Nas ultimas dÃcadas, as principais cidades brasileiras tÃm sofrido problemas com o nÃvel de mobilidade urbana, resultado do uso indiscriminado dos automÃveis, por altas freqÃÃncias de viagens diÃrias, e espaÃos viÃrios deficitÃrios. Assim, a demanda por viagens entra em conflito, ocasionando um desequilÃbrio traduzido em diversos problemas como poluiÃÃo atmosfÃrica, acidentes de trÃnsitos e altos Ãndices de congestionamentos. Os motoristas buscam minimizar o tempo de viagem, evitando as vias principais com altos Ãndices de congestionamento, passando a utilizar as vias coletoras ou locais para chegarem aos seus destinos. Com altas velocidades em Ãreas residÃncias, os ÃrgÃos gestores, para garantir a seguranÃa dos usuÃrios, implantam dispositivos redutores de velocidade, de forma a melhorar as condiÃÃes de circulaÃÃo nas Ãreas urbanas. O CÃdigo de TrÃnsito Brasileiro - CTB (BRASIL, 1997) regulamentou a utilizaÃÃo da ondulaÃÃo transversal para somente em casos especiais, exigindo estudos que justifiquem sua implantaÃÃo, para evitar os conflitos entre os usuÃrios da via. Assim, esta dissertaÃÃo objetiva estudar os efeitos da ondulaÃÃo transversal na velocidade de operaÃÃo em vias urbanas, identificando tambÃm outros fatores que influenciam nos comportamentos dos condutores em trechos que antecedem e sucedem tais ondulaÃÃes. Com o estudo dos impactos, foi proposto um mÃtodo para determinaÃÃo do posicionamento mais adequado da ondulaÃÃo transversal na via, a montante do local de travessia de pedestres.

Introduction : La sécurité routière sur le réseau interurbain est un problème majeur de santé publique dans les Pays à Revenu Bas et Moyen (PRBM) mais peu d'attention y a été consacrée. Les objectifs de cette thèse étaient d’évaluer le fardeau des traumatismes en relation avec le trafic interurbain, la déclaration des usagers blessés dans des bases de données différentes, d’analyser l’association entre les facteurs situationnels (caractéristiques physiques et circonstances environnementales) et les sites des accidents et la perception de la dangerosité des tronçons accidentogènes dans les PRBM. Méthodes et résultats : Pour répondre à ces objectifs, cinq études spécifiques ont été réalisées dans deux PRBM, le Cameroun et le Pakistan. L’étude I a évalué le nombre de tués par véhicules-km parcourus et les facteurs qui leur étaient associés, en utilisant les rapports de police entre 2004 et 2007 sur l’axe Yaoundé-Douala, Cameroun. Le taux de mortalité était de 73 par 100 millions véhicules km parcourus, un taux 35 fois plus élevé que sur un même type de route en pays à revenu élevé. La mortalité était plus élevée pour les accidents impliquant des usagers vulnérables, les véhicules roulant en sens opposé et ceux dus à une défaillance mécanique, y compris un éclatement de pneu. L’étude II a évalué les différences de déclaration d’accidents faites par les services de police, d’ambulance et des urgences en 2008 sur l’axe Karachi-Hala, Pakistan. La mortalité était de 53 par 109 véhicules-km parcourus ; le taux de mortalité était 13 fois plus élevé sur cet axe par rapport à un même type de route en France. La police a déclaré un mort sur cinq et un blessé grave sur dix. Les usagers de la route vulnérables, y compris les piétons et deux-roues ont été deux fois moins déclarés par la police que par les services d'ambulance ou des urgences. L’étude III a étudié les facteurs situationnels associés aux sites des accidents sur l’axe Yaoundé-Douala par une approche de type cas-témoins. Les facteurs tels que le profil routier plat (rapport de cotes [RC] ajusté =1,52 ; intervalle de confiance à 95 % [IC95 %]=1,15-2,04), les surfaces irrégulières (RC=1,43 ; IC95 %=1,04-1,99), les obstacles à proximité (RC=1,99 ; IC95 %=1,09-3,63) et les intersections à trois (RC=3,11 ; IC95 %=1,15-8,39) ou à quatre directions (RC=3,23 ; IC95 %=1,51-6,92) étaient significativement associés à des sites d’accidents corporels. De plus, la probabilité des accidents augmentait dans des zones urbaines situées dans des régions de plaine (RC=2,23 ; IC95 %=1,97-2,77). L’étude IV a étudié le fardeau des traumatismes dus aux accidents ainsi que les facteurs associés dans des zones en travaux sur l’axe Karachi-Hala en utilisant les méthodes de cohorte historique. Un tiers de la mortalité routière était survenu dans des zones en travaux et le risque de mortalité était quatre fois plus élevé dans ces zones que dans les autres zones. Un accident sur deux a eu lieu entre des véhicules roulant en sens opposé dans ces zones. L’étude V a étudié la perception de la dangerosité des tronçons accidentogènes (au moins 3 accidents sur 3 ans) et non accidentogènes (aucun accident déclaré) sur les deux axes des précédentes études, en montrant leurs vidéos à des conducteurs volontaires pakistanais. Les conducteurs n’ont perçu comme dangereux que la moitié des tronçons accidentogènes. La perception de la dangerosité des tronçons plats et droits était plus faible par rapport aux tronçons en courbes