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Aust N Z J Public Health. 2012 Oct;36(5):427-9. doi: 10.1111/j.1753-6405.2012.00911.x.

The case for improving road safety in Pacific Islands: a population-based study from Fiji (TRIP 6).

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1
Section of Epidemiology and Biostatistics, School of Population Health, University of Auckland, New Zealand. j.herman@auckland.ac.nz

Abstract

OBJECTIVE:

To estimate the incidence and demographic characteristics associated with road traffic injuries (RTIs) resulting in deaths or hospital admission for 12 hours or more in Viti Levu, Fiji.

METHODS:

Analysis of the prospective population-based Fiji Injury Surveillance in Hospitals database (October 2005 - September 2006).

RESULTS:

Of the 374 RTI cases identified (17% of all injuries), 72% were males and one third were aged 15-29 years. RTI fatalities (10.3 per 100,000 per year) were higher among Indians compared to Fijians. Two-thirds of deaths (largely ascribed to head, chest and abdominal trauma) occurred before hospital admission.

CONCLUSION AND IMPLICATIONS:

While the RTI fatality rate was comparable to the global average for high-income countries, the level of motorisation in Fiji is considerably lower. To avert rising RTI rates with increasing motorisation, Fiji requires a robust road safety strategy alongside effective trauma-care services and a reliable population-based RTI surveillance system.

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