Presentation for European Transport Safety Council, London, 2010

1. Lithuanian National Association
Helping the Suffered in Road
Victims (NAHSRV)
Raimundas Lunevicius, MD, PhD
King’s College Hospital London
Major Trauma & Emergency Surgery Centre
European Transport Safety Council, 24 Nov 2010
1

2. Non-governmental organization
 Established: 2005
 Objective:
 initiation / consolidation of actions of civil
society for purpose of safer traffic
 Education
 Enforcement
 Engineering
 Members: 300
2

3.  Was there a need to establish the
organization ?
 Facts regarding Injury burden in LT...
3

4. Mortality from external causes in each country
of European region in terms of ASDR
Atlas of health in Europe, p. 55, 2008; http://www.euro.who.int/Document/E91713.pdf
4

5. 7 countries of European region with highest ASDR (>110 mortalities
per 100 000 a year) and 6 EU countries with lowest ASDR (<33)
Lunevicius R , Rahman H. Eur J Public Health 2010 (in press)
0
20
40
60
80
100
120
140
160
180
200
*R
ussia
(2006)
*B
elarus
(2003)
*K
azakhstan
(2006)
Lithuania
(2006)
*U
kraine
(2005)
Latvia
(2006)
Estonia
(2005)
Italy
(2003)
Spain
(2005)
G
erm
any
(2006)
U
nited
Kingdom
(2006)
N
etherlands
(2006)
M
alta
(2005)
ASDR
5

6. Fatal injuries distribution by 8 main external causes in 1998 and 2006,
Lithuania
Lunevicius R, Herbert HK, Hyder AA. Eur J Public Health 2010
6

7. Male and Female ASDR from motor
vehicle traffic events in European region
Atlas of health in Europe, p. 56, 2008
7

8. Age Standardised Death Rates
Linear time trend based on ASDR from external causes rates per 100 000 population
in 1991–2006, Lithuania , is very flat
Lunevicius R, Rahman H. Eur J Public Health (in press)
0
20
40
60
80
100
120
140
160
180
200
1990
1992
1994
1996
1998
2000
2002
2004
2006
2008
Years
Injuryrelateddeathratesper100000
population
8

9. In terms of DALYs lost,
INJURY leads in Lithuania because
DALYs lost in 100 000 standard population in Lithuanian in 2002
Lunevicius R, Rahman H. Eur J Public Health 2010 (in press)
0 500 1000 1500 2000 2500 3000 3500 4000
Sense organ diseases
Musculosceletal diseases
Digestive diseases
Malignant neoplasms
Cardiovascular diseases
Neuropsychiatric conditions
Injury
DALYs
9

10. Many young people are dying in RTE
Average percentage distribution of deaths due to traffic crashes of all deaths in
defined age groups of males and females within 1998-2006, Lithuania
Lunevicius R, Herbert HK, Hyder AA. Eur J Public Health 2010
0
5
10
15
20
25
30
35
<
1
y
1-4 y
5-9 y
10-14
y
15-19
20-24
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65-69
70-74
75-79
80-84
>
85
Age groups
Percentageofalldeaths
Males
Females
10

11. as car occupants (in blue) or pedastrians (in brown)
86 %
Distribution of fatalities in car occupants, pedestrians, pedal cyclists, and
motorcyclists within 1998-2006, Lithuania
Lunevicius R, Herbert HK, Hyder AA. Eur J Public Health 2010
49%
37%
11%
3%
Car occupants
Pedastrians
Pedalcyclists
Motorcyclists
11

12.  So, was there a need to establish the
organization ?
 Yes, there was because...
12

13. Key points
 Road traffic fatalities remain high
 One in every 10 road traffic injury results in a fatality
 One in every 7 road traffic crash results in a fatality
 One in every 3 persons is injured in a traffic crash
 One in every 5 deaths is under the influence of alcohol
Lunevicius R, Herbert HK, Hyder AA. Eur J Public Health 2010
13

14.  What did the association do in 2005 –
2010?
14

15.  10 regional front offices established
 Counceling of victims: roughly 200 a year; hundreds of letters
 Public campains arranged across the country
 Light a Candle - safe and sound, Safety Belts
 Two Conferences and ten seminars
 Last one on 12 Aug 2010
 Publishing of didactive and educative literature
 Research provided
 Collaboration with media
 Proposals sent to governmental institutions
 on road safety measures
 offer to reduce the level of alcohol to 0 was not accepted
 it was reduced for young drivers
 related to coordination of losses occurred in car accidents
 regarding re-arrangement of some institutions
15

16. Plans
 To continue activities in close collaboration
with
 regional municipalities,
 other similar associations,
 ETSC
 To implement the project “Education in the Safe Traffic
Culture at the Children’s Age”
 The expansion of competencies and
development of methodology of action
Thank you 16