in high reported responses to noisiness, annoyance, dissatisfaction with the nearby environment and interference with listening to TV, conversation and reading. It was also found that the number of high responses to questions increases clearly at noise levels above 70 dB(A),Leq(24h), with regard to interference with thinking and sleep disturbance (waking during the night), fatigue, headache, gastroenteric disorders, loss of appetite, depression and irritation. Furthermore, there was an increase in reports of disease histories with noise above 70 dB(A) for climacteric disturbances, and at noise above 65 dB(A) for deafness, heart disease and hypercholestrolemia. These all suggest that noise may be related to the health status of inhabitants living in areas with heavy road traffic. A noise level of 65 dB(A) or 70 dB(A) inLeq(24h)was the critical point above which respondents indicated increased effects on health and reports of disease increased.
Silva, J. F.
The problem of road traffic accidents in developing countries is now becoming a cause for concern. This is more so as preventive measures have not kept pace with economic progress and development. This paper reviews the present situation in West Malaysia, one of the better developed countries of the East, during the period 1970 to 1975. A comparative study has been made between the United States and Malaysia. To enable the urgency of the problem in developing countries to be appreciated the increases in the country's population and in the number of vehicles in use and their relation to the lesser increase in road mileage over the period of study have been discussed. The study has considered every aspect of the causative factors leading to traffic accidents, such as the effects of weather, seasonal variation, and road and lighting conditions. The common human errors leading to accidents have been discussed. Other factors, such as the ethnic distribution in Malaysia, and their relation to road accidents have shown the effect of the social structure on the problems. The data evaluated in this study make it clear that preventive measures are very necessary in underdeveloped as well as in developed countries. PMID:718073
Silva, J F
The problem of road traffic accidents in developing countries is now becoming a cause for concern. This is more so as preventive measures have not kept pace with economic progress and development. This paper reviews the present situation in West Malaysia, one of the better developed countries of the East, during the period 1970 to 1975. A comparative study has been made between the United States and Malaysia. To enable the urgency of the problem in developing countries to be appreciated the increases in the country's population and in the number of vehicles in use and their relation to the lesser increase in road mileage over the period of study have been discussed. The study has considered every aspect of the causative factors leading to traffic accidents, such as the effects of weather, seasonal variation, and road and lighting conditions. The common human errors leading to accidents have been discussed. Other factors, such as the ethnic distribution in Malaysia, and their relation to road accidents have shown the effect of the social structure on the problems. The data evaluated in this study make it clear that preventive measures are very necessary in underdeveloped as well as in developed countries.
Tasciotti, Luca; Alejo, Didier; Romero, Andrés
This paper studies the effects that oil extraction activities in Colombia have on the number of dead/injured people as a consequence of road-related accidents. Starting in 2004, the increasing exploitation of oil wells in some Colombian departments has worsened the traffic conditions due to the increased presence of trucks transporting crude oil from the wells to the refineries; this phenomenon has not been accompanied by an improvement in the road system with dramatic consequences in terms of road viability. The descriptive and empirical analysis presented here focuses on the period 2004-2011; results from descriptive statistics indicate a positive relationship between the presence of oil extraction activities and the number of either dead/injured people. Panel regressions for the period 2004-2011 confirm that, among other factors, the presence of oil-extraction activities did play a positive and statistical significant role in increasing the number of dead/injured people.
Mammides, Christos; Kounnamas, Constantinos; Goodale, Eben; Kadis, Costas
Unpaved, low traffic roads are often assumed to have minimal effects on biodiversity. To explore this assertion, we sampled the bird communities in fifteen randomly selected sites in Pafos Forest, Cyprus and used multiple regression to quantify the effects of such roads on the total species richness. Moreover, we classified birds according to their migratory status and their global population trends, and tested each category separately. Besides the total length of unpaved roads, we also tested: a. the site's habitat diversity, b. the coefficient of variation in habitat (patch) size, c. the distance to the nearest agricultural field, and d. the human population size of the nearest village. We measured our variables at six different distances from the bird point-count locations. We found a strong negative relationship between the total bird richness and the total length of unpaved roads. The human population size of the nearest village also had a negative effect. Habitat diversity was positively related to species richness. When the categories were tested, we found that the passage migrants were influenced more by the road network while resident breeders were influenced by habitat diversity. Species with increasing and stable populations were only marginally affected by the variables tested, but the effect of road networks on species with decreasing populations was large. We conclude that unpaved and sporadically used roads can have detrimental effects on the bird communities, especially on vulnerable species. We propose that actions are taken to limit the extent of road networks within protected areas, especially in sites designated for their rich avifauna, such as Pafos Forest, where several of the affected species are species of European and global importance.
Williams, I D; McCrae, I S
Air pollution from traffic is one of the main factors considered in the environmental appraisal of road schemes. Currently this appraisal concentrates on the emission and roadside concentration of those regulated pollutants which are potentially harmful to the health or well-being of human, animal or plant life, or to ecological systems. However, vehicle emissions, especially those from diesel vehicles, may also cause a number of aesthetic and nuisance problems, such a visibility reduction, urban soiling and physical irritation. A methodology to investigated the subjective nuisance effects of air pollution from road traffic on the public has been developed and tested. The data indicates that vehicle-derived air pollution was an issue of high relative importance to the public when compared to other major social issues. On a local level, the physical presence of road traffic and its associated pollution appeared to be the largest contributors to outdoor public environmental nuisance. Indoors, the public appeared to experience only minor disturbances from vehicle-derived pollution, with the average respondent being not very bothered by vehicle-derived smoke, fumes and odour, dust and dirt and general air pollution. Noise appeared to cause the greatest indoor traffic-related nuisance, although many respondents complained about soiling from dust/dirt. The surveys suggest that outdoor disturbance from vehicle-derived air pollution was fairly high, with smoke, fumes and odour causing the greatest annoyance. The main reason given for disturbance from outdoor smoke, fumes and odour and dust/dirt was concern that they would harm the public's health. Other important specific reasons included soiling and the smell of the fumes.(ABSTRACT TRUNCATED AT 250 WORDS)
Fallah Shorshani, Masoud; Bonhomme, Céline; Petrucci, Guido; André, Michel; Seigneur, Christian
Methods for simulating air pollution due to road traffic and the associated effects on stormwater runoff quality in an urban environment are examined with particular emphasis on the integration of the various simulation models into a consistent modelling chain. To that end, the models for traffic, pollutant emissions, atmospheric dispersion and deposition, and stormwater contamination are reviewed. The present study focuses on the implementation of a modelling chain for an actual urban case study, which is the contamination of water runoff by cadmium (Cd), lead (Pb), and zinc (Zn) in the Grigny urban catchment near Paris, France. First, traffic emissions are calculated with traffic inputs using the COPERT4 methodology. Next, the atmospheric dispersion of pollutants is simulated with the Polyphemus line source model and pollutant deposition fluxes in different subcatchment areas are calculated. Finally, the SWMM water quantity and quality model is used to estimate the concentrations of pollutants in stormwater runoff. The simulation results are compared to mass flow rates and concentrations of Cd, Pb and Zn measured at the catchment outlet. The contribution of local traffic to stormwater contamination is estimated to be significant for Pb and, to a lesser extent, for Zn and Cd; however, Pb is most likely overestimated due to outdated emissions factors. The results demonstrate the importance of treating distributed traffic emissions from major roadways explicitly since the impact of these sources on concentrations in the catchment outlet is underestimated when those traffic emissions are spatially averaged over the catchment area.
de Kluizenaar, Yvonne; van Lenthe, Frank J; Visschedijk, Antoon J H; Zandveld, Peter Y J; Miedema, Henk M E; Mackenbach, Johan P
Traffic noise and air pollution have been associated with cardiovascular health effects. Until date, only a limited amount of prospective epidemiological studies is available on long-term effects of road traffic noise and combustion related air pollution. This study investigates the relationship between road traffic noise and air pollution and hospital admissions for ischemic heart disease (IHD: International Classification of Diseases (ICD9) 410-414) or cerebrovascular disease (cerebrovascular event [CVE]: ICD9 430-438). We linked baseline questionnaire data to 13 years of follow-up on hospital admissions and road traffic noise and air pollution exposure, for a large random sample (N = 18,213) of inhabitants of the Eindhoven region, Netherlands. Subjects with cardiovascular event during follow-up on average had higher road traffic noise day, evening, night level (L den) and air pollution exposure at the home. After adjustment for confounders (age, sex, body mass index, smoking, education, exercise, marital status, alcohol use, work situation, financial difficulties), increased exposure did not exert a significant increased risk of hospital admission for IHD or cerebrovascular disease. Relative risks (RRs) for a 5 (th) to 95 (th) percentile interval increase were 1.03 (0.88-1.20) for L den; 1.04 (0.90-1.21) for particulate matter (PM 10 ); 1.05 (0.91-1.20) for elemental carbon (EC); and 1.12 (096-1.32) for nitrogen dioxide (NO 2 ) in the full model. While the risk estimate seemed highest for NO 2 , for a 5 (th) to 95 (th) percentile interval increase, expressed as RRs per 1 μg/m 3 increases, hazard ratios seemed highest for EC (RR 1.04 [0.92-1.18]). In the subgroup of study participants with a history of cardiovascular disease, RR estimates seemed highest for noise exposure (1.19 [0.87-1.64] for L den); in the subgroup of elderly RR seemed highest for air pollution exposure (RR 1.24 [0.93-1.66] for NO 2 ).
Shigehiro, Yuji; Miyakawa, Takuya; Masuda, Tatsuya
In this paper, we propose a road traffic control method for reducing traffic congestion with genetic algorithm. In the not too distant future, the system which controls the routes of all vehicles in a certain area must be realized. The system should optimize the routes of all vehicles, however the solution space of this problem is enormous. Therefore we apply the genetic algorithm to this problem, by encoding the route of all vehicles to a fixed length chromosome. To improve the search performance, a new genetic operator called “path shortening” is also designed. The effectiveness of the proposed method is shown by the experiment.
Background Noise is one of the more widespread pollutions of road transportation system, which can cause deterioration in performance. This experimental study was designed to assess the effect of road traffic noise on performance with regard to extra/introversion and sex of participants. The personality trait of extra/introversion has been remarked as relevant factor to mental performance. Results Thirty six (26 males and 10 females) medical sciences students of Tehran University participated in the study. The students were placed in an unechoing room and performed the Cognitrone test from Vienna Test System in quiet condition and under road traffic noise (71 dBA). The results of this study pointed out that noise increased the percentage of sum of correct answers but had no effect on the speed of performance. Furthermore this study showed that performance was enhanced in extroverts (P=0.001) but no significant difference was found in introverts (P ≤0.05). Conclusions The regression analysis revealed that extra/introversion was more important than sex to predict the performance parameters. PMID:23394722
Boufous, Soufiane; de Rome, Liz; Senserrick, Teresa; Ivers, Rebecca
This study examines the impact of cyclist, road and crash characteristics on the injury severity of cyclists involved in traffic crashes reported to the police in Victoria, Australia between 2004 and 2008. Logistic regression analysis was carried out to identify predictors of severe injury (serious injury and fatality) in cyclist crashes reported to the police. There were 6432 cyclist crashes reported to the police in Victoria between 2004 and 2008 with 2181 (33.9%) resulting in severe injury of the cyclist involved. The multivariate analysis found that factors that increase the risk of severe injury in cyclists involved in traffic crashes were age (50 years and older), not wearing a helmet, riding in the dark on unlit roads, riding on roads zoned 70 km/h or above, on curved sections of the road, in rural locations and being involved in head-on collisions as well as off path crashes, which include losing control of vehicle, and on path crashes which include striking the door of a parked vehicle. While this study did not test effectiveness of preventative measures, policy makers should consider implementation of programs that address these risk factors including helmet programs and environmental modifications such as speed reduction on roads that are frequented by cyclists.
Genotoxicity Biomarkers Associated with Exposure to Traffic And Near-Road Atmospheres: A Review Diesel and gasoline emissions, which are the primary components of traffic exhaust, are known or possible human carcinogens, re...
Bambach, M R; Mitchell, R J
In many countries increased on-road motorcycling participation has contributed to increased motorcyclist morbidity and mortality over recent decades. Improved helmet technologies and increased helmet wearing rates have contributed to reductions in serious head injuries, to the point where in many regions thoracic injury is now the most frequently occurring serious injury. However, few advances have been made in reducing the severity of motorcyclist thoracic injury. The aim of the present study is to provide needed information regarding serious motorcyclist thoracic trauma, to assist motorcycling groups, road safety advocates and road authorities develop and prioritise counter-measures and ultimately reduce the rising trauma burden. For this purpose, a data collection of linked police-reported and hospital data was established, and considerable attention was given to establishing a weighting procedure to estimate hospital cases not reported to police and fatal cases not admitted to hospital. The resulting data collection of an estimated 19,979 hospitalised motorcyclists is used to provide detailed information on the nature, incidence and risk factors for thoracic trauma. Over the last decade the incidence of motorcyclist serious thoracic injury has more than doubled in the population considered, and by 2011 while motorcycles comprised 3.2% of the registered vehicle fleet, one quarter of road traffic-related serious thoracic trauma cases treated in hospitals were motorcyclists. Motor-vehicle collisions, fixed object collisions and non-collision crashes were fairly evenly represented amongst these cases, while older motorcyclists were over-represented. Several prevention strategies are identified and discussed.
Background Road traffic injuries are a serious public health problem worldwide. The incidence rate of fatal road traffic injuries is 26.4 per 100000 in the Eastern Mediterranean Region. Road traffic injuries are a major public health problem in Iran. Different routine sources are available for road traffic injuries in Iran, but they present several limitations. This study aimed to determine the epidemiology of road traffic injuries in greater Tehran, using a population-based approach which is less prone to under-estimation compared to service-based data. Methods In the year 2008, 2488 households were randomly selected for a face to face interview. Trained interviewers referred to the selected households to collect the subjects' demographic information, as well as their motor vehicle utilization and traffic injuries during the year prior to data collection. All interviews were recorded using a digital voice recorder and reviewed by a quality control team the day after the interview. The Student's t-test and ANOVA were used to analyze continuous variables. Chi-square test -including a test for trend for ordinal data- was used to analyze categorical variables. Ninety-five percent confidence interval was calculated for point estimates of incidences using Poisson or binomial distribution assumptions accordingly. Results There were 119 traffic injury cases including 3 deaths (33 per 100 000) in the survey sample (n = 9100). The annual incidence of all traffic injuries for 1000 population was 13.1 (95% CI: 10.8 - 15.6), and that of fatal traffic injuries was 33.0 per 100 000 population (95% CI: 6.80 - 96.32). The annual incidence of collision traffic injury for 1000 motorcycles was 95. Conclusion This population-based study demonstrates that the morbidity rate of RTIs is about ten times higher than the national figures reported by other available sources; and this can serve as an important warning to countries like Iran to prioritize this issue in their public health
Mason, Anthony D.; Woods, Andrew W.
A speed-adjustment car-following model is extended to systems of traffic where there is a variety of vehicle response times and speed-headway relationships. This is proposed as a model of the interactions between cars and trucks on single-lane roads where there is no overtaking, and some of its properties are derived. First, we make a distinction between temporal stability on a circular road and spatial stability on a straight road and go on to derive criteria for linear stability in each case. The propagation and dispersion of a linear disturbance wave is studied, and we also compare the nonlinear evolution of both single- and multiple-species systems on circuitous and straight roads. When the speed-headway relationship of all vehicles is given by the nonlinear law proposed by Bando et al. [Phys. Rev. E 51, 2 (1995)], we find that for models of car-truck systems, as for systems consisting of one type of vehicle only, there is a range of equilibrium headways for which the system is linearly unstable. The size of this range increases with the proportion of the more unreactive vehicle type, trucks, in the population of vehicles. Computer simulations verify the analytical results and show the nonlinear development of disturbances when the system is linearly unstable. It is demonstrated that slow vehicles in a platoon moving at close to their top speed can damp nonlinear congestion waves.
Background The risk of injury is one of the major barriers to engaging in cycling. We investigated exposure-based rates and profiles of traffic injuries sustained by pedal cyclists that resulted in death or hospital inpatient treatment in New Zealand, one of the most car dependent countries. Methods Pedal cyclist traffic injuries were identified from the Mortality Collection and the National Minimum Dataset. Total time spent cycling was used as the measure of exposure and computed from National Household Travel Surveys. Analyses were undertaken for the periods 1988-91, 1996-99 and 2003-07 in relation to other major road users and by age, gender and body region affected. A modified Barell matrix was used to characterise the profiles of pedal cyclist injuries by body region affected and nature of injury. Results Cyclists had the second highest rate of traffic injuries compared to other major road user categories and the rate increased from 1996-99 to 2003-07. During 2003-07, 31 injuries occurred per million hours spent cycling. Non-collision crashes (40%) and collisions with a car, pick-up truck or van (26%) accounted for two thirds of the cycling injuries. Children and adolescents aged under 15 years were at the highest risk, particularly of non-collision crashes. The rate of traumatic brain injuries fell from 1988-91 to 1996-99; however, injuries to other body parts increased steadily. Traumatic brain injuries were most common in collision cases whereas upper extremity fractures were most common in other crashes. Conclusions The burden of fatal and hospitalised injuries among pedal cyclists is considerable and has been increasing over the last decade. This underscores the development of road safety and injury prevention programmes for cyclists alongside the cycling promotion strategies. PMID:21034490
Meuleners, L B; Lee, A H; Haworth, C
Most emergency presentations by vulnerable road users were the result of collisions that did not involve a motor vehicle. Many injuries occurred off‐road without police attendance. Hence, reliance on official police records would underestimate the magnitude and scope of these injuries. Suggestions to provide a safer road environment are given. PMID:16461413
Vanlaar, Ward; McAteer, Heather; Brown, Steve; Crain, Jennifer; McFaull, Steven; Hing, Marisela Mainegra
Off-road vehicles (ORVs; this includes snowmobiles, all-terrain vehicles or ATVs and dirt bikes) were once used primarily for work and travel. Such use remains common in Canada, although their recreational use has also gained popularity in recent years. An epidemiological injury profile of ORV users is important for better understanding injuries and their risk factors to help inform injury prevention initiatives. The Traffic Injury Research Foundation (TIRF) partnered with the Public Health Agency of Canada (PHAC) to analyze the epidemiology of ORV-related injuries. The primary aim was to assess crashes and injuries in Canada, including the extent of alcohol involvement. Secondly, the burden of injury among children and teen ORV drivers in Canada, as well as passengers, was investigated. Descriptive and inferential epidemiological statistics were generated using the following data sources: first, TIRF's National Fatality Database, which is a comprehensive, pan-Canadian, set of core data on all fatal motor vehicle crashes; second, TIRF's Serious Injury Database, which contains information on persons seriously injured in crashes; and, third, PHAC's Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP), a surveillance system currently operating in the emergency departments of some pediatric and general hospitals across Canada. Exposure data have been used in the analyzes where available. Between 1990 and 2010, fatality rates increased among ATV and dirt bike operators. The fatality rate among snowmobilers declined during this period. Of particular concern, among fatally injured female ATV users, children aged 0-15 years comprised the highest proportion of any age group at 33.8%. Regarding alcohol use, among fatally injured snowmobile and ATV/dirt bike operators tested for alcohol, 66% and 55% tested positive, respectively. Alcohol involvement in adult ORV crashes remains an important factor. In light of the growing popularity of ORVs, prevention and
MYSSAYEV, Ayan; MEIRMANOV, Serik; RAKHYPBEKOV, Tolebay; BULEGENOV, Tolkyn; SEMENOVA, Yuliya
Abstract Background Kazakhstan, a developing middle-income country, has the highest road traffic collision (RTC) mortality in the European Region. The aims of this study were to determine main characteristics of road traffic fatalities in Semey region, Kazakhstan and to compare findings with National data and middle-income European countries. Methods This descriptive surveillance study assesses RTC mortality rates and epidemiology in the Semey Region of East Kazakhstan Oblast. Data of all 318 road traffic fatalities form the Semey Regional Center for Forensic Medicine were analyzed for the 5-year period of January 1, 2006 through December 31, 2010. Results Over the study period, the average road traffic mortality in the Semey Region was 12.1 per 100,000 population with downward trend by 35.1% (p=0.002). The victims mean age was 37.1 (SD=17) years. Males predominated at 74.5%. Vehicle fatality was the most common mode of fatality at 61.3%. The majority of collisions, 53.1%, occurred on highways. Most victims, 67.3%, have died at the scene of collision; in 67.3% of fatalities, autopsies identified multiple injuries as cause of death. The high number of fatal collisions took place in “no snow” season (P<0.001), with an overall 5-years downward dynamic. Conclusion High proportion of males, pedestrians and car occupants among road traffic fatalities; high proportion of death on scene in case of highway collisions are specifics for Semey region, Kazakhstan. These findings can be used to formulate preventive strategies to reduce fatalities and to improve the medical care system for road traffic fatalities. PMID:26110146
Chandrasekharan, Ananthnarayan; Nanavati, Aditya J; Prabhakar, Sandhya; Prabhakar, Subramaniam
Background India currently has the dubious distinction of experiencing the highest number of road traffic accidents in the world. Objectives We believe that this study on road traffic accidents may help to identify factors in the pre-hospital setting that may influence mortality rates. Patients and Methods A prospective observational study was carried out in a metro area in India over a period of one year. The study included consecutive patients admitted to the trauma service after road traffic accidents. Demographic information, time and place of accident, and details regarding the vehicle and the events leading up to the hospital admission were recorded. Injury severity, management in the hospital, and final outcomes in terms of mortality were noted. The data were analyzed with SPSS software. Results A total of 773 patients were enrolled. Of these, there were 197 deaths and 576 survivors. The majority of patients were aged 15 - 40 years (67%) and were male (87.84%). More accidents occurred at night (58.2%) than during the day (41.8%). Mortality was not significantly associated with age, sex, or time of accident. City roads (38.9%) saw more accidents than highways (26.13%), but highway accidents were more likely to be fatal. Two-wheeler riders (37.65%) and pedestrians (35.75%) formed the majority of our study population. Mortality was significantly associated with crossing the road on foot (P = 0.004). Pillion riders on two-wheeler vehicles were more likely to experience poor outcomes (relative risk [RR] = 1.9, P = 0.001). Front-seat occupants in four-wheeler vehicles were at an increased risk of not surviving the accident (61.98%; RR=2.56, P = 0.01). Lack of safety gear, such as helmets, seat belts, and airbags, was significantly associated with mortality (P = 0.05). Delays in transfers of patients to the hospital and a lack of pre-hospital emergency services was significantly associated with increased mortality (P = 0.000). Conclusions A lack of respect for the
Huang, Chun-Ying; Rau, Cheng-Shyuan; Chuang, Jung-Fang; Kuo, Pao-Jen; Hsu, Shiun-Yuan; Chen, Yi-Chun; Hsieh, Hsiao-Yun; Hsieh, Ching-Hua
To investigate the injury characteristics and mortality of patients transported by emergency medical services (EMS) and hospitalized for trauma following a road traffic crash, data obtained from the Trauma Registry System were retrospectively reviewed for trauma admissions between 1 January 2009 and 31 December 2013 in a Level I trauma center. Of 16,548 registered patients, 3978 and 1440 patients injured in road traffic crashes were transported to the emergency department by EMS and non-EMS, respectively. Patients transported by EMS had lower Glasgow coma scale (GCS) scores and worse hemodynamic measures. Compared to patients transported by non-EMS, more patients transported by EMS required procedures (intubation, chest tube insertion, and blood transfusion) at the emergency department. They also sustained a higher injury severity, as measured by the injury severity score (ISS) and the new injury severity score (NISS). Lastly, in-hospital mortality was higher among the EMS than the non-EMS group (1.8% vs. 0.3%, respectively; p < 0.001). However, we found no statistically significant difference in the adjusted odds ratio (AOR) for mortality among patients transported by EMS after adjustment for ISS (AOR 4.9, 95% CI 0.33–2.26), indicating that the higher incidence of mortality was likely attributed to the patients’ higher injury severity. In addition, after propensity score matching, logistic regression of 58 well-matched pairs did not show a significant influence of transportation by EMS on mortality (OR: 0.578, 95% CI: 0.132–2.541 p = 0.468). PMID:26907318
Wesson, Hadley K.H.; Boikhutso, Nkuli; Hyder, Adnan A.; Bertram, Melanie; Hofman, Karen J.
Introduction Given the burden of road traffic injuries (RTIs) in South Africa, economic evaluations of prevention interventions are necessary for informing and prioritising public health planning and policy with regard to road safety. Methods In view of the dearth of RTI cost analysis, and in order to understand the extent to which RTI-related costs in South Africa compare with those in other low- and middle-income countries (LMICs), we reviewed published economic evaluations of RTI-related prevention in LMICs. Results Thirteen articles were identified, including cost-of-illness and cost-effectiveness studies. Although RTI-related risk factors in South Africa are well described, costing studies are limited. There is minimal information, most of which is not recent, with nothing at all on societal costs. Cost-effective interventions for RTIs in LMICs include bicycle and motorcycle helmet enforcement, traffic enforcement, and the construction of speed bumps. Discussion Policy recommendations from studies conducted in LMICs suggest a number of cost-effective interventions for consideration in South Africa. They include speed bumps for pedestrian safety, strategically positioned speed cameras, traffic enforcement such as the monitoring of seatbelt use, and breathalyzer interventions. However, interventions introduced in South Africa will need to be based either on South African cost-effectiveness data or on findings adapted from similar middle-income country settings. PMID:27396485
Wesson, Hadley K H; Boikhutso, Nkuli; Hyder, Adnan A; Bertram, Melanie; Hofman, Karen J
Introduction Given the burden of road traffic injuries (RTIs) in South Africa, economic evaluations of prevention interventions are necessary for informing and prioritising public health planning and policy with regard to road safety. Methods In view of the dearth of RTI cost analysis, and in order to understand the extent to which RTI-related costs in South Africa compare with those in other low- and middle-income countries (LMICs), we reviewed published economic evaluations of RTI-related prevention in LMICs. Results Thirteen articles were identified, including cost-of-illness and cost-effectiveness studies. Although RTI-related risk factors in South Africa are well described, costing studies are limited. There is minimal information, most of which is not recent, with nothing at all on societal costs. Cost-effective interventions for RTIs in LMICs include bicycle and motorcycle helmet enforcement, traffic enforcement, and the construction of speed bumps. Discussion Policy recommendations from studies conducted in LMICs suggest a number of cost-effective interventions for consideration in South Africa. They include speed bumps for pedestrian safety, strategically positioned speed cameras, traffic enforcement such as the monitoring of seatbelt use, and breathalyzer interventions. However, interventions introduced in South Africa will need to be based either on South African cost-effectiveness data or on findings adapted from similar middle-income country settings.
La, Quang Ngoc; Lee, Andy H; Meuleners, Lynn B; Van Duong, Dat
Bus provides a main mode of public transport in Vietnam, but the risk of road traffic crash for bus drivers is unknown. This retrospective study estimated the crash prevalence among bus drivers in Hanoi, Vietnam, and identified driver characteristics affecting their crashes. Information on bus crashes for the period 2006-2009 was collected by interviewing drivers from five bus companies in Hanoi using a structured questionnaire. Logistic regression analysis was performed to determine pertinent risk factors affecting the crash prevalence for bus drivers. Of the total 365 participants recruited, 73 drivers reported 76 crashes, giving an overall crash prevalence of 20%. Among the crashed group, three drivers (4%) were involved in two crashes during the past 3 years. Crashes mainly occurred on streets or local roads (81%). Migrant worker (adjusted odds ratio (OR) 4.26, 95% confidence interval (CI) 2.20-8.25) and insufficient income perceived (OR 2.60, 95% CI 1.37-4.93) were identified to be significantly associated with the crash risk. Further prospective and qualitative studies are needed to provide detailed crash characteristics as well as behaviour and perception of bus drivers, so that an effective intervention can be developed to improve road safety and to prevent traffic injury of these drivers.
La, Quang Ngoc; Lee, Andy H; Meuleners, Lynn B; Van Duong, Dat
Injury due to road traffic crash is a major cause of ill health and premature deaths in developing countries. Taxis provide a main mode of public transport in Vietnam but there has been little research on the risk of crash for taxi drivers. This retrospective study collected information on taxi crashes for the period 2006-2009 by interviewing drivers from five taxi companies in Hanoi, Vietnam, using a structured questionnaire. Of the total 1214 participants recruited, 276 drivers reported at least one crash, giving an overall crash prevalence of 22.7%. Among the crashed group, 50 drivers (18.1%) were involved in two to four crashes. Logistic regression analysis further identified age of driver, type of driving licence, employment status, perceived sufficiency of income, seat-belt usage, and traffic infringement history to be significantly associated with the crash risk. Further prospective and qualitative studies are recommended to provide detailed crash characteristics as well as behaviour and perception of taxi drivers, so that an effective intervention can be developed to improve road safety and to prevent injury of these commercial drivers.
Clarke, David D; Ward, Patrick; Bartle, Craig; Truman, Wendy
Road traffic collisions while at work are the single largest cause of occupational fatality in the United Kingdom. Work-related road collisions do not comprise a homogenous group, but take many forms, encompassing the use of varying types of vehicle used for diverse purposes. A sample of over 2000 collision cases was considered, over 1000 in detail, from UK police forces, involving drivers/workers of all ages, and covering the years 1996-2004 inclusive. There were three key findings. (1) There were six main classes of collision-involved vehicles. These were company cars, vans/pickups, large goods vehicles (LGVs), buses (PCVs or 'passenger carrying vehicles'), taxis/minicabs, and emergency vehicles (police, fire/rescue and ambulance). (2) The drivers of company cars, vans/pickups, and large goods vehicles (LGVs) all appeared to have a high 'blameworthiness ratio' in their collision involvement. Company car drivers showed excess speed as a causal factor, whereas van drivers showed more observational failures, and LGV drivers showed more fatigue and vehicle defects as factors. (3) The drivers of buses (PCVs), taxis/minicabs, and emergency vehicles showed a low 'blameworthiness ratio' in their collision involvement. Their problems seemed to be primarily with the other drivers/parties with whom they share the road. While they made a variety of mistakes or errors, they were more likely to become the victim of another party's mistake or error.
Zhao, Hui; Yin, Zhiyong; Xiang, Hongyi; Liao, Zhikang; Wang, Zhengguo
Introduction Road traffic can play an important role in strengthening regional economic activities, especially at high altitude, and it is necessary to know important traffic-related information. Although previous studies reported on road traffic in China, there has been little research on high-altitude road traffic to date. Method The annual official census of road traffic safety from 2006 to 2013 was used to obtain data on the general population, registered drivers, registered vehicles, newly built roads, road traffic accidents (RTAs), mortality rate per 100 000 populations and per 10 000 vehicles in high-altitude provinces, including Tibet, Qinghai, Xinjiang, Gansu, Yunnan, Sichuan, and Chongqing. These provincial data were reviewed retrospectively, with the national data as the reference. Statistical analysis (i.e., t test) was used to compare the estimated average annual change rate of population, number of registered drivers, registered vehicles, and newly built roads in high-altitude provinces with the national rates. Results Compared with the national data, there are significantly higher annual rates of population growth in Tibet and Xinjiang, registered drivers in Gansu, registered vehicles in Gansu, Sichuan, and Chongqing, and newly built roads in Tibet and Qinghai. Among the investigated provinces, Tibet, Qinghai, and Yunnan had a higher proportion of the roads with the high class. RTAs and RTA-induced casualties in the high-altitude provinces indicated a decreasing trend. The mortality rate per 10 000 vehicles and per 100 000 populations showed a decreasing trend, while the RTA-related mortality rate in Tibet, Qinghai, Xinjiang and Gansu remained high. Conclusions Major changes for road traffic in high-altitude provinces have occurred over the past decade; however, the RTA-related mortality rate in high-altitude provinces has remained high. This study furthers understanding about road traffic safety in China; further studies on road traffic safety at
Hatamabadi, Hamid Reza; Shojaee, Majid; Kashani, Parvin; Forouzanfar, Mohammad Mehdi; Aghajani Nargesi, Dorrin; Amini Esfahani, Mohammad Reza
Introduction: Road traffic injuries (RTI) are among the most important health problems worldwide as they cause more than 1.2 million deaths and 50 million injuries each year. Therefore, the present study aims to evaluate the outcome and aftermath of RTI in those who were injured and hospitalized due to a traffic accident. Methods: In the present retrospective cohort study with a one-year follow-up, data were extracted from the profiles of the RTI hospitalized patients. Outcome of the patients was evaluated at the time of discharge and 1-year later including their living state, presence of a disability or complete recovery. Results: 1471 patients were studied (mean age of 32.8±17.0; 80.3% male). 571 (38.8%) had mild disability, 684 (46.5%) moderate disability, and 85 (5.8%) had severe disability at the time of discharge. In the end, 53 (3.6%) died. In the 1-year follow-up, 194 (13.2%) had mild disability, 43 (2.9%) had moderate disability, 9 (0.6%) had severe disability, and 7 (0.5%) were in a vegetative state. Presence of an underlying disease (p=0.03), loss of consciousness for more than 24 hours (p=0.04), spinal injury (p=0.002), presence of multiple trauma (p=0.01), increased ISS (p<0.001), need for ventilator (p<0.001), and organ injuries during hospitalization (p<0.001) are independent factors that increase the risk of poor outcome in RTI patients. Conclusion: Based on the results of the present study, underlying illnesses, loss of consciousness for more than 24 hours, spinal injury, multiple trauma, increased ISS, need for ventilator, and organ injuries during hospitalization were independent factors that increased the probability of poor outcome in RTI injuries. PMID:28286828
Pashaei Sabet, Fatemeh; Norouzi Tabrizi, Kian; Khankeh, Hamid Reza; Saadat, Soheil; Abedi, Heidar Ali; Bastami, Alireza
Background Road traffic accident (RTA) victims also suffer from different types of injuries and disabilities, which can affect their quality of life. They usually face with various physical, mental, and social problems. Most traffic accident victims had difficulty to return to normal life. Objectives This study aimed to understand the experiences of return to normal life in RTA victims. Patients and Methods This qualitative study with content analysis approach was conducted on 18 Iranian patients with disability in the upper or lower limbs caused by traffic accidents, who had passed a time between 3 months till 2 years. A purposeful sampling method was applied until reaching data saturation. Data were collected using semi-structured interviews. Afterwards, the gathered data were analyzed through conventional content analysis. Results By analyzing 498 primary codes, four main categories, including supportive needs, adaptation to the new situation, seeking information, and transition from functional limitation, were extracted from traffic accident victims’ experiences of reintegration to normal life. Conclusions The results of this study may help policy-makers to take steps toward health promotion and recovery of RTA victims. Considering the results of this study, it is a need for further research to investigate RTAs victims’ needs for reintegration to home and community. Access to training and supportive facilities like strong therapeutic, nursing and social support, and the possibility to participate in self-care activities is essential for reintegration to community in RTA victims. PMID:27275399
Modeled traffic data were used to develop traffic exposure zones (TEZs) such as traffic delay, high volume, and transit routes in the Research Triangle area of North Carolina (USA). On-road air pollution measurements of nitrogen dioxide (NO2), carbon monoxide (CO), carbon dioxid...
Srivastava, Ankur; Bradley, Marcus; Kelly, Michael
A 58 year old man was involved in a high impact road traffic incident and was admitted for observation. Asymptomatic for the first 24 hours, he collapsed with symptoms and signs consistent with a cerebrovascular accident. Computed tomography angiogram (CTA) and Magnetic resonance angiogram (MRA) demonstrated bilateral internal carotid artery dissections and a left middle cerebral artery infarct. It was not considered appropriate to attempt stenting or other revascularistation. The patient was treated with heparin prior to starting warfarin. He made a partial recovery and was discharged to a rehabilitation facility. This case is a reminder of carotid dissection as an uncommon but serious complication of high speed motor vehicle accident, which may be silent initially. Literature Review suggests risk stratification before relevant radiological screening at risk patients. Significant advances in CTA have made it the diagnostic tool of choice, but ultrasound is an important screening tool. PMID:22470607
Chang, Ta-Yuan; Lin, Hsiao-Ching; Yang, Wei-Ting; Bao, Bo-Ying; Chan, Chang-Chuan
A prediction model was developed to map road traffic noise in an area with significant motorcycle traffic in Taichung City, Taiwan. This model was modified from the Nordic prediction method by adding three types of traffic flow rates, including heavy vehicles, light vehicles, and motorcycles, as well as local traffic speeds and road characteristics to the calculating equations. The parameters that were input into the equations include traffic flow, vehicle speed, distance from the center of the road, height of the road surface, position and height of the barriers, thickness of the barriers, location of the receiver relative to the surrounding road surface or barriers, reflecting vertical surfaces, type of ground, and height of the buildings. The model was validated by comparing the measured noise levels at 42 sampling sites close to main roads with the predicted values. A significant correlation was found between the predicted and measured noise levels (Pearson correlation coefficient=0.75, p<0.001). The deviation between the predicted and measured noise levels within the range of ±3.5 A-weighted decibel (dB(A)) was 90.5%. The mean difference between the predicted and measured noise levels was 0.9±2.1 dB(A). The modified Nordic prediction model is therefore applicable to estimate the noise exposure in this urban environment in Taiwan.
Smit, Robin; Poelman, Muriel; Schrijver, Jeroen
Does consideration of average speed distributions on roads—as compared to single mean speed—lead to different results in emission modelling of large road networks? To address this question, a post-processing method is developed to predict mean speed distributions using available traffic data from a dynamic macroscopic traffic model (Indy) that was run for an actual test network (Amsterdam). Two emission models are compared: a continuous (COPERT IV) and a discrete model (VERSIT+ macro). Computations show that total network emissions of CO, HC, NO x, PM 10 and CO 2 are generally (but not always) increased after application of the mean speed distribution method up to +9%, and even up to +24% at sub-network level (urban, rural, motorway). Conventional computation methods thus appear to produce biased results (underestimation). The magnitude and direction of the effect is a function of emission model (type), shape of the composite emission factor curve and change in the joint distribution of (sub)-network VKT (vehicle kilometres travelled) and speed. Differences between the two emission models in predicted total network emissions are generally larger, which indicates that other issues (e.g., emission model validation, model choice) are more relevant.
Clarke, David D; Ward, Patrick; Bartle, Craig; Truman, Wendy
Road traffic accidents are responsible for over 3000 deaths per year in the UK, according to Department for Transport (2004a) figures. Although progress is being made in a number of areas, vehicle occupant fatalities have not been falling in line with casualty reduction targets for the year 2010. A sample of 1185 fatal vehicle occupant cases was considered, from ten UK police forces, from the years 1994-2005 inclusive. The main findings were: (1) over 65% of the accidents examined involved driving at excessive speed, a driver in excess of the legal alcohol limit, or the failure to wear a seat belt by a fatality, or some combination of these. (2) Young drivers have the great majority of their accidents by losing control on bends or curves, typically at night in rural areas and/or while driving for 'leisure' purposes. These accidents show high levels of speeding, alcohol involvement and recklessness. (3) Older drivers had fewer accidents, but those fatalities they were involved in tended to involve misjudgement and perceptual errors in 'right of way' collisions, typically in the daytime on rural rather than urban roads. Blameworthy right of way errors were notably high for drivers aged over 65 years, as a proportion of total fatal accidents in that age group.
