Fatality from Road Traffic Accident in Guinea: A Retrospective Descriptive Analysis

Keita Mamady^1*, Bin Zou², Sylla Mafoule³, Jiabi Qin¹, Keita Hawa³, Keita Fodé Lamine¹, Guoqing Hu¹

¹Department of Epidemiology and Health Statistics, School of Public Health, Central South University, Changsha, China.
²School of Geosciences and Info-Physics, Central South University, Changsha, China.
³School of Business, Central South University, Changsha, China.

DOI: 10.4236/ojpm.2014.411091                

Abstract

Objectives: Causes and risk factors that result in fatal road traffic accident have not been described at the national level in Guinea yet. The goal of this study is to explore the causes and risk factors related to fatal road traffic accident, identified most vulnerable road users, and inform the road traffic prevention policy in Guinea. Methods: We made a retrospective descriptive analysis based on national fatal road traffic accident data from the Department of Health Information at the Guinean Ministry of Health for year 2011. Results: In 2011, road traffic accident was responsible for an aggregate number of 1655 deaths with an overall death rate of 15.3 per 100,000 population. Male experienced more than twice the risk of death from road traffic accidents (21.9 deaths per 100,000 population) compared with female (9.0 deaths per 100,000 population). While taking the population as a whole, the highest death rate was found among the middle aged in 35 - 49 age group accounting for (29.7 deaths per 100,000 population), followed successively by young adults age group 25 - 34 years (24.6 deaths per 100,000 population), and the middle aged in 50 - 64 age group (22.9 deaths per 100,000 population). Principally, occupants, motorcyclists and pedestrians sustained considerable burden of deaths respectively (9.2; 2.9; 2.2 per 100,000 population). In re-gional setting, the highest death rate was found in Upper Guinea (19.5 per 100,000 population), followed by Forest Guinea (18.7 per 100,000 population) and Middle Guinea (16.8 per 100,000 population). A large proportion of male was killed as motorcyclist than female while high per-centage of female died as occupant than male for all age group. The regional distribution showed that when a remarkable number of occupant death were observed in Upper and Forest Guinea, more people died as pedestrian and pedal cyclist in Conakry. Conclusions: This study demonstrated that most of the deaths were among occupants, motorcyclists and pedestrians, and the productive workforce aged 25 - 49 years. It was found that majority of the deaths happened in Upper Guinea followed by Forest Guinea. Improvement of roads design, strict enforcement of road safety laws and raising the awareness of general public about the causes and risks factors of road traffic accident through various channels are highly required which will promote economic growth in the local communities and then help people escape the poverty trap.

Keywords

Road Traffic Accident, Fatality, Causes, Risk Factors, Guinea

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	Haddon, W., Klein, D.L. and Suchman, E.A. (1965) Accident Research Methods and Approaches. Harper & Row, New York.
[2]	Roberts, H.J. (1971) The Causes, Ecology and Prevention of Traffic Accidents. Charles C. Thomas, Springfield.
[3]	MacFarland, R., Moore, R.C. and Warren, A.B. (1955) Human Variables in Motor Traffic Accidents. Harvard School of Public Health, Boston.
[4]	Jayasuriya, R. (1991) Trends in the Epidemiology of Injuries Due to Road Traffic Accidents in Papua New Guinea. Asia-Pacific Journal of Public Health, 5, 41-48. http://dx.doi.org/10.1177/101053959100500110
[5]	Hazen, A. and Ehiri, J.E. (2006) Road Traffic Injuries: Hidden Epidemic in Less Developed Countries. Journal of the National Medical Association, 98, 73-82.
[6]	Kual, A., Sinha, U.S., Pathak, Y.K., Singh, A., Kapoor, A.K., Sharma, S. and Singh, S. (2005) Fatal Road Traffic Accidents, Study of Distribution, Nature and Type of Injury. Journal of Indian Academy of Forensic Medicine, 27, 71-76.
