Drunk driving and public health overview
This presentation is the property of its rightful owner.
Sponsored Links
1 / 12

Drunk Driving and Public Health Overview PowerPoint PPT Presentation


  • 58 Views
  • Uploaded on
  • Presentation posted in: General

Drunk Driving and Public Health Overview. Martin Donohoe, MD, FACP. Drunk Driving- Epidemiology. MVAs the #1 cause of death age 6-33 2/5 people in the US will be involved in an alcohol-related MVA during their lifetimes 39.3% if the 42,000 traffic fatalities in 1997 were alcohol - related

Download Presentation

Drunk Driving and Public Health Overview

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Drunk driving and public health overview

Drunk Driving and Public Health Overview

Martin Donohoe, MD, FACP


Drunk driving epidemiology

Drunk Driving- Epidemiology

  • MVAs the #1 cause of death age 6-33

  • 2/5 people in the US will be involved in an alcohol-related MVA during their lifetimes

  • 39.3% if the 42,000 traffic fatalities in 1997 were alcohol - related

  • 1.2 x 106 alcohol-related MVA injuries/yr. - one every 26 seconds


Drunk driving epidemiology1

Drunk Driving- Epidemiology

  • 51% of U.S. drivers acknowledge drinking alcohol

  • 2.5% of adults over 18 admitted to an average of 26 episodes of driving while intoxicated in 1993

    • total = 1.23 million episodes/yr. for the entire U.S.

  • 18% of high school students admit to driving after drinking during two-week study period in 1997

    • 12% drove after 5 or more drinks


Drunk driving epidemiology2

Drunk Driving- Epidemiology

  • Chance of arrest/drunk driving episode = 1/50 - 1/2000

  • Conviction rates for impaired drivers requiring admission to a hospital or trauma center range from 4 - 51% (avg. = 24%)

  • Conviction rates are higher for impaired drivers who are not injured


Drunk driving epidemiology3

Drunk Driving- Epidemiology

  • Of those arrested and convicted, 1/5 - 1/3 will be arrested again

  • persons with 1 drunk driving conviction have 9x the baseline population mortality rate; 2 convictions  36x

    • both have higher rates of subsequent traumatic injury, # of hospital days, and health care costs

  • intoxicated patients with no traumatic injury are 3x more likely to get substance abuse counseling than intoxicated, injured patients


Reasons for lax enforcement

Reasons for Lax Enforcement

  • Inability of police to identify legally - intoxicated drivers (50% at sobriety checkpoints)

  • Chain of evidence problems

  • Time constraints

  • Sensitivity toward injured driver


Drunk driving epidemiology4

Drunk Driving- Epidemiology

  • Direct Economic impact of alcohol-related crashes was $46.1 billion in 1990

  • 78% of ER physicians favor mandated reporting laws


Other key points

Other Key Points

  • Physicians under-recognize EtOH abuse (up to 25% of hospitalized patients meet criteria for alcohol abuse.

  • Drivers often impaired due to other illegal substances

    • of injured motorists in Illinois, 32% were legally drunk, 23% has positive urine drug screens (9% cocaine), 45% overall impaired, only 16.5% of those were cited.


Other key points1

Other Key Points

  • Other factors can impair driving ability

    • seizure disorders, dysrhythmias, AICD misfirings, syncope, vision impairment, dementia, youthful irresponsibility

  • Alcohol is involved in 67% of homicides, 69% of assaults, and 56% of domestic violence episodes


Other key points2

Other Key Points

  • Tackling the problems of impaired drivers requires a multi-pronged approach:

    •  alcohol availability

    •  alcohol taxes (equitable)

    • P-care screening

    • treatment programs

    • law enforcement


Other mandated reporting laws

Other Mandated Reporting Laws

  • infectious disease

  • criminal violence

  • child abuse, elder abuse, domestic violence

  • disorders causing lapses of consciousness

  • occupational injuries and pesticide poisoning

  • patient neglect or abuse in another facility

  • substance abuse in pregnant women

  • sexual abuse by other physicians/therapists


Contact information

Contact Information

Public Health and Social Justice Website

http://www.phsj.org

[email protected]


  • Login