On the road The major cause of serious injury and death on holiday isn't infection disease, but transport.

In this article

Dangerous driving

Killer wheels

Stay safe

Trauma, especially motor vehicle crashes, is a leading cause of death and disability across the world. The risk of car, minibus or motorcycle-related death may be seven to 13 times higher in developing countries than in western Europe.

Minibuses (also called jitneys or 'killer combis') are the most dangerous form of travel. These are often run by entrepreneurs who make their money by carrying as many people on as many trips possible. They travel at high speeds and are rarely fitted with seatbelts.

Developing countries rarely report accurate accident and death rates. However, besides minibuses, the most dangerous means of transport, in order, are:

• Motorcycles
• Bicycles
• Walking
• Automobiles
• Airplanes
• Scheduled buses
• Trains

To reduce your risk of injury:

• Check local traffic regulations and stick to the speed limit
• Wear a seatbelt in cars and ensure children are strapped into car seats or child restraints
• If travelling by motorcycle or moped, wear a helmet and protective clothing
• When hiring a car or bike, check the condition of the vehicle and the insurance cover
• Walk, cycle or drive defensively
• Never drive under the influence of alcohol or drugs

This article was last medically reviewed by Dr Trisha Macnair in September 2006.
First published in May 2001.