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. 2013 Jan;57(1):108–138. doi: 10.1017/mdh.2012.83

Table 3:

Matrix of events-discourse correlation. Abbreviations: HIC – high-income country; MIC – middle-income country; LIC – low-income country; NMT – non-motorised traffic.

Period Transport development: events RTIs: events Publications RTIs: discourse: prioritised factors (Table 5) Transport development: discourse
1900–45 Motorised vehicles spread mostly in USA; highway building programmes in USA (1916) and Germany and Italy (1930s) RTI mortality in USA rise from 7/100 000 (1910s) to over 29/100 000 (1930s); GB: rise to 18/100 000 (1939); collisions mostly involve only one motorised vehicle People’s behaviour Road turns from space for pedestrians to space for cars; modernisation in high-income countries Inline graphic motorisation
1945–70 Motorised vehicles spread in Europe More people die of RTIs than of major epidemic diseases in HICs; most collisions involve several motorised vehicles in HICs 1962 WHO: Road Traffic Accidents People’s behaviour; Organisation RTIs Inline graphic serious public health concern but also a necessary price for modernisation
Ralph Nader: Unsafe at any Speed (1962) Vehicles RTIs result from safety-neglecting (underdeveloped) car designs (blame: manufacturers)
1968: William Haddon Jr, ‘The Changing Approach to the Epidemiology’ People’s behaviour; vehicles; roads systemic approach to crashes
1970–98 Urbanisation in LICs and MICs; large-scale investment in road building Measures to reduce motorised traffic in HIC cities; decline of RTI deaths in HICs, dramatic increase of RTI deaths in MICs and on global scale, involving predominantly one motorised vehicle and other traffic participants Organisation Doubts about growth-oriented economic system in HICs (1970s), rise of neoliberalism (1980s); debate about ‘sustainable development’; excessive car traffic is considered a burden on urban life in HICs
1994 World Bank World Development Report Organisation Cost-effective transport is essential for development; RTIs are a secondary concern
1996: World Bank/WHO: Global Burden of Disease Project Medical care RTIs Inline graphic major burden on global health and development, especially in MICs
1998: Red Cross: World Disaster Report/Global Road Safety Partnership People’s behaviour
1999–today 2003: World Bank: ‘Traffic Fatalities and Economic Growth’ Economic growth is essential to reduce RTI rate (Kuznets curve)
2004: WHO/World Bank: World Report on Road Traffic Injury Prevention Institution; people’s behaviour; non-motorised transport; system Development should serve (transport) health, not vice versa.
2006: Commission for Global Road Safety: Make Roads Safe Roads Good roads are essential to development and to RTI reduction
2007 World Bank: Global Status Report on Road Safety Organisation; non-motorised transport