If this were a war, you might say the casualty figure was high - more than 15,000 people killed in a year. But on this battlefield, it is not guns that do the killing. It is cars, lorries and motorcycles.
There is no getting away from it, it is dangerous on Thailand's roads. Every year, the death and injury figures make sombre reading. But there is one city that offers a message of hope.
Khon Kaen, about 480km northeast of Bangkok, has little to distinguish it, apart from some 5,000-year-old pots and bones at a nearby archaeological site. But it does appear to have an answer to the madness of road deaths. Its death toll fell from about 1,500 in 1996 to 302 last year.
This is the reason the World Heath Organisation's road safety department recently set up an office there, providing training and resources for Bangladesh, Bhutan, India, Indonesia, Maldives, Myanmar, Nepal, North Korea, Sri Lanka - and Thailand.
On the frontline in the war on road deaths and injuries is Wittaya Chatbanchachai, who heads the Accident Protection Centre at Khaon Kaen hospital.
He said the main impetus for Khon Kaen's fight came from the province's governor, Wijarn Chaiyanand, a decade ago, following a higher-than-average road-death toll. But as Dr Wittaya makes clear, there is no magic answer to the way Khon Kaen has slashed the number of road deaths.