Road lives every year globally, and the cost of

Road traffic accidents (RTAs) are among the top five causes ofmorbidity and mortality in Southeast Asian countries.1 Road trafficaccidents in India are emerging as the major cause of death and injury withsubsequent disability and burden on economy and strength of the nation.According to Road Traffic Accidents report (2016) the total number of road accidents isreported at 4,80,652 causing injuries and claiming 1,50,785 lives in thecountry.

This would account, on an average, into 1317 accidents and 413accident deaths taking place on Indian roads every day; or 55 accidents and 17deaths every hour, followed by unimaginable suffering to kithand kin and loss of property.2The economic damage due to RTAs results in more than 3.7% loss of nationalGDP of India. Road traffic accidents, trauma, and deathsare increasing steadily with increase in number of vehicles on road, more prosperity leading toincreased travel and host of otherfactors associated with poor engineering of the roads,negligent and rash driving, unchecked speed of vehicles on road, drunk driving, lack of alertness anddiversion of mind, and numerous other factors. Even as road traffic injury rates in many high income countries havestabilized or declined in recent decades,the data suggestthat in most regions of the world, they are increasing as a result ofincreasing motorization.

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3 Road traffic accidentsaffect all age groups and all genders; however,more than 83% of victims are males. The main victims of RTAs are between 15 and 34 years of age aremain victims of RTA amounting to morethan 53% of injured. More than 120 lakh people lose their livesevery year globally,and the cost of traffic accidents stands atUS$230,000 million annually. India has the poorest and worst record ofroad safety in the world. Wehave not been able to pay attention to increasing RTAs and the morbidity and mortalityassociated with it. Trauma victims who deserve immediate attention do not get the priority because of lack of funds,lack of officialfocus on the problem, lack ofinfrastructure, lack of drive, initiativeand vision. The multiplicity of institutions and the absence of dedicated authoritywith responsible attitude add up to ongoing misery.

Information on the injury patterns,nature, and outcome are extremely limited inIndia, as trauma registries and hospital-based researchhave not developed systematically.4 Among the vehicle categories, motor cyclists accounted for the highestshare in total number of road accidents (33.8 per cent) in 2016, followed bycars, jeeps and taxis (23.6 per cent), trucks, tempos, tractors and otherarticulated vehicles (21.0 per cent), Buses (7.8 per cent), Auto-Rickshaws (6.5per cent) and other motor vehicles (2.8 per cent).

The share of motor cyclistsin total road accidents has increased from 28.8 per cent in 2015 to 33.8 percent in 2016.2 So this study is taken to known…….