[7]	Al-Maniri, A.A.N., Al-Reesi, H. and Nasrullah, M. (2013) Road Traffic Fatalities in Oman from 1995 to 2009: Evidence from Police Reports. International Journal Preventive Medicine, 4, 656-663.
[8]	Peden, M., Scurfield, R., Sleet, D., Mohan, D., Hyder, A.A., et al. (2004) World Report on Road Traffic Injury Prevention. World Health Organization, Geneva.
[9]	Parkinson, F., Kent, S., Aldous, C., Oosthuizen, G. and Clarke, D. (2013) Road Traffic Crashes in South Africa: The Burden of Injury to a Regional Trauma Centre. South African Medical Journal, 103, 850-852. http://dx.doi.org/10.7196/samj.6914
[10]	WHO (2009) Global Status Report on Road Safety: Time for Action. World Health Organization, Geneva.
[11]	European Transport Safety Council (2007) Social and Economic Consequences of Road Traffic Injury in Europe. Brussels. http://etsc.eu/wp-content/uploads/Social-and-economic-consequences-of-road-traffic-injury-in-Europe.pdf
[12]	Singh, H. and Aggarwal, A.D. (2010) Fatal Road Traffic Accidents among Young Children. Journal of Indian Academy of Forensic Medicine, 32, 286-288.
[13]	Wahid Al-Kharusi, F.R.C.S. (2008) Update on Road Traffic Crashes. Clinical Orthopaedics and Related Research, 466, 2457-2464. http://dx.doi.org/10.1007/s11999-008-0439-5
[14]	Khan, M.H., Ahmed, I., Babar, T.S. and Babar, K.S. (2007) Road Traffic Accidents: Study of Risk Factors. Professional Medical Journal, 14, 323-327.
[15]	Diakite, A.K., Anzilania, D. and Camara, N.D.R. (2005) Fatal Road Traffic Accident at the University Teaching Hospital of Donka. Mali Medical, 1-2, 17-19.
[16]	Mamady, K., Yao, H.Y., Zhang, X.J., Xiang, H.Y., Tan, H.Z. and Hu, G.Q. (2012) The Injury Mortality Burden in Guinea. BMC Public Health, 12, 733. http://dx.doi.org/10.1186/1471-2458-12-733
[17]	UNDP (2012) The Rise of the South: Human Progress in a Diverse World. Human Development Report 2013, Guinea. http://hdr.undp.org/sites/default/files/Country-Profiles/GIN.pdf
[18]	Global Alliance for Vaccines and Immunization Alliance (2009) Health System Strengthening Support for the Republic of Guinea. Proposal for Health System Strengthening Support, CH 1202, Geneva.
[19]	Vahabzadeh, E. (2005) The Effect of Human Factor on Occurring Road Accidents in Karaj-Qazvin Highway in 2005: Control for Reduction. Journal of Studies on Traffic Management, 9, 57-84.
[20]	Department of National Health Information, Ministry of Public Health of Guinea (2012) Guinean Annual Health Statistics Report 2011. The Ministry of Public Health of Guinea, Conakry.