et avec une pente. La perception de la dangerosité en zone urbaine d’un tronçon accidentogène était significativement moins élevée (RC=0,58 ; IC95 %=0,51-0,68) que celle d’un tronçon non accidentogène ayant la même caractéristique (RC=2,04 ; IC95 %=1,51-2,74). La perception de la dangerosité d’un tronçon accidentogène avec panneau de signalisation était significativement plus élevée (RC=2,75 ; IC95 %=2,38-3,16) par rapport à des tronçons non accidentogènes ayant la même caractéristique (RC=0,50 ; IC95 %=0,34-0,72). Conclusion : Cette thèse montre combien des méthodes épidémiologiques simples, mais novatrices, peuvent être utiles pour évaluer le fardeau des traumatismes par accidents et leurs facteurs de risques dans les PRBM. Ces pays sont confrontés à un énorme fardeau de morbidité routière qui est souvent sous-déclarée dans les données de la police. Un système de surveillance fiable et valide est nécessaire dans les PRBM. De plus, la politique de prévention pourrait être améliorée par une meilleure communication d’information entre les autorités routières et policières concernant les facteurs situationnels. De la même façon, les mesures de sécurité dans les zones en travaux devraient être contrôlées par un système dédié. Enfin, la sécurité routière sur les routes interurbaines dans les PRBM pourrait être améliorée en rendant les routes plus « informant », en particulier avec l’application de mesures peu couteuses telles que les panneaux de signalisations sur les tronçons accidentogènes. / Background: Interurban traffic safety is a major public health problem, but has received little attention in Low- and Middle-Income Countries (LMICs). The objectives of this thesis were to assess the burden of injury related to interurban traffic, and reporting of these injuries in different datasets, to analyze situational factors (physical characteristics and environmental circumstances) associated with crash sites, and road hazard perception of high-risk crash sites in LMICs. Methods and results: These objectives were assessed in five specific studies conducted in two LMICs, Cameroon and Pakistan. In study I, traffic fatality per vehicle-km and associated crash factors were assessed using police reports for years 2004 to 2007, on the two-lane Yaoundé-Douala road section in Cameroon. Traffic fatality was 73 per 100 million vehicle-km, a rate 35 times higher than a similar road in a high-income country. Fatality was higher for crashes involving vulnerable road users, crashes between oppositely-moving vehicles, and those due to mechanical failure including tyre burst. In study II, traffic injury reporting to police, ambulance, and Emergency Department (ED) in 2008 was assessed, on the four-lane Karachi-Hala road section in Pakistan. Crash fatality was over 53 per 109 vehicle-km, a rate 13 times higher than a similar road in France. Police reported only one out of five fatalities and one out of ten severe injuries. Vulnerable road users were two times less reported in police data than ambulance or ED data. In study III, situational factors associated with injury crash sites were assessed on the Yaoundé-Douala road section, using case-control methods. Factors such as flat road profiles (adjusted Odds Ratios [OR]=1.52; 95% Confidence Interval [95%CI]=1.15-2.01), irregular surface conditions (OR=1.43; 95%CI=1.04-1.99), nearby road obstacles (OR=1.99; 95%CI=1.09-3.63), and three- (OR=3.11; 95%CI=1.15-8.39) or four-legged (OR=3.23; 95%CI= 1.51-6.92) intersections were significantly associated with injury crash sites. Furthermore, the likelihood of crash increased with built-up areas situated in plain regions (OR=2.33; 95%CI=1.97-2.77). In study IV, traffic injury burden and factors associated with Highway Work Zones (HWZs) crashes were assessed on the Karachi-Hala road section, using historical cohort methods. HWZs accounted for one third of traffic fatalities, and fatality per vehicle-km was four times higher in HWZs than other zones. One out of two HWZ crashes occurred between oppositely moving vehicles. In study V, hazard perception of high-risk (with ≥ 3 crashes in 3 years) and low-risk sites (no crash reported) from the two above road sections was assessed by showing videos to voluntary Pakistani drivers. Drivers were able to identify only half of the high-risk sites as hazardous. Sites with a flat and straight road profile had a lower hazard perception compared to those with curved and slope road profile. High-risk sites situated in built-up areas were perceived less hazardous (OR = 0.58; 95%CI=0.51-0.68) compared to low-risk sites (OR = 2.04; 95%CI=1.51-2.74) with same road situation. Further, high-risk sites with vertical road signs were more likely to be perceived hazardous (OR = 2.75; 95%CI=2.38-3.16) than low-risk sites (OR = 0.50; 95%CI=0.34-0.72) with such signs. Conclusion: This thesis illustrates how innovative yet simple epidemiological methods can be useful in assessing the injury burden and specific risk factors in LMICs. These countries face a high burden of interurban road injuries, mostly under-reported in police data. A reliable and accurate injury surveillance system is needed in these countries. Moreover, prevention policy can be improved by better information transfer between road and police authorities regarding situational factors. Similarly, a monitoring system is required to examine the HWZ safety interventions in these countries. Lastly, interurban road safety can be improved by making roads self-explaining, especially by implementing low-cost interventions such as vertical signs at high-risk sites.

