Friday, March 15, 2013

DRIVING BLIND


   Driving while either intoxicated or drunk is dangerous and drivers with high blood alcohol content or concentration (BAC) are at greatly increased risk of car accidents, highway injuries and vehicular deaths. Possible prevention measures examined here include establishing DWI courts, suspending or revoking driver licenses, impounding or confiscating vehicle plates, impounding or immobilizing vehicles, enforcing open container bans, increasing penalties such as fines or jail for drunk driving, and mandating alcohol education. Safety seat belts, air bags, designated drivers, and effective practical ways to stay sober are also discussed.

THE PROBLEM
   Every single injury and death caused by drunk driving is totally preventable. Although the proportion of crashes that are alcohol-related has dropped dramatically in recent decades, there are still far too many such preventable accidents. Unfortunately, in spite of great progress, alcohol-impaired driving remains a serious national problem that tragically effects many victims annually.
   It's easy to forget that dry statistics represent real people and real lives. Therefore, this page is dedicated to the memory of one randomly-selected victim of a drunk driver, young Holli Crockett.

THE FACTS
   Most drivers who have had something to drink have low blood alcohol content or concentration (BAC) and few are involved in fatal crashes. On the other hand, while only a few drivers have BACs higher than .15, a much higher proportion of those drivers have fatal crashes. 
   The average BAC among fatally injured drinking drivers is .16
The relative risk of death for drivers in single-vehicle crashes with a high BAC is 385 times that of a zero-BAC driver and for male drivers the risk is 707 times that of a sober driver, according to estimates by the Insurance Institute for Highway Safety (IIHS).
High BAC drivers tend to be male, aged 25-35, and have a history of DWI convictions and polydrug abuse. 

THE SOLUTION
   Drunk driving, like most other social problems, resists simple solutions. However, there are a number of actions, each of which can contribute toward a reduction of the problem: 
DWI courts, sometimes called DUI courts, sobriety courts, wellness courts or accountability courts have proven effective in reducing the crime of drunken driving (driving while intoxicated or while impaired). Such courts address the problem of hard-core repeat offenders by treating alcohol addiction or alcoholism. The recidivism or failure rate of DWI courts is very low.
Automatic license revocation appears to be the single most effective measure to reduce drunk driving.
Automatic license revocation along with a mandatory jail sentence appears to be even more effective than just automatic license revocation.
Impounding or confiscating license plates.
Mandating the installation of interlock devices that prevent intoxicated persons from starting a vehicle.
Vehicle impoundment or immobilization.
Expanding alcohol server training programs.
Implementing social norms programs that correct the misperception that most people sometimes drive under the influence of alcohol.
Passing mandatory alcohol and drug testing in fatal crashes would promote successful prosecution of drunk and drugged drivers. The National Highway Traffic Safety Administration has estimated that 18-20% of injured drivers are using drugs and although drinking is on the decline, drugging is on the increase. However, this figure appears to be much too low. For example:
A study of drivers admitted to a Maryland trauma center found that 34% tested positive for drugs only, while 16% tested positive for alcohol only.
A study by the Addiction Research Foundation of vehicle crash victims who tested positive for either legal or illegal substances found that just 15% had consumed only alcohol.
In a large study of almost 3,400 fatally injured drivers from three Australian states, drugs other than alcohol were present in 26.7% of the cases. Fewer than 10% of the cases involved both alcohol and drugs.
NIDA’s Monitoring the Future survey indicated that in 2004, 12.7% of high school seniors in the U.S. reported driving under the influence of marijuana and 13..2% reported driving under the influence of alcohol in the two weeks prior to the survey.
In the State of Maryland’s Adolescent Survey, 26.8% of the state’s licensed, 12th grade drivers reported driving under the influence of marijuana during the year before the survey.