More people die on our highways than in any other mode of transportation. In fact, more than 90 percent — 33,561 in 2012, according to the National Highway Traffic Safety Administration — of all transportation-related deaths are motor vehicle related. Many of these deaths are entirely preventable because they involve drug- or alcohol-impaired driving. In 2012 in the United States, more than 10,000 deaths (31 percent of all motor vehicle fatalities) involved an alcohol-impaired driver. In the past ten years, more than 119,000 people have died in crashes involving an alcohol-impaired driver.
Although substantial progress was made on this issue during the 1980s and 1990s, since 1995 the percentage of motor vehicle deaths that involve an alcohol-impaired driver has remained stubbornly stuck at about one-third. People impaired by alcohol are at a substantially greater risk of being involved in a motor vehicle crash, and those crashes frequently result in injury or death. Impairment does not start when a person's blood alcohol concentration (BAC) reaches 0.05 or 0.08 percent; it begins with the first drink. Yet according to the 2012 Traffic Safety Culture Index published by the AAA Foundation for Traffic Safety, about 14 percent of drivers — one out of seven — admit to driving when they thought they were close to or over the legal BAC limit.
The problem of impaired driving is not just about alcohol; drugs also affect driving ability. Illegal, prescription, and over-the-counter drugs can have impairing side effects, often affecting each person differently. According to the National Survey on Drug Use and Health, roughly 10.3 million people admitted to driving under the influence of illicit drugs in the past year. According to the Fatality Analysis Reporting System, in 2009, 3,952 fatally-injured drivers tested positive for drugs.
Despite progress made over the past three decades, the battle against substance-impaired driving is far from over. In order to prevent crashes, reduce injuries, and save lives, we need stronger laws, swifter enforcement, and expanded use of technology. This starts with securing good data about substance-impaired driving and about the effectiveness of various countermeasures. BAC data collection and reporting must be improved, and a common standard of practice for drug toxicology testing must be developed and used.
Changing behavior can be achieved through countermeasures that promote both "general deterrence" and "specific deterrence." General deterrence encourages the general public to refrain from driving impaired. It includes such measures as a per se 0.05 BAC limit, high-visibility enforcement efforts, and administrative license revocation. Specific deterrence is used after a person is caught driving impaired and focuses on preventing repeat behavior. Examples of specific deterrence include fines and jail terms. In cases where an impaired driver has a substance abuse problem, however, neither fines nor incarceration are likely to address the root cause of the problem. Driving While Intoxicated (DWI) courts, with their emphasis on changing offender behavior, may be a useful approach to rehabilitating impaired drivers for whom other, traditional measures do not work.
Technology also holds great promise in preventing and detecting substance-impaired driving. Passive alcohol sensors can help law enforcement officers identify dangerous drivers. Ignition interlocks can prevent an impaired person from driving a vehicle equipped with an interlock device. A promising in-vehicle technology for preventing alcohol-impaired driving completely, known as the Driver Alcohol Detection System for Safety (DADSS), is currently being developed.
The NTSB has long been concerned about impaired driving. Since 1967, we have issued more than 140 safety recommendations addressing various aspects of impaired driving. Today, the NTSB refers to this epidemic as substance-impaired driving, which includes the growing problem for drugged driving. In 2012, the NTSB began a year-long examination of the problem of substance-impaired driving and how to best address it. Key milestones include:
This review culminated with the release of "Reaching Zero: Actions to Eliminate Alcohol-Impaired Driving" in May 2013, that addresses the necessity of providing strong laws, improved enforcement strategies, innovative adjudication programs, and use of technology to prevent alcohol-impaired driving crashes and their deadly consequences. The report includes 19 new and reiterated safety recommendations calling for:
* This is not a comprehensive list of all reports and events related to this issue.