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<br /> <br />Died at <br />scene <br /> <br />< 1 hour <br /> <br />> 1 hour <br /> <br />hospital, total <br /> <br />Total <br /> <br />[ <br />L <br />L <br />[- <br />i <br />I- <br />I- <br />L <br />L <br />L <br />l- <br />[ <br />,- <br />r- <br />L <br />L <br />L <br />[ <br /> <br />Why is the Traffic-Related Death Rate so High in Hawaii County? <br /> <br />ENVIORNMENTAL FACTORS <br /> <br />EMERGENCY MEDICAL SERVICES <br />. "The figure below shows the crude fatality rates (adjusted for resident population) for <br />motorists, for various time periods. The fatality rate for motorists killed at the scene on <br />Hawaii County rate was nearly 5 times higher than for Honolulu County (13.3 vs. 2.8 <br />deathsj100,OOO population, respectively). The death rate at the scene for Neighbor <br />Islands (9.8) was nearly four times higher than Honolulu County. There were also <br />significant differences in the fatality rates for crash victims who were transported and <br />died in hospital settings, when comparing Honolulu to Hawaii County or all Neighbor <br />Islands combined" (Dan Galanis, Ph.D., Hawaii Department of Health, Injury and <br />Prevention Control, 2009). [Figure 10] <br /> <br />. The nearly five times highefdeath rate for Hawaii County compared to Honolulu County at the <br />scene is most likely related to 1) higher crash impact associated with cross centerline crashes <br />on undivided rural roads, and 2) longer times for Emergency Medical Services (EMS) transport <br />because of longer distances and relatively fewer ambulances per square mile. [See Figure 11] <br /> <br />Figure 10 <br /> <br />5 <br /> <br /> <br /> <br />Hawaii County <br /> <br />24.3* <br />(42) <br /> <br />5 <br /> <br />Neighbor Islands <br />Honolulu County <br /> <br />20 <br /> <br />15 <br /> <br />10 <br /> <br />o <br /> <br />Transported, died in hospital <br /> <br />* Denotes statistically significant difference in fatality rate vs. Honolulu County. <br /> <br />1- <br />l <br /> <br />8 · Assessing the Problem <br />