BMJ 2002;324:1145-1148 ( 11 May )

Education and debate

Designing road vehicles for pedestrian protection

J R Crandall, directorK S Bhalla, research associateN J Madeley, orthopaedic research fellow

Center for Applied Biomechanics, University of Virginia, 1011 Linden Avenue, Charlottesville, Virginia 22902 USA

Correspondence to: J R Crandall jrc2h@virginia.edu

The first 150 words of the full text of this article appear below.

Collisions between pedestrians and road vehicles present a major challenge for public health, trauma medicine, and traffic safety professionals. More than a third of the 1.2 million people killed and the 10 million injured annually in road traffic crashes worldwide are pedestrians.1 Compared with injured vehicle occupants, pedestrians sustain more multisystem injuries, with concomitantly higher injury severity scores and mortality.2 Although a disproportionately large number of these crashes occur in developing and transitional countries, pedestrian casualties also represent a huge societal cost in industrialised nations. In Britain pedestrian injuries are more than twice as likely to be fatal as injuries to vehicle occupants3 and result in an average cost to society of £57 400, nearly twice that of injuries to vehicle occupants.4
Table Removed (Available Only in the Full Text)

Despite the size of the pedestrian injury problem, research to reduce traffic related injuries has concentrated almost exclusively on increasing the survival rates for vehicle occupants. Most attempts made to . . . [Full text of this article]


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