Edirisinghe, P A S; Kitulwatte, I D G; Senarathne, U D
Vulnerable Road Users defined as people at risk in traffic due to absence of an outside protective shield to absorb energy during a collision are mainly pedestrians, bicycle riders and motor cyclists. In low income countries, deaths of VRUs outnumber vehicular drivers and occupants. A forensic pathologist not only reports the cause of death but also forms opinions on type of road user. We attempted to find whether pedestrians could be differentiated from other types of VRUs. A retrospective descriptive study, based on case records of VRUs fatalities from 2005 to 2012 referred to a tertiary care unit for post-mortem examination, was conducted. A pro-forma was developed to extract data from the post-mortem reports and toxicology reports. Data was analysed using SPSS version16. Out of the 328 cases 48% (n = 157) were pedestrians while 45% (n = 147) were riders/pillion riders of two wheeled vehicles and 5% (n = 16) were drivers/occupants of three-wheelers. The majority (87%) was males and 43% of pedestrians were elderly. 59% had 10-25 injuries and 87% had external injuries in the head, face and neck. The majority of skeletal injuries were in the skull followed by ribs. Analysis of different variables of pedestrians to other types of VRUs showed that the variables of, elderly male, road crosser, skull injuries, brain injuries, cause of death being head injuries and multiple injuries were significantly greater among pedestrian group (p: <0.001). The traffic hours (peak and off peak), number of injuries, rib injuries, limb injuries, crushed/run over injuries or lung and liver injuries had no significant association. Although some features helped in determining a pedestrian, many other factors were not associated to differentiate a pedestrian from other VRUs. Therefore, a forensic pathologist has to be cautious in expressing opinions when other corroborative evidence is lacking.
Abdul Manan, Muhammad Marizwan
This paper uses data from an observational study, conducted at access points in straight sections of primary roads in Malaysia in 2012, to investigate the effects of motorcyclists' behavior and road environment attributes on the occurrence of serious traffic conflicts involving motorcyclists entering primary roads via access points. In order to handle the unobserved heterogeneity in the small sample data size, this study applies mixed effects logistic regression with multilevel bootstrapping. Two statistically significant models (Model 2 and Model 3) are produced, with 2 levels of random effect parameters, i.e. motorcyclists' attributes and behavior at Level 1, and road environment attributes at Level 2. Among all the road environment attributes tested, the traffic volume and the speed limit are found to be statistically significant, only contributing to 26-29% of the variations affecting the traffic conflict outcome. The implication is that 71-74% of the unmeasured or undescribed attributes and behavior of motorcyclists still have an importance in predicting the outcome: a serious traffic conflict. As for the fixed effect parameters, both models show that the risk of motorcyclists being involved in a serious traffic conflict is 2-4 times more likely if they accept a shorter gap to a single approaching vehicle (time lag <4s) and in between two vehicles (time gap <4s) when entering the primary road from the access point. A road environment factor, such as a narrow lane (seen in Model 2), and a behavioral factor, such as stopping at the stop line (seen in Model 3), also influence the occurrence of a serious traffic conflict compared to those entering into a wider lane road and without stopping at the stop line, respectively. A discussion of the possible reasons for this seemingly strange result, including a recommendation for further research, concludes the paper.
Rezaei, Satar; Arab, Mohammad; Karami Matin, Behzad; Akbari Sari, Ali
Abstract: Background: Road Traffic Injuries (RTIs) as a result of road traffic crashes (RTCs) rank as the leading cause of death, disability and property loss worldwide, especially in low and middle-income countries. This study aims to analyze the costs of RTCs in Iran. Methods: A standard human capital approach was used to estimate the costs. Costs included medical, administrative and funeral costs, property damage, production lost and intangible costs. Data about the number of deaths and injuries resulting from RTIs between 20 March 2009 and 20 March 2010 was obtained from two national databases designed at the Center for Disaster Management and Medical Emergencies (CDMME) and the Legal Medicine Organization (LMO), respectively. The severity and medical costs of injuries were identified by reviewing 400 medical records that were selected randomly from patients who were admitted to two large trauma centers in Shariati and Sina hospitals in Tehran province. Moreover, information about production lost, property damage, rehabilitation cost, intangible costs and administration costs were collected by review of current evidence and consulting with expert opinion. Results: In total 806,922 RTIs and 22,974 deaths resulted from the RTCs in the study period. The total cost of RTCs was about 72,465 billion Rials (7.2 billion US Dollars), which amounts to 2.19% of Iran’s Gross Domestic Production (GDP). Direct costs were 3,516 billion Rials (around 48.6 % of the total costs), following by 24,785 billion Rials (around 34.2 % of the total costs) for production lost and 12,513 billion Rials (around 17.2 % of the total costs) for intangible costs. Conclusions: This study indicated that the burden of both RTCs and RTIs in Iran is substantial. Moreover, RTCs have significant economic consequences and are a large drain on healthcare resources. PMID:24045158
Sargazi, Aliyeh; Sargazi, Atefeh; Nadakkavukaran Jim, Prigil Kumar; Danesh, HoseinAli; Aval, ForoughSargolzaee; Kiani, Zohre; Lashkarinia, AmirHosein; Sepehri, Zahra
Objective: To determine the economic burden of road traffic accidents (RTAs) in patients admitted to a single center in south eastern Iran. Methods: This cross-sectional study was conducted in Amir-Al-Momenin hospital of Zabol affiliated with Zabol University of Medical Sciences during a 12-month period from April 2012 to April 2013. All the RTAs patients who were admitted to our emergency department were included. The direct expenses of hospital care were recorded according to their medical charts and the accountant registration information. Data are presented according to different RTAs characteristics. Results: Overall 1155 patients were included in the current study with mean age of 36.7 ± 5.14 years among whom there were 673(58.3%) men and 482 (41.7%) women. The annual incidence of RTAs were calculated to be 288 per 100,000 population. The RTAs economic burden in our center was 589,448.49 USD which accounted for 10.4% of total hospital expenses during the study period. The money spend on RTAs in our center was 130 times more than gross national income per capita. Cost of each patient in road traffic was 15 times more than cost of an average patient of the hospital in other sections. Conclusion: With considerable high ratio of accidents in Zabol, proper intervention is needed for controlling and preventing RTAs in order to decrease its injuries, impact and the associated economic burden. PMID:27162926
Morley, David W; Gulliver, John
Address-level estimates of exposure to road traffic noise for epidemiological studies are dependent on obtaining data on annual average daily traffic (AADT) flows that is both accurate and with good geographical coverage. National agencies often have reliable traffic count data for major roads, but for residential areas served by minor roads, especially at national scale, such information is often not available or incomplete. Here we present a method to predict AADT at the national scale for minor roads, using a routing algorithm within a geographical information system (GIS) to rank roads by importance based on simulated journeys through the road network. From a training set of known minor road AADT, routing importance is used to predict AADT on all UK minor roads in a regression model along with the road class, urban or rural location and AADT on the nearest major road. Validation with both independent traffic counts and noise measurements show that this method gives a considerable improvement in noise prediction capability when compared to models that do not give adequate consideration to minor road variability (Spearman's rho. increases from 0.46 to 0.72). This has significance for epidemiological cohort studies attempting to link noise exposure to adverse health outcomes.
Ferguson, Elspeth C; Maheswaran, Ravi; Daly, Mark
Asthma is a common disease and appears to be increasing in prevalence. There is evidence linking air pollution, including that from road-traffic, with asthma. Road traffic is also on the increase. Routine surveillance of the impact of road-traffic pollution on asthma, and other diseases, would be useful in informing local and national government policy in terms of managing the environmental health risk. Several methods for exposure assessment have been used in studies examining the association between asthma and road traffic pollution. These include comparing asthma prevalence in areas designated as high and low pollution areas, using distance from main roads as a proxy for exposure to road traffic pollution, using traffic counts to estimate exposure, using vehicular miles travelled and using modelling techniques. Although there are limitations to all these methods, the modelling approach has the advantage of incorporating several variables and may be used for prospective health impact assessment. The modelling approach is already in routine use in the United Kingdom in support of the government's strategy for air quality management. Combining information from such models with routinely collected health data would form the basis of a routine public health surveillance system. Such a system would facilitate prospective health impact assessment, enabling policy decisions concerned with road-traffic to be made with knowledge of the potential implications. It would also allow systematic monitoring of the health impacts when the policy decisions and plans have been implemented. PMID:15485575
Balikuddembe, Joseph Kimuli; Ardalan, Ali; Khorasani-Zavareh, Davoud; Nejati, Amir; Munanura, Kasiima Stephen
Abstract: Background: Over the years, Uganda has been one of the low and middle-income countries bearing the heaviest burden of road traffic incidents (RTI). Since the proclamation of the United Nations Decade of Action for Road Safety 2011 – 2020, a number of measures have been taken to reduce the burden. However, they ought to be premised on existing evidence-based research; therefore, the present review ventures to report the most recent five-year trend of RTI in Uganda. Methods: Based on Preferred Reporting Items for Systematic Reviews and Meta-Data Analysis (PRISMA) guidelines, a systematic review was employed. Using a thematic analysis, the articles were grouped into: trauma etiology, trauma care, mortality, cost, trauma registry and communication, intervention and treatment for final analysis. Results: Of the nineteen articles that were identified to be relevant to the study, the etiology of RTI was inevitably observed to be an important cause of injuries in Uganda. The risk factors cut across: the crash type, injury physiology, cause, victims, setting, age, economic status, and gender. All studies that were reviewed have advanced varying recommendations aimed at responding to the trend of RTIs in Uganda, of which some are in tandem with the five pillars of the United Nations Decade of Action for Road Safety 2011 – 2020. Conclusions: Peripheral measures of the burden of RTIs in Uganda were undertaken within a five-year timeframe (2011-2015) of implementing the United Nations Decade of Action for Road Safety. The measures however, ought to be scaled-up on robust evidence based research available from all the concerned stakeholders beyond Kampala or central region to other parts of Uganda. PMID:28039687
Fatimah, M; Osman, A; Masyarakat, J K; Perubatan, F
A case control study was conducted in 1996 among primary school student in Terengganu. The objective of the study is to determine the relationship between road traffic accidents and factors such as socio-economic status, distance from school, number of siblings, behavioural problems, knowledge and attitudes of pupil and their parents towards road safety and parents' educational status. A total of 140 cases was obtained from 3 urban schools and 3 from rural schools. Cases were matched with control according to age sex and locality of residence. There were significant associations between road traffic accidents and pupils' knowledge regarding road crossing (OR = 0.40, 95% CI = 0.19-0.85), parental supervision (OR = 0.43, 95% CI = 0.19, 0.64) and parents having driving licences (OR = 0.99, 95% CI = 0.856-0.999). Road safety education for pupils and parental supervision are key measures in preventing road traffic accidents among primary school children.
Sossoe, K.S.; Lebacque, J-P.
We present in this paper a model of vehicular traffic flow for a multimodal transportation road network. We introduce the notion of class of vehicles to refer to vehicles of different transport modes. Our model describes the traffic on highways (which may contain several lanes) and network transit for pubic transportation. The model is drafted with Eulerian and Lagrangian coordinates and uses a Logit model to describe the traffic assignment of our multiclass vehicular flow description on shared roads. The paper also discusses traffic streams on dedicated lanes for specific class of vehicles with event-based traffic laws. An Euler-Lagrangian-remap scheme is introduced to numerically approximate the model’s flow equations.
Fukui, Minoru; Ishibashi, Yoshihiro; Nishinari, Katsuhiro
Traffic flows on crossing roads with an information board installed at the intersection have been simulated by a cellular automaton model. In the model, drivers have to enter the road with a shorter trip-time indicated on the information board, by making a turn at the intersection if necessary. The movement of drivers induces various traffic states, which are classified into six phases as a function of the car density. The dynamics of the traffic is expressed as the return map in the density-flow space, and analyzed on the basis of the car configuration on the roads.
Ouren, Douglas S.; Watts, Raymond D.
The land of the United States in dissected by more than 4 million miles of roads that fragment wildlife habitat on both public and private lands. Traffic on these roads causes additional effects. On secondary roads, which provide access to the most natural habitat, the levels, timing, and types of traffic are seldom known. In order to understand the effects of traffic on wildlife, USGS is conducting research cooperatively with the Bureau of Land Management, the U.S. Forest Service, the National Park Service, and the Colorado Division of Wildlife.
Töro, Klára; Szilvia, Fehér; György, Dunay; Pauliukevicius, Alvydas; Caplinskiene, Marija; Raudys, Romas; Lepik, Delia; Tuusov, Jana; Vali, Marika
Motor vehicle accidental injuries are a frequent cause of death among young children and adolescents. The goal of this study was to compare patterns of injury between three capitals (Budapest, Vilnius, and Tallinn). Information on 190 fatal traffic accidents (69 pedestrians, 14 bicyclists, and 107 motor vehicle occupants) between 2002 and 2006 was collected from databases of medico-legal autopsies. The role of victims in accidents, the location of injuries, cause of death, survival period, and blood alcohol levels were evaluated. One-hundred and forty-one (74%) victims had a passive role in traffic as pedestrians, passengers in cars, or public transport. In victims who died at the scene, the rate of head injury was higher than in cases who received medical treatment (odds ratio = 2.58, CI = 1.2-5.55, p = 0.0127). These results underline the importance of postmortem studies to examine the pathomechanism of fatal traffic accidental injuries and to provide information for the prevention of road traffic accidents against children and adolescents.
Forman, Richard T T; Reineking, Bjorn; Hersperger, Anna M
An extensive road system with rapidly increasing traffic produces diverse ecological effects that cover a large land area. Our objective was to evaluate the effect of roads with different traffic volumes on surrounding avian distributions, and its importance relative to other variables. Grassland bird data (5 years) for 84 open patches in an outer suburban/rural landscape near Boston were analyzed relative to: distance from roads with 3000-8000 to >30,000 vehicles/day; open-habitat patch size; area of quality microhabitat within a patch; adjacent land use; and distance to other open patches. Grassland bird presence and regular breeding correlated significantly with both distance from road and habitat patch size. Distance to nearest other open patch, irrespective of size, was not significant. Similarly, except for one species, adjacent land use, in this case built area, was not significant. A light traffic volume of 3000-8000 vehicles/day (local collector street here) had no significant effect on grassland bird distribution. For moderate traffic of 8000-15,000 (through street), there was no effect on bird presence although regular breeding was reduced for 400 m from a road. For heavier traffic of 15,000-30,000 (two-lane highway), both bird presence and breeding were decreased for 700 m. For a heavy traffic volume of > or =30,000 vehicles/day (multilane highway), bird presence and breeding were reduced for 1200 m from a road. The results suggest that avian studies and long-term surveys near busy roads may be strongly affected by traffic volume or changes in volume. We conclude that road ecology, especially the effects extending outward >100 m from roads with traffic, is a sine qua non for effective land-use and transportation policy.
Jiang, Bin; Zhao, Sijian; Yin, Junjun
In this paper, we extended road-based topological analysis to both nationwide and urban road networks, and concentrated on a sensitivity study with respect to the formation of self-organized natural roads based on the Gestalt principle of good continuity. Both annual average daily traffic (AADT) and global positioning system (GPS) data were used to correlate with a series of ranking metrics including five centrality-based metrics and two PageRank metrics. It was found that there exists a tipping point from segment-based to road-based network topology in terms of correlation between ranking metrics and their traffic. To our great surprise, (1) this correlation is significantly improved if a selfish rather than utopian strategy is adopted in forming the self-organized natural roads, and (2) point-based metrics assigned by summation into individual roads tend to have a much better correlation with traffic flow than line-based metrics. These counter-intuitive surprising findings constitute emergent properties of self-organized natural roads, which are intelligent enough for predicting traffic flow, thus shedding substantial light on the understanding of road networks and their traffic from the perspective of complex networks.
Amato, F.; Pandolfi, M.; Alastuey, A.; Lozano, A.; Contreras González, J.; Querol, X.
Road dust emissions severely hamper PM10 urban air quality and their burden is expected to increase relatively to primary motor exhaust emissions. Beside the large influence of climate and meteorology, the emission potential varies widely also from one road to another due to numerous factors such as traffic conditions, pavement type and external sources. Nevertheless none of these factors is sufficiently known for a reliable description in emission modelling and for decision making in air quality management. In this study we carried out intensive road dust measurement campaigns in South Spain, with the aim of investigating the relationship between emission potential (i.e. road dust load) and traffic intensity, pavement aggregate size and distance from braking zones. Results indicate that, while no impact from braking activity can be drawn on the bulk road dust mass, an increase in traffic intensity or mean pavement aggregate size clearly reduce the single vehicle emission potential.
Okokon, Enembe Oku; Turunen, Anu W.; Ung-Lanki, Sari; Vartiainen, Anna-Kaisa; Tiittanen, Pekka; Lanki, Timo
Exposure to road-traffic noise commonly engenders annoyance, the extent of which is determined by factors not fully understood. Our aim was to estimate the prevalence and determinants of road-traffic noise annoyance and noise sensitivity in the Finnish adult population, while comparing the perceptions of road-traffic noise to exhausts as environmental health problems. Using a questionnaire that yielded responses from 1112 randomly selected adult Finnish respondents, we estimated road-traffic noise- and exhausts-related perceived exposures, health-risk perceptions, and self-reported annoyance on five-point scales, while noise sensitivity estimates were based on four questions. Determinants of noise annoyance and sensitivity were investigated using multivariate binary logistic regression and linear regression models, respectively. High or extreme noise annoyance was reported by 17% of respondents. Noise sensitivity scores approximated a Gaussian distribution. Road-traffic noise and exhausts were, respectively, considered high or extreme population-health risks by 22% and 27% of respondents. Knowledge of health risks from traffic noise, OR: 2.04 (1.09–3.82) and noise sensitivity, OR: 1.07 (1.00–1.14) were positively associated with annoyance. Knowledge of health risks (p < 0.045) and positive environmental attitudes (p < 000) were associated with higher noise sensitivity. Age and sex were associated with annoyance and sensitivity only in bivariate models. A considerable proportion of Finnish adults are highly annoyed by road-traffic noise, and perceive it to be a significant health risk, almost comparable to traffic exhausts. There is no distinct noise-sensitive population subgroup. Knowledge of health risks of road-traffic noise, and attitudinal variables are associated with noise annoyance and sensitivity. PMID:26016432
Okokon, Enembe Oku; Turunen, Anu W; Ung-Lanki, Sari; Vartiainen, Anna-Kaisa; Tiittanen, Pekka; Lanki, Timo
Exposure to road-traffic noise commonly engenders annoyance, the extent of which is determined by factors not fully understood. Our aim was to estimate the prevalence and determinants of road-traffic noise annoyance and noise sensitivity in the Finnish adult population, while comparing the perceptions of road-traffic noise to exhausts as environmental health problems. Using a questionnaire that yielded responses from 1112 randomly selected adult Finnish respondents, we estimated road-traffic noise- and exhausts-related perceived exposures, health-risk perceptions, and self-reported annoyance on five-point scales, while noise sensitivity estimates were based on four questions. Determinants of noise annoyance and sensitivity were investigated using multivariate binary logistic regression and linear regression models, respectively. High or extreme noise annoyance was reported by 17% of respondents. Noise sensitivity scores approximated a Gaussian distribution. Road-traffic noise and exhausts were, respectively, considered high or extreme population-health risks by 22% and 27% of respondents. Knowledge of health risks from traffic noise, OR: 2.04 (1.09-3.82) and noise sensitivity, OR: 1.07 (1.00-1.14) were positively associated with annoyance. Knowledge of health risks (p<0.045) and positive environmental attitudes (p<000) were associated with higher noise sensitivity. Age and sex were associated with annoyance and sensitivity only in bivariate models. A considerable proportion of Finnish adults are highly annoyed by road-traffic noise, and perceive it to be a significant health risk, almost comparable to traffic exhausts. There is no distinct noise-sensitive population subgroup. Knowledge of health risks of road-traffic noise, and attitudinal variables are associated with noise annoyance and sensitivity.
Koekemoer, Karin; Van Gesselleen, Megan; Van Niekerk, Ashley; Govender, Rajen; Van As, Arjan Bastiaan
Pedestrian injuries are a leading cause of death among South African children, and young children residing in low-income communities are more at risk, due to various factors such as inadequate road infrastructure, exposure to traffic due to reliance on walking as a means of transport, and lack of supervision. This study used a cross-sectional, non-randomized self-report survey to assess pedestrian safety knowledge, road-crossing behaviour and pedestrian injuries of primary school children in selected low-income settings in Cape Town. The survey focused on three primary schools that had joined the Safe Kids Worldwide Model School Zone Project and was administered to 536 children aged 6-15 years, in their home language of isiXhosa. Descriptive and bivariate analyses as well as multivariate regression analyses were conducted to investigate potential predictor variables for pedestrian collision severity and unsafe road-crossing behaviour. Walking was the sole form of travel for 81% of the children, with a large proportion regularly walking unsupervised. Children who walk to or from school alone were younger and reported riskier road-crossing behaviour, although children who walk accompanied tended to have higher pedestrian collision severity. "Negligent Behaviour" related to road-crossing was significantly associated with higher pedestrian collision severity, with predictors of "Negligent Behaviour" including the lack of pedestrian safety knowledge and greater exposure to traffic in terms of time spent walking. More than half of the reported pedestrian collisions involved a bicycle, and older boys (10-15 years) were most at risk of experiencing a severe pedestrian injury. The findings substantiate emerging evidence that children in low-income settings are at greater risk for child pedestrian injury, and emphasise the need for evidence-based safety promotion and injury prevention interventions in these settings.
Méline, Julie; Van Hulst, Andraea; Thomas, Frédérique; Karusisi, Noëlla; Chaix, Basile
Road traffic and related noise is a major source of annoyance and impairment to health in urban areas. Many areas exposed to road traffic noise are also exposed to rail and air traffic noise. The resulting annoyance may depend on individual/neighborhood socio-demographic factors. Nevertheless, few studies have taken into account the confounding or modifying factors in the relationship between transportation noise and annoyance due to road traffic. In this study, we address these issues by combining Geographic Information Systems and epidemiologic methods. Street network buffers with a radius of 500 m were defined around the place of residence of the 7290 participants of the RECORD Cohort in Ile-de-France. Estimated outdoor traffic noise levels (road, rail, and air separately) were assessed at each place of residence and in each of these buffers. Higher levels of exposure to noise were documented in low educated neighborhoods. Multilevel logistic regression models documented positive associations between road traffic noise and annoyance due to road traffic, after adjusting for individual/neighborhood socioeconomic conditions. There was no evidence that the association was of different magnitude when noise was measured at the place of residence or in the residential neighborhood. However, the strength of the association between neighborhood noise exposure and annoyance increased when considering a higher percentile in the distribution of noise in each neighborhood. Road traffic noise estimated at the place of residence and road traffic noise in the residential neighborhood (75th percentile) were independently associated with annoyance, when adjusted for each other. Interactions of effects indicated that the relationship between road traffic noise exposure in the residential neighborhood and annoyance was stronger in affluent and high educated neighborhoods. Overall, our findings suggest that it is useful to take into account (i) the exposure to transportation noise
Yost, A.C.; Wright, R.G.
Park managers are concerned that moose (Alces alces), caribou (Rangifer tarandus), and grizzly bears (Ursus arctos) may be avoiding areas along the 130 km road through Denali National Park as a result of high traffic volume, thus decreasing opportunities for visitors to view wildlife. A wildlife monitoring system was developed in 1996 that used 19 landscape level viewsheds, stratified into four sections based on decreasing traffic along the road corridor. Data were collected from 22 samplings of all viewsheds during May-August in 1996 and 1997. In 1997, nine backcountry viewsheds were established in three different areas to determine whether density estimates for each species in the backcountry were higher than those for the same animals in similar road-corridor areas. Densities higher than those in the road corridor were found in one backcountry area for moose and in two backcountry areas for grizzly bears. None of the backcountry areas showed a higher density of caribou. We tested hypotheses that moose, caribou, and grizzly bear distributions were unrelated to the road and traffic. Moose sightings were lower than expected within 300 m of the road. More caribou and grizzly bears than expected occurred between 601 and 900 m from the road, while more moose and fewer caribou than expected occurred between 900 and 1200 m from the road. Bull moose in stratum 1 were distributed farther from the road than bulls and cows in stratum 4; cows in stratum 1 and bulls in stratum 2 were distributed farther from the road than cows in stratum 4. Grizzly bears in stratum 2 were distributed farther from the road than bears in stratum 3. The distribution of moose sightings suggests traffic avoidance, but the spatial pattern of preferred forage may have had more of an influence. Caribou and grizzly bear distributions indicated no pattern of traffic avoidance.
Haag, Ann-Christin; Zehnder, Daniel; Landolt, Markus A.
Background Although previous research has consistently found considerable rates of acute stress disorder (ASD) in children with accidental injuries, knowledge about determinants of ASD remains incomplete. Guilt is a common reaction among children after a traumatic event and has been shown to contribute to posttraumatic stress disorder. However, its relationship to ASD has never been examined. Objective This study assessed the prevalence of ASD in children and adolescents following road traffic accidents (RTAs). Moreover, the association between peritraumatic guilt and ASD was investigated relying on current cognitive theories of posttraumatic stress and controlling for female sex, age, socioeconomic status (SES), injury severity, inpatient treatment, pretrauma psychopathology, and maternal posttraumatic stress symptoms (PTSS). Methods One hundred and one children and adolescents (aged 7–16 years) were assessed by means of a clinical interview approximately 10 days after an RTA. Mothers were assessed by questionnaires. Results Three participants (3.0%) met diagnostic criteria for full ASD according to DSM-IV, and 17 (16.8%) for subsyndromal ASD. In a multivariate regression model, guilt was found to be a significant predictor of ASD severity. Female sex, outpatient treatment, and maternal PTSS also predicted ASD severity. Child age, SES, injury severity, and pretraumatic child psychopathology were not related to ASD severity. Conclusions Future research should examine the association between peritraumatic guilt and acute stress symptoms in more detail. Moreover, guilt appraisals in the acute phase after an accident might be a relevant target for clinical attention. PMID:26514158
Oviedo-Trespalacios, Oscar; Haque, Md Mazharul; King, Mark; Washington, Simon
The use of mobile phones while driving remains a major human factors issue in the transport system. A significant safety concern is that driving while distracted by a mobile phone potentially modifies the driving speed leading to conflicts with other road users and consequently increases crash risk. However, the lack of systematic knowledge of the mechanisms involved in speed adaptation of distracted drivers constrains the explanation and modelling of the extent of this phenomenon. The objective of this study was to investigate speed adaptation of distracted drivers under varying road infrastructure and traffic complexity conditions. The CARRS-Q Advanced Driving Simulator was used to test participants on a simulated road with different traffic conditions, such as free flow traffic along straight roads, driving in urbanized areas, and driving in heavy traffic along suburban roads. Thirty-two licensed young drivers drove the simulator under three phone conditions: baseline (no phone conversation), hands-free and handheld phone conversations. To understand the relationships between distraction, road infrastructure and traffic complexity, speed adaptation calculated as the deviation of driving speed from the posted speed limit was modelled using a decision tree. The identified groups of road infrastructure and traffic characteristics from the decision tree were then modelled with a Generalized Linear Mixed Model (GLMM) with repeated measures to develop inferences about speed adaptation behaviour of distracted drivers. The GLMM also included driver characteristics and secondary task demands as predictors of speed adaptation. Results indicated that complex road environments like urbanization, car-following situations along suburban roads, and curved road alignment significantly influenced speed adaptation behaviour. Distracted drivers selected a lower speed while driving along a curved road or during car-following situations, but speed adaptation was negligible in the
Voumard, Jérémie; Baumann, Valérie; Jaboyedoff, Michel; Derron, Marc-Henri; Penna, Ivanna
The National Route 7 in Argentina is one of the most important corridors crossing the Andean Cordillera. It concentrates most of the traffic related to the Southern Common Market (MERCOSUR), it also connects Mendoza city (the fourth most populated in Argentina) with Santiago de Chile (the Chile capital city), and is used by tourists to access to the Aconcagua National park, Puente del Inca natural monument, skiing resorts, and to local displacements for the villages along the Mendoza valley. The road crosses the Andes through the Mendoza river valley at an elevation between 2'000 and 3'000 m. The traffic (2500 vehicles/day) is composed of motorcycles, cars and pickup trucks, trucks without trailer, buses, and semi-trailer trucks. Debris flows developed along tributaries of the Mendoza River, and due to remobilization of talus materials, impact frequently the road, causing traffic disruptions, bridges damages, etc. Rock falls detached from highly fractured outcrops also impact frequently the road, causing sometimes casualties. The aim of this study is to evaluate risk along sections of the National Road 7 develop along the Mendoza river, using a dynamic traffic simulator based on MATLAB© routine. The dynamic traffic simulator developed for natural hazards events on roads consider different scenarios based on traffic speeds, vehicle types, interactions types, road properties and natural processes. Here we show that vehicle types and traffic variations may influence the risk estimation. The analyzed risk on several critical sections of the National Route 7 demonstrates that risk may significantly increase: 1) on sinuous sections, steep sections and because of road conditions changes (exit of tunnel, bridges, road width, etc.) because of decreasing vehicle speed, particularly with semi-trailer trucks; 2) when an event, such a debris flow, occurs and generates a vehicle tailback increasing their duration presence in the risk area.
Salamati, Payman; Moradi, Ali; Soori, Hamid; Amiri, Mousa; Soltani, Majid
Background: Evaluation of intra-city roads in terms of environmental factors of motor vehicle injuries can help us to better identify these factors and the share of each of the factors in injuries. Therefore, this study was conducted to determine the high injury areas and the risk factors of motor vehicle crashes resulting in injury and death in Tehran, the capital city of Iran, from November 2011 through February 2012. Methods: In this cross sectional study, the locations of the motor vehicle injuries resulting in injuries and deaths were obtained from police stations in Tehran. The coordinates of the injuries locations were extracted and entered into the Arc-GIS software to overlay the different layers of geographical data and extract the risk map. Results: A total of 4257 motor vehicle injuries were evaluated in this study. Forty-two injuries (1%) resulted in death and 4215 injuries (99%) resulted in injury. The traffic districts 5 and 21 had the highest frequency of injuries resulting in death. The type of the motor vehicle resulting in injury or death was motorcycle in 2330 injuries (54.73%). Conclusion: The frequency of traffic injuries is more in the west and northwest areas of Tehran, and it is caused more by motorcycles in terms of traffic and motor injuries resulting in injury and death. It is useful to conduct more studies to better identify these factors considering their importance in traffic injuries. PMID:26478872
Meda, Nicolas; Traoré, Mamadou S.; Staccini, Pascal
Background Low- and middle-income countries are currently facing the massive public health challenge of road traffic injuries. The lack of effective surveillance systems hinders proper assessment of epidemiologic status and intervention priorities. The objective of our study was to estimate the mortality and morbidity attributable to road crashes in Bamako, Mali using the capture-recapture method. Methods During the 1 January, 2012–31 April, 2012 period, we collected data on road traffic crashes from the road accident registers of the police forces of Bamako, Mali on the one hand, and from a register kept by health facilities in the same area. An automatic, then manual matching procedure was performed to find pairs of records related to the same crash victims. The number of victims and the number of fatalities were estimated by the capture-recapture method using the Chapman estimator. Results The health facility and the police registries included 3587 and 1432 records, respectively. The matching procedure identified 603 common records, 31 of which were fatalities. The annual incidence estimate for road victims was 1038 in 100 000 and the annual incidence estimate for road fatalities was 12 in 100 000. Victims from both sources were more likely to be male, in the 15–34 age group, and almost half of all injured road users and two in three fatalities were using motorized two-wheelers. One victim out of five was a pedestrian. Conclusion Our estimates are in line with available literature data from low-income countries. While more cases were reported by health facilities than by police forces, we believe that an effective surveillance system should not be based solely on medical reports as much would be missing as regards the crash circumstances and characteristics. PMID:26871569
Lawniczak, Anna T.; di Stefano, Bruno N.
We describe our development of a road traffic CA (Cellular Automata) model of the four most common types of 4-way intersection (Yield-controlled intersections, Stop-controlled intersections, Signal-controlled intersections, and Roundabout-based intersection). We developed this model to study how these four different types of 4-way intersection affect road traffic flow and congestion in general and “travel time” in particular. In this paper we describe the model and 4WayCA.exe, the traffic simulator software package in which the model has been implemented. We focus in particular on the model abstractions and on the simulator architecture.
Fernando, Dinesh M; Tennakoon, Sampath U; Samaranayake, Achini N; Wickramasinghe, Medhani
The mortality and morbidity of road traffic accidents (RTA) is increasing in the South Asian region, including Sri Lanka. Therefore, the demographic factors, types of vehicles involved, and the severity of injuries sustained in RTA was studied. Age, gender, and details of the incident of all patients admitted to hospital following a RTA, between January 2007 and August 2012, were obtained by interview. Following a medico-legal examination, the type and severity of injuries was categorized as, non-grievous, grievous, endangering life or fatal in the ordinary course of nature. Of the 579 RTA casualties examined, 72% were males, 28% females, and 26% were in the 20-29 year age group. There were 44% passengers, 32% drivers, and 20% pedestrians. Of the 440 vehicle occupants, 37% were on motor cycles, 28% in three wheelers, 13% in dual purpose vehicles and 11% in buses. Of the 114 pedestrians, 33% had been struck by motor cycles, 19% by three-wheelers and 17% by dual purpose vehicles. There was at least one soft tissue injury in 84%, whilst 45% had one or more fractures. In 85% of bicycle riders, the injuries were grievous, endangering life or fatal in the ordinary course of nature. A high proportion of young adults sustained grievous injuries due to RTA. Almost two thirds of the casualties resulted from motorcycle or three wheeler accidents. Laws limiting the number of passengers carried, installation of side doors, mandatory use of seat belts in three wheelers, and protective garments for motorcyclists are recommended.
Road injury is an immediately relevant topic for 9-19 year olds. Current availability of Open Data makes it increasingly possible to find locally relevant data. Statistical lessons developed from these data can mutually reinforce life lessons about minimizing risk on the road. Devon County Council demonstrate how a wide array of statistical…
Mascarenhas, Márcio Dênis Medeiros; Souto, Rayone Moreira Costa Veloso; Malta, Deborah Carvalho; Silva, Marta Maria Alves da; Lima, Cheila Marina de; Montenegro, Marli de Mesquita Silva
Injuries resulting from motorcycle road traffic accidents are an important public health issue in Brazil. This study aimed to describe the characteristics of motorcyclists involved in traffic accidents attended in public urgent and emergency services in the state capitals and the Federal District. This is a cross-sectional study based on data from the Violence and Accident Surveillance System (VIVA Survey) in 2014. Data were analyzed according to sociodemographic, event and attendance characteristics. Proportional differences between genders were analyzed by chi-square test (Rao-Scott) with 5% significance level. Motorcyclist-related attendances (n = 9,673) reported a prevalence of men (gender ratio = 3.2), young people aged 20-39 years (65.7%), black / brown (73.6%), paid work (76.4%). Helmet use was reported by 79.1% of the victims, 13.3% had consumed alcohol in the six hours prior to the accident, 41.4% of the events were related to the victim's work. Accidents were more frequent on weekends, in the morning and late afternoon. These characteristics can support the development of public accident prevention policies and health promotion.
Khan, Saif ur Rehman; Khalifah, Zainab Binti; Munir, Yasin; Islam, Talat; Nazir, Tahira; Khan, Hashim
The present study aims to investigate differences in road safety attitude, driver behaviour and traffic risk perception between Malaysia and Singapore. A questionnaire-based survey was conducted among a sample of Singaporean (n = 187) and Malaysian (n = 313) road users. The data was analysed using confirmatory factor analysis and structural equation modelling applied to measure comparative fit indices of Malaysian and Singaporean respondents. The results show that the perceived traffic risk of Malaysian respondents is higher than Singaporean counterparts. Moreover, the structural equation modelling has confirmed perceived traffic risk performing the role of full mediation between perceived driving skills and perceived road safety for both the countries, while perceived traffic skills was found to perform the role of partial mediation between aggression and anxiety, on one hand, and road safety, on the other hand, in Malaysia and Singapore. In addition, in both countries, a weak correlation between perceived driving skills, aggression and anxiety with perceived road safety was found, while a strong correlation exists with traffic risk perception. The findings of this study have been discussed in terms of theoretical, practical and conceptual implications for both scholars and policy-makers to better understand the young drivers' attitude and behaviour relationship towards road safety measures with a view to future research.
Fukui, Minoru; Nishinari, Katsuhiro; Yokoya, Yasushi; Ishibashi, Yoshihiro
The effect of real-time information on the traffic flows of the crossing roads is studied by simulations based on a cellular automaton model. At the intersection, drivers have to enter a road of a shorter trip-time, by making a turn if necessary, as indicated on the information board. Dynamics of the traffic are expressed as a return map in the density-flow space. The traffic flow is classified into six phases, as a function of the car density. It is found that such a behavior of drivers induces too much concentration of cars on one road and, as a result, causes oscillation of the flow and the density of cars on both roads. The oscillation usually results in a reduced total flow, except for the cases of high car density.
Forjuoh, Samuel N
Traffic-related injuries have become a major public health concern worldwide. However, unlike developed or high-income countries (HICs), many developing or low-income countries (LICs) have made very little progress towards addressing this problem. Lack of the progress in LICs is attributable, in part, to their economic situation in terms of their governments' lack of resources to invest in traffic safety, cultural beliefs regarding the fatalism of injuries, competing health problems particularly with the emergence of HIV/AIDS, distinctive traffic mixes comprising a substantial number of vulnerable road users for whom less research has been done, low literacy rates precluding motorists to read and understand road signs, and peculiar political situations occasionally predominated by dictatorship and non-democratic governments. How then can LICs tackle the challenge of traffic safety from the experiences of HICs without reinventing the wheel? This paper reviews selected interventions and strategies that have been developed to counter traffic-related injuries in HICs in terms of their effectiveness and their applicability to LICs. Proven and promising interventions or strategies such as seat belt and helmet use, legislation and enforcement of seat belt use, sidewalks, roadway barriers, selected traffic-calming designs (e.g., speed ramps/bumps), pedestrian crossing signs combined with clearly marked crosswalks, and public education and behavior modification targeted at motorists are all feasible and useable in LICs as evidenced by data from many LICs. While numerous traffic-related injury policy interventions and strategies developed largely in HICs are potentially transferable to LICs, it is important to consider country-specific factors such as costs, feasibility, sustainability, and barriers, all of which must be factored into the assessment of effectiveness in specific LIC settings. Almost all interventions and strategies that have been proven effective in HICs will
Miranda, J. Jaime; López-Rivera, Luis A.; Quistberg, D. Alex; Rosales-Mayor, Edmundo; Gianella, Camila; Paca-Palao, Ada; Luna, Diego; Huicho, Luis; Paca, Ada; Luis, López; Luna, Diego; Rosales, Edmundo; Best, Pablo; Best, Pablo; Egúsquiza, Miriam; Gianella, Camila; Lema, Claudia; Ludeña, Esperanza; Miranda, J. Jaime; Huicho, Luis
Background The epidemiological profile and trends of road traffic injuries (RTIs) in Peru have not been well-defined, though this is a necessary step to address this significant public health problem in Peru. The objective of this study was to determine trends of incidence, mortality, and fatality of RTIs in Peru during 1973–2008, as well as their relationship to population trends such as economic growth. Methods and Findings Secondary aggregated databases were used to estimate incidence, mortality and fatality rate ratios (IRRs) of RTIs. These estimates were standardized to age groups and sex of the 2008 Peruvian population. Negative binomial regression and cubic spline curves were used for multivariable analysis. During the 35-year period there were 952,668 road traffic victims, injured or killed. The adjusted yearly incidence of RTIs increased by 3.59 (95% CI 2.43–5.31) on average. We did not observe any significant trends in the yearly mortality rate. The total adjusted yearly fatality rate decreased by 0.26 (95% CI 0.15–0.43), while among adults the fatality rate increased by 1.25 (95% CI 1.09–1.43). Models fitted with splines suggest that the incidence follows a bimodal curve and closely followed trends in the gross domestic product (GDP) per capita Conclusions The significant increasing incidence of RTIs in Peru affirms their growing threat to public health. A substantial improvement of information systems for RTIs is needed to create a more accurate epidemiologic profile of RTIs in Peru. This approach can be of use in other similar low and middle-income settings to inform about the local challenges posed by RTIs. PMID:24927195
Shen, L.D.; Zhao, F.; Ospina, D.I.
