Over 50 people have been killed in bus accidents along Nepal's highways between September and October. More than 100 passengers were injured and hospitalised. One of the worst incidents was on 13 September when a passenger bus skidded off into the river at Bhyaple Pokhara-Baglung Highway. According to an American research report, 'The Causes of Bus Accidents in Five Emerging Nations', Nepal has one of the world's highest rates of accidents, mainly caused by drunken driving, poor road and vehicle conditions and driver fatigue.