BMJ 2015;350:h3081 doi: 10.1136/bmj.h3081 (Published 8 June 2015)

Page 1 of 2

Letters

LETTERS GREEK ECONOMIC CRISIS

Road traffic fatalities in Greece have continued to fall during the financial crisis George Michas cardiology fellow Cardiology Department, Thoracic Diseases General Hospital Sotiria, Athens, Greece

The 2010 Global Burden of Disease Study states that road traffic injuries are the eighth leading cause of death globally and the leading cause of death among young people aged 15-29.1 Two years ago we presented data showing that deaths from road traffic collisions have fallen in Greece as drivers have switched to less expensive means of transport or reduced their overall travel, mainly because of the unprecedented economic crisis (since the final quarter of 2008)2 3; as well as the steep decrease in salaries, the price of petrol has increased by more than 50%.2 The table⇓ shows that this trend continues and has led to a 47.5% relative decrease in road traffic death rates in the country as a whole, from 13.9 road fatalities per 100 000 inhabitants in 2008 to 7.3 in 2014.

Public health measures need to be strengthened to sustain the positive effect of the Greek financial crisis on road safety in the long term, when the economy will start growing and vehicles will start moving on the road again.2 Competing interests: None declared. 1 2 3

Lozano R, Naghavi M, Foreman K, et al. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 2012;380:2095-128. Michas G, Micha R. Road traffic accidents in Greece: have we benefited from the financial crisis? J Epidemiol Community Health 2013;67:894. Liaropoulos L. Greek economic crisis: not a tragedy for health. BMJ 2012;345:e7988.

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BMJ 2015;350:h3081 doi: 10.1136/bmj.h3081 (Published 8 June 2015)

Page 2 of 2

LETTERS

Table Table 1| Road fatalities and road traffic death rates in Greece from 2001 to 2014 Year

Road fatalities

Road fatalities per 100000 inhabitants

Average annual unemployment rate (%)

GDP in market prices (€m)†

2001

1911

17.5

10.8

147028

2002

1655

15.1

10.4

156794

2003

1613

14.7

9.8

173046

2004

1547

14.0

10.6

187415

2005

1470

13.3

10.0

194732

2006

1493

13.4

9.0

210734

2007

1449

13.0

8.4

225537

2008

1550

13.9

7.8

231797

2009

1463

13.1

9.6

231456

2010

1281

11.5

12.7

224494

2011

1092

9.8

17.9

206159*

2012

976

8.8

24.4

194098*

2013

861*

7.8**

27.5

186639*

2014

801*

7.3**

26.5

183851*

GDP=Gross domestic product. * Provisional data. ** The calculations were based on provisional data for 2013 and 2014. † €1=£0.73; $1.12. Sources: Deaths caused by road traffic accidents were derived from the Hellenic Police; www.astynomia.gr; unemployment rates and GDP figures were derived from Hellenic Statistical Authority (ELSTAT; www.statistics.gr).

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Road traffic fatalities in Greece have continued to fall during the financial crisis.

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