Estimation of Annual Average Daily Traffic (AADT) is extremely important in traffic planning and operations for the state departments of transportation (DOTs), because AADT provides information for the planning of new road construction, determination of roadway geometry, congestion management, pavement design, safety considerations, etc. AADT is also used to estimate state wide vehicle miles traveled on all the roads and is used by local governments and the environmental protection agencies to determine compliance with the 1990 Clean Air Act Amendment. Additionally, AADT is reported annually by the Florida Department of transportation (FDOT) to the Federal Highway Administration. In the past, considerable efforts have been made in obtaining traffic counts to estimate AADT on state roads. However, traffic counts are often not available on off-system roads, and less attention has been paid to the estimation of AADT in the absence of counts. Current estimates rely on comparisons with roads that are subjectively considered to be similar. Such comparisons are inherently subject to large errors, and also may not be repeated often enough to remain current. Therefore, a better method is needed for estimating AADT for off-system roads in Florida. This study investigates the possibility of establishing one or more models for estimating AADT for off-system roads in Florida.
Andersen, Zorana J.; Nordsborg, Rikke B.; Becker, Thomas; Tjønneland, Anne; Overvad, Kim; Raaschou-Nielsen, Ole
Background: Road traffic noise at normal urban levels can lead to stress and sleep disturbances. Both excess of stress hormones and reduction in sleep quality and duration may lead to higher risk for type 2 diabetes. Objective: We investigated whether long-term exposure to residential road traffic noise is associated with an increased risk of diabetes. Methods: In the population-based Danish Diet, Cancer and Health cohort of 57,053 people 50–64 years of age at enrollment in 1993–1997, we identified 3,869 cases of incident diabetes in a national diabetes registry between enrollment and 2006. The mean follow-up time was 9.6 years. Present and historical residential addresses from 1988 through 2006 were identified using a national register, and exposure to road traffic noise was estimated for all addresses. Associations between exposure to road traffic noise and incident diabetes were analyzed in a Cox regression model. Results: A 10-dB higher level of average road traffic noise at diagnosis and during the 5 years preceding diagnosis was associated with an increased risk of incident diabetes, with incidence rate ratios (IRR) of 1.08 (95% CI: 1.02, 1.14) and 1.11 (95% CI: 1.05, 1.18), respectively, after adjusting for potential confounders including age, body mass index, waist circumference, education, air pollution (nitrogen oxides), and lifestyle characteristics. After applying a stricter definition of diabetes (2,752 cases), we found IRRs of 1.11 (95% CI: 1.03, 1.19) and 1.14 (95% CI: 1.06, 1.22) per 10-dB increase in road traffic noise at diagnosis and during the 5 years preceding diagnosis, respectively. Conclusion: Exposure to residential road traffic noise was associated with a higher risk of diabetes. This study provides further evidence that urban noise may adversely influence population health. PMID:23229017
Mertens, Mariano; Kerkweg, Astrid; Grewe, Volker; Jöckel, Patrick
Road traffic is an important anthropogenic source of NOx, CO and non-methane hydrocarbons (NMHCs) which act as precursors for the formation of tropospheric ozone. The formation of ozone is highly non-linear. This means that the contribution of the road traffic sector cannot directly be derived from the amount of emitted species, because they are also determined by local emissions of other anthropogenic and natural sources. In addition, long range transport of precursors and ozone can play an important role in determining the local ozone budget. For a complete assessment of the impact of road traffic emissions it is therefore important to resolve both, local emissions and long range transport. This can be achieved by the use of the newly developed MECO(n) model system, which on-line couples the global chemistry-climate-model EMAC with the regional chemistry-climate-model COSMO-CLM/MESSy. Both models use the same chemical speciation. This allows a highly consistent model chain from the global to the local scale. To quantify the contribution of the road traffic emissions to tropospheric ozone we use an accounting system of the relevant reaction pathways of the different species from different sources (called tagging method). This tagging scheme is implemented consistently on all scales, allowing a direct comparison of the contributions. With this model configuration we investigate the impact of road traffic emissions to the tropospheric ozone budget in Europe. For the year 2008 we compare different emission scenarios and investigate the influence of both model and emission resolution. In addition, results of a mitigation scenario for the year 2030 are presented. They indicate that the contribution of the road traffic sector can be reduced by local reductions of emissions during summer. During winter the importance of long range transport increases. This can lead to increased contributions of the road traffic sector (e.g. by increased emissions in the US) even if local
Powell, C. A.
Two laboratory experiments were conducted to investigate the effects of road-traffic background noise on judgments of individual airplane flyover noises. In the first experiment, 27 subjects judged a set of 16 airplane flyover noises in the presence of traffic-noise sessions of 30-min duration consisting of the combinations of 3 traffic-noise types and 3 noise levels. In the second experiment, 24 subjects judged the same airplane flyover noises in the presence of traffic-noise sessions of 10-min duration consisting of the combinations of 2 traffic-noise types and 4 noise levels. In both experiments the airplane noises were judged less annoying in the presence of high traffic-noise levels than in the presence of low traffic-noise levels.
Chang, Fangrong; Li, Maosheng; Xu, Pengpeng; Zhou, Hanchu; Haque, Md. Mazharul; Huang, Helai
Issues related to motorcycle safety in China have not received enough research attention. As such, the causal relationship between injury outcomes of motorcycle crashes and potential risk factors remains unknown. This study intended to investigate the injury risk of motorcyclists involved in road traffic crashes in China. To account for the ordinal nature of response outcomes and unobserved heterogeneity, a mixed ordered logit model was employed. Given that the crash occurrence process is different between intersections and non-intersections, separate models were developed for these locations to independently estimate the impacts of various contributing factors on motorcycle riders’ injury severity. The analysis was based on the police-reported crash dataset obtained from the Traffic Administration Bureau of Hunan Provincial Public Security Ministry. Factors associated with a substantially higher probability of fatalities and severe injuries included motorcycle riders older than 60 years, the absence of helmets, motorcycle riders identified to be equal duty, and when a motorcycle collided with a heavy vehicle during the night time without lighting. Crashes occurred along county roads with curve and slope alignment or at regions with higher GDP were associated with an elevated risk of fatality of motorcycle riders, while unsignalized intersections were related to less severe injuries. Findings of this study are beneficial in forming several targeted countermeasures for motorcycle safety in China, including designing roads with appropriate road delineation and street lighting, strict enforcement for speeding and red light violations, promoting helmet usage, and improving the conspicuity of motorcyclists. PMID:27428987
Sørensen, Mette; Lühdorf, Pernille; Ketzel, Matthias; Andersen, Zorana J; Tjønneland, Anne; Overvad, Kim; Raaschou-Nielsen, Ole
Exposure to road traffic noise and air pollution have both been associated with risk for stroke. The few studies including both exposures show inconsistent results. We aimed to investigate potential mutual confounding and combined effects between road traffic noise and air pollution in association with risk for stroke. In a population-based cohort of 57,053 people aged 50-64 years at enrollment, we identified 1999 incident stroke cases in national registries, followed by validation through medical records. Mean follow-up time was 11.2 years. Present and historical residential addresses from 1987 to 2009 were identified in national registers and road traffic noise and air pollution were modeled for all addresses. Analyses were done using Cox regression. A higher mean annual exposure at time of diagnosis of 10 µg/m(3) nitrogen dioxide (NO2) and 10 dB road traffic noise at the residential address was associated with ischemic stroke with incidence rate ratios (IRR) of 1.11 (95% CI: 1.03, 1.20) and 1.16 (95% CI: 1.07, 1.24), respectively, in single exposure models. In two-exposure models road traffic noise (IRR: 1.15) and not NO2 (IRR: 1.02) was associated with ischemic stroke. The strongest association was found for combination of high noise and high NO2 (IRR=1.28; 95% CI=1.09-1.52). Fatal stroke was positively associated with air pollution and not with traffic noise. In conclusion, in mutually adjusted models road traffic noise and not air pollution was associated ischemic stroke, while only air pollution affected risk for fatal strokes. There were indications of combined effects.
Galbrun, Laurent; Ali, Tahrir T
This paper examines physical and perceptual properties of water sounds generated by small to medium sized water features that have applications for road traffic noise masking. A large variety of water sounds were produced in the laboratory by varying design parameters. Analysis showed that estimations can be made on how these parameters affect sound pressure levels, frequency content, and psychoacoustic properties. Comparisons with road traffic noise showed that there is a mismatch between the frequency responses of traffic noise and water sounds, with the exception of waterfalls with high flow rates, which can generate large low frequency levels comparable to traffic noise. Perceptual assessments were carried out in the context of peacefulness and relaxation, where both water sounds and noise from dense road traffic were audible. Results showed that water sounds should be similar or not less than 3 dB below the road traffic noise level (confirming previous research), and that stream sounds tend to be preferred to fountain sounds, which are in turn preferred to waterfall sounds. Analysis made on groups of sounds also indicated that low sharpness and large temporal variations were preferred on average, although no acoustical or psychoacoustical parameter correlated well with the individual sound preferences.
Background Road safety targets are widely used and provide a basis for evaluating progress in road safety outcomes against a quantified goal. In Australia, a reduction in fatalities from road traffic crashes (RTCs) is a public policy objective: a national target of no more than 5.6 fatalities per 100,000 population by 2010 was set in 2001. The purpose of this paper is to examine the progress Australia and its states and territories have made in reducing RTC fatalities, and to estimate when the 2010 target may be reached by the jurisdictions. Methods Following a descriptive analysis, univariate time-series models estimate past trends in fatality rates over recent decades. Data for differing time periods are analysed and different trend specifications estimated. Preferred models were selected on the basis of statistical criteria and the period covered by the data. The results of preferred regressions are used to determine out-of-sample forecasts of when the national target may be attained by the jurisdictions. Though there are limitations with the time series approach used, inadequate data precluded the estimation of a full causal/structural model. Results Statistically significant reductions in fatality rates since 1971 were found for all jurisdictions with the national rate decreasing on average, 3% per year since 1992. However the gains have varied across time and space, with percent changes in fatality rates ranging from an 8% increase in New South Wales 1972-1981 to a 46% decrease in Queensland 1982-1991. Based on an estimate of past trends, it is possible that the target set for 2010 may not be reached nationally, until 2016. Unsurprisingly, the analysis indicated a range of outcomes for the respective state/territory jurisdictions though these results should be interpreted with caution due to different assumptions and length of data. Conclusions Results indicate that while Australia has been successful over recent decades in reducing RTC mortality, an
Wang, Hongtao; Wen, Hui; Yi, Feng; Zhu, Hongsong; Sun, Limin
Road traffic anomaly denotes a road segment that is anomalous in terms of traffic flow of vehicles. Detecting road traffic anomalies from GPS (Global Position System) snippets data is becoming critical in urban computing since they often suggest underlying events. However, the noisy and sparse nature of GPS snippets data have ushered multiple problems, which have prompted the detection of road traffic anomalies to be very challenging. To address these issues, we propose a two-stage solution which consists of two components: a Collaborative Path Inference (CPI) model and a Road Anomaly Test (RAT) model. CPI model performs path inference incorporating both static and dynamic features into a Conditional Random Field (CRF). Dynamic context features are learned collaboratively from large GPS snippets via a tensor decomposition technique. Then RAT calculates the anomalous degree for each road segment from the inferred fine-grained trajectories in given time intervals. We evaluated our method using a large scale real world dataset, which includes one-month GPS location data from more than eight thousand taxicabs in Beijing. The evaluation results show the advantages of our method beyond other baseline techniques. PMID:28282948
Zechmeister, H G; Hohenwallner, D; Riss, A; Hanus-Illnar, A
Sixty moss samples were taken along transects of nine roads in Austria. The concentrations of 17 elements in four moss species were determined. There was a high correlation between several elements like Cu/Sb (0.906), Ni/Co (0.897) or Cr/V (0.898), indicating a common traffic-related source. Enrichment factors were calculated, showing highest enrichment levels for: Cr, Mo, Sb, Zn, As, Fe, V, Cu, Ni, and Co. For these elements, road traffic has to be assumed as a source, which is confirmed by a significant negative correlation of the concentrations in mosses to the distance from the road for most of these metals. The rate of decrease followed a log-shaped curve at most of the investigated transects, although the decline cannot be explained by a single model. Multiple regression analysis highlighted traffic density, distance from and elevation of the road as the most influencing factors for the deposition of the investigated elements. Heavy duty vehicles (HDVs) and light duty vehicles (LDVs) showed different patterns. A comparison of sites likely to be influenced by traffic emissions with average values for the respective regions showed no significant differences for road distances of more than 250 m. Nevertheless, at heavily frequented roads, raised deposition of some elements was found even at a distance of 1,000 m.
Bakhtiyari, Mahmood; Mehmandar, Mohammad Reza; Mirbagheri, Babak; Hariri, Gholam Reza; Delpisheh, Ali; Soori, Hamid
Risk factors of human-related traffic crashes are the most important and preventable challenges for community health due to their noteworthy burden in developing countries in particular. The present study aims to investigate the role of human risk factors of road traffic crashes in Iran. Through a cross-sectional study using the COM 114 data collection forms, the police records of almost 600,000 crashes occurred in 2010 are investigated. The binary logistic regression and proportional odds regression models are used. The odds ratio for each risk factor is calculated. These models are adjusted for known confounding factors including age, sex and driving time. The traffic crash reports of 537,688 men (90.8%) and 54,480 women (9.2%) are analysed. The mean age is 34.1 ± 14 years. Not maintaining eyes on the road (53.7%) and losing control of the vehicle (21.4%) are the main causes of drivers' deaths in traffic crashes within cities. Not maintaining eyes on the road is also the most frequent human risk factor for road traffic crashes out of cities. Sudden lane excursion (OR = 9.9, 95% CI: 8.2-11.9) and seat belt non-compliance (OR = 8.7, CI: 6.7-10.1), exceeding authorised speed (OR = 17.9, CI: 12.7-25.1) and exceeding safe speed (OR = 9.7, CI: 7.2-13.2) are the most significant human risk factors for traffic crashes in Iran. The high mortality rate of 39 people for every 100,000 population emphasises on the importance of traffic crashes in Iran. Considering the important role of human risk factors in traffic crashes, struggling efforts are required to control dangerous driving behaviours such as exceeding speed, illegal overtaking and not maintaining eyes on the road.
Lieutaud, Thomas; Ndiaye, Amina; Laumon, Bernard; Chiron, Mireille
Traumatic spinal cord injuries (SCI) are rare but extremely costly. In order to improve the modelling of inclusion criteria for studies of SCI it is necessary to determine what epidemiological trends affect SCI. Using the Rhone Registry, which contains all the casualties resulting from road crashes in the Rhône département of France and codes their injuries using the Abbreviated Injury Scale (AIS), we describe the epidemiological trends that affect spinal cord injury (SCI), major spinal trauma (MST) and severe injuries (AIS4+) to other body regions between two periods 1996-2001 and 2003-2008. Although there has been a marked decrease (35%) in the incidence of casualties after a road traffic crash, and reductions of 22% in the incidence of MST and 33% in that of severe injuries (AIS4+) (p<0.001), for SCI the incidence rate and number of casualties have remained surprisingly stable. In the second period, there was no change in the incidence of SCI resulting from road traffic crashes, nor in the associated fatality, mortality and survival rates. The incidence for car users was significantly lower in the second period. This contrasts with the incidences for motorcyclists and for the group including pedestrians and cyclists which were respectively 47% and 77% higher in the second period. The median age of the casualties, the age-adjusted incidence of SCI and the number of associated injuries were also higher in the second period. We have observed a marked reduction in the incidence of road trauma including the most severe injuries, but not SCI. The higher proportion of motorcyclists, the increase in the age of casualties and the greater presence of multiple injuries are new factors in the epidemiology of SCI after a road crash.
Ljung, Robert; Sörqvist, Patrik; Hygge, Staffan
Irrelevant speech in classrooms and road traffic noise adjacent to schools have a substantial impact on children's ability to learn. Comparing the effects of different noise sources on learning may help construct guidelines for noise abatement programs. Experimental studies are important to establish dose-response relationships and to expand our knowledge beyond correlation studies. This experiment examined effects of road traffic noise and irrelevant speech on children's reading speed, reading comprehension, basic mathematics, and mathematical reasoning. A total of 187 pupils (89 girls and 98 boys), 12-13 years old, were tested in their ordinary classrooms. Road traffic noise was found to impair reading speed (P<0.01) and basic mathematics (P<0.05). No effect was found on reading comprehension or on mathematical reasoning. Irrelevant speech did not disrupt performance on any task. These findings are related to previous research on noise in schools and the implications for noise abatement guidelines are discussed.
Ware, Heidi E.; McClure, Christopher J. W.; Carlisle, Jay D.; Barber, Jesse R.
Decades of research demonstrate that roads impact wildlife and suggest traffic noise as a primary cause of population declines near roads. We created a “phantom road” using an array of speakers to apply traffic noise to a roadless landscape, directly testing the effect of noise alone on an entire songbird community during autumn migration. Thirty-one percent of the bird community avoided the phantom road. For individuals that stayed despite the noise, overall body condition decreased by a full SD and some species showed a change in ability to gain body condition when exposed to traffic noise during migratory stopover. We conducted complementary laboratory experiments that implicate foraging-vigilance behavior as one mechanism driving this pattern. Our results suggest that noise degrades habitat that is otherwise suitable, and that the presence of a species does not indicate the absence of an impact. PMID:26324924
Brubacher, Jeffrey R.; Chan, Herbert; Erdelyi, Shannon; Schuurman, Nadine; Amram, Ofer
Background British Columbia, Canada is a geographically large jurisdiction with varied environmental and socio-cultural contexts. This cross-sectional study examined variation in motor vehicle crash rates across 100 police patrols to investigate the association of crashes with key explanatory factors. Methods Eleven crash outcomes (total crashes, injury crashes, fatal crashes, speed related fatal crashes, total fatalities, single-vehicle night-time crashes, rear-end collisions, and collisions involving heavy vehicles, pedestrians, cyclists, or motorcyclists) were identified from police collision reports and insurance claims and mapped to police patrols. Six potential explanatory factors (intensity of traffic law enforcement, speed limits, climate, remoteness, socio-economic factors, and alcohol consumption) were also mapped to police patrols. We then studied the association between crashes and explanatory factors using negative binomial models with crash count per patrol as the response variable and explanatory factors as covariates. Results Between 2003 and 2012 there were 1,434,239 insurance claim collisions, 386,326 police reported crashes, and 3,404 fatal crashes. Across police patrols, there was marked variation in per capita crash rate and in potential explanatory factors. Several factors were associated with crash rates. Percent roads with speed limits ≤ 60 km/hr was positively associated with total crashes, injury crashes, rear end collisions, and collisions involving pedestrians, cyclists, and heavy vehicles; and negatively associated with single vehicle night-time crashes, fatal crashes, fatal speeding crashes, and total fatalities. Higher winter temperature was associated with lower rates of overall collisions, single vehicle night-time collisions, collisions involving heavy vehicles, and total fatalities. Lower socio-economic status was associated with higher rates of injury collisions, pedestrian collisions, fatal speeding collisions, and fatal
Sørensen, Mette; Ketzel, Matthias; Overvad, Kim; Tjønneland, Anne; Raaschou-Nielsen, Ole
Exposure to traffic noise may result in stress and sleep disturbances. Studies on self-reported sleep duration and breast cancer risk have found inconsistent results. In a population-based Danish cohort of 29,875 women aged 50-64 years at enrolment in 1993-1997, we identified 1219 incident, postmenopausal breast cancer cases during follow-up through 2010. Mean follow-up time was 12.3 years. Road traffic and railway noise was calculated for all present and historical residential addresses from 1987 to 2010. We used Cox proportional hazard model for analyses and adjusted for hormone replacement therapy use, parity, alcohol consumption and other potential confounders. We found no overall association between residential road traffic or railway noise and breast cancer risk. Among women with estrogen receptor negative breast cancer, a 10-dB higher level of road traffic noise (continuous scale) during the previous 1, 5 and 10 years were associated with 28% (95% CI: 1.04-1.56), 23% (95% CI: 1.00-1.51) and 20% (95% CI: 0.97-1.48) higher risks of estrogen receptor negative breast cancer, respectively, in fully adjusted models. Similarly, a 10-dB increase in railway noise (1-year mean at diagnosis address) increased risk for estrogen receptor negative breast cancer by 38% (95% CI: 1.01-1.89). There was no association between road traffic or railway noise and estrogen receptor positive breast cancer. In conclusion, these results suggest that residential road traffic and railway noise may increase risk of estrogen receptor negative breast cancer. As the first study on traffic noise and breast cancer results should be treated with caution.
Su, Fei; Dong, Honghui; Jia, Limin; Tian, Zhao; Sun, Xuan
Space-time correlation analysis has become a basic and critical work in the research on road traffic congestion. It plays an important role in improving traffic management quality. The aim of this research is to examine the space-time correlation of road networks to determine likely requirements for building a suitable space-time traffic model. In this paper, it is carried out using traffic flow data collected on Beijing’s road network. In the framework, the space-time autocorrelation function (ST-ACF) is introduced as global measure, and cross-correlation function (CCF) as local measure to reveal the change mechanism of space-time correlation. Through the use of both measures, the correlation is found to be dynamic and heterogeneous in space and time. The finding of seasonal pattern present in space-time correlation provides a theoretical assumption for traffic forecasting. Besides, combined with Simpson’s rule, the CCF is also applied to finding the critical sections in the road network, and the experiments prove that it is feasible in computability, rationality and practicality.
The emergence of large, fine-grained mobility datasets offers significant opportunities for the development and application of new methodologies for transportation analysis. In this paper, the link between routing behaviour and traffic patterns in urban areas is examined, introducing a method to derive estimates of traffic patterns from a large collection of fine-grained routing data. Using this dataset, the interconnectivity between road network junctions is extracted in the form of a Markov chain. This representation encodes the probability of the successive usage of adjacent road junctions, encoding routes as flows between decision points rather than flows along road segments. This network of functional interactions is then integrated within a modified Markov chain Monte Carlo (MCMC) framework, adapted for the estimation of urban traffic patterns. As part of this approach, the data-derived links between major junctions influence the movement of directed random walks executed across the network to model origin-destination journeys. The simulation process yields estimates of traffic distribution across the road network. The paper presents an implementation of the modified MCMC approach for London, United Kingdom, building an MCMC model based on a dataset of nearly 700000 minicab routes. Validation of the approach clarifies how each element of the MCMC framework contributes to junction prediction performance, and finds promising results in relation to the estimation of junction choice and minicab traffic distribution. The paper concludes by summarising the potential for the development and extension of this approach to the wider urban modelling domain. PMID:26009884
The emergence of large, fine-grained mobility datasets offers significant opportunities for the development and application of new methodologies for transportation analysis. In this paper, the link between routing behaviour and traffic patterns in urban areas is examined, introducing a method to derive estimates of traffic patterns from a large collection of fine-grained routing data. Using this dataset, the interconnectivity between road network junctions is extracted in the form of a Markov chain. This representation encodes the probability of the successive usage of adjacent road junctions, encoding routes as flows between decision points rather than flows along road segments. This network of functional interactions is then integrated within a modified Markov chain Monte Carlo (MCMC) framework, adapted for the estimation of urban traffic patterns. As part of this approach, the data-derived links between major junctions influence the movement of directed random walks executed across the network to model origin-destination journeys. The simulation process yields estimates of traffic distribution across the road network. The paper presents an implementation of the modified MCMC approach for London, United Kingdom, building an MCMC model based on a dataset of nearly 700000 minicab routes. Validation of the approach clarifies how each element of the MCMC framework contributes to junction prediction performance, and finds promising results in relation to the estimation of junction choice and minicab traffic distribution. The paper concludes by summarising the potential for the development and extension of this approach to the wider urban modelling domain.
van der Weele, K.; Kanellopoulos, G.
It is an observational fact that density waves in vehicle traffic can move in either direction: small-amplitude waves travel in the same direction as the cars (downstream) whereas high-amplitude waves or "jams" travel in the opposite direction (upstream). We construct a model of ring road traffic to demonstrate how this comes about. Our model shows the spontaneous generation of these density waves, explains their stability properties, and pinpoints the precise density level at which the wave speed changes direction.
Watts, G. R.
There is considerable public concern about the noise produced by traffic running on concrete road surfaces. This is considered by some to be both louder and harsher than that produced under similar conditions by traffic travelling on bituminous road surfaces. The Highways Agency of the Department of Transport commissioned research to investigate the nature and size of this problem. The primary object of the initial research described in this paper was to determine whether, under controlled laboratory listening conditions, there are significant differences in the perception of noise from traffic running on selected examples of existing concrete and bituminous road surfaces. A total of 40 listeners from the general public took part in the trials, and this enabled unbiased assessments to be made of the comparative noisiness of the noise generated by traffic running on the two surface types. The results lend support to the contention that some concrete roads are genuinely subjectively nosier than bituminous roads. However, the data also shows that provided the surfaces are designed to produce similar levels of loudness than there is unlikely to be a clear distinction in terms of perceived noisiness.
Iglesias-Merchán, Carlos; Diaz-Balteiro, Luis; de la Puente, Javier
There is a global and growing concern with regard to anthropogenic noise impact on wildlife and natural habitats, but it is difficult to find consensus regarding scoping and assessment tools. This study adapts noise mapping procedures, common to most European countries, to a low traffic road (below 1000 vehicles per day) noise impact assessment in a breeding colony of the largest bird of prey in Europe. Results show that nest sites are located avoiding road traffic Leq levels higher than 40 dB. This means a road-effect zone of up to 500 m width from road margins, which previous scientific literature only refers in cases of traffic volumes higher than 10,000 vehicles per day. This finding is a noticeable impact by road traffic noise that reduces the breeding potential habitat more than 11% within the study area. This work shows the feasibility of expanding common methods and mapping tools for assessing and managing environmental noise in protected areas, which has worthwhile implications for both acoustics and conservation.
Berger, Janne; Denby, Bruce
This paper concerns the development and evaluation of a new and generalised road dust emission model. Most of today's road dust emission models are based on local measurements and/or contain empirical emission factors that are specific for a given road environment. In this study, a more generalised road dust emission model is presented and evaluated. We have based the emissions on road, tyre and brake wear rates and used the mass balance concept to describe the build-up of road dust on the road surface and road shoulder. The model separates the emissions into a direct part and a resuspension part, and treats the road surface and road shoulder as two different sources. We tested the model under idealized conditions as well as on two datasets in and just outside of Oslo in Norway during the studded tyre season. We found that the model reproduced the observed increase in road dust emissions directly after drying of the road surface. The time scale for the build-up of road dust on the road surface is less than an hour for medium to heavy traffic density. The model performs well for temperatures above 0 °C and less well during colder periods. Since the model does not yet include salting as an additional mass source, underestimations are evident under dry periods with temperatures around 0 °C, under which salting occurs. The model overestimates the measured PM 10 (particulate matter less than 10 μm in diameter) concentrations under heavy precipitation events since the model does not take the amount of precipitation into account. There is a strong sensitivity of the modelled emissions to the road surface conditions and the current parameterisations of the effect of precipitation, runoff and evaporation seem inadequate.
Hu, Xiaojian; Lu, Jian; Wang, Wei; Zhirui, Ye
Most existing traffic signal synchronization strategies do not perform well in the saturated high-density grid road network (HGRN). Traffic congestion often occurs in the saturated HGRN, and the mobility of the network is difficult to restore. In order to alleviate traffic congestion and to improve traffic efficiency in the network, the study proposes a regional traffic signal synchronization strategy, named the long green and long red (LGLR) traffic signal synchronization strategy. The essence of the strategy is to control the formation and dissipation of queues and to maximize the efficiency of traffic flows at signalized intersections in the saturated HGRN. With this strategy, the same signal control timing plan is used at all signalized intersections in the HGRN, and the straight phase of the control timing plan has a long green time and a long red time. Therefore, continuous traffic flows can be maintained when vehicles travel, and traffic congestion can be alleviated when vehicles stop. Using the strategy, the LGLR traffic signal synchronization model is developed, with the objective of minimizing the number of stops. Finally, the simulation is executed to analyze the performance of the model by comparing it to other models, and the superiority of the LGLR model is evident in terms of delay, number of stops, queue length, and overall performance in the saturated HGRN. PMID:25663835
Hu, Xiaojian; Lu, Jian; Wang, Wei; Zhirui, Ye
Most existing traffic signal synchronization strategies do not perform well in the saturated high-density grid road network (HGRN). Traffic congestion often occurs in the saturated HGRN, and the mobility of the network is difficult to restore. In order to alleviate traffic congestion and to improve traffic efficiency in the network, the study proposes a regional traffic signal synchronization strategy, named the long green and long red (LGLR) traffic signal synchronization strategy. The essence of the strategy is to control the formation and dissipation of queues and to maximize the efficiency of traffic flows at signalized intersections in the saturated HGRN. With this strategy, the same signal control timing plan is used at all signalized intersections in the HGRN, and the straight phase of the control timing plan has a long green time and a long red time. Therefore, continuous traffic flows can be maintained when vehicles travel, and traffic congestion can be alleviated when vehicles stop. Using the strategy, the LGLR traffic signal synchronization model is developed, with the objective of minimizing the number of stops. Finally, the simulation is executed to analyze the performance of the model by comparing it to other models, and the superiority of the LGLR model is evident in terms of delay, number of stops, queue length, and overall performance in the saturated HGRN.
Stallard, Paul; Smith, Elisabeth
Background: Comparatively little is known about the cognitive appraisals and coping styles of child road traffic accident (RTA) survivors that are associated with chronic post-traumatic reactions. Methods: Seventy-five children and young people aged 7-18 who were involved in a road traffic accident and attended an accident and emergency department…
Helala, Mohamed A.; Qureshi, Faisal Z.; Pu, Ken Q.
Automatic detection of road boundaries in traffic surveillance imagery can greatly aid subsequent traffic analysis tasks, such as vehicle flow, erratic driving, and stranded vehicles. This paper develops an online technique for identifying the dominant road boundary in video sequences captured by traffic cameras under challenging environmental and lighting conditions, e.g., unlit highways captured at night. The proposed method works in real time of up to 20 frames/s and generates a ranked list of road regions that identify road and lane boundaries. Our method begins by segmenting each frame into a set of superpixels. An adaptive sampling step approximates superpixel contours to a collection of edge segments. Next, we show how online hierarchical clustering can be efficiently used to organize edges into clusters of colinearly similar sets. Promising clusters are paired with each other to form cluster pairs. Then we present and prove a statistical ranking measure that is used along with road-activity and perspective cues to find the dominant road boundaries. We evaluate the proposed approach on two real-world datasets to test our method under camera viewpoint changes and extreme environmental and lighting conditions. Results show that our method outperforms two state-of-the-art techniques in precision, recall, and runtime.
Grilo, Clara; Ferreira, Flavio Zanchetta; Revilla, Eloy
Previous studies have found that the relationship between wildlife road mortality and traffic volume follows a threshold effect on low traffic volume roads. We aimed at evaluating the response of several species to increasing traffic intensity on highways over a large geographic area and temporal period. We used data of four terrestrial vertebrate species with different biological and ecological features known by their high road-kill rates: the barn owl (Tyto alba), hedgehog (Erinaceus europaeus), red fox (Vulpes vulpes) and European rabbit (Oryctolagus cuniculus). Additionally, we checked whether road-kill likelihood varies when traffic patterns depart from the average. We used annual average daily traffic (AADT) and road-kill records observed along 1000 km of highways in Portugal over seven consecutive years (2003–2009). We fitted candidate models using Generalized Linear Models with a binomial distribution through a sample unit of 1 km segments to describe the effect of traffic on the probability of finding at least one victim in each segment during the study. We also assigned for each road-kill record the traffic of that day and the AADT on that year to test for differences using Paired Student's t-test. Mortality risk declined significantly with traffic volume but varied among species: the probability of finding road-killed red foxes and rabbits occurs up to moderate traffic volumes (< 20,000 AADT) whereas barn owls and hedgehogs occurred up to higher traffic volumes (40,000 AADT). Perception of risk may explain differences in responses towards high traffic highway segments. Road-kill rates did not vary significantly when traffic intensity departed from the average. In summary, we did not find evidence of traffic thresholds for the analysed species and traffic intensities. We suggest mitigation measures to reduce mortality be applied in particular on low traffic roads (< 5000 AADT) while additional measures to reduce barrier effects should take into account
Nghiem, Son; Commandeur, Jacques J F; Connelly, Luke B
This paper examines the determinants of road traffic crash fatalities in Queensland for the period 1958-2007 using a state-space time-series model. In particular, we investigate the effects of policies that aimed to reduce drink-driving on traffic fatalities, as well as indicators of the economic environment that may affect exposure to traffic, and hence affect the number of accidents and fatalities. The results show that the introduction of a random breath testing program in 1988 was associated with a 11.3% reduction in traffic fatalities; its expansion in 1998 was associated with a 26.2% reduction in traffic fatalities; and the effect of the "Safe4life" program, which was introduced in 2004, was a 14.3% reduction in traffic fatalities. Reductions in economic activity are also associated with reductions in road fatalities: we estimate that a one percent increase in the unemployment rate is associated with a 0.2% reduction in traffic fatalities.
Munir, Said; Chen, Haibo; Ropkins, Karl
Road traffic is both a major source of ozone precursors (e.g. nitrogen oxides and hydrocarbons) and a potential local sink for ozone in the form of fresh nitric oxide (NO) that depletes ozone. This study investigates the effect of road traffic characteristics on ground level ozone concentration (ppb) applying a quantile regression model (QRM). QRM has certain advantages over other regression methods, including its applicability to non-normal ozone distribution and its ability to handle non-linearities in the relationship of ozone with its covariates. The paper is developed in two parts. In the first part ozone concentrations at urban and rural sites have been compared using data from 80 ozone monitoring sites throughout the UK. The model results in an average urban decrement of about 7 ppb (26%) but indicates variations at various quantiles of the ozone distribution, for instance the difference is 5.25 ppb (25%) and 10.78 ppb (30%) at quantile 0.1 and 0.99, respectively. In the second part the effect of road-traffic characteristics (traffic flow, speed and fleet composition) on urban decrement has been modelled, as a case study in Leeds, UK. The relationship between urban decrement and road traffic characteristics changes at different regimes of ozone distribution indicating a highly non-linear association. Flow of cars, buses and articulated heavy vehicles seem to have the strongest effect on urban decrement; however buses are the only category showing significant effect at all quantiles. The effect of average speed and motorcycles flow was not significant. The results of QRM show that up to 86% ozone variations between rural and urban sites can be explained with the help of traffic characteristics. The effect of various traffic scenarios on urban decrements has been investigated.
Meyer, N. K.; Schwanghart, W.; Korup, O.; Nadim, F.
Globalization and interregional exchange of people, goods, and services has boosted the importance of and reliance on all kinds of transport networks. The linear structure of road networks is especially sensitive to natural hazards. In southern Norway, steep topography and extreme weather events promote frequent traffic disruption caused by debris flows. Topographic susceptibility and trigger frequency maps serve as input into a hazard appraisal at the scale of first-order catchments to quantify the impact of debris flows on the road network in terms of a failure likelihood of each link connecting two network vertices, e.g., road junctions. We compute total additional traffic loads as a function of traffic volume and excess distance, i.e. the extra length of an alternative path connecting two previously disrupted network vertices using a shortest-path algorithm. Our risk metric of link failure is the total additional annual traffic load expressed as vehicle kilometers because of debris-flow related road closures. We present two scenarios demonstrating the impact of debris flows on the road network, and quantify the associated path failure likelihood between major cities in southern Norway. The scenarios indicate that major routes crossing the central and northwestern part of the study area are associated with high link failure risk. Yet options for detours on major routes are manifold, and incur only little additional costs provided that drivers are sufficiently well informed about road closures. Our risk estimates may be of importance to road network managers and transport companies relying of speedy delivery of services and goods.
Meyer, N. K.; Schwanghart, W.; Korup, O.; Nadim, F.
Globalisation and interregional exchange of people, goods, and services has boosted the importance of and reliance on all kinds of transport networks. The linear structure of road networks is especially sensitive to natural hazards. In southern Norway, steep topography and extreme weather events promote frequent traffic disruption caused by debris flows. Topographic susceptibility and trigger frequency maps serve as input into a hazard appraisal at the scale of first-order catchments to quantify the impact of debris flows on the road network in terms of a failure likelihood of each link connecting two network vertices, e.g. road junctions. We compute total additional traffic loads as a function of traffic volume and excess distance, i.e. the extra length of an alternative path connecting two previously disrupted network vertices using a shortest-path algorithm. Our risk metric of link failure is the total additional annual traffic load, expressed as vehicle kilometres, because of debris-flow-related road closures. We present two scenarios demonstrating the impact of debris flows on the road network and quantify the associated path-failure likelihood between major cities in southern Norway. The scenarios indicate that major routes crossing the central and north-western part of the study area are associated with high link-failure risk. Yet options for detours on major routes are manifold and incur only little additional costs provided that drivers are sufficiently well informed about road closures. Our risk estimates may be of importance to road network managers and transport companies relying on speedy delivery of services and goods.
Bhagyaiah, M.; Shrinagesh, B.
Globalization has impacted many developing countries across the world. India is one such country, which benefited the most. Increased, economic activity raised the consumption levels of the people across the country. This created scope for increase in travel and transportation. The increase in the vehicles since last 10 years has put lot of pressure on the existing roads and ultimately resulting in road accidents. It is estimated that since 2001 there is an increase of 202 percent of two wheeler and 286 percent of four wheeler vehicles with no road expansion. Motor vehicle crashes are a common cause of death, disability and demand for emergency medical care. Globally, more than 1 million people die each year from traffic crashes and about 20-50 million are injured or permanently disabled. There has been increasing trend in road accidents in Hyderabad over a few years. GIS helps in locating the accident hotspots and also in analyzing the trend of road accidents in Hyderabad.
SASAZAWA, Y.; XIN, P.; SUZUKI, S.; KAWADA, T.; KUROIWA, M.; TAMURA, Y.
This study was designed to assess the effects of road traffic noise and frogs' croaking on the objective and subjective quality of sleep in a laboratory. The subjects were seven male students aged 19-21 years. They were exposed to recorded road traffic noise and frogs' croaking, with 49·6 and 49·5 dB(A)LAeq , and 71·2 and 56·1 dB(A) LAmax, respectively. The background noise in the experimental room was 31·0 dB(A) LAeq. The sleep EEG was recorded according to standard methods. The sleep polygraphic parameters examined were the percentage of sleep stage relative to the total sleep time (%S1, %S2, %S(3+4), %SREM, %MT), total sleep time, sleep onset latency, and awakening during sleep in minutes and sleep efficiency. A structured sleep rating questionnaire (OSA), was administered to the subjects after they awakened. The %S2 increased and the %SREM decreased during exposure to road traffic noise. However, no significant effect of exposure to frogs' croaking was observed on any of the polygraphic sleep parameters. The subjective quality of sleep was degraded more by exposure to road traffic noise than that to frogs' croaking.
Near-road measurements for nitrogen dioxide (NO2) using passive air samplers were collected weekly in traffic exposure zones (TEZs) in the Research Triangle area of North Carolina (USA) during Fall 2014. Land use regression (LUR) analysis and pairwise comparisons of T...
Izumi, K.; Yano, T.
As a part of the joint study program with Muroran Institute of Technology, Japan, and the University of Gothenburg, Sweden, social surveys of community responses were performed in residential areas heavily exposed to road traffic noise in three cities in Hokkaido, Japan. Personal interviews with a standard questionnaire were made with 146 persons randomly selected from official registers. After the interviews, 24-hour noise measurements were made at the area reference points in the three cities. Noise exposures at all respondents' houses were estimated by measuring relative noise levels to the respective area reference points. Regression analyses were performed on annoyance due to road traffic noise and noise exposure defined by Equivalent Noise Level ( LAeq), Day-Night Average Sound Level ( LDN) and Maximum Noise Level ( MNL). The regression models could not explain a large part of the variation in the annoyance responses. A path analysis was performed to explain the annoyance responses by nine exogenous and two endogenous variables obtained via the personal interviews. The path model explained about half of the variation in the annoyance responses. The model confirmed the strong effect of sleep disturbance to road traffic annoyance. It also showed important effects of hearing disturbance, satisfaction with the area, employment status and the self-reported sensitivity to annoyance due to road traffic noise.
