Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot275210.32687/0869-866X-2026-34-4-840-843Original ArticleTHE MEANS DECREASING LETHALITY AND TRAUMATISM IN TRAFFIC ACCIDENTSAmlaevK. R.DahkilgovaKh. T.MardanovZh. Zh.KhripunovaA. A.KhripunovaI. G.The Bukhara State Medical Institute named after Abu Ali ibn Sino, Ministry of Health of the Republic of Uzbekistan, 200118, Bukhara, UzbekistanThe Federal State Budgetary Educational Institution of Higher Education "The Stavropol State Medical University" of Minzdrav of Russia, 355017 Stavropol, Russia3108202634484084301092026Copyright © 2026,2026This article systematizes and describes main approaches to reduction of traffic mortality and traumatism, including traditional systemic approach and concept of vision zero. The application of modern, scientifically grounded approaches permits to consider and to prevent impact of risk factors of traffic accidents, related to driver behavior, as well as effect of factors associated with road designing. The conclusion is made about necessity to implement educational programs on educating population to road safe behavior. The necessity to ensure for injured persons prompt access to medical care, as well as to adopt special legislative acts targeted to prevention of traffic accidents.traffic accidentinjuriesmortalitypreventiontraffic accidentдорожно-транспортные происшествиятравматизмлетальностьпрофилактика дорожно-транспортных происшествий1.Burzyńska M., Pikala M. Decreasing Trends in Road Traffic Mortality in Poland: A Twenty-Year Analysis. Int. J. Environ. Res. Public Health. 2021;18(19):10411. doi: 10.3390/ijerph1819104112.2019 Road Safety Statistics: What is Behind the Figures? European Commission; Brussels, Belgium: 2019. Available at: https://ec.europa.eu/commission/presscorner/detail/en/qanda_20_1004 (accessed 03.03.2025).3.Road Safety: Europe's Roads are Getting Safer but Progress Remains too Slow. European Comission; Brussels, Belgium: 2020. Available at: https://ec.europa.eu/commission/presscorner/detail/en/IP_20_ 1003 (accessed 03.03.2025).4.World Health Organization 2025 data.who.int, Road traffic mortality rate (per 100 000 population) [Indicator]. Available at: https://data.who.int/indicators/i/B9D9E6A/D6176E2 (accessed 03.03.2025).5.European Commission. Annual Accident Report. European Commission, Directorate General for Transport. European Comission; Brussels, Belgium; 2018. P. 5—756.Global Status Report on Road Safety 2018. World Health Organization; Geneva, Switzerland; 2018. P. 90—120. Licence: CC BY-NC-SA 3.0 IGO7.Mohan D. Traffic safety: rights and obligations. Accid. Anal. Prev. 2019;1:159—638.Safarpour H., Khorasani-Zavareh D., Mohammadi R. The common road safety approaches: A scoping review and thematic analysis. Chin. J. Traumatol. 2020;23(2):113—21. doi: 10.1016/j.cjtee.2020.02.0059.Kristianssen A. C., Andersson R., Belin M. A. Swedish Vision Zero policies for safety — a comparative policy content analysis. Saf. Sci. 2018;103:260—9.10.Dong C., Pei Y., Liu J., Zhang Y., Wang Z., Zhang J. Causal factors identification and dynamics simulation of major road traffic accidents from China's evidence: A high-order mixed-method design. Accid. Anal. Prev. 2025;211:107895. doi: 10.1016/j.aap.2024.10789511.McIlroy R. C., Plant K. A., Hoque M. S. Who is responsible for global road safety? A cross-cultural comparison of Actor Maps. Accid. Anal. Prev. 2019;122:8—18.12.Ma Y., Xu J., Gao C., Mu M., E G., Gu C. Review of Research on Road Traffic Operation Risk Prevention and Control. Int. J. Environ. Res. Public Health. 