If you've driven Dale Mabry Highway at rush hour, or tried to cross US 19 in Pinellas County on foot, you already have a sense of where this is going. The Tampa-St. Petersburg-Clearwater metro ranked eighth among the country's 101 largest metro areas for pedestrian deaths in Smart Growth America's 2026 Dangerous by Design report, with an average of 3.74 deaths per 100,000 residents and 618 pedestrians killed by drivers between 2020 and 20241. The North Port-Bradenton-Sarasota metro, just south, ranked 15th, with 153 pedestrian deaths over the same five years1. Neither number is random. The same handful of roads keep showing up in county and state safety data, year after year.
Hillsborough's six-lane roads carry the worst of it
Hillsborough County adopted a Vision Zero policy in 2016 after data showed county residents were driving roads with one of the highest per-capita traffic fatality rates of any large county in the nation2. The City of Tampa's own Vision Zero Action Plan, adopted in December 2021, found that six-lane roads make up 24% of the city's high-injury street network but account for 33% of all severe and fatal crashes, and 51% of fatal crashes involving people walking or biking3. Dale Mabry Highway, Hillsborough Avenue, and Fletcher Avenue are the corridors the plan and county safety planners point to most often32. The city narrowed its full high-injury network down to 50 priority corridors and picked eight for closer engineering study, weighing quick fixes like signal retiming against longer-term redesigns3.
The county's overall crash totals back up the concern. Hillsborough logged 26,260 traffic crashes in 2024, down from 27,474 the year before, but those crashes still produced 181 deaths and more than 17,000 injuries, according to the Florida Department of Highway Safety and Motor Vehicles' 2024 Traffic Crash Facts report4. Fifty-seven of those deaths were pedestrians and 35 were motorcyclists4. The Florida Department of Health puts Hillsborough's age-adjusted motor vehicle death rate at 11.1 per 100,000 residents, below the statewide rate of 13.4 but well above Pinellas next door5.
US 19 is Pinellas County's common denominator
Ask Pinellas planners which road causes the most trouble and they point to the same 20-mile stretch every time. US 19, running from Tarpon Springs through Clearwater into St. Petersburg, recorded 94 traffic deaths between 2020 and 2022, more than any other single road in any single Florida county over that span; US 19 in neighboring Pasco County was second, with 68, according to a road-safety study reported by FOX 13 Tampa Bay6. The road's reputation isn't new. Sunstar Paramedics, the county's ambulance provider, once tallied crash data showing the intersection of US 19 and Tampa Road had produced more collisions over a six-year span than any other in the county, with the Curlew Road and US 19 intersection a few miles north close behind, and that eight of the county's 25 highest-crash intersections sat somewhere along the US 19 corridor7.
The Florida Department of Transportation is now rebuilding a stretch of US 19 between State Road 580 and County Road 95 at a cost of more than $240 million, converting the six-lane divided highway into a controlled-access road with new interchanges and frontage roads, according to WFLA8. The project adds a pedestrian underpass between Evans Road and Republic Drive and a pedestrian bridge at Northside Drive, after an FDOT spokesperson said five pedestrians had been killed in the past five years along that mile-and-a-half stretch alone8. FDOT expects the work done by late 2028 or early 20298.
US 19 isn't Pinellas's only problem road. Forward Pinellas, the county's transportation planning agency, has identified three high-injury hotspots along Bay Drive in Largo and two along Central Avenue in St. Petersburg through its Safe Streets Pinellas Action Plan9. Central Avenue is where Bob and Darlene Surprenant, a married couple both 61, were struck and killed by a pickup truck while walking in a marked crosswalk in April 2021, one of 85 pedestrian and bicyclist deaths countywide that year, up from 49 the year before, according to the Pinellas-Pasco Medical Examiner's Office as reported by the Tampa Bay Times10. That single-year jump outpaced every other county in the region10. Pinellas still posts the lowest age-adjusted crash death rate of the four counties in this market, 9.7 per 100,000, according to the state health department, which says something about how bad the regional baseline is5.
Sarasota and Manatee see fewer crashes, but they cluster hard
Sarasota County posted the highest age-adjusted crash death rate of the four counties covered here, 14.5 per 100,000, compared with Manatee's 12.2 and the statewide 13.45. The Sarasota/Manatee MPO's Destination Zero program has mapped a High Injury Network of 20 road segments that make up just 2.8% of the region's non-interstate roads but account for 44.8% of crashes involving a death or serious injury, and 39% of fatal crashes, using crash records from 2017 through 202211. In the first five months of 2025 alone, the region logged 9,508 crashes, 2,425 of which involved an injury, serious injury, or death11.
