Palmas-Tocantins, 04-07 June 2013 RS-10 B RAZIL /V IDA NO T RÂNSITO 2010-2013 A CTIVITIES AND R ESULTS I NTERNATIONAL RS-10 B RAZIL /V IDA NO T RÂNSITO.

Palmas-Tocantins, 04-07 June 2013

RS-10 BRAZIL/VIDA NO TRÂNSITO 2010-2013 ACTIVITIES AND

RESULTS

INTERNATIONAL RS-10 BRAZIL/VIDA NO TRÂNSITO

PARTNERS MEETING

Vehicle Fleet and Road Traffic Deaths Scenario in Brazil

PALMAS TERESINA CAMPO GRANDE BELO HORIZONTE CURITIBA0

10

20

30

40

50

60

70

80

90

100

47

60

36 35

21

34

91

3432

18

55

4541 42

20

All Vehicles

Cars

Motorcycles

Change (%)

Fleet Number Percentage of variation Between 2008 and 2012, Brazil

Source: Denatran, Ministry of Cities,

Road Traffic Death Rates by type of Vitim, Brazil, 2000 a 2011.

Source: CGIAE/SVS/MS, Mortality Information System (SIM)

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20110.0

1.0

2.0

3.0

4.0

5.0

6.0

7.0

Motorcycle

Cars

Pedestrian

VIDA NO TRÂNSITO PROJECT IN THE FIVE CITIES

MAIN RESULTS 2011-2012

AND CHALLENGES / NEXT STEPS

Percentage of Targets Met Progress

• there was a high percentage of accomplishing the goals of the programs of Drinking and Driving and Speed;

• there was a high percentage of accomplishments of education and traffic engineering projects,

Challenges and Next Steps

• Improve the percentage goal fulfilment in enforcement actions;• continued awareness of decision makers of the city and the state for political

support and resources to continue the project in the years 2013 and 2014;• Empowerment of municipality comission of PVNT.

  2011 2012

Programs Goal % of targets met

Goal % of targets met

“Drink and Drive” 100 116 100 87

Speed 100 121 100 95

Projects Groups (PG)        

PG - Education 100 112 100 113

PG - Engineering 100 166 100 136

PG - Enforcement 100 99 100 75

PG - Special 100 98 100 105

Performance in the Programs and Projects delivery Campo Grande , 2011 – 2012

Source: Coordenação Municipal do PVNT, Campo Grande,

speed Progress

• Increment of speed electronic monitoring in the cities of Belo Horizonte and

Palmas;

• Increased number of traffic engineering interventions;

• Increase in the number of fining relating to driving above speed limit;

Palmas Belo Horizonte0

100

200

300

400

500

600

2010

2011

2012

Number

Number of speed bumps, lane-narrowing

Palmas Belo Horizonte0

10

20

30

40

50

60

70

80

90

100

2010

2011

2012

Number

Number of electronic speed monitoring equipment

speed Challenges and Next Steps

• To identify the critical spots for speed risk factors and scale up interventions

on traffic engineering;

• To increase the number of electronic equipment's and engineering

interventions to reduce traffic speed;

• To monitor the percentage speeds above the permitted limits in cities roads

samples, using the methodology proposed by universities evaluators,

• training municipal teams for speed monitoring;

Drinking and DrivingProgress

• There was an increase in the number of alcohol tests between 2010 and

2012 in the cities of Belo Horizonte and Palmas;

• There was a reduction in the percentage of drivers testing positive in Belo

Horizonte and Palmas;

• There is percentage no difference in percentage of adults who drove after

consuming excessive alcohol amounts between 2011 and 2012 (VIGITEL);

• The municipalities of Teresina and Palmas are those with higher rates of

drinking and driving among the five cities;

• Curitiba showed reduction in victims of traffic crashes who were treated at

emergency care units and reported consumption of alcohol between the

2009 and 2011 (VIVA);

Palmas Teresina Belo Horizonte

-40.0

-20.0

0.0

20.0

40.0

60.0

80.0

100.0

120.0104.2

-31.1

29.6Change (%)

Percentage of variation in the number of alcohol tests performed in the cities between 2011 and 2012,

Palmas Teresina Belo Horizonte0

5

10

15

20

25

30

16.9

23

8.6

11.7

25

7.1

2011

2012%

Percentage of positive breathalizer tests in the number of alcohol tests performed in the cities between 2011 and 2012,

Tendency of prevalence of driving after consuming alcoholic beverage abusively, according to the semester, PVNT capital cities, VIGITEL, 2010-2012

  Year 

Capital 2009 2011 Ratio

Belo Horizonte 20,7 11,3 0,74

Campo Grande 11,0 10,9 0,99

Curitiba 22,3 10,9 0,70*

Palmas 21,7 25,0 1,07

Teresina 35,7 29,8 0,92

Source: Inquiry by the Surveillance System on Violence and Accidents (VIVA), SVS/MS, Data are preliminary to the year of 2011, * p<0,05

Percentage of victims of Road Traffic Accident that demanded urgency services and declared to have consumed alcoholic beverage

Drinking and Driving

Challenges and Next Steps

• To Increase the number of alcohol tests performed on police road blocks and

expand measures to identify BAC under the law 12,760 of December 2012;

• To strengthen the enforcement actions in cities at strategic points and

continue to create a feeling in the population that one can be stopped in a

check points;

• To carry out continuous social marketing strategies simultaneously with

alcohol check points;

• Qualification of municipal teams to monitor the alcohol in the cities and

conducting periodic monitoring for evaluation of interventions.

