Changes in motorcycle-related injuries and deaths after mandatory motorcycle helmet law in a district of Vietnam

Objective: Our study measured the change in head injuries and deaths among motorcycle users in Cu Chi district, a suburban district of Ho Chi Minh City.

Methods: Hospital records for road traffic injuries (RTIs) were collected from the Cu Chi Trauma Centre and motorcycle-related death records were obtained from mortality registries in commune health offices. Head injury severity was categorized using the Abbreviated Injury Score (AIS). Rate ratios (RRs) were used to compare rates pre- and post-law (2005/2006–2009/2010). Cu Chi's population, stratified by year, age, and sex, was used as the denominator.

Results: Of records identifying the transportation mode at the time of injury, motorcyclists accounted for most injuries (3,035, 87%) and deaths (238, 90%). Head injuries accounted for 70% of motorcycle-related hospitalizations. Helmet use was not recorded in any death records and not in 97% of medical records. Males accounted for most injuries (73%) and deaths (88%). The median age was 28 years and 32 years for injuries and deaths, respectively. Compared to the pre-law period, rates of motorcycle injuries (RR = 0.53; 95% confidence interval [CI], 0.49–0.58), head injuries (RR = 0.35; 95% CI, 0.31–0.39), severe head injuries (RR = 0.47; 95% CI, 0.34–0.63), and deaths (RR = 0.69; 95% CI, 0.53–0.89) significantly decreased in the post-law period.

Conclusions: Rates of head injuries and deaths among motorcycle riders decreased significantly after implementation of the mandatory helmet law in Vietnam. To further examine the impact of the motorcycle helmet law, including compliance and helmet quality, further emphasis should be placed on gathering helmet use data from injured motorcyclists.     

Safe speed limits for a safe system: The relationship between speed limit and fatal crash rate for different crash types

Objective: The objective of this article is to provide empirical evidence for safe speed limits that will meet the objectives of the Safe System by examining the relationship between speed limit and injury severity for different crash types, using police-reported crash data.

Method: Police-reported crashes from 2 Australian jurisdictions were used to calculate a fatal crash rate by speed limit and crash type. Example safe speed limits were defined using threshold risk levels.

Results: A positive exponential relationship between speed limit and fatality rate was found. For an example fatality rate threshold of 1 in 100 crashes it was found that safe speed limits are 40 km/h for pedestrian crashes; 50 km/h for head-on crashes; 60 km/h for hit fixed object crashes; 80 km/h for right angle, right turn, and left road/rollover crashes; and 110 km/h or more for rear-end crashes.

Conclusions: The positive exponential relationship between speed limit and fatal crash rate is consistent with prior research into speed and crash risk. The results indicate that speed zones of 100 km/h or more only meet the objectives of the Safe System, with regard to fatal crashes, where all crash types except rear-end crashes are exceedingly rare, such as on a high standard restricted access highway with a safe roadside design.     

The effects of breath alcohol concentration on postural control

Background: Two of the 3 standardized field sobriety tests that U.S. law enforcement uses at roadside checks have a postural equilibrium component to them. Those tests have been validated to detect impairment caused by blood alcohol concentrations (BACs) of 0.08 g/dL or above. Many medical and traffic safety associations support a lower limit, and one state, Utah, has passed a law to lower the limit to 0.05 g/dL. Many studies have examined the effects of alcohol on postural control (of which postural equilibrium is a component), with a consensus emerging that impairment is usually found at BACs greater than 0.06 g/dL. Most of these studies, however, had a relatively small number of subjects, usually between 10 and 30. The current study collected data from a much larger sample.

Objective: The objective of this study was to provide additional evidence that posture control is negatively affected at BACs greater than 0.06 g/dL or breath alcohol concentrations (BrACs) of 0.06 g/210 L.

Method: This was a between-subjects study, with BrAC group as the independent variable (5 levels: 0.00, 0.04, 0.06, 0.08, and 0.10 g/210 L); 4 measures of postural control as the dependent variables; and age, height, and weight as the covariates. Posture control was measured with a force-sensing platform connected to a computer. The feet's center of pressure (CoP) on the platform was recorded and the corresponding movement of the body in the anterior–posterior and lateral planes was derived. Participants (N = 96) were randomly assigned to one of the BrAC groups. Positive BrAC groups were compared to the zero BrAC group. Data were examined with hierarchical multiple regression.

