Skip to main content

Road death toll increasing in poor countries, says WHO report

The latest figures from the World Health Organisation on road deaths make sobering reading – but they are particularly shocking when you consider how the relative poverty of countries contributes to high fatality rates, says Adam Hill Around 1.35 million people died on the world’s roads in 2016, while road traffic injuries are now the leading cause of death among young people, according to new statistics from the World Health Organisation (WHO). Perhaps the most sobering point from its latest research
February 20, 2019 Read time: 6 mins
Countries in south-east Asia have regional road traffic death rates (20.7 per 100,000 population) which are higher than the global rate | © Sutiponmm - Dreamstime.com
The latest figures from the World Health Organisation on road deaths make sobering reading – but they are particularly shocking when you consider how the relative poverty of countries contributes to high fatality rates, says Adam Hill


Around 1.35 million people died on the world’s roads in 2016, while road traffic injuries are now the leading cause of death among young people, according to new statistics from the 1819 World Health Organisation (WHO).

Perhaps the most sobering point from its latest research  – Global Status Report on Road Safety 2018 – is the staggering inequality of road deaths. Put simply, if you are not living in a developed nation then your likelihood of dying in a road-related incident is increased markedly: your chances are three times higher in low-income countries than in high-income countries.

It is worth taking a second to ponder that: just 1% of the world’s vehicles are in poorer countries, yet these countries are where 13% of all vehicle-related deaths happen. The richest countries account for 40% of the world’s cars – but only 7% of the total traffic fatalities. A staggering 90% of road traffic deaths occurs in what WHO designates as ‘low- and middle-income countries’.

Whichever way you spin it, the statistics are frightening: 1.35 million road deaths a year equates to almost 3,700 people killed per day (not to mention the tens of millions more who are injured, often with life-altering impact).

Rising deaths


There are a variety of reasons why this is happening, WHO suggests: rapid urbanisation, low safety standards, intermittent enforcement and lack of seat-belts or helmets. Plus, of course, those old favourites: drug- and drink-driving, distraction and tiredness.

Predictably perhaps, vulnerable road users (VRUs) such as pedestrians and cyclists account for 26% of all road traffic deaths – but that rises to 36% in the eastern Mediterranean and 44% in Africa. Motorcycle riders and passengers account for 28% of all road traffic deaths – but, again, that rises in different areas: 36% in the western Pacific and 43% in south-east Asia, for example.

The young are also bearing the brunt of this: road traffic injury is the leading cause of death for people aged between five to 29 years old. It is also the eighth leading cause overall – which is grimly impressive given that the deadly impact of road accidents outstrips deaths from mass killers such as HIV/AIDS and tuberculosis.

In the countries or territories where progress has been made, better legislation is the key: speeding, drinking and driving, failing to use seat-belts, motorcycle helmets and child restraints are all important areas for policy makers to take into account.

ITS can help, of course, with initiatives such as better-designed roads, motorbike lanes or completely demarcated lanes for cyclists – not to mention moves to make intersections safer.

And despite everything, it is not all bad news: WHO reckons the rate of deaths has stabilised relative to the size of the world’s population in recent years. While the number of vehicles worldwide has steadily increased, death rates have actually declined – from 135 deaths for every 100,000 vehicles in 2000, to 64 per 100,000 in 2016. This is progress – but not quick enough “to compensate for rapid population growth and increasing motorisation worldwide”.

Road deaths by numbers

• 1.35 million people died on the roads in 2016
• Road traffic injury is the leading cause of death for people aged five to 29 years old
• Poorer countries have 1% of the world’s vehicles - but 13% of all vehicle-related deaths
• Richer countries have 40% of the world’s cars – but only 7% of total traffic fatalities
• In all, 90% of road traffic deaths occur in poorer countries
• Only 40 countries have implemented at least seven - or all eight – of the United Nations’ vehicle safety standards

Source: World Health Organisation

The numbers are still appalling – and the progress is also not uniform. Safety measures have contributed to reductions in road traffic deaths in 48 middle- and high-income countries. Three regions of the world - Americas, Europe and the western Pacific - have reported a decline in road traffic death rates.