Matheson, Mark; Clark, Charlotte; Martin, Rocio; van Kempen, Elise; Haines, Mary; Barrio, Isabel Lopez; Hygge, Staffan; Stansfeld, Stephen
Previous studies have found that chronic exposure to aircraft noise has a negative effect on children's performance on tests of episodic memory. The present study extended the design of earlier studies in three ways: firstly, by examining the effects of two noise sources, aircraft and road traffic, secondly, by examining exposure-effect relationships, and thirdly, by carrying out parallel field studies in three European countries, allowing cross-country comparisons to be made. A total of 2844 children aged between 8 years 10 months and 12 years 10 months (mean age 10 years 6 months) completed classroom-based tests of cued recall, recognition memory and prospective memory. Questionnaires were also completed by the children and their parents in order to provide information about socioeconomic context. Multilevel modeling analysis revealed aircraft noise to be associated with an impairment of recognition memory in a linear exposure-effect relationship. The analysis also found road traffic noise to be associated with improved performance on cued recall in a linear exposure-effect relationship. No significant association was found between exposure to aircraft noise and cued recall or prospective memory. Likewise, no significant association was found between road traffic noise and recognition or prospective memory. Taken together, these findings indicate that exposure to aircraft noise and road traffic noise can impact on certain aspects of children's episodic memory.
Elmenhorst, Eva-Maria; Quehl, Julia; Müller, Uwe; Basner, Mathias
Various studies indicate that at the same noise level and during the daytime, annoyance increases in the order of rail, road, and aircraft noise. The present study investigates if the same ranking can be found for annoyance to nocturnal exposure and next day cognitive performance. Annoyance ratings and performance change during combined noise exposure were also tested. In the laboratory 72 participants were exposed to air, road, or rail traffic noise and all combinations. The number of noise events and LAS,eq were kept constant. Each morning noise annoyance questionnaires and performance tasks were administered. Aircraft noise annoyance ranked first followed by railway and road noise. A possible explanation is the longer duration of aircraft noise events used in this study compared to road and railway noise events. In contrast to road and rail traffic, aircraft noise annoyance was higher after nights with combined exposure. Pooled noise exposure data showed small but significant impairments in reaction times (6 ms) compared to nights without noise. The noise sources did not have a differential impact on performance. Combined exposure to multiple traffic noise sources did not induce stronger impairments than a single noise source. This was reflected also in low workload ratings.
Powell, C. A.
The annoyance of noise, which consisted of both separate and combined airplane and road-traffic noises, was studied. The subjects judged each session as to how annoyed they were in the simulated living room laboratory environment and as to how annoyed they were if they heard the noise in their home during day, evening, and night periods. The airplane noises, for equal session levels were judged significantly more annoying than the road traffic noises for the separate sessions. For the combined sessions, an interaction was found between the airplane noise and traffic noise levels, which was not adequately assessed by the total energy concept. Significant differences were found between the projected home responses for the day, evening, and night periods.
Ragettli, Martina S; Goudreau, Sophie; Plante, Céline; Perron, Stéphane; Fournier, Michel; Smargiassi, Audrey
There is a lack of studies assessing the exposure-response relationship between transportation noise and annoyance in North America. Our aims were to investigate the prevalence of noise annoyance induced by road traffic, trains and airplanes in relation to distance to transportation noise sources, and to total environmental noise levels in Montreal, Canada; annoyance was assessed as noise-induced disturbance. A telephone-based survey among 4336 persons aged >18 years was conducted. Exposure to total environmental noise (A-weighted outdoor noise levels-LAeq24h and day-evening-night equivalent noise levels-Lden) for each study participant was determined using a statistical noise model (land use regression-LUR) that is based on actual outdoor noise measurements. The proportion of the population annoyed by road traffic, airplane and train noise was 20.1%, 13.0% and 6.1%, respectively. As the distance to major roads, railways and the Montreal International Airport increased, the percentage of people disturbed and highly disturbed due to the corresponding traffic noise significantly decreased. When applying the statistical noise model we found a relationship between noise levels and disturbance from road traffic and total environmental noise, with Prevalence Proportion Ratios (PPR) for highly disturbed people of 1.10 (95% CI: 1.07-1.13) and 1.04 (1.02-1.06) per 1 dB(A) Lden, respectively. Our study provides the first comprehensive information on the relationship between transportation noise levels and disturbance in a Canadian city. LUR models are still in development and further studies on transportation noise induced annoyance are consequently needed, especially for sources other than road traffic.
Postance, Benjamin; Hillier, John; Dixon, Neil; Dijkstra, Tom
Slope instability represents a prevalent hazard to transport networks. In the UK regional road networks are frequently disrupted by multiple slope failures triggered during intense precipitation events; primarily due to a degree of regional homogeneity of slope materials, geomorphology and weather conditions. It is of interest to examine how different locations and combinations of slope failure impact road networks, particularly in the context of projected climate change and a 40% increase in UK road demand by 2040. In this study an extensive number (>50 000) of multiple failure event scenarios are simulated within a dynamic micro simulation to assess traffic impacts during peak flow (7 - 10 AM). Possible failure locations are selected within the county of Gloucestershire (3150 km2) using historic failure sites and British Geological Survey GeoSure data. Initial investigations employ a multiple linear regression analyses to consider the severity of traffic impacts, as measured by time, in respect of spatial and topographical network characteristics including connectivity, density and capacity in proximity to failure sites; the network distance between disruptions in multiple failure scenarios is used to consider the effects of spatial clustering. The UK Department of Transport road travel demand and UKCP09 weather projection data to 2080 provide a suitable basis for traffic simulations and probabilistic slope stability assessments. Future work will thus focus on the development of a catastrophe risk model to simulate traffic impacts under various narratives of future travel demand and slope instability under climatic change. The results of this investigation shall contribute to the understanding of road network vulnerabilities and traffic impacts from climate driven slope hazards.
The flood in June 2013 caused in Germany severe damage to infrastructure and has had a great impact on transportation. Traffic was disrupted in the interregional transportation network including federal highways and long distance railways. Researchers from the Center for Disaster Management and Risk Reduction Technology (CEDIM) aim to develop rapid assessment tools which allow a science based estimation of disaster impacts. This is part of a larger project called Forensic Disaster Analysis (FDA). During the flood event, the CEDIM FDA group on transportation disruptions monitored and recorded traffic reports in Germany to obtain accurate information on road traffic obstructions due to the flood. A rapid initial evaluation of the data was carried out for federal and interstate highways on a district level for the period of May 31 till June 4 2013. In this evaluation, the causes and types of traffic obstruction, as well as the number and duration of flood-caused disruptions are considered. In the evaluated time period of five days, an amount of more than 4,800 hours of flood-related traffic obstructions could be observed in a total of 89 districts. Major traffic disruptions were located in the districts along the Mulde and in the foothills of the Alps. This first initial evaluation will be followed by a detailed statistical analysis including all data collected during the flood event. To assess the impacts of the flood on traffic, a simple traffic simulation considering the disruptions will be carried out using a gravity model.
Lee, Sangbok; Jeong, Byung Yong
Background Truck driving is known as one of the occupations with the highest accident rate. This study investigates the characteristics of traffic collisions according to road types (expressway and rural road). Methods Classifying 267 accidents into expressway and rural road, we analyzed them based on driver characteristics (age, working experience, size of employment), time characteristics (day of accident, time, weather), and accident characteristics (accident causes, accident locations, accident types, driving conditions). Results When we compared the accidents by road conditions, no differences were found between the driver characteristics. However, from the accident characteristics, the injured person distributions were different by the road conditions. In particular, driving while drowsy is shown to be highly related with the accident characteristics. Conclusion This study can be used as a guideline and a base line to develop a plan of action to prevent traffic accidents. It can also help to prepare formal regulations about a truck driver's vehicle maintenance and driving attitude for a precaution on road accidents. PMID:27014489
Perron, Stéphane; Plante, Céline; Ragettli, Martina S; Kaiser, David J; Goudreau, Sophie; Smargiassi, Audrey
The objective of our study was to measure the impact of transportation-related noise and total environmental noise on sleep disturbance for the residents of Montreal, Canada. A telephone-based survey on noise-related sleep disturbance among 4336 persons aged 18 years and over was conducted. LNight for each study participant was estimated using a land use regression (LUR) model. Distance of the respondent's residence to the nearest transportation noise source was also used as an indicator of noise exposure. The proportion of the population whose sleep was disturbed by outdoor environmental noise in the past 4 weeks was 12.4%. The proportion of those affected by road traffic, airplane and railway noise was 4.2%, 1.5% and 1.1%, respectively. We observed an increased prevalence in sleep disturbance for those exposed to both rail and road noise when compared for those exposed to road only. We did not observe an increased prevalence in sleep disturbance for those that were both exposed to road and planes when compared to those exposed to road or planes only. We developed regression models to assess the marginal proportion of sleep disturbance as a function of estimated LNight and distance to transportation noise sources. In our models, sleep disturbance increased with proximity to transportation noise sources (railway, airplane and road traffic) and with increasing LNight values. Our study provides a quantitative estimate of the association between total environmental noise levels estimated using an LUR model and sleep disturbance from transportation noise.
Nordfjærn, Trond; Şimşekoğlu, Özlem; Rundmo, Torbjorn
The majority of previous cross-country studies of human factors relevant to traffic safety have not operationalized and measured culture. Also studies in this vein have mostly been carried out in Europe and the United States. The aim of the study was to examine country cluster differences, based on the Culture's Consequences framework, in road traffic risk perception, attitudes towards traffic safety and driver behaviour in samples from Norway, Russia, India, Ghana, Tanzania, Uganda, Turkey and Iran. An additional aim was to examine cluster differences in road traffic culture as symbol use and to investigate whether this theoretical cultural framework predicts risk perception, attitudes towards traffic safety and driver behaviour in the country clusters. The sample consisted of a total of 2418 individuals who were obtained by convenience sampling in the different countries. The countries segmented into four Culture's Consequences clusters; Norway, Russia and India, Sub-Saharan Africa, and Near East countries. The findings showed that Norwegians reported overall safer attitudes towards traffic safety and driver behaviour than the remaining country clusters. Individuals in Africa reported the highest risk perception. The countries also differed substantially in road traffic culture as symbol use. Contrary to established cultural theory, prediction models revealed that cultural factors were stronger predictors of driver behaviour than of risk perception. Also, the social cognitive risk constructs (i.e. risk perception and attitudes) solely explained variance in driver behaviour in the Norwegian and Russia/India clusters. Previous empirical efforts, which aimed to demonstrate that culture is important for the risk perception criterion, may have focused on a criterion variable that is not strongly related to driver behaviour. Furthermore, countermeasures aimed to influence social cognition may have stronger applicability in countries with a more individualistic western
Choi, Sang-cheon; Min, Young-gi; Lee, In-Soo; Yoon, Gi-Ho; Kang, Bo-Ra; Jung, Yoon-Seok; Cho, Joon-Pil; Kim, Gi-Woon
College student volunteers (n = 142) completed a 580 km road march for 21 consecutive days. Each volunteer carried a backpack that weighed 14.1 ± 1.4 kg on the average. We investigated the incidence and location of blisters associated with the road march using a foot map along with other injuries. Overall, 95.1% of the subjects (135 of 142) sustained one or more injuries. All injured subjects had foot blisters, and 18% had other foot injuries. The most common locations of blister development were the right 5th toe (61%) and the left 5th toe (57%). The little toes seem to have been subjected to the greatest friction and shearing forces. March-related injuries, excluding foot injuries, were ankle pain (12.7%), knee pain (12.7%) and Achilles tendon pain (7.7%). Six subjects (4.2%) needed extra medical treatment for more than 2 weeks prior to returning to their daily lives after completion of the march due to associated injuries. The present study observed a very high incidence rate of injuries (95.1%) associated with the 580 km university students grand road march. These injuries posed an obstacle against completion of the road march and against returning to daily life. Active preventive interventions such as physical therapy and customized reinforced shoes and education program are recommended for reducing incidence rate and severity of injuries.
Choi, Sang-cheon; Min, Young-Gi; Lee, In-Soo; Yoon, Gi-Ho; Kang, Bo-Ra; Jung, Yoon-Seok; Cho, Joon-Pil
College student volunteers (n = 142) completed a 580 km road march for 21 consecutive days. Each volunteer carried a backpack that weighed 14.1 ± 1.4 kg on the average. We investigated the incidence and location of blisters associated with the road march using a foot map along with other injuries. Overall, 95.1% of the subjects (135 of 142) sustained one or more injuries. All injured subjects had foot blisters, and 18% had other foot injuries. The most common locations of blister development were the right 5th toe (61%) and the left 5th toe (57%). The little toes seem to have been subjected to the greatest friction and shearing forces. March-related injuries, excluding foot injuries, were ankle pain (12.7%), knee pain (12.7%) and Achilles tendon pain (7.7%). Six subjects (4.2%) needed extra medical treatment for more than 2 weeks prior to returning to their daily lives after completion of the march due to associated injuries. The present study observed a very high incidence rate of injuries (95.1%) associated with the 580 km university students grand road march. These injuries posed an obstacle against completion of the road march and against returning to daily life. Active preventive interventions such as physical therapy and customized reinforced shoes and education program are recommended for reducing incidence rate and severity of injuries. PMID:24339714
Wang, Ven-Shing; Lo, Ei-Wen; Liang, Chih-Hsiang; Chao, Keh-Ping; Bao, Bo-Ying; Chang, Ta-Yuan
Road traffic noise exposure has been associated with auditory and non-auditory health effects, but few studies report noise characteristics. This study determines 24-h noise levels and analyzes their frequency components to investigate associations between seasons, meteorology, land-use types, and traffic. We set up 50 monitoring stations covering ten different land-use types and conducted measurements at three times of the year to obtain 24-h-average A-weighted equivalent noise levels (LAeq,24h) and frequency analyses from 2013 to 2014 in Taichung, Taiwan. Information on land-use types, road parameters, traffic flow rates, and meteorological variables was also collected for analysis with the annual averages of road traffic noise and its frequency components. The annual average LAeq,24h in Taichung was 66.4 ± 4.7 A-weighed decibels (dBA). Significant differences in LAeq,24h and frequency components were observed between land-use types (all p-values < 0.001), but not between seasons, with the highest two noise levels of 71.2 ± 1.0 dBA and 70.0 ± 2.6 dBA measured in stream-channel and commercial areas, with the highest component being 61.4 ± 5.3 dBA at 1000 Hz. Road width, traffic flow rates, and land-use types were significantly associated with annual average LAeq,24h (all p-values < 0.050). Noise levels at 125 Hz had the highest correlation with total traffic (Spearman's coefficient = 0.795) and the highest prediction in the multiple linear regression (R(2) = 0.803; adjusted R(2) = 0.765). These findings reveal the spatial variation in road traffic noise exposure in Taichung. The highest correlation and predictive capacity was observed between this variation and noise levels at 125 Hz. We recommend that governmental agencies should take actions to reduce noise levels from traffic vehicles.
Wang, Chao; Quddus, Mohammed A; Ison, Stephen G
Traffic congestion and road accidents are two external costs of transport and the reduction of their impacts is often one of the primary objectives for transport policy makers. The relationship between traffic congestion and road accidents however is not apparent and less studied. It is speculated that there may be an inverse relationship between traffic congestion and road accidents, and as such this poses a potential dilemma for transport policy makers. This study aims to explore the impact of traffic congestion on the frequency of road accidents using a spatial analysis approach, while controlling for other relevant factors that may affect road accidents. The M25 London orbital motorway, divided into 70 segments, was chosen to conduct this study and relevant data on road accidents, traffic and road characteristics were collected. A robust technique has been developed to map M25 accidents onto its segments. Since existing studies have often used a proxy to measure the level of congestion, this study has employed a precise congestion measurement. A series of Poisson based non-spatial (such as Poisson-lognormal and Poisson-gamma) and spatial (Poisson-lognormal with conditional autoregressive priors) models have been used to account for the effects of both heterogeneity and spatial correlation. The results suggest that traffic congestion has little or no impact on the frequency of road accidents on the M25 motorway. All other relevant factors have provided results consistent with existing studies.
Anbaroglu, B.; Heydecker, B.; Cheng, T.
Occurrence of non-recurrent traffic congestion hinders the economic activity of a city, as travellers could miss appointments or be late for work or important meetings. Similarly, for shippers, unexpected delays may disrupt just-in-time delivery and manufacturing processes, which could lose them payment. Consequently, research on non-recurrent congestion detection on urban road networks has recently gained attention. By analysing large amounts of traffic data collected on a daily basis, traffic operation centres can improve their methods to detect non-recurrent congestion rapidly and then revise their existing plans to mitigate its effects. Space-time clusters of high link journey time estimates correspond to non-recurrent congestion events. Existing research, however, has not considered the effect of travel demand on the effectiveness of non-recurrent congestion detection methods. Therefore, this paper investigates how travel demand affects detection of non-recurrent traffic congestion detection on urban road networks. Travel demand has been classified into three categories as low, normal and high. The experiments are carried out on London's urban road network, and the results demonstrate the necessity to adjust the relative importance of the component evaluation criteria depending on the travel demand level.
Lambert, J.; Simonnet, F.; Vallet, M.
An inquiry involving a total of 1500 subjects residing in 15 different sites in the conurbations of Lyon and Marseilles was carried out in 1979 with a view to determining the behaviour and attitudes of people with regard to traffic noise. The main purpose of the inquiry was to identify the objective reactions to the traffic noise and to determine how such reactions varied with the noise level, with account taken of the socio-economic characteristics of the subjects (age, income, owner occupier or tenant, etc.). The 08.00-20.00 hour Leq noise level was measured or calculated for each of the dwellings included in the inquiry. The 00.00-05.00 and 20.00-24.00 hour Leq values were also derived for each case and a total of nearly 20 000 different noise levels were involved in the analysis of the data for this inquiry. On considering the completed questionaires it was found that the annoyance experienced during the day was more closely correlated with the noise level ( r = 0·64) than had been the case with the results of previous studies. In addition to showing how traffic noise can interfere with activities and lead, for example, to the closing of windows to shut out the noise, the inquiry yielded information on the way in which activities affected by noise are transferred to quieter rooms, on the extent to which individual dwellings are sound proofed, on the extent to which occupants are likely to move to another dwelling in order to escape from the noise and finally on some aspects of the effects of noise on health and sleep. Thus it appears that a daytime Leq value of more than 65 dB(A) gives rise to what can be regarded as forced behavioural responses to the extent that there are significant changes in the normal way of life of the people concerned and such responses give an indication of the magnitude of the social costs that can be attributed to the undesirable effects of traffic noise.
Yannis, George; Kondyli, Alexandra; Georgopoulou, Xenia
This paper investigates the impact of low cost traffic engineering measures (LCTEMs) on the improvement of road safety in urban areas. A number of such measures were considered, such as speed humps, woonerfs, raised intersections and other traffic calming measures, which have been implemented on one-way, one-lane roads in the Municipality of Neo Psychiko in the Greater Athens Area. Data were analysed using the before-and-after safety analysis methodology with large control group. The selected control group comprised of two Municipalities in the Athens Greater Area, which present similar road network and land use characteristics with the area considered. The application of the methodology showed that the total number of crashes presented a statistically significant reduction, which can be possibly attributed to the introduction of LCTEMs. This reduction concerns passenger cars and single-vehicle crashes and is possibly due to the behavioural improvement of drivers of 25 years old or more. The results of this research are very useful for the identification of the appropriate low cost traffic engineering countermeasures for road safety problems in urban areas.
Wang, Shiguang; Zheng, Lili; Yu, Dexin
The complex network theory is applied to the study of urban road traffic network topology, and we constructed a new measure to characterize an urban road network. It is inspiring to quantify the interaction more appropriately between nodes in complex networks, especially in the field of traffic. The measure takes into account properties of lanes (e.g. number of lanes, width, traffic direction). As much, it is a more comprehensive measure in comparison to previous network measures. It can be used to grasp the features of urban street network more clearly. We applied this measure to the road network in Xiamen, China. Based on a standard method from statistical physics, we examined in more detail the distribution of this new measure and found that (1) due to the limitation of space geographic attributes, traditional research conclusions acquired by using the original definition of degree to study the primal approach modeled urban street network are not very persuasive; (2) both of the direction of the network connection and the degree's odd or even classifications need to be analyzed specifically; (3) the improved degree distribution presents obvious hierarchy, and hierarchical values conform to the power-law distribution, and correlation of our new measure shows some significant segmentation of the urban road network.
Plášek, Vítězslav; Nowak, Arkadiusz; Nobis, Marcin; Kusza, Grzegorz; Kochanowska, Katarzyna
Road traffic emits a cocktail of pollutants that can influence the vegetation and plant diversity in neighboring areas. However, the recovery potential of bryophytes after traffic abandonment is still little explored. In addition, the effects of the main pollutants of road verges, such as metals and salinity, on moss flora need to be investigated. In our study, we compared the moss richness and diversity in two closely related veteran tree allees of high conservation importance. The allees in Gryżów and Lubrza, Poland, were chosen because of their similarity in age, geographical location, type of surrounding areas, and tree species. The only difference was that the trees in Gryżów had not been exposed to direct road pollution for almost 30 years. The moss richness and diversity differed significantly between the sites. Altogether, 20 moss species were recorded on 229 trees, 17 species in Gryżów (abandoned road), and 13 in Lubrza (busy road). We found considerable differences between moss cover on the road-facing and opposite sides of tree trunks. In Lubrza, mosses on the road-facing side were very scarce. The moss cover in Gryżów was highly balanced between trunk sides as well as among trunk heights. Typical epiphytic species such as Bryum moravicum, Dicranoweisia cirrata, Leskea polycarpa, and Orthodicranum tauricum preferred the Gryżów tree stands, where they were present in numbers almost twice as high as that at Lubrza. The study shows that constructing a bypass road could be an effective conservation measure for veteran tree protection with their epiphytic moss flora.
Colburn, Nona T; Meyer, Richard D
A prospective analysis of the injuries of off-road competition motorcyclist at four International Six Day Enduro (ISDE) events was performed utilizing the injury severity score (ISS) and the abbreviated injury scale (AIS). Of the 1787 participants, approximately 10% received injuries that required attention from a medical response unit. The majority (85%) sustained a mild injury (mean ISS 3.9). Loss of control while jumping and striking immovable objects were important risk determinants for serious injury. Although seasoned in off-road experiences, mean 15.3 years, 54% of those injured were first year rookies to the ISDE event. Speeds were below 50 km/h in the majority of accidents (80%), and were not statistically correlated with severity. The most frequently injured anatomical regions were the extremities (57%). The most common types of injury were ligamentous (50%). Seventy-seven percent of all fractures were AIS grades 1 and 2. The most common fractures were those of the foot and ankle (36%). Multiple fractures involving different anatomical regions, or a combination of serious injuries was seen with only one rider. When compared to the injuries of the street motorcyclist, competition riders had lower AIS grades of head and limb trauma. Off-road motorcycle competition is a relatively safe sport with injury rates comparably less than those of contact sports such as American football and hockey.
Meng, Qiang; Qu, Xiaobo; Yong, Kum Thong; Wong, Yoke Heng
Road tunnels are vital infrastructures providing underground vehicular passageways for commuters and motorists. Various quantitative risk assessment (QRA) models have recently been developed and employed to evaluate the safety levels of road tunnels in terms of societal risk (as measured by the F/N curve). For a particular road tunnel, traffic volume and proportion of heavy goods vehicles (HGVs) are two adjustable parameters that may significantly affect the societal risk, and are thus very useful in implementing risk reduction solutions. To evaluate the impact the two contributing factors have on the risk, this article first presents an approach that employs a QRA model to generate societal risk for a series of possible combinations of the two factors. Some combinations may result in F/N curves that do not fulfill a predetermined safety target. This article thus proposes an "excess risk index" in order to quantify the road tunnel risk magnitudes that do not pass the safety target. The two-factor impact analysis can be illustrated by a contour chart based on the excess risk. Finally, the methodology has been applied to Singapore's KPE road tunnel and the results show that in terms of meeting the test safety target for societal risk, the traffic capacity of the tunnel should be no more than 1,200 vehs/h/lane, with a maximum proportion of 18% HGVs.
Yongchaitrakul, Teerachai; Juntakarn, Chantip; Prasartritha, Thavat
The study aims to report annual demographic characteristics and to compare the differences of socioeconomic inequality, type of motor vehicles, and seating relating to major bone injuries among hospitals in and outside Bangkok. Six public hospitals in Bangkok and six regional hospitals in the provinces were studied over a one year period (2008-2009). There were 3,650 cases: 3,596 injured patients and 54 deaths. Patients with a lower education level accounted for the largest number of cases, both in the provinces (46.3%) and Bangkok (17.1%). Their incomes were less than THB 10,000/yearly. Total number of motorcycle cases (3,360) was higher (11.6:1) than 290 cases of motor vehicles. Pickup cars were used more commonly. Riding a motorcycle was likely to be fatal. The front seat was the most common involvement. Passengers occupying the middle and rear seat of the motorcycle were involved in 16.0% and 1.0% cases, respectively. Long bone and joints were the most common injuries. The results strongly confirmed the striking contribution of motorcycles and pickups to road traffic accidents. People with a low educational level, in conjunction with low income, and in areas outside of Bangkok were more at risk. Specific education on road safety should be delivered, preferably in primary schools.
Rios-Torres, Jackeline; Malikopoulos, Andreas; Pisu, Pierluigi
This paper addresses the problem of coordinating online connected vehicles at merging roads to achieve a smooth traffic flow without stop-and-go driving. We present a framework and a closed-form solution that optimize the acceleration profile of each vehicle in terms of fuel economy while avoiding collision with other vehicles at the merging zone. The proposed solution is validated through simulation and it is shown that coordination of connected vehicles can reduce significantly fuel consumption and travel time at merging roads.
Wittmann, Lutz; Zehnder, Daniel; Schredl, Michael; Jenni, Oskar G; Landolt, Markus A
Posttraumatic nightmares are considered as a reexperiencing symptom of the DSM-IV posttraumatic stress disorder (PTSD) diagnosis. Different types of posttraumatic nightmares, however, may differ in their relation to psychopathology. Thirty-two children were longitudinally assessed 10 days, 2 months, and 6 months after traffic accidents. Occurrence and characteristics of nightmares were examined and their relation to psychopathology assessed. Thirty-four percent of children reported posttraumatic nightmares during at least one assessment. Exact replicative nightmares at baseline assessment predicted PTSD symptoms 2 and 6 months postaccident, but not depressive symptoms. Exact replicative nightmares revealed the strongest cross-sectional association with trauma-specific psychopathology but not with depression. The authors conclude that posttraumatic nightmares--especially exact replicative ones--may be closely related to psychopathological mechanisms of posttraumatic stress in children.
Latifi, Rifat; El-Menyar, Ayman; Al-Thani, Hassan; Zarour, Ahmad; Parchani, Ashok; Abdulrahman, Husham; Asim, Mohammad; Peralta, Ruben; Consunji, Rafael
Qatar is a rapidly developing country in which expatriate workers constitute the majority of population. Also, Qatar is an example of right-sided road driving convention (RDC) country. The aim of our study is to analyse the traffic-related pedestrian injuries (TRPI) amongst expatriates in relation to RDC. A retrospective analysis of prospectively collected data of TRPI patients who were admitted to the only Level I trauma centre in Qatar between 2009 and 2011 was performed. Demographics, country of origin, time of injury, injury severity score (ISS), RDC, morbidity and mortality were analysed. Of the 4997 injured patients, 601 (12%) were pedestrians. Of these, 92% were expatriates. The mean age was 31.8 ± 17 and 64% of them were 18-45 years old. Mean ISS was higher in those who were injured on weekends (15.4 ± 10) in comparison to working days (13.5 ± 10) (p = 0.04). The overall mortality was 15%. Sixty-seven percent of those who died were from left RDC countries. Expatriate workers, originally from left RDC countries are disproportionately affected by TRPI. This group of injured patients requires focused injury prevention programmes that are culture and language appropriate.
Di Bartolomeo, Stefano; Valent, Francesca; Sbrojavacca, Rodolfo; Marchetti, Riccardo; Barbone, Fabio
Background The case-crossover (CC) design has proved effective to investigate the association between alcohol use and injuries in general, but has never been applied to study alcohol use and road traffic crashes (RTCs) specifically. This study aims at investigating the association between alcohol and meal consumption and the risk of RTCs using intrapersonal comparisons of subjects while driving. Methods Drivers admitted to an Italian emergency room (ER) after RTCs in 2007 were interviewed about personal, vehicle, and crash characteristics as well as hourly patterns of driving, and alcohol and food intake in the 24 hours before the crash. The odds ratio (OR) of a RTC was estimated through a CC, matched pair interval approach. Alcohol and meal consumption 6 and 2 hours before the RTC (case exposure window) were compared with exposures in earlier control windows of analogous length. Results Of 574 patients enrolled, 326 (56.8%) reported previous driving from 6 to 18 hours before the RTC and were eligible for analysis. The ORs (mutually adjusted) were 2.25 (95%CI 1.11-4.57) for alcohol and 0.94 (0.47-1.88) for meals. OR for alcohol was already increased at low (1-2 units) doses - 2.17 (1.03-4.57) and the trend of increase for each unit was significant - 1.64 (95%CI 1.05-2.57). In drivers at fault the OR for alcohol was 21.22 (2.31-194.79). The OR estimate for meal consumption seemed to increase in case of previous sleep deprivation, 2.06 (0.25-17.00). Conclusion Each single unit of acute alcohol consumption increases the risk of RTCs, in contrast with the 'legal' threshold allowed in some countries. Meal consumption is not associated with RTCs, but its combined effects with sleepiness need further elucidation. PMID:19723319
Stübig, Timo; Petri, Maximilian; Zeckey, Christian; Brand, Stephan; Müller, Christian; Otte, Dietmar; Krettek, Christian; Haasper, Carl
Alcohol is one of the most important personal risk factors for serious and fatal injuries, contributing to approximately one third of all deaths from accidents. It is also described that alcohol intoxication leads to a higher mortality in the clinical course. In this study, we hypothesized that alcohol intoxication leads to different accident kinematics, a higher ISS (Injury Severity Score), and higher preclinical mortality compared to sober patients. A technical and medical investigation of alcohol intoxicated road users was performed on the scene of the crash and at the primary admitting hospital. Alcohol testing was performed with either breath alcohol tests or measurement of blood alcohol concentration (BAC) in a standard laboratory test. Between 1999 and 2010, 37,635 road traffic accidents were evaluated by the Accident Research Unit. Overall 20,741 patients were injured, 2.3% of the patients were killed. Among the injured patients, 2.2% with negative BAC were killed, compared to 4.6% fatal injuries in patients with a positive BAC (p < 0.0001). Of the patients with a positive BAC, 8.0% were severely injured, compared to 3.6% in the BAC negative group (p < 0.0001). Regarding the relative speed at impact (Δv for motorized drivers, vehicle collision speed for pedestrians and bikers), there was a significant higher difference for BAC positive patients (30 ± 20) compared to the BAC negative patients (25 ± 19, p < 0.0001). Alcohol intoxication in trauma patients leads to higher preclinical mortality, higher impact speed difference, and higher injury severity. The subgroup analysis for different alcohol concentrations shows no difference in ISS, MAIS, and relative speed, but a correlation of increasing age of patients with higher alcohol concentrations.
Marzoug, R.; Ez-Zahraouy, H.; Benyoussef, A.
The control of vehicles in urban traffic is a requirement to maximize the flow and to ensure the safety of traffic. Using the cellular automata Nagel-Schreckenberg (NaSch) model within a parallel dynamic update, we studied the effect of the intersection of two symmetrical roads, with typical periodic boundary conditions. It is found that the fundamental diagram depends strongly on the probability P of priority and the probability P1 of changing the road at the intersection. Beside the free flow, the platoon and the jamming phases, the fundamental diagram exhibits a fourth new phase occurring for any value of P ≠ 0.5, which disappears gradually as one increases the probability P, and disappears completely for P = 0.5. The effects of the braking probability Pb on the fundamental diagram and space time structures are also computed for different values of maximal velocities.
Kageyama, T.; Kabuto, M.; Nitta, N.; Kurokawa, Y.; Taira, K.; Suzuki, S.; Takemoto, T.
In an effort to determine the contribution of night-time road traffic noise to insomnia in the general population, 3600 adult Japanese women living in urban residential areas were surveyed. Living near a road with a heavy traffic volume is one of the risk factors for insomnia. The risk for insomnia in the zones 0-20 m from the main roads increased linearly with the night-time traffic volume. This suggests that road traffic noise raises the sound level in bedrooms in such zones, and consequently the prevalence rate of insomnia among the residents, and that noise-induced insomnia is an important public health problem, at least in highly urbanized areas.
Blond, N.; Ho, B. Q.; Clappier, A.
Road traffic emissions are one of the main sources of air pollution in the cities. They are also the main sources of uncertainties in the air quality numerical models used to forecast and define abatement strategies. Until now, the available models for generating road traffic emission always required a big effort, money and time. This inhibits decisions to preserve air quality, especially in developing countries where road traffic emissions are changing very fast. In this research, we developed a new model designed to fast produce road traffic emission inventories. This model, called EMISENS, combines the well-known top-down and bottom-up approaches to force them to be coherent. A Monte Carlo methodology is included for computing emission uncertainties and the uncertainty rate due to each input parameters. This paper presents the EMISENS model and a demonstration of its capabilities through an application over Strasbourg region (Alsace), France. Same input data as collected for Circul'air model (using bottom-up approach) which has been applied for many years to forecast and study air pollution by the Alsatian air quality agency, ASPA, are used to evaluate the impact of several simplifications that a user could operate . These experiments give the possibility to review older methodologies and evaluate EMISENS results when few input data are available to produce emission inventories, as in developing countries and assumptions need to be done. We show that same average fraction of mileage driven with a cold engine can be used for all the cells of the study domain and one emission factor could replace both cold and hot emission factors.
Gopaul, Chavin D.; Singh-Gopaul, Aruna; Sutherland, Joan M.; Rostant, Luke; Ebi, Kristie L.; Chadee, Dave D.
Summary of what was known • Few studies on road traffic collisions conducted in Latin American and the Caribbean region • Increasing car ownership within the region • Lack of seatbelt usage in Trinidad • Most accidents are associated with alcohol usage • High mortality among pedestrians Summary of what this study adds • Most collisions occur at night • Most collisions occur at weekends • Collisions are evenly distributed throughout the year • More males than females die in fatal collisions • The most productive age group (15–44) is affected the most • More drivers than pedestrians are affected • Reflects the pattern of developed rather than developing countries with respect to time of day for RTCs Background The purpose of the study is to determine the epidemiology of road traffic collisions (RTCs) in Trinidad and Tobago by characterizing RTCs in terms of number of collisions, fatalities, victim profiles, and locations for the purpose of informing accident prevention programs. Previous studies of RTCs in Trinidad and Tobago were primarily concerned with patterns of drivers use of seat belts, road collisions as a cause of mortality in young men, and the economic burden of road collisions. Attempts were made to model road fatalities, but limited epidemiological data meant that it was difficult to determine trends or develop models. Methods This study determined the epidemiology of RTCs in Trinidad and Tobago over the period 2000–2011 using data collected by the Trinidad and Tobago Road Traffic Branch of the Police Service and secondary data from the Central Statistical Office. Data were analyzed using Excel, SPSS, and R statistical packages. Results Fatalities were greater among men (80%) than among women (20%) and were highest on two major freeways in Trinidad [the Churchill–Roosevelt Highway and the Sir Solomon Hochoy Highway]. Most collisions occurred during the night among individuals between the ages of 15
Noise pollution from anthropogenic sources is an increasingly problematic challenge faced by many taxa, including fishes. Recent studies demonstrate that road traffic noise propagates effectively from bridge crossings into surrounding freshwater ecosystems; yet, its effect on the stress response and auditory function of freshwater stream fishes is unexamined. The blacktail shiner (Cyprinella venusta) was used as a model to investigate the degree to which traffic noise impacts stress and hearing in exposed fishes. Fish were exposed to an underwater recording of traffic noise played at approximately 140 dB re 1 μPa. Waterborne cortisol samples were collected and quantified using enzyme immunoassay (EIA). Auditory thresholds were assessed in control and traffic exposed groups by measuring auditory evoked potentials (AEPs). After acute exposure to traffic noise, fish exhibited a significant elevation in cortisol levels. Individuals exposed to 2 hours of traffic noise playback had elevated hearing thresholds at 300 and 400 Hz, corresponding to the most sensitive bandwidth for this species. PMID:26398211
KUROIWA, M.; XIN, P.; SUZUKI, S.; SASAZAWA, Y.; KAWADA, T.; TAMURA, Y.
The habituation of sleep to road traffic noise was investigated. Habituation of sleep is improvement of sleep quality. Nine male students aged 19-21 were exposed to tape-recorded road traffic noise ofLeq 49·6 dB(A) in an experimental bedroom. Among 17 nights, the first four and the last three nights were non-exposure nights and the other consecutive 10 were exposure nights. The polygraphic sleep parameters were: sleep stages S1, S2, S(3+4), rapid eye movements (REM), and so on. Subjective sleep quality was assessed by five scales of a self-rating sleep questionnaire named the OSA, sleepiness (F1), sleep maintenance (F2), worry (F3), integrated sleep feeling (F4), and sleep initiation (F5). In this experiment, the habituation of sleep to road traffic noise was observed clearly in all of the subjective sleep parameters of the OSA, though all of the polygraphic sleep parameters showed little or no evidence of habituation. This suggests that habituation to noise has two aspects, sensation and perception mechanisms, corresponding to sleep polygraphy and to questionnaire respectively.
Aasvang, Gunn Marit; Øverland, Britt; Ursin, Reidun; Moum, Torbjørn
The aim of this study was to explore and compare the effect of noise from railway and road traffic on sleep in subjects habitually exposed to nocturnal noise. Forty young and middle aged healthy subjects were studied with polysomnography (PSG) during two consecutive nights in their own bedroom. Noise measurements and recordings were conducted concurrently outside of the bedroom façade as well as inside the bedroom of each participant. Different noise exposure parameters were calculated (L(p,A,eq,night), L(p,A,Fmax,night), and L(AF5,night)) and analyzed in relation to whole-night sleep parameters. The group exposed to railway noise had significantly less Rapid eye movement, (REM) sleep than the group exposed to road traffic noise. A significant association was found between the maximum level (L(p,A,Fmax,night)) of railway noise and time spent in REM sleep. REM sleep was significantly shorter in the group exposed to at least a single railway noise event above 50 dB inside the bedroom. These results, obtained in an ecological valid setting, support previous laboratory findings that railway noise has a stronger impact than road traffic noise on physiological parameters during sleep, and that the maximum noise level is an important predictor of noise effects on sleep assessed by PSG, at least for railway noise.