Results: Adjusted for age, height, and weight, the main effect of lateral CoP with eyes open was not statistically significant. There was a statistically significant main effect of alcohol on anterior–posterior CoP excursion with eyes open and with eyes closed and lateral CoP excursion with eyes closed. For all 3 of those variables, only BrACs of 0.08 and 0.10 g/210 L produced differences against zero BrAC. Although the main effect of alcohol on Lateral CoP Excursion with eyes open was not statistically significant, the contrasts between 0 and 0.08 and 0 and 0.10 g/210L BrAC were in the hypothesized direction.

Conclusion: The current study did not directly address the issue of whether the sobriety tests are sensitive to BrACs of 0.05 g/210 L or above; rather, it provides additional evidence that postural control, one of the components of those tests, is relatively unaffected by BrACs lower than 0.08 g/210 L. Additional research is needed on the diagnostic characteristics of the sobriety tests at BrACs lower than 0.08 g/210 L.     

Effects of alcohol at 0.05% blood alcohol concentration (BAC) on low speed urban driving

ABSTRACT

Objective: Alcohol-impaired driving presents a continued risk for traffic safety and results in a significant proportion of fatalities on the roadway. We examined how alcohol at a 0.05% blood alcohol concentration (BAC) compares to 0.10% BAC (above the current U.S. legal limit) in terms of impact on driving performance.

Methods: Utilizing a within-subjects design, we recruited 108 healthy experienced drivers who were moderate to heavy drinkers. In a double-blind, placebo-controlled crossover design, we administered placebo and alcohol at the 0.05% and 0.10% BAC levels in a standardized simulated driving protocol. Drives occurred on the descending limb of the blood alcohol curve. This analysis focuses on the urban portion of the drive

Results: The study observed clear differences in performance for lateral and longitudinal driving performance and glance behavior. Variability in lane keeping and average speed increased with BAC level, with degraded performance observed at 0.05% BAC. The frequency of lane departures and percentage of time focused on the forward roadway at 0.05% BAC did not differ from placebo but differed from the 0.10% BAC level.

Conclusions: Overall, our results show that there is degraded performance in the urban driving environment and that much of that begins at or below the 0.05% BAC level.     

Reducing external costs of nitrogen pollution by relocation of pig production between regions in the European Union

This paper tests the hypothesis that relocation of pig production within the EU27 can reduce the external costs of nitrogen (N) pollution. The external cost of pollution by ammonia and nitrate from agriculture in the European Union (EU27) in 2008 was estimated at 61–215 billion € (0.5 to 1.8% of the GDP). Per capita it ranged from more than 1000 € in north-west EU27 to 50 € in Romania. The average contribution of pig production was 15%. Using provincial data (224 NUTS2 regions in EU27), the potential reduction of external N cost by relocation of pig production was estimated at 14 billion € (10% of the total). Regions most eligible for decreasing the pig stock were in western Germany, Flemish region, Denmark, the Netherlands and Bretagne, while Romania is most eligible for increasing pig production. Relocating 20 million pigs (13% of the total EU stock) decreased average external costs per capita from 900 to 785 € in the 13 NUTS2 regions where pigs were removed and increased from 69 to 107 € in 11 regions receiving pigs. A second alternative configuration of pig production was targeted at reducing exceedance of critical N deposition and closing regional nutrient cycles. This configuration relocates pigs within Germany and France, for example from Bretagne to Northern France and from Weser-Ems to Oberbayern. However, total external cost increases due to an increase of health impacts, unless when combined with implementation of best N management practices. Relocation of the pig industry in the EU27 will meet many socio-economic barriers and realisation requires new policy incentives.     

Assessing the implications of a 1.5 °C temperature limit for the Jamaican agriculture sector

Despite recent calls to limit future increases in the global average temperature to well below 2 °C, little is known about how different climatic thresholds will impact human society. Future warming trends have significant global food security implications, particularly for small island developing states (SIDS) that are recognized as being among the most vulnerable to global climate change. In the case of the Caribbean, any significant change in the region’s climate is likely to have significant adverse effects on the agriculture sector. This paper explores the potential biophysical impacts of a +?1.5 °C warming scenario on several economically important crops grown in the Caribbean island of Jamaica. Also, it explores differences to a >?2.0 °C warming scenario, which is more likely, if the current policy agreements cannot be complied with by the international community. We use the ECOCROP niche model to estimate how predicted changes in future climate could affect the growing conditions of several commonly cultivated crops from both future scenarios. We then discuss some key policy considerations for Jamaica’s agriculture sector, specifically related to the challenges posed to future adaptation pathways amidst growing climate uncertainty and complexity. Our model results show that even an increase less than +?1.5 °C is expected to have an overall negative impact on crop suitability and a general reduction in the range of crops available to Jamaican farmers. This observation is instructive as increases above the +?1.5 °C threshold would likely lead to even more irreversible and potentially catastrophic changes to the sustainability of Jamaica’s agriculture sector. The paper concludes by outlining some key considerations for future action, paying keen attention to the policy relevance of a +?1.5 °C temperature limit. Given little room for optimism with respect to the imminent changes that SIDS will need to confront in the near future, broad-based policy engagement by stakeholders in these geographies is paramount, irrespective of the climate warming scenario.     

