In an average year, 1.35 million people die on the world’s roads and another 50 million are seriously injured. Most (93%) of the deaths happen in low- and middle-income countries, and sub-Saharan Africa is the global hotspot in the road death pandemic. In South Africa 26 out of every 100,000 people die on the roads—far higher than the global average of 18 per 100,000.