提要Road traffic injuries constitute a major public health burden with significant consequences on mortality and morbidity, and significant health and socioeconomic costs. Globally nearly 1.2 million people are killed and 50 million injured every year in road traffic crashes, which are the leading cause of death among those aged 15–29 years and rank as the ninth leading cause of death globally. Road traffic injuries kill approximately 316 000 people each year in the WHO South-East Asia Region. This is 25% of the estimated global total of road traffic deaths. Almost half of those killed on the roads are pedestrians, cyclists and motorcyclists, the so-called vulnerable road users in the WHO South-East Asia Region. The United Nations UN General Assembly resolution 64/255 of 2010 declared 2011–2020 as the UN Decade of Action for Road Safety. The Decade of Action introduced the concept of five road safety pillars to promote multisectoral collaborative actions, and has resulted in considerable action internationally, including the creation of the International Alliance of Nongovernmental Organizations, the series of global status reports on road safety, and improvements and amendments to national and local laws on road traffic. World Health Assembly resolution WHA69.7, endorsed the Brasilia Declaration on Road Safety – the outcome document of the second Global High-level Conference on Road Safety. A “Regional Technical Advisory Group on Road Traffic Injuries” (RTAG-RTI) has been constituted. The Regional Office has provided support to review road safety laws and action plans in Bangladesh and Sri Lanka. A “Regional Factsheet” that also provides country-specific information on road safety has been developed. The Secretariat has begun to develop the fourth Global Status Report on Road Safety, due for publication in 2018. A “safe system approach” that involves several other sectors for the regulation of vehicle standards, road infrastructure and road safety management should be adopted by countries. But the health sector has a key role to play in improving road user behaviour, data collection and post-crash response. The attached working paper was presented to the High-Level Preparatory (HLP) Meeting for its review and recommendations. The recommendations made by the HLPMeeting for consideration to the Seventieth Session of the Regional Committee are: Action by Member States (1) All ministers of the Region’s Member States may consider participation in the High-Level Meeting on Road Safety in the SEA Region in Thailand in end-November 2017. (2) Translate commitments to the Decade of Action for Road Safety 2011–2020 into action. (3) Work on safety standards, comprehensive strengthening of laws, establishing platforms to review and revise standards, collection and analysis of data, and capacity-building. (4) Proactively participate in the process to develop the global voluntary indicators and targets. Action by WHO (1) Assist in capacity-building, and provide guidance and technical support to Member States to improve emergency medical services for people injured and disabled in road traffic crashes. (2) Develop a comprehensive framework to cover all five pillars of road safety, and intensify coordinated efforts at the country level with all relevant sectors to meet the international road safety targets set by the Decade of Action and the Sustainable Development Goals. (3) Accelerated activities such as the collection of appropriate data for road traffic injury prevention and further strengthen funding for the lead agency. This Working Paper and the HLP Meeting recommendations are submitted to the Seventieth Session of the WHO Regional Committee for South-East Asia for its consideration and decision.
World Health Organization. Regional Office for South-East Asia. (2017). Road safety. World Health Organization. Regional Office for South-East Asia. http://www.who.int/iris/handle/10665/258545