Similar to other parts of the world, RTAs mainly involve younger individuals, which significantly impacts work productivity. The proportion of fatal accidents in total road accidents in India has consistently increased from 18.1% in 2002 to 24.4% in 2011. In China more than 2 million persons are injured per year and more than 600,000 fatalities are reported due to trauma. In 2011, these numbers increased to 142,485 RTA fatalities and 497,686 RTA injuries. During 1998, nearly 80,000 lives were lost and 330,000 people were injured. In 1997, 10.1% of all deaths in India were due to the result of accidents and injuries. The burden of RTAs continues to increase at an annual rate of 3%, leading to disabilities and fatalities and causing social, emotional, and economical losses. In 2011, in India, a RTA-related death occurred every 4 minutes. The RTA mortality rate in China amounts to more than 6 deaths per 10,000 vehicles, which is significantly lower than India, but still higher than other countries. The RTA rate of vehicles and the RTA fatality rate of 25.3 per 10,000 vehicles is the highest in the world. Īpproximately 6% of the global RTAs annually occur in India, even though it only has 1% of the world's vehicles. The lack of an organized trauma care system has contributed to a wide disparity in trauma care delivery throughout these countries. In India and China, countries with over 1 billion inhabitants each, trauma care services are mainly available in urban regions, resulting in an increased incidence of deaths from traffic accidents in rural areas and on highways. The gap between the present level of available, efficient, and expert trauma care and the desired level of care remains large. Both India and China lead the world in the number of road- and traffic-related accidents and fatalities, are countries that are industrializing and urbanizing rapidly, and are nations with an ever increasing number of motor vehicles. To date, trauma care systems in India and China are not yet well developed.
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