There is no doubt that transportation is vital to global economic and social development but at the same time, if not properly managed, it can have a high human and economic cost.
The monetary impact of road traffic accidents, which includes the costs associated with road injuries such as medical expenses, lost productivity, and emergency response, is enormous – between 2015 and 2030, injuries resulting from road accidents are likely to cost the global economy US$1.8 trillion.
Which countries and regions are prone to the most road traffic accidents? Which type of vehicle is the most dangerous? How are countries addressing road traffic issues? Read our most recent article on this topic to learn the answers to these questions.
According to the United Nations’ Global Status Report on Road Safety 2023, in 2021 alone, around 1.2 million people around the world died in road accidents. For comparison, approximately 350 people died in plane crashes, and 4,000 people were killed in rail accidents.
Each region of the world has a different level of road traffic-related deaths as can be seen by comparing regional data in terms of a percentage of the total global number.
At the same time, some regions have registered notable success in reducing the number of road traffic fatalities:
*No changes were registered in the Americas.
The Global Status Report on Road Safety 2023 notes that when countries are analyzed by their income level, the rate of fatalities varies. It emerges that lower- and upper-middle-income nations (111 countries, as per World Bank July 2025 number) account for the greatest share of road traffic fatalities:
High-income countries are home to around 16% of the population and 28% of all motor vehicles on the planet, and they also boast 88% of all paved inter-urban roads but what is their share of road traffic deaths? Just 8%.
Turning to low-income countries, these are home to just 9% of the population and under 1% of all the motor vehicles in the world. Nevertheless, the share of fatalities is 13%.
The report points out that pedestrians, cyclists, and those who drive two- and three-wheeled vehicles (motorcycles, mopeds, scooters, and e-bikes) are victims of road traffic incidents more often than other road users.
The share of reported fatalities by road user type as per WHO’s regional breakdown shows:
* Others include micromobility (e-bikes, e-scooters, etc.)
Source: WHO
The number of deaths among users of powered two- and three-wheeled vehicles has registered a staggering 175% increase, with the highest figures being in the South-East Asia Region with a 273% increase, and the Americas, with a 217% increase.
Numerous countries have registered progress in tackling road traffic accidents, with some achieving impressive results:
A number of significant gaps in measures to address traffic issues were outlined in the WHO report on road safety:
To be able to handle the challenges posed by road traffic, particularly in terms of lowering the number of casualties, it is important that authorities invest in the development of safer infrastructure, enforce strict safety regulations, encourage environmentally friendly transport options, and increase public awareness of road safety.