530 Road crashes in metro manila: overview of road safety

Introduction. Around 1.35 million people die due to road traffic accidents yearly. In the Philippines, there is an increasing trend of mortality and morbidity caused by road crashes. Objective. The objective of the study is to show the epidemiology of transport and vehicular crash (TVC) cases in the Philippines using the Department of Health (DOH) Online National Electronic Injury Surveillance System (ONEISS) from 2010 to 2019. Methods. We used data from ONEISS, a web-based system to electronically capture injury-related data from health facilities, store data in a centralized and secure location, process and consolidate data, and transform this data into meaningful information. For Transport and Vehicular Crash cases, risk factors such as drug use, alcohol use, mobile phone use, seatbelt, and helmet use are included. There are also data on vehicle type, place of crash, and activity. Descriptive and inferential statistics were computed to explore and analyze the ONEISS dataset, particularly the epidemiology of transport and vehicular crashes (TVC). Results. There were a total of 296,760/894,989 (31%) patients admitted due to transport and vehicular crash (TVC) based on the 10-year data from ONEISS (2010–2019). There was an increasing trend in the number of transport/ vehicular crashes (TVC) during this period, with an average increase of 25.58% cases per year. Most victims were drivers (45.6%), males (72.5%), and from the younger age group (0-30 years old). Fatal crashes were observed to occur from 6:00 pm to 5:00 am while most accidents occurred during leisure activities (32.5%). The highest reported contributing factor was drunk driving (n = 25,537). There was observed low compliance on the use of vehicular safety equipment. The most common types of injuries for the TVC victims were abrasions, contusions, burns, and concussions while the vehicle most involved in TVC was the motorcycle. Motorcycle use was found to be associated with worse emergency room (ER) outcomes (p <.0001) and the highest injury types such as multiple injuries, abrasion, avulsion and burn. Alcohol use was also significantly associated with multiple injuries, abrasion, avulsion, burn, open fracture, open wound, and amputation (p < 0.05). Conclusion. The trend of road traffic vehicular crashes affecting mainly the younger population has economic repercussions. Motorcycles are also most involved in crashes, hence, the need for motorcycle safety laws in the country. There is also a need to strengthen current laws and legislation governing road safety and to focus on structuring a systematic post-crash response for both the local government and hospitals throughout the Philippines.

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Analysis of Transport and Vehicular Crash Cases Using the Online National Electronic Injury Surveillance System (ONEISS) from 2010 to 2019

Herbosa

2022

“…16 In Poland and Metro Manila, the increase in car registrations leads to congestions on the road. 17,18 A report in Davao City showed that although 80% of road users are private car owners, the usage of cars in the roadways in the area is low. 19 Nevertheless, it cannot be overlooked that there has been an observed increase in Davao's annual average daily traffic (AADT) trend.…”

Section: Discussionmentioning

confidence: 99%

Environmental Pollution towards the Workplace in the Philippines

2022

Introduction. Air pollution is an emerging global concern, especially in the Western Pacific and South-East Asia regions; smoke-belching and emissions from vehicles on the road are associated with air pollution. In the Philippines, the Clean Air Act of 1999 was passed to address the growing concern for poor air quality to cover mobile sources such as vehicles. Objective. This study aimed to come up with a descriptive analysis of emissions of vehicles as this has an impact on air pollution and road-environmental safety. Methodology. This study analyzed a secondary database of vehicle emissions violation cases from the Land Transportation Organization (LTO) office in Region 11, the Philippines. The study was retrospective in nature and involved a review of traffic violation cases. The data were encoded and analyzed using the SPSS ver. 23 software program. Results. Two hundred eighty-two vehicle emission standard violations were recorded by the Land Transportation Office (LTO) from 2018 to 2019. Most cases were from 2018 (72.7%), with January (30.9%) recorded the highest number of unsafe vehicle emission standard violation cases. Of the apprehended drivers, the majority (88.3%) were of the driving professional license category. All the drivers (100.0%) were caught due to the violation of smoke-belching (V16). In comparison, a small proportion was also seen as cases of driving without a valid driver’s license or conductor’s permit (1.8%) and failure to carry driver’s license/OR/CR (0.8%). All the violators were caught on daytime working and rush hours, between 6:00 am and 5:00 pm. More than half of the apprehended drivers’ vehicles (55.3%) were classified as for hire, while the remaining (41.8%) were classified as private vehicles. The majority (99.3%) of the vehicles did not pass the first emissions standards. Meanwhile, the most common vehicles caught for unsafe emissions were UV vehicles (n = 239). The vehicles caught for dangerous emissions were more than ten years old, with one-third (35.9%) of the vehicles were between 10 to 19 years old. The mean years of use or age of the vehicle were 15.724 ± 8.553 years. Opacity results for the first emission testing were 6.691 ± 2.404, while the Average Light Absorption (ALA) coefficient for the second emissions testing was 1.102 ± 0.577. Conclusion. This study provided an overview of unsafe vehicle emissions within an urban city and suggested a need for more robust monitoring of vehicle emissions within safe limits. Vehicles that do not meet safety standards should not be allowed on the road, and disposal of old inefficient running vehicles may be beneficial in reducing dangerous air pollution.

“…7 This may be related to the consistently increasing number of registered vehicles from 2010 to 2018, leading to congestion of roads in Metro Manila, thereby increasing the risk of road crashes. 7,16 The highest number of road crash admissions from Metro Manila was seen in 2016.…”

Section: Date Of Injurymentioning

confidence: 99%

Epidemiologic Profile of Vehicular Accident Patients in the Largest Hospital in the Philippines Covering Ten Years

Herbosa

2021

Introduction. Globally, the number of people who die from road crashes continues to rise, reaching a high of 1.35 million in 2016. Due to this continued increase in fatalities and injuries within the road transport system, especially in low- and middle-income countries, 2011 to 2020 was declared by the United Nations General Assembly in 2010 as the Decade of Action for Road Safety. Objectives. This study looked into the epidemiology of road crashes and injuries in Metro Manila over ten years, from 2008-2017, from data gathered at the Department of Surgery of the Philippine General Hospital (PGH). Method. A retrospective review of patients’ clinical records was conducted to describe the epidemiology of road crash cases in the Trauma Division, Department of Surgery of the PGH. Clinical records of the road crash patients admitted to the division over the ten years, January 1, 2008, to December 31, 2017, were extracted from the Integrated Surgical Information System (ISIS). Results. A total of 422 patients were admitted to the PGH Department of Surgery and recorded in the ISIS database, from 2008 to 2017, who suffered from road crashes in Metro Manila. Most of these patients (80.8%) were male. The mean age of patients was 32.4 years. The highest number of admissions (27.5%) and road crash deaths (6.9%) were in 2016; the highest number was from the city of Manila (26.7%), and most happened at nighttime (61.8%) between 6:00 PM and 5:59 AM. Throughout the years, motorcycle (52.8%) was the vehicle type involved. Among patients with helmet use information, 65.4% were not wearing helmets, 91.2% had a history of alcohol intake. The majority incurred multiple injuries (82.7%), with the external region (53.8%) as the most common. Patients who sustained injuries to their head and neck region were five times more likely to die and six times more likely to have an unchanged patient outcome than those who did not have these injuries. Patients who had a GCS of 8 and below or those who had severe brain injuries were eight times more likely to die and six times more likely to have an unchanged patient outcome. Conclusion. This study looked into the epidemiology of road crash cases admitted to the Surgery Department of the PGH. Road crash injuries and deaths remain a growing concern among the citizens of Metro Manila. It is hoped that the results of this study will provide policymakers with an objective and data-driven perspective on road crashes.