Cattle vaccination records question the impact of recent zero-deforestation agreements in the Amazon

Regional Environmental Change - In the late 2000s, slaughterhouses across the Amazon entered into a series of agreements designed to reduce the environmental impact of the local cattle sector. In...     

Spatial Distribution of Heavy Metals and <Superscript>137</Superscript>Cs in Spruce Forest Soil under Conditions of Regional Pollution

The influence of horizontal structure of spruce forest on the spatial distribution of acid-soluble Zn, Cd, Pb compounds and ¹³⁷Cs in the litter and the humus horizon of soddy podzolic soil has been studied in the territory with the regional background level of industrial fallout. It has been found that the distribution pattern of Zn in the forest litter is a result of biogeochemical processes. The litter in fern–wood sorrel microplots contains increased amounts of Zn and Cd, while the contents of Pb and ¹³⁷Cs are decreased. The distribution patterns of Pb and ¹³⁷Cs in the litter are positively correlated with each other, since both elements are deposited from the atmosphere, and similar mechanisms account for their redistribution in the spruce forest ecosystem.     

Measuring the effectiveness of landscape approaches to conservation and development

Landscape approaches attempt to achieve balance amongst multiple goals over long time periods and to adapt to changing conditions. We review project reports and the literature on integrated landscape approaches, and found a lack of documented studies of their long-term effectiveness. The combination of multiple and potentially changing goals presents problems for the conventional measures of impact. We propose more critical use of theories of change and measures of process and progress to complement the conventional impact assessments. Theories of change make the links between project deliverables, outputs, outcomes, and impacts explicit, and allow a full exploration of the landscape context. Landscape approaches are long-term engagements, but short-term process metrics are needed to confirm that progress is being made in negotiation of goals, meaningful stakeholder engagement, existence of connections to policy processes, and effectiveness of governance. Long-term impact metrics are needed to assess progress on achieving landscapes that deliver multiple societal benefits, including conservation, production, and livelihood benefits. Generic criteria for process are proposed, but impact metrics will be highly situation specific and must be derived from an effective process and a credible theory of change.     

PCBs,PBDEs and dioxin-related compounds in floor dust from an informal end-of-life vehicle recycling site in northern Vietnam: contamination levels and implications for human exposure

Floor dusts from Vietnamese end-of-life vehicle (ELV)-processing households were investigated to elucidate the contamination levels and exposure risk of polychlorinated biphenyls (PCBs), polybrominated diphenyl ethers (PBDEs) and dioxin-related compounds (DRCs). The concentrations were in order of PBDEs (260–11,000, median 280 ng/g overall) > PCBs (19–2200, median 140 ng/g) > dioxin-like PCBs (8.8–450, median 22 ng/g) ? polybrominated dibenzo-p-dioxin/dibenzofurans (PBDD/Fs, 2000–28,000, median 8500 pg/g) > polychlorinated dibenzo-p-dioxin/dibenzofurans (PCDD/Fs, 440–4100, median 1800 pg/g) > MoBPCDD/Fs (1.9–1200, median 250 pg/g). Concentrations of PCBs and DRCs were higher than those reported for Vietnamese urban houses, indicating ELV processing as a significant source of these contaminants. Higher concentrations of PCBs relative to PBDEs suggest the abundance of old electrical capacitors/transformers in ELVs. The PBDD/F and PCDD/F profiles were indicative of DecaBDE-containing materials and combustion sources, respectively. PBDFs, PCDFs and DL-PCBs were the most important dioxin-like toxic equivalent (TEQ) contributors. The estimated PCB and TEQ intake doses from dust ingestion approached or exceeded the reference doses for children living in some ELV-processing households, indicating potential health risk. More comprehensive risk assessment of the exposure to PCBs and DRCs is required for residents of informal ELV recycling sites.