Every year in Commonwealth countries over 210,000 people are killed in road crashes and millions more are seriously injured. Today road traffic injuries are now the leading cause of death for children and young people aged 5-29 years. This is a major challenge for the Commonwealth as over 60% of its countries’ population is under 30. Road safety in the 53 countries of the Commonwealth is very diverse. Fatality rates in road crashes range from 3 to above 30 per 100,000 population. However, in nearly all Commonwealth countries fatality and injury rates are rising rather than falling. Across the Commonwealth the level of road deaths remains unacceptably high and urgent action is required to prevent the loss of over 2 million lives in the decade to 2030.