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To the Editor: Road traffic injuries are one of the leading causes of death in the world.¹ Each year more than 1 million people die and about 10 million people are seriously injured or disabled on the world's roads.² Nearly three quarters of deaths resulting from motor vehicle crashes occur in developing countries.³ Although the problem appears to be increasing rapidly in developing countries,⁴ detailed data are lacking.

In Nepal, the population increased from 15 022 839 in 1981 to 22 367 048 in 2001⁵; the number of registered vehicles increased from 76 378 in 1989-1990 to 354 955 in 2001-2002 (Department of Transport Management, unpublished data, 2002). The conditions of road infrastructure, including widening and paving of roads, appear to have been improved in the past few decades. These factors, coupled with a limited number of pedestrian crossings, traffic lights, symbols, street lights, and sidewalks, may contribute to high exposure of pedestrians as well . . . [Full Text of this Article]

Methods

Kalpana Poudel-Tandukar, MPH, MPHC; Shinji Nakahara, MD, MS
shinji@m.u-tokyo.ac.jp

Krishna C. Poudel, MHSc, MA; Masao Ichikawa, PhD, MPH; Susumu Wakai, MD, PhD
Department of International Community Health
Graduate School of Medicine
University of Tokyo
Tokyo, Japan

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