Country | Country Visitation Rank 1 | World Health Organization Estimated Crash Death Rate per 100,000 Population 2 | |
Mexico | 1 | 12.3 | 159 |
Canada | 2 | 6.0 | 10 |
United Kingdom | 3 | 2.9 | 3 |
Dominican Republic | 4 | 29.3 | 15 |
Italy | 5 | 6.1 | 3 |
France | 6 | 5.1 | 1 |
Germany | 7 | 4.3 | 10 |
Jamaica | 8 | 11.5 | 14 |
Spain | 9 | 3.7 | 2 |
China | 10 | 18.8 | 12 |
India | 11 | 16.6 | 9 |
Costa Rica | 12 | 13.9 | 12 |
Bahamas | 13 | 13.8 | 0 |
Japan | 14 | 4.7 | 2 |
Ireland | 15 | 4.1 | 0 |
Netherlands | 15 | 3.4 | 1 |
Philippines | 17 | 10.5 | 10 |
Colombia | 18 | 16.8 | 1 |
Aruba | 18 | NA | 0 |
Switzerland | 20 | 3.3 | 0 |
Israel | 20 | 3.6 | 0 |
Peru | 20 | 13.9 | 3 |
Hong Kong | 20 | NA | 1 |
Thailand | 24 | 36.2 | 21 |
Austria | 24 | 5.4 | 0 |
Greece | 24 | 9.1 | 5 |
South Korea | 27 | 12.0 | 6 |
Taiwan | 27 | NA | 8 |
Australia | 29 | 5.4 | 5 |
Abbreviation: NA, data not available. | |||
1 US Department of Commerce, National Travel & Tourism Office. Top destinations of US residents traveling abroad, 2015–2016. December 2017. [cited 2018 Apr 2]. Available from: http://travel.trade.gov/research/programs/ifs/index.html. | |||
2 World Health Organization. WHO global status report on road safety 2015. Geneva: World Health Organization; 2015 [cited 2018 Apr 2]. Available from: www.who.int/violence_injury_prevention/road_safety_status/2015/en. | |||
3 US Department of State. Deaths of US citizens abroad by nonnatural causes. Washington, DC: US Department of State; 2018 [cited 2018 Mar 1]. Available from: https://travel.state.gov/content/travel/en/international-travel/while-abro.... | |||
4 A total of 171 crash deaths occurred in countries not included in the list of top visited countries, including New Zealand (13 deaths); Honduras (11 deaths); Cuba and Cambodia (8 deaths each); Vietnam, Haiti, and Saudi Arabia (7 deaths each); and South Africa (6 deaths). All other countries not listed reported ≤5 deaths in 2015–2016. |
Seat belts and child safety seats | Always use seat belts and child safety seats. Whenever possible, rent vehicles with seat belts and ride in taxis with seat belts, opting for the rear seat. Bring car seats or booster seats from home for children. Remember you can refuse a taxi if seat belts are not available or the vehicle is in disrepair. |
Driving hazards | When possible, avoid driving at night in developing countries (adequate lighting is limited in many countries). Always pay close attention to the correct side of the road when driving in countries that drive on the left. Speed is a major risk factor for crashes, injury, and death. Note speed limits, but you will also need to take into account the driving conditions (road quality, infrastructure, weather). |
Country-specific driving hazards | Check the US Department of State Driving and Road Safety Abroad to learn more about driving in another country, and check the Association for Safe International Road Travel website for driving hazards or risks by country. |
Helmet use | Always wear helmets when riding a motorcycle, motorbike, or bicycle. Consider bringing one from home to ensure it meets safety standards. A good-quality helmet can reduce the risk of death by 40% and severe injury by 70%. When possible, avoid driving or riding on motorcycles or motorbikes, including motorcycle and motorbike taxis. Traveling overseas is not the time to learn to drive a motorcycle/motorbike. |
Alcohol-impaired driving | Alcohol increases the risk for all causes of injury. Do not drive after consuming alcohol or other drugs, and avoid riding with someone who has been drinking. Penalties for impaired driving (alcohol or drugs) can be severe overseas, and laws vary widely by country. |
Cellular telephones | Do not use a cellular telephone or text while driving. Distracted driving increases your risk of a crash. Many countries have enacted laws banning cellular telephone use while driving, and some countries have made using any kind of telephone, including hands-free, illegal while driving. |
Taxis or hired drivers | Ride only in marked taxis. Try to ride in taxis with seat belts. If no seat belt is available, wait for another taxi. Hire drivers familiar with the area and that have official status or credentials as taxis. Ask the US embassy or consulate for taxi company recommendations. |
Bus travel | Avoid riding in overcrowded, overweight, or top-heavy buses or minivans, and avoid riding in mountainous terrain, at night, and with an impaired (alcohol or drugs) or distracted driver. |
Pedestrian hazards | Be alert when crossing streets, especially in countries where motorists drive on the left side of the road. Walk with a companion or someone from the host country. When available use crosswalks and follow pedestrian signals. Pay full attention to your surroundings when crossing streets (don’t walk distracted). |
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