Huang Cheng-Min, Lunnen Jeffrey C, Miranda J Jaime, Hyder Adnan A
International Injury Research Unit, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.
Rev Peru Med Exp Salud Publica. 2010 Jun;27(2):243-7. doi: 10.1590/s1726-46342010000200013.
Road traffic injury (RTI) is the leading cause of death in persons aged 10-24 worldwide and accounts for about 15% of all male deaths. The burden of RTI is unevenly distributed amongst countries with over eighty-fold differences between the highest and lowest death rates. Thus the unequal risk of RTI occurring in the developing world, due to many reasons, including but not limited to rapid motorization and poor infrastructure, is a major global challenge. This editorial highlights a number of key issues that must inform programs designed to prevent RTI in the developing world, where the epidemic is all the more insidious. Firstly, road safety is a development issue; secondly, road traffic injury is a major health issue; thirdly, road traffic injuries can be prevented by the implementation of scientific measures; fourth, pre-hospital and hospital emergency care is needed; and fifth, research on RTI is neglected in low-income and middle-income countries. The repercussion of such progress to Peru is also discussed.
道路交通伤害（RTI）是全球10至24岁人群的主要死因，约占男性死亡总数的15%。RTI的负担在各国之间分布不均，最高和最低死亡率相差八十多倍。因此，由于包括但不限于快速机动化和基础设施差等多种原因，发展中世界发生RTI的风险不平等，这是一项重大的全球挑战。这篇社论强调了一些关键问题，这些问题必须为旨在预防发展中世界RTI的项目提供依据，在那里这种流行病更加隐蔽。首先，道路安全是一个发展问题；其次，道路交通伤害是一个重大的健康问题；第三，通过实施科学措施可以预防道路交通伤害；第四，需要院前和医院急诊护理；第五，低收入和中等收入国家对RTI的研究被忽视。还讨论了这种进展对秘鲁的影响。
