• GBD 2017 EMR Transport Injuries Collaborators, Saeid Safiri, SullmanMark J MMJMDepartment of Social Sciences, University of Nicosia, Nicosia, Cyprus.Department of Life and Health Sciences, University of Nicosia, Nicosia, Cyprus., Timo Lajunen, Tetiana Hill, Amir Almasi-Hashiani, Maziar Moradi-Lakeh, Farshad Farzadfar, Sadaf G Sepanlou, Eman Abu-Gharbieh, Teamur Aghamolaei, Tauseef Ahmad, Suliman A Alghnam, Samar Al-Hajj, Vahid Alipour, Syed Mohamed Aljunid, Mina Anjomshoa, Alireza Ansari-Moghaddam, Jalal Arabloo, Mohsen Bayati, Neeraj Bedi, Salaheddine Bendak, Zulfiqar A Bhutta, Ali Bijani, Saad M A Dahlawi, Mostafa Dianatinasab, Zahra Sadat Dibaji Forooshani, Hala Rashad Elhabashy, Amir Emami Zeydi, Sharareh Eskandarieh, Mansour Ghafourifard, Ahmad Ghashghaee, Michal Grivna, Mohammed Ibrahim Mohialdeen Gubari, Randah R Hamadeh, Samer Hamidi, Khezar Hayat, Enayatollah Homaie Rad, Mehdi Hosseinzadeh, Mowafa Househ, Naghibi IrvaniSeyed SinaSSResearch Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Mohammad Ali Jahani, Leila R Kalankesh, Rohollah Kalhor, Ibrahim Kamel, Mohammad Khammarnia, Maseer Khan, Habibolah Khazaie, Hamidreza Komaki, Amitis Lahimchi, Mohammed Madadin, Shokofeh Maleki, Navid Manafi, Fariborz Mansour-Ghanaei, Mohammad Ali Mansournia, Ritesh G Menezes, Yousef Mohammad, Abdollah Mohammadian-Hafshejani, Farnam Mohebi, Ghobad Moradi, Rahmatollah Moradzadeh, Seyyed Meysam Mousavi, Mehdi Naderi, Rajan Nikbakhsh, Keyvan Pakshir, Akram Pourshams, Navid Rabiee, Alireza Rafiei, Reza Rawassizadeh, Aziz Rezapour, Basema Saddik, Sahar Saeedi Moghaddam, Payman Salamati, Marwa Rashad Salem, Hosni Salem, Abdallah M Samy, Brijesh Sathian, Saeed Shahabi, Masood Ali Shaikh, Mehran Shams-Beyranvand, Morteza Shamsizadeh, Mohammad Reza Sobhiyeh, Amin Soheili, Arash Tehrani-Banihashemi, Yasir Waheed, Hasan Yusefzadeh, Telma Zahirian Moghadam, Leila Zaki, Mohammad Zamani, Hamed Zandian, Reza Malekzadeh, and Mohsen Naghavi.
• Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
• Arch Iran Med. 2021 Jul 1; 24 (7): 512-525.

BackgroundTransport-related injuries (TIs) are a substantial public health concern for all regions of the world. The present study quantified the burden of TIs and deaths in the Eastern Mediterranean region (EMR) in 2017 by sex and age.MethodsTIs and deaths were estimated by age, sex, country, and year using Cause of Death Ensemble modelling (CODEm) and DisMod-MR 2.1. Disability-adjusted life years (DALYs), which quantify the total burden of years lost due to premature death or disability, were also estimated per 100000 population. All estimates were reported along with their corresponding 95% uncertainty intervals (UIs).ResultsIn 2017, there were 5.5 million (UI 4.9-6.2) transport-related incident cases in the EMR - a substantial increase from 1990 (2.8 million; UI 2.5-3.1). The age-standardized incidence rate for the EMR in 2017 was 787 (UI 705.5-876.2) per 100000, which has not changed significantly since 1990 (-0.9%; UI -4.7 to 3). These rates differed remarkably between countries, such that Oman (1303.9; UI 1167.3-1441.5) and Palestine (486.5; UI 434.5-545.9) had the highest and lowest age-standardized incidence rates per 100000, respectively. In 2017, there were 185.3 thousand (UI 170.8-200.6) transport-related fatalities in the EMR - a substantial increase since 1990 (140.4 thousand; UI 118.7-156.9). The age-standardized death rate for the EMR in 2017 was 29.5 (UI 27.1-31.9) per 100000, which was 30.5% lower than that found in 1990 (42.5; UI 36.8-47.3). In 2017, Somalia (54; UI 30-77.4) and Lebanon (7.1; UI 4.8-8.6) had the highest and lowest age-standardized death rates per 100,000, respectively. The age-standardised DALY rate for the EMR in 2017 was 1,528.8 (UI 1412.5-1651.3) per 100000, which was 34.4% lower than that found in 1990 (2,331.3; UI 1,993.1-2,589.9). In 2017, the highest DALY rate was found in Pakistan (3454121; UI 2297890- 4342908) and the lowest was found in Bahrain (8616; UI 7670-9751).ConclusionThe present study shows that while road traffic has become relatively safer (measured by deaths and DALYs per 100000 population), the number of transport-related fatalities in the EMR is growing and needs to be addressed urgently.© 2021 The Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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