But not one low-income country has demonstrated a reduction in overall deaths, the report finds. Across Africa there are 26.6 deaths per 100,000 of the population – a stark contrast with the continent of Europe (9.3 per 100,000) and the Americas (15.6 per 100,000).

Goals missed


At this rate, the United Nations’ Sustainable Development Goal target – set in 2015 - to halve road traffic deaths by 2020 will not be met. “This report shows that three years on, far too little progress has been made towards this goal,” says WHO director general Dr Tedros Adhanom Ghebreyesus. “There is an urgent need to scale up evidence-based interventions and investment.”

And still…that extraordinary disparity in safety between richer and poorer nations exists.

Ghebreyesus says: “Road traffic crashes are not ‘accidents’. They are completely preventable… Development is an opportunity for low- and middle-income countries to avoid the costly mistakes made in the past by high-income countries. We need to create cities and transport systems that reduce reliance on cars. We must apply the lessons we have learned about safe road design. With the right leadership and investment, countries can build in the safeguards and best practices to save lives.”

WHO emphasises that ‘proven solutions’ are available. Michael Bloomberg, CEO of Bloomberg Philanthropies (which funded the report) and a WHO ambassador, says: “We know which interventions work. Strong policies and enforcement, smart road design and powerful public awareness campaigns can save millions of lives over the coming decades.”

Vehicle safety regulation is another area in which progress has been made. The United Nations has eight priority vehicle standards, including the inclusion of child restraints, pedestrian front protection and anti-lock braking systems for motorbikes. But only 40 (mainly richer) countries have introduced ‘seven or eight’ of them – and 124 countries apply just one of them, or none at all. Yet there is some movement: since WHO’s last review of road safety, India is applying the front and side impact protection standard, while Malaysia started applying the electronic stability control regulation last year.

Urgent need


Despite this, the report says there is an “urgent need for governments to scale up their road safety efforts in order to live up to their commitments made in the Sustainable Development Agenda 2030.”

The third Global Ministerial Conference on Road Safety will be held in Sweden in February 2020: it will be a very good time to take stock of what has been achieved – and the great deal that there is yet to be done.

“These deaths are an unacceptable price to pay for mobility,” concludes Ghebreyesus. “There is no excuse for inaction. This is a problem with proven solutions. This report is a call for governments and partners to take much greater action to implement these measures.”

Road safety: some good news

Since the last WHO report in 2015, 22 more countries amended their laws on one or more risk factors, covering an additional one billion people. A number of states now have laws which align with best practice in some vital safety areas: 46 countries (covering three billion people) on setting speed limits; 45 countries (2.3 billion people) on drink-driving; 49 countries (2.7 billion people) on motorcycle helmet use; and 105 countries (5.3 billion people) on seat-belt use. However, it’s not all positive: “Less progress has been made on adopting best practice on speed limits, despite the importance of speed as a major cause of death and serious injury,” says WHO.

Related Content

  • December 22, 2015
    US traffic fatalities fall in 2014, but early estimates show 2015 trending higher
    The US saw a slight decline in traffic deaths during 2014, according to the Department of Transportation's National Highway Traffic Safety Administration (NHTSA). However, an increase in estimated fatalities during the first six months of this year reveals a need to reinvigorate the fight against deadly behaviour on America's roads, NHSA says.
  • September 20, 2013
    Can ADAS impact middle-income countries?
    Recent research by SBD shows that road-related fatalities are the eighth leading cause of death globally with more than a million people dying each year. Middle income countries, which include most ASEAN economies, account for 72 per cent of the world’s population and contribute to about 80 per cent of road traffic fatalities.
  • May 20, 2021
    UN safety drive for 30 km/h speed limit
    Child Health Initiative global ambassador Zoleka Mandela says: 'Above 30 is a death sentence'
  • October 21, 2016
    Put ‘people, not cars' first in transport systems, says UN Environment chief
    Lack of investment in safe walking and cycling infrastructure not only contributes to the deaths of millions of people in traffic accidents on unsafe roads and poorly designed roadways, but also overlooks a great opportunity to boost the fight against climate change, according to a new UN Environment report. In Global Outlook on Walking and Cycling, the UN Environment Programme (UNEP) claims that greater investment in such infrastructure could help save millions of lives and reduce emissions of global w