Objective: A collaborative campus-community partnership program provided the framework for an intervention to reduce motor vehicle accident fatalities along a rural Appalachian highway. Students from public health, nursing and medicine worked with community members to identify the problem and plan the strategy to address it. Methods: An inquiry-based learning model proved to be an appropriate approach to engage student teams with community leaders in identifying and resolving health needs. Inquiry-based strategies place students in guided learning situations where their investigations lead to working solutions. The inquiry-based model matched the curricular objectives of the Community Partnership Program (CPP) more closely than the classroom oriented problem-based learning approach. Implementation: In the spring of 1994, students, along with citizens and officials of a rural Appalachian county, initiated a community-based prevention project focused on reducing deaths from motor vehicle accidents employing the principles of an inquiry-based learning model. Discussion: This project effectively demonstrates the role that students can play in mobilizing diverse elements of the community to address identified health and safety concerns. It provides an illustration that a longitudinal, community-based, service-learning approach to health professions education is beneficial to both student learners and communities. Conclusions: Through the use of inquiry-based learning methods, students gained real life experience in applied principles of health statistics, epidemiology, community organization, health risk communication, health education planning and program implementation. Outcomes of the project included a measurable reduction in automobile-related fatalities and the initiation by the state department of transportation of a series of investigations expected to pave the way for physical improvements to the roadway.

This research sought to understand the relationship between licensing policy and the opportunity for the development of a scientifically-based approach to identifying high risk older drivers based on prior driving history. This research focused on five tasks: 1) review of the literature, 2) compilation of information on licensing policy for use by decision-makers, 3) assessment of charges and payer source for older driver crashes using linked crash and hospital data , and 4) the development and 5) validation of an older driver crash prediction model. There is relatively little available in the way of information for policymakers regarding licensing, and there is even less information available on evaluation of licensing practice effectiveness. Emergency department charges for older males were lower than females even though males accounted for a larger percentage of the injured population. Older drivers were no more likely to be covered by public insurance than the comparison group. Crash and citation data used to develop a driver history showed no differences between drivers in injury causing crashes and drivers in non-injury crashes. Logistic regression, Poisson regression, and negative binomial regression models were unable to effectively predict crash involvement based on driver history. This is likely due to self-selection bias for older drivers and truncated distribution of count variable (injury causing crashes). Recommendations resulting from this research include Massachusetts and national policy recommendations and additional research. Massachusetts should expand beyond its referral-based system for reviewing older drivers, consider restriction rather than only revocation, review medical advisory board practices, conduct evaluation of any policies it does implement, and conduct a thorough review of alternative transportation options. Nationally, efforts should focus on developing effective cognitive/functional testing by licensing agents, identification of effective second phase of testing, determination of a mechanism for determining when to retest, and assessment of the differences between older males and females for potential use in training, education, and testing. Research recommendations include continued exploration of the potential for systematic identification of high risk drivers using administrative data and in-depth analyses of the differences between males and females in terms of aging and driver safety.

