At least in cities, the introduction of the motor car
improved road safety. Spooked horses were a leading cause of accidents. Working horses weigh anywhere from 600-1000kg and can easily trample or kick a man to death. Carriages had completely ineffective brakes and were effectively impossible to stop in an emergency. Their large wooden wheels and open underframes could cause horrific injuries due to entanglement, even at walking pace.
Then, as now, the most common accidental cause of debilitating injury and death is quite humble - trips and falls. As our population ages, this problem becomes more and more serious due to what geriatric specialists call the cycle of falls.
The cycle starts when an elderly person has a minor fall, which causes them to be hospitalised or bedridden for a few days. This period of inactivity causes muscle atrophy and a decline in coordination, which greatly increases their risk of falling and their risk of being seriously injured when they do fall. Without appropriate intervention, a fit and healthy older person can become extremely frail within the space of two or three years due to a series of increasingly more frequent and serious falls.