Evaluation of the direct and indirect socio-economic costs of the outcomes of road traffic crashes is important. This allows measurement of the burden that road traffic crash injury imposes on society, and highlights the return on investment in road safety and the relative benefits and costs of different policy options in the allocation of resources1
Inadequacies in data collection, serious under-reporting of road traffic injuries, and the lack of an adopted global method in valuing the prevention of death and serious injury, do not allow precise estimates to be made of the socio-economic value of their prevention in LMICs. However, approximate and conservative estimates have been made at global and regional levels. In many HICs, effective practice provides more reliable estimates involving periodic updating of economic values for preventing different injury severities using the willingness to pay method (see Prioritisation & Assessment for further discussion).
It was estimated over a decade ago that the average annual socio-economic cost of road traffic crashes represents 1% of GNP in low-income countries, 1.5% in middle-income countries, and 2% in high-income countries (Jacobs et al., 2000)2 3. While reflecting a mixture of direct economic costs and indirect costs, these remain the best estimates of average costs for different country settings. However, the global costs are likely to be significantly higher, especially if under representation of deaths and injuries in available statistics and the social costs of pain and suffering are fully accounted for. More recently, the International Road Assessment Programme has calculated that serious road trauma now costs the world more than US$1.5 trillion per year (iRAP, 2012).
Few estimates have been made of the socio-economic costs of injury at the regional level, particularly in low- and middle-income countries where data collection and analysis is not systematically carried out. Estimates for the European Union (EU27) range from €134 billion to €172 billion; with an annual cost equivalent to around 2% of GDP over the last decade (ETSC, 2011). Considerable variations in socio-economic valuations are reported for different countries. A survey of OECD countries suggested that the socio-economic cost of road crashes using different methods of evaluation amounted to between 1.5–5% of GDP (OECD, 2008). In Africa, the International Road Assessment Programme estimates indicate annual costs of up to 7% of GDP (McInerney, 2012).
The large burden of costly injuries is borne by society in general. However, a large part of the burden is particularly within the health sector in terms of costs to the emergency medical system, with employers in terms of premature loss or disablement of the world’s most economically active citizens, and with households in terms of loss of the main wage earner. A summary of some of those directly bearing the cost of road injury and death is provided below:
A high price in socio-economic terms is being paid for motorised mobility in all countries of the world. In particular, road traffic injuries in LMICs are a financial drain they can ill afford, which inhibits their desired social and economic development (FIA Foundation for the Automobile and Society, 2005). Road safety investment in both LMIC and HICs needs to be scaled up to match the high socio-economic values of preventing death and serious injury in road crashes (WHO, 2009; DaCoTa, 2012c).