Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Research Article Volume 6 Issue 4

Mortality by Traffic Accident in Mahajanga, Concerned and Predisposing Factors

Tohaina DV1*, Rasamimanana NG1, Habib N2, Randrianirina HH1, Razanatiana BE3 and Tiandaza DO4

1Anesthesiologist-resuscitator, University of Mahajanga, Madagascar
2Medical Imaging Specialist, University of Mahajanga, Madagascar
3General Practitioner, University of Mahajanga, Madagascar
4Surgeon, University Professor, University of Mahajanga, Madagascar

*Corresponding Author: Tohaina DV, Anesthesiologist-Rehabilitation Physician, Researcher Teacher, Anesthesiologist-resuscitator, University of Mahajanga, Madagascar.

Received: February 14, 2022; Published: March 07, 2022

Abstract

Road accidents currently represent one of the most serious problems for the community on a national and global scale. They are the leading cause of death for children and young people aged 5 to 29, and the number of road deaths continues to rise. This is a cross-sectional study carried out in Mahajanga over a period of 2 years, during the years 2016 and 2017. The aim is to identify the deceased victims, and determine the factors favoring fatal road accidents in the Boeny region. Of 1209 victims of traffic accidents during this period, 69 had died, with a mortality rate of 5, 70%. They had an average age of 29.49 years, predominantly male (78.2%). Pedestrians (n = 33; 47.82%) and motorcyclists (n = 17; 24.63%) were the most affected. Most accidents occurred in built-up areas (63.8%), but those outside built-up areas were the most serious. In 98.55% of cases, these accidents were related to human factors, occurring during the day between 6 a.m. and 5 p.m. (60.8%). The vehicle- pedestrian (43.48%) and vehicle-vehicle (21.74%) type collision were the most encountered mechanism, involving mainly motorcycle (31.88%), minibus (23.19%) and off-road cars (20.29%). In 40.6% of the cases, the victims died on the spot, 18.8% during their transport to the hospital, and 40.6% after their arrival at the hospital. The lesions that caused these deaths were dominated by severe polytrauma (88.4%) and severe head trauma (31.8%). The education of road users, the establishment of a good road safety policy and the adoption of responsible behavior with strict respect for the highway code among vehicle drivers will help to reduce this scourge.

Keywords: Mortality; Road Accident; Developing Countries; Urban Environment; Contributing Factors; Road Safety