Road Deaths

Progress

• There was a downward trend in the number of deaths between the second

half of 2010 and the second half of 2011 in all capitals (Linkage data);

• In the SIM data, there was reduction in Palmas, Teresina and Belo

Horizonte between the second half of 2010 and the second of 2011;

• There was reduction of up to 10% mortality rates 2010 and 2011 in the

capitals Palmas, Teresina and Belo Horizonte;

• Increasing mortality trend rates were observed in the states of Mato

Grosso do Sul, Minas Gerais and Piauí;

• The fatality rate by 10,000 vehicles between 2010 and 2011 was reduced

in all capitals.

Palmas Teresina Belo Horizonte Curitiba Campo Grande0

20

40

60

80

100

120

140

160

180

200

22

102

172 172

52

13

75

160165

69

2010 (semester 2)

2011 (Semester 2)N

Road Traffic Deaths, PVNT Cities, 2010-2011,

Source: Data Comission, linkage data between health and road traffic institutions databases,

Road Traffic Deaths, PVNT Cities, 2011-2012,

Source: Data Comission, linkage data between health and road traffic institutions databases, There is no data from Belo Horizonte for 2012,

Palmas Teresina Curitiba Campo Grande0

20

40

60

80

100

120

140

160

180

20

87

156

63

24

81

143

52

2011 (semester I)

2012 (semester I)N

Palmas

Tocan

tins

Teres

inaPiau

í

Belo H

orizo

nte

Mina

s Ger

ais

Curitib

a

Paran

á

Campo

Gra

nde

Mat

o Gro

sso

do S

ul

-20

-15

-10

-5

0

5

10

%

Road Mortality rate per 100,000 population, Percentage of change between 2010-2011

Source: Mortality Information System/CGIAE/MoH, Brazil,

%

Road Fatality rate per 10,000 vehicles, Percentage of change between 2010-2011

Source: Mortality Information System/CGIAE/MoH, Brazil,

Palmas

Tocan

tins

Teres

inaPiau

í

Belo H

orizo

nte

Mina

s Ger

ais

Curitib

a

Paran

á

Campo

Gra

nde

Mat

o Gro

sso

do S

ul

-25

-20

-15

-10

-5

0

Challenges and Next Steps

• To improve the process of linking databases mortality;

• To improve the databases of RTI victims (police, coroner services);

• To access data from victims living in the capital, but whose place of the

road accident was on highways and in urban area of another municipality.

Number of Road Deaths

Road Serious Injury

Progress

Linkage Data

• The number of seriously injured showed an increase in the second half of 2011

compared with the second 2010 in the cities of Palmas, Curitiba, a reduction in

Belo Horizonte and stability in Campo Grande;

• The comparison between semesters of 2011 with 2012 showed a reduction in

the number of serious injuries in Campo Grande;

Road Serious InjuryProgress

SIH Data

• There was an increase in the number of hospitalizations and hospitalization

rates between the years 2010 and 2011 in the cities of Palmas, Teresina and

Belo Horizonte, and a reduction in Curitiba;

• There was a reduction in Palmas and Teresina and some increase in the cities

of Belo Horizonte, Curitiba and Campo Grande between 2011 and 2012;

• There was an increase in the rates of hospitalization per 10,000 vehicles,

between the years 2010 and 2011, in the cities of Belo Horizonte and Palmas

and a reduction in Teresina and Curitiba;

• There was a reduction of rates in Palmas and Teresina, stability in Belo

Horizonte and Curitiba and increase in Campo Grande, Between 2011 and

2012;.

Road traffic related seriously injured numbers, 2010-2011

Palmas Belo Horizonte Curitiba Campo Grande0

100

200

300

400

500

600

700

800

900

1000

130

866

736

573

139

816765

579

2010 (semester 2) 2011 (semester 2)

Source: Linkage data. Municipal PVNT data commission.

Palmas Teresina Campo Grande0

50

100

150

200

250

300

350

400

450

500

139

203

468

151

351

452

2011 (semester 1) 2012 (semester 1)

Source: Municipal PVNT data commission, Data for 2012 are preliminary

Road traffic related seriously injured numbers, 2011-2012

Palmas Teresina Belo Horizonte Curitiba Campo Grande0

50

100

150

200

250

300

350

250.5

164.8

117.1

35.1 37.3

294.9

180.1

134.4

34.5

148.7

254.9

141.2 141.1

36

192.1

2010

2011

2012

Rates

Source: AIH/SIH/MoH, Corrected data

Road traffic seriously injured rates per 100,000 population

Rates

Source: AIH/SIH/MoH, Corrected data

Road traffic seriously injured rates per 10,000 vehicles

Palmas Teresina Belo Horizonte Curitiba Campo Grande0

10

20

30

40

50

60

70

52.8

47.6

20.9

4.97.5

57.7

46.7

22.4

4.6

27.9

46.6

33.6

22.3

4.7

34.1 2010

2011

2012

Number of Road Serious Injury

Challenges and Next Step

• To improve the process by linking SIH databases;

• To improve the databases of victims of traffic;

• To improve the process of coding the primary and secondary diagnoses of

AIH in each municipality;

• To access data from victims living in the capital, but whose place of the

accident was on highways and in the urban area of another municipality;

The current political scenario, with the beginning of new four-year municipal administrations, the greater ownership of then project by the cities, the political support of the Federal Government and the technical cooperation of international organizations partners provide continuity and opportunity for strengthening of actions and impacts of the RS10-BRA / Vida no Trânsito in the five cities

Thank You !

National CommissionMinistry of Health Team

PAHO/WHO TeamPVNT Cities Coordination