Niu, Qiang; Yang, Xu; Gao, Shouwan; Chen, Pengpeng; Chan, Shibing
Localization is crucial for the monitoring applications of cities, such as road monitoring, environment surveillance, vehicle tracking, etc. In urban road sensor networks, sensors are often sparely deployed due to the hardware cost. Under this sparse deployment, sensors cannot communicate with each other via ranging hardware or one-hop connectivity, rendering the existing localization solutions ineffective. To address this issue, this paper proposes a novel Traffic Lights Schedule-based localization algorithm (TLS), which is built on the fact that vehicles move through the intersection with a known traffic light schedule. We can first obtain the law by binary vehicle detection time stamps and describe the law as a matrix, called a detection matrix. At the same time, we can also use the known traffic light information to construct the matrices, which can be formed as a collection called a known matrix collection. The detection matrix is then matched in the known matrix collection for identifying where sensors are located on urban roads. We evaluate our algorithm by extensive simulation. The results show that the localization accuracy of intersection sensors can reach more than 90%. In addition, we compare it with a state-of-the-art algorithm and prove that it has a wider operational region. PMID:27735871
Yamamoto, Toshiyuki; Hashiji, Junpei; Shankar, Venkataraman N
Injury severities in traffic accidents are usually recorded on ordinal scales, and statistical models have been applied to investigate the effects of driver factors, vehicle characteristics, road geometrics and environmental conditions on injury severity. The unknown parameters in the models are in general estimated assuming random sampling from the population. Traffic accident data however suffer from underreporting effects, especially for lower injury severities. As a result, traffic accident data can be regarded as outcome-based samples with unknown population shares of the injury severities. An outcome-based sample is overrepresented by accidents of higher severities. As a result, outcome-based samples result in biased parameters which skew our inferences on the effect of key safety variables such as safety belt usage. The pseudo-likelihood function for the case with unknown population shares, which is the same as the conditional maximum likelihood for the case with known population shares, is applied in this study to examine the effects of severity underreporting on the parameter estimates. Sequential binary probit models and ordered-response probit models of injury severity are developed and compared in this study. Sequential binary probit models assume that the factors determining the severity change according to the level of the severity itself, while ordered-response probit models assume that the same factors correlate across all levels of severity. Estimation results suggest that the sequential binary probit models outperform the ordered-response probit models, and that the coefficient estimates for lap and shoulder belt use are biased if underreporting is not considered. Mean parameter bias due to underreporting can be significant. The findings show that underreporting on the outcome dimension may induce bias in inferences on a variety of factors. In particular, if underreporting is not accounted for, the marginal impacts of a variety of factors appear
Banerjee, D; Chakraborty, S K; Bhattacharyya, S; Gangopadhyay, A
The major objective of the investigation was to evaluate the road traffic noise and its likely impacts on the local community of Asansol city (West Bengal, India) by monitoring and modeling. The attitudinal response of local population due to existing vehicular noise is presented in the paper. Noise and Attitudinal Survey was conducted at 25 locations. A total of 869 individuals were surveyed. The relationship between traffic noise levels and annoyance was studied using correlation, linear and multiple linear regressions analysis. The average L(dn) value was 73.28 +/- 8.51 dB(A) (55.1-87.3); The Traffic Noise Index (TNI) was 80.62 +/- 15.88 dB(A) (49.4-115.8). The mean value of percent of population Highly Annoyed (%HA) due to road traffic noise was 26.50 +/- 3.37 (19.44-33.2), whereas the mean dissatisfaction score (MDS) was 2.96 +/- 0.90 (1.04-4.45). Annoyance modeling was also performed based on field data. It can be said that Noise values gives desirable annoyance predicting values in comparison to vehicular data.
Paixão, Lúcia Maria Miana Mattos; Gontijo, Eliana Dias; Mingoti, Sueli Aparecida; Costa, Dário Alves da Silva; Friche, Amélia Augusta de Lima; Caiaffa, Waleska Teixeira
This study analyzes the profile of deaths from road traffic accidents in Belo Horizonte, Minas Gerais State, Brazil, by linking two public databases, the Information System of the Urban Transportation and Transit Company (BH10) and the Mortality Information System (SIM). The linked database (n = 306) identified a 24% under-recording rate for deaths and differed in the age distribution from the BH10 database and in roadway user category when compared to the mortality database. The mortality rate for road traffic accidents within the city limits was 10.2 per 100,000 thousand, and was higher among men, young adults, and the elderly. Poisson multivariate regression showed a higher mean death rate for motorcycle occupants (rate ratio - RR: 1.81); pedestrians (RR: 1.32); males (RR: 1.24); single/divorced (RR: 1.27); young adults 18-29 years of age (RR: 1.75); elderly (RR: 1.59); and deaths at the crash site (RR: 1.39) when compared to the reference categories. The study unveils the city's traffic violence, expressed by the large proportion of deaths at the crash site and within the first 24 hours, and confirms the relevance of database linkage for characterizing vulnerable groups and traffic accident mortality in the urban setting.
Andersson, Anna K; Chapman, Lee
Winter weather can be a significant cause of road traffic accidents. This paper uses UKCIP climate change scenarios and a temporal analogue to investigate the relationship between temperature and severe road accidents in the West Midlands, UK. This approach also allows quantification of the changes in the severity of the winter season over the next century in the region. It is demonstrated that the predicted reduction in the number of frost days should in turn reduce the number of road accidents caused due to slipperiness by approximately 50%. However, the paper concludes by warning against complacency in winter maintenance regimes. A warmer climate may result in budget cuts for highway maintenance which in turn may well reverse declining accident trends.
Perron, Stéphane; Plante, Céline; Ragettli, Martina S.; Kaiser, David J.; Goudreau, Sophie; Smargiassi, Audrey
The objective of our study was to measure the impact of transportation-related noise and total environmental noise on sleep disturbance for the residents of Montreal, Canada. A telephone-based survey on noise-related sleep disturbance among 4336 persons aged 18 years and over was conducted. LNight for each study participant was estimated using a land use regression (LUR) model. Distance of the respondent’s residence to the nearest transportation noise source was also used as an indicator of noise exposure. The proportion of the population whose sleep was disturbed by outdoor environmental noise in the past 4 weeks was 12.4%. The proportion of those affected by road traffic, airplane and railway noise was 4.2%, 1.5% and 1.1%, respectively. We observed an increased prevalence in sleep disturbance for those exposed to both rail and road noise when compared for those exposed to road only. We did not observe an increased prevalence in sleep disturbance for those that were both exposed to road and planes when compared to those exposed to road or planes only. We developed regression models to assess the marginal proportion of sleep disturbance as a function of estimated LNight and distance to transportation noise sources. In our models, sleep disturbance increased with proximity to transportation noise sources (railway, airplane and road traffic) and with increasing LNight values. Our study provides a quantitative estimate of the association between total environmental noise levels estimated using an LUR model and sleep disturbance from transportation noise. PMID:27529260
Noora, Charles Lwanga; Afari, Edwin Andrews; Nuoh, Robert Domo; Adjei, Eric Yirenkyi; Anthony, Gershon Kobla; Abdulai, Marijanatu; Sackey, Samuel Oko; Kenu, Ernest; Nyarko, Kofi Mensah
Introduction Pedestrian behavior and adherence to road traffic regulation is vital in the prevention and control of road traffic accidents (RTA) especially on highways in Ghana. We assessed pedestrians’ adherence to road crossing regulations on the George Walker Bush (N1) Highway in Accra. Methods We conducted a cross sectional study of pedestrians crossing the N1 highway from both sides of the road between 7:00 am and 11:00am. We observed all pedestrians using a checklist and interviewed 413 using a structured questionnaire. We collected data on basic demographics, and pedestrians’ knowledge on road crossing (exposures). Data was, cleaned and analyzed using Epi-info version 3.5.4. Pearson Chi-square was used to assess differences in proportions for categorical variables. Binary logistic regression was used to test for association between pedestrian choice of route and exposures. Results We observed (n = 1856) pedestrians crossing the road during the study period; 1155 (62.2%) males, 461 (24.8%) did not use the approved route(s). Majority 317(76.8%) were adults between the ages of 20-49, mostly males 265 (56.4%). Most people (92.7%) had at least basic education. AOR for sex (male) was 1.7(1.1-2.6), and regular use of Highway (always) was 0.4(0.2-0.8) at 95% CI. Conclusion One out of every 4pedestrians using the N1 Highway used an unapproved route. Majority of pedestrians who regularly cross the Highway at unapproved routes were males. We recommend vigorous public education and addition of more footbridges. PMID:28149436
OBJECTIVES Speeding and passing are considered to be the main human factors resulting in road traffic injuries (RTIs). This study aimed to estimate the population attributeable fraction (PAF) of speeding and passing in RTIs in rural Iran during 2012. METHODS The contribution of speeding and passing to RTI-related morbidity and mortality was estimated using the PAF method. The prevalence of speeding and passing was obtained from the national traffic police data registry. A logistic regression model was used to measure the association between the above risk factors and RTIs. RESULTS Speeding accounted for 20.96% and 16.61% of rural road-related deaths and injuries, respectively. The corresponding values for passing were 13.50% and 13.44%, respectively. Jointly, the PAF of these factors was 31.63% for road-related deaths and 27.81% for injuries. CONCLUSIONS This study illustrates the importance of controlling speeding and passing as a high-priority aspect of public-health approaches to RTIs in Iran. It is recommended that laws restricting speeding and passing be enforced more strictly. PMID:27608807
Alizadeh, A; Zare, M; Darparesh, M; Mohseni, S; Soleimani-Ahmadi, M
Road traffic accidents including intercity car traffic accidents (ICTAs) are among the most important causes of morbidity and mortality due to the growing number of vehicles, risky behaviors, and changes in lifestyle of the general population. A sound knowledge of the geographical distribution of car traffic accidents can be considered as an approach towards the accident causation and it can be used as an administrative tool in allocating the sources for traffic accidents prevention. This study was conducted to investigate the geographical distribution and the time trend of fatal intercity car traffic accidents in Iran. To conduct this descriptive study, all Iranian intercity road traffic mortality data were obtained from the Police reports in the Statistical Yearbook of the Governor's Budget and Planning. The obtained data were for 17 complete Iranian calendar years from March 1997 to March 2012. The incidence rate (IR) of fatal ICTAs for each year was calculated as the total number of fatal ICTAs in every 100000 population in specified time intervals. Figures and maps indicating the trends and geographical distribution of fatal ICTAs were prepared while using Microsoft Excel and ArcGis9.2 software. The number of fatal car accidents showed a general increasing trend from 3000 in 1996 to 13500 in 2012. The incidence of fatal intercity car accidents has changed from six in 100000 population in 1996 to 18 in 100000 population in 2012. GIS based data showed that the incidence rate of ICTAs in different provinces of Iran was very divergent. The highest incidence of fatal ICTAs was in Semnan province (IR= 35.2), followed by North Khorasan (IR=22.7), and South Khorasan (IR=22). The least incidence of fatal ICTAs was in Tehran province (IR=2.4) followed by Khozestan (IR=6.5), and Eastern Azarbayejan (IR=6.6). The compensation cost of fatal ICTAs also showed an increasing trend during the studied period. Since an increasing amount of money was being paid yearly for the car
Alizadeh, A; Zare, M; Darparesh, M; Mohseni, S; Soleimani-Ahmadi, M
Road traffic accidents including intercity car traffic accidents (ICTAs) are among the most important causes of morbidity and mortality due to the growing number of vehicles, risky behaviors, and changes in lifestyle of the general population. A sound knowledge of the geographical distribution of car traffic accidents can be considered as an approach towards the accident causation and it can be used as an administrative tool in allocating the sources for traffic accidents prevention. This study was conducted to investigate the geographical distribution and the time trend of fatal intercity car traffic accidents in Iran. To conduct this descriptive study, all Iranian intercity road traffic mortality data were obtained from the Police reports in the Statistical Yearbook of the Governor’s Budget and Planning. The obtained data were for 17 complete Iranian calendar years from March 1997 to March 2012. The incidence rate (IR) of fatal ICTAs for each year was calculated as the total number of fatal ICTAs in every 100000 population in specified time intervals. Figures and maps indicating the trends and geographical distribution of fatal ICTAs were prepared while using Microsoft Excel and ArcGis9.2 software. The number of fatal car accidents showed a general increasing trend from 3000 in 1996 to 13500 in 2012. The incidence of fatal intercity car accidents has changed from six in 100000 population in 1996 to 18 in 100000 population in 2012. GIS based data showed that the incidence rate of ICTAs in different provinces of Iran was very divergent. The highest incidence of fatal ICTAs was in Semnan province (IR= 35.2), followed by North Khorasan (IR=22.7), and South Khorasan (IR=22). The least incidence of fatal ICTAs was in Tehran province (IR=2.4) followed by Khozestan (IR=6.5), and Eastern Azarbayejan (IR=6.6). The compensation cost of fatal ICTAs also showed an increasing trend during the studied period. Since an increasing amount of money was being paid yearly for the
Mazerolle, M.J.; Huot, M.; Gravel, M.
Nocturnal car traffic often results in amphibian casualties, especially during rainy nights. The behavior of amphibians presumably influences their vulnerability to mortality on the road, but this hypothesis remains untested. We investigated the behavioral response of individuals of six species of amphibians on roads when confronted by an approaching vehicle. We first conducted a field study consisting of 50 night-driving surveys over 4 yr during which we recorded the behavior (i.e., moving or immobile) of frogs, toads, tree frogs, and salamanders encountered on a 20-km stretch of road. In an effort to tease apart the effects of headlights and the sound of motors on amphibian behavior, we carried out a field experiment on a test road where we exposed individuals to different car-associated stimuli. Here, we tested the hypothesis that simultaneous exposure to headlights and the sound of a car motor would elicit a stronger response than exposure to a single stimulus or a control. Based on the observations of the 2767 individuals in the field survey, immobility was the most common response to the approach of a car (mean probability of 0.82 of remaining immobile); the response differed across species but depended on the season of the survey (May-June vs. July-September). Similarly, the 91 individuals included in the field experiment were more likely to move during the control treatment than during any of the car-associated treatments. The combined stimuli elicited the strongest response, followed by the headlights-only and the motor-only treatments. Spring peepers (Pseudacris crucifer) tended to move more often than the other species we tested in the field experiment, which suggests they spend less time on the road and are less vulnerable to traffic mortality than other species. Both the field survey and field experiment consistently indicated that amphibians tend to remain immobile at the approach of a vehicle. This behavior highlights the vulnerability of amphibians
Minguillón, M. C.; Rivas, I.; Moreno, T.; Alastuey, A.; Font, O.; Córdoba, P.; Álvarez-Pedrerol, M.; Sunyer, J.; Querol, X.
Urban air pollution has a greater impact on children's health compared to adults. In the framework of the BREATHE (BRain dEvelopment and Air polluTion ultrafine particles in scHool childrEn) project, the present work studies the impact of road traffic and the presence of sandy playgrounds on the outdoor air quality around schools. Four schools were selected for intensive campaigns of one month. PM2.5 samples were collected daily from 8:00 to 20:00 and chemically analysed. Real time measurements of NOx, black carbon (BC), PM1, PM2.5 and PM10 concentrations were carried out. Sand samples from five school playgrounds were characterized. The results confirm the representativeness of the general BREATHE project campaigns (eight weekdays measurements at each of the 39 schools). NOx, BC and PMx concentrations were higher in the school located nearest to traffic in the city centre with the daily pattern reflecting the traffic rush hours. The NOx concentrations were found to decrease with distance to the main road. The road traffic influence on ambient pollutants was higher on weekdays than weekends. The PM10 concentrations at one of the schools were mainly driven by the influence of the sandy playground, with peaks up to 25, 57 and 12 times higher than night background concentrations during mid-morning break, lunch break and end of school day, respectively. The airborne mineral matter concentrations registered at this school further confirm this origin. Nevertheless the influence of the re-suspension from the sandy playground was very local and decreased drastically within a short distance. The possible impact of the use of the private car for children's commuting on the outdoor air quality of the schools cannot be quantitatively assessed due to the overlapping with the rush hour of the city.
Banerjee, Dibyendu; Das, Partha P; Fouzdar, Anjan
Results from studies involving exposure to road traffic noise and risk of hypertension are diverse and have seldom reached statistical significance. This study was designed with the aim of investigating whether there is any association between road traffic noise and prevalence of hypertension in an urban adult population. Similar studies have never been reported from India. A cross-sectional study was performed on 909 adults (533 female and 376 male) aged 18-80 years residing in close proximity to roadways in Asansol City. Time-weighted equivalent noise level (L den) was estimated using a standard modeling platform. Odds for hypertension in relation to traffic noise exposure were estimated by univariate and multifactorial logistic regression. The adjusted odds ratio (OR) for self-reported hypertension was 1.99 (95 % confidence interval (CI) 1.66-2.39) per 5 dB(A) increase of L den (range 55.1-77.9). A gender-related risk difference was observed among the male (OR 1.81 (1.42-2.31)) and female (OR 2.18 (1.66-2.88)) respondents. For increase in 9 years of age, the odds of hypertension risk increased by 60 % (OR 1.66 (1.43-1.91) among those exposed above L den 60 dB(A). Vulnerable subgroups were female aged 35-54 years and male aged 45-54 years. The study suggests that a threshold exposure to road traffic noise at L den > 65 dB(A) for men and L den > 60 dB(A) in women may be associated with the occurrence of hypertension.
Oliveira, César; Pio, Casimiro; Caseiro, Alexandre; Santos, Patrícia; Nunes, Teresa; Mao, Hongjun; Luahana, Lakhumal; Sokhi, Ranjeet
At urban areas in south Europe atmospheric aerosol levels are frequently above legislation limits as a result of road traffic and favourable climatic conditions for photochemical formation and dust suspension. Strategies for urban particulate pollution control have to take into account specific regional characteristics and need correct information concerning the sources of the aerosol. With these objectives, the ionic and elemental composition of the fine (PM 2.5) and coarse (PM 2.5-10) aerosol was measured at two contrasting sites in the centre of the city of Oporto, roadside (R) and urban background (UB), during two campaigns, in winter and summer. Application of Spatial Variability Factors, in association with Principal Component/Multilinear Regression/Inter-site Mass Balance Analysis, to aerosol data permitted to identify and quantify 5 main groups of sources, namely direct car emissions, industry, photochemical production, dust suspension and sea salt transport. Traffic strongly influenced PM mass and composition. Direct car emissions and road dust resuspension contributed with 44-66% to the fine aerosol and with 12 to 55% to the coarse particles mass at both sites, showing typically highest loads at roadside. In fine particles secondary origin was also quite important in aerosol loading, principally during summer, with 28-48% mass contribution, at R and UB sites respectively. Sea spray has an important contribution of 18-28% to coarse aerosol mass in the studied area, with a highest relative contribution at UB site. Application of Spatial Variability/Mass Balance Analysis permitted the estimation of traffic contribution to soil dust in both size ranges, across sites and seasons, demonstrating that as much as 80% of present dust can result from road traffic resuspension.
Theofilatos, Athanasios; Yannis, George
Taking into consideration the increasing availability of real-time traffic data and stimulated by the importance of proactive safety management, this paper attempts to provide a review of the effect of traffic and weather characteristics on road safety, identify the gaps and discuss the needs for further research. Despite the existence of generally mixed evidence on the effect of traffic parameters, a few patterns can be observed. For instance, traffic flow seems to have a non-linear relationship with accident rates, even though some studies suggest linear relationship with accidents. On the other hand, increased speed limits have found to have a straightforward positive relationship with accident occurrence. Regarding weather effects, the effect of precipitation is quite consistent and leads generally to increased accident frequency but does not seem to have a consistent effect on severity. The impact of other weather parameters on safety, such as visibility, wind speed and temperature is not found straightforward so far. The increasing use of real-time data not only makes easier to identify the safety impact of traffic and weather characteristics, but most importantly makes possible the identification of their combined effect. The more systematic use of these real-time data may address several of the research gaps identified in this research.
Zeng, Qiang; Huang, Helai
This study proposes a Bayesian spatial joint model of crash prediction including both road segments and intersections located in an urban road network, through which the spatial correlations between heterogeneous types of entities could be considered. A road network in Hillsborough, Florida, with crash, road, and traffic characteristics data for a three-year period was selected in order to compare the proposed joint model with three site-level crash prediction models, that is, the Poisson, negative binomial (NB), and conditional autoregressive (CAR) models. According to the results, the CAR and Joint models outperform the Poisson and NB models in terms of model fitting and predictive performance, which indicates the reasonableness of considering cross-entity spatial correlations. Although the goodness-of-fit and predictive performance of the CAR and Joint models are equivalent in this case study, spatial correlations between segments and the connected intersections are found to be more significant than those solely between segments or between intersections, which supports the employment of the Joint model as an alternative in road-network-level safety modeling.
López, Griselda; de Oña, Juan; Garach, Laura; Baena, Leticia
One of the main objectives of all public administrations is reducing traffic crashes. To this end, Road Safety Inspections (RSI) stand out as a key measure. Signaling roads is one of the foremost tasks of RSI. A road that is improperly or poorly signaled can lead to incorrect placement or maneuvers of vehicles and ambiguous situations that can increase the risk of crashes. This paper analyses the relationship between road crashes in two-lane rural highways and certain deficiencies in signaling. The results show that deficiencies such as "incomplete removal of road works markings" or "no guide sign or in incorrect position" are the ones associated with a higher probability of crashes in two-lane rural highways. In view of these results, governmental agencies should verify that the original conditions of a highway are re-established after any construction work is completed. They should also continuously follow up on the signaling of this type of highway in order to maintain optimal conditions.
Shi, Xiao-Qiu; Wu, Yi-Qi; Li, Hong; Zhong, Rui
Two-dimensional cellular automaton model has been broadly researched for traffic flow, as it reveals the main characteristics of the traffic networks in cities. Based on the BML models, a first-order phase transition occurs between the low-density moving phase in which all cars move at maximal speed and the high-density jammed phase in which all cars are stopped. However, it is not a physical result of a realistic system. We propose a new traffic rule in a two-dimensional traffic flow model containing road sections, which reflects that a car cannot enter into a road crossing if the road section in front of the crossing is occupied by another car. The simulation results reveal a second-order phase transition that separates the free flow phase from the jammed phase. In this way the system will not be entirely jammed (“don’t block the box” as in New York City).
Background Literature shows that not only are traffic injuries due to accidents, but that there is also a correlation between different chronic conditions, the consumption of certain types of drugs, the intake of psychoactive substances and the self perception of risk (Health Belief Model) and the impact/incidence of traffic accidents. There are few studies on these aspects in primary health care. The objectives of our study are: Main aim: To outline the distribution of risk factors associated with Road Traffic Injuries (RTI) in a driving population assigned to a group of primary health care centres in Barcelona province. Secondly, we aim to study the distribution of diverse risk factors related to the possibility of suffering an RTI according to age, sex and population groups, to assess the relationship between these same risk factors and self risk perception for suffering an RTI, and to outline the association between the number of risk factors and the history of reported collisions. Methods/Design Design: Cross-sectional, multicentre study. Setting: 25 urban health care centres. Study population: Randomly selected sample of Spanish/Catalan speakers age 16 or above with a medical register in any of the 25 participating primary health care centres. N = 1540. Unit of study: Basic unit of care, consisting of a general practitioner and a nurse, both of whom caring for the same population (1,500 to 2,000 people per unit). Instruments of measurement: Data collection will be performed using a survey carried out by health professionals, who will use the clinical registers and the information reported by the patient during the visit to collect the baseline data: illnesses, medication intake, alcohol and psychoactive consumption, and self perception of risk. Discussion We expect to obtain a risk profile of the subjects in relation to RTI in the primary health care field, and to create a group for a prospective follow-up. Trial Registration Clinical Trials.gov Identifier
Bhalla, P.; Tripathi, S.; Palria, S.
With advancement in technology, new and sophisticated models of vehicle are available and their numbers are increasing day by day. A traffic accident has multi-facet characteristics associated with it. In India 93% of crashes occur due to Human induced factor (wholly or partly). For proper traffic accident analysis use of GIS technology has become an inevitable tool. The traditional accident database is a summary spreadsheet format using codes and mileposts to denote location, type and severity of accidents. Geo-referenced accident database is location-referenced. It incorporates a GIS graphical interface with the accident information to allow for query searches on various accident attributes. Ajmer city, headquarter of Ajmer district, Rajasthan has been selected as the study area. According to Police records, 1531 accidents occur during 2009-2013. Maximum accident occurs in 2009 and the maximum death in 2013. Cars, jeeps, auto, pickup and tempo are mostly responsible for accidents and that the occurrence of accidents is mostly concentrated between 4PM to 10PM. GIS has proved to be a good tool for analyzing multifaceted nature of accidents. While road safety is a critical issue, yet it is handled in an adhoc manner. This Study is a demonstration of application of GIS for developing an efficient database on road accidents taking Ajmer City as a study. If such type of database is developed for other cities, a proper analysis of accidents can be undertaken and suitable management strategies for traffic regulation can be successfully proposed.
Feng, Zhong-xiang; Lu, Shi-sheng; Zhang, Wei-hua; Zhang, Nan-nan
In order to build a combined model which can meet the variation rule of death toll data for road traffic accidents and can reflect the influence of multiple factors on traffic accidents and improve prediction accuracy for accidents, the Verhulst model was built based on the number of death tolls for road traffic accidents in China from 2002 to 2011; and car ownership, population, GDP, highway freight volume, highway passenger transportation volume, and highway mileage were chosen as the factors to build the death toll multivariate linear regression model. Then the two models were combined to be a combined prediction model which has weight coefficient. Shapley value method was applied to calculate the weight coefficient by assessing contributions. Finally, the combined model was used to recalculate the number of death tolls from 2002 to 2011, and the combined model was compared with the Verhulst and multivariate linear regression models. The results showed that the new model could not only characterize the death toll data characteristics but also quantify the degree of influence to the death toll by each influencing factor and had high accuracy as well as strong practicability.
Lange, Florian; Haiduk, Michael; Boos, Moritz; Tinschert, Peter; Schwarze, Anke; Eggert, Frank
A large number of pedestrians and cyclists regularly ignore the traffic lights to cross the road illegally. In a recent analysis, illegal road crossing behavior has been shown to be enhanced in the presence of incongruent stimulus configurations. Pedestrians and cyclists are more likely to cross against a red light when exposed to an irrelevant conflicting green light. Here, we present experimental and observational data on the factors moderating the risk associated with incongruent traffic lights. In an observational study, we demonstrated that the conflict-related increase in illegal crossing rates is reduced when pedestrian and cyclist green light periods are long. In a laboratory experiment, we manipulated the color of the irrelevant signals to expose participants to different degrees of incongruency. Results revealed that individuals' performance gradually varied as a function of incongruency, suggesting that the negative impact of a conflicting green light can be reduced by slightly adjusting its color. Our findings highlight that the observation of real-world behavior at intersections and the experimental analysis of psychological processes under controlled laboratory conditions can complement each other in identifying risk factors of risky road crossing behavior. Based on this combination, our study elaborates on promising measures to improve safety at signalized intersections.
Chen, Hsiang Ling; Koprowski, John L
Anthropogenic infrastructure such as roads and non-native species are major causes of species endangerment. Understanding animal behavioral responses to roads and traffic provides insight into causes and mechanisms of effects of linear development on wildlife and aids effective mitigation and conservation. We investigated effects of roads and traffic on space use and movements of two forest-dwelling species: endemic, forest-dependent Mount Graham red squirrels (Tamiasciurus hudsonicus grahamensis) and introduced, edge-tolerant Abert's squirrels (Sciurus aberti). To assess the effects of roads on space use and movement patterns, we compared the probability that a squirrel home range included roads and random lines in forests, and assessed effects of traffic intensity on rate of road crossing and movement patterns. Red squirrels avoided areas adjacent to roads and rarely crossed roads. In contrast, Abert's squirrels were more likely to include roads in their home ranges compared to random lines in forests. Both red squirrels and Abert's squirrels increased speed when crossing roads, compared to before and after road crossings. Increased hourly traffic volume reduced the rate of road crossings by both species. Behavioral responses of red squirrels to roads and traffic resemble responses to elevated predation risk, including reduced speed near roads and increased tortuosity of movement paths with increased traffic volume. In contrast, Abert's squirrels appeared little affected by roads and traffic with tortuosity of movement paths reduced as distance to roads decreased. We found that species with similar body size category (<1 kg) but different habitat preference and foraging strategy responded to roads differently and demonstrated that behavior and ecology are important when considering effects of roads on wildlife. Our results indicate that roads restricted movements and space use of a native forest-dependent species while creating habitat preferred by an introduced
Chen, Hsiang Ling; Koprowski, John L.
Anthropogenic infrastructure such as roads and non-native species are major causes of species endangerment. Understanding animal behavioral responses to roads and traffic provides insight into causes and mechanisms of effects of linear development on wildlife and aids effective mitigation and conservation. We investigated effects of roads and traffic on space use and movements of two forest-dwelling species: endemic, forest-dependent Mount Graham red squirrels (Tamiasciurus hudsonicus grahamensis) and introduced, edge-tolerant Abert’s squirrels (Sciurus aberti). To assess the effects of roads on space use and movement patterns, we compared the probability that a squirrel home range included roads and random lines in forests, and assessed effects of traffic intensity on rate of road crossing and movement patterns. Red squirrels avoided areas adjacent to roads and rarely crossed roads. In contrast, Abert’s squirrels were more likely to include roads in their home ranges compared to random lines in forests. Both red squirrels and Abert’s squirrels increased speed when crossing roads, compared to before and after road crossings. Increased hourly traffic volume reduced the rate of road crossings by both species. Behavioral responses of red squirrels to roads and traffic resemble responses to elevated predation risk, including reduced speed near roads and increased tortuosity of movement paths with increased traffic volume. In contrast, Abert’s squirrels appeared little affected by roads and traffic with tortuosity of movement paths reduced as distance to roads decreased. We found that species with similar body size category (<1 kg) but different habitat preference and foraging strategy responded to roads differently and demonstrated that behavior and ecology are important when considering effects of roads on wildlife. Our results indicate that roads restricted movements and space use of a native forest-dependent species while creating habitat preferred by an
National Highway Traffic Safety Administration (DOT), Washington, DC.
To assist in the continuing efforts to improve the safety of the motorist on the nation's highways and roads, this student guide provides a standardized approach for first responders to traffic accidents to learn emergency medical care. Training is provided in all aspects of emergency medical care required at the scene of a traffic accident.…
Christie, N; Ward, H; Kimberlee, R; Towner, E; Sleney, J
Objective To gain an in‐depth qualitative understanding of parents' views about their children's exposure to road traffic injury risk in low socioeconomic areas. Design Focus groups facilitated by a moderator with content analysis of data. Setting Focus groups were conducted in 10 low socioeconomic English districts that also have high rates of child pedestrian injury. Research was conducted in community venues within each area. Subjects Parents of children aged 9–14 years living in low socioeconomic areas. Results Parents believe that children play in their local streets for the following reasons: they like playing out with friends near home; there are few safe, secure, and well‐maintained public spaces for children; children are excluded from affordable leisure venues because of their costs; insufficient parental responsibility. For children that play in the street, the key sources of risk identified by parents were: illegal riding and driving around estates and on the pavements; the speed and volume of traffic; illegal parking; drivers being poorly informed about where children play; children's risk‐taking behavior. Conclusions Intervention programs need to take into account multiple reasons why children in low socioeconomic areas become exposed to hazardous environments thereby increasing their risk of injury. Multi‐agency partnerships involving the community are increasingly needed to implement traditional road safety approaches, such as education, engineering, and enforcement, and provide safe and accessible public space, affordable activities for children, and greater support for parents. PMID:18056316
Segui-Gomez, Maria; Lopez-Valdes, Francisco J; Guillen-Grima, Francisco; Smyth, Ernesto; Llorca, Javier; de Irala, Jokin
Research on the risk of motor vehicle injuries and their relationship with the amount of travel has been only partially analyzed. The few individual exposure assessments are related to very specific subsets of the driving and traveling populations. This study analyzes the relationship between kilometers traveled and hospitalization due to motor vehicle injuries. Twelve thousand three hundred and sixty nine Spanish university graduates from the Seguimiento Universidad de Navarra multipurpose cohort study were evaluated. They had not been hospitalized due to motor vehicle injuries at baseline and were followed up to eight years. Biannual questionnaires allowed for self-reporting of kilometers traveled in motor vehicles, together with incidence of hospitalization. Covariates in the Cox regression models included age and gender and baseline use of safety belt while driving, driving a vehicle with driver-side airbag, driving a motorcycle, and drinking and driving. There were 49,766 participant-years with an average yearly travel of 7,828 km per person-year. Thirty-six subjects reported a first hospitalization event during this time. The adjusted hazard ratio per additional kilometer traveled was 1.00005 (95% confidence interval 1.000013 to 1.000086). Even the smallest of reductions in the amount of kilometers traveled (from an average of 3,250 km per year to 1,000) has a statistically significant protective effect on the likelihood of sustaining hospitalization due to motor vehicle injury (aHR 0.9, 95% CI 0.78 to 0.98). In light of current policies aimed to reduce motorized traffic due to environmental concerns, it may be appropriate to consider the additional health benefit related to reductions in injuries.
Sadiq, Abderrahmane; El Fazziki, Abdelaziz; Ouarzazi, Jamal; Sadgal, Mohamed
This paper presents an integrated and adaptive problem-solving approach to control the on-road air quality by modeling the road infrastructure, managing traffic based on pollution level and generating recommendations for road users. The aim is to reduce vehicle emissions in the most polluted road segments and optimizing the pollution levels. For this we propose the use of historical and real time pollution records and contextual data to calculate the air quality index on road networks and generate recommendations for reassigning traffic flow in order to improve the on-road air quality. The resulting air quality indexes are used in the system's traffic network generation, which the cartography is represented by a weighted graph. The weights evolve according to the pollution indexes and path properties and the graph is therefore dynamic. Furthermore, the systems use the available pollution data and meteorological records in order to predict the on-road pollutant levels by using an artificial neural network based prediction model. The proposed approach combines the benefits of multi-agent systems, Big data technology, machine learning tools and the available data sources. For the shortest path searching in the road network, we use the Dijkstra algorithm over Hadoop MapReduce framework. The use Hadoop framework in the data retrieve and analysis process has significantly improved the performance of the proposed system. Also, the agent technology allowed proposing a suitable solution in terms of robustness and agility.
Goswami, Shreerup; Swain, Bijay Kumar; Panda, Santosh Kumar
The problem of road traffic noise pollution has become a concern for both the public and the policy makers. Noise level was assessed in 12 different squares of Rourkela city during different specified times (7-10 a.m., 11 a.m.-2 p.m., 3-6 p.m., 7-10 p.m., 10 p.m.-12 midnight and 4-6 a.m.). Noise descriptors such as L,eq, traffic noise index, noise pollution level, noise climate, Lday, Levening, Lnight and Lden were assessed to reveal the extent of noise pollution due to heavy traffic in this city. The equivalent noise levels of all the 12 squares were found to be much beyond the permissible limit (70dB during day time and 55dB during night time). Appallingly, even the minimum L eq and NPL values were more than 82 dB and 96 dB during day time and 69 dB and 91 dB during night time respectively. Lden values of investigated squares ranged from 83.4 to 86.1 dB and were even more than the day time permissible limit of traffic noise. The prediction model was used in the present study to predict noise pollution level instead of Leq. Comparison of predicted with that of the actual measured data demonstrated that the model used for the prediction has the ability to calibrate the multicomponent traffic noise and yield reliable results close to that by direct measurement. Lastly, it is inferred that the dimension of the traffic generated noise pollution in Rourkela is critical.
DeMarini, David M
Diesel and gasoline emissions, which are the primary components of traffic exhaust, are known or possible human carcinogens, respectively, and working or living near high-traffic roads is associated with various health effects, including cancer. To help understand the mechanistic basis for this observation, the present article reviews 63 studies on genotoxicity biomarkers in traffic-exposed subjects, with office workers being the typical control subjects. The six primary biomarkers used in these studies were the traditional cytogenetic end points, chromosome aberrations (CAs), micronucleus (MN) and sister chromatid exchange, and the standard molecular end points for DNA damage, (32)P-postlabeling, the comet assay and urinary 8-hydroxydeoxyguanosine. These six assays accounted for 74 of the 87 biomarker assessments reported in the studies; all six effectively distinguished traffic-exposed from control populations, giving an average 89% positive results among exposed versus control subjects. In addition, three genomic biomarkers effectively distinguished between the exposed and control populations; these assays measured changes in gene expression, leukocyte telomere length and DNA methylation. Nearly half of all of the studies included exposure assessments involving blood (primarily protein adducts), urine (primarily 1-hydroxypyrene) or air (primarily polycyclic aromatic hydrocarbons); these assays distinguished the exposed from the control subjects for the vast majority of the studies. All but three of the 63 reports were environmental studies that investigated 18 general exposure categories, such as traffic police and automobile/bus mechanics. The studies were performed in 20 countries; however, nearly all of the environmental studies were performed in Europe and Asia, with only one each from Africa, North America and South America. Given that several of the biomarkers are associated with increased cancer risk, including CAs, MNs and altered telomere length, the
Olukoga, I A
A study of the pedestrian casualties and fatalities in road traffic crashes in Durban, a South African municipality, for 1999 was undertaken using official road traffic accident data. The pedestrians age 25 to 44, although only 23.9% of the population, were 39.3% of the casualties and 48.2% of the fatalities. The most vulnerable pedestrians were those 30 to 34 years old who were 6.1% of the population, 11.7% of the casualties, and 14.6% of the fatalities; 35- to 39-year-olds who were 6% of the population, 8.8% of the casualties, and 13.5% of the fatalities; and the 40- to 44-year-olds who were 4.9% of the population, 7.5% of the casualties, and 10.2% of the fatalities. Cars were involved in 52% of the vehicle-pedestrian crashes but had fewer crashes than minibuses and buses, and fewer casualties and fatalities than minibuses, buses, and motorcycles. Minibuses recorded the most crashes at 1,037 per 100 million km, the highest casualty rate of 268 per 100 million km, and highest fatality rate of 17 per 100 million km. Buses, which were involved in 3% of the vehicle-pedestrian crashes, had 951 crashes per 100 million km, 182 casualties per 100 million km, and 11 fatalities per 100 million km. Motorcycles were involved in 1% of the vehicle-pedestrian crashes and had per 100 million km 508 crashes, 192 casualties, and 7 fatalities. There was no statistically significant difference in the monthly distribution of the road traffic crashes.
Elliott, Simon; Woolacott, Helen; Braithwaite, Robin
Researchers have studied the involvement of drugs and alcohol in fatal road traffic incidents, but with particular emphasis on the possible impairment of the driver. This paper describes a comparative study of drug and alcohol findings in various victim groups (drivers of cars, vans or lorries, car passengers, motorcyclists, motorcycle passengers, cyclists and pedestrians) between 2000 and 2006. Post-mortem blood and urine specimens submitted were analysed by immunoassay, GC-NPD, GC-FID, GC-MS and HPLC-DAD. The results of 1047 cases indicated 54% of all victims were positive for drugs and/or alcohol, with the highest percentage of positive findings occurring in pedestrians (63%). Males between the ages of 17-24 were most likely to be involved in a road traffic accident, whether being in control of a vehicle (driver) or involved indirectly (car passenger, pedestrian, motorcycle passenger). A wide range of drugs were detected (e.g., drugs of abuse, anti-convulsants, anti-histamines, anti-inflammatories, anti-psychotics, cardiac drugs and over-the-counter products), but alcohol and cannabinoids were the most frequent substances across the victim groups. When detected, alcohol was commonly above the legal driving limit in blood and urine (>63% in those in control and >60% not in control). Overall, the presence of drugs and/or alcohol was of similar frequency in those victims in control (55% of driver, 48% of motorcyclists, 33% of cyclists) and not in control of a vehicle (52% of car passengers, 63% of pedestrians). This degree of frequency strongly implicates the involvement of drugs and alcohol in road traffic incidents and infers an effect on driving ability and individual impairment.
Lu, Xiao-Shan; Huang, Hai-Jun; Long, Jiancheng
New sensor technologies (e.g. surveillance cameras, loop detectors) enable the synthesis of disaggregated vehicle information from multiple locations. This article studies the camera location problem for traffic surveillance in urban road networks with multiple user classes. All users are differentiated by their own acceptance degree of camera monitoring and make their route choices in a logit-based stochastic user equilibrium manner. A bi-level programming model is proposed to formulate the problem and solved by the sensitivity analysis based branch and bound method. Numerical examples are presented to illustrate the model application and show the effectiveness of the solution method.
Lin, Jie; Yu, Dan
Open road tolling (ORT) design has been considered as an effective means of smoothing highway traffic and reducing travel delay on toll highways. In this paper it is demonstrated that ORT can also achieve significant air quality benefits over the conventional toll plaza design. The near roadside carbon monoxide (CO) concentration levels can be reduced by up to 37%, and diesel particulate matter (DPM) emissions can decrease by as much as 58%. These large expected air quality benefits have great implications to the regional efforts of reducing mobile source air pollution toward achieving attainment status and healthier living environment.
