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Geospatial Analysis of Severe Road Traffic Accidents in Singapore Dr Wee Choon Peng Jeremy

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  • Geospatial Analysis of Severe Road Traffic Accidents in

    Singapore

    Dr Wee Choon Peng Jeremy

  • • Injury is a significant cause of mortality and morbidity. In 2012, Road Traffic Accidents (RTAs) are the 9th leading cause of death worldwide and is projected to be the 7th leading cause of death by the year 2030 (1)

    • Our goal is to investigate which areas in Singapore have a statistical significantly higher incidence of RTAs resulting in severe Tier 1 injuries, which is defined as an Injury Severity Score (ISS) of more than 15 (2), and develop a spatio-temporal model describing the patterns of RTAs in Singapore in order to identify potential hotspots

    • Through this we hope to decrease the incidence of RTAs and provide better care and treatment for the victims.

    • Singapore is one of the smallest but most densely populated countries in the world. (3)

    Introduction

  • Materials and Methods

    • Data from 1st January 2013 till 31st December 2013 was obtained from the National Trauma Registry (NTR) (4)

    • The coordinates where severe RTAs occurred weregeomapped onto the Singapore base map via ArcGIS (5)

    • Spatial statistical techniques were used to identify hotspotsvia the Getis-Ord-Gi* algorithm (6)

    • The incident data was aggregated using the Integrate function within the Collect Events tool. This generated an icount field which was a collection of weighted points rather than individual incidence points.

    • The Spatial Autocorrelation tool was used to create a graph of z scores at each distance and the peak was used as the distance band that reflected maximum spatial correlation for the hotspot analysis. Each of these hotspots were studied to identify if any particular road had 2 or more RTAs.

    Materials and Methods

    Hotspot

    GiZscore

    GiZscore P value

    X-Coord

    Y-Coord

    ICOUNT

    Type

    1

    3.551755

    0.000383

    103.846185

    1.319478

    21

    Motor vehicle driver

    1

    3.551755

    0.000383

    103.857135

    1.322414

    21

    Motorbike rider

    1

    3.551755

    0.000383

    103.849087

    1.332516

    21

    Pedestrian

    1

    3.551755

    0.000383

    103.836995

    1.335397

    21

    Cyclist vs vehicle

    1

    3.551755

    0.000383

    103.852287

    1.339127

    21

    Cyclist not vs vehicle

    1

    3.551755

    0.000383

    103.862183

    1.317196

    21

    Pedestrian

    1

    3.551755

    0.000383

    103.850284

    1.336231

    21

    Pedestrian

    1

    3.551755

    0.000383

    103.855445

    1.318128

    21

    Motorbike rider

    1

    3.551755

    0.000383

    103.855432

    1.313609

    21

    Cyclist vs vehicle

    Hotspot

    GiZscore

    GiZscore P value

    X-Coord

    Y-Coord

    ICOUNT

    Type

    1

    3.551755

    0.000383

    103.862260

    1.335376

    21

    Motorbike rider

    1

    3.551755

    0.000383

    103.865455

    1.324500

    21

    Pedestrian

    1

    3.551755

    0.000383

    103.860629

    1.318330

    21

    Motorbike rider

    1

    3.551755

    0.000383

    103.840249

    1.329616

    21

    Motorbike rider

    1

    3.551755

    0.000383

    103.843256

    1.319650

    21

    Motor vehicle driver

    1

    3.551755

    0.000383

    103.852465

    1.338096

    21

    Others

    1

    3.551755

    0.000383

    103.862421

    1.331386

    21

    Motor vehicle back passenger

    1

    3.551755

    0.000383

    103.867039

    1.327954

    21

    Cyclist not vs vehicle

    1

    3.551755

    0.000383

    103.852951

    1.329453

    21

    Motorbike rider

    1

    3.551755

    0.000383

    103.849369

    1.341727

    21

    Pedestrian

    1

    3.551755

    0.000383

    103.863435

    1.322233

    21

    Motor vehicle back passenger

     

     

     

     

     

     

     

    2

    3.206358

    0.001344

    103.873563

    1.362289

    5

    Pedestrian

    2

    3.206358

    0.001344

    103.874529

    1.354622

    5

    Pedestrian

    2

    3.206358

    0.001344

    103.864295

    1.353857

    5

    Motorbike rider

    2

    3.206358

    0.001344

    103.858053

    1.339891

    5

    Cyclist vs vehicle

    2

    3.206358

    0.001344

    103.870716

    1.339496

    5

    Pedestrian

    2

    3.206358

    0.001344

    103.867822

    1.355351

    5

    Motorbike rider

     

     

     

     

     

     

     

    3

    3.059226

    0.002219

    103.870812

    1.313187

    13

    Pedestrian

    3

    3.059226

    0.002219

    103.881872

    1.315021

    13

    Cyclist vs vehicle

    3

    3.059226

    0.002219

    103.882038

    1.315906

    13

    Motorbike rider

    3

    3.059226

    0.002219

    103.876767

    1.313682

    13

    Motorbike rider

    3

    3.059226

    0.002219

    103.873650

    1.310907

    13

    Pedestrian

    3

    3.059226

    0.002219

    103.878822

    1.304350

    13

    Pedestrian

    3

    3.059226

    0.002219

    103.878856

    1.318340

    13

    Motor vehicle driver

    3

    3.059226

    0.002219

    103.875782

    1.320256

    13

    Motor vehicle driver

    3

    3.059226

    0.002219

    103.879852

    1.312667

    13

    Pedestrian

    3

    3.059226

    0.002219

    103.872719

    1.314650

    13

    Pedestrian

    3

    3.059226

    0.002219

    103.882115

    1.313020

    13

    Pedestrian

    3

    3.059226

    0.002219

    103.885303

    1.2979850

    13

    Motorbike rider

    3

    3.059226

    0.002219

    103.883025

    1.3027450

    13

    Pedestrian

     