[21]	Republic of Guinea (2013) Guinea Is Back and Ready for Business. Guinea’s Development Partners and Investor Conference-General/Narrative, Guinea. http://allafrica.com/download/resource/main/main/idatcs/00071477:a1d7ad5d2bcde810 c04a9d87d7cb1be8.pdf
[22]	The Johns Hopkins and the International Federation of Red Cross and Red Crescent Societies. Epidemiology and Surveillance. Public Health Guide for Emergencies. http://www.jhsph.edu/research/centers-and-institutes/center-for-refugee-and-disaster-response/publications_tools/publications/_CRDR_ICRC_Pu blic_Health_Guide_Book/Chapter_6_Epidemiology_and_Surveillance.pdf
[23]	WHO (2013) Global Status Report on Road Safety 2013: Supporting a Decade of Action. World Health Organization (WHO), Geneva. http://www.un.org/ar/roadsafety/pdf/roadsafetyreport.pdf
[24]	Bhalla, K., Shahraz, S., Bartels, D. and Abraham, J. (2009) Methods for Developing Country Level Estimates of the Incidence of Deaths and Non-Fatal Injuries from Road Traffic Crashes. International Journal of Injury Control and Safety Promotion, 16, 239-248. http://dx.doi.org/10.1080/17457300903402184
[25]	Forjuoh, S.N. (2003) Traffic-Related Injury Prevention Interventions for Low-Income Countries. Injury Control and Safety Promotion, 10, 109-118. http://dx.doi.org/10.1076/icsp.10.1.109.14115
[26]	Ngallaba, S.E., Makerere, D.J., Kapesa, A., Gilyoma, J. and Chalya, P. (2014) A Retrospective Study on the Unseen Epidemic of Road Traffic Injuries and Deaths Due to Accidents in Mwanza City—Tanzania. Open Journal of Preventive Medicine, 4, 222-228. http://dx.doi.org/10.4236/ojpm.2014.44028
[27]	Ainy, E., Hamid, S., Mahfozphoor, S. and Movahedinejad, A.A. (2011) Presenting a Practical Model for Governmental Political Mapping on Road Traffic Injuries in Iran in 2008: A Qualitative Study. Journal of the Royal Society of Medicine Short Reports, 2, 79.
[28]	Farooqui, J.M., Chavan, K.D., Bangal, R.S., Aarif Syed, M.M., Thacker, P.J., Alam, S., Sahu, S., Farooqui, A.A.J. and Kalakoti, P. (2013) Pattern of Injury in Fatal Road Traffic Accidents in a Rural Area of Western Maharashtra, India. Australasian Medical Journal, 6, 476-482. http://dx.doi.org/10.4066/AMJ.2013.1839
[29]	Kyada, H.C., Mangal, H., Momin, S.G., Vijapura, M.T. and Bhuva, S.D. (2012) Profile of Fatal Road Traffic Accidents in Rajkot City. Journal of Indian Academy of Forensic Medicine, 34, 135-138.
[30]	Honnungar, R.S., Aramani, S.C., Vijay Kumar, A.G., Ajay Kumar, T.S. and Jirli, P.S. (2011) An Epidemiological Survey of Fatal Road Traffic Accidents and Their Relationship with Head Injuries. Journal of Indian Academy of Forensic Medicine, 33, 135-137.
[31]	Martin, J.L., Lafont, S., Chiron, M., Gadegbeku, B. and Laumon, B. (2004) Differences between Males and Females in Traffic Accident Risk in France. Revue d’épidémiologie et de Santé Publique, 52, 357-367. http://dx.doi.org/10.1016/S0398-7620(04)99065-7
[32]	Al-Balbissi, A.H. (2003) Role of Gender in Road Accidents. Traffic Injury Prevention, 4, 64-73. http://dx.doi.org/10.1080/15389580309857
[33]	Gender and Health (2002) Gender and Road Traffic Injuries. http://whqlibdoc.who.int/gender/2002/a85576.pdf
[34]	UNESCO Institute for Statistics (2012) Adult and Youth Literacy, 1990-2015 Analysis of Data for 41 Selected Countries. Montreal. http://www.uis.unesco.org/Education/Documents/UIS-literacy-statistics-1990-2015-en.pdf
[35]	International Monetary Fund (2012) Guinea: Poverty Reduction Strategy Paper—Annual Progress Report. IMF Country Report No. 12/61, Washington DC. http://www.imf.org/external/pubs/ft/scr/2012/cr1261.pdf
[36]	Allianz Risk Pulse (2012) Traffic Casualty Risks Are on the Rise. Focus: Mobility and Road Safety. http://assets.knowledge.allianz.com/downloads/allianz_risk_pulse_mobility___road_safety.pdf
[37]	Dow, M., White, D.R. and Hansen, D. (1981) Network Autocorrelation. Manuscript. School of Social Sciences, University of California, Irvine.
