Factors associated with motorcycle traffic crash fatalities among active duty U.S. Army personnel

Objective: Research on factors associated with motorcycle fatalities among active duty U.S. Army personnel is limited. This analysis describes motorcycle crash–related injuries from 1995 through 2014 and assesses the effect of alcohol use and helmet use on the risk of fatal injury among active duty U.S. Army motorcycle operators involved in a traffic crash, controlling for other factors shown to be potentially associated with fatality in this population.

Methods: Demographics, crash information, and injury data were obtained from safety reports maintained in the Army Safety Management Information System. Traffic crashes were defined as crashes occurring on a paved public or private roadway or parking area, including those on a U.S. Army installation. Analysis was limited to motorcycle operators. Odds ratios (ORs) and 95% confidence intervals (95% CIs) from a multivariable analysis estimated the effect of alcohol use and helmet use on the risk of a fatal injury given a crash occurred, controlling for operator and crash characteristics.

Results: Of the 2,852 motorcycle traffic crashes, most involved men (97%), operators aged 20–29 years of age (60%), and operators who wore helmets (95%) and did not use alcohol (92%). Two thirds of reported crashes resulted in injuries requiring a lost workday; 17% resulted in fatality. Controlling for operator and crash characteristics, motorcycle traffic crashes involving operators who had used alcohol had a 3.1 times higher odds of fatality than those who did not use alcohol (OR =3.14; 95% CI, 2.17–4.53). Operators who did not wear a helmet had 1.9 times higher odds of fatality than those who did wear a helmet (OR =1.89; 95% CI, 1.24–2.89).

Conclusions: Among U.S. Army motorcycle operators, alcohol use and not wearing a helmet increased the odds of fatality, given that a crash occurred, and additional modifiable risk factors were identified. Results will help inform U.S. Army motorcycle policies and training.     

Organizational networks in road safety: Case studies of U.S. Vision Zero cities

Objective: Each year, more than 30,000 deaths occur on U.S. roads. Recognizing the magnitude and persistence of this public health problem, a number of U.S. cities have adopted a relatively new approach to prevention, termed Vision Zero (VZ). VZ has been adopted by more than 30?U.S. cities and calls for creating a transportation system that ensures that no road traffic crash results in death or serious injury. A core component of VZ is strong multidisciplinary and multisector stakeholder engagement, and cities adopting VZ often establish a VZ coalition to foster stakeholder collaboration. However, there is little information on the structure, development, and functioning of coalitions working to achieve VZ and on tools available to study and evaluate such coalition functioning. We sought to describe the characteristics of prominent U.S. VZ city coalitions and context surrounding VZ uptake and advancement in these cities. Moreover, we demonstrate use of network analysis as one tool for exploring the structure of interorganizational relationships in coalitions.

Methods: We conducted case studies of 4 prominent U.S. VZ city coalitions in 2017–2018. We summarized coalition members’ characteristics and responses to questions about their cities’ VZ adoption, planning, and implementation. We asked each coalition member to provide information on their contact frequency, perceived productivity, and resource sharing with every other coalition member in their city and used network analysis techniques in 2 cities to understand the structures and relationships in coalitions.

Results: Findings indicated that government agencies generally constituted the majority of coalition members and often played central roles in terms of coalition network contact, productivity, and resource flow. Other emerging similarities regarding coalition establishment and VZ implementation included the need for political support, the importance of formal plan development, and increased collaboration and cooperation among partners.

Conclusions: Organizational network analyses, enriched with coalition member interviews, can elucidate key aspects of coalition creation, attributes, and relationship structure. The case studies of leading VZ coalition networks presented here highlight the use of these tools. Ultimately, understanding associations between VZ network structures and attributes and road safety outcomes could help inform effective coalition adoption, implementation, and maintenance to optimize safety outcomes.     

Effects of red light camera enforcement on fatal crashes in large U.S. cities

Objective

To estimate the effects of red light camera enforcement on per capita fatal crash rates at intersections with signal lights.

Methods

From the 99 large U.S. cities with more than 200,000 residents in 2008, 14 cities were identified with red light camera enforcement programs for all of 2004-2008 but not at any time during 1992-1996, and 48 cities were identified without camera programs during either period. Analyses compared the citywide per capita rate of fatal red light running crashes and the citywide per capita rate of all fatal crashes at signalized intersections during the two study periods, and rate changes then were compared for cities with and without cameras programs. Poisson regression was used to model crash rates as a function of red light camera enforcement, land area, and population density.

