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Highway safety is a complicated science that rises to an art form as ordinary drivers perceive what engineers communicate to them in the road design, what government policies and education campaigns communicate in laws and in shaping public discourse, and what the culture of the driving public adds to their perception. This area of scientific and communication research ultimately has a profound impact on the well-being of citizens and the communities where they live and travel.

Highway safety is a worldwide concern because an estimated 1.2 million people lose their lives in road crashes each year, and as many as 50 million are injured. It is expected that close to 2 million lives will be lost each year on roadways by the year 2025. This human cost of transportation progress impacts both developing and advanced nations. The widespread loss of human lives and the impacts of life-changing serious injuries are now considered a public health epidemic, sometimes known as “the disease of mobility.” Over 40,000 roadway fatalities occur each year in the United States, and these motor vehicle crashes are the number one cause of death for persons age 34 and younger. This entry examines the factors involved in motor vehicle crashes and the solutions for reducing losses that both improve the roadway systems and attempt to change the culture of the motoring public.

Crash Losses Are Predictable and Preventable

This loss of human lives and the resulting economic impact have become unacceptable in many countries. Meanwhile, vehicle ownership and travel have been expanding worldwide. The most dramatic recent increases in traffic casualties occur in developing countries with very poor, congested roadways shared by motor vehicles and other modes including pedestrians, bicycles, scooters, and animal-pulled carts and wagons. In higher-income countries, high-speed congestion, distracted driving, vulnerable motorcyclists, and aging drivers confound efforts to reduce crashes.

Added to the profound impact on public health, roadway fatalities and injuries have a substantial impact on the global economy. The global cost is estimated to be $518 billion per year in U.S. dollars. The economic loss to low-income and middle-income countries exceeds the amount of economic development funds they receive each year. Within major U.S. metropolitan areas, the cost of traffic crashes is nearly 2.5 times the cost of congestion, at $164 billion for traffic crashes and $67.6 billion for congestion. And yet, communities and governments routinely demand more funding for relieving congestion than for improving traffic safety.

Roadway traffic crashes are not just accidents. They are predictable and therefore preventable events. However, both roadway crashes and the solutions are complex.

Addressing Crashes Worldwide

Globally, the World Health Organization declared road safety a worldwide public health epidemic for 2004 and tried to advocate a systems approach to road safety, which takes into consideration the key aspects of the system: the road user, the vehicle, and the infrastructure. Today, the World Bank will fund roadway safety programs, just as it funds responses to health epidemics, to improve the human condition.

The 2005 U.S. transportation bill was titled Safe, Accountable, Flexible, Efficient, Transportation Equity Act: A Legacy for Users (SAFETEA-LU), placing particular emphasis on decreasing fatalities and serious injuries on U.S. roadways and requiring that diverse stakeholders participate in planning and implementing effective strategies. This shift in thinking helped fuel nationwide discussion among mixed disciplines involved in health, highways, and law enforcement, and resulted in the American Automobile Association inviting experts in these diverse fields to contribute opinion papers to the publication Improving Traffic Safety Culture in the United States: The Journey Forward.

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