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5, 032 people aged 70 or older were killed on US roads in 2005. Of these, 827 were drivers killed in single-vehicle crashes. The remaining 4, 205 were all killed in crashes involving at least one other driver. While a vast body of literature has focused on older drivers, this paper addresses the other drivers involved in the crashes that account for 84% of the deaths of road users 70 and over. The other drivers can be placed into three categories. 1. Drivers of vehicles involved in crashes in which pedestrians aged 70 or older are killed. 2. Drivers involved in two-vehicle crashes in which drivers aged 70 or older are killed. 3. Drivers of vehicles in which passengers aged 70 or older are killed, and drivers of vehicles involved in crashes with vehicles transporting such passengers. Analysis using data for 2000-2005 finds that 89% of pedestrian fatalities aged 70 or older occurred in crashes in which the driver was aged 69 or younger.

This paper estimates that currently there are 250 million frontal airbags in the United States, which cost their owners $54 billion. In 2003 about 1.7 million of these deployed, 19,000 in fatal crashes in which over 8,000 vehicle occupants were killed sitting in seats protected by airbags that deployed. To date over 40,000 occupants have been killed sitting in seats protected by airbags that deployed. The growth of airbags increases the need to revisit the question of their cost-effectiveness, and also provides the data to do this. The cost-benefit comparison presented here relies on airbag effectiveness estimates and injury cost estimates published since 2000. Even after the deployment of 10 million airbags, their effect on injury risk remains uncertain, and the results presented here are sensitive to the injury-effectiveness values assumed.

About the most firmly established vehicle-safety effect is that the heavier the vehicle, the lower are the risks to its occupants. Empirically data show that the additional mass of a passenger reduces driver fatality risk by 7%. While occupants of heavier vehicles enjoy increased safety, there are two important negatives associated with heavier vehicles. First, they increase risk to occupants of other vehicles into which they crash. Second, they consume more fuel. The size, or length, of a vehicle also affects safety. All other factors, including mass, being equal, a larger vehicle reduces fatality risk to its occupants. But unlike mass, it also reduces risk to occupants in vehicles into which it crashes. A quantitative relationship expressing fatality risk as a function of the mass and size of both cars involved in a two-car crash was derived in Causal influence of car mass and size on driver fatality risk, Am J Pub Health. 91:1076-81;2001.

Studies using the double-pair-comparison method found that fatality risk from the same physical impact is (28 ± 3)% greater for females than for males, and increases with age after age 20 at compound annual rates of (2.52 ± 0.08)% for males and (2.16 ± 0.10)% for females. The purpose of the present study is to investigate fatality risk from the same physical impact versus gender and age using a different method and data distinct from those in the other studies. Female to male fatality risk was estimated using two-car crashes in which the gender of the two drivers differed. Fatality risk from the same impact is found to be (22 ± 9)% greater for females than for males, and to increase annually after age 20 by (2.86 ± 0.32)% for males and (2.66 ± 0.37)% for females. The relatively close quantitative agreement between the present and double-pair-comparison estimates increases confidence in the validity of double-pair-comparison methods and the present method.

Although the last few decades have produced considerable technical literature on safety belts, the question of whether they really work continues to be a recurrent issue of public interest. For example, a number of Canada's mandatory belt wearing laws were challenged in 1992, based on an unpublished study claiming that belt-wearing caused more harm than it prevented. The present paper summarizes the technical evidence for the effectiveness of safety belts, and of laws requiring their use. It is hoped that this short paper, by synthesizing and summarizing currently available information, will be a useful document to have available when future challenges arise. The evidence regarding belts is discussed under the following three broad headings: 1. Impact biomechanics -- the mechanical basis of injury causation. 2. The observed effect of safety belts, given that a crash has occurred. 3. Changes in casualties after the passage of mandatory wearing laws.

