In 1981, Maine passed a drunk driving law with mandatory penalties and a new civil charge to increase the conviction rate. One year later, Massachusetts increased drunk driving penalties, particularly for repeat offenders and intoxicated drivers involved in fatal crashes. In Maine, single-vehicle nighttime fatal crashes declined 22 per cent the year before passage of the law, and 33 per cent the year after. Maine's rates returned to pre-law levels by the third post-law year. Prior to Massachusetts' new law, single-vehicle nighttime and overall fatal crashes there also declined 20% and 22%, whereas after this law fatal crash rates did not decline further compared with the pre-law year or other New England states. Pre- and post-law surveys indicate that both laws were followed by some increases in public perceptions that drunk drivers stopped by police would be arrested, convicted, and receive automatic penalties. But, few believed it was very likely that drunk drivers would be stopped. For only two of three years studied after Maine's law did more people there report decisions not to drive because they had drunk too much. In Massachusetts, reported driving after heavy drinking declined as much the year before as the three years after its law.
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http://dx.doi.org/10.2105/ajph.77.5.593 | DOI Listing |
Am J Forensic Med Pathol
January 2025
From the Department of Pathology, University of Michigan, Ann Arbor, MI.
Pedestrian and bicyclist fatalities have increased over the past decade in the United States. Factors proposed to explain this increase include the increased popularity of larger passenger vehicles, road design to accommodate faster-moving traffic, and poor road infrastructure. We analyzed a series of 102 pedestrian and bicyclist fatalities to determine which factors were involved.
View Article and Find Full Text PDFInt J Environ Res Public Health
January 2025
New York State, Bureau of Occupational Health and Injury Prevention, Albany, NY 12237, USA.
Roadway mortality increased during COVID-19, reversing a multi-decade downward trend. The Fatality Analysis Reporting System (FARS) was used to examine contributing factors pre-COVID-19 and in the COVID-19 era using the five pillars of the Safe System framework: (1) road users; (2) vehicles; (3) roadways; (4) speed; and (5) post-crash care. Two study time periods were matched to control for seasonality differences pre-COVID-19 ( = 1725, 1 April 2018-31 December 2019) and in the COVID-19 era ( = 2010, 1 April 2020-31 December 2021) with a three-month buffer period between the two time frames excluded.
View Article and Find Full Text PDFJ Trauma Acute Care Surg
January 2025
From the Faculty of Health Sciences (F.N.D.D.), University of Bamenda, Bamenda, Cameroon; Program for the Advancement of Surgical Equity, Department of Surgery (M.T.Y., R.O., S.A.C., C.J.), University of California, Los Angeles, Los Angeles, California; Data Science Center for Surgery, Injury, and Equity in Africa (A.D.T., R.M.); Faculty of Health Sciences (A.C.-M.), University of Buea, Buea, Cameroon; and Division of Biostatistics (A.H.), School of Public Health, University of California, Berkley, California.
Introduction: Africa is the least motorized populated continent, yet it experiences the highest traffic fatality rate. Despite laws mandating helmet and seatbelt use, data on protective gear use among Cameroonian road traffic injury (RTI) patients remains sparse.
Methods: We extracted Cameroon Trauma Registry data prospectively collected from 10 hospitals during July 2022 to December 2023.
Inj Prev
January 2025
School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Background: Driving under the influence of alcohol and other drugs contributes significantly to road traffic crashes worldwide. This study explored trends of alcohol, methylamphetamine (MA), 3,4-methylenedioxy-N-methylamphetamine (MDMA) and Δ9-tetrahydrocannabinol (THC), in road crashes from 2010 to 2019 in Victoria, Australia.
Methods: We conducted a cross-sectional analysis using data from the Victorian Institute of Forensic Medicine and Victoria Police, examining proscribed drug detections in road crashes.
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