Journal of Local and Global Health Science - Proceedings of the 24th World International Traffic Medicine Association Congress, Qatar 2015, November 2015

Traffic has become essential to our daily life. It is necessary to handle it properly by means of prediction, planning and management. This is especially true for the rapid development of road networks in the country and the exponential increase in the number of drivers, vehicles and the related industry development. In recent years, traffic safety, as well as the prevention and treatment of accident injuries have received more attention. In par Read More

For the last fourteen years in Japan, casualties due to traffic collisions have decreased. There were 9,073 traffic fatalities in 2000 and 4,113 in 2014. However, it has been argued that traffic collisions caused by one driver’s poor physical condition account for 10% of all traffic collisions. To reduce collisions to an even greater degree, this type of collision should be prevented. To investigate this issue, we studied criminal liability for driver Read More

Although there has been a decline in the popularity of walking, it remains a very commonly employed mode of travel and people of almost all ages and sexes walk. Walking almost inevitably involves crossing a road, where the desire line of the pedestrian conflicts with the higher speed. Where speeds are high, this can result in either delay or risk for the pedestrian and when pedestrians are children the situation becomes more complicated. So Read More

The 1.2 million deaths per annum globally caused by road traffic injuries (RTIs) have been likened to a plane crashing every day (1). Nevertheless, RTIs are a neglected public health concern. There were 247 road traffic fatalities in Qatar in 2010, a rate of 14.4 deaths per 100,000 people. Even though recent progress has been made, this remains three times higher than Western European countries. It is akin to a plane crash every year for Read More

Motor vehicle collisions are responsible for a large number of ocular injuries. Although ocular injuries require an early ophthalmological examination at the time of trauma to detect any type of ocular dysfunction, some ophthalmological abnormalities are not detected after the facial injury owing to failure of referral ophthalmologists. This study aimed to investigate the prevalence of requiring ophthalmological care by evaluating the patte Read More

On any given day, almost 3400 people die globally due to road traffic accidents. The global status report from WHO in 2013 estimates that in India alone approximately 231,000 people are killed due to RTAs yearly. The majority of the victims are unfortunately children, elderly and innocent pedestrians. Due to these astonishing numbers, in 2014 the UN General Assembly, in union with a dozen countries, adopted a resolution of “Improving global r Read More

Pedestrian–vehicle conflicts are one of the most important safety concerns especially at intersections. Of total traffic fatalities, 30% and 36% are pedestrians in Qatar and in Japan, respectively (National Police Agency in Japan, 2015). Although pedestrians at signalized intersections are given priority during the green phase, turning vehicles in conflict often do not give the right of way to pedestrians but tend to compete for it. Furthermore, l Read More

Attention deficit/hyperactivity disorder (ADHD) is one of the most common psychiatric disorders among children and adolescents. Adult ADHD is often underestimated and untreated, but may influence drivers’ behaviour in traffic. The objective of the present study is to clarify how symptoms of ADHD are associated with different types of traffic accidents. A subsample of the subjects of Estonian Psychobiological Traffic Behaviour Study was r Read More

Presently there are about 53 lakh vehicles plying on Bangalore’s roads. The absolute number of road accidents has also been growing at an alarming rate which reflects concomitant investment in road safety strategies coupled with rapid rate of motorisation. At the same time, there is lacuna in the whole system of reporting, recording and analysing road traffic crashes. The process of building a report on ‘road accidents in Bangalore” sta Read More

From 3 lakh vehicles in 1985, to about 53 lakh now, vehicle population in Bangalore has increased more than five fold during the last two decades. While the vehicle population is growing by at least one lakh every year, total road length has remained the same. Many of the arterial roads and junctions are operating over the capacity and to upgrade the city's traffic management system and resulted in the creation of the Bangalore Traffic Improv Read More

The use of helicopters and planes for transporting sick or injured patients to tertiary care centers is common practice. Aviation medicine requires a different perspective regarding patient care. One must consider the effects of higher altitudes on patients when utilizing aeromedical transportation. An endotracheal tube (ETT) utilizes air to inflate a balloon (“cuff”); the cuff invasively secures the ETT and the pressure must be measured and Read More

To elucidate crash and injury patterns of vehicle occupants in fatal motor vehicle accidents (MVA). A retrospective study of fatal MVA victims based on data from post mortem examinations between 2000-2014 in South East Norway was conducted. Within the 15 year period, 561 vehicle occupants killed in traffic were identified, 373 were vehicle drivers and 158 passengers. Compared with data from official statistics, this represents an autopsy Read More

