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More than 1.25 million people are killed on roads each year, the majority in developing countries, making traffic fatalities the tenth leading cause of death worldwide. Children, elderly and poor people are particularly vulnerable. Are drivers and pedestrians always to blame? Research from WRI Ross Center for Sustainable Cities and the Global Road Safety Facility of the World Bank finds that the most effective way to prevent traffic deaths is a systemic approach that shifts responsibility away from the drivers and pedestrians using roads to the city planners and officials designing them. Analysis in 53 countries found that those that have taken a “Safe System” based approach have achieved both the lowest rates of fatalities per 100,000 inhabitants and the greatest reduction in fatality levels over the past 20 years.