The Detection of Pedestrians Crossing from the Oncoming Traffic Lane Side to Reduce Fatal Collisions Between Vehicles and Older Pedestrians

To inform the development of effective prevention strategies for reducing pedestrian fatalities in an ageing society, a retrospective analysis was conducted on fatal pedestrian–vehicle collisions in Japan. All pedestrian fatalities caused by motor vehicle collisions between 2013 and 2022 in Shiga Prefecture were reviewed. Among the 164 pedestrian fatalities (involving 92 males and 72 females), the most common scenario involved a pedestrian crossing the road (57.3%). In 61 cases (64.9%), pedestrians crossed from the oncoming traffic lane side to the vehicle’s lane side (i.e., crossing from right to left from the driver’s perspective, as vehicles drive on the left in Japan). In 33 cases (35.1%), pedestrians crossed from the vehicle’s lane side to the oncoming traffic lane side. Among cases of pedestrians crossing from the vehicle’s lane side, 54.5% were struck by the near side of the vehicle’s front, whereas 39.7% of those crossing from the oncoming traffic lane side were hit by the far side of the vehicle’s front (p = 0.02). Therefore, for both crossing directions, collisions frequently involved the front left of the vehicle. When pedestrians were struck by the front centre or front right of the vehicle, the collision speeds were higher when pedestrians crossed from the oncoming traffic lane side to the vehicle’s lane side rather than crossing from the vehicle’s lane side to the oncoming traffic lane side. A significant difference in collision speed was observed for impacts with the vehicle’s front centre (p = 0.048). The findings suggest that increasing awareness that older pedestrians may cross roads from the oncoming traffic lane side may help drivers anticipate and avoid potential collisions.