American Journal of Epidemiology and Infectious Disease
ISSN (Print): 2333-116X ISSN (Online): 2333-1275 Website: http://www.sciepub.com/journal/ajeid Editor-in-chief: John Opuda-Asibo
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American Journal of Epidemiology and Infectious Disease. 2021, 9(1), 24-31
DOI: 10.12691/ajeid-9-1-5
Open AccessArticle

Trends and Contributing Factors to Road Traffic Accidents in Douala

Ginyu Innocentia Kwalar1, 2, Verla Vincent Siysi2, 3, Tanue Elvis Asangbeng1, Assob Nguedia Jules-Clement4 and Nsagha Dickson Shey1,

1Department of Public Health, Faculty of Health Sciences, University of Buea, Cameroon

2Buea Regional Hospital, South West Region, Cameroon

3Department of Internal Medicine and Paediatrics, Faculty of Health Sciences, University of Buea, Cameroon

4Department of Laboratory Medicine, Faculty of Medicine and Pharmaceutical sciences, University of Douala, Cameroon

Pub. Date: November 12, 2021

Cite this paper:
Ginyu Innocentia Kwalar, Verla Vincent Siysi, Tanue Elvis Asangbeng, Assob Nguedia Jules-Clement and Nsagha Dickson Shey. Trends and Contributing Factors to Road Traffic Accidents in Douala. American Journal of Epidemiology and Infectious Disease. 2021; 9(1):24-31. doi: 10.12691/ajeid-9-1-5

Abstract

Introduction: An estimated 1.2 million people are killed in road traffic accidents each year, and as many as 50 million are injured, occupying 30 percent to 70 percent of orthopedic beds in developing countries hospitals. But there is limited information on the burden of RTA in Douala. Aim: The study aims at reporting the epidemiology and pattern of road traffic related injuries in Douala in the Littoral Region of Cameroon using available police and health data. Methods: This was a chart review of hospital based and police department records. The records were reviewed over a period of two years in a District hospital in Douala in the Littoral region of Cameroon and over four years in the Police Department in Douala. The data review was done for two months. The records of all patients received in the emergency department of Bonassama District hospital after a road traffic related injury were reviewed for epidemiological variables, type of vehicle involved, severity of injuries, and outcome of the management. For the police records, they were reviewed for epidemiological variables, type of vehicle involved, and the causes of accident. Results: A total of 2,062 persons were involved in 818 cases of road traffic accidents reported by the police department. The major causes of road traffic accident (RTA) included poor mastery of driving, over speeding and left driving. From the Police records, RTA involving a vehicle and motorcycle increased dramatically in the four-year period from 0.39 % (8) in 2015 to 5.82% (120) in 2018. A total of 1,883 persons with injuries from RTA were received and managed by the Bonassama District Hospital. Majority, 1,590(84.4%) [95% CI: 82.7%-86.1%] of the injuries that were managed in the health units were sustained from RTA involving the motorcycle. Most, 893(47.4%) [95% CI: 45.2%-49.7%] of the accidents occurred during the night hours. Conclusion: The available data in both health and police sectors revealed that there was an increase in the number of RTA in the years under study.

Keywords:
trends contributing factors road traffic accidents Douala

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References:

[1]  Worley, H. (2008). Road Traffic Deaths increase dramatically worldwide - Population Reference Bureau [cited on 9th June 2008]. Available on: <http://www.prb.org/Home.aspx>.
 
[2]  Peden M, Scurfi eld R, Sleet D, Mohan D, Hyder AA, et al. (2004) World report on road traffic injury prevention. Geneva: World Health Organization.
 
[3]  United Nations. General Assembly Sixty Fourth Session. 2010. Available on http://www.who.int/entity/violence_injury_prevention/publications/road_traffic/UN_GA_resolution-54-255-en.pdf [Accessed on Jan 02,2021].
 
[4]  World Health Organisation. Violence and Injury. 2009. Available on http://www.who.int/violence_injury_prevention/road_safety_status/2009/en/index.html.
 
[5]  World Health Organisation. Road safety in the WHO African Region: THE FACTS. 2013. Available on www.afro.who.int/publication [Accessed on Jan 22,2021].
 
[6]  Ministry of Transport. Transport Statistics Yearbook, Yaounde: PresPrint Plc; 2014.
 
[7]  Ministry of Transport. Transport Statistics Yearbook, Yaounde: PresPrint Plc; 2015.
 
[8]  Ministry of Transport. Transport Statistics Yearbook, Yaounde: PresPrint Plc; 2016.
 
[9]  Ministry of Transport. Transport Statistics Yearbook, Yaounde: PresPrint Plc; 2017.
 
[10]  Ministry of Transport. Transport Statistics Yearbook, Yaounde: PresPrint Plc; 2018.
 
[11]  Interview from Head of Technical Services at the Ministry of Transport, Cameroon. August 2019.
 
[12]  Sharon AN, Reid SA, Durham J, Abia WA, Victal BL. Patterns of Non-Fatal Road Traffic Injuries in Cameroon: The Case of the Yaounde Injuries Reported in the Year 20112012 at Teaching Hospital (Centre Hospitalier et Universitaire De Yaoundé (CHU)). Journal of Basic and Applied Research International. 2015; 5: 61-72.
 
[13]  The Ministry of Public Health: 2016-2020 National Health Development Plan, 2016. Yaounde. PresPrint Plc.
 
[14]  Sobngwi-Tambekou J, Bhatti J, Kounga G, Salmi LR & Lagarde E. Road traffic crashes on the Yaoundé-Douala road section, Cameroon. Accident Anal Prevention, 42 (2):422-6, 2010.
 
