title: The Characteristics of Road Traffic Fatalities in Kazakhstan's Semey Region, 2006-2010: A Descriptive Retrospective Study.
abstract: BACKGROUND
  Kazakhstan, a developing middle-income country, has the highest road traffic collision (RTC) mortality in the European Region. The aims of this study were to determine main characteristics of road traffic fatalities in Semey region, Kazakhstan and to compare findings with National data and middle-income European countries.
  
  
  METHODS
  This descriptive surveillance study assesses RTC mortality rates and epidemiology in the Semey Region of East Kazakhstan Oblast. Data of all 318 road traffic fatalities form the Semey Regional Center for Forensic Medicine were analyzed for the 5-year period of January 1, 2006 through December 31, 2010.
  
  
  RESULTS
  Over the study period, the average road traffic mortality in the Semey Region was 12.1 per 100,000 population with downward trend by 35.1% (p=0.002). The victims mean age was 37.1 (SD=17) years. Males predominated at 74.5%. Vehicle fatality was the most common mode of fatality at 61.3%. The majority of collisions, 53.1%, occurred on highways. Most victims, 67.3%, have died at the scene of collision; in 67.3% of fatalities, autopsies identified multiple injuries as cause of death. The high number of fatal collisions took place in "no snow" season (P<0.001), with an overall 5-years downward dynamic.
  
  
  CONCLUSIONS
  High proportion of males, pedestrians and car occupants among road traffic fatalities; high proportion of death on scene in case of highway collisions are specifics for Semey region, Kazakhstan. These findings can be used to formulate preventive strategies to reduce fatalities and to improve the medical care system for road traffic fatalities.
authors.affiliation: 1. Surgery and Orthopedic department, Semey State Medical University , Semey, Kazakhstan.
authors.forename: Ayan
authors.initials: A
authors.lastname: Myssayev
authors.affiliation: 2. Public Health Management, College of Asia Pacific Studies, Ritsumeikan Asia Pacific University , Beppu, Japan.
authors.forename: Serik
authors.initials: S
authors.lastname: Meirmanov
authors.affiliation: 3. Semey State Medical University , Semey, Kazakhstan.
authors.forename: Tolebay
authors.initials: T
authors.lastname: Rakhypbekov
authors.affiliation: 4. Department of surgery internship, Semey State Medical University , Semey, Kazakhstan.
authors.forename: Tolkyn
authors.initials: T
authors.lastname: Bulegenov
authors.affiliation: 5. Pharmacology and evidence-based medicine, Semey State Medical University , Semey, Kazakhstan.
authors.forename: Yuliya
authors.initials: Y
authors.lastname: Semenova
keywords: Accident; Epidemiology; Kazakhstan; Road traffic fatality