Results

The average annual rate of fatal red light running crashes declined for both study groups, but the decline was larger for cities with red light camera enforcement programs than for cities without camera programs (35% vs. 14%). The average annual rate of all fatal crashes at signalized intersections decreased by 14% for cities with camera programs and increased slightly (2%) for cities without cameras. After controlling for population density and land area, the rate of fatal red light running crashes during 2004-2008 for cities with camera programs was an estimated 24% lower than what would have been expected without cameras. The rate of all fatal crashes at signalized intersections during 2004-2008 for cities with camera programs was an estimated 17% lower than what would have been expected without cameras.

Conclusions

Red light camera enforcement programs were associated with a statistically significant reduction in the citywide rate of fatal red light running crashes and a smaller but still significant reduction in the rate of all fatal crashes at signalized intersections.

Impact on Industry

The study adds to the large body of evidence that red light camera enforcement can prevent the most serious crashes. Communities seeking to reduce crashes at intersections should consider this evidence.     

Pedestrian casualties and fatalities in road traffic crashes in a South African municipality

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.     

Comparison of epidemiology and injury profile between vulnerable road users and motor vehicle occupants in road traffic fatalities

Objective: Road traffic injuries (RTIs) are a major global health issue causing a global burden of mortality and morbidity. Half of all fatalities on the world’s roads are vulnerable road users (VRUs). The targeted intervention strategies based on fatality analysis focusing on VRUs can effectively contribute to reducing RTIs. This study aimed to compare VRUs and motor vehicle occupants (MVOs) in terms of epidemiology and injury profile.

Methods: We utilized a nationwide, prospective database of RTI-related mortality cases for patients who visited 23 emergency departments between January 2011 and December 2015. All fatalities due to RTIs in the prehospital phase or in-hospital were eligible, excluding patients with unknown mode of transport and those admitted to general wards. The primary and secondary outcomes were fracture injuries and visceral injuries diagnosed using the International Classification of Diseases, Tenth Revision (ICD-10). We compared fracture injuries between VRUs and MVOs using Abbreviated Injury Scale (AIS) 2? and 2+ classification.

Results: Among a total 3,694 road traffic fatalities (RTFs), 43.3% were pedestrians, followed by MVOs (27.0%), motorcyclists (18.9), bicyclists (6.6%), and agricultural vehicle users (4.2%). The elderly (>60 years old) accounted for 54.9% of VRU fatalities. RTFs occurred most frequently in the autumn and the VRU group and the MVO group showed significant differences in weekly and diurnal variation in RTFs. The injury severities (AIS 2+) of the head, neck, and thorax were significantly different between the 2 groups (P?Conclusions: Elderly pedestrians should be targeted for decreases in RTFs, and road traffic safety interventions for VRUs should be made based on the analysis of temporal epidemiology and injury profiles of RTFs.     

美国注册安全师机制

概述专业人士一般熟悉具有90多年历史的美国安全工程师学会但也许不了解美国实际上并没有安全工程师这一称谓安全工程师学会实乐上是一个职业安全从业人员的会员制学会和一般的专业学会职能基本相同在美国安全工程师“实际上称为注册安全师。注册安全师不仅是安全工程专家他们在企业安全管理保险公司损失控制等方面也有很深的造诣这也许就是用安全师而不用安全工程师名     

Effects of turning on and off red light cameras on fatal crashes in large U.S. cities

IntroductionThis study updates estimates of effects of activating red light cameras and offers a first look at effects of turning them off.MethodAmong 117 large U.S. cities with more than 200,000 residents in 2014, trends in citywide per capita rates of fatal red light running crashes and of all fatal crashes at signalized intersections were compared between 57 cities that initiated camera programs during 1992–2014 and 33 cities without cameras to examine effects of activating camera programs. Trends also were compared between 19 cities that removed cameras and 31 regionally matched cities with continuous camera programs to evaluate effects of terminating camera programs. Because several cities removed cameras during 2005–2008 and estimated effects might have been confounded by the subsequent economic downturn, primary analyses were limited to the 14 cities that removed cameras during 2010–2014 and 29 regionally matched cities with continuous camera programs. Poisson regression examined the relationship of activating and deactivating cameras with fatal crash rates.ResultsAfter controlling for temporal trends in annual fatal crash rates, population density, and unemployment rates, rates of fatal red light running crashes and of all fatal crashes at signalized intersections were 21% and 14% lower, respectively, in cities with cameras after cameras were turned on than would have been expected without cameras; 30% and 16% higher, respectively, in 14 cities that terminated cameras during 2010–2014 after cameras were terminated than expected had cameras remained; and 18% and 8% higher, respectively, in all 19 cities that removed cameras, but not significantly.ConclusionsThis study adds to the body of evidence that red light cameras can reduce the most serious crashes at signalized intersections, and is the first to demonstrate that removing cameras increases fatal crashes.Practical applicationsCommunities thinking about removing cameras should consider impacts to safety.     