[38]	Ewing, R., Shieber, R.A. and Zegger, C.V. (2003) Urban Sprawl as a Risk Factor in Motor Vehicle Occupant and Pedestrians Fatalities. American Journal of Public Health, 93, 1541-1545. http://dx.doi.org/10.2105/AJPH.93.9.1541
[39]	World Bank (2004) Poverty and Urban Mobility in Conakry. Sub-Saharan Africa Transport Policy Program and International Solidarity on Transport and Research in Sub-Saharan Africa. Final Report: SSATP Report No 09/04/CKR. http://www.gtkp.com/assets/uploads/20091127-171237-6675-Conakry_en.pdf
[40]	African Development Bank Group (2013) Project: Conakry Electricity Network Rehabilitation and Extension Project 2 (PREREC 2). Environmental and Social Management Plan. Guinea. http://www.afdb.org/fileadmin/uploads/afdb/Documents/Environmental-and-Social-Assessments /Guinea%20-%20Conakry%20Electricity%20Network%20Rehabilitation%20and%20Extension %20Project%202%20(PREREC%202)%20%E2%80%93%20ESMP%20Summary.pdf
[41]	Chisholm, D., Naci, H., Hyder, A.A., Tran, N.T. and Peden, M. (2012) Cost-Effectiveness of Strategies to Combat Road Traffic Injuries in Sub-Saharan Africa and South East Asia: Mathematical Modeling Study. British Medical Journal, 344, e612. http://dx.doi.org/10.1136/bmj.e612
[42]	Schlundt, D.G., Warren, R.C. and Miller, S. (2004) Reducing Unintentional Injuries on the Nation’s Highways: A Literature Review. Journal of Health Care for the Poor and Underserved, 15, 76-98. http://dx.doi.org/10.1353/hpu.2004.0012
[43]	Damsere-Derry, J., Ebel, B.E., Mock, C.N., Afukaar, F. and Donkor, P. (2010) Pedestrian’s Injury Patterns in Ghana. Accident Analysis & Prevention, 42, 1080-1088. http://dx.doi.org/10.1016/j.aap.2009.12.016
[44]	Dandona, R., Kumar, G.A., Ameratunga, S. and Dandona, L. (2011) Road Use Pattern and Risk Factors for Non-Fatal Road Traffic Injuries among Children in Urban India. Injury, 42, 97-103. http://dx.doi.org/10.1016/j.injury.2009.10.048
[45]	Direction Nationale de la Statistique (DNS) and ORC Macro (2006) Demographic and Health Survey 2005: Key Findings. DNS and ORC Macro, Calverton. http://dhsprogram.com/pubs/pdf/SR116/SR116.pdf
[46]	Nantulya, V.M. and Reich, M.R. (2002) The Neglected Epidemic: Road Traffic Injuries in Developing Countries. British Medical Journal, 324, 1139-1141. http://dx.doi.org/10.1136/bmj.324.7346.1139
[47]	Wikipedia, the Free Encyclopedia. Guinea. http://en.wikipedia.org/wiki/Guinea
[48]	AFP (2013) Road Traffic in Guinea: 50 Killed and 27 Injured. AFP News. http://www.africanewsmag.com/fichiers/videos5.php?langue=fr&idc=fr_Grave_accident _de_la_route_en_Guin_e__50_morts_et_27_bless_s_
[49]	Singleton, M. and Qin, H.F. (2003) Risk Factors for Death or Hospitalization among Occupants of Passenger Motor Vehicles that Were Severely Damaged in Crashes in Kentucky, 2000-2001. Kentucky Injury Prevention & Research Center, Lexington. http://www.mc.uky.edu/kiprc/projects/Codes/SNposter.pdf
[50]	Sow, A. (2014) End of Ramadan Celebration: Drunk Driving and Speeding Caused Road Traffic Accident in Labé, Lower Guinea, Guinea. Guinee News. http://guineenews.org/fete-du-ramadan-ivresse-au-volant-et-exces-de-vitesse-provoquent -des-accidents-de-circulation-a-labe/
[51]	Ojua, T.A., Ishor, D.G. and Ndom, P.J. (2013) African Cultural Practices and Health Implications for Nigeria Rural Development. International Review of Management and Business Research, 2, 176-183.