Sarasota's newest roundabout shows how hard it can be to fix a bad intersection. The circle at US 41 and Gulfstream Avenue opened in December 2022, replacing a signalized intersection, and in its first full year of operation it recorded 120 crashes, six times the 20 crashes logged there in 201912. Three of those crashes happened on Christmas Day 2023 alone12. The MPO says severity is down even as crash volume rose, estimating a 78% region-wide reduction in severe crashes at roundabouts by cutting the number of places vehicles can collide12, though nearby construction through 2023 likely inflated the Gulfstream count too12.
Manatee County's own Traffic Road Safety Program and Action Plan, adopted in June 2025 with federal Safe Streets and Roads for All funding, names specific intersections for engineering review: US 41 at Florida Boulevard, the US 41/14th Street junction with State Road 70 (53rd Avenue), and State Road 64 at Uihlein Road13.
What the pattern says
Every agency in this market is chasing the same shape of problem. A small share of roadway produces most of the deaths and severe injuries. Forward Pinellas found its high-injury network covers just 4% of county roads but captures 60% of the deaths and serious injuries9. That concentration is why Hillsborough, Pinellas, and the Sarasota/Manatee MPO built their safety programs around specific corridors and intersections rather than spreading money evenly across the map. Six-lane arterials with long gaps between crosswalks, high speed limits, and heavy commercial traffic (US 19, Dale Mabry Highway, US 41) keep reappearing on these lists because they were designed to move cars quickly, not to give pedestrians and cyclists a safe way across.
If you've been hurt in a crash at one of these locations, the intersection's documented history can matter for your claim. A known high-injury designation, a recent or pending redesign, or a specific crash pattern at that spot can all become relevant evidence, whether the case turns on driver fault, a government agency's road design, or both. An attorney who knows the local roads and the local agencies can help sort out who's responsible. You can find one through thatcarhitme.com's legal directory.
This article is for general information, not legal advice.
Sources
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Smart Growth America, "Dangerous by Design 2026 rankings," https://www.smartgrowthamerica.org/signature-reports/dangerous-by-design/2026-dbd-rankings/
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Hillsborough County MPO, "Vision Zero," Plan Hillsborough, https://planhillsborough.org/vision-zero/
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City of Tampa, Vision Zero Action Plan (December 2021), https://www.tampa.gov/sites/default/files/document/2026/visionzeroactionplan2_0.pdf
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Florida Department of Highway Safety and Motor Vehicles, 2024 Florida Traffic Crash Facts Annual Report, https://www.flhsmv.gov/pdf/crashreports/2024-Crash-Report.pdf
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Florida Department of Health, FLHealthCHARTS, "Deaths From Motor Vehicle Crashes," https://www.flhealthcharts.gov/ChartsDashboards/rdPage.aspx?cid=0110&drpCounty=52&rdReport=Death.Dataviewer
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FOX 13 Tampa Bay, "U.S. 19 in Pinellas, Pasco counties is most dangerous road in Florida: Study," https://www.fox13news.com/news/u-s-19-pinellas-pasco-counties-is-most-dangerous-road-florida-study
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Sunstar Paramedics, "Top 25 Most Dangerous Intersections," https://www.sunstarems.com/top-25-most-dangerous-intersections/
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WFLA, "Controversy surrounds pedestrian underpass construction on U.S. 19 in Pinellas County," https://www.wfla.com/news/pinellas-county/controversy-surrounds-pedestrian-underpass-construction-on-u-s-19-in-pinellas-county/
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Forward Pinellas, Safe Streets Pinellas Action Plan, Collision Assessment, https://forwardpinellas.org/safestreets/wp-content/uploads/2021/03/Safe-Streets-Pinellas-Action-Plan-Collision-Assessment.pdf
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Tampa Bay Times, "Pinellas most dangerous for walking, bicycling in 2021. Deaths nearly double." (Jan. 17, 2022), https://www.tampabay.com/news/pinellas/2022/01/17/pinellas-most-dangerous-for-walking-bicycling-in-2021-deaths-nearly-double/
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Sarasota/Manatee MPO, "Destination Zero: Safety Data," https://www.mympo.org/destination-zero/safety-data
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Your Observer, "Crashes increase but less severe at US 41 roundabouts vs. prior intersection" (Feb. 8, 2024), https://www.yourobserver.com/news/2024/feb/08/crashes-increase-roundabouts-intersection/
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Manatee County, Traffic Road Safety Program and Action Plan (June 2025), https://www.mymanatee.org/media/docs/default-source/public-works-department-documents/traffic-management-division-documents/traffic-road-safety-program-action-plan.pdf