Off-road truck-related accidents in U.S. mines

IntroductionOff-road trucks are one of the major sources of equipment-related accidents in the U.S. mining industries. A systematic analysis of all off-road truck-related accidents, injuries, and illnesses, which are reported and published by the Mine Safety and Health Administration (MSHA), is expected to provide practical insights for identifying the accident patterns and trends in the available raw database. Therefore, appropriate safety management measures can be administered and implemented based on these accident patterns/trends.MethodsA hybrid clustering-classification methodology using K-means clustering and gene expression programming (GEP) is proposed for the analysis of severe and non-severe off-road truck-related injuries at U.S. mines. Using the GEP sub-model, a small subset of the 36 recorded attributes was found to be correlated to the severity level.ResultsGiven the set of specified attributes, the clustering sub-model was able to cluster the accident records into 5 distinct groups. For instance, the first cluster contained accidents related to minerals processing mills and coal preparation plants (91%). More than two-thirds of the victims in this cluster had less than 5 years of job experience. This cluster was associated with the highest percentage of severe injuries (22 severe accidents, 3.4%). Almost 50% of all accidents in this cluster occurred at stone operations. Similarly, the other four clusters were characterized to highlight important patterns that can be used to determine areas of focus for safety initiatives.ConclusionsThe identified clusters of accidents may play a vital role in the prevention of severe injuries in mining. Further research into the cluster attributes and identified patterns will be necessary to determine how these factors can be mitigated to reduce the risk of severe injuries.Practical applicationAnalyzing injury data using data mining techniques provides some insight into attributes that are associated with high accuracies for predicting injury severity.     

美国、澳大利亚的矿山安全

澳大利亚,矿山救护车将开赴现场澳大利亚1991年～2001年矿山死亡人数及伤害次数如下表:(澳大利亚财政年度由每年4月至下一年3 澳大利亚昆士兰州政府为加强矿山安全,已开始进行矿山救护车的研究。研究该车的目的是改善井下矿工的自救能力。该项工作将由位于Redbank的矿山试验研究站与昆士兰州矿山救护服务中心与澳大利亚煤矿协会联合进行。该救护车应能在特     

Traffic safety in the U.S.: re-examining major opportunities

INTRODUCTION: This article examines five major road-safety risk factors: exceeding posted speed limits, not using safety belts, driving while intoxicated, nighttime driving, and young drivers. METHOD: The importance of each of these factors is documented, known effective countermeasures (both policy and technology based) are discussed, and impediments to the implementation of these countermeasures in the United States are examined. RESULTS: Based on current understanding of the five major risk factors, and of the available countermeasures, there appear to be a variety of opportunities to make substantial gains in road safety using existing knowledge. The limited implementation of a variety of known countermeasures therefore appears to be inconsistent with high-level, strategic goals to improve road safety. Consequently, a recommendation is made to comprehensively re-examine the balance between the countermeasures discussed in this article and economic, mobility, and privacy concerns. IMPACT ON PUBLIC SAFETY: Such a re-examination is likely to result in broad support for these countermeasures, with a consequent major improvement in road safety.     

基于风险的运输安全评价——美国化学工业运输安全指南（摘要）

本指南是由运输专家,工厂管理员和其他负责产品,原材料的安全运输人员编写的,目的是叙述运输期间需考虑的安全问题,减少危险品给公众、搬运人员、销售人员、司机、合同工和工人造成危害的风险及对环境的破坏。指南提出了与危险品运输有关的安全问题。指南适用于所有的运     

银行数字监控系统改造的检测分析

目前银行已开始广泛采用数字监控系统.用途包括柜员制和安全管理.现在都采用数字硬盘录像机来进行录像和存储,利用这套系统对原来的监控系统进行改造.如将原来安装的安全管理摄像机信号传输至硬盘录像机,这样更便于管理,也增强取证的准确性.柜员制可以将每一天的柜员收付情况以图像和声音的方式记录下来,一旦发生差错,可以通过录像录音进行复核.通过对几十个银行监控系统的检测,总结了一些心得,现以6路柜员和6路安全监控系统组成的储蓄所或支行数字监控系统改造为例解析方案。     

银行数字监控系统改造的检测分析

目前银行已开始广泛采用数字监控系统.用途包括柜员制和安全管理.现在都采用数字硬盘录像机来进行录像和存储,利用这套系统对原来的监控系统进行改造.如将原来安装的安全管理摄像机信号传输至硬盘录像机,这样更便于管理,也增强取证的准确性.柜员制可以将每一天的柜员收付情况以图像和声音的方式记录下来,一旦发生差错,可以通过录像录音进行复核.通过对几十个银行监控系统的检测,总结了一些心得,现以6路柜员和6路安全监控系统组成的储蓄所或支行数字监控系统改造为例解析方案.     

