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Unlike developed countries, where toll freeways typically have multiple lanes, a significant portion of Mexico's trunk highway system comprises two-lane toll highways (one-lane per direction). This article presents a descriptive analysis of traffic accident data reported on the two-lane toll highway system in Mexico to understand its current state of accidents. It was found that the global crash index on two-lane toll highways is approximately double that observed on the national highway network, revealing a higher accident rate on this type of road. Additionally, highway sections exhibiting a potential worsening trend in accident occurrence in the near future were identified. This study provides valuable information to decision-makers to enhance road safety management programs. [ABSTRACT FROM AUTHOR]