Road traffic crashes, injury and fatality trends in Sri Lanka: 1938-2013

Abstract Objective To analyse trends in road traffic crashes, injuries and fatalities over 75 years in Sri Lanka. Methods Data on road traffic crashes, injuries and fatalities between 1938 and 2013 were obtained from the Police Statistics Unit. Rates per 100 000 population were calculated and tren...

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Main Authors: Samath D Dharmaratne, Achala Upendra Jayatilleke, Achini C Jayatilleke
Format: Article
Language:English
Published: The World Health Organization 2015-09-01
Series:Bulletin of the World Health Organization
Online Access:http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862015000900640&lng=en&tlng=en
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author Samath D Dharmaratne
Achala Upendra Jayatilleke
Achini C Jayatilleke
author_facet Samath D Dharmaratne
Achala Upendra Jayatilleke
Achini C Jayatilleke
author_sort Samath D Dharmaratne
collection DOAJ
description Abstract Objective To analyse trends in road traffic crashes, injuries and fatalities over 75 years in Sri Lanka. Methods Data on road traffic crashes, injuries and fatalities between 1938 and 2013 were obtained from the Police Statistics Unit. Rates per 100 000 population were calculated and trends were analysed using joinpoint regression analysis. Findings Road traffic crashes and injuries rose substantially between 1938 and 2013: annual crashes increased from 61.2 to 183.6 per 100 000 people; injuries, from 35.1 to 98.6 per 100 000; and fatalities, from 3.0 to 10.8 per 100 000 people per year. Joinpoint analysis showed large fluctuations in crashes and injuries over time but the fatalities rose almost continuously. These fluctuations paralleled the country's political and economic development. In some years, better traffic law enforcement and improved public transportation may have been associated with reduced crashes and injuries, whereas rapid growth in vehicle numbers, especially two- and three-wheeled vehicles, may have contributed to increased crashes and injuries. In addition, insurance policies that did not require a police report to claim may have led to underreporting of crashes and allowed drivers to avoid prosecution. Conclusion Fluctuations over time in road traffic crashes and injuries in Sri Lanka are associated with changes in political, economic and traffic policy. There is potential for reducing road traffic crashes and injuries through better traffic law enforcement, restrictions on the importation of two- and three-wheeled vehicles and policies to improve road safety and prevent underreporting of crashes.
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spelling doaj.art-9570cc46416b4c1e9029edab01e04bc52024-03-02T04:52:58ZengThe World Health OrganizationBulletin of the World Health Organization0042-96862015-09-0193964064710.2471/BLT.14.150193S0042-96862015000900640Road traffic crashes, injury and fatality trends in Sri Lanka: 1938-2013Samath D DharmaratneAchala Upendra JayatillekeAchini C JayatillekeAbstract Objective To analyse trends in road traffic crashes, injuries and fatalities over 75 years in Sri Lanka. Methods Data on road traffic crashes, injuries and fatalities between 1938 and 2013 were obtained from the Police Statistics Unit. Rates per 100 000 population were calculated and trends were analysed using joinpoint regression analysis. Findings Road traffic crashes and injuries rose substantially between 1938 and 2013: annual crashes increased from 61.2 to 183.6 per 100 000 people; injuries, from 35.1 to 98.6 per 100 000; and fatalities, from 3.0 to 10.8 per 100 000 people per year. Joinpoint analysis showed large fluctuations in crashes and injuries over time but the fatalities rose almost continuously. These fluctuations paralleled the country's political and economic development. In some years, better traffic law enforcement and improved public transportation may have been associated with reduced crashes and injuries, whereas rapid growth in vehicle numbers, especially two- and three-wheeled vehicles, may have contributed to increased crashes and injuries. In addition, insurance policies that did not require a police report to claim may have led to underreporting of crashes and allowed drivers to avoid prosecution. Conclusion Fluctuations over time in road traffic crashes and injuries in Sri Lanka are associated with changes in political, economic and traffic policy. There is potential for reducing road traffic crashes and injuries through better traffic law enforcement, restrictions on the importation of two- and three-wheeled vehicles and policies to improve road safety and prevent underreporting of crashes.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862015000900640&lng=en&tlng=en
spellingShingle Samath D Dharmaratne
Achala Upendra Jayatilleke
Achini C Jayatilleke
Road traffic crashes, injury and fatality trends in Sri Lanka: 1938-2013
Bulletin of the World Health Organization
title Road traffic crashes, injury and fatality trends in Sri Lanka: 1938-2013
title_full Road traffic crashes, injury and fatality trends in Sri Lanka: 1938-2013
title_fullStr Road traffic crashes, injury and fatality trends in Sri Lanka: 1938-2013
title_full_unstemmed Road traffic crashes, injury and fatality trends in Sri Lanka: 1938-2013
title_short Road traffic crashes, injury and fatality trends in Sri Lanka: 1938-2013
title_sort road traffic crashes injury and fatality trends in sri lanka 1938 2013
url http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862015000900640&lng=en&tlng=en
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