scholarly journals Drink Driving as the Commonest Drug Driving—A Perspective from Europe

Author(s):  
Richard Allsop

People mixing driving motor vehicles with consuming alcohol increases deaths and injuries on the roads, as was established irrefutably in the mid-1960s. This commentary discusses how society across Europe has responded since then to this burden by managing drink driving in the interests of road safety. The principal response has been to set, communicate and enforce limits on the level of alcohol in the blood above which it is illegal to drive and to deal in various ways with drivers found to be exceeding the limits. Achieving reduction in drink-related road deaths has benefitted public health, though the aim to change behaviour of drinking drivers has been a challenge to the profession. Other achievements have included changes in public attitude to drink driving, and reduction in reoffending by convicted offenders through rehabilitation courses and use of the alcohol interlock, which prevents starting of a vehicle by a driver who has drunk too much. There is scope for improved recording of road deaths identified as drink-related, greater understanding of effectiveness in enforcement of the legal limit and improved availability of the alcohol interlock. Relevance of experience with drink driving to management of other drug driving and prospects for building on the achievements so far are discussed.

Author(s):  
Connie Hoe ◽  
Niloufer Taber ◽  
Sarah Champagne ◽  
Abdulgafoor M Bachani

Abstract Drink-driving is a major cause of global road traffic fatalities, yet few countries have laws that meet international best practices. One possible reason is the alcohol industry’s opposition to meaningful policies that are perceived to directly threaten sales. Our primary objectives are to document alcohol industry involvement in global road safety policies and programmes and to critically evaluate the responses of public health and road safety communities to this involvement. Under the guidance of the Policy Dystopia Model, we used a mixed methods approach in which data were gathered from expert interviews and a mapping review of 11 databases, 5 watchdog websites and 7 alcohol industry-sponsored initiatives. Triangulation was used to identify points of convergence among data sources. A total of 20 expert interviews and 94 documents were analysed. Our study showed that the alcohol industry acknowledges that drink-driving is an issue but argues for solutions that would limit impact on sales, akin to the message ‘drink—but do not drive’. Industry actors have been involved in road safety through: (1) coalition coupling and decoupling, (2) information production and management, (3) direct involvement in policymaking and (4) implementation of interventions. Our study also shed light on the lack of cohesion within and among the public health and road safety communities, particularly with regard to the topics of receiving funding from and partnering with the alcohol industry. These results were subsequently used to adapt the Policy Dystopia Model as a conceptual framework that illustrates the ways in which the alcohol industry has been involved in global road safety. Several implications can be drawn from this study, including the urgent need to increase awareness about the involvement of the alcohol industry in road safety and to build a cohesive transnational alcohol control advocacy alliance to curb injuries and deaths related to drink-driving.


Public Health ◽  
2018 ◽  
Vol 165 ◽  
pp. 155
Author(s):  
S. Gupta ◽  
C. Hoe ◽  
T. Özkan ◽  
T.J. Lajunen ◽  
F. Vursavas ◽  
...  

2014 ◽  
Vol 6 (2) ◽  
Author(s):  
Saurabh RamBihariLal Shrivastava ◽  
Prateek Saurabh Shrivastava ◽  
Jegadeesh Ramasamy

2010 ◽  
Vol 22 (1) ◽  
pp. 98-111
Author(s):  
Panal Sitorus

Levels of air pollution caused by motor vehicles in the big cities in Indonesia is quite high, about 60%was alarming and impact on public health. The main problem is why should conduct an effectivetesting of emissions vehicles in Indonesia? Tire aim of study is to provide recommendations haw toreduce emissions levels, the object of studtj is the implementation of emissions testing, characteristicsand facilities. The method used is to compare with the threshold determined btJ the data from variousofficial. sources.Tire success of reducing emissions levels is in the supervision of testing and legal action in its testingsystem.Need to reform its institutions emissions testing, technician certification, the appointment of calibrationinstitution, improving information systems, certification, and socialization to the communihJcontinuously.Keyword: Emissions and public health.


2019 ◽  
Vol 26 (2) ◽  
pp. 177-183
Author(s):  
Rebecca B Naumann ◽  
Jill Kuhlberg ◽  
Laura Sandt ◽  
Stephen Heiny ◽  
Yorghos Apostolopoulos ◽  
...  

Many of our most persistent public health problems are complex problems. They arise from a web of factors that interact and change over time and may exhibit resistance to intervention efforts. The domain of systems science provides several tools to help injury prevention researchers and practitioners examine deep, complex and persistent problems and identify opportunities to intervene. Using the increase in pedestrian death rates as an example, we provide (1) an accessible overview of how complex systems science approaches can augment established injury prevention frameworks and (2) a straightforward example of how specific systems science tools can deepen understanding, with a goal of ultimately informing action.


2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Daniel Fuller ◽  
Patrick Morency

Transportation planning and public health have important historical roots. To address common challenges, including road traffic fatalities, integration of theories and methods from both disciplines is required. This paper presents an overview of Geoffrey Rose's strategy of preventive medicine applied to road traffic fatalities. One of the basic principles of Rose's strategy is that a large number of people exposed to a small risk can generate more cases than a small number exposed to a high risk. Thus, interventions should address the large number of people exposed to the fundamental causes of diseases. Exposure to moving vehicles could be considered a fundamental cause of road traffic deaths and injuries. A global reduction in the amount of kilometers driven would result in a reduction of the likelihood of collisions for all road users. Public health and transportation research must critically appraise their practice and engage in informed dialogue with the objective of improving mobility and productivity while simultaneously reducing the public health burden of road deaths and injuries.


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