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Figures released by Lancashire Constabulary show 70 people were killed in 64 road smashes in that time compared with just 39 people in 36 collisions in the same period last year.
However, the statistics, which compared January to September this year with the same period last year, show serious injury incidents fell slightly from 657 to 643.
The number of people injured overall in car accidents also dropped from 5,048 to 5,027.
Christine Connor, who lost her husband Charlie in an horrific motorcycle accident in 2003, said: "We need to find out why fatalities are going up and, if it's speeding, then we need more speed cameras.
"It's encouraging to see overall casualties are going down, but I would encourage all motorists to remember a car can be a lethal weapon. People should be careful on the roads, otherwise the next time their relatives see them could be in a morgue."
The 60-year-old secretary from Longridge was riding pillion on her husband's Yamaha when it is believed he made a mistake on a bend and crashed head-on into a Rover.
She was thrown from the bike and escaped with bruises.
Vince Yearly, the national spokesman for the Institute of Advanced Motorists, said: "95% of these tragedies are down to driver error, not necessarily from the person killed, but by someone involved.
"To reduce accidents people should consider improving their driving. Becoming more aware of potential hazards, 360 degrees around the car, and ensuring you have time to stop are important. Motorists should make allowances if they are being tailgated."
In Preston, the number of people who died on the roads from January to September remained constant at three deaths in three smashes for both 2004 and 2005 - making it the only area not to show an increase.
The biggest rises were in the constabulary's Southern and Eastern Divisions where there were 10 more deaths than last year in each area.
This year, in Southern Division, which covers Leyland, Chorley and Skelmersdale, 21 people died in 17 fatal collisions during the first eight months of the year.
Deaths in motorway smashes also rose from two dead in two crashes to seven killed in six smashes, while in the north of the county, road fatalities increased from nine to 12.
In Preston, the number of people who were seriously injured fell very slightly from 75 to 72, while in Southern Division it rose from 177 last year to 193 this year.
But on the county's motorways, only 23 people were seriously hurt compared with 33 last year.
In the North, there were just 87 serious injuries so far this year compared with 98 over the same time last year.
A Lancashire Constabulary spokesman said: "It is a real concern that fatalities have increased and unfortunately this problem is not just restricted to Lancashire.
"Police forces in other areas of the country are also witnessing a rise in fatal road traffic collisions.
"It is difficult to give exact reasons for the increase as most fatal collisions are caused by a combination of factors such as excess or inappropriate speed, drink driving and the inexperience of younger drivers.
"Another factor this year has been the good weather in Lancashire over the summer months, resulting in more cars and a lot more motorbikes on our roads."
The force has now set up a Casualty Reduction Group with police officers, Lancashire County Council and the Lancashire Partnership for Road Safety.
The spokesman said: "When a fatal road traffic collision occurs a wide range of resources are deployed to that area so that we can try to understand the causes and work towards effective solutions."