Worldwide Trends in Impaired
Driving:Past Experience and Future Progress
Kathryn StewartPrevention Research Center
Pacific Institute for Research and Evaluation
Berkeley, California
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• 50% in the Great Britain
• 28 % in Canada
• 28% in The Netherlands
• 32% in Australia
• 37% in Germany
• 26% in the U.S.
These declines did not continue in the early part of
the 1990s
1980s: Impressive Declines
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Mixed Results in 1990s
• In some countries, increases in the early 1990s.
• In middle and later 1990s, some decreases occurred.
• Decreases at a slower rate than the dramatic
decreases in the 1980s.
• At the end of the 1990s and in the new century, the
record has been mixed.
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Drinking and Driving Worldwide
Recent Trends
Three groups of countries:
• Continued decline
• Decline halted - no clear trend
• Decline halted - major increase
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Drinking and Driving Worldwide
Recent Trends
Continued decline:
France
Germany
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Drinking and Driving:
Recent TrendsDecline halted - no clear trend:
Australia
Canada
The Netherlands
Great Britain
United States
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Drinking and Driving:
Recent Trends
Decline halted - major increase:
Sweden
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Australia - Trends• Decrease in fatally injured drivers/riders above the legal limit: 44 percent in
1981 to 30 percent in 1992.
• Decrease in the percentage of drivers in roadside breath alcohol surveys above .08% from 1979 to 1992.
• Decline in alcohol consumption. 26 percent from 1981-1983 to 1991.
• Marked change in beer drinking, with low alcohol beer assuming an increasing proportion of beer sales.
• Source: McLean, TRB Circular 422
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Australia - Trends
The reductions through 1992 resulted from:
• Widespread use of random breath testing
• Formal and informal publicity about drink driving
• Other factors, including the increased use in seat belts (now
close to 100 percent), and other vehicle safety measures
Not much progress since 1992
Source: McLean, TRB Circular 422
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0500
100015002000250030003500
1988
1990
1992
1994
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
Total Fatalities % Alcohol-Related
Australia - total fatalities
& % alcohol related (where known)Source: ATSB
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Canada - Trends
• 1991 to 1999: percentage of fatally injured drivers positive for alcohol down by 40% (from 1,000 to 600)
• Since 1999, slow, steady increase.
• 1999: percent of fatally injured drivers with positive BACs was 33%
• Since 1999, the percentage has varied from 35% to 38%
Source: Mayhew
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Canada - number and percent of motor vehicle deaths
involving a drinking driverSource: TIRF
0
500
1,000
1,500
2,000
2,500
3,000
3,500
4,000
95 96 97 98 99 00 01 02 03 04 2005
Fa
talit
ies
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
Pe
rce
nt
Alc
oh
ol R
ela
ted
Total Deaths Alcohol-related deaths % Alcohol-Related
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France - Trends
Fatally injured victims in alcohol-related crashes reduced from:
• 11,946 in 1983
• 10,289 in 1990 - drop of 14%
• 7,242 in 2002 - drop of 30%
Progress attributed to massive alcohol screening
enforcement – 9.7 million breath test in 2000
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France - Trends
• French policies and public attitudes have changed radically
• The new policy includes:
– dramatically stronger enforcement of speed limits - 1,000 speed
cameras installed,
– tougher penalties,
– and heavy media campaigns designed to stigmatize road
violations as “road violence” and “road delinquency.”Assailly, T2007 paper
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France - Trends
• This new policy, (July 2002) has:
– Decreased traffic fatalities by 30% in three years, from
approximately 8,000 per year to approximately 5,000 per
year.
– Decreased injuries (from approximately 150,000 per year
to approximately 100,000 per year today).
Assailly, T2007 paper
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France - Trends
• Target of new policy was speed, not impaired driving
• Proportion of alcohol related fatalities declined: 31% to
28%
• Prevalence of positive BAC among all drivers unchanged
(About 2.4%).
• One logical conclusion: as drivers drive more slowly,
crashes are less severe, fewer fatalities occur.
Assailly, T2007 paper
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0
2000
4000
6000
8000
10000
2000 2001 2002 2003 2004 2005 2006
20.0%
25.0%
30.0%
35.0%
40.0%
45.0%
Total Fatalities % Alcohol-Related
France - total fatalities
& % alcohol related (where known)Source: INRETS
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Germany - Trends
• From 1995 to 2005 crash fatalities declined
from 9,454 to 5,361 – a drop of 43%
• Alcohol related fatalities declined from 1,716
to 603 – drop of 65%
• The share of alcohol related fatalities declined
from 18.2% to 11.2% - a drop of 38%
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Time series of fatalities in road crashes and
alcohol related fatalities in Germanysource: BAST
0
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1994 1997 2000 2003 2006
Fatalities inroad crashes
Alcohol relatedfatalities
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The Netherlands -Trends
• Between 1970 and 1999 the proportion of drivers with a
BAC above 0.5 g/l in weekend nights dropped from 15%
to 4.3%.