Masek, Pavel; Masek, Jan; Frantik, Petr; Fujdiak, Radek; Ometov, Aleksandr; Hosek, Jiri; Andreev, Sergey; Mlynek, Petr; Misurec, Jiri
The unprecedented growth of today's cities together with increased population mobility are fueling the avalanche in the numbers of vehicles on the roads. This development led to the new challenges for the traffic management, including the mitigation of road congestion, accidents, and air pollution. Over the last decade, researchers have been focusing their efforts on leveraging the recent advances in sensing, communications, and dynamic adaptive technologies to prepare the deployed road traffic management systems (TMS) for resolving these important challenges in future smart cities. However, the existing solutions may still be insufficient to construct a reliable and secure TMS that is capable of handling the anticipated influx of the population and vehicles in urban areas. Along these lines, this work systematically outlines a perspective on a novel modular environment for traffic modeling, which allows to recreate the examined road networks in their full resemblance. Our developed solution is targeted to incorporate the progress in the Internet of Things (IoT) technologies, where low-power, embedded devices integrate as part of a next-generation TMS. To mimic the real traffic conditions, we recreated and evaluated a practical traffic scenario built after a complex road intersection within a large European city.
Masek, Pavel; Masek, Jan; Frantik, Petr; Fujdiak, Radek; Ometov, Aleksandr; Hosek, Jiri; Andreev, Sergey; Mlynek, Petr; Misurec, Jiri
The unprecedented growth of today’s cities together with increased population mobility are fueling the avalanche in the numbers of vehicles on the roads. This development led to the new challenges for the traffic management, including the mitigation of road congestion, accidents, and air pollution. Over the last decade, researchers have been focusing their efforts on leveraging the recent advances in sensing, communications, and dynamic adaptive technologies to prepare the deployed road traffic management systems (TMS) for resolving these important challenges in future smart cities. However, the existing solutions may still be insufficient to construct a reliable and secure TMS that is capable of handling the anticipated influx of the population and vehicles in urban areas. Along these lines, this work systematically outlines a perspective on a novel modular environment for traffic modeling, which allows to recreate the examined road networks in their full resemblance. Our developed solution is targeted to incorporate the progress in the Internet of Things (IoT) technologies, where low-power, embedded devices integrate as part of a next-generation TMS. To mimic the real traffic conditions, we recreated and evaluated a practical traffic scenario built after a complex road intersection within a large European city. PMID:27834796
Keuken, M. P.; Moerman, M.; Voogt, M.; Zandveld, P.; Verhagen, H.; Stelwagen, U.; Jonge de, D.
In this study, NOx and particle number concentration (PNC) at an urban background and a traffic location were measured in the city of Amsterdam (the Netherlands). Modelled and measured contributions to NOx and PNC at the traffic location were used to derive real-world PN emission factors for average urban road traffic. The results for NOx were applied to validate our approach. The real-world PN emission factors (#.km-1) were 2.9E+14 (urban road) and 3E+14 (motorway). These values were at least a factor eight higher than dynamometer-based PN emission factors from COPERT 4 and HBEFA databases. The real-world PN emission factors were used to model the contribution to PNC near road traffic in 2014. This was two to three times higher than the PNC urban background along urban roads over 20,000 vehicles per day and near motorways. The discrepancy between dynamometer-based and real-world emission factors demonstrates the need for more PNC observations to assess actual PN emissions from road traffic.
Davies, Rebecca; Speldewinde, Peter C; Stewart, Barbara A
Off-road vehicle use is arguably one of the most environmentally damaging human activities undertaken on sandy beaches worldwide. Existing studies focused on areas of high traffic volumes have demonstrated significantly lower abundance, diversity and species richness of fauna in zones where traffic is concentrated. The impact of lower traffic volumes is unknown. This study aimed to investigate the impacts of relatively low-level vehicle traffic on sandy beach fauna by sampling invertebrate communities at eight beaches located in south-western Australia. We found that even low-level vehicle traffic negatively impacts the physical beach environment, and consequently, the ability of many species to survive in this habitat in the face of this disturbance. Compaction, rutting and displacement of the sand matrix were observed over a large area, resulting in significant decreases in species diversity and density, and measurable shifts in community structure on beaches that experienced off-road vehicle traffic. Communities at impact sites did not display seasonal recovery as traffic was not significantly different between seasons. Given a choice between either reducing traffic volumes, or excluding ORV traffic from beaches, our results suggest that the latter would be more appropriate when the retention of ecological integrity is the objective.
Davies, Rebecca; Speldewinde, Peter C.; Stewart, Barbara A.
Off-road vehicle use is arguably one of the most environmentally damaging human activities undertaken on sandy beaches worldwide. Existing studies focused on areas of high traffic volumes have demonstrated significantly lower abundance, diversity and species richness of fauna in zones where traffic is concentrated. The impact of lower traffic volumes is unknown. This study aimed to investigate the impacts of relatively low-level vehicle traffic on sandy beach fauna by sampling invertebrate communities at eight beaches located in south-western Australia. We found that even low-level vehicle traffic negatively impacts the physical beach environment, and consequently, the ability of many species to survive in this habitat in the face of this disturbance. Compaction, rutting and displacement of the sand matrix were observed over a large area, resulting in significant decreases in species diversity and density, and measurable shifts in community structure on beaches that experienced off-road vehicle traffic. Communities at impact sites did not display seasonal recovery as traffic was not significantly different between seasons. Given a choice between either reducing traffic volumes, or excluding ORV traffic from beaches, our results suggest that the latter would be more appropriate when the retention of ecological integrity is the objective.
Davies, Rebecca; Speldewinde, Peter C.; Stewart, Barbara A.
Off-road vehicle use is arguably one of the most environmentally damaging human activities undertaken on sandy beaches worldwide. Existing studies focused on areas of high traffic volumes have demonstrated significantly lower abundance, diversity and species richness of fauna in zones where traffic is concentrated. The impact of lower traffic volumes is unknown. This study aimed to investigate the impacts of relatively low-level vehicle traffic on sandy beach fauna by sampling invertebrate communities at eight beaches located in south-western Australia. We found that even low-level vehicle traffic negatively impacts the physical beach environment, and consequently, the ability of many species to survive in this habitat in the face of this disturbance. Compaction, rutting and displacement of the sand matrix were observed over a large area, resulting in significant decreases in species diversity and density, and measurable shifts in community structure on beaches that experienced off-road vehicle traffic. Communities at impact sites did not display seasonal recovery as traffic was not significantly different between seasons. Given a choice between either reducing traffic volumes, or excluding ORV traffic from beaches, our results suggest that the latter would be more appropriate when the retention of ecological integrity is the objective. PMID:27121212
Hyder, Adnan A; Vecino-Ortiz, Andres I
Brazil, the Russian Federation, India, China and South Africa--the countries known as BRICS--are currently undergoing a deep epidemiological transition that is mainly driven by rapid economic growth and technological change. The changes being observed in the distribution of the burden of diseases and injuries--such as recent increases in the incidence of road traffic injuries--are matters of concern. BRICS may need stronger institutional capacity to address such changes in a timely way. In this paper, we present data on road traffic injuries in BRICS and illustrate the enormous challenge that these countries currently face in reducing the incidence of such injuries. There is an urgent need to improve road safety indicators in every country constituting BRICS. It is imperative for BRICS to invest in system-wide road safety interventions and reduce the mortality and morbidity from road traffic injuries.
McClure, Christopher J W; Ware, Heidi E; Carlisle, Jay; Kaltenecker, Gregory; Barber, Jesse R
Many authors have suggested that the negative effects of roads on animals are largely owing to traffic noise. Although suggestive, most past studies of the effects of road noise on wildlife were conducted in the presence of the other confounding effects of roads, such as visual disturbance, collisions and chemical pollution among others. We present, to our knowledge, the first study to experimentally apply traffic noise to a roadless area at a landscape scale-thus avoiding the other confounding aspects of roads present in past studies. We replicated the sound of a roadway at intervals-alternating 4 days of noise on with 4 days off-during the autumn migratory period using a 0.5 km array of speakers within an established stopover site in southern Idaho. We conducted daily bird surveys along our 'Phantom Road' and in a nearby control site. We document over a one-quarter decline in bird abundance and almost complete avoidance by some species between noise-on and noise-off periods along the phantom road and no such effects at control sites-suggesting that traffic noise is a major driver of effects of roads on populations of animals.
Wang, Jie; Shen, Yuzhong; Khattak, Asad
Traffic accidents have tremendous impact on society. Annually approximately 6.4 million vehicle accidents are reported by police in the US and nearly half of them result in catastrophic injuries. Visualizations of traffic accidents using geographic information systems (GIS) greatly facilitate handling and analysis of traffic accidents in many aspects. Environmental Systems Research Institute (ESRI), Inc. is the world leader in GIS research and development. ArcGIS, a software package developed by ESRI, has the capabilities to display events associated with a road network, such as accident locations, and pavement quality. But when event locations related to a road network are processed, the existing algorithm used by ArcGIS does not utilize all the information related to the routes of the road network and produces erroneous visualization results of event locations. This software bug causes serious problems for applications in which accurate location information is critical for emergency responses, such as traffic accidents. This paper aims to address this problem and proposes an improved method that utilizes all relevant information of traffic accidents, namely, route number, direction, and mile post, and extracts correct event locations for accurate traffic accident visualization and analysis. The proposed method generates a new shape file for traffic accidents and displays them on top of the existing road network in ArcGIS. Visualization of traffic accidents along Hampton Roads Bridge Tunnel is included to demonstrate the effectiveness of the proposed method.
Constant, A; Salmi, L R; Lafont, S; Chiron, M; Lagarde, Emmanuel
A very significant decline in the number of road casualties has been observed recently in France, concomitantly with a dramatic increase in law enforcement. The aim of this study was (i) to assess changes in attitudes about road traffic accident (RTA) prevention initiatives in France from 2001 to 2004 and (ii) to identify factors associated with an increase in positive attitudes towards RTA prevention initiatives. In 2001 and 2004, 9216 participants reported their attitudes towards traffic safety using the same self-administered Driving Behaviour and Road Safety Questionnaire. Sociodemographic, psychological and behavioural data were also available. The mean change in scores analysis showed that support for relaxing existing regulations decreased significantly during this period, while support for heightened enforcement and stricter regulations showed some decrease but remained high overall, especially concerning blood alcohol content and speed controls. Multivariate analyses suggest that highly educated drivers changed their attitudes towards road safety regulations more than other categories. Our results suggest that increased traffic law enforcement measures led to increasing support for current restrictions. Even if support for additional traffic law enforcement began to wane slightly in 2004, a large part of our population remained in favour of strengthening law enforcement related to speeding and drunk driving.
Živković, Snežana; Nikolić, Vesna; Markič, Mirko
The purpose of this paper is to present basic elements of the research directed at identifying and determining the personality traits of professional drivers that affect safe, secure and enjoyable ride on public roads. A quantitative method has been used here, whereas data were acquired from a questionnaire based on a sample of 59 professional drivers. Determining personality traits of professional drivers that are in correlation with a safe and pleasant ride on the roads has been enabled by applying the five-factor model of personality ('Big Five') and the Personality Inventory NEO-PI. From these results it was concluded that safe operation of the vehicle in traffic involves the successful 'conduct' of oneself, which recognises the importance of certain personality traits of professional drivers for traffic safety and the need for appropriate professional selection in the case of employment of professional drivers. Research results implicate development of educational programmes aimed at achieving harmony of psychological, physical and sensory health, that is, programmes for permanent informing, educating and training professional drivers for defensive driving. The research opens the way for new research tasks that should help in creating a specific structure of curricula that can be used in a variety of transportation companies and enterprises to improve general and public safety.
Lo, Shih-Ching; Huang, Hsieh-Chu
Mostly, pedestrian car accidents occurred at a signalized interaction is because pedestrians cannot across the intersection safely within the green light. From the viewpoint of pedestrian, there might have two reasons. The first one is pedestrians cannot speed up to across the intersection, such as the elders. The other reason is pedestrians do not sense that the signal phase is going to change and their right-of-way is going to be lost. Developing signal logic to protect pedestrian, who is crossing an intersection is the first purpose of this study. In addition, to improve the reliability and reduce delay of public transportation service is the second purpose. Therefore, bus preemption is also considered in the designed signal logic. In this study, the traffic data of the intersection of Chong-Qing North Road and Min-Zu West Road, Taipei, Taiwan, is employed to calibrate and validate the signal logic by simulation. VISSIM 5.20, which is a microscopic traffic simulation software, is employed to simulate the signal logic. From the simulated results, the signal logic presented in this study can protect pedestrians crossing the intersection successfully. The design of bus preemption can reduce the average delay. However, the pedestrian safety and bus preemption signal will influence the average delay of cars largely. Thus, whether applying the pedestrian safety and bus preemption signal logic to an intersection or not should be evaluated carefully.
Harmer, Luke; Schemitsch, Emil H
The decade of action for road traffic safety provides orthopaedic surgeons with an opportunity to contribute to policy that will improve the ability to deliver trauma care. In the previous 2 decades outcomes for orthopaedic trauma patients have improved significantly. The decade of action for road traffic safety will bring attention and funding to trauma related endeavors. The challenge before orthopaedic surgeons and orthopaedic trauma societies is to provide delivery mechanisms so that clinical care can reach populations around the globe. Organizing orthopaedic trauma care into care delivery value chains provides a tool for understanding how efficiency can be gained over the entire cycle of care from emergent management through rehabilitation and revision surgery when needed. Integrated practice units allow orthopaedic surgeons to collaborate with other trauma specialists to provide integrated care and exploit the areas of natural overlap to create trauma care systems that optimize communication for surgeons and simplify follow up for patients. By using these tools orthopaedic surgeons can deliver excellent trauma care to populations around the world.
Öhrström, E.; Skånberg, A.; Svensson, H.; Gidlöf-Gunnarsson, A.
Socio-acoustic surveys were carried out as part of the Soundscape Support to Health research programme to assess the health effects of various soundscapes in residential areas. The study was designed to test whether having access to a quiet side of one's dwelling enhances opportunities for relaxation and reduces noise annoyance and other adverse health effects related to noise. The dwellings chosen were exposed to sound levels from road traffic ranging from about L=45-68 dB at the most-exposed side. The study involved 956 individuals aged 18-75 years. The results demonstrate that access to quiet indoor and outdoor sections of one's dwelling supports health; it produces a lower degree and extent of annoyance and disturbed daytime relaxation, improves sleep and contributes to physiological and psychological well-being. Having access to a quiet side of one's dwelling reduces disturbances by an average of 30-50% for the various critical effects, and corresponds to a reduction in sound levels of ( LAeq,24h) 5 dB at the most-exposed side. To protect most people (80%) from annoyance and other adverse effects, sound levels from road traffic should not exceed ( LAeq,24h) 60 dB at the most-exposed side, even if there is access to a quiet side of one's dwelling ( LAeq,24h⩽45 dB).
van den Berg, Frits; Verhagen, Claudia; Uitenbroek, Daan
Negative perceptions such as fear or worry are known to be an important determinant of annoyance. Annoyance caused by noise and odour has been analysed in relation to worry about safety or health due to environmental hazards, using responses to a health survey. In the survey area high environmental impacts come from air and road traffic. The survey results show a correlation between worry due to the airport or passing aircraft and noise and odour annoyance from aircraft (correlation coefficient (c.c.) close to 0.6). For the relation between worry about a busy street and annoyance from road traffic the correlation is lower (c.c. 0.4–0.5). Worries about different situations, such as living below sea level, close to an airport, busy street or chemical industry, are highly correlated (c.c. 0.5–0.9), also for situations that are not obviously related. Personal factors can also lead to more worry: being female, above 35 years of age, having a high risk for anxiety/depression and being in bad health increase the odds for being worried. The results thus suggest that worry about safety or health is correlated to both personal and environmental factors. PMID:25723645
Lo, Shih-Ching; Huang, Hsieh-Chu
Mostly, pedestrian car accidents occurred at a signalized interaction is because pedestrians cannot across the intersection safely within the green light. From the viewpoint of pedestrian, there might have two reasons. The first one is pedestrians cannot speed up to across the intersection, such as the elders. The other reason is pedestrians do not sense that the signal phase is going to change and their right-of-way is going to be lost. Developing signal logic to protect pedestrian, who is crossing an intersection is the first purpose of this study. In addition, to improve the reliability and reduce delay of public transportation service is the second purpose. Therefore, bus preemption is also considered in the designed signal logic. In this study, the traffic data of the intersection of Chong-Qing North Road and Min-Zu West Road, Taipei, Taiwan, is employed to calibrate and validate the signal logic by simulation. VISSIM 5.20, which is a microscopic traffic simulation software, is employed to simulate the signal logic. From the simulated results, the signal logic presented in this study can protect pedestrians crossing the intersection successfully. The design of bus preemption can reduce the average delay. However, the pedestrian safety and bus preemption signal will influence the average delay of cars largely. Thus, whether applying the pedestrian safety and bus preemption signal logic to an intersection or not should be evaluated carefully.
Gille, Laure-Anne; Marquis-Favre, Catherine; Weber, Reinhard
Urban road traffic composed of powered-two-wheelers (PTWs), buses, heavy, and light vehicles is a major source of noise annoyance. In order to assess annoyance models considering different acoustical and non-acoustical factors, a laboratory experiment on short-term annoyance due to urban road traffic noise was conducted. At the end of the experiment, participants were asked to rate their noise sensitivity and to describe the noise sequences they heard. This verbalization task highlights that annoyance ratings are highly influenced by the presence of PTWs and by different acoustical features: noise intensity, irregular temporal amplitude variation, regular amplitude modulation, and spectral content. These features, except irregular temporal amplitude variation, are satisfactorily characterized by the loudness, the total energy of tonal components and the sputtering and nasal indices. Introduction of the temporal derivative of loudness allows successful modeling of perceived amplitude variations. Its contribution to the tested annoyance models is high and seems to be higher than the contribution of mean loudness index. A multilevel regression is performed to assess annoyance models using selected acoustical indices and noise sensitivity. Three models are found to be promising for further studies that aim to enhance current annoyance models.
Zechmeister, Harald G.; Hagendorfer, Harald; Hohenwallner, Daniela; Hanus-Illnar, Andrea; Riss, Alarich
The concentrations of platinum group elements (PGE; platinum, palladium, rhodium) and 17 other elements in mosses growing at 32 sampling sites along 12 roads in Austria were analysed. The study included passive monitoring of naturally growing mosses with an experimental design using mosses samples exposed in a tunnel experiment. PGEs (Pt, Pd, Rh) were analysed by ICP-MS (ELAN DRC II, Perkin Elmer SCIEX) according to EN ISO 17294-2 Tl.29. Mean concentrations of PGEs in five moss species were: Pt 7.07±9.97, Pd 2.8±5.2 und Rh 0.6±0.8 ng g -1 dry weight. This is comparable to data derived from measurements of gasoline autocatalyst emissions or airborne particles (<10 μm). Compared to soils and road dust along highways, concentrations in mosses were lower by a factor of ten, compared to grasses they were comparable or somewhat higher. The ratios between the various PGEs were calculated as follows (mean values): Pt/Pd 7.9±10.2, Pt/Rh 12.6±8.3 and Pd/Rh 3.7±2.2. The number of light duty vehicles (<3.5 t) and the distance from the road were the main influential factors for PGE concentrations. Especially strong correlations could be found between Pt and Sb, Cu, Zn, and Cd (in decreasing order), which are all elements derived mainly from road traffic emissions. Cluster analysis (Partioning Around Medoids Method) separated elements derived mainly from soil dust (Ca, Al). An analysis of spatial deposition patterns of PGEs showed a reciprocal decrease of concentrations with increasing distance from the road, reaching background values at distances between 10 and 200 m, sometimes even more, but outside the spatial range of our investigation.
Jung, Sungwoon; Kim, Jounghwa; Kim, Jeongsoo; Hong, Dahee; Park, Dongjoo
The objective of this study is to estimate the vehicle kilometer traveled (VKT) and on-road emissions using the traffic volume in urban. We estimated two VKT; one is based on registered vehicles and the other is based on traffic volumes. VKT for registered vehicles was 2.11 times greater than that of the applied traffic volumes because each VKT estimation method is different. Therefore, we had to define the inner VKT is moved VKT inner in urban to compare two values. Also, we focused on freight modes because these are discharged much air pollutant emissions. From analysis results, we found middle and large trucks registered in other regions traveled to target city in order to carry freight, target city has included many industrial and logistics areas. Freight is transferred through the harbors, large logistics centers, or via locations before being moved to the final destination. During this process, most freight is moved by middle and large trucks, and trailers rather than small trucks for freight import and export. Therefore, these trucks from other areas are inflow more than registered vehicles. Most emissions from diesel trucks had been overestimated in comparison to VKT from applied traffic volumes in target city. From these findings, VKT is essential based on traffic volume and travel speed on road links in order to estimate accurately the emissions of diesel trucks in target city. Our findings support the estimation of the effect of on-road emissions on urban air quality in Korea.
Brand, Stephan; Petri, Maximilian; Haas, Philipp; Krettek, Christian; Haasper, Carl
Due to resource scarcity, the number of low-noise and electric cars is expected to increase rapidly. The frequent use of these cars will lead to a significant reduction of traffic related noise and pollution. On the other hand, due to the adaption and conditioning of vulnerable road users the number of traffic accidents involving pedestrians and bicyclists is postulated to increase as well. Children, older people with reduced eyesight and the blind are especially reliant on a combination of acoustic and visual warning signals with approaching or accelerating vehicles. This is even more evident in urban areas where the engine sound is the dominating sound up to 30 kph (kilometres per hour). Above this, tyre-road interaction is the main cause of traffic noise. With the missing typical engine sound a new sound design is necessary to prevent traffic accidents in urban areas. Drivers should not be able to switch the sound generator off.
Fecht, Daniela; Hansell, Anna L; Morley, David; Dajnak, David; Vienneau, Danielle; Beevers, Sean; Toledano, Mireille B; Kelly, Frank J; Anderson, H Ross; Gulliver, John
Road traffic gives rise to noise and air pollution exposures, both of which are associated with adverse health effects especially for cardiovascular disease, but mechanisms may differ. Understanding the variability in correlations between these pollutants is essential to understand better their separate and joint effects on human health. We explored associations between modelled noise and air pollutants using different spatial units and area characteristics in London in 2003-2010. We modelled annual average exposures to road traffic noise (LAeq,24h, Lden, LAeq,16h, Lnight) for ~190,000 postcode centroids in London using the UK Calculation of Road Traffic Noise (CRTN) method. We used a dispersion model (KCLurban) to model nitrogen dioxide, nitrogen oxide, ozone, total and the traffic-only component of particulate matter ≤2.5μm and ≤10μm. We analysed noise and air pollution correlations at the postcode level (~50 people), postcodes stratified by London Boroughs (~240,000 people), neighbourhoods (Lower layer Super Output Areas) (~1600 people), 1km grid squares, air pollution tertiles, 50m, 100m and 200m in distance from major roads and by deprivation tertiles. Across all London postcodes, we observed overall moderate correlations between modelled noise and air pollution that were stable over time (Spearman's rho range: |0.34-0.55|). Correlations, however, varied considerably depending on the spatial unit: largest ranges were seen in neighbourhoods and 1km grid squares (both Spearman's rho range: |0.01-0.87|) and was less for Boroughs (Spearman's rho range: |0.21-0.78|). There was little difference in correlations between exposure tertiles, distance from road or deprivation tertiles. Associations between noise and air pollution at the relevant geographical unit of analysis need to be carefully considered in any epidemiological analysis, in particular in complex urban areas. Low correlations near roads, however, suggest that independent effects of road noise and
Caselli, Maurizio; de Gennaro, Gianluigi; Marzocca, Annalisa; Trizio, Livia; Tutino, Maria
A BTEX monitoring campaign, consisting of two weekly periods, was carried out in Bari, south-eastern Italy, in order to evaluate the impact of the vehicular traffic on the air quality at the main access roads of the city. Twenty-one sampling sites were selected: the pollution produced by the traffic in the vicinity of all exits from the ring road and some access roads to the city, those with higher traffic density, were monitored. Contemporarily the main meteorological parameters (ambient temperature, wind, atmospheric pressure and natural radioactivity) were investigated. It was found that in the same traffic conditions, barriers, buildings and local meteorological conditions can have important effects on the atmospheric dispersion of pollutants. This situation is more critical in downtown where narrow roads and high buildings avoid an efficient dispersion producing higher levels of BTEX. High spatial resolution monitoring allowed both detecting the most critical areas of the city with high precision and obtaining information on the mean level of pollution, meaning air quality standard of the city. The same concentration pattern and the correlation among BTEX levels in all sites confirmed the presence of a single source, the vehicular traffic, having a strong impact on air quality.
Zhang, Bo; Wang, Chao; Zhang, Hong; Wu, Fan; Tang, Yi-Xian
By acquiring information over a wide area regardless of weather conditions and solar illumination, space-borne Synthetic Aperture Radar (SAR) has the potential to be a promising application for traffic monitoring. However, the backscatter character of a vehicle in a SAR image is unstable and varies with image parameters, such as aspect and incidence angle. To investigate vehicle detectability in SAR images for traffic monitoring applications, images of four common types of vehicles in China were acquired using the fully polarimetric (FP) SAR of Radarsat-2 in our experiments. Methods for measuring a vehicle’s aspect angle and backscatter intensity are introduced. The experimental FP SAR images are used to analyze the detectability, which is affected by factors such as vehicle size, vehicle shape, and aspect angle. Moreover, a new metric to improve vehicle detectability in FP SAR images is proposed and compared with the well-known intensity metric. The experimental results show that shape is a crucial factor in affecting the backscatter intensity of vehicles, which also oscillates with varying aspect angle. If the size of a vehicle is smaller than the SAR image resolution, using the intensity metric would result in low detectability. However, it could be improved in an FP SAR image by using the proposed metric. Compared with the intensity metric, the overall detectability is improved from 72% to 90% in our experiments. Therefore, this study indicates that FP SAR images have the ability to detect stationary vehicles on the road and are meaningful for traffic monitoring. PMID:28178178
Zhang, Bo; Wang, Chao; Zhang, Hong; Wu, Fan; Tang, Yi-Xian
By acquiring information over a wide area regardless of weather conditions and solar illumination, space-borne Synthetic Aperture Radar (SAR) has the potential to be a promising application for traffic monitoring. However, the backscatter character of a vehicle in a SAR image is unstable and varies with image parameters, such as aspect and incidence angle. To investigate vehicle detectability in SAR images for traffic monitoring applications, images of four common types of vehicles in China were acquired using the fully polarimetric (FP) SAR of Radarsat-2 in our experiments. Methods for measuring a vehicle's aspect angle and backscatter intensity are introduced. The experimental FP SAR images are used to analyze the detectability, which is affected by factors such as vehicle size, vehicle shape, and aspect angle. Moreover, a new metric to improve vehicle detectability in FP SAR images is proposed and compared with the well-known intensity metric. The experimental results show that shape is a crucial factor in affecting the backscatter intensity of vehicles, which also oscillates with varying aspect angle. If the size of a vehicle is smaller than the SAR image resolution, using the intensity metric would result in low detectability. However, it could be improved in an FP SAR image by using the proposed metric. Compared with the intensity metric, the overall detectability is improved from 72% to 90% in our experiments. Therefore, this study indicates that FP SAR images have the ability to detect stationary vehicles on the road and are meaningful for traffic monitoring.
Perez-Martinez, Pedro J; Miranda, Regina M
The impact of climatology--air temperature, precipitation and wind speed--and road traffic--volume, vehicle speed and percentage of heavy-duty vehicles (HDVs)--on air quality in Madrid was studied by estimating the effect for each explanatory variable using generalized linear regression models controlling for monthly variations, days of week and parameter levels. Every 1 m/s increase in wind speed produced a decrease in PM10 concentrations by 10.3% (95% CI 12.6-8.6) for all weekdays and by 12.4% (95% CI 14.9-9.8) for working days (up to the cut-off of 2.4 m/s). Increases of PM10 concentrations due to air temperature (7.2% (95% CI 6.2-8.3)) and traffic volume (3.3% (95% CI 2.9-3.8)) were observed at every 10 °C and 1 million vehicle-km increases for all weekdays; oppositely, slight decreases of PM10 concentrations due to percentage of HDVs (3.2% (95% CI 2.7-3.7)) and vehicle speed (0.7% (95% CI 0.6-0.8)) were observed at every 1% and 1 km/h increases. Stronger effects of climatology on air quality than traffic parameters were found.
Gallasch, Eugen; Raggam, Reinhard B; Cik, Michael; Rabensteiner, Jasmin; Lackner, Andreas; Piber, Barbara; Marth, Egon
To examine extraaural effects as induced by 20 min of road (ROAD) and 20 min of rail (RAIL) traffic noise with same loudness (75 dBA), a laboratory study was carried out. The study (N=54) consisted of 28 high and 26 low-annoyed healthy individuals as determined by a traffic annoyance test. To control attention, all individuals performed a nonauditory short-term memory test during the noise exposures. A within-subject design, with phases of ROAD, RAIL, and CALM (memory test only), alternated by phases of rest, was defined. Heart rate (HR), systolic blood pressure (sBP), total peripheral resistance (TPR), as well as three autonomic variables, preejection period (PEP), 0.15–0.4 Hz high-frequency component of HR variability (HF), and salivary stress biomarker alpha amylase (sAA) were measured. In relation to CALM, HR increased (RAIL +2.1%, ROAD +2.5%), sBP tended to increase against the end of noise exposure, PEP decreased (RAIL −0.7%, ROAD −0.8%), HF decreased (RAIL −3.4%, ROAD −2.9%), and sAA increased (RAIL +78%, ROAD +69%). No differences were found between RAIL and ROAD, indicating that both noise stressors induced comparable extraaural effects. Factor annoyance showed significant during CALM. Here a reduced sympathetic drive (higher PEP values) combined with an increased vascular tone (higher TPR values) was found at the high-annoyed subgroup. PMID:27569408
Gallasch, Eugen; Raggam, Reinhard B; Cik, Michael; Rabensteiner, Jasmin; Lackner, Andreas; Piber, Barbara; Marth, Egon
To examine extraaural effects as induced by 20 min of road (ROAD) and 20 min of rail (RAIL) traffic noise with same loudness (75 dBA), a laboratory study was carried out. The study (N = 54) consisted of 28 high and 26 low-annoyed healthy individuals as determined by a traffic annoyance test. To control attention, all individuals performed a nonauditory short-term memory test during the noise exposures. A within-subject design, with phases of ROAD, RAIL, and CALM (memory test only), alternated by phases of rest, was defined. Heart rate (HR), systolic blood pressure (sBP), total peripheral resistance (TPR), as well as three autonomic variables, preejection period (PEP), 0.15-0.4 Hz high-frequency component of HR variability (HF), and salivary stress biomarker alpha amylase (sAA) were measured. In relation to CALM, HR increased (RAIL +2.1%, ROAD +2.5%), sBP tended to increase against the end of noise exposure, PEP decreased (RAIL -0.7%, ROAD -0.8%), HF decreased (RAIL -3.4%, ROAD -2.9%), and sAA increased (RAIL +78%, ROAD +69%). No differences were found between RAIL and ROAD, indicating that both noise stressors induced comparable extraaural effects. Factor annoyance showed significant during CALM. Here a reduced sympathetic drive (higher PEP values) combined with an increased vascular tone (higher TPR values) was found at the high-annoyed subgroup.
Griefahn, Barbara; Marks, Anke; Robens, Sibylle
This study compared the effects of road, rail, and aircraft noise and tested the applicability of the equivalent noise level for the evaluation of sleep disturbances. Sixteen women and 16 men (19-28 years) slept during 3 consecutive weeks in the laboratory. Eight persons slept in quiet throughout. Twenty-four persons were exposed to road, rail, or aircraft noise with weekly permuted changes. Each week consisted of a random sequence of a quiet night (32 dBA) and 3 nights with equivalent noise levels of 39, 44, and 50 dBA and maximum levels of 50-62, 56-68, and 62-74 dBA, respectively. The polysomnogram was recorded during all nights, sleep quality was assessed and performance tests were completed in the morning. Subjectively evaluated sleep quality decreased and reaction time increased gradually with noise levels, whereas most physiological variables revealed the same reactions to both the lower and considerably stronger reactions to the highest noise load. Aircraft noise, rail and road traffic noise caused similar after-effects but physiological sleep parameters were most severely affected by rail noise. The equivalent noise level seems to be a suitable predictor for subjectively evaluated sleep quality but not for physiological sleep disturbances.
McClure, Christopher J. W.; Ware, Heidi E.; Carlisle, Jay; Kaltenecker, Gregory; Barber, Jesse R.
Many authors have suggested that the negative effects of roads on animals are largely owing to traffic noise. Although suggestive, most past studies of the effects of road noise on wildlife were conducted in the presence of the other confounding effects of roads, such as visual disturbance, collisions and chemical pollution among others. We present, to our knowledge, the first study to experimentally apply traffic noise to a roadless area at a landscape scale—thus avoiding the other confounding aspects of roads present in past studies. We replicated the sound of a roadway at intervals—alternating 4 days of noise on with 4 days off—during the autumn migratory period using a 0.5 km array of speakers within an established stopover site in southern Idaho. We conducted daily bird surveys along our ‘Phantom Road’ and in a nearby control site. We document over a one-quarter decline in bird abundance and almost complete avoidance by some species between noise-on and noise-off periods along the phantom road and no such effects at control sites—suggesting that traffic noise is a major driver of effects of roads on populations of animals. PMID:24197411
Watson, Angela; Watson, Barry; Vallmuur, Kirsten
The reliance on police data for the counting of road crash injuries can be problematic, as it is well known that not all road crash injuries are reported to police which under-estimates the overall burden of road crash injuries. The aim of this study was to use multiple linked data sources to estimate the extent of under-reporting of road crash injuries to police in the Australian state of Queensland. Data from the Queensland Road Crash Database (QRCD), the Queensland Hospital Admitted Patients Data Collection (QHAPDC), Emergency Department Information System (EDIS), and the Queensland Injury Surveillance Unit (QISU) for the year 2009 were linked. The completeness of road crash cases reported to police was examined via discordance rates between the police data (QRCD) and the hospital data collections. In addition, the potential bias of this discordance (under-reporting) was assessed based on gender, age, road user group, and regional location. Results showed that the level of under-reporting varied depending on the data set with which the police data was compared. When all hospital data collections are examined together the estimated population of road crash injuries was approximately 28,000, with around two-thirds not linking to any record in the police data. The results also showed that the under-reporting was more likely for motorcyclists, cyclists, males, young people, and injuries occurring in Remote and Inner Regional areas. These results have important implications for road safety research and policy in terms of: prioritising funding and resources; targeting road safety interventions into areas of higher risk; and estimating the burden of road crash injuries.
Papán, Daniel; Valašková, Veronika
The road and the railway traffic generate material and immaterial emissions. The immaterial emission produced by traffic is divided to the noise and the vibrations. All these aspects attacking the environment should to be assessed. For the assessment the national and international standards can be used. This paper contains only the vibration assessment and the comparison of the dynamic parameters influence in this process. The heritage buildings have more conservative criteria as another building. This approach is performed via experimental and numerical study and identification of the basic dynamic parameters. It is presented on two case studies of important historic buildings in Modra and Žilina (Slovakia). For both case studies buildings, the FEM (Finite Element Method) numerical models were created. The modes of the natural vibration and natural frequencies were obtained as the relevant results from numerical models. These parameters are very important for this type of assessment. For the FEM models the Scia Engineer were used as the numerical software system. The experimental measurements were realised for FEM model verification. Also these measurements were used for the assessment according Slovak standards. These models can be tuned based on the experimental measurements. The tuned FEM models can be used for the further extrapolations. The main part of the investigation was to compare traffic seismicity effect on the historical buildings. Both buildings were assed in the frequency and time domain. The comparison of the traffic seismicity effects was realised also in frequency and the time domain. It is necessary to taking to account this assessment for the heritage buildings.
Background Although road traffic accidents (RTA) are a major cause of injury and a cause of posttraumatic stress (PTS) in the aftermath, little is known about the long-term psychological effects of RTA. Methods This prospective longitudinal study assessed long-term PTS, grief, and general mental health after a bus carrying 23 sixth-grade schoolchildren crashed on a school outing and 12 children died. Directly affected (i.e., children in the crash) and indirectly affected children (i.e., all pupils in the sixth grade who were not in the crash) were surveyed at 9 months (N = 102), 4 years (N = 51), and 20 years (N = 40) after the event. Psychological distress was assessed by single items, including sadness, avoidance, intrusions, and guilt. After 20 years, PTS was assessed by the Impact of Event Scale-Revised. Results Stress reactions were prevalent 9 months after the event, with sadness (69%) and avoidance (59%) being highly represented in both directly and indirectly affected groups, whereas, nightmares (60%) and feelings of guilt (50%) were only frequent in those directly affected. The frequency of sadness and avoidance decreased after 4 years in the indirectly exposed (ps < .05). After 20 years, the directly affected had a higher prevalence of PTS (p = .003), but not decreased general mental health (p = .14), than those indirectly affected. Conclusions The limitations preclude assertive conclusions. Nonetheless, the findings corroborate previous studies reporting traumatic events are associated with long-term PTS, but not with decreased general mental health. PMID:21396118
Near-road air pollution has been associated with various health risks in human populations living near roadways. To better understand relationship between vehicle emissions and spatial profiles of traffic-related air pollutants we performed a comprehensive and systematic literat...
Stallard, Paul; Velleman, Richard; Salter, Emma; Howse, Imogen; Yule, William; Taylor, Gordon
Objective: To determine whether an early intervention using a psychological debriefing format is effective in preventing psychological distress in child road traffic accident survivors. Design: Randomised controlled trial. Setting: Accident and Emergency Department, Royal United Hospital, Bath. Subjects: 158 children aged 7-18. Follow-up…
Rybak, Justyna; Olejniczak, Teresa
Studies focused on the possible use of spider webs as environmental pollution indicators. This was a first time ever attempt to use webs as indicators of polycyclic aromatic hydrocarbons (PAHs) pollution. The aim of the study was (a) to evaluate whether webs are able to accumulate PM-associated road traffic emissions and be analyzed for organic toxics such as PAHs, (b) to assess if the distance from emission sources could have an influence on the accumulation level of pollutants, and (c) to determine types of pollution sources responsible for a structure of monitoring data set. Webs of four species from the family Agelenidae were sampled for PAHs presence. Data from vehicle traffic sites (i.e., road tunnel, arterial surface road, underground parking) and from railway traffic sites (i.e., two railway viaducts) in the city of Wroclaw (Southwest of Poland) showed a significantly higher mean concentrations of PAHs than the reference site 1 (municipal water supply works). We also found a significant differences at sites differed by the distance from emission sources. The result of PCA analysis suggested three important sources of pollution. We conclude that spider webs despite of some limitations proved useful indicators of road traffic emissions; they could be even more reliable compared to use of bioindicators whose activity is often limited by a lack of water and sun.
Puyana Romero, Virginia; Maffei, Luigi; Brambilla, Giovanni; Ciaburro, Giuseppe
High flows of road traffic noise in urban agglomerations can negatively affect the livability of squares and parks located at the neighborhood, district and city levels, therefore pushing anyone who wants to enjoy calmer, quieter areas to move to non-urban parks. Due to the distances between these areas, it is not possible to go as regularly as would be necessary to satisfy any needs. Even if cities are densely populated, the presence of a sea or riverfront offers the possibility of large restorative places, or at least with potential features for being the natural core of an urban nucleus after a renewal intervention. This study evaluates the soundscape of the Naples waterfront, presenting an overview of the most significant visual, acoustic and spatial factors related to the pedestrian areas, as well as areas open to road traffic and others where the road traffic is limited. The factors were chosen with feature selection methods and artificial neural networks. The results show how certain factors, such as the perimeter between the water and promenade, the visibility of the sea or the density of green areas, can affect the perception of the soundscape quality in the areas with road traffic. In the pedestrian areas, acoustic factors, such as loudness or the A-weighted sound level exceeded for 10% of the measurement duration (LA10), influence the perceived quality of the soundscape. PMID:27657105
Kumar, Rajiv; Mukherjee, Abhijit; Singh, V P
Road traffic noise pollution is a global hazard, and rapid urbanization has aggravated the problem. This paper explores a novel approach which involves a smartphone user community to monitor the prevalent noise. The system involves a client application on smartphones that records noise, processes the information and communicates to a server and shares the information as visual noise levels on Google® Maps. A fuzzy logic-based classification of noise is proposed. Results from residential, commercial, and industrial areas of the northern region of India are demonstrated. The noise levels are generally found to be higher than the prescribed standards. The experiment demonstrates the huge potential of user community participation in monitoring noise pollution.
