Comparing estimates of road traffic deaths and non-fatal road traffic injuries in Cambodia. 2022

Hialy Gutierrez, and Sudeshna Mitra, and Kazuyuki Neki, and Leah Watetu Mbugua, and Ramshankar Balasubramaniyan, and Mercer Winer, and Jaeda Roberts, and Theo Vos, and Erin Hamilton, and Mohsen Naghavi, and James E Harrison, and R F Soames Job, and Kavi Bhalla
Public Health Sciences, University of Chicago, Chicago, Illinois, USA.

Timely, accurate and detailed information about traffic injuries are essential for managing national road safety programmes. However, there is considerable under-reporting in official statistics of many low and middle-income countries (LMICs) and large discrepancies between estimates from the Global Burden of Disease (GBD) study and WHO's Global Health Estimates (GHE). We compared all sources of epidemiological information on traffic injuries in Cambodia to guide efforts to improve traffic injury statistics. We estimated the incidence of traffic deaths and injuries and household ownership of motor vehicles in Cambodia from nationally representative surveys and censuses. We compared findings with GDB and GHE estimates. We identified seven sources for estimating traffic deaths and three for non-fatal injuries that are not included as data sources in GBD and GHE models. These sources and models suggest a fairly consistent estimate of approximately 3100 deaths annually, about 50% higher than official statistics, likely because most hospital deaths are not recorded. Surveys strongly suggest that the vehicle fleet is dominated by motorcycles, which is not consistent with GBD estimates that suggest similar numbers of motorcyclist and vehicle occupant deaths. Estimates of non-fatal injuries from health surveys were about 7.5 times official statistics and 1.5 times GBD estimates. Including local epidemiological data sources from LMICs can help reduce uncertainty in estimates from global statistical models and build trust in estimates among local stakeholders. Such analysis should be used as a benchmark to assess and strengthen the completeness of reporting of the national surveillance system.

UI MeSH Term Description Entries
D009049 Motorcycles Two-wheeled, engine-driven vehicles. Mopeds,Moped,Motorcycle
D002160 Cambodia A country located in Southeastern Asia, bordering the Gulf of Thailand, between Thailand, Vietnam, and Laos. The capital is Phnom Penh. Kampuchea,Khmer Republic
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000063 Accidents, Traffic Accidents on streets, roads, and highways involving drivers, passengers, pedestrians, or vehicles. Traffic accidents refer to AUTOMOBILES (passenger cars, buses, and trucks), BICYCLING, and MOTORCYCLES but not OFF-ROAD MOTOR VEHICLES; RAILROADS nor snowmobiles. Traffic Collisions,Traffic Crashes,Traffic Accidents,Accident, Traffic,Collision, Traffic,Collisions, Traffic,Crashes, Traffic,Traffic Accident,Traffic Collision
D000071219 Global Burden of Disease Use of various metrics to measure death and loss of health due to diseases, injuries and RISK FACTORS for all regions of the world. Global Disease Burden,Disease Burden, Global,Disease Global Burdens,Global Disease Burdens
D014947 Wounds and Injuries Damage inflicted on the body as the direct or indirect result of an external force, with or without disruption of structural continuity. Injuries,Physical Trauma,Trauma,Injuries and Wounds,Injuries, Wounds,Research-Related Injuries,Wounds,Wounds and Injury,Wounds, Injury,Injury,Injury and Wounds,Injury, Research-Related,Physical Traumas,Research Related Injuries,Research-Related Injury,Trauma, Physical,Traumas,Wound
D018986 Motor Vehicles AUTOMOBILES, trucks, buses, or similar engine-driven conveyances. (From Random House Unabridged Dictionary, 2d ed) Armored Vehicles,Tanks,Buses,Trucks,Armored Vehicle,Motor Vehicle,Tank,Truck,Vehicle, Armored,Vehicle, Motor,Vehicles, Armored,Vehicles, Motor

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