Protection of vulnerable road users is important to reduce traffic fatality in Japan. The use of active safety devices that can detect cyclists is considered to be an effective countermeasure for reducing the severity of injuries and number of cyclist fatality. The detailed features of car–cyclist contact scenarios need to be clarified to develop such safety devices. Since there is limited information on real-world accidents, the present study inv Read More

Road traffic injuries are second leading cause of mortality in hospitals of Ministry of Health (MOH) – Kingdom of Saudi Arabia (KSA) (1), costing billions of Saudi Riyals annually (2). The Injury & Accidents Prevention Program in MOH, realizing the dearth of data about injuries, designed a uniform Injury Surveillance System in 2013, with assistance of the World Health Organization (WHO) and in collaboration with Ministry of Interior and Red Cr Read More

Annually 1.2 million deaths occur globally due to road traffic injuries; additionally, 20-50 million are injured or disabled ("Global status report", 2013). Concomitant with rapid socioeconomic growth, infrastructure development and increased vehicle ownership, injury, disability and mortality due to road traffic collisions are high in the Gulf Cooperation Council countries. This is also true for Qatar where road traffic collisions are one of the leadi Read More

Morbid obesity is a major public health problem in high-income, developed and fast developing countries. The potential effects of morbid obesity on road crash risk have rarely been investigated. In this study, we evaluated road crash risks in morbidly obese drivers who underwent bariatric surgery. We conducted a self-matched cohort analysis of morbidly obese adult patients in Ontario (Canada) who underwent bariatric surgery between Apr Read More

We assessed obesity trends in US drivers involved in fatal crashes since 1999 and distinguished whether crash risk factors were different between obese and non-obese drivers. We included drivers of passenger cars involved in fatal traffic crashes between January 1, 1999 and December 31, 2012. Obesity was classified according to the World Health Organization guidelines and profiled between 1999 and 2012 using adjusted prevalence ratio (aP Read More

Although road safety and driver behaviour have improved over the last few years in Qatar, more accidents can be prevented and still more lives saved. One simple and very important step to reduce the severity of injuries for drivers and passengers is the proper and consistent use of a seat belt (1). Since law enforcement is not always effective, additional approaches should be used. We believe a road safety culture needs to be developed amo Read More

Recent years have witnessed acceleration in wireless technology breakthroughs that proved to be key technology enablers of a plethora of applications that have shaped our modern society. For road safety and accident preventions, wireless technologies play a pivotal role in saving lives by assisting drivers in detecting potential collisions from blind spots and in inclement weather conditions such as thick fog or heavy rain. These wireless te Read More

Road Safety Audits are used to identify risks and to propose remedial works on new and existing. The Safe System requires a change in focus from mitigating crashes to preventing death and serious injury. Development of the Qatar Road Safety Audit Guide (RSAG) presented an ideal opportunity to reinvigorate road safety auditing practices in accordance with the Safe System. The Public Works Authority (Ashghal) commissioned a RSAG t Read More

Helmets save lives, yet many countries do not have laws about their quality assessment or how they should be worn. We assessed the effectiveness of helmet use in preventing injuries in such a setting. The data were extracted from a large road traffic injury surveillance study in Karachi, Pakistan. We assessed the association of wearing helmets with several injury outcomes including deaths, injury severity (via New Injury Severity Score, NIS Read More

Significant reductions in road trauma among young drivers could be achieved if they drove safer vehicles. Parents are likely to play a critical role in the access, timing of vehicle purchase, available budget, and vehicle choice for the young driver’s first vehicle. However, little attention has been directed to understanding the most effective communication strategies to encourage young drivers and their parents to purchase and use safe vehicles. Read More

Speeding remains a major contributor to trauma on our roads, held to be a major factor in around one-third of fatal crashes and over 10 percent of all crashes (Bowie & Walz, 1994; Fildes & Lee, 1993). This study reviewed speed management strategies and key factors that should be considered through a comprehensive review of the literature. One of the most frequently used methods of managing travel speeds is the posted speed limit. The Read More

Around schools, increases in walking and cycling help to reduce traffic congestion and improve the road safety and neighborhood navigation skills of children. Physical activity and independent mobility may also have a positive effect on children’s behavioural and cognitive development. Child pedestrians, however, are a vulnerable road user groups, experiencing an increased crash and injury risk relative to older pedestrians, consti Read More

The Department of Transport (DoT) in Abu Dhabi has recognised that while minibuses play a key role in transporting people within the United Arab Emirates, levels of fatal and serious injury among minibus occupants in crashes are high. As a first step toward addressing this problem, the DoT commissioned a benchmarking study to gain an understanding of the state of the minibus fleet, focusing on fundamental vehicle safety aspe Read More

