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  Home > Epidemiology of Road Traffic Accidents in India: a Review of Literature
 
   
 
Epidemiology of Road Traffic Accidents in India: a Review of Literature  
   
India accounts for as high as 6 per cent of the world’s RTAs, although it has 1 per cent of the world’s vehicles. The RTA rate of 35 per 1,000 vehicles in India is one of the highest in the world and so is the RTA fatality rate of 25.3 per 10,000 vehicles.

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About the report

This report presents a comprehensive review of the information available in India on the incidence, distribution and patterns of Road Traffic Accidents (RTAs), the interventional attempts made nationally and internationally to cope with this increasing incidence of RTAs and attempts to identify the gaps in research and information on RTAs. The purpose of this report is to explore the areas where attempts can be made to design research as well as intervention strategies that can help to significantly reduce the deaths and disabilities due to RTAs.

This report is a product of research on the subject commissioned by the Sir Ratan Tata Trust (SRTT), Mumbai (India) in view of lack of information on this issue.

Background

India has a total rural road network of over 3,000,000km and urban road network of more than 250,000km with:
National highways / expressways being 70,548km
 
State highways being 128,000km
 
Major and other district roads 470,000km
 
Village roads 2,650,000km.
Data indicates that the total motor vehicle population in India has increased from 300,000 in 1951 to about 73,000,000 in 2004.
The percentage share of road traffic accidental deaths in India is 34.5 per cent according to a recent NCRB (2009) report.
100,300 males and 17,939 females totalling 118,239 persons were killed during the year 2008, while travelling by various modes of transport on roads.

Recent years have been witnessing an increasing amount of traffic on the roads leading to increased risks for road traffic accidents to occur. Evidence from developed and especially developing countries indicates that road traffic accidents are on the rise and are found to be fifth among important causes of deaths globally, leading to a significant proportion of injuries, deaths and disabilities in the population.

India has the highest proportion of deaths due to road traffic accidents in South East Asia. The situation is problematic in India because of lack of proper infrastructure facilities, poor road designs, poor implementation of traffic rules and regulations and a high load of a range of vehicles on the roads.

Fatalities and morbidities from RTAs mostly affect the economically productive age group. Studies indicate that young adults in their early thirties continue to be the victims of RTAs.

Pedestrians, users of non-motorised vehicles and users of motorised two-wheeled vehicles, who are often from poor or lower middle class households, are the victims of fatal RTAs.

Gaps in knowledge

In spite of the high burden of RTAs in the country, there is a lack of systematic information on the extent of the problem and its multi-dimensional nature.

There is limited information on the patterns, distribution, and outcomes of RTAs across the country.

Lack of systematic data generation mechanisms both at the national and state level leads to limitations in designing appropriate intervention strategies to deal with the problem in the country.

In addition to this, research efforts to understand the social and economic consequences of deaths, injuries and long-term disabilities and their implications for the different sections of the population are limited.

The way forward

The way forward could include:
A multi-pronged approach, and efforts at systematic data generation to understand the true extent of the problem.
Awareness and educational programmes directed at both the vehicle users as well as road users.
Strict law enforcement mechanisms to control and regulate traffic on the road.
Improvement in trauma management systems to reduce the intensity of injuries suffered by the victims.
100,300 males and 17,939 females totalling 118,239 persons were killed during the year 2008, while travelling by various modes of transport on roads.
Encouraging use of safety aids such as helmets among the public and improving infrastructure to make roads safer.
Encouraging research on improvement in the existing technologies such as helmets by adapting them to local circumstances; promote better vehicular designs that are more stable and crash-resistant.
Creation of a common platform at the national level to pool research inputs for better understanding of RTAs and encourage evidence based policy formulation to attend to this problem in our country.
 
   
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