Equipe Avenir Prévention et Prise en Charge des Traumatismes, Institut Nationale de Santé et de Recherche Médicale Unité 897 (INSERM U897), F-33076 Bordeaux, France.
Accid Anal Prev. 2010 Mar;42(2):422-6. doi: 10.1016/j.aap.2009.09.003. Epub 2009 Oct 8.
Developing countries account for more than 85% of all road traffic deaths in the world. Our aims were to estimate road morbidity and mortality and to describe the main characteristics of road traffic crashes on a heavy traffic road section in Cameroon.
We conducted a study of police reports of the 2004-2007 period retrieved from the 13 police stations in charge of the 243 km Yaoundé-Douala road section in Cameroon.
The estimated overall number of people killed per 100 million kilometres driven was 73, more than 35 times higher than on similar roads in the US or Europe. The most severe crashes were those involving vulnerable road users (97 deaths) and vehicles travelling in opposite directions (136 deaths). The main causes of fatal crashes were mechanical failures (28%), two-thirds being tyre problems, hazardous overtaking (23%), and excessive speed (20%).
The burden of road traffic injuries on heavy traffic roads in Cameroon calls for urgent interventions. Traffic calming measures and control of vehicle condition appear to be the most cost-effective interventions.
发展中国家占全球所有道路交通死亡人数的 85%以上。我们的目的是估计道路交通伤害的发病率和死亡率，并描述喀麦隆一条交通繁忙路段道路交通事故的主要特征。
我们对 2004 年至 2007 年期间从负责喀麦隆 243 公里雅温得-杜阿拉路段的 13 个警察局检索到的警方报告进行了研究。
估计每行驶 1 亿公里死亡人数为 73 人，是美国或欧洲类似道路的 35 倍以上。最严重的事故是弱势道路使用者（97 人死亡）和对向行驶车辆（136 人死亡）之间发生的事故。致命事故的主要原因是机械故障（28%），三分之二是轮胎问题，危险超车（23%）和超速（20%）。
喀麦隆交通繁忙路段道路交通伤害负担迫切需要采取干预措施。交通减速措施和车辆状况控制似乎是最具成本效益的干预措施。