[15]  Chichom Mefire A, Etoundi Mballa GA, Azabji Kenfack M & Juillard C, Stevens K. Hospital-based injury data from level III institution in Cameroon: Retrospective analysis of the present registration system. Injury, 44 (1):139-43, 2013.
 
[16]  Juillard C, Etoundi Mballa GA, Bilounga Ndongo C, Stevens KA, Hyder AA. Patterns of Injury and Violence in Yaoundé Cameroon: An Analysis of Hospital Data. World Journal of Surgery, 29, 2010.
 
[17]  Banthia P, Koirala B, Rauniyar A, Chaudhary D, Kharel T, Khadka SB. An epidemiological study of road traffic accident cases attending emergency department of teaching hospital. Journal of Nepal Medical Association. 45 (162): 238-43, 2006.
 
[18]  Population Stat, Douala, Cameroon Population. Available on www.PopulationStat.com (accessed on 20 September 2021).
 
[19]  Encyclopedia Britannica.
 
[20]  Dinesh M. Fernando, Sampath U. Tennakoon, Achini N. Samaranayake & Medhani Wickramasinghe Characteristics of road traffic accident casualties admitted to a tertiary care hospital in Sri Lanka. Forensic Science Medicine Pathologies, 13: 44-51, 2017.
 
[21]  Patil SS, Kakade RV, Durgawale PM, Kakade SV. Pattern of road traffic injuries: a study from western Maharashtra. Indian Journal Community Medicine, 33:56-7, 2007.
 
[22]  World Health Organization. Injury: A leading cause of Global Burden of the Disease. 2000. http://www.who.int/violence_injury_prevention/publications/other_injury/injury/en/. [Accessed 10 Jan 2021].
 
[23]  World Health Organization. Gender and road traffic injuries. In Department of Gender and Women’s Health. 2002. http://www.who.int/gender-equity-rights/knowledge/a85576/en/. [Accessed 10 Jan 2021].
 
[24]  Chador Wangdia, Mongal Singh Gurung a, Tashi Dubaa, Ewan Wilkinson b, Zaw Myo Tunc and Jaya Prasad Tripathy. Burden, pattern and causes of road traffic accidents in Bhutan, 2013-2014: a police record review. International Journal of Injury Control and Safety Promotion, 1-5, 2017.
 
[25]  Odero W, Khayesi M, Heda PM. Road traffic injuries in Kenya: magnitude, causes and status of intervention. Injury Control and Safety Promotion. 10 (1-2):53-61, 2003.
 
[26]  Swaddiwudhipong W, Nguntra P, Mahasakpan P, Koonchote S, Tantriratna G. Epidemiologic characteristics of drivers, vehicles, pedestrians and road environments involved in road traffic injuries in rural Thailand. Southeast Asian Journal of Tropical Medicine and Public Health.; 25 (1):37-44, 1994.
 
[27]  Marmor M, Parnes N, Aladgem D, Birshan V, Sorkine P, Halpern P. Characteristics of road traffic accidents treated in an urban trauma center. Israel Medical Association Journal, 7(1): 9-12, 2005.
 
[28]  Afukaar FK, Antwi P, Ofosu-Amaah S. Pattern of road traffic injuries in Ghana: Implications for control. Injury Control Safety Promotion, 10: 69-76, 2003.
 
[29]  Arif Ali, Jaishri Mehraj, Sajid Mahmood, Zahid Mirza and Muhammed Tahir. Frequency of Risk Factors Associated with Road Traffic Accidents of Motorbike in a Big City of a Developing Country. Journal of the Dow University of Health Sciences, 4 (2): 68-72, 2010.
 
[30]  Satchwell, KM. Report to His Excellency – The President of the Republic of South Afirca. Road Accident Fund Commission 2000
 
[31]  Barengo NC, Mkamba M, Mshana SM, Miettola J. (2006) Road traffic accidents in Dar-es-Salaam, Tanzania during 1999 and 2001. International Journal of Injury Control and Safety Promotion 2006; 13: 52-54.
 
[32]  Lam LT. A neglected risky behavior among children and adolescents: underage driving and injury in New South Wales, Australia. Journal of Safety Research, 34: 315-20, 2003.
 
[33]  Ngaroua, Neossi N.M, Mbo A.J , Chichom Mefire A , Eloundou N. J. Epidemiology and Pattern of Road Traffic Injuries in Ngaoundéré, Cameroon: a Retrospective Hospital Based Study Prior to the Implementation of a Formal Trauma Registry. Health Science and Diseases, 15 (2), 2014.
 
[34]  Romão F, Nizamo H, Mapasse D, Rafico MM, José J, Mataruca S, Efron ML, Omondi LO, Leifert T, Bicho JM. Road traffic injuries in Mozambique. Injury Control and Safety Promotion, 10(1-2): 63-7, 2003.
 
[35]  Zhou JH, Zhao XC, Wang ZG, Zhu PF, Jian HG, Liu DW, Zhou JL, Liu L. The analysis of epidemiological characteristics of road traffic crashes in a mountain city in western China. China Journal of Traumatology, 6 (6): 355-8, 2003.
 
[36]  Agnihotri AK, Joshi HS. Pattern of road traffic injuries: one year hospital-based study in Western Nepal. International Journal of Injury Control and Safety Promotion, 13 (2): 128-30, 2006.
 
[37]  Suriyawongpaisal P, Kanchanasut S. Road traffic injuries in Thailand: trends, selected underlying determinants and status of intervention. Injury Control and Safety Promotion, 10(1-2): 95-104, 2003.
 
[38]  Kourouma K, Delamou A, Lamah L, Camara BS, Kolie D, Sidibé S et al. Frequency, characteristics and hospital outcomes of road traffic accidents and their victims in Guinea: a three-year retrospective study from 2015 to 2017. BMC Public Health, 19: 1022-1034, 2019.