Roadway construction workers have to work in close proximity to construction equipment as well as high-speed traffic, exposing them to an elevated risk of collisions. This research aims to develop an innovative holistic solution to reduce the risk of collisions at roadway work zones. To this end, a connected hazard detection and prevention system is developed to detect potential unsafe proximities in highway work zones and provide warning and instructions of imminent threats. This connected system collects real-time information from all the actors inside and outside of the work zone and communicates it with a cloud server. A hazard detection algorithm is developed to identify potential proximity hazards between workers and connected/automated vehicles (CAV) and/or construction equipment. Detected imminent threats are communicated to in-danger workers and/or drivers. The trajectories and safety status of each actor is visualized on Virginia Connected Corridors (VCC) Monitor, a custom web-based situational awareness tool, in real-time. To assure the accuracy of hazard detection, the algorithm accommodates various parameters including variant threat zones for workers-on-foot, vehicles, and equipment, the direction of movement, workers' distance to the work zone border, shape of road, etc. The designed system is developed and evaluated through various experiments on the Virginia's Smart Roads located at Virginia Tech. Data regarding activities of workers-on-foot was collected during experiments and was used and classified for activity recognition using supervised machine learning methods. A demonstration was held to evaluate the usability of the developed system, and the results proved the efficacy of the algorithm in successfully detecting potential collisions and provide prompt warnings and instructions. The developed holistic system elevates safety of highway construction and maintenance workers at work sites. It also helps managers and inspectors to keep track of the real-time safety status of their work zone actors as well as the accidents occurrences. As such, with the connected work zone hazard detection system, the safety level and productivity of the workers is expected to be greatly enhanced. / Master of Science / In order to reduce the risk of collisions for roadway construction workers, this research aims to develop an innovative holistic solution at roadway work zones. In this research, a connected hazard detection and prevention system is developed to detect potential collision hazards in highway work zones and generate warning and instructions of imminent threats. This system collects real-time information from all the workers, construction equipment and connected/automated vehicles (CAV) of the work. A hazard detection algorithm is developed to identify potential proximity hazards between them as well as to recognize the activities of workers. The trajectories and safety status of each worker, equipment or vehicle is visualized on Virginia Connected Corridors (VCC) Monitor, a custom web-based tool, in real-time. A demonstration was held to evaluate the developed system, and the results proved the efficacy of the algorithm in successfully detecting potential collisions and provide prompt warnings and instructions. The developed holistic system helps managers and inspectors to keep track of the real-time safety status of their work zone worker, equipment and vehicles as well as the accidents occurrences. As such, with the connected work zone hazard detection system, the safety level and productivity of the workers is expected to be greatly enhanced.