[52]	Sanoh, S. (2014) Alpha Cop on ébola: This Disease Is a Misfortune but Let Us Act Together in Order to Turn It into Happiness. Guinee News. http://guineenews.org/alpha-conde-sur-ebola-cette-maladie-est-un-malheur-mais-faisons -tout-pour-quelle-soit-notre-bonheur/
[53]	The Good, the Bad and the Talented (2007) Young Drivers’ Perspectives on Good Driving and Learning to Drive (Road Safety Research Report No. 74). Transport Research Laboratory.
[54]	Sonomou, E. (2014) Arrest of Four Presumed Highway Bandits in Kankan. Guinee News. http://guineenews.org/des-jeunes-manifestants-reclament-la-tete-des-presumes-coupeurs -de-route-arretes-a-kankan/
[55]	Xinhua (2014) Two Highway Bandits Beaten to Death by an Angry Crowd in Siguiri, Haute Guinee, Republic of Guinea. http://www.lexpressguinee.com/fichiers/blog16-999.php?langue=fr&type=rub4&code=calb4529
[56]	Lin, M.R. and Kraus, J.F. (2009) A Review of Risk Factors and Patterns of Motorcycle Injuries. Accident Analysis & Prevention, 41, 710-722. http://dx.doi.org/10.1016/j.aap.2009.03.010
[57]	Lin, M.R., Chang, S.H., Pai, L. and Keyl, P.M. (2003) A Longitudinal Study of Risk Factors for Motorcycle Crashes among Junior College Students in Taiwan. Accident Analysis and Prevention, 35, 243-252. http://dx.doi.org/10.1016/S0001-4575(02)00002-7
[58]	Olvera, L.D., Plat, D., Pochet, P. and Maïdadi, S. (2012) Motorbike Taxis in the “Transport Crisis” of West and Central African Cities. EchoGeo. http://dx.doi.org/10.4000/echogeo.13080
[59]	Kumar, A. (2011) Understanding the Emerging Role of Motorcycles in African Cities. A Political Economy Perspective. Sub-Saharan Africa Transport Policy Program. SSATP Discussion Paper No. 13. Urban Transport Series.
[60]	Chang, R. (2012) Kiva Innovations: Helping Motorcycle Taxis Hit the Road (It’s More Important That You Might Think!). http://www.kiva.org/updates/kiva/2012/11/13/kiva-innovations-helping-motorcycle.html
[61]	OSAC Country Council Information (2013) Guinea 2013 Crime and Safety Report. https://www.osac.gov/pages/ContentReportPDF.aspx?cid=13769
[62]	The World Bank (2006) Guinea: A Country Status Report on Health and Poverty. Working Paper Series No. 45. Africa Region Human Development, the World Bank. http://siteresources.worldbank.org/INTAFRREGTOPEDUCATION/Resources/444659- 1212165766431/H_CSR_Guinea.pdf
[63]	Ditsuwan, V., Veerman, L.J., Barendregt, J.J., Bertram, M. and Vos, T. (2011) The National Burden of Road Traffic Injuries in Thailand. Population Health Metrics, 9, 2. http://dx.doi.org/10.1186/1478-7954-9-2
[64]	Plasencia, A. and Borrell, C. (2001) Reducing Socioeconomic Inequalities in Road Traffic Injuries: Time for a Policy Agenda. Journal of Epidemiology and Community Health, 55, 853-854. http://dx.doi.org/10.1136/jech.55.12.853
[65]	Von Elm, E. and Niemann, S. (2008) Accidents and Their Societal Consequences. In: Swiss Health Observatory, Ed., Health in Switzerland, National Health Report 2008, Verlag Hans Huber, Bern.