Objective: European car design regulations and New Car Assessment Program (NCAP) ratings have led to reductions in pedestrian injuries. The aim of this study was to evaluate the impact of improving vehicle front design on mortality and morbidity due to pedestrian injuries in a European country (Germany) and 2 countries (the United States and India) that do not have pedestrian-focused NCAP testing or design regulations.
Methods: We used data from the International Road Traffic and Accident Database and the Global Burden of Disease project to estimate baseline pedestrian deaths and nonfatal injuries in each country in 2013. The effect of improved passenger car star ratings on probability of pedestrian injury was based on recent evaluations of pedestrian crash data from Germany. The effect of improved heavy motor vehicle (HMV) front end design on pedestrian injuries was based on estimates reported by simulation studies. We used burden of disease methods to estimate population health loss by combining the burden of morbidity and mortality in disability-adjusted life years (DALYs) lost.
Results: Extrapolating from evaluations in Germany suggests that improving front end design of cars can potentially reduce the burden of pedestrian injuries due to cars by up to 24% in the United States and 41% in India. In Germany, where cars comply with the United Nations regulation on pedestrian safety, additional improvements would have led to a 1% reduction. Similarly, improved HMV design would reduce DALYs lost by pedestrian victims hit by HMVs by 20% in each country. Overall, improved vehicle design would reduce DALYs lost to road traffic injuries (RTIs) by 0.8% in Germany, 4.1% in the United States, and 6.7% in India.
Conclusions: Recent evaluations show a strong correlation between Euro NCAP pedestrian scores and real-life pedestrian injuries, suggesting that improved car front end design in Europe has led to substantial reductions in pedestrian injuries. Although the United States has fewer pedestrian crashes, it would nevertheless benefit substantially by adopting similar regulations and instituting pedestrian NCAP testing. The maximum benefit would be realized in low- and middle-income countries like India that have a high proportion of pedestrian crashes. Though crash avoidance technologies are being developed to protect pedestrians, supplemental protection through design regulations may significantly improve injury countermeasures for vulnerable road users. 相似文献
Spermophilus townsendii ) prey. These changes could occur directly or as a result of changes in the vegetation available as food and cover for the
ground squirrels. We assessed the effects of long-term tracking by armored vehicles by comparing 9-ha areas in sagebrush (Artemisia tridentata) -dominated shrubsteppe and bluegrass (Poa secunda) -dominated grasslands subjected to low-intensity tracking for ∼50 years with others that had not been tracked. We did not
detect any effect on ground squirrel population dynamics associated with long-term tracking. Although densities of adults
and juveniles tended to be higher in the areas exposed to such tracking, we attribute this difference to other factors that
varied spatially. To determine short-term (two-year) effects, we experimentally tracked two sagebrush and two grassland sites
with an M-1 tank after animals had begun their inactive season. In the following two active seasons we monitored squirrel
demography and behavior and vegetative characteristics on the experimentally tracked sites and compared the results with control
sites. Although we experimentally tracked ∼33% of the surface of each of four sites where ground squirrel densities were assessed,
the tracking had a detectable effect only on some herbaceous perennials and did not influence ground squirrel densities or
behavior significantly during the subsequent two active seasons. We conclude that tracking after the start of the inactive
season is likely to influence ground squirrel demography or behavior only if vegetation cover is substantially changed by
decreasing coverage of preferred food plants or increasing the coverage of annual grasses and forbs that are succulent for
only a short time each year. 相似文献
To examine the validity of police-reported alcohol data for drivers involved in fatal motor carrier crashes.
Material and Methods
We determined the availability of blood alcohol concentration (BAC) and police-reported alcohol data on 157,702 drivers involved in fatal motor carrier crashes between 1982 - 2005 using Fatality Analysis and Reporting System (FARS) data. Drivers were categorized as motor carrier drivers if they operated a vehicle with a gross vehicle weight rating of greater than 26,000 pounds. Otherwise, they were classified as non motor carrier drivers. The sensitivity and specificity of police-reported alcohol involvement were estimated for both driver types.
Results
Of the 157,702 drivers, 18% had no alcohol information, 15% had BAC results, 42% had police-reported alcohol data, and 25% had both. Alcohol information varied significantly by driver, crash, and vehicle characteristics. For example, motor carrier drivers were significantly more likely (51%) to have BAC testing results compared to non motor carrier drivers (31%) (p < 0.001). The sensitivity of police-reported alcohol involvement for a BAC level ≥ 0.08 was 83% (95% CI 79%, 86%) for motor carrier drivers and 90% (95% CI 89%, 90%) for non motor carrier drivers. The specificity rates were 96% (95% CI 95%, 96%) and 91% (95% CI 90%, 91%), respectively.
Conclusions
The sensitivity and specificity of police-reported alcohol involvement are reasonably high for drivers involved in fatal motor carrier crashes. Further research is needed to determine the extent to which the accuracy of police-reported alcohol involvement may be overestimated because of verification bias.
Impact on the Industry
Based on the results of this study, the federal government should continue to work with states to strengthen their strategies to increase chemical testing of all drivers involved in fatal crashes. 相似文献