Highway safety has been a priority for many years now. A system-wide crash analysis is a practical solution when only a limited budget is available for improving safety of highways. A systematic approach, in contrast to a hotspot analysis, allows for a widespread installation of lower-cost countermeasures across the highway network. This study focuses on the safety evaluation of a particular facility type, urban freeway off-ramps, in terms of its geometric and traffic characteristics. 144 off-ramp segments in Richmond, VA were evaluated based on the crash data available from 2011 to 2015. A statistical model was developed that relates crashes to the geometric and traffic characteristics of each off-ramp segment. A test for independence was performed to identify if a statistically significant difference existed between type of collision and severity of crashes with respect to ramp geometry and traffic control. Significant geometric and traffic variables were then identified from the model and independence test to assist in the selection of low-cost countermeasures. AADTs of both freeways and off-ramps were found to be the most statistically significant variables. Installation of advance warning signs for better traffic management near the freeway diverge area and clearing roadsides of fixed objects to reduce rear-end collisions are low-cost solutions for crashes on urban off-ramps in the study area. The results of this study demonstrate an approach to safety evaluations that could support transportation planners and agencies in identifying system-wide locations to install or apply appropriate low-cost countermeasures. / Master of Science

Doctor of Philosophy / Department of Civil Engineering / Sunanda Dissanayake / Young drivers have elevated motor vehicle crash rates compared to other drivers. This dissertation investigated characteristics, contributory causes, and factors which increase the injury severity of young driver crashes in Kansas by comparing them with more experienced drivers. Crash data were obtained from the Kansas Department of Transportation. Young drivers were divided into two groups: 15-19 years (teen) and 20-24 years (young adult) for a detailed investigation. Using data from 2006 to 2009, frequencies, percentages, and crash rates were calculated for each characteristic and contributory cause. Contingency table analysis and odds ratios (OR) analysis were carried out to identify overly represented factors of young-driver crashes compared to experienced drivers. Young drivers were more likely to be involved in crashes due to failure to yield-right-of way, disregarding traffic signs/signals, turning, or lane changing, compared to experienced drivers. Ordered logistic regression models were developed to identify severity affecting factors in young driver crashes. According to model results, factors that decreased injury severity of the driver were seat belt use, driving at low speeds, driving newer vehicles, and driving with an adult passenger. The models also showed that alcohol involvement, driving on high-posted-speed-limit roadways, ejection at the time of crash, and trapping at the time of crash can increase young drivers’ injury severity. Based on identified critical factors, countermeasure ideas were suggested to improve the safety of young drivers. It is important for teen drivers and parents/guardians to gain better understanding about these critical factors that are helpful in preventing crashes and minimizing driving risk. Parents/guardians can consider high-risk conditions such as driving during dark, during weekends, on rural roads, on wet road surfaces, and on roadways with high speed limits, for planning teen driving. Protective devices, crash-worthy cars, and safer road infrastructures, such as rumble strips, and forgiving roadsides, will particularly reduce young drivers’ risk. Predictable traffic situations and low complexity resulting from improved road infrastructure are beneficial for young drivers. The effectiveness of Kansas Graduated Driver Licensing (GDL) system needs to be investigated in the future.

The Crash Modification Factor (CMF) clearinghouse can be used to estimate benefits for specific highway safety countermeasures. It assists safety professionals in the allocation of investments. The clearinghouse contains over 7000 entries of which only 446 are categorized as intelligent transportation systems or advanced technology, but none directly address connected or autonomous vehicles (CAVs). Further, the effectiveness of highway safety countermeasures is assumed to remain constant over time, an assumption that is particularly problematic as new technologies are introduced. For example, for the existing fleet of human-driven vehicles, installation of rumble strip can potentially reduce “run-off-road” crashes by 40%. If specific CAV technologies, e.g., lane-tracking, can work without rumble strips, and say, half of all cars are so equipped, only half of the fleet will benefit, reducing the benefits of rumble strips by a commensurate amount. Benefits of the two improvements, e.g., rumble strips and automated vehicles, should not be double-counted. As there will still be human-driven and/or non-connected vehicles in the fleet, conventional countermeasures are still necessary, although returns on conventional safety investments may be significantly overestimated. This is important as safety investments should be optimized and geared to future, not past fleets. Moreover, as CMFs are based on historical events, the types of crashes experienced by human-driven, un-connected cars are likely to be much different in the future. This research presents methods to estimate the safety benefits that autonomous vehicles have to offer and the changes needed in CMFs as a result of their adoption. This will primarily be achieved by modifying and enhancing a tool co-developed by the Fellow that estimates the safety benefits of different levels of autonomy. This tool, ddSAFCAT, estimates CAV safety benefits using real-world data for crashes, market penetration, and effectiveness.

In roadway projects, design exceptions are implemented when the project site consists of one or more substandard design elements. The objective of this thesis is to conduct an initial investigation for a monitoring program for the safety performance of design exceptions in Georgia. A total of 467 projects containing design exceptions were reported in Georgia from 1995 to 2011, and from this crash data for 179 projects from 2003 to 2008 were sampled. The crash data collected in this research pertains to all roadway segments within the projects and is not necessarily related to the design exceptions. Future efforts will be required to explore potential connections between the crash rates and design exceptions. The annual crash results generally revealed a high variability and randomness in the data. For this reason, the average 3-year crash frequencies before design exception approval date and after it were calculated to determine the safety performance for projects containing design exceptions. A method for determining expected results using the Highway Safety Manual (HSM) predictive method is also discussed. The findings will be used to guide future research on design exceptions and mitigation measures to improve roadway safety.

