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

Dharmaratne SD, Jayatilleke AU, Jayatilleke AC - Bull. World Health Organ. (2015)

Bottom Line: 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.Abstract available from the publisher.

View Article: PubMed Central - PubMed

Affiliation: Department of Community Medicine, University of Peradeniya, Peradeniya, Sri Lanka .

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.

No MeSH data available.


Related in: MedlinePlus

Road traffic crashes, Sri Lanka, 1938–2013
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4581645&req=5

Figure 1: Road traffic crashes, Sri Lanka, 1938–2013

Mentions: The incidence of road traffic crashes between 1938 and 2013 is shown in Fig. 1. There were substantial changes in the trend: for the best fitting model, there were four joinpoints, in 1955, 1974, 2003 and 2007, respectively (Table 1). Overall, road traffic crashes increased markedly from 61.2 per 100 000 population in 1938 to 183.6 per 100 000 in 2013 – a threefold increase. However, the increase was not continuous. Road traffic crashes increased steadily by 180% (from 61.2 to 170.8 per 100 000 population) between 1938 and 1955, but between 1955 and 1974, it decreased by 36% (from 170.8 to 109.1 per 100 000 population). Crashes increased again between 1974 and 2003, by 185% (from 109.1 to 310.7 per 100 000 population), but decreased between 2003 and 2007, by 49% (from 310.7 to 159.8 per 100000 population). Between 2007 and 2013, the annual percentage change was not significant. The highest incidence in the 75-year period was reported in 2003, at 310.7 per 100 000 population.


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

Dharmaratne SD, Jayatilleke AU, Jayatilleke AC - Bull. World Health Organ. (2015)

Road traffic crashes, Sri Lanka, 1938–2013
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4581645&req=5

Figure 1: Road traffic crashes, Sri Lanka, 1938–2013
Mentions: The incidence of road traffic crashes between 1938 and 2013 is shown in Fig. 1. There were substantial changes in the trend: for the best fitting model, there were four joinpoints, in 1955, 1974, 2003 and 2007, respectively (Table 1). Overall, road traffic crashes increased markedly from 61.2 per 100 000 population in 1938 to 183.6 per 100 000 in 2013 – a threefold increase. However, the increase was not continuous. Road traffic crashes increased steadily by 180% (from 61.2 to 170.8 per 100 000 population) between 1938 and 1955, but between 1955 and 1974, it decreased by 36% (from 170.8 to 109.1 per 100 000 population). Crashes increased again between 1974 and 2003, by 185% (from 109.1 to 310.7 per 100 000 population), but decreased between 2003 and 2007, by 49% (from 310.7 to 159.8 per 100000 population). Between 2007 and 2013, the annual percentage change was not significant. The highest incidence in the 75-year period was reported in 2003, at 310.7 per 100 000 population.

Bottom Line: 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.Abstract available from the publisher.

View Article: PubMed Central - PubMed

Affiliation: Department of Community Medicine, University of Peradeniya, Peradeniya, Sri Lanka .

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.

No MeSH data available.


Related in: MedlinePlus