Progressive and inertial scenarios for the development of the socio-economic situation in the country are considered, for the case when the external environment forms a situation in which the number of road accidents and those killed as a result of the road accident will increase steadily every year. The necessity of the formation of a strategic document in the field of road safety for the medium term is substantiated; the actualization of priority activities and the system of corresponding measures is updated taking into account the emerging situation, scenario forecasts, external (primarily resource) constraints and regional specifics.