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In the 1960s a public health approach to the prob› lem emerged in the United States and other motorised countries. Under this new approach, the available pre› vention options greatly expanded, and the effective› ness of countermeasures was scientifically evaluated before widespread adoption. This emphasis on evalua› tion was important because the earlier efforts continued for decades without evaluation, and when some of these programmes were eventually evaluated there was no evidence of effectiveness. 2 Today motor vehicle crashes are causing substantial numbers of deaths in countries that are relatively new to motorisation. 3 A key question is how these countries can avoid the many unnecessary deaths and serious injuries that occurred in today's motorised countries during the decades that motor vehicle use was rapidly expanding, ineffective countermeasures were in place, and potentially effective countermeasures were being ignored.

Reducing motor vehicle crash deaths and injuries in newly motorising countries