Controlling the speed of vehicles on various roads and streets is crucial in order to maintain the safety of people and to prevent any possibility of injury or death. One technique that is widely used in Qatar to force road users to reduce their vehicles’ speed is the installation of speed humps and tables. In this study, an evaluation of speed humps and tables in selected areas of Qatar was conducted, since they vary in shape and size and many c Read More

Since 2010, Sweden presents suicides in road traffic separately from fatalities caused by accidents. The aim with this study was to assess the number of road traffic suicides by studying the fatality from three angles; the vehicle, the road and the road user. The main focus was to develop and perform a psychosocial examination of the road user. First, a method was developed for classification of road fatalities to determine if they were cause Read More

Not all fatalities in road traffic are accidents; some are suicides. Since 2010, Sweden have been presenting suicides in road traffic separately from fatalities caused by accidents. To carry out this task a method has been developed for classification of road traffic fatalities in order to determine if the fatality was caused by accident or suicide. A five-grade classification scale was developed. Grade one indicated a clear suicide and grade five Read More

The aim of this study was to determine the incidence pattern of the burden severe traumatic brain injuries (TBIs) among young children in Qatar and to suggest practical prevention policies that can be implemented in Qatar. This is a retrospective study that included all pediatric cases of severe TBI during the period from January 2002 to December 2008. The study was conducted among children aged 14 years or less at the Children Rehabilitati Read More

An increasing part of the global population holds a driver’s license. Thus, a greater variety of prerequisites regarding the fitness to drive will occur, increasing the demand for assessing fitness to drive. However, today, there is a lack of internationally agreed upon methods for assessing the fitness to drive. Specifically, there is a need to develop methods to assess cognitive abilities required for driving safely (Hird, Vetivelu, Saposnik, & Schw Read More

Providing safe roads around schools is a challenge faced by all communities. Children’s behaviour is unpredictable and their safety is of particular concern in an area where there is often a mix of vulnerable road users and motor vehicles. In 2011, Ashghal commissioned a major road safety contract to conduct road safety assessments at 200 schools throughout Qatar. The results have since been collated into a comprehensive school safet Read More

Road traffic accidents are an emerging public health problem. The deaths due to road traffic injuries represent only a small fraction of the total waste of human and social resources. Road traffic injuries leading to disabilities are often neglected part of the problem. In the year of 2010, it was reported 2721 have died and 26487 have sustained injuries due to road traffic accidents. Sri Lanka being a middle income country, the information on disabi Read More

Driving is a visually demanding task (Kotecha, Spratt and Viswanathan, 2008). Does individuals with visual deficits fulfill the “Fitness to drive” criteria? The developed simulator based method presented below was driven by the purpose to be able to discriminate between individuals with and without visual deficits. (Owsley, Wood, and McGwin, 2015). An advanced driving simulator was used to develop a simulated driving task, which also in Read More

Backgrounds: Pre-hospital emergency call is a crucial index to indicate emergency disease spectrum. For Beijing, which has changed greatly in economy and population, analyzing the trend of the emergency disease spectrum can greatly contribute to formulate the pre-hospital emergency planning. Methods: In this 10-year retrospective study, pre-hospital emergency records of Beijing Emergency Medical Center from 2003 to 2012 were c Read More

Objective: This study aims to evaluate the effects of standardization processes in improving severe trauma treatments in China. Methods: This study was conducted in 12 hospitals located in 12 geographically and industrially different cities in China. A standard process on severe trauma rescue was established as a general rule for staff training and patient treatment. A regional network (system) efficiently integrating pre-hospital rescue, Read More

This research considers a Bayesian analysis of crash data in an attempt to predict, from a group of potential collision hotspot sites, which of these sites could benefit from treatment with a road safety scheme. Intrinsic to the analysis is the identification of trend and site-specific regression to the mean (RTM) effects. As in a standard retrospective before-after study to evaluate the effectiveness of a change in e.g. the geometric design of an i Read More

Road traffic injuries (RTI) are the leading cause of death in Qatar with one in eight deaths from all causes due to RTIs. Furthermore, motor vehicle crashes (MVC) are becoming a growing public health problem and the use of seatbelt is universally low throughout the nation. The aim of our study was to investigate and highlight potential socio-demographic risk factors that contribute to seatbelt non-compliance. A prospective cross-sectional Read More

