![]() ![]() 4 There is also heterogeneity in what is considered a Vision Zero approach and cities are at various stages of implementing Vision Zero initiatives, which may influence the findings. ![]() 4 5 Major barriers to Vision Zero implementation include political resistance to road traffic policy changes, for example, rhetoric about a ‘war on cars’ in the context of road safety, and the absence of the political will necessary to allocate sufficient resources to capital projects. 2 3 Conversely, other North American cities such as Toronto, Chicago and Washington, DC have seen traffic fatalities rise or remain unchanged following Vision Zero implementation. For example, New York City reported a 33% decrease in traffic deaths from 2013 to 2019, and Edmonton, Canada, reported a 56% reduction in road user fatalities and a 30% reduction in serious injuries following Vision Zero interventions. The Vision Zero approach emphasises a multidisciplinary, intersectoral collaborative approach informed by data, and has been implemented in many cities throughout North America, Europe, Australia and New Zealand.Įvidence of the effectiveness of Vision Zero-primarily from descriptive government reports-is inconsistent. 1 Vision Zero focuses on the design of safe roadways and transportation systems, while moving the responsibility for road safety away from the individual to the built environment. The Vision Zero Road Safety Initiative-to eliminate all severe and fatal road traffic injuries-originated in Sweden in the 1990s. Correspondence to Dr Linda Rothman, School of Occupational and Public Health, Ryerson University, Toronto, ON M5B 2K3, Canada.8 Orthopaedic Surgery, Hospital for Sick Children, Toronto, Ontario, Canada.6 Department of Geography, Geomatics and Environment, University of Toronto–Mississauga, Toronto, Ontario, Canada.5 School of Kinesiology and Health Science, Faculty of Health, York University, Toronto, Ontario, Canada.4 Department of Paediatrics, University of Calgary, Calgary, Alberta, Canada.3 Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.2 Child Health Evaluative Sciences, Hospital for Sick Children Research Institute, Toronto, Ontario, Canada.1 School of Occupational and Public Health, Faculty of Community Services, Ryerson University, Toronto, Ontario, Canada. ![]()
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