title: Burden of motorcycle-related injury in Malaysia.
abstract: BACKGROUND
  Road traffic injury (RTI) contributes to major morbidity and mortality in both developed and developing countries. Most of the injuries are caused by road-related injuries that specifically relate to motorcycle crash. We attempted to conduct a short survey to determine the magnitude of burden related to motorcycle-related RTIs in Malaysia. We hypothesize that motorcycle-related RTI in Malaysia contributes significantly to the health burden in the country.
  
  
  METHODS
  The cross-sectional survey involves data searching related to RTI in Malaysia from the relevant agencies such as the Ministry of Health Malaysia, Royal Police Force, and Malaysia Institute of Road Safety Research (MIROS) through their official websites and PubMed search. The three agencies are well established and recognized by the Malaysian government in dealing with data collection for the injury nationwide. The primary aim is to determine the prevalence of motorcycle-related RTI, and secondary outcomes are the overall mortality and the contributing factors.
  
  
  RESULTS
  Of the cause of trauma, 80 % is due to RTI, and the most vulnerable road users such as pedestrians and motorcyclists are affected the most. Of all RTI, 70 % is contributed by the motorcycle crash, and there are a significant number of deaths for both rider and pillion rider of the motorcycle than for other types of vehicles. Human error is the main reason to be blamed, specifically the attitude of the riders on the road.
  
  
  CONCLUSIONS
  Trauma is one of the common reasons for death and hospitalization in Malaysia. Motorcycle-related RTI in Malaysia contributes significantly to the health burden in Malaysia. The Malaysian government and non-government agencies have worked together seriously in implementing a preventive measure to reduce the incidence and aftermath of motorcycle-related RTI. However, data is still lacking, and every effort is made to increase the amount of research in the field. Strengths of the article are as follows:Latest alarming data on motorcycle-related injuries in the developing country.The data is collected from multi-agencies recognized by ministries in the country.Very limited publication specifically on motorcycle-related injuries is available. Limitations of the article are as follows:The data is only from one country.The statistical data is gathered from a variety of sources, i.e., relevant agencies and authorities and website of the involved ministries.
authors.affiliation: School of Medical Sciences, USM, Kota Bharu, 16150 Malaysia.
authors.forename: Nik Hisamuddin Na
authors.initials: NH
authors.lastname: Rahman
authors.affiliation: School of Medical Sciences, USM, Kota Bharu, 16150 Malaysia.
authors.forename: Kamarul A
authors.initials: KA
authors.lastname: Baharuddin
authors.affiliation: School of Health Science, USM, Kota Bharu, 16150 Malaysia.
authors.forename: Syarifah Mastura S
authors.initials: SM
authors.lastname: Mohamad
keywords: Injury; Motorcycle; Road safety; Trauma