Via, condutor e veículo são os principais componentes de um sistema viário. A segurança viária decorre de como estes agentes se relacionam entre si. Esta relação pode ser avaliada através da velocidade operacional que o condutor aplica em seu veículo segundo a percepção de conforto e segurança repassada pela rodovia. A análise da consistência geométrica é uma ferramenta de análise para rodovias de pista simples que permite identificar o padrão de utilização das mesmas, através de modelos de estimativa da velocidade operacional e de critérios classificatórios. A análise de consistência geométrica vem sendo utilizada como ferramenta para avaliar problemas de projeto e operação de rodovias existentes e em projeto. A Federal Highway Administration – FHWA recomenda a utilização deste tipo de análise para avaliar a segurança viária de rodovias de pista simples. Os modelos utilizados na análise de consistência geométrica estão calibrados para condicionantes culturais do condutor, de veículos e de rodovias dos Estados Unidos. Assim, a aplicação direta do software IHSDM – Interactive Highway Safety Design Model em rodovias de pista simples do Brasil não é recomendada. A presente Tese propõe um método para análise da consistência geométrica de rodovias brasileiras de pista simples. O método utiliza modelos próprios para estimativa da velocidade operacional, critérios de aplicação das taxas de aceleração e desaceleração e propõe um índice para classificação das rodovias por quilômetro e por trecho: o ICG (índice de consistência geométrica). No estudo de caso, 14 trechos rodoviários, totalizando 225 quilômetros, são submetidos à análise pelo método proposto. A classificação obtida é confrontada com quatro índices de acidentes distintos, resultantes de uma base de dados de acidentes de seis anos, com 14.608 ocorrências. O resultado deste confronto apresenta uma correlação entre o índice de consistência geométrica por trecho, proposto, e o índice de acidentes totais e parciais de 0,59. O valor obtido confirma a relação prevista entre a freqüência de acidentes e indicadores de consistência geométrica, verificada pela FHWA, surpreendendo pela sua intensidade. O melhor desempenho do índice proposto é associado a sua composição, contemplando os critérios de segurança I (consistência do projeto) e II (consistência da velocidade operacional) e ao comportamento verificado em condutores brasileiro, menos sensíveis a restrições geométricas. / The highway, the individual users and the vehicle are the main agents of a traffic system. Traffic safety is determined by how these agents interconnect. Such relation may be assessed by the observation of the operational speed the driver uses in the vehicle according to his perception of comfort and safety of the roadways. The design consistency analysis is an assessment tool for rural two-lane highways which allows the identification of their usage patterns by using operational speed estimate models and sorting criteria. The design consistency analysis has been used as a tool to assess project and operation flaws of existing highways and projects to construct new highways. The Federal Highway Administration – FHWA recommends the use of this kind of analysis to assess the traffic safety of rural two-lane highways. The models used for the design consistency analysis are calibrated to the conditional cultural aspects of United States of America’s drivers, vehicles and highways. Therefore, the straight application of IHSDM – Interactive Highway Safety Design Model software in Brazilian rural two-lane highways is not recommended. This doctoral thesis aims at presenting a method of design consistency analysis of Brazilian rural two-lane highways. Such method uses original models for estimating the operational speed, new criteria for application of acceleration vehicle dynamics rate and introduces a new index to classify highways by kilometer and by segment: the ICG or Design Consistency Index. In this case study, 14 roadway segments – of a total of 225 kilometers – were analyzed by the proposed method. The resulting classification was compared to four other accident indexes from a database of 14,608 official records collected in six years. The result of this comparison leads to a correlation between the proposed design consistency index by highways segment and the total and partial accident index of 0.59. The result confirms the foreseen relation between the accident frequency and the design consistency indicators verified by FHWA – and its intensity is astonishing. The best performance of the proposed index is associated to its composition, which involves the safety criteria I (design consistency) and II (operational speed consistency), and to the behavior observed in Brazilian drivers, less sensitive to geometric restrictions.