Hearing loss (HL) is one of the most frequent sensory deficit in humans (Stevens et al., 2013), which might reduce traffic safety. The prevalence of age-related HL is increasing (Roth et al., 2001), and as a consequence the number of road users with HL will also increase. The effects of HL on traffic safety have been investigated and the use of tactile support systems has been evaluated both in a driving simulator and in real traffic. Tactile suppo Read More

Cardiovascular diseases (CVDs) are number one reason for human mortality around the world (Fig. 1) [1]. Pulse pressure (PP) and pulse rate (PR) are considered as the two most vital physiological markers for CVDs like myocardial infarction, cardiac arrhythmia, and heart failure. Currently, long-term PP and PR analysis is not possible due to the lack of systems that can frequently measure the data over a period of time. Motor vehicle drivers w Read More

In a report by the WHO Eastern Mediterranean Region(1), the non-use of child restraints for children was identified as a key risk factor that can be addressed by the adoption and enforcement of legislation that will increase their use. Currently, there are no child restraint laws in Qatar. The objective of the study is to report baseline data on child restraint use and to provide evidence to inform the passage of child passenger restraint laws i Read More

Mortality for young children in motor vehicle crashes in Qatar was highest in those who were unrestrained1. Anecdotal reports have attributed low car seat use to their expense and unavailability prompting car seat giveaway programs, but an assessment of the local car seat market has not been conducted previously. This study will report the results of a rapid market survey (RMS) to understand the availability, characteristics and the c Read More

Introduction: In Sweden, physicians are required to report dementia patients who are unfit to drive to the Swedish Transport Agency (STA). However, physicians may refrain from reporting if there is reason to believe that the patient will cease to drive as part of an agreement. Aims: To investigate to what extent physicians address driving and dementia, and whether there is a difference in how the issue is addressed depending on patient-r Read More

Young driver overrepresentation in road crash deaths and injuries is observed worldwide including Qatar. Multiple independent factors contribute to this high risk including age, brain development and inexperience. These factors also explain young drivers' high level deliberate risk taking behaviors including speeding. A Graduate licensing scheme (GLS) which requires new drivers to pass through multiple licensing stages (each with specifi Read More

Experience of the State of Qatar Introduction: Since the second half of the last decade of the twentieth century, Qatar has witnessed the implementation of a comprehensive development plan in various economic, urban and social scales. This comprehensive plan granted greater attention to developing the infrastructure and providing the necessary facilities. Road network development, with world-class engineering standards, w Read More

Managing the safety of high-risk drivers continues to be a major challenge. The traditional approach has been to develop training and education based programs in order to achieve this. Relatively few of these types of road safety education programs have been evaluated and for those that have included effective evaluation the results have been disappointing in terms of reducing the subsequent crash risk of participants. Some interve Read More

School buses and minibuses are one of the major modes of traveling for students in the state of Qatar. Many studies pointed to the fact that school buses travelling are safer for students than walking or car riding (Bolte, et al., 2000; Hinch, et al., 2002). For that reason, safety measures and performance of school buses in the State of Qatar should be studied and evaluated carefully and wisely. The project aims were done through Read More

The contribution of alcohol to the health burden of road traffic injuries [RTI’s] has been well documented in various settings. However, in a recent global report released by the WHO, almost half of all countries lack data on alcohol-related road deaths and injuries. This study will report the results of the Alcohol Screening Brief Intervention and Referral for Treatment [ASBIRT] Program of the Hamad Trauma Center [HTC]. This ASBIRT is a progr Read More

Objective: To study the mortality, causes and characteristics of child road traffic death (CRTD) in China in 2013, in order to find new ways to improve CRTD prevention and control. Materials: The road traffic death data and population data of children under 18 years old in 2013 were mainly from: (1) Annual statistics report on road traffic accident of China in 2013, by Transportation Bureau, Ministry of Public Security. (2) Annual demographi Read More

Global road traffic accidents (RTAs) account for around 1.2 million fatalities annually and alarmingly, 30-40% of these fatalities are children [24]. Even in the UK, 60% of child deaths are from RTAs. In Asia, up to one third of these deaths are due to two-wheelers [24]. Helmets can help reduce fatalities by 25% but studies show compliance as low as 20% in Indonesia. Aims and objectives of the study were to find out why people don’t wear helme Read More

Effective injury mitigation measures can only be developed once a clear understanding of the problem has been obtained. The factors which contribute to the problem and hence the solution are based of analysis of real world data. The incidence of spinal injuries in traffic accidents has been identified to be a significant problem in Saudi Arabia and Gulf Countries (GCC). However, a detailed database, which could offer data from real world acci Read More