• Downward trend occurred after police enforcement was
intensified.
• Between1999 and 2005, studies show a stable proportion
of alcohol related fatalities.
Houwing, T2007 presentation
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Great Britain - Trends
• In the 1980s and early 1990s fatalities and serious injuries in drivers over the legal limit fell from 9,000 to 4,000.
• In the past ten years, no over-riding trend.
• Those killed in drink-drive crashes fell to a low of 460 in 1998.
• But number has risen to 590 in 2004.
• Roadside screening breath tests: 815,000 in 1998 but declined steadily since to 534,000 in 2003.
Source: Road Casualties Great Britain 2004
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Great Britain - estimates of fatalities involving illegal
BACs (.08%) & total fatalitiesSource: Road Casualties Great Britain 2006
0
1000
2000
3000
4000
5000
6000
7000
19791982
19851988
19911994
19972000
20032006
Total Fatalities Fatalities-Illegal Alcohol
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0
5
10
15
20
25
30
35
40
1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001
Year
Perc
en
tag
e o
f d
river
fata
liti
es w
ith
BA
Cs >
80m
g/1
00m
l
0
100
200
300
400
500
600
700
800
900
No
of
bre
ath
tests
(000s)
% fatalaties with BAC >80mg/100ml No breath tests(000s)
Introduction of
Breathalyzer
(1967)
Introduction of
evidential
breath testing
(1983)
Great Britain- Driver Fatalities with BACs >0.08% &
Number of Breath Tests
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United States - Trends
• Alcohol-related fatalities fell from 26,173 in 1982 to
16,673 in 1997 – a drop of 36%
• Percentage of alcohol-related fatalities fell from
60% to 40% - a drop of 33%.
• Since 1997, there has been no clear trend.
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United States - Trends
• In 2006: 17,941 alcohol-related fatalities –
41% of the total fatalities
• up from 40 % in 2005 and 39% in 2003 and
2004.
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U.S. total & alcohol related fatalities
1982-2006Source: NHTSA
0
5,000
10,000
15,000
20,000
25,000
30,000
35,000
40,000
45,000
50,000
82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06
Fat
aliti
es
0%
10%
20%
30%
40%
50%
60%
70%
Per
cen
t Alc
oh
ol R
elat
ed
Total Fatalities Alcohol-Related Fatalities % Alcohol-Related
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Sweden - Trends
• Alcohol-related fatalities declined sharply from 31% in 1989 to 18% in 1997
• Decline due to:
– lowering legal BAC limit to 0.02% in 1990
– massive increase in enforcement (random breath test increased from 600,000 to 1.8 million in 1994)
– new resources for campaigns and tougher penalties
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Sweden - Trends
• Gradual loss of restrictive alcohol policies upon
joining the EU in 1996
• Increase in total alcohol consumption
• 30% reduction of police enforcement
• Weaker sentencing
• Resources for campaigns cut in half
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Sweden
• The result – Alcohol-related fatalities climbed
steadily from 18% in 1997 to 29% in 2004 – a
61% increase
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200300400500600700800900
1000
0.00%5.00%10.00%15.00%20.00%25.00%30.00%35.00%40.00%
Total Fatalities % Alcohol-Related
Sweden: Total Fatalities and Proportion of
Involving Alcohol
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Trends: Conclusions
• Most industrialized countries saw declines in
total road fatalities and alcohol-related
fatalities in the 1980s and early 1990s
• In many countries progress has stalled or
even reversed
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Trends: Conclusions
• A number of countries found a strong link
between levels of enforcement and alcohol-
related fatalities
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Future Progress
• Technology applications:
– Alcohol Interlocks
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Alcohol Interlocks
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Alcohol Interlocks
• Shown effective to reduce recidivism
• Increasingly used for offenders – even after first offense
• Also in use for commercial and public transport
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Future Progress
• New technologies
– Non-intrusive in-vehicle alcohol detection
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The Role of Advocates• Progress in impaired driving requires economic and social investments –
often made reluctantly
• All countries have competing priorities and pressing needs
• Traffic crashes don’t get the same attention as more exotic tragedies –even though they are a major threat to health and welfare
• Advocacy groups have played important roles in bringing about change
• Mothers Against Drunk Driving (MADD) is currently focusing on its Campaign to Eliminate Drunk Driving
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Conclusions• Significant progress in reducing impaired driving has been made
• Vigorous enforcement an important component
• Future progress may rely on developing technologies
• Advocacy groups may play an important role in bringing needed
attention and motivating change