WHO blames poor safety compliance for Africa’s 250,000 road deaths

Chijioke Iremeka

A recent report by the World Health Organisation has attributed poor road safety standards compliance to the rising cases of deaths from road accidents in Africa in the past decade, with 250,000 lives lost in 2021 alone.

The WHO Status Report on Road Safety 2023 published in July 2024, revealed that post-crash care services were also inadequate in most countries, with fewer than one-third meeting recommended levels for pre-hospital care, emergency care, and rehabilitation services.

According to the report, between 2010 and 2021, the region recorded a 17 percent increase in road-related fatalities, accounting for nearly one-fifth of all road deaths globally, despite being home to only 15 percent of the world’s population, and three percent of its vehicles.

The report blamed this troubling trend on several factors, including insufficient road safety laws and standards, stating that most road traffic data systems in Africa only capture road-related deaths, excluding information on injuries and their severity, including long-term consequences such as disability.

The WHO’s report underscores that while road traffic deaths in other regions have been decreasing, Africa’s death toll continues to rise daily, with a 17 percent increase in road-related fatalities over the past 10 years.

In 2021, it noted that nearly 250,000 lives were lost on Africa’s roads, marking a significant rise compared to the global figure of 1.19 million lives, which saw a five percent decline during the same period, the report stated.

The WHO Regional Director for Africa, Dr. Matshidiso Moeti, said, “No country in the region currently has laws that meet the best practice standards for the five key road safety behavioural risk factors: speeding, drunk driving, non-use of motorcycle helmets, seat belts, and child restraints.

“The findings of this report highlight a serious public health concern, with hundreds of thousands of lives being lost unnecessarily. As WHO, we are committed to collaborating with countries to address this preventable threat and to support efforts to make our roads safer for both motorists and pedestrians.”

The report noted that males aged 15 to 64 years are the primary victims of road traffic crashes. Vulnerable road users, such as motorcyclists, cyclists, and pedestrians, are particularly at risk, with road-related deaths among motorcyclists doubling over the past decade.

Some countries have made progress in establishing multimodal transport systems that include bicycles, motorcycles, and efficient public transport, the report stated, noting that these systems are considered more equitable, environmentally friendly, and safer for road users.

The WHO said, “However, Africa remains one of the fastest-growing markets for used vehicles, with total vehicle registrations nearly doubling and two- and three-wheel vehicle registrations tripling since the 2013 Status Report.

“Only 13 countries have national strategies to promote walking and cycling. Although there have been advancements in vehicle safety equipment laws, pedestrian protection remains largely unaddressed.”

The report also highlights that road infrastructure safety ratings are notably low, with only a small percentage of roads meeting acceptable standards for various users.

It noted that the WHO is working with countries to strengthen road safety through advocacy, technical support, awareness-raising, and training. This includes improving the capacity of countries like Zambia to collect and report road traffic death data.

“To achieve the United Nations General Assembly target of halving global road traffic deaths and injuries by 2030, WHO recommends a concerted effort to implement various interventions.

“These include developing sustainable transportation systems, enhancing legislative road safety frameworks, investing in data management systems, improving post-crash response, and conducting research tailored to the continent’s unique challenges,” the report added.

 

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