世界银行-巴西道路交通伤害的负担_政策证据（英）-2025_125页_25mb

Report Summary: The Burden of Road Traffic Injuries in Brazil

Objective: To assess the impact of road traffic injuries (RTIs) on health and society in Brazil and provide policy recommendations.

Key Findings:

• Mortality Reversal: Despite previous declines, RTI deaths in Brazil reversed upward from 2019-2022, increasing nearly 9% despite slightly lower motor vehicle registrations. In 2023 alone, 34,000 deaths were recorded.
• Demographic High-Risk Groups: Vulnerable road users (motorcyclists, pedestrians, cyclists) constitute 54% of fatalities (81% motorcyclist). Motorcycle use is widespread due to economic factors and inadequate public transport.
• Gender Disparity: Male fatalities are disproportionately high (83.7% of total DALYs), with a 5.2 times higher risk than females.
• Age vulnerability: Risks peak for males ages 15-24 (around 20-24 years) and for older individuals in certain categories.
• Economic Burden: RTIs cost Brazil US$61.3 billion/year (~3.8% of GDP), with 57% being intangible human costs (Value of Statistical Life). This exceeds infrastructure investments.
• Health Metrics: In 2021-22, Brazil suffered 1.7 million YLL, 637,000 YLD, and 2.34 million DALYs from RTIs.
• Data Limitations: Death registration systems are incomplete (~22% of road user categories unspecified); crashes records across systems are fragmented.

Policy Recommendations:

1. National Road Safety Lead Agency: Establish a dedicated coordination unit to manage execution, monitoring, and multi-sectoral collaboration.
2. Prioritize Vulnerable Road Users & Safer Roads: Shift design culture to integrate pedestrian, cyclist, and motorcycle safety, employ speed management, and enforce safety gear use.
3. Evidence-Based Policy & Data Integration: Improve data quality and completeness, standardize records; base policy on rigorous analyses and integrate crash/fatality/health data.
4. Manage Exposure: Investing in sustainable transport modes (rail/waterway freight, urban public transport, active mobility) reduce road-dependence and crashes.

Conclusion: Brazil requires urgent, coordinated, and sustained action to address NTIs, reverse recent increases, uphold global safety commitments, and protect all road users.