Sadeghi-Bazargani, Homayoun; Ayubi, Erfan; Azami-Aghdash, Saber; Abedi, Leila; Zemestani, Alireza; Amanati, Louiz; Moosazadeh, Mahmood; Syedi, Naeema; Safiri, Saeid
Context Despite considerable attention given to health statistics of road traffic crashes (RTCs), the epidemiological aspects of injuries resulting from RTCs are not fully understood in Iran and other developing countries. The aim of this review was to study the epidemiological pattern and issues arising due to RTCs in Iran. Evidence Acquisition The scope of this study involves data from a broad range of published literature on RTCs in Iran. Data collection for this study was conducted by searching for keywords such as traffic accidents, traffic crashes, motorcycle accidents, motorcycle crashes, motorcycle injury, motor vehicle injury, motor vehicle crashes and motor vehicle accidents, Iran and Iranian in various databases such as Embase, PubMed, Google Scholar, Scopus, Magiran, Iranian scientific information database (SID) and IranMedex. Results This study comprised of 95 articles. It is evident from this review that a large number of severe RTCs occur due to collision of two or more vehicles and most of the victims are males aged between 30 and 39 years. Male pedestrian, drivers and passengers are more likely to be severely injured in comparison to females. One of the most prevalent causes of death among adults involved in the RTCs are head injuries and the majority of deaths occur prior to hospitalization. Mortality rates for RTCs are higher in summer, especially during midnight among all age groups. The most common individual and environmental risk factors associated with RTCs include lack of attention, getting trapped in the car, listening to music, fatigue and sleepiness, duration and distance and negligence of seatbelt usage while driving. Conclusions The findings of the current study will be beneficial in prevention of RTCs and its associated complications and hence will be vital for policy makers, health service managers and stakeholders. PMID:27800461
Etyemezian, V.; Kuhns, H.; Gillies, J.; Chow, J.; Hendrickson, K.; McGown, M.; Pitchford, M.
The testing re-entrained aerosol kinetic emissions from roads (TRAKER) road dust measurement system was used to survey more than 400 km of paved roads in southwestern Idaho during 3-week sampling campaigns in winter and summer, 2001. Each data point, consisting of a 1-s measurement of particle light scattering sampled behind the front tire, was associated with a link (section of road) in the traffic demand model network for the Treasure Valley, ID. Each link was in turn associated with a number of characteristics including posted speed limit, vehicle kilometers traveled (vkt), road class (local/residential, collector, arterial, and interstate), county, and land use (urban vs. rural). Overall, the TRAKER-based emission factors based on location, setting, season, and speed spanned a narrow range from 3.6 to 8.0 g/vkt. Emission factors were higher in winter compared to summer, higher in urban areas compared to rural, and lower for roads with fast travel speeds compared to slower roads. The inherent covariance between traffic volume and traffic speed obscured the assessment of the effect of traffic volume on emission potentials. Distance-based emission factors expressed in grams per kilometer traveled (g/vkt) for roads with low travel speeds (˜11 m/s residential roads) compared to those with high travel speeds (˜25 m/s interstates) were higher (5.2 vs. 3.0 g/vkt in summer and 5.9 vs. 4.9 g/vkt in winter). However, emission potentials which characterize the amount of suspendable material on a road were substantially higher on roads with low travel speeds (0.71 vs. 0.13 g/vkt/(m/s) in summer and 0.78 vs. 0.21 g/vkt/(m/s) in winter). This suggested that while high speed roads are much cleaner (factor of 5.4 in summer), on a vehicle kilometer traveled basis, emissions from high and low speed roads are of the same order. Emission inventories based on the TRAKER method, silt loadings obtained during the field study, and US EPA's AP-42 default values of silt loading were
Tanti, Kamal Kumar
In recent years, monitoring systems are astonishingly inclined towards ever more automatic; reliably interconnected, distributed and autonomous operation. Specifically, the measurement, logging, data processing and interpretation activities may be carried out by separate units at different locations in near real-time. The recent evolution of mobile communication devices and communication technologies has fostered a growing interest in the GIS & GPS-based location-aware systems and services. This paper describes a real-time road traffic monitoring system based on integrated mobile field devices (GPS/GSM/IOs) working in tandem with advanced GIS-based application software providing on-the-fly authentications for real-time monitoring and security enhancement. The described system is developed as a fully automated, continuous, real-time monitoring system that employs GPS sensors and Ethernet and/or serial port communication techniques are used to transfer data between GPS receivers at target points and a central processing computer. The data can be processed locally or remotely based on the requirements of client’s satisfaction. Due to the modular architecture of the system, other sensor types may be supported with minimal effort. Data on the distributed network & measurements are transmitted via cellular SIM cards to a Control Unit, which provides for post-processing and network management. The Control Unit may be remotely accessed via an Internet connection. The new system will not only provide more consistent data about the road traffic conditions but also will provide methods for integrating with other Intelligent Transportation Systems (ITS). For communication between the mobile device and central monitoring service GSM technology is used. The resulting system is characterized by autonomy, reliability and a high degree of automation.
Smit, Robin; Ntziachristos, Leonidas; Boulter, Paul
Road transport is often the main source of air pollution in urban areas, and there is an increasing need to estimate its contribution precisely so that pollution-reduction measures (e.g. emission standards, scrapage programs, traffic management, ITS) are designed and implemented appropriately. This paper presents a meta-analysis of 50 studies dealing with the validation of various types of traffic emission model, including 'average speed', 'traffic situation', 'traffic variable', 'cycle variable', and 'modal' models. The validation studies employ measurements in tunnels, ambient concentration measurements, remote sensing, laboratory tests, and mass-balance techniques. One major finding of the analysis is that several models are only partially validated or not validated at all. The mean prediction errors are generally within a factor of 1.3 of the observed values for CO 2, within a factor of 2 for HC and NO x, and within a factor of 3 for CO and PM, although differences as high as a factor of 5 have been reported. A positive mean prediction error for NO x (i.e. overestimation) was established for all model types and practically all validation techniques. In the case of HC, model predictions have been moving from underestimation to overestimation since the 1980s. The large prediction error for PM may be associated with different PM definitions between models and observations (e.g. size, measurement principle, exhaust/non-exhaust contribution). Statistical analyses show that the mean prediction error is generally not significantly different ( p < 0.05) when the data are categorised according to model type or validation technique. Thus, there is no conclusive evidence that demonstrates that more complex models systematically perform better in terms of prediction error than less complex models. In fact, less complex models appear to perform better for PM. Moreover, the choice of validation technique does not systematically affect the result, with the exception of a CO
Schaffer, B.; Kalverkamp, G.; Chaabane, M.; Biebl, E. M.
We present a multi-user cooperative mobile transponder system which enables cars to localize pedestrians, bicyclists and other road users in order to improve traffic safety. The system operates at a center frequency of 5.768 GHz, offering the ability to test precision localization technology at frequencies close to the newly designated automotive safety related bands around 5.9 GHz. By carrying out a roundtrip time of flight measurement, the sensor can determine the distance from the onboard localization unit of a car to a road user who is equipped with an active transponder, employing the idea of a secondary radar and pulse compression. The onboard unit sends out a pseudo noise coded interrogation pulse, which is answered by one or more transponders after a short waiting time. Each transponder uses a different waiting time in order to allow for time division multiple access. We present the system setup as well as range measurement results, achieving an accuracy up to centimeters for the distance measurement and a range in the order of hundred meters. We also discuss the effect of clock drift and offset on distance accuracy for different waiting times and show how the system can be improved to further increase precision in a multiuser environment.
Albert, Michael; McCaig, Linda F
Data from the National Hospital Ambulatory Medical Care Survey, 2010-2011. In 2010-2011, the emergency department (ED) visit rate for motor vehicle traffic injuries was highest among persons aged 16-24 years. The rates declined with age after 16-24, with rates for those aged 0-15 similar to those 65 and over. The overall ED visit rate for motor vehicle traffic injuries was higher among non-Hispanic black persons compared with non-Hispanic white and Hispanic persons. Imaging services were ordered or provided at 70.2% of ED visits for motor vehicle traffic injuries, which was higher than for other injury-related ED visits (55.9%). About one-half of ED visits for motor vehicle traffic injuries had a primary diagnosis of sprains and strains of the neck and back, contusion with intact skin surface, or spinal disorders. In spite of improvements in motor vehicle safety in recent years, motor vehicle crashes remain a major source of morbidity and mortality in the United States (1-3). Motor vehicle-related deaths and injuries also result in substantial economic and societal costs related to medical care and lost productivity (4). This report describes the rates and characteristics of emergency department (ED) visits for motor vehicle traffic injuries during 2010-2011 based on nationally representative data from the National Hospital Ambulatory Medical Care Survey (NHAMCS).
Yousefzadeh-Chabok, Shahrokh; Ranjbar-Taklimie, Fatemeh; Malekpouri, Reza; Razzaghi, Alireza
Background Road traffic accident (RTA) is one of the main causes of trauma and known as a growing public health concern worldwide, especially in developing countries. Assessing the trend of fatalities in the past years and forecasting it enables us to make the appropriate planning for prevention and control. Objectives This study aimed to assess the trend of RTAs and forecast it in the next years by using time series modeling. Materials and Methods In this historical analytical study, the RTA mortalities in Zanjan Province, Iran, were evaluated during 2007 - 2013. The time series analyses including Box-Jenkins models were used to assess the trend of accident fatalities in previous years and forecast it for the next 4 years. Results The mean age of the victims was 37.22 years (SD = 20.01). From a total of 2571 deaths, 77.5% (n = 1992) were males and 22.5% (n = 579) were females. The study models showed a descending trend of fatalities in the study years. The SARIMA (1, 1, 3) (0, 1, 0) 12 model was recognized as a best fit model in forecasting the trend of fatalities. Forecasting model also showed a descending trend of traffic accident mortalities in the next 4 years. Conclusions There was a decreasing trend in the study and the future years. It seems that implementation of some interventions in the recent decade has had a positive effect on the decline of RTA fatalities. Nevertheless, there is still a need to pay more attention in order to prevent the occurrence and the mortalities related to traffic accidents. PMID:27800467
Markiewicz, Anna; Björklund, Karin; Eriksson, Eva; Kalmykova, Yuliya; Strömvall, Ann-Margret; Siopi, Anna
A large number of organic pollutants (OPs) emitted from vehicles and traffic-related activities exhibit environmental persistence and a tendency to bioaccumulate, and may have detrimental long-term effects on aquatic life. The aim of the study was to establish a list of significant sources of OPs occurring in road runoff, identify the OPs emitted from these sources, select a number of priority pollutants (PP), and estimate the quantity of PPs emitted in a road environment case study using substance flow analysis (SFA). The priority pollutants included in the SFA were selected from a list of approximately 1100 compounds found after comprehensive screening, including literature and database searches, expert judgments, the Ranking and Identification of Chemical Hazards method, and chemical analysis of sediments. The results showed the following priority order: polycyclic aromatic hydrocarbons (PAHs)>alkanes C20-C40>alkylphenols>phthalates>aldehydes>phenolic antioxidants>bisphenol A>oxygenated-PAHs>naphtha C5-C12>amides>amines. Among these, PAHs were chosen for a SFA, which was performed for a highway case study area in Gothenburg (Sweden). The SFA showed that the main sources of PAHs emitted in the area were vehicle exhaust gases, followed by tyre wear, motor lubricant oils, road surface wear, and brake linings. Only 2-6% of the total 5.8-29kg annually emitted PAHs/ha ended up in the stormwater sewer system. The measured PAH loads were found in much smaller amounts than the calculated loads and the outflow to stormwater contained much more of the hazardous PAHs than the total loads emitted in the catchment area.
Zhao, Han-Tao; Nie, Cen; Li, Jing-Ru; Wei, Yu-Ao
On the basis of one-lane comfortable driving model, this paper established a two-lane traffic cellular automata model, which improves the slow randomization effected by brake light. Considering the driver psychological characteristics and mixed traffic, we studied the lateral influence between vehicles on adjacent lanes. Through computer simulation, the space-time diagram and the fundamental figure under different conditions are obtained. The study found that aggressive driver makes a slight congestion in low-density traffic and improves the capacity of high-density traffic, when the density exceeds 20pcu/km the more aggressive drivers the greater the flow, when the density below 40pcu/km driver character makes an effect, the more cautious driver, the lower the flow. The ratio of big cars has the same effect as the ratio of aggressive drivers. Brake lights have the greatest impact on traffic flow and when the density exceeds 10pcu/km the traffic flow fluctuates. Under periodic boundary conditions, the disturbance of road length on traffic is minimal. The lateral influence only play a limited role in the medium-density conditions, and only affect the average speed of traffic at low density.
National Highway Traffic Safety Administration (DOT), Washington, DC.
To assist in the continuing efforts to improve the safety of the motorist on the nation's highways and roads, this instructor's guide provides a standardized approach for providing training in emergency medical care for first responders to traffic accidents. The objective of the course is to provide training in all aspects of emergency medical…
Gualtieri, Giovanni; Toscano, Piero; Crisci, Alfonso; Di Lonardo, Sara; Tartaglia, Mario; Vagnoli, Carolina; Zaldei, Alessandro; Gioli, Beniamino
The importance of road traffic, residential heating and meteorological conditions as major drivers of urban PM10 concentrations during air pollution critical episodes has been assessed in the city of Florence (Italy) during the winter season. The most significant meteorological variables (wind speed and atmospheric stability) explained 80.5-85.5% of PM10 concentrations variance, while a marginal role was played by major emission sources such as residential heating (12.1%) and road traffic (5.7%). The persistence of low wind speeds and unstable atmospheric conditions was the leading factor controlling PM10 during critical episodes. A specific PM10 critical episode was analysed, following a snowstorm that caused a "natural" scenario of 2-day dramatic road traffic abatement (-43%), and a massive (up to +48%) and persistent (8 consecutive days) increase in residential heating use. Even with such a strong variability in local PM10 emissions, the role of meteorological conditions was prominent, revealing that short-term traffic restrictions are insufficient countermeasures to reduce the health impacts and risks of PM10 critical episodes, while efforts should be made to anticipate those measures by linking them with air quality and weather forecasts.
De Silva, Shamali; Ball, Andrew S; Huynh, Trang; Reichman, Suzie M
Concentrations of vehicular emitted heavy metals in roadside soils result in long term environmental damage. This study assessed the relationships between traffic characteristics (traffic density, road age and vehicular speed) and roadside soil heavy metals. Significant levels were recorded for Cd (0.06-0.59 mg/kg), Cr (18-29 mg/kg), Cu (4-12 mg/kg), Ni (7-20 mg/kg), Mn (92-599 mg/kg), Pb (16-144 mg/kg) and Zn (10.36-88.75 mg/kg), with Mn concentrations exceeding the Ecological Investigation Level. Significant correlations were found between roadside soil metal concentration and vehicular speed (R = 0.90), road age (R = 0.82) and traffic density (R = 0.68). Recently introduced metals in automotive technology (e.g. Mn and Sb) were higher in younger roads, while the metals present for many years (e.g. Cd, Cu, Pb, Zn) were higher in medium and old age roads confirming the risk of significant metal deposition and soil metal retention in roadside soils.
Miranda, J Jaime
Background: Road injuries are the second-leading cause of disease and injury in the Andean region of South America. Adequate management of road traffic crash victims is important to prevent and reduce deaths and serious long-term injuries. Objective: To evaluate the promptness of health care services provided to those injured in road traffic incidents (RTIs) and the satisfaction with those services during the pre-hospital and hospital periods. Methods: We conducted a cross-sectional study with active surveillance to recruit participants in emergency departments at eight health care facilities in three Peruvian cities: a large metropolitan city (Lima) and two provincial cities (an urban center in the southern Andes and an urban center in the rainforest region), between August and September 2009. The main outcomes of interest were promptness of care, measured by time between injury and each service offered, as well as patient satisfaction measured by the Service Quality (SERVQUAL) survey. We explored the association between outcomes and city, type of health care facility (HCF), and type of provider. Results: We recruited 644 adults seeking care for RTIs. This active surveillance strategy yielded 34% more events than anticipated, suggesting under-reporting in traditional registries. Median response time between a RTI and any care at a HCF was 33 minutes overall and only 62% of participants received professional care during the initial “golden” hour after the RTI. After adjustment for various factors, there was strong evidence of higher global dissatisfaction levels among those receiving care at public HCFs compared to private ones (odds ratio (OR) 5.05, 95% confidence interval (CI) 1.88-13.54). This difference was not observed when provincial sites were compared to Lima (OR 1.41, 95% CI 0.42-4.70). Conclusions: Response time to RTIs was adequate overall, though a large proportion of RTI victims could have received more prompt care. Overall, dissatisfaction was
Megido, L; Negral, L; Castrillón, L; Fernández-Nava, Y; Suárez-Peña, B; Marañón, E
PM10 from a suburban site in the northwest of Spain was assessed using data from chemical determinations, meteorological parameters, aerosol maps and five-day back trajectories of air masses. Temporal variations in the chemical composition of PM10 were subsequently related to stationary/mobile local sources and long-range transport stemming from Europe and North Africa. The presence of secondary inorganic species (sulphates, nitrates and ammonium) in airborne particulate matter constituted one of the main focuses of this study. These chemical species formed 16.5% of PM10 on average, in line with other suburban background sites in Europe. However, a maximum of 47.8% of PM10 were recorded after several days under the influence of European air masses. Furthermore, the highest values of these three chemical species coincided with episodes of poor air circulation and influxes of air masses from Europe. The relationship between SO4(2-) and NH4(+) (R(2) = 0.57, p-value<0.01) was found to improve considerably in summer and spring (R(2) = 0.88 and R(2) = 0.87, respectively, p-value<0.01), whereas NO3(-) and NH4(+) (R(2) = 0.55, p-value<0.01) reproduced this pattern in winter (R(2) = 0.91, p-value<0.01). The application of a receptor model to the dataset led to the identification of notable apportionments due to road traffic and other types of combustion processes. In fact, large amounts of particulate matter were released to the atmosphere during episodes of biomass burning in forest fires. On isolated days, combustion was estimated to contribute up to 21.0 μg PM/m(3) (50.8% of PM10). The contribution from industrial processes to this source is also worth highlighting given the presence of Ni and Co in its profile. Furthermore, African dust outbreaks at the sampling site, characterised by an arc through the Atlantic Ocean, were usually associated with a higher concentration of Al2O3 in PM10. Results evidenced the relevance of stationary (i.e., steelworks and
Bodalal, Zuhir; Bendardaf, Riyad; Ambarek, Mohammed
This paper aims to observe and to study the trends of road traffic accidents (RTA's) for the past ten years in Benghazi-Libya. A retrospective analysis was done using the patient records of Al-Jalaa hospital (the main trauma center in Benghazi) from over 21,753 RTA cases. The annual data were compared to each other and changes of trends were observed. RTA's represented an increasing percentage of Al-Jalaa's case load across the years. Around 41% of these cases needed to undergo surgery. The younger age group (20-29 years of age) formed the majority of cases while there was a trend towards an increasing average age of patients involved in an accident. Male patients were found to be younger than their female counterparts. Males comprised 81.5% while females formed 18.5% of RTA patients. In terms of inpatient duration, most patients stayed in the hospital for less than 1 week. Vehicle occupants (drivers and passengers) were admitted more often than pedestrians. There was a trend across the years towards an increased involvement of vehicle occupants and decrease in the proportion of pedestrians that had to be hospitalized. Additionally, there was a decrease in the fatalities of pedestrians. Overall, most RTA patients were discharged and made to follow-up in outpatient clinics however there was a startling trend towards increased LAMA and absconded patients. There were both encouraging findings as well as points that needed further emphasis and action. Public education, life support training and diversification of transport (apart from the use of the roads) should be looked into, as possible means of improving the current situation.
Patelczyk, Timo; Löffler, Andreas; Biebl, Erwin
This paper presents a fixed-point implementation of the preprocessing using a field programmable gate array (FPGA), which is required for a multipath joint angle and delay estimation (JADE) used in road traffic applications. This paper lays the foundation for many model-based parameter estimation methods. Here, a simulation of a vehicle-based localization system application for protecting vulnerable road users, which were equipped with appropriate transponders, is considered. For such safety critical applications, the robustness and real-time capability of the localization is particularly important. Additionally, a motivation to use a fixed-point implementation for the data preprocessing is a limited computing power of the head unit of a vehicle. This study aims to process the raw data provided by the localization system used in this paper. The data preprocessing applied includes a wideband calibration of the physical localization system, separation of relevant information from the received sampled signal, and preparation of the incoming data via further processing. Further, a channel matrix estimation was implemented to complete the data preprocessing, which contains information on channel parameters, e.g., the positions of the objects to be located. In the presented case of a vehicle-based localization system application we assume an urban environment, in which multipath propagation occurs. Since most methods for localization are based on uncorrelated signals, this fact must be addressed. Hence, a decorrelation of incoming data stream in terms of a further localization is required. This decorrelation was accomplished by considering several snapshots in different time slots. As a final aspect of the use of fixed-point arithmetic, quantization errors are considered. In addition, the resources and runtime of the presented implementation are discussed; these factors are strongly linked to a practical implementation.
Background Road traffic accidents (RTAs) are the leading health threat to children in Europe, resulting in 355 000 injuries annually. Because children can suffer significant and long-term mental health problems following RTAs, there is considerable interest in the development of early psychological interventions. To date, the research in this field is scarce, and currently no evidence-based recommendations can be made. Methods To evaluate the effectiveness of a single-session early psychological intervention, 99 children age 7-16 were randomly assigned to an intervention or control group. The manualised intervention was provided to the child and at least one parent around 10 days after the child's involvement in an RTA. It included reconstruction of the accident using drawings and accident-related toys, and psychoeducation. All of the children were interviewed at 10 days, 2 months and 6 months after the accident. Parents filled in questionnaires. Standardised instruments were used to assess acute stress disorder (ASD), posttraumatic stress disorder (PTSD), depressive symptoms and behavioural problems. Results The children of the two study groups showed no significant differences concerning posttraumatic symptoms and other outcome variables at 2 or at 6 months. Interestingly, analyses showed a significant intervention × age-group effect, indicating that for preadolescent children the intervention was effective in decreasing depressive symptoms and behavioural problems. Conclusions This study is the first to show a beneficial effect of a single-session early psychological intervention after RTA in preadolescent children. Therefore, an age-specific approach in an early stage after RTAs may be a promising way for further research. Younger children can benefit from the intervention evaluated here. However, these results have to be interpreted with caution, because of small subgroup sizes. Future studies are needed to examine specific approaches for children and
The high availability of asphaltites in Boyacá and their low cost make this material a viable alternative for low traffic road paving; nevertheless, the traditional way in which this material is used generates, in cases, pavements with deficient behavior. This investigation, presents the results of the mixture design using asphaltites from the municipality of Pesca-Boyacá as well as coarse and fine aggregates produced in the region, 70-80 asphalt cement and slow-break asphalt emulsion. Working formulas for dense mixing in hot and cold and particularly MDF-2 and MDC-2 are presented from the characterization information; as benchmarks to define technical viability for use in low- traffic volume roads, according to NT1 regulation from INVIAS. The mixture design was performed according to the procedures defined in the RAMCODES and MARSHALL methodologies.
Font, Anna; Baker, Timothy; Mudway, Ian S; Purdie, Esme; Dunster, Christina; Fuller, Gary W
Road widening schemes in urban areas are often proposed as a solution to traffic congestion and as a means of stimulating economic growth. There is however clear evidence that new or expanded roads rapidly fill with either displaced or induced traffic, offsetting any short-term gains in eased traffic flows. What has not been addressed in any great detail is the impact of such schemes on air quality, with modelled impact predictions seldom validated by measurements after the expansion of road capacity. In this study we made use of a road widening project in London to investigate the impact on ambient air quality (particulate matter, NOX, NO2) during and after the completion of the road works. PM10 increased during the construction period up to 15 μg m(-3) during working hours compared to concentrations before the road works. A box modelling approach was used to determine a median emission factor of 0.0022 kg PM10 m(-2) month(-1), three times larger than that used in the UK emission inventory (0.0007 kg PM10 m(-2) month(-1)). Peaks of activity released 0.0130 kg PM10 m(-2) month(-1), three and eight times smaller than the peak values used in the European and US inventories. After the completion of the widening there was an increase in all pollutants from the road during rush hour: 2-4 μg m(-3) for PM10; 1 μg m(-3) for PM2.5; 40 and 8 μg m(-3) for NOX and NO2, respectively. NO2 EU Limit Value was breached after the road development illustrating a notable deterioration in residential air quality. Additionally, PM10, but not PM2.5, glutathione dependent oxidative potential increased after the road was widened consistent with an increase in pro-oxidant components in the coarse particle mode, related to vehicle abrasion processes. These increased air pollution indices were associated with an increase in the number of cars, taxis and LGVs.
Mitchell, R J; Bambach, M R; Foster, K; Curtis, K
Road trauma is one of the most common causes of injury for children. Yet risk factors associated with different levels of injury severity for childhood road trauma have not been examined in-depth. This study identifies crash and injury risk factors associated with the severity of non-fatal injury outcome for paediatric road trauma. A retrospective analysis was conducted of paediatric road trauma identified in linked police-reported and hospitalisation records during 1 January 2001 to 31 December 2011 in New South Wales (NSW), Australia. The linkage rate was 54%. Injury severity was calculated from diagnosis classifications in hospital records using the International Classification of Disease Injury Severity Score. Univariate and multi-variable logistic regression was conducted. There were 2412 car occupants, 1701 pedestrians and 612 pedal cyclists hospitalised where their hospital record linked to a police report. For car occupants, unauthorised vehicle drivers had twice the odds (OR: 2.21, 95%CI 1.47-3.34) and learner/provisional drivers had one and a half times higher odds (OR: 1.54, 95%CI 1.15-2.07) of a child car occupant sustaining a serious injury compared to a minor injury. For pedal cyclists and pedestrians, there were lower odds of a crash occurring during school commuting time and higher odds of a crash occurring during the weekend or on a dry road for children who sustained a serious versus a minor injury. Injury prevention initiatives, such as restraint and helmet use, that should reduce injury and/or crash severity are advocated.
Asefa, Nigus Gebremedhin; Ingale, Lalit; Shumey, Ashenafi; Yang, Hannah
Objectives The 2013 World Health Organization Status Report on Road Safety estimated that approximately 1.24 million deaths occur annually due to road traffic crashes with most of the burden falling on low- and middle-income countries. The objective of this research is to study the prevalence of road traffic crashes in Mekelle, Tigray, Northern Ethiopia and to identify risk factors with the ultimate goal of informing prevention activities and policies. Methods This study used a cross-sectional design to measure the prevalence and factors associated with road traffic crashes among 4-wheeled minibus (n = 130) and 3-wheeled Bajaj (n = 582) taxi drivers in Mekelle, Ethiopia. Bivariate and multivariate logistic regression were used to evaluate the association between risk factors and drivers’ involvement in a road traffic crash within the 3 years prior to the survey. Findings Among the 712 taxi drivers, 26.4% (n = 188) of them reported involvement in a road traffic crash within the past 3 years. Drivers who listened to mass media had decreased likelihood of road traffic crash involvement (AOR = 0.51, 0.33–0.78), while speedy driving (AOR = 4.57, 3.05–7.44), receipt of a prior traffic punishment (AOR = 4.57, 2.67–7.85), and driving a mechanically faulty taxi (AOR = 4.91, 2.81–8.61) were strongly associated with road traffic crash involvement. Receiving mobile phone calls while driving (AOR = 1.91, 1.24–2.92) and history of alcohol use (AOR = 1.51, 1.00–2.28) were also associated with higher odds of road traffic crash involvement. Conclusion The results of this study show that taxi drivers in Mekelle habitually place themselves at increased risk of road traffic crashes by violating traffic laws, especially related to speedy driving, mobile phone use, and taxi maintenance. This research can be used to support re-evaluation of the type, severity, and enforcement of traffic violation penalties. PMID:25781940
Galbrun, Laurent; Calarco, Francesca M A
This paper examines the audio-visual interaction and perception of water features used over road traffic noise, including their semantic aural properties, as well as their categorization and evocation properties. The research focused on a wide range of small to medium sized water features that can be used in gardens and parks to promote peacefulness and relaxation. Paired comparisons highlighted the inter-dependence between uni-modal (audio-only or visual-only) and bi-modal (audio-visual) perception, indicating that equal attention should be given to the design of both stimuli. In general, natural looking features tended to increase preference scores (compared to audio-only paired comparison scores), while manmade looking features decreased them. Semantic descriptors showed significant correlations with preferences and were found to be more reliable design criteria than physical parameters. A principal component analysis identified three components within the nine semantic attributes tested: "emotional assessment," "sound quality," and "envelopment and temporal variation." The first two showed significant correlations with audio-only preferences, "emotional assessment" being the most important predictor of preferences, and its attributes naturalness, relaxation, and freshness also being significantly correlated with preferences. Categorization results indicated that natural stream sounds are easily identifiable (unlike waterfalls and fountains), while evocation results showed no unique relationship with preferences.
Smith, Andrew P
Objective The aim of the present research was to examine associations between poor driving behaviour (DB), driving when fatigued (DF), risk taking (RT) and road traffic accidents (RTAs). Design The study involved a cross-sectional online survey of clients of an insurance company. The survey measured DB (speeding, distraction, lapses of attention and aggression), RT and frequency of driving when fatigued (DF, driving late at night, prolonged driving, driving after a demanding working day and driving with a cold). Demographic, lifestyle, job characteristics and psychosocial factors were also measured and used as covariates. Setting Cardiff, UK. Sample 3000 clients of an insurance company agreed to participate in the study, and 2856 completed the survey (68% woman, 32% man; mean age: 34 years, range 18–74 years). Main outcome measures The outcomes were RTAs (requiring medical attention; not requiring medical attention), where the person was the driver. Results Factor analyses showed that DB, RT and fatigue loaded on independent factors. Logistic regressions showed that poor DB, frequently DF and taking risks predicted medical and non-medical RTAs. These effects were additive and those who reported poor DB, driving when fatigue and taking risks were twice as likely to have an RTA. These effects remained significant when demographic, lifestyle, medical, driving, work and psychosocial factors were covaried. Conclusions Poor DB, DF and RT predict RTAs. There are now short measuring instruments that can assess these, and driver education programmes must increase awareness of these risk factors. PMID:27540100
Taylor, Dale L.; Vogt, Kenneth D.; Warburton, Janet
The Denali National Park and Preserve (DENA) is a 6.03 million acre reserve lying between Anchorage and Fairbanks, Alaska. The park was established in 1917 as a wildlife refuge, and is managed to maintain the wilderness character. With the highest mountain in North America, Mt. McKinley, and the easy availability of wildlife for viewing, the park is Alaska's most favored destination point. From 1972 through 1984, visitation grew from 88, 615 to 394, 426 visitor days per year (GMP, 1986), and then increased by 50,000 per year to 596,000 visitors in 1988. This demand for motorized access to the park, especially along the 92.5 mile-long park road, has resulted in controversy and claims of traffic disturbance to wildlife [(letter from Superintendent, DENA July 13, 1988) (Anchorage Daily News, May 14, 1995; May 26, 1995; February 5, 1996; June 18, 1996) Leo (1987); Lee Rue (1996)].
Bartok, Juraj; Bott, Andreas; Gera, Martin
Modern weather prediction models use relatively high grid resolutions as well as sophisticated parametrization schemes for microphysical and other subgrid-scale atmospheric processes. Nonetheless, with these models it remains a difficult task to perform successful numerical fog forecasts since many factors controlling a particular fog event are not yet sufficiently simulated. Here we describe our efforts to create a mechanism that produces successful predictions of fog in the territory located on the north coast of the Arabian Peninsula. Our approach consists in the coupling of the one-dimensional PAFOG fog model with the three-dimensional WRF 3.0 (Weather Research and Forecast) modelling system. The proposed method allows us to construct an efficient operative road traffic warning system for the occurrence of fog in the investigated region. In total 84 historical situations were studied during the period 2008-2009. Moreover, results of operative day-by-day fog forecasting during January and February 2010 are presented. For the investigated arid and hot climate region the land-sea breeze circulation seems to be the major factor affecting the diurnal variations of the meteorological conditions, frequently resulting in the formation of fog.
Torija, Antonio J; Flindell, Ian H
Based on subjective listening trials, Torija and Flindell [J. Acoust. Soc. Am. 135, 1-4 (2014)] observed that low frequency content in typical urban main road traffic noise appeared to make a smaller contribution to reported annoyance than might be inferred from its objective or physical dominance. This paper reports a more detailed study which was aimed at (i) identifying the difference in sound levels at which low frequency content becomes subjectively dominant over mid and high frequency content and (ii) investigating the relationship between loudness and annoyance under conditions where low frequency content is relatively more dominant, such as indoors where mid and high frequency content is reduced. The results suggested that differences of at least +30 dB between the low frequency and the mid/high frequency content are needed for changes in low frequency content to have as much subjective effect as equivalent changes in mid and high frequency content. This suggests that common criticisms of the A-frequency weighting based on a hypothesized excessive downweighting of the low frequency content may be relatively unfounded in this application area.
Naish, Daniel A; Tan, Andy C C; Nur Demirbilek, F
Balcony acoustic treatments can mitigate the effects of community road traffic noise. To further investigate, a theoretical study into the effects of balcony acoustic treatment combinations on speech interference and transmission is conducted for various street geometries. Nine different balcony types are investigated using a combined specular and diffuse reflection computer model. Diffusion in the model is calculated using the radiosity technique. The balcony types include a standard balcony with or without a ceiling and with various combinations of parapet, ceiling absorption and ceiling shield. A total of 70 balcony and street geometrical configurations are analyzed with each balcony type, resulting in 630 scenarios. In each scenario the reverberation time, speech interference level (SIL) and speech transmission index (STI) are calculated. These indicators are compared to determine trends based on the effects of propagation path, inclusion of opposite buildings and difference with a reference position outside the balcony. The results demonstrate trends in SIL and STI with different balcony types. It is found that an acoustically treated balcony reduces speech interference. A parapet provides the largest improvement, followed by absorption on the ceiling. The largest reductions in speech interference arise when a combination of balcony acoustic treatments are applied.
Marquis-Favre, Catherine; Morel, Julien
Total annoyance due to combined noises is still difficult to predict adequately. This scientific gap is an obstacle for noise action planning, especially in urban areas where inhabitants are usually exposed to high noise levels from multiple sources. In this context, this work aims to highlight potential to enhance the prediction of total annoyance. The work is based on a simulated environment experiment where participants performed activities in a living room while exposed to combined road traffic and industrial noises. The first objective of the experiment presented in this paper was to gain further understanding of the effects on annoyance of some acoustical factors, non-acoustical factors and potential interactions between the combined noise sources. The second one was to assess total annoyance models constructed from the data collected during the experiment and tested using data gathered in situ. The results obtained in this work highlighted the superiority of perceptual models. In particular, perceptual models with an interaction term seemed to be the best predictors for the two combined noise sources under study, even with high differences in sound pressure level. Thus, these results reinforced the need to focus on perceptual models and to improve the prediction of partial annoyances. PMID:26197326
Minderhoud, M M; Bovy, P H
This article describes two new safety indicators based on the time-to-collision notion suitable for comparative road traffic safety analyses. Such safety indicators can be applied in the comparison of a do-nothing case with an adapted situation, e.g. the introduction of intelligent driver support systems. In contrast to the classical time-to-collision value, measured at a cross section, the improved safety indicators use vehicle trajectories collected over a specific time horizon for a certain roadway segment to calculate the overall safety indicator value. Vehicle-specific indicator values as well as safety-critical probabilities can easily be determined from the developed safety measures. Application of the derived safety indicators is demonstrated for the assessment of the potential safety impacts of driver support systems from which it appears that some Autonomous Intelligent Cruise Control (AICC) designs are more safety-critical than the reference case without these systems. It is suggested that the indicator threshold value to be applied in the safety assessment has to be adapted when advanced AICC-systems with safe characteristics are introduced.
Van Renterghem, Timothy; Botteldooren, Dick
This study provides additional evidence for the positive effect of the presence of a quiet façade at a dwelling and aims at unraveling potential mechanisms. Locations with dominant road traffic noise and high L(den)-levels at the most exposed façade were selected. Dwellings both with and without a quiet façade were deliberately sought out. Face-to-face questionnaires (N = 100) were taken to study the influence of the presence of a quiet side in relation to noise annoyance and sleep disturbance. As a direct effect, the absence of a quiet façade in the dwelling (approached as a front-back façade noise level difference smaller than 10 dBA) leads to an important increase of at least moderately annoyed people (odds-ratio adjusted for noise sensitivity equals 3.3). In an indirect way, a bedroom located at the quiet side leads to an even stronger reduction of the self-reported noise annoyance (odds-ratio equal to 10.6 when adjusted for noise sensitivity and front façade L(den)). The quiet side effect seems to be especially applicable for noise sensitive persons. A bedroom located at the quiet side also reduces noise-induced sleep disturbances. On a loud side, bedroom windows are more often closed, however, conflicting with the preference of dwellers.
Stansfeld, Stephen A.; Clark, Charlotte
Studies in West London have found associations between aircraft noise exposure and childrens' cognitive performance. This has culminated in the RANCH Study examining exposure-effect associations between aircraft and road traffic noise exposure and cognitive performance and health. The RANCH project, the largest cross-sectional study of noise and childrens health, examined 2844 children, 9-10 years old, from 89 schools around three major airports: in the Netherlands, Spain and the United Kingdom. Children were selected by external aircraft and road traffic noise exposure at school predicted from noise contour maps, modeling and on-site measurements. A substudy indicated high internal levels of noise within classrooms. Schools were matched for socioeconomic position within countries. Cognitive and health outcomes were measured by standardized tests and questionnaires administered in the classroom. A parental questionnaire collected information on socioeconomic position, parental education and ethnicity. Linear exposure-effect associations were found between chronic aircraft noise exposure and impairment of reading comprehension and recognition memory, maintained after adjustment for mothers education, socioeconomic factors, longstanding illness and classroom insulation. Road traffic noise exposure was linearly associated with episodic memory. The implications of these results for childrens' learning environments will be discussed. [Work supported by European Community (QLRT-2000-00197) Vth framework program.
Schäffer, Beat; Schlittmeier, Sabine J; Pieren, Reto; Heutschi, Kurt; Brink, Mark; Graf, Ralf; Hellbrück, Jürgen
Current literature suggests that wind turbine noise is more annoying than transportation noise. To date, however, it is not known which acoustic characteristics of wind turbines alone, i.e., without effect modifiers such as visibility, are associated with annoyance. The objective of this study was therefore to investigate and compare the short-term noise annoyance reactions to wind turbines and road traffic in controlled laboratory listening tests. A set of acoustic scenarios was created which, combined with the factorial design of the listening tests, allowed separating the individual associations of three acoustic characteristics with annoyance, namely, source type (wind turbine, road traffic), A-weighted sound pressure level, and amplitude modulation (without, periodic, random). Sixty participants rated their annoyance to the sounds. At the same A-weighted sound pressure level, wind turbine noise was found to be associated with higher annoyance than road traffic noise, particularly with amplitude modulation. The increased annoyance to amplitude modulation of wind turbines is not related to its periodicity, but seems to depend on the modulation frequency range. The study discloses a direct link of different acoustic characteristics to annoyance, yet the generalizability to long-term exposure in the field still needs to be verified.
Jeanjean, A. P. R.; Hinchliffe, G.; McMullan, W. A.; Monks, P. S.; Leigh, R. J.
