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

  • March 4, 2019
    TISPOL says gig economy tears up enforcement rulebook
    The road safety enforcement sector is facing a crisis. Rulebooks around the world are going to have to change as our roads become a high-pressure workplace for millions of gig economy workers. Geoff Hadwick reports from the TISPOL conference Traffic police forces everywhere will need a fresh approach to regulating the way in which our highways are being used, senior enforcement officers were told at the latest TISPOL European Traffic Police Network annual conference. The World Health Organisation puts it
  • June 25, 2018
    Two wheels good
    As cycling becomes an increasingly popular method for commuting and recreation, what moves are afoot to keep the growing numbers of cyclists safe on ever-more-busy roads? Alan Dron puts on his helmet and pedals off to look. It would have seemed incredible just a decade ago, but cycling in London has become almost unfeasibly popular. The Transport for London (TfL) June 2017 Strategic Cycling Analysis document noted there were now 670,000 cycle trips a day in the UK capital, an increase of 130% since 2000.
  • October 26, 2017
    Section speed enforcements gains global converts
    As the benefits of section speed enforcement are becoming clearer, the technology is gaining converts worldwide. Colin Sowman reports. America’s National Transportation Safety Board (NTSB) is calling for urgent action from both road authorities and the federal government to combat speeding which has been identified as one of the most common factors in motor vehicle crashes in the United States. This new call follows the publication of a safety study which found that between 2005 through 2014, 31% of all
  • June 29, 2018
    Avoiding the call of the wild
    Hitting an animal on a rural road can be fatal for all parties involved – but detecting and avoiding them requires clever technology. Andrew Williams carefully scans the horizon for details. Wildlife-vehicle collisions are an ever-present threat in rural areas around the world, and there is certainly nothing funny about suddenly finding an angry moose in your headlights on a sharp bend. A variety of detection and avoidance systems are currently in use or under development to help prevent your vehicle being