Skip to Content
Streetsblog USA home
Streetsblog USA home
Log In
Streetsblog.net

Why Isn’t Traffic Reduction a Top Public Health Concern?


Earlier this week, Ken Archer at Greater Greater Washington posted this revealing graphic showing the relationship between the amount of driving we do in the United States and the death toll on our roads. Even as conventional traffic safety techniques have made driving less deadly, the rise in miles driven knocked back those improvements. It wasn't until our collective mileage flattened out that safety gains could be fully realized. Thousands of lives were saved when the growth in driving came to a halt.

So it should seem obvious that policy discussions of the risk posed by traffic should prioritize measures to reduce driving and encourage travel by other means, but, as Archer notes, public health authorities tend not to attack the problem that way:

Traffic is the leading cause of death among children worldwide and the leading causeof death among 1-34 year olds in the United States. So, why isn'ttraffic considered the top threat to public health by the CDC, WHO andfederal, state and local governments?

Whydon't officials approach traffic reduction with the same urgency thatthey approach, say, tobacco or malnutrition? The answer can be found inthe CDC's publications on injury prevention...

The CDC, NIH and other agencies focus on traffic safety as the preventable cause of death, not traffic itself. WHO's recommendations for addressing traffic fatalities are "speed, alcohol, seat-belts and child restraints, helmets, and visibility."[Editor's note: The WHO and CDC have also issued reports recommending traffic reduction strategies.] The flaw in this exclusive focus on traffic safety is that increasedsafety only matters when vehicle miles traveled (VMT) are kept staticor reduced. Instead, safety improvements that reduce fatalities per VMThave been offset by rising VMT...

Are we serious about public health? The sooner we start demandinghonesty about the causes of the top killer of children here and abroadthe better, because during the 2 minutes you spent reading thisarticle, another child died in a traffic collision.

One agency that has focused attention on traffic as a public safety threat, Archer notes, is the New York City Department of Health, which recently released a report indicating that the city's robust transit system is a big reason why traffic-related child deaths are relatively low -- one-third the national average.

Elsewhere on the Network: Cap'n Transit on transit funding kludges. (What's a kludge? You'll just have to follow the link.) M-Bike notes another milestone for Michigan's complete streets bill. And Straight Outta Suburbia critiques Los Angeles's minimum parking requirements.

Stay in touch

Sign up for our free newsletter

More from Streetsblog USA

Friday Video: Should We Stop Calling Them ‘Low-Traffic Neighborhoods’?

Is it time for London's game-changing urban design concept to get a rebrand?

January 30, 2026

Friday’s Headlines Yearn to Breathe Free

While EVs aren't the be-all end-all, especially when it comes to traffic safety, they do make the air cleaner. Most of the U.S. is falling behind on their adoption, though.

January 30, 2026

Talking Headways Podcast: One Year of Congestion Pricing

Danny Pearlstein of New York City's Riders Alliance breaks down how advocates made congestion pricing happen in the Big Apple.

January 29, 2026

Improving Road Safety Is A Win For The Climate, Too

Closing the notorious "fatality target" loophole wouldn't just save lives — it'd help save the human species from climate catastrophe, too.

January 29, 2026

Delivery Workers Are the Safest Cyclists On the Road, Study Finds

Deliveristas are less likely to engage in roadway behaviors that endanger pedestrians or themselves. So why are they so villainized?

January 29, 2026

The Cup Runneth Over With Thursday’s Headlines

Density lends itself to an abundance of transportation options and an abundance of money saved by not driving, writes David Zipper.

January 29, 2026
See all posts