2022;19(19):12115. doi: 10.3390/ijerph19191211513.Runyan C. W. Using the Haddon matrix: introducing the third dimension. Inj. Prev. 2015;21(2):126—30. doi: 10.1136/ip.4.4.302rep14.Khafafi B., Garkaz O., Golfiroozi S., et al. Comparison the Ability of Quantitative Trauma Severity Assessment Methods Based On GAP, RTS, and ISS Criteria in Determining the Prognosis of Accidental Patients. Bull. Emerg. Trauma. 2022;10(3):122—7. doi: 10.30476/BEAT.2022.94794.134615.Jamroz K., Budzyński M., Romanowska A., Żukowska J., Oskarbski J., Kustra W. Experiences and Challenges in Fatality Reduction on Polish Roads. Sustainability. 2019;11(4):959. doi: 10.3390/su1104095916.Stipdonk H., Aarts L., Campsall D., Carnis L., Feypell V., et al. Maturity measurement in road traffic injury prevention. Traffic Saf. Res. 2024;8:e000045. doi: 10.55329/uvfc165517.Mooren L., Grzebieta R., Job R. S. Australasian College of Road Safety Conference; Melbourne, Victoria, Australia: 2011. Safe System–Comparisons of This Approach in Australia.18.Organization for Economic Cooperation and Development International Transport Forum Zero Road Deaths and Serious Injuries: Leading a Paradigm Shift to a Safe System. 2016. doi: 10.1787/9789282108055-en19.Mills L., Freeman J., Davey J., Davey B. The who, what and when of drug driving in Queensland: Analysing the results of roadside drug testing, 2015—2020. Accid. Anal. Prev. 2021;159:106231. doi: 10.1016/j.aap.2021.10623120.Belin M. Å., Tillgren P., Vedung E. Vision Zero — a road safety policy innovation. Int. J. Inj. Contr. Saf. Promot. 2012;19(2):171—9. doi: 10.1080/17457300.2011.63521321.Alanko T., Ruotsala R. A Multi-Perspective Framework of Vision Zero: Toward Collaborative Promotion of Safety, Health and Well-Being at Work. Saf. Health Work. 2022;13(3):372—5. doi: 10.1016/j.shaw.2022.05.00122.Safarpour H., Khorasani-Zavareh D., Soori H., Ghomian Z., Bagheri Lankarani K., Mohammadi R. A model for Vision Zero implementation in Iran: a grounded theory study. J. Inj. Violence Res. 2022;14(1):43—52. doi: 10.5249/jivr.v14i1.162923.He Y., Fan Y., Yan L., Peng J., Li Z. Visualization and Analysis of Global Vision Zero Studies and Policy Orientation in China. Int. J. Environ. Res. Public Health. 2022;19(22):14841. doi: 10.3390/ijerph19221484124.van der Vlegel M., Haagsma J. A., de Munter L., de Jongh M. A. C., Polinder S. Health Care and Productivity Costs of Non-Fatal Traffic Injuries: A Comparison of Road User Types. Int. J. Environ. Res. Public Health. 2020;17(7):2217. doi: 10.3390/ijerph1707221725.Cogollos-Paja M., García-Reneses J. A., Herruzo R. Assessment of increased knowledge about traffic accidents prevention, one month after a presentation included in the program "it can happen to you" of AESLEME. Spinal Cord. 2023;61(7):368—73. doi: 10.1038/s41393-023-00887-126.Getachew E., Lakew G., Yirsaw A. N., et al. Socioeconomic and behavioral factors of road traffic accidents among drivers in Ethiopia: systematic review and meta analysis. BMC Public Health. 2024;24(1):2857. doi: 10.1186/s12889-024-20376-127.Alonso F., Esteban C., Useche S. A., Manso V. Analysis of the State and Development of Road Safety Education in Spanish Higher Education Institutions. High Educ. Res. 2016;1(1):10—8. doi: 10.11648/j.her.20160101.1228.Chen Z., Zhang J., Zhang Y., Huang Z. Traffic Accident Data Generation Based on Improved Generative Adversarial Networks. Sensors (Basel). 2021;21(17):5767. doi: 10.3390/s2117576729.Rios P. A. A., Mota E. L. A., Ferreira L. N., Cardoso J. P., Santos G. J., Rodrigues T. B. [Traffic accidents among drivers: incidence and differences between motorcyclists and car drivers in population-based study] Acidentes de trânsito com condutores de veículos: incidência e diferenciais entre motociclistas e motoristas em estudo de base populacional. Rev. Bras. Epidemiol. 2019;22:e190054. doi:10.1590/1980-549720190054