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Land Transport Collisions

These statistics refer to all transport collisions that occur on land (i.e. cars, bikes, other land vehicles), and exclude water transport and air transport injuries.  The NWHU monitors trends in hospitalization and mortality from land transport injuries within the catchment area.

Overall, land transport collisions pose a large threat to public health within NWHU. The average hospitalization and mortality rates are significantly higher than those of Ontario, suggesting there are vast differences between travel policies and/or road conditions between the two areas[1]. As most highways are single lane, this poses as a large health risk in comparison to the two or more highway driving lanes present in the majority of Ontario[2].

Hospitalizations

Between 2010 and 2014 rates of hospitalization were almost twice as high in the NWHU as in the province as a whole. On average, the rate in the NWHU area was 98.1 hospitalizations per 100,000 per year, compared to the provincial rate of 55.7 per 10,000 per year.

Rates in males have been significantly higher than in females in the NWHU area. The average rate for males between 2010 and 2014 was 131.68 per 100,000 per year, which is almost double the female rate of 68.6 visits per 100,000 patients. Those aged 20-44 experienced the highest average rate of hospitalization at 127.1 visits per 100,000 per year with those 75 and older following close behind at 113.3 visits per 100,000​.


hospitalizations due to land transport collisions

Source:  Public Health Ontario. Snapshots: Hospitalization for land transport collisions 2010-2014. Toronto, ON: Ontario Agency for Health Protection and Promotion; 2016 Feb 1 [cited 2016 July 5]. Available from: http://www.publichealthontario.ca/en/DataAndAnalytics/Snapshots/Pages/Injury-Hospitalization.aspx​


Hospitalization from land transport collisions in the NWHU by sex, rates per 100,000, 2010-2014​

Age-standardized rate per 100,000​ ​ ​ ​ ​ ​ ​
Sex ​2010 ​2011 ​2012 ​2013 ​2014 ​Average
Males​ ​159.2 ​145.8 126.3 70.0 ​157.1 ​131.7
Females ​59.8 ​68.7 ​94.4 ​82.1 ​38.2 68.6

Source:  Public Health Ontario. Snapshots: Hospitalization for land transport collisions 2010-2014. Toronto, ON: Ontario Agency for Health Protection and Promotion; 2016 Feb 1 [cited 2016 July 5]. Available from: http://www.publichealthontario.ca/en/DataAndAnalytics/Snapshots/Pages/Injury-Hospitalization.aspx

Hospitalization from land transport collisions in the NWHU by age group, rates per 100,000,  2010-2014

Age-specific rate per 100,000​ ​ ​ ​ ​ ​ ​
Age Group ​2010 ​2011 ​2012 ​2013 ​2014 ​Average
0-19 93.3 ​84.6 ​99.1 ​32.0 ​  101.0  82
20-44 146.0 130.9 ​143.8 107.7 107.1 127.1
45-64 77.5 89.9 60.1 69.1 86.6 76.6
65-74​​ ​84.1 ​130.8 93.3 ​59.4 43.2 82.2
75+​ ​120.4 ​98.5 ​155.4 ​154.0 ​38.0 ​113.3

Source:  Public Health Ontario. Snapshots: Hospitalization for land transport collisions 2010-2014. Toronto, ON: Ontario Agency for Health Protection and Promotion; 2016 Feb 1 [cited 2016 July 5]. Available from: http://www.publichealthontario.ca/en/DataAndAnalytics/Snapshots/Pages/Injury-Hospitalization.aspx


Mortality

Mortality rates from land transport collisions between 2007 and 2011 were twice as high in the NWHU area compared to provincial rates (10.5 deaths per 100,000 per year vs 5.2 per 100,000 per year). This difference is statistically significant.

Mortality rates amongst males in the NWHU were about three times as high as females; 16.0 per 100,000 per year vs 5.2 per 100,000 per year. Rates were relatively consistent across the age spectrum.


Source:  Public Health Ontario. Snapshots: Mortality from land transport collisions 2007-2011. Toronto, ON: Ontario Agency for Health Protection and Promotion; 2016 Feb 1 [cited 2016 July 22]. Available from http://www.publichealthontario.ca/en/DataAndAnalytics/Snapshots/Pages/Injury-Mortality.aspx​

Mortality rates from all land transport collisions in the NWHU by sex, rates per 100,000,  2007-2011

Sex 2007 2008 2009 2010 2011 ​Average
Males ​16.0 ​16.3 ​10.5 ​12.8 ​24.6   16.0​​
Females ​6.4 7.7​ 3.9 ​1.7 6.1 ​  5.2

Source:  Public Health Ontario. Snapshots: Mortality from intentional self-harm 2007-2011. Toronto, ON: Ontario Agency for Health Protection and Promotion; 2016 Feb 1 [cited 2016 July 7]. Available from http://www.publichealthontario.ca/en/DataAndAnalytics/Snapshots/Pages/Injury-Mortality.aspx​

Age-specific crude rate per 100,000 of land transport mortality in the NWHU, by age group,  2007-2011

​​Age-specific rate per 100,000​​​​​​​​ ​ ​ ​ ​ ​ ​
Age​ 2007​ 2008 2009 2010​ 2011​ Average
0-19 17.0 17.3​ 4.4​ 4.4​ 8.9 10.4​
20-44 11.4 11.7​ 4.0 8.1​ 28.6​ 12.8​
45-64 4.6​ 13.4​ 8.7 8.6 0.0​ 7.1​
65-74 0.0 17.6 34.5​ 0.0 0.0 10.4​
75+ 20.7​ 0.0 0.0​ 20.1​ 19.7 12.1

Source:  Public Health Ontario. Snapshots: Mortality from land transport collisions 2007-2011. Toronto, ON: Ontario Agency for Health Protection and Promotion; 2016 Feb 1 [cited 2016 July 22]. Available from http://www.publichealthontario.ca/en/DataAndAnalytics/Snapshots/Pages/Injury-Mortality.aspx​



[1] "Ontario Road Safety Annual Report 2013." Ministry of Transportation. Government of Ontario, 2013: pg. 60. Accessed: 27 July 2016.Retrieved from http://www.mto.gov.on.ca/english/publications/pdfs/ontario-road-safety-annual-report-2013.pdf

[2] “Road safety in Canada”. Transport Canada. Government of Canada, 2014. Accessed: 27 July 2016. Retrieved from http://www.tc.gc.ca/eng/motorvehiclesafety/tp-tp15145-1201.htm#s311​