Compatibility of booster seats and vehicles in the U.S. market

Objective: The objective of this study was to analyze booster and rear vehicle seat dimensions to identify the most frequent compatibility problems.

Methods: Measurements were collected from 40 high-back and backless boosters and 95 left rear and center rear row seating positions in 50 modern vehicles. Dimensions were compared for 3,800 booster/vehicle seat combinations. For validation and estimation of tolerance and correction factors, 72 booster installations were physically completed and compared with measurement-based compatibility predictions. Dimensions were also compared to the International Organization for Standardization (ISO) volumetric envelopes of forward-facing child restraints and boosters.

Results: Seat belt buckles in outboard positions accommodated the width of boosters better than center positions (success rates of 85.4 and 34.7%, respectively). Adequate head restraint clearance occurred in 71.9 to 77.2% of combinations, depending on the booster's head support setting. Booster recline angles aligned properly with vehicle seat cushion angles in 71.5% of combinations. In cases of poor angle alignment, booster angles were more obtuse than the vehicle seat angles 97.7% of the time. Head restraint interference exacerbated angle alignment issues. Data indicate success rates above 90% for boosters being fully supported by the length of the seat cushion and for adequate height clearance with the vehicle roofline. Comparison to ISO envelopes indicates that most boosters on the U.S. market are taller and angled more obtusely than ISO target envelopes.

Conclusions: This study quantifies some of the common interferences between boosters and vehicles that may complicate booster usage. Data are useful for design and to prioritize specific problem areas.     

美国社区救灾反应队

背景:一场大地震美国社区救灾反应队的概念是由洛杉矶市消防局在1985年提出并付诸实施的。在1987年得到了全社会的重视。1987年加利福尼亚威蒂尔峡谷发生了一次大地震,此次地震证明,一场大型灾难发生后,由于受难者的人数众多、通讯联络中断和道路阻塞等原因使救灾工作变得困难,人们不得不依赖互相帮助以满足救灾的瞬时需要。这样的例子在墨西哥市的一次大地震中也能找到很好的佐证。在墨西哥的这场大地震中,没有受过训练的自发自愿者挽救了800人的生命,可是也有100人在救难中丧生。这个代价太高,经过训练完全可以避免如此高的代价。美国人开始认识到在灾难尚未来临前政府所应扮演的重要角色。首先,政府应告知     

国外单兵装备介绍之美国警察专责特别行动小组(SWAT)

概述 1967年,美国第一个警察专责特别行动小组(SWAT)在美国的洛杉矶诞生.从此以后,全美国的警察力量都日益军事化了.包括乡村的警察局在内的各警察局,都纷纷建立了属于自己的警察专责特别行动小组.它们在60年代和70年代的国内骚乱中起了一番作用.80年代,反毒品战愈演愈烈,这种准军事化警察部队在很多城市都被用于打击毒品贩子.目前,许多可以由普通警官来处理的事情,都动用了这些特种部队;大约20%的警局都说,他们的特种部队是用来在社区进行巡逻的.     

Implementing risk management to reduce injuries in the U.S. Fire Service

IntroductionRisk management, a proactive process to identify and mitigate potential injury risks and implement control strategies, was used to reduce the risk of occupational injury in a fire department. The objective of this research was to study the implementation of the risk management process for future replication. A second objective was to document changes in fire personnel's knowledge, attitudes, and behaviors related to the selected control strategies that were implemented as part of the risk management process.MethodA number of control strategies identified through the risk management process were implemented over a 2-year period beginning in January 2011. Approximately 450 fire personnel completed each of the three cross-sectional surveys that were administered throughout the implementation periods. Fire personnel were asked about their awareness, knowledge, and use of the control strategies.ResultsFire personnel were generally aware of the control strategies that were implemented. Visual reminders (e.g., signage) were noted as effective by fire personnel who noticed them. Barriers to use of specific control strategies such as new procedures on the fireground or new lifting equipment for patient transfer included lack of knowledge of the new protocols, lack of awareness/access to/availability of the new equipment, and limited training on its use. Implementation challenges were noted, which limited self-reported adherence to the control strategies.ConclusionsFire personnel generally recognized the potential for various control strategies to manage risk and improve their health and safety; however, implementation challenges limited the effectiveness of certain control strategies. The study findings support the importance of effective implementation to achieve the desired impacts of control strategies for improving health and safety.Practical applicationsEmployees must be aware of, have knowledge about, and receive training in safety and health interventions in order to adopt desired behaviors.