Road traffic fatalities increased in Africa in the decade up to 2021, but declined in the rest of the world, suggesting a need to strengthen road safety on the continent. A World Health Organisation survey shows that Africa’s road traffic fatality rate — 19.4 deaths per 100,000 people — exceeds the global rate of 15 per 100,000. Safety strategies should be tailored for the region to address Africa’s disproportionately high road fatality rate, the WHO recommends. It says the region only accounts for 3% of the global vehicle fleet but experiences 19% of fatalities.