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Worldwide Trends in Impaired Driving: Past Experience and Future Progress Kathryn Stewart Prevention Research Center Pacific Institute for Research and Evaluation Berkeley, California
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Page 1: Worldwide Trends in Impaired Driving · 2020. 6. 8. · 01.08.2019 Quelle: Verband der TÜV e.V. 23 Great Britain - Trends •In the 1980s and early 1990s fatalities and serious injuries

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


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