     

     

     

     

     

     

    4

    2.616189

    0.008892

    103.905751

    1.317317

    7

    Motorbike rider

    4

    2.616189

    0.008892

    103.906748

    1.314030

    7

    Pedestrian

    4

    2.616189

    0.008892

    103.893508

    1.301954

    7

    Motorbike rider

    4

    2.616189

    0.008892

    103.903667

    1.305080

    7

    Motor vehicle driver

    4

    2.616189

    0.008892

    103.894158

    1.314231

    7

    Motorbike rider

    Hotspot

    GiZscore

    GiZscore P value

    X-Coord

    Y-Coord

    ICOUNT

    Type

    4

    2.616189

    0.008892

    103.898141

    1.315381

    7

    Pedestrian

    4

    2.616189

    0.008892

    103.893769

    1.317078

    7

    Pedestrian

     

     

     

     

     

     

     

    5

    2.440506

    0.014667

    103.851067

    1.305219

    12

    Pedestrian

    5

    2.440506

    0.014667

    103.850777

    1.292737

    12

    Pedestrian

    5

    2.440506

    0.014667

    103.844085

    1.287272

    12

    Motorbike rider

    5

    2.440506

    0.014667

    103.854162

    1.280845

    12

    Pedestrian

    5

    2.440506

    0.014667

    103.851077

    1.282050

    12

    Pedestrian

    5

    2.440506

    0.014667

    103.850686

    1.294459

    12

    Cyclist vs vehicle

    5

    2.440506

    0.014667

    103.849609

    1.283834

    12

    Pedestrian

    5

    2.440506

    0.014667

    103.856932

    1.301969

    12

    Cyclist vs vehicle

    5

    2.440506

    0.014667

    103.861996

    1.290278

    12

    Motorbike rider

    5

    2.440506

    0.014667

    103.850074

    1.303508

    12

    Pedestrian

    5

    2.440506

    0.014667

    103.860304

    1.283993

    12

    Pedestrian

     

     

     

     

     

     

     

    6

    2.242448

    0.024932

    103.891862

    1.323215

    10

    Motor vehicle back passenger

    6

    2.242448

    0.024932

    103.891250

    1.330655

    10

    Motorbike rider

    6

    2.242448

    0.024932

    103.905668

    1.334417

    10

    Pedestrian

    6

    2.242448

    0.024932

    103.910005

    1.331132

    10

    Motorbike rider

    6

    2.242448

    0.024932

    103.886592

    1.329888

    10

    Cyclist not vs vehicle

    6

    2.242448

    0.024932

    103.895955

    1.338068

    10

    Motorbike rider

    6

    2.242448

    0.024932

    103.890079

    1.326887

    10

    Cyclist vs vehicle

    6

    2.242448

    0.024932

    103.910159

    1.327722

    10

    Motorbike rider

    6

    2.242448

    0.024932

    103.895469

    1.323842

    10

    Motorbike rider

    6

    2.242448

    0.024932

    103.898881

    1.343146

    10

    Motorbike rider

  • • RTAs injured a total of 18 047 people. Out of which there were 467 victims whose ISS were greater than 15 (Tier 1).

    • There were 6 statistically significant hotspots

    • The individual points were studied within each of the hotspots and the roads that had a relatively high incidence of events were identified (see attached table)

    ResultsResults

  • Discussion• Tier 1 injured RTA victims tend to be young males and most

    were motor cyclists and pedestrians

    • Police enforcements of traffic laws at the hotspots can help

    • Analysis of these hotspots can guide efforts to decrease the response time of the ambulances and transport times

    • Despatch centres should be located near these hotspots and staffed adequately

    • From the location of the hospitals in Singapore and their proximity to the hotspots, Tan Tock Seng Hospital and Changi General Hospital receive many of the Tier 1 RTA victims and they should receive adequate resource allocation

    • Limitations: 1) Only Tier 1 were studied 2) hotspots are determined via distance and do not take into account of how the roads run 3) Data was about 88% complete

    Discussion

  • • Coordinated efforts from multiple agencies are needed for

    • Road safety• Prevention of RTAs, • Treatment and eventual rehabilitation of RTA

    victims • Important agencies include

    • Law Enforcement• Land/Road safety professionals• Prehospital EAS• Trauma Centres and Rehabilitation facilities

    • Thus through the study of hotspots of incidences of traumatic events especially those resulting in severe injuries; multiple agencies can use this information to direct their efforts and resources.

    ConclusionsConclusions1. Injuries and violence: the facts 2014. Geneva:

    World Health Organization, 2014 9789241508018.

    2. Baker SP, OʼNeill B, Haddon W, Long WB. The Injury Severity Score. The Journal of Trauma: Injury, Infection, and Critical Care. 1974;14(3):187-96.

    3. The World Factbook 2016-17 Washington, DC: Central Intelligence Agency; 2016 [Available from: https://www.cia.gov/library/publications/the-world-factbook/geos/sn.html.

    4. National Trauma Registry Annual Registry Report 2013. Health Promotion Board, Singapore, Office NRoD; 2014.

    5. ESRI. ArcGIS Desktop. 10.4 ed: Environmental Systems Research Institute.

    6. Getis A, Ord JK. The Analysis of Spatial Association by Use of Distance Statistics. Geographical Analysis. 2010;24(3):189-206.

    https://www.cia.gov/library/publications/the-world-factbook/geos/sn.html

    Geospatial Analysis of Severe Road Traffic Accidents in SingaporeSlide Number 2Slide Number 3Slide Number 4Slide Number 5Slide Number 6