References

  1. “Saving LIVES – Road Safety Technical Module”. WHO (2017).
  2. “A new WHO report points to insufficient progress in improving road safety around the world”. WHO (2018).
  3. “Road safety: 2020 report on road fatalities by country” (2017).
  4. Elodie Hament. “Holidays in Madagascar: survey on the habits of Tananarivians” (2012).
  5. “Presentation of the results of the digital mapping in preparation for the third general population and housing census”. March 30, (2010).
  6. Carole KOUASSI. “Madagascar: 34 pilgrims perish in a road accident”. Africa News (2017).
  7. National road 4_fatal accident in Antsiafabohitra. Dec 19, (2017).
  8. World Health Organization. “Despite progress, the number of road deaths is still too high”. WHO, Press release, Geneva (2017).
  9. Azzeddine M and Ghiat T. “The main causes of road traffic accidents and mitigation measures in Algeria”. European Scientific Journal, ESJ 20 (2015): 163-176.
  10. James Damsere-Derry., et al. “Road accident fatality risks for “vulnerable” versus “protected” road users in northern ghana”. Traffic Injury Prevention7 (2017).
  11. Davies Adeloye., et al. “Road traffic crashes, injuries and deaths in Africa. Systematic review”. Bulletin of the World Health Organization 94 (2016): 510-521A.
  12. “Civil status statistics in the urban commune of mahajanga Year 2013”. Publication n° 004 April (2015).
  13. Inada H., et al. “Forecasting global road traffic injury mortality for 2030”. Injury Prevention, injuryprev–2019–043336 (2019).
  14. HSC Diemer., et al. “Epidemiological aspects of trauma orthopedic mortality in the community hospital”. European Journal of Emergencies and Resuscitation 32 (2020): 4-8.
  15. Bartolomeos K., et al. “Pedestrian Safety: A Road Safety Manual for Decision-Makers and Practitioners”. World Health Organization: Geneva, Switzerland (2013).
  16. “National Center for Statistics and Analysis”. (2015).
  17. Moien A B Khan., et al. “Global Incidence and Mortality Patterns of Pedestrian Road Traffic Injuries by Sociodemographic Index, with Forecasting: Findings from the Global Burden of Diseases, Injuries, and Risk Factors 2017 Study”. International Journal of Environmental Research and Public Health 17 (2020): 2135.
  18. National Interministerial Road Safety Observatory. Report on road accidents in 2018. ONISR, Department of legal and administrative information, Paris (2019): 186.
  19. Vroh Joseph Benie Bi., et al. "Determinants of fatal road traffic accidents in Côte d'Ivoire from 2002 to 2011". Public Health5 (2016): 647-653.
  20. “Considerable increase in the number of road deaths in the United States of America”. [In line]. (2017).
  21. Prefect of the Rhone. “General guidelines document: Road Safety 2018-2022”. DGO 2018-2022, Rhône (2019): 69.
  22. Minoc G. “Summary of work analyzing fatal accidents in 2011”. Institute for the Study of Road Accidents (2012): 34.
  23. Modarres S., et al. “Epidemiological characteristics of fatal trau-matic accidents in Babol”. Nursing and Midwifery Studies 5 (2016): e32708.
  24. Tadege M. “Determinants of fatal car accident risk in Finote Selam town, Northwest Ethiopia”. BMC Public Health 20 (2020): 624.
  25. Osoro M., et al. “Factors associated with severity of road traffic injuries, Thika, Kenya”. Pan African Medical Journal1 (2011): 20.
  26. Bates LJ., et al. “Factors contributing to crashes among young drivers”. Sultan Qaboos University Medical Journal 3 (2017): e297.
  27. Vachal K and Malchose D. “Research Faculty What can we learn about North Dakota’s youngest drivers from their crashes?” Accident Analysis and Prevention 41 (2009): 617-623.
  28. Atlas Magazine. “Road safety in 2017: Main risk factors”. [In line]. (2018).
  29. Radin Umar RS. “Helmet initiatives in Malaysia”. In: Proceedings of the 2nd World Engineering Congress. Sarawak (Indonésie), Institution of Engineers (2002): 93-101.
  30. Supramaniam V., et al. “Fatal motorcycle accidents and helmet laws in Peninsular Malaysia”. Accident Analysis and Prevention 16 (2004): 157-162.
  31. Waters H., et al. “Economic evaluation of interventions to reduce road traffic injuries: a review of the literature with applications to low- and middle- income countries”. Asia Pacific Journal of Public Health 16 (2013): 374-376.
  32. Abdou Raouf O., et al. “Road traffic accident injuries in children in Gabon”. Black Africa Medicine12 (2001): 496-498.
  33. Johnston I. “Traffic safety education: panacea, prophylactic or placebo?” World Journal of Surgery 6 (2012): 214-226.
  34. African Development Bank. “Road Safety in Africa: Assessment of Progress and Challenges in the Road Safety Management System”. AfDB, Transport and ICT Department, (2013): 57.
  35. “Road safety: technology to reduce road accidents” (2022).

Citation

Citation: Tohaina DV., et al. “Mortality by Traffic Accident in Mahajanga, Concerned and Predisposing Factors”.Acta Scientific Medical Sciences 6.4 (2022): 16-23.

Copyright

Copyright: © 2022 Tohaina DV., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.403

Indexed In





News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is December 15, 2022.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of “Best Article of the Issue”.
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.
  • Contact US