The case for improving road safety in Pacific Islands: a population-based study from Fiji (TRIP 6)

Aust N Z J Public Health. 2012 Oct;36(5):427-9. doi: 10.1111/j.1753-6405.2012.00911.x.


Objective: To estimate the incidence and demographic characteristics associated with road traffic injuries (RTIs) resulting in deaths or hospital admission for 12 hours or more in Viti Levu, Fiji.

Methods: Analysis of the prospective population-based Fiji Injury Surveillance in Hospitals database (October 2005 - September 2006).

Results: Of the 374 RTI cases identified (17% of all injuries), 72% were males and one third were aged 15-29 years. RTI fatalities (10.3 per 100,000 per year) were higher among Indians compared to Fijians. Two-thirds of deaths (largely ascribed to head, chest and abdominal trauma) occurred before hospital admission.

Conclusion and implications: While the RTI fatality rate was comparable to the global average for high-income countries, the level of motorisation in Fiji is considerably lower. To avert rising RTI rates with increasing motorisation, Fiji requires a robust road safety strategy alongside effective trauma-care services and a reliable population-based RTI surveillance system.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Accidents, Traffic / mortality
  • Accidents, Traffic / prevention & control*
  • Accidents, Traffic / statistics & numerical data
  • Adolescent
  • Adult
  • Age Distribution
  • Cause of Death
  • Female
  • Fiji / epidemiology
  • Hospitalization / statistics & numerical data*
  • Hospitals
  • Humans
  • Incidence
  • Male
  • Middle Aged
  • Population Surveillance
  • Prospective Studies
  • Registries
  • Risk Factors
  • Safety*
  • Sex Distribution
  • Socioeconomic Factors
  • Survival Rate
  • Wounds and Injuries / epidemiology*
  • Wounds and Injuries / prevention & control
  • Young Adult