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Indeed Eva. The time to act is now. The nature and characteristic of the road safety challenge are known. The UN Decade on road safety offers an unique opportunity to push forward the multisectoral agenda. And as we are advocating in the health sector for strong health systems, a comprehensive ‘safe system’ approach also needs institutional arrangements to help and sustain its implementation systematically over the medium term. The good news is that many countries in different regions already have structures and processes in place to achieve quick wins and begin to reduce ‘death on wheels’. So we need to build upon them as well.