Highway safety : federal and state efforts to address rural road safety challenges. United States General Accounting Office Report to Congressional Committees.

Traffic crashes are a major cause of death and injury in the United States. In 2002, there were 42,815 fatalities and over 2.9 million injuries on the nation's highways. Crashes on rural roads (roads in areas with populations of less than 5,000) account for over 60 percent of the deaths nationwide, or about 70 deaths each day. Further, the rate of fatalities per vehicle mile traveled on rural roads was over twice the urban fatality rate. The General Accounting Office (GAO) identified (1) the factors contributing to rural road fatalities, (2) federal and state efforts to improve safety on the nation's rural roads, and (3) the challenges that may hinder making improvements in rural road safety. Four primary factors contribute to rural road fatalities-human behavior, roadway environment, vehicles, and the care victims receive after a crash. Human behavior involves the actions taken by or the condition of the driver and passengers. Human behaviors are important because almost 70 percent of the unrestrained (unbelted) fatalities between 2000 and 2002 occurred in rural crashes. Additionally, the majority of alcohol- and speeding-related fatalities occurred on rural roads. Roadway characteristics that contribute to rural crashes include narrow lanes, sharp curves, trees, and animals. Vehicle factors include problems that arise due to the design of vehicles and are important for both urban and rural roads. Care of crash victims also contributes to rural fatalities because of the additional time needed to provide medical attention and the quality of rural trauma care. In fiscal year 2003, the Federal Highway Administration (FHWA) provided about $27.4 billion in federal-aid highway funds to states. While many projects using these funds have safety features, the amount used for safety is not tracked. However, about $648 million of these funds went to the Hazard Elimination and Rail-Highway Crossings Programs and were specifically provided for safety purposes-about $330 million of which went to improve rural road safety. The National Highway Traffic Safety Administration (NHTSA) provided about $671 million to states for activities that influence both rural and urban drivers' behavior in such areas as safety belt use, drunk driving, or speeding. States are ultimately responsible for selecting the projects to support with federal funding. The five states GAO visited used a portion of the funding received for rural road safety. Many challenges hinder efforts to improve rural road safety-for example, not all states have adopted safety belt and drunk driving laws that might curb behavior contributing to rural road fatalities. In addition, states are limited in using federal-aid highway funds for certain rural roads, and most rural roads are the responsibility of local governments that may lack the resources to undertake costly projects to improve road safety. Further, some states lack adequate crash data to support planning and evaluation of safety projects. Lastly, the nature of rural areas makes it difficult to provide adequate emergency medical care.