Most of our understanding of traffic safety comes from analyzing data. Derivations from data, strictly speaking, tell us only about properties of data sets. They become important only with the assumption that the data reasonably represent reality. Yet what is included in a data set rarely corresponds to exactly what really happened. Cases that should be included are not included, and cases that should not be included are included. The most reliable information is for fatalities, yet even fatality data are far from perfect. For non-fatal crashes the problems are vastly greater. Indirect means can be employed to compare expected and reported injuries. The number of injuries per fatality, and the number of injuries in similar crashes, should remain fairly constant in time and between countries. This is examined using data from the US, Canada, Great Britain, Northern Ireland, Ireland, and Lithuania. Large discrepancies between reported and inferred injuries are found.

The purpose of this work is to estimate the relationship between car mass and the likelihood that a car will have an occupant fatality. Car occupant fatalities in the 1978 Fatal Accident Reporting System (FARS) data were divided into those killed in two car crashes and those killed in non-two car crashes. The relationship between car mass and the relative likelihood of an occupant fatality in non-two car crashes was determined by examining the number of fatalities in cars of a given mass driven by drivers of a given age divided by an estimate of the number of registered cars of the same mass having owners of the same age. This involves assuming that owners and drivers are the same people -- clearly an approximation. This and other assumptions were necessary because of data limitations.

This paper reviews three studies performed by the General Motors Research Laboratories which address different aspects of how age and sex affect injury rates in severe traffic crashes. All three studies use data from the Fatal Accident Reporting System, a file maintained by the National Highway Traffic Safety Administration. This data file gives information on all fatal traffic crashes in the United States occurring since January 1, 1975. The first study found relationships between risk of a fatality from the same physical impact and age and sex. The second study examined, as a function of sex and age, involvement rates in crashes in the same high severity range by combining the results of the first study with raw fatality rates in crashes. The third study included an examination of traffic fatalities relative to other causes of death. Almost half of all deaths to 18-year olds are due to traffic crashes.

This work was performed to present briefly the results of recently published estimates of restraint system effectiveness for rear seats of passenger cars, and to contrast these estimates with earlier estimates of restraint system effectiveness for front seats. The estimates were obtained by applying the double pair comparison method to data in the Fatal Accident Reporting System (FARS). The average effectiveness of rear lap belt restraints was estimated as (18 ± 9)%, compared to (41 ± 4)% for front lap/shoulder restraints. While the results indicate that effectiveness for rear lap belts is lower than for front lap/shoulder belts, the rear seat estimate suggests that there is a 39 in 40 chance that rear seat restraints reduce fatality probability.

The results of studies performed by the General Motors Research Laboratories to investigate the relationship between car size (indicated by car mass) and safety are presented. Most of the studies reviewed rely heavily on one data set that has uniquely useful features. This is the Fatal Accident Reporting System (FARS) data set maintained by the National Highway Traffic Safety Administration (NHTSA), which is part of the U.S. Department of Transportation. This file contains detailed information on every fatal traffic crash occurring in the United States since 1975. The studies find that given a single-car crash, the unbelted driver of a 900kg car is about 2.6 times as likely to be killed as is the unbelted driver of an 1,800 kg car. The relative disadvantage of the smaller car is essentially the same when the corresponding comparison is made for belted drivers.

In the last few years a number of additions to the technical literature on relationships between car size or mass and occupant risk of fatality or injury have appeared. This new information is reviewed, synthesized and used as the basis for additional calculations aimed at better identifying causal factors. It is concluded that if a car crashes head-on into a 12,000 kg truck, the car driver is 36% more likely to be killed in a 900 kg car than in an 1,800 kg car solely as a result of differing Newtonian kinematics. Five studies from two countries consistently support that when cars of similar mass crash head-on into each other, driver risk is inversely related to the common car mass. Size is the dominant causative factor in this relationship, and in the higher rollover risk in lighter cars. Mass and size are causal factors in single-car nonrollover crashes. Mass exercises a dominant causal effect on car driver risk in crashes between vehicles whose masses differ by more than about 10%.