This paper focuses on the effectiveness of trees at dispersing road traffic emissions on a city scale. CFD simulations of air-pollutant concentrations were performed using the OpenFOAM software platform using the k-ε model. Results were validated against the CODASC wind tunnel database before being applied to a LIDAR database of buildings and trees representing the City of Leicester (UK). Most other CFD models in the literature typically use idealised buildings to model wind flow and pollution dispersion. However, the methodology used in this study uses real buildings and trees data from LIDAR to reconstruct a 3D representation of Leicester City Centre. It focuses on a 2 × 2 km area which is on a scale larger than those usually used in other CFD studies. Furthermore, the primary focus of this study is on the interaction of trees with wind flow dynamics. It was found that in effect, trees have a regionally beneficial impact on road traffic emissions by increasing turbulence and reducing ambient concentrations of road traffic emissions by 7% at pedestrian height on average. This was an important result given that previous studies generally concluded that trees trapped pollution by obstructing wind flow in street canyons. Therefore, this study is novel both in its methodology and subsequent results, highlighting the importance of combining local and regional scale models for assessing the impact of trees in urban planning.
Deunk, Jaap; Harmsen, Annelieke M. K.; Schonhuth, Casper P.; Bloemers, Frank W.
Background: In cities with trams as public transportation, tram tracks are often on public roads, creating a shared road situation with other road participants like cyclists. Beside the risk of direct collisions, this situation can also lead to bicycle wheels getting wedged in tram tracks, causing cyclists to fall. Objectives: The aim of this study was to gain more insight in the injury pattern of this trauma mechanism and to draw attention to the risks of the infrastructural situation with on-road tram tracks. Patients and Methods: A one-year, prospective, observational cohort study was conducted. All patients admitted after presentation to the emergency department of a level 1 trauma center, who got injured because their bicycle wheels got wedged in tram tracks, were included. Data were collected on patient demographics, type of injury and treatment. Results: Ten patients were included. Six were male. The mean age was 38 years. Six patients required surgery, mostly because of extremity injuries. Mean duration of admission was 4 days. Mean injury severity score was 13. One patient died as a result of the injuries sustained in the accident. Conclusions: Tram tracks on public roads are potentially dangerous and can lead to serious injuries and even mortality amongst cyclist. Operative intervention is frequently needed. PMID:25685751
Oxley, Jennifer A.; Congiu, Melinda; Whelan, Michelle; D’Elia, Angelo; Charlton, Judith
Using data from i) a simulated road-crossing task, ii) a battery of functional performance assessments, and iii) a survey of parents, some factors that may predict poor road-crossing skill were identified. Children aged between 6 and 10 years made road-crossing decisions in a simulated road environment in which time gap and speed of approaching vehicles were manipulated. Functional performance was examined using a range of tools designed to assess cognitive, perceptual, attentional and executive functioning. Parents also provided information on physical activity, exposure to traffic and road safety education. The results suggest that children predominantly made decisions based on distance gap and that younger children (6–7 year olds) were 12 times more likely than older children (8–10 year olds) to make critically incorrect (or unsafe) crossing decisions. Factors found to be associated with incorrect crossing decisions included lower perceptual, attentional, cognitive and executive performance, and independent travel. There were no gender differences associated with incorrect crossing decisions. This study has used a novel and safe way to identify ‘at risk’ groups of children and the findings have been used to develop and evaluate a practical educational and training program aimed at improving essential skills and strategies to cross roads safely amongst ‘at risk’ children. PMID:18184486
Oxley, Jennifer A; Congiu, Melinda; Whelan, Michelle; D'Elia, Angelo; Charlton, Judith
Using data from i) a simulated road-crossing task, ii) a battery of functional performance assessments, and iii) a survey of parents, some factors that may predict poor road-crossing skill were identified. Children aged between 6 and 10 years made road-crossing decisions in a simulated road environment in which time gap and speed of approaching vehicles were manipulated. Functional performance was examined using a range of tools designed to assess cognitive, perceptual, attentional and executive functioning. Parents also provided information on physical activity, exposure to traffic and road safety education. The results suggest that children predominantly made decisions based on distance gap and that younger children (6-7 year olds) were 12 times more likely than older children (8-10 year olds) to make critically incorrect (or unsafe) crossing decisions. Factors found to be associated with incorrect crossing decisions included lower perceptual, attentional, cognitive and executive performance, and independent travel. There were no gender differences associated with incorrect crossing decisions. This study has used a novel and safe way to identify 'at risk' groups of children and the findings have been used to develop and evaluate a practical educational and training program aimed at improving essential skills and strategies to cross roads safely amongst 'at risk' children.
Feng, Shumin; Li, Jinyang; Ding, Ning; Nie, Cen
The traffic paradox "faster is slower" does not always apply. To study when and where it is valid, a simulation for a real road segment is performed using a novel cellular automaton. This simulation is used to analyze the change in global traffic flow status during free lane-changing behavior under general urban traffic conditions. The impact of lane-changing behavior is quantified into two aspects, time and space, and are described by average delay and transitable flow, respectively. Then surfaces are obtained, which adopt the arriving probability of vehicles and the green ratio as dual independent variables. Thus by the comparison of two surfaces, free lane-changing and straight proceeding, the horizontal projection of the intersecting lines is solved. Finally, the range of occurrence and reasons for the paradox are analyzed.
This paper reports on Birmingham City Council's Streets Ahead on Safety project which aims to improve road safety and quality of life in an area of multiple deprivation where 87 000 people from largely Asian, immigrant backgrounds live. A third of residents are under 16 years old and 58% self-define their religion as Muslim. The area has a poor traffic accident record leading to high levels of killed or seriously injured children. Child accidental injury in Europe is reaching 'epidemic' proportions, requiring innovative, ameliorative approaches to redress. Existing UK school-based road safety initiatives rarely extend beyond the 'tokenistic', but this project endeavoured to encourage a highway authority, engineers and road safety officers to provide local young people with opportunities to participate in decision-making in the belief that the active engagement of young service users would lead to more effective and sustainable solutions to accident prevention. Embracing the city's ratification of the UN Convention on the Rights of the Child (1989), this project promoted young people's participation in decision-making around engineering plans for their local community. The project included 405 young people aged 9-11 years who conducted environmental audits, interactive road safety awareness and citizenship training, and engaged as decision-makers. Successful outcomes include increased knowledge of road and community safety issues, and the establishment of young people as stakeholders in the development of their own safety and active engagement with service providers in the development of engineering proposals. This paper highlights the potential dynamics of participation and the dilemmas it poses for relationships between service users and providers, and outlines some of the barriers confronted by young people in learning to be active participants.
Houot, Jennifer; Marquant, Fabienne; Goujon, Stéphanie; Faure, Laure; Honoré, Cécile; Roth, Marie-Hélène; Hémon, Denis; Clavel, Jacqueline
Childhood leukemia may be associated with traffic-related environmental exposure to benzene, and additional data are needed. The Géolocalisation des Cancers Pédiatriques (GEOCAP) Study, a nationwide French case-control study, was designed to avoid selection bias due to differential participation and misclassification. The study compared the 2,760 childhood leukemia cases diagnosed in France between 2002 and 2007 (including 2,275 cases of acute lymphoblastic leukemia (ALL) and 418 cases of acute myeloblastic leukemia (AML)) with 30,000 contemporaneous child population controls. The residence addresses were precisely geocoded, and 3 indicators of residential proximity to traffic were considered. Estimates of benzene concentrations were also available for the Île-de-France region (including Paris). A 300-m increase in major road length within 150 m of the geocoded address was significantly associated with AML (odds ratio = 1.2, 95% confidence interval: 1.0, 1.4) but not with ALL (odds ratio = 1.0, 95% confidence interval: 0.9, 1.1), and the association was reinforced in the Île-de-France region when this indicator was combined with benzene estimates. These results, which were free from any participation bias and based on objectively determined indices of exposure, showed an increased incidence of AML associated with heavy-traffic road density near a child's home. The results support a role for traffic-related benzene exposure in the etiology of childhood AML.
Ooi, S S; Wong, S V; Radin Umar, R S; Azhar, A A; Yeap, J S; Megat Ahmad, M M H
Cervical spine injuries such as subluxation and fracture dislocation have long been known to result in severe consequences, as well as the trauma management itself. The injury to the region has been identified as one of the major causes of death in Malaysian motorcyclists involved in road crashes, besides head and chest injuries (Pang, 1999). Despite this, cervical spine injury in motorcyclists is not a well-studied injury, unlike the whiplash injury in motorcar accidents. The present study is a retrospective study on the mechanisms of injury in cervical spine sustained by Malaysian motorcyclists, who were involved in road crash using an established mechanistic classification system. This will serve as an initial step to look at the cervical injuries pattern. The information obtained gives engineer ideas to facilitate design and safety features to reduce injuries. All cervical spine injured motorcyclists admitted to Hospital Kuala Lumpur between January 1, 2000 and December 31, 2001 were included in the present study. Based on the medical notes and radiological investigations (X-rays, CT and MRI scans), the mechanisms of injuries were formulated using the injury mechanics classification. The result shows that flexion of the cervical vertebrae is the most common vertebral kinematics in causing injury to motorcyclists. This indicates that the cervical vertebrae sustained a high-energy loading at flexion movement in road crash, and exceeded its tolerance level. The high frequency of injury at the C5 vertebra, C6 vertebra and C5-C6 intervertebral space are recorded. Classification based on the Abbreviated Injury Scale (AIS) is made to give a view on injury severity, 9.1% of the study samples have been classified as AIS code 1, 51.5% with AIS 2 and 21.2% with AIS 3.
Li, Tianxin; Meng, Linglong; Herman, Uwizeyimana; Lu, Zhongming; Crittenden, John
Soil quality is critical to the management of urban green space, in particular, along traffic corridors where traffic-related air pollution is significant. Soil quality can be evaluated by soil enzyme activities, which show quick responses to both natural and anthropogenic disturbances. In this study, we investigated three soil enzyme activities (i.e., dehydrogenase, catalase and urease) along the major roads in urban areas of Beijing. Results show the activities of dehydrogenase, catalase and urease in urban samples were 58.8%, 68.2% and 48.5% less than the rural sample, respectively. The content of fluorescent amino acids as indicators of microbial activities was also consistently lower in urban samples than the rural. We observed two times greater exposure of particulate material along the roadsides in urban areas than rural areas. Although traffic air pollutants provide some nutrient sources to stimulate the URE activity, the exposure to traffic-related air pollution leads to the substantial decrease in enzyme activities. There were significant negative correlations for exposure to PM10 with DHA (r = −0.8267, p = 0.0017) and CAT (r = −0.89, p = 0.0002) activities. For the urban soils URE activity increased with the increasing of PM. We conclude that the degraded soil quality can negatively affect the target of developing plants and green spaces along the traffic corridors to mitigate the traffic impact. This study suggests the investigation of integrated strategies to restore the soil quality, reinforce the ecological service functions of green spaces along the traffic corridors and reduce the traffic pollutants. PMID:26457711
Li, Tianxin; Meng, Linglong; Herman, Uwizeyimana; Lu, Zhongming; Crittenden, John
Soil quality is critical to the management of urban green space, in particular, along traffic corridors where traffic-related air pollution is significant. Soil quality can be evaluated by soil enzyme activities, which show quick responses to both natural and anthropogenic disturbances. In this study, we investigated three soil enzyme activities (i.e., dehydrogenase, catalase and urease) along the major roads in urban areas of Beijing. Results show the activities of dehydrogenase, catalase and urease in urban samples were 58.8%, 68.2% and 48.5% less than the rural sample, respectively. The content of fluorescent amino acids as indicators of microbial activities was also consistently lower in urban samples than the rural. We observed two times greater exposure of particulate material along the roadsides in urban areas than rural areas. Although traffic air pollutants provide some nutrient sources to stimulate the URE activity, the exposure to traffic-related air pollution leads to the substantial decrease in enzyme activities. There were significant negative correlations for exposure to PM10 with DHA (r = -0.8267, p = 0.0017) and CAT (r = -0.89, p = 0.0002) activities. For the urban soils URE activity increased with the increasing of PM. We conclude that the degraded soil quality can negatively affect the target of developing plants and green spaces along the traffic corridors to mitigate the traffic impact. This study suggests the investigation of integrated strategies to restore the soil quality, reinforce the ecological service functions of green spaces along the traffic corridors and reduce the traffic pollutants.
Gomei, Sayaka; Hitosugi, Masahito; Ikegami, Keiichi; Tokudome, Shogo
The objective of this study was to clarify the relationship between injury severity in bicyclists involved in traffic accidents and patient outcome or type of vehicle involved in order to propose effective measures to prevent fatal bicycle injuries. Hospital records were reviewed for all patients from 2007 to 2010 who had been involved in a traffic accident while riding a bicycle and were subsequently transferred to the Shock Trauma Center of Dokkyo Medical University Koshigaya Hospital. Patient outcomes and type of vehicle that caused the injury were examined. The mechanism of injury, Abbreviated Injury Scale (AIS) score, and Injury Severity Score (ISS) of the patient were determined. A total of 115 patients' records were reviewed. The mean patient age was 47.1 ± 27.4 years. The average ISS was 23.9, with an average maximum AIS (MAIS) score of 3.7. The ISS, MAIS score, head AIS score, and chest AIS score were well correlated with patient outcome. The head AIS score was significantly higher in patients who had died (mean of 4.4); however, the ISS, MAIS score, and head AIS score did not differ significantly according to the type of vehicle involved in the accident. The mean head AIS scores were as high as 2.4 or more for accidents involving any type of vehicle. This study provides useful information for forensic pathologists who suspect head injuries in bicyclists involved in traffic accidents. To effectively reduce bicyclist fatalities from traffic accidents, helmet use should be required for all bicyclists.
Walker, D. A.; Buchhorn, M.; Raynolds, M. K.; Kanevskiy, M. Z.; Matyshak, G. V.; Shur, Y.; Peirce, J.
The upper permafrost of the Prudhoe Bay Oilfield, the largest oil field in both the United States and in North America, contains significant amounts of excess ground ice, mainly in ice wedges. An increase in infrastructure development and road traffic since the initial development of the Prudhoe Bay Oilfield in 1968 has resulted in extensive flooding, accumulation of road dust, and roadside snowbanks, all of which affect the vegetation and alter the thermal properties of the ground surface. As part of the NSF's Arctic Science, Engineering, and Education for Sustainability (ArcSEES) project, we established four transects in 2014 and 2015 to document the effects of infrastructure and heavy road traffic on adjacent tundra. Two transects were established perpendicular to the Prudhoe Bay Spine Road north of Lake Colleen and two perpendicular to the Dalton Highway next to the Deadhorse airstrip. Prior to infrastructure development in 1949, rather homogeneous networks of low-centered polygons with less than 30 cm of trough-rim elevation contrast covered both locations. We present the detailed results of vegetation analysis, ice-core drilling, and extensive topographic surveys along the transects. A time series of aerial photographs from 1949 to 2014 (yearly since 1969) documents the changing landscapes in relationship to the record of air-temperature, active layer depths, and permafrost temperatures at Deadhorse. Flooding, road dust, and snow drifts have all contributed to creating warmer soil temperatures and deeper active layers near the road. These factors have all contributed in different ways to alteration of the plant canopy. The altered plant canopies in turn further altered the surface albedo and the ground temperatures. Historical photos indicate that between 1989 and 2012 a regional thawing of the ice-wedges occurred, increasing the extent of thermokarst. Our analysis demonstrates the cumulative effects of infrastructure-related and climate-related factors to
Turkington, P; Sircar, M; Allgar, V; Elliott, M
BACKGROUND—Obstructive sleep apnoea (OSA) has been shown to be associated with an increased risk of road traffic accidents (RTAs). Predicting the driving ability and risk of RTAs in an individual with OSA is difficult. On-road testing is the gold standard, but this is time consuming, expensive, and potentially dangerous. Simple computer based driving simulators have been developed to help determine driving ability. Although patients with OSA have been shown to perform poorly compared with matched controls, it is not known whether these simulators can predict those at most risk of accidents. In this study we evaluated whether data derived from a simple driving simulator provided information over and above that obtained from the history and a sleep study that might be useful for advising patients about driving. METHODS—We examined 150 patients admitted for routine sleep studies for investigation of OSA and snoring. Each patient performed a 20 minute driving simulation and completed a questionnaire regarding their driving history and experience. RESULTS—Logistic regression analysis was used to investigate factors associated with patients' performance on the simulator. It was found that patient characteristics, older age (OR 1.05, 95% CI 1.01 to 1.09, p<0.01), female sex (OR 9.32, 95% CI 1.09 to 79.4,p<0.04), and self-reported alcohol consumption (OR 1.04, 95% CI 1.01 to 1.07, p<0.01) had the greatest influence; however, the number of self-reported near miss accidents was independently associated with a poor performance (OR 2.62, 95% CI 1.00 to 6.88,p<0.05). A further logistic regression was used to investigate whether clinical history, sleep study results, and data from the driving simulator were useful in classifying patients with OSA as having had an RTA. The number of off-road events per hour on the simulator was independently associated with a history of previous RTA (OR 1.004, 95% CI 1.0004 to 1.008, p<0.03). The Epworth score was independently
Spoerri, Adrian; Egger, Matthias; von Elm, Erik
Road traffic accidents (RTA) are an important cause of premature death. We examined socio-demographic and geographical determinants of RTA mortality in Switzerland by linking 2000 census data to RTA mortality records 2000-2005 (ICD-10 codes V00-V99). Data from 5.5 million residents aged 18-94 years, 1744 study areas, and 1620 RTA deaths were analyzed, including 978 deaths (60.4%) in motor vehicle occupants, 254 (15.7%) in motorcyclists, 107 (6.6%) in cyclists, and 259 (16.0%) in pedestrians. Weibull survival models and Bayesian methods were used to calculate hazard ratios (HR), and standardized mortality ratios (SMR) across study areas. Adjusted HR comparing women with men ranged from 0.04 (95% CI 0.02-0.07) in motorcyclists to 0.43 (95% CI 0.32-0.56) in pedestrians. There was a u-shaped relationship with age in motor vehicle occupants and motorcyclists. In cyclists and pedestrians, mortality increased after age 55 years. Mortality was higher in individuals with primary education (HR 1.53; 95% CI 1.29-1.81), and higher in single (HR 1.24; 95% CI 1.05-1.46), widowed (HR 1.31; 95% CI 1.05-1.65) and divorced individuals (HR 1.62; 95% CI 1.33-1.97), compared to persons with tertiary education or married persons. The association with education was particularly strong for pedestrians (HR 1.87; 95% CI 1.20-2.91). RTA mortality increased with decreasing population density of study areas for motor vehicle occupants (test for trend p<0.0001) and motorcyclists (p=0.0021) but not for cyclists (p=0.39) or pedestrians (p=0.29). SMR standardized for socio-demographic and geographical variables ranged from 82 to 190. Prevention efforts should aim to reduce inequities across socio-demographic and educational groups, and across geographical areas, with interventions targeted at high-risk groups and areas, and different traffic users, including pedestrians.
Ferm, Martin; Sjöberg, Karin
PM10 concentrations exceed the guidelines in some Swedish cities and the limit values will likely be further reduced in the future. In order to gain more knowledge of emission factors for road traffic and concentrations of PM10 and PM2.5, existing monitoring stations in two cities, Gothenburg and Umeå, with international E-road thoroughfares, were complemented with some PM2.5 measurements. Emission factors for PM10 and PM2.5 were estimated using NOX as a tracer. Monitoring data from kerbside and urban background sites in Gothenburg during 2006-2010 and in Umeå during 2006-2012 were used. NOX emissions were estimated from the traffic flow and emission factors calculated from the HBEFA3.1 model. PM2.5 constitutes the finer part of PM10. Emissions of the coarser part of PM10 (PM10-PM2.5) are suppressed when roads are wet and show a maximum during spring when the roads dry up and studded tyres are still used. Less than 1% of the road wear caused by studded tyres give rise to airborne PM2.5-10 particles. The NOX emission factors decrease with time in the used model, due to the renewal of the vehicle fleet. However, the NOX concentrations resulting from the roads show no clear trend. The air dispersion is an important factor controlling the PM concentration near the road. The dispersion has a minimum in winter and during midnight. The average street level concentrations of PM10 and PM2.5 in Gothenburg were 21 ± 20 and 8 ± 6 μg m-3 respectively, which is 36% and 22% higher than the urban background concentrations. Despite the four times lower traffic flow in Umeå compared to Gothenburg, the average particle concentrations were very similar; 21 ± 31 and 7 ± 5 μg m-3 for PM10 and PM2.5 respectively. These concentrations were, however, 108% and 55% higher than the urban background concentrations in Umeå. The emission factors for PM10 decreased with time, and the average factor was 0.06 g km-1 vehichle-1. The emission factors for PM2.5 are very uncertain due to the
Kobza, Joanna; Geremek, Mariusz
Many large neighbourhoods are located near heavy-traffic roads; therefore, it is necessary to control the levels of air pollution near road exposure. The primary air pollutants emitted by motor vehicles are CO, NO2 and PM. Various investigations identify key health outcomes to be consistently associated with NO2 and CO. The objective of this study was the measurement-based assessment for determining whether by high-traffic roads, such as motorways and express ways, and the concentrations of CO and NO2 are within normal limits and do not pose threat to the local population. Average daily values (arithmetic values calculated for 1-h values within 24 h or less, depending on result availability) were measured for concentrations of NO2 and CO by automatic stations belonging to the Voivodship Environmental Protection Inspectorate in Katowice, in areas with similar dominant source of pollutant emission. The measurements were made in three sites: near the motorway and expressway, where the average daily traffic intensity is 100983 and 35414 of vehicles relatively. No evidence was found of exceeding average daily values equal to the maximum allowable NO2 concentration due to the protection of human health in the measurement area of the stations. No daily average values exceeding the admissible CO concentration (8-h moving average) were noted in the examined period. The results clearly show lack of hazards for general population health in terms of increased concentrations of CO and NO2 compounds that are closely related to high intensity car traffic found on selected motorways and speedways located near the city centres.
di, Baofeng; Shi, Kai; Zhang, Kaishan; Svirchev, Laurence; Hu, Xiaoxi
In this paper, a GIS-based method was developed to extract the real-time traffic information (RTTI) from the Google Maps system for city roads. The method can be used to quantify both congested and free-flow traffic conditions. The roadway length was defined as congested length (CL) and free-flow length (FFL). Chengdu, the capital of Sichuan Province in the southwest of China, was chosen as a case study site. The RTTI data were extracted from the Google real-time maps in May 12-17, 2013 and were used to derive the CL and FFL for the study areas. The Multifractal Detrended Fluctuation Analysis (MFDFA) was used to characterize the long-term correlations of CL and FFL time series and their corresponding multifractal properties. Analysis showed that CL and FFL had demonstrated time nonlinearity and long-term correlations and both characteristics differed significantly. A shuffling procedure and a phase randomization procedure were further integrated with multifractal detrending moving average (MFDMA) to identify the major sources of multifractality of these two time series. The results showed that a multifractal process analysis could be used to characterize complex traffic data. Traffic data collected and methods developed in this paper will help better understand the complex traffic systems.
Bhatti, Junaid A.; Khoso, Ajmal Khan; Waseem, Hunniya; Khan, Uzma Rahim; Razzak, Junaid A.
Background: In most low- and middle-income countries (LMICs), road traffic fatality (RTF) trends are presented in aggregated form at the national level. This practice omits important information regarding RTF risk at sub-national levels. Objective: This ecological study assesses the extent of RTF variations at different sub-national levels in Pakistan, a low-income country. Materials and Methods: Based on official statistics, significant variations in three RTF indicators i.e. per population, per registered vehicles, and per crash were compared by regression analyses at two sub-national levels i.e. provincially (2000-2009) and district-wise (2004). Results: The national RTF counts are based on data from four provinces. From 2000 to 2009, RTF per population and per registered vehicles decreased in all provinces except Balochistan. RTF per crash in Punjab decreased from 0.61 to 0.56 (beta coefficient (β) year = –0.0082, P = <0.001), whereas in Balochistan it increased from 0.40 to 0.58 (β year = 0.0708, P = <0.001) over the same period. District-level comparisons were possible only in Punjab where RTF per crash varied from 0.25 to 2.15 and correlated (β = 0.50, P = 0.003) with RTF per population. Conclusions: Sub-national RTF surveillance is necessary in LMICs like Pakistan in order to prioritize available resources on high-risk jurisdictions such as the Balochistan province and districts of Punjab where high RTF per population and per crash exist. PMID:23724381
Gidlöf-Gunnarsson, Anita; Öhrström, Evy
The present paper explores the influence of the physical environmental qualities of “quiet”. courtyards (degree of naturalness and utilization) on residents’ noise responses. A questionnaire study was conducted in urban residential areas with road-traffic noise exposure between LAeq,24h 58 to 68 dB at the most exposed façade. The dwellings had “quiet” indoor section/s and faced a “quiet” outdoor courtyard (LAeq,24h < 48 dB façade reflex included). Data were collected from 385 residents and four groups were formed based on sound-level categories (58–62 and 63–68 dB) and classification of the “quiet” courtyards into groups with low and high physical environmental quality. At both sound-level categories, the results indicate that access to high-quality “quiet” courtyards is associated with less noise annoyance and noise-disturbed outdoor activities among the residents. Compared to low-quality “quiet” courtyards, high-quality courtyards can function as an attractive restorative environment providing residents with a positive soundscape, opportunities for rest, relaxation and play as well as social relations that potentially reduce the adverse effects of noise. However, access to quietness and a high-quality courtyard can only compensate partly for high sound levels at façades facing the streets, thus, 16% and 29% were still noise annoyed at 58–62 and 63–68 dB, respectively. Implications of the “quiet”-side concept are discussed. PMID:20948929
Jones, R. R. K.; Hothersall, D. C.; Salter, R. J.
Computer methods of calculating and predicting the noise from road traffic operating in restricted flow conditions are discussed. A method of calculating the noise from road traffic as a function of the manoeuvring parameters by means of a Monte Carlo digital computer simulation model is briefly described. The model is used in deriving correction contours for single streams of traffic which enable free flow L10 levels to be modified to allow for a flow restriction. Flow restrictions of the type encountered at traffic signals, priority intersections and pelican crossings are considered. The contours cover a stretch of road 600 m long and a distance of 60 m from the kerb line and in general show a reduction in L10 level in transferring from the free to the restricted flow situation. A method of applying the contours as a modification of the United Kingdom Department of the Environment prediction method for L10 is proposed and compared with experimental results. Computer simulation models of complete road intersections are discussed. Two types of intersection controls are considered, the traffic signal control and the roundabout. The results of the two types of simulation are compared and the L10 level adjacent to the accelerating traffic streams is generally found to be greater than that adjacent to decelerating streams. Experimental results for both types of intersection are compared with simulation runs in which the observed traffic parameters are used.
Escanés, Gabriel; Agudelo-Botero, Marcela; Cardona, Doris
The aim of this study was to estimate the effect of run-over fatalities and traffic collisions in life expectancy in Argentina, Chile, Colombia and Mexico, between 2000 and 2011. Years of life expectancy lost (YLEL) were calculated for the periods 2000-2002 and 2009-2011. The results show that road traffic deaths made up between 1% and 4% of all deaths in each country. In the first period, the highest level of mortality occurred in Colombia (YLEL=0.96) and the lowest in Argentina (YLEL=0.59). In all the countries studied except Argentina, the impact of these deaths on life expectancy was reduced in the second period. The main change took place in Colombia, reaching 0.72 YLEL in the second period. It is concluded that traffic-related deaths have a negative impact on health systems, victims, the productive sector, and society in general. From this point of view, the issue of road transit must be considered a matter of public health, requiring multi-sector intervention in the design of national and regional policies.
Iwasaki, Yoichiro; Misumi, Masato; Nakamiya, Toshiyuki
To realize road traffic flow surveillance under various environments which contain poor visibility conditions, we have already proposed two vehicle detection methods using thermal images taken with an infrared thermal camera. The first method uses pattern recognition for the windshields and their surroundings to detect vehicles. However, the first method decreases the vehicle detection accuracy in winter season. To maintain high vehicle detection accuracy in all seasons, we developed the second method. The second method uses tires' thermal energy reflection areas on a road as the detection targets. The second method did not achieve high detection accuracy for vehicles on left-hand and right-hand lanes except for two center-lanes. Therefore, we have developed a new method based on the second method to increase the vehicle detection accuracy. This paper proposes the new method and shows that the detection accuracy for vehicles on all lanes is 92.1%. Therefore, by combining the first method and the new method, high vehicle detection accuracies are maintained under various environments, and road traffic flow surveillance can be realized. PMID:25763384
Cinnamon, Jonathan; Schuurman, Nadine; Hameed, S. Morad
Background Human behaviour is an obvious, yet under-studied factor in pedestrian injury. Behavioural interventions that address rule violations by pedestrians and motorists could potentially reduce the frequency of pedestrian injury. In this study, a method was developed to examine road-rule non-compliance by pedestrians and motorists. The purpose of the study was to examine the potential association between violations made by pedestrians and motorists at signalized intersections, and collisions between pedestrians and motor-vehicles. The underlying hypothesis is that high-incident pedestrian intersections are likely to vary with respect to their aetiology, and thus are likely to require individualized interventions – based on the type and rate of pedestrian and motorist violation. Methods High-incident pedestrian injury intersections in Vancouver, Canada were identified using geographic information systems. Road-rule violations by pedestrians and motorists were documented at each incident hotspot by a team of observers at several different time periods during the day. Results Approximately 9,000 pedestrians and 18,000 vehicles were observed in total. In total for all observed intersections, over 2000 (21%) pedestrians committed one of the observed pedestrian road-crossing violations, while approximately 1000 (5.9%) drivers committed one of the observed motorist violations. Great variability in road-rule violations was observed between intersections, and also within intersections at different observation periods. Conclusions Both motorists and pedestrians were frequently observed committing road-rule violations at signalized intersections, suggesting a potential human behavioural contribution to pedestrian injury at the study sites. These results suggest that each intersection may have unique mechanisms that contribute to pedestrian injury, and may require targeted behavioural interventions. The method described in this study provides the basis for understanding
Feng, Chengjian; Yin, Zhiyong
This paper aimed to research the dynamic response and injury mechanisms of head based on real pedestrian traffic accidents with video. The kinematics of head contact with the vehicle was reconstructed by using multi-body dynamics models. These calculated parameters such as head impact velocity and impact location and head orientation were applied to the THUMS-4 FE head model as initial conditions. The intracranial pressure and stress of brain were calculated from simulations of head contact with the vehicle. These results were consistent with that of others. It was proved that real traffic accidents combined with simulation analysis can be used to study head injury biomechanics. Increasing in the number of cases, a tolerance limit of brain injury will be put forward.
Rao, P.; Song, Y.; Patarasuk, R.; Gurney, K. R.; Eldering, A.; O'Keeffe, D.; Miller, C. E.; Duren, R. M.
Characterizing the spatio-temporal distribution of fossil fuel CO2 (FFCO2) emissions in urban landscapes is challenging. We use Hestia, an innovative "bottom up" approach for estimating FFCO2 emissions in the Los Angeles (LA) megacity and Southern California Air Basin (SCAB) which account for ~53% of the FFCO2 emissions in California. Hestia-LA, in coordination with "top down" atmospheric CO2 measurements, will provide baseline FFCO2 emissions, help monitor changes in emissions, and develop emissions mitigation policies. Hestia-LA characterizes FFCO2 emissions at the building/street spatial scale (10-100 m) and at hourly time steps in the basin by combining data on residential and commercial building emissions, industrial processes, electricity production, and different transportation sectors. We report here on the construction of the spatial and temporal structure in two key transportation sectors within the SCAB: on-road vehicle (46%) and aircraft (2%) emissions. We quantified on-road traffic emissions by merging traffic data from Southern California Association of Governments, California Freeway Performance Measurement System and modeled motor vehicle emissions from EPA's NMIM model. Preliminary analysis shows that (1) LA and Orange counties dominate the annual FFCO2 emissions from urban freeways and arterials, and (2) LA county has a wider peak traffic period during weekdays (2-6pm) than the other four counties (4-5pm). We characterized airport emissions by integrating information from Federal Aviation Administration, Los Angeles World Airports, and Airnav LLC for the temporal structure of aircraft arrivals and departures, and the National Emissions Inventory for total annual aircraft emissions. We categorized the 47 airports in LA basin based on the volume and type (commercial, general aviation and military) of aircraft traffic, and then assigned appropriate hour-of-day and day-of-week traffic volume-specific CO2 emission patterns to each airport. We found
Hosseinpour, Marjan; Mohammadian-Hafshejani, Abdollah; Esmaeilpour Aghdam, Mohammad; Mohammadian, Mahdi; Maleki, Farzad
Objective: To investigate trend and seasonal pattern of occurrence and mortality of motorcycle accidents in patients referred to hospitals of Isfahan. Methods: This cross-sectional study was carried out using traffic accidents data of Isfahan province, extracted from Ministry of Health (MOH) database from 2006 to 2010. During the study period, 83648 people injured due to motorcycle traffic accidents were referred to hospitals, all of them entered in the study. Logistic regression model was used to calculate the hospital mortality odds ratio, and Cochrane-Armitage test was used for assessment of linear trend. Results: During the study period, the hospital admission for motorcycle accident was 83,648 and 89.3% (74743) of them were men. Mean age in accidents time was 26.41±14.3 years. The injuries and death sex ratio were 8.4 and 16.9, respectively. Lowest admission rate was during autumn and highest during summer. The injury mortality odds ratio was 1.01 (CI 95% 0.73-1.39) in the Spring, 1.34 (CI95% 1.01-1.79) in summer and 1.17 (CI95% 0.83-1.63). It was also calculated to be 2.51 (CI95% 1.36-4.64) in age group 40-49, 2.39 (CI95% 1.51-5.68) in 50-59 and 4.79 (CI95% 2.49-9.22) in 60-69 years. The mortality odds ratio was 3.53 (CI95% 2.77-4.5) in rural place, 1.33 (CI95% 1.15-1.54) in men, and 2.44 (CI95% 2.09-2.85) in the road out of town and village. In addition, trend of motorcycle accidents mortality was increasing (p<0.001). Conclusion: Motorcycle accidents injuries are more common in men, summer, young age and rural roads. These high risk groups need more attention, care and higher training. PMID:28246624
Xu, Peng; Wang, Wei; Ji, Jiawei; Yao, Shunyu
Road dust and vehicle exhaust are the main sources of air pollution in cities, especially in recent years with the quantity of vehicles and transportation construction continuously soaring; the hazy weather has been a dominant urban pollution form which is widely concerned by the Chinese society. By establishing a relationship model between traffic and land use, then applying analytic hierarchy process on the data from air quality monitoring station, this paper concludes the influence of different traffic behavior on air pollution which provides support to abate urban air pollution caused by traffic reasons through taking measures to control traffic. PMID:25530754
Dzhambov, Angel M; Dimitrova, Donka D
Type 2 diabetes mellitus (T2DM) is a growing public health problem in Bulgaria. While individual and lifestyle determinants have been researched; till date there has been no study on environmental risks such as road traffic, noise, and air pollution. As a first step toward designing a large-scale population-based survey, we aimed at exploring the overall associations of prevalent T2DM with exposures to road traffic, noise, and air pollution. A total of 513 residents of Plovdiv city, Bulgaria were recruited. Individual data on self-reported doctor-diagnosed T2DM and confounding factors were linked to objective and self-rated exposure indicators. Logistic and log-link Poisson regressions were conducted. In the fully adjusted logistic models, T2DM was positively associated with exposures to Lden 71-80 dB (odds ratio (OR) = 4.49, 95% confidence interval (CI): 1.38, 14.68), fine particulate matter (PM)2.5 25.0-66.8 μg/m3 (OR = 1.32, 95% CI: 0.28, 6.24), benzo alpha pyrene 6.0-14.02 ng/m3 (OR = 1.76, 95% CI: 0.52, 5.98) and high road traffic (OR = 1.40, 95% CI: 0.48, 4.07). Lden remained a significant risk factor in the: Poisson regression model. Other covariates with consistently high multivariate effects were age, gender, body mass index, family history of T2DM, subjective sleep disturbance, and especially bedroom location. We concluded that residential noise exposure might be associated with elevated risk of prevalent T2DM. The inferences made by this research and the lessons learned from its limitations could guide the designing of a longitudinal epidemiological survey in Bulgaria. PMID:27157686
Dzhambov, Angel M; Dimitrova, Donka D
Type 2 diabetes mellitus (T2DM) is a growing public health problem in Bulgaria. While individual and lifestyle determinants have been researched; till date there has been no study on environmental risks such as road traffic, noise, and air pollution. As a first step toward designing a large-scale population-based survey, we aimed at exploring the overall associations of prevalent T2DM with exposures to road traffic, noise, and air pollution. A total of 513 residents of Plovdiv city, Bulgaria were recruited. Individual data on self-reported doctor-diagnosed T2DM and confounding factors were linked to objective and self-rated exposure indicators. Logistic and log-link Poisson regressions were conducted. In the fully adjusted logistic models, T2DM was positively associated with exposures to L(den) 71-80 dB (odds ratio (OR) = 4.49, 95% confidence interval (CI): 1.38, 14.68), fine particulate matter (PM) 2.5 25.0-66.8 μg/m 3 (OR = 1.32, 95% CI: 0.28, 6.24), benzo alpha pyrene 6.0-14.02 ng/m 3 (OR = 1.76, 95% CI: 0.52, 5.98) and high road traffic (OR = 1.40, 95% CI: 0.48, 4.07). L(den) remained a significant risk factor in the: Poisson regression model. Other covariates with consistently high multivariate effects were age, gender, body mass index, family history of T2DM, subjective sleep disturbance, and especially bedroom location. We concluded that residential noise exposure might be associated with elevated risk of prevalent T2DM. The inferences made by this research and the lessons learned from its limitations could guide the designing of a longitudinal epidemiological survey in Bulgaria.
Damarla, Thyagaraju; Chatters, Gary; Liss, Brian; Vu, Hao; Sabatier, James M.
We conducted an experiment to correlate the information gathered by a suite of hard sensors with the information on social networks such as Twitter, Facebook, etc. The experiment consisting of monitoring traffic on a well- traveled road and on a road inside a facility. The sensors suite selected mainly consists of sensors that require low power for operation and last a longtime. The output of each sensor is analyzed to classify the targets as ground vehicles, humans, and airborne targets. The algorithm is also used to count the number of targets belonging to each type so the sensor can store the information for anomaly detection. In this paper, we describe the classifier algorithms used for acoustic, seismic, and passive infrared (PIR) sensor data.
Alavi, Seyyed Salman; Mohammadi, Mohammad Reza; Souri, Hamid; Mohammadi Kalhori, Soroush; Jannatifard, Fereshteh; Sepahbodi, Ghazal
Background: The aim of this study was to evaluate the effect of variables such as personality traits, driving behavior and mental illness on road traffic accidents among the drivers with accidents and those without road crash. Methods: In this cohort study, 800 bus and truck drivers were recruited. Participants were selected among drivers who referred to Imam Sajjad Hospital (Tehran, Iran) during 2013-2015. The Manchester driving behavior questionnaire (MDBQ), big five personality test (NEO personality inventory) and semi-structured interview (schizophrenia and affective disorders scale) were used. After two years, we surveyed all accidents due to human factors that involved the recruited drivers. The data were analyzed using the SPSS software by performing the descriptive statistics, t-test, and multiple logistic regression analysis methods. P values less than 0.05 were considered statistically significant. Results: In terms of controlling the effective and demographic variables, the findings revealed significant differences between the two groups of drivers that were and were not involved in road accidents. In addition, it was found that depression and anxiety could increase the odds ratio (OR) of road accidents by 2.4- and 2.7-folds, respectively (P=0.04, P=0.004). It is noteworthy to mention that neuroticism alone can increase the odds of road accidents by 1.1-fold (P=0.009), but other personality factors did not have a significant effect on the equation. Conclusion: The results revealed that some mental disorders affect the incidence of road collisions. Considering the importance and sensitivity of driving behavior, it is necessary to evaluate multiple psychological factors influencing drivers before and after receiving or renewing their driver’s license. PMID:28293047
SATO, T.; YANO, T.; BJÖRKMAN, M.; RYLANDER, R.
To investigate cross-cultural differences in the community response to road traffic noise, social surveys were conducted in Gothenburg, Sweden, and Kumamoto and Sapporo, Japan, using the same questionnaire and noise measurement method. Typical residential areas with detached houses and apartments were selected as the target areas in each city. The questionnaire comprised 40 questions relating to environmental, housing and personal factors. The key questions concerned annoyance caused by road traff