Background: Road traffic injuries (RTIs) are a serious epidemic that claims more than a million lives across the globe each year. The burden of RTIs is particularly pronounced in Africa and other low- and middle-income countries. The unfavorable disparity of the burden of road trauma in the world is largely attributable to unsafe vehicles, lack of appropriate road infrastructure, and the predominance of vulnerable road users (VRUs) in developing countries. However, little research exists in northern Ghana to highlight the scale and risk of death among road users.
Objective: The objective of this research was to establish the relative risk of death among road users in northern Ghana.
Methods: Crash data from police reports between 2007 and 2011 were analyzed for the Upper Regions of Ghana. Conditional probabilities and multivariable logistic regression techniques were used to report proportions and adjusted odds ratios (AORs), respectively.
Results: Generally, crashes in northern Ghana were extremely severe; that is, 35% of all injury related collisions were fatal. The proportion of fatal casualties ranged between 21% among victims of sideswipe collisions and 41% among pedestrians and victims of rear-end collisions. Though males were 6 times more likely to die than females overall, females were more likely to die as pedestrians (90% of all female casualty deaths) and males were more likely to die as riders/drivers (78% of all male casualty deaths). Pedestrians were 3 times more likely to die (odds ratio [OR] = 3.1; 95% confidence interval [CI], 2.4 to 4.1) compared with drivers/riders. Compared with drivers, the odds of death among cyclists was about 4 times higher (AOR = 3.6; 95% CI, 2.3 to 5.6) and about 2 times higher among motorcyclists (AOR = 1.6; 95% CI, 1.2 to 2.2). Compared with casualties aged between 30 and 59 years, children under 10 years and those aged 60 years and above were independently 2 times more likely to die in traffic collisions.
Conclusion: Provision of requisite road infrastructure is vital for the safety of VRUs in northern Ghana. Cycle paths and lanes (for cyclists) as well as sidewalks (for pedestrians) in particular will separate VRUs from motorists and improve their safety. Enforcement of traffic laws particularly regarding helmet use, speeding, and alcohol use will be beneficial. Introduction of the demerit points system in the enforcement of traffic regulations may have significant deterrent effects on road users who have the penchant for violating traffic regulations. Road safety education is also required to create responsible road users. 相似文献
We present a method to assess and communicate the efficiency of stormwater control measures for retrofitting existing urban areas. The tool extends the Three Points Approach to quantitatively distinguish three rainfall domains: (A) rainwater resource utilisation, (B) urban stormwater drainage pipe design, and (C) pluvial flood mitigation. Methods for calculating efficiencies are defined recognizing that rainfall is both a valuable resource and a potential problem. Efficiencies are quantified in relation to rainfall volume, supplied potable water volume and volume of wastewater treated. A case study from Denmark is used to illustrate how the efficiency varies between the rainfall domains. The method provides a means for communicating some important quantitative aspects of stormwater control measures among engineers, planners and decision makers working with management of water resources, stormwater drainage and flood risks. 相似文献
Decomposition of soil organic carbon (SOC) is a critical component of the global carbon cycle, and accurate estimates of SOC decomposition are important for forest carbon modeling and ultimately for decision making relative to carbon sequestration and mitigation of global climate change. We determined the major pools of SOC in four sites representing major forest types in China: temperate forests at Changbai Mountain (CBM) and Qilian Mountain (QLM), and sub-tropical forests at Yujiang (YJ) and Liping (LP) counties. A 90-day laboratory incubation was conducted to measure CO(2) evolution from forest soils from each site, and data from the incubation study were fitted to a three-pool first-order model that separated mineralizable soil organic carbon into active (C(a)), slow (C(s)) and resistant (C(r)) carbon pools. Results indicate that: (1) the rate of SOC decomposition in the sub-tropical zone was faster than that in the temperature zone, (2) The C(a) pool comprised approximately 1-3% of SOC with an average mean residence time (MRT) of 219 days. The C(s) pool comprised approximately 25-65% with an average MRT of 78 yr. The C(r) pool accounted for approximately 35-80% of SOC, (3) The YJ site in the sub-tropical zone had the greatest C(a) pool and the lowest MRT, while the QLM in the temperature zone had the greatest MRT for both the C(a) and C(s) pools. The results suggest a higher capacity for long-term C sequestration as SOC in temperature forests than in sub-tropical forests. 相似文献
The United States Environmental Protection Agency, with support from the US Department of Energy and the National Oceanographic
and Atmospheric Administration, has been evaluating the feasibility of an effects-based (critical loads) approach to atmospheric
pollutant regulation and abatement. The rationale used to develop three of the six steps in a flexible assessment framework
(Strickland and others, 1992) is presented along with a discussion of a variety of implementation approaches and their ramifications.
The rationale proposes that it is necessary to provide an explicit statement of the condition of the resource that is considered
valuable (assessment end point) because: (1) individual ecosystem components may be more or less sensitive to deposition,
(2) it is necessary to select indicators of ecosystem condition that can be objectively measured and that reflect changes
in the quality of the assessment end point, and (3) acceptable status (i.e., value of indicator and quality of assessment
end point at critical load) must be defined. The rationale also stresses the importance of defining the assessment regions
and subregions to improve the analysis and understanding of the indicator response to deposition. Subregional definition can
be based on a variety of criteria, including informed judgment or quantitative procedures. It also depends on the geographic
scale at which exposure and effects models are accurate and on data availability, resolution, and quality.
The research described in this article has been funded by the US Environmental Protection Agency. This document has been prepared
at the EPA Environmental Research Laboratory in Corvallis, Oregon, through contract #68-C8-0006 with ManTech Environmental
Technology, Inc., and Interagency Agreement #1824-B014-A7 with the US Department of Energy and at Oak Ridge National Laboratory
managed by Martin Marietta Energy Systems, Inc., under Contract DE-AC05-84OR21400 with the US Department of Energy. Environmental
Sciences Division Publication No. 3903. It has been subjected to the agency’s peer and administrative review and approved
for publication. Mention of trade names or commercial products does not constitute endorsement or recommendation for use. 相似文献