Evidence-Based Policy in Road Safety: Insights from Alcohol Action Ireland Conference

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Dr. Declan Bedford highlights the importance of evidence-based policy in road safety at the Alcohol Action Ireland Conference in 2012. The presentation covers the introduction of random breath testing, lowering legal alcohol limits for driving, and a public health advocacy model. Contextual data on road deaths and alcohol consumption in Ireland and OECD countries are presented, emphasizing the need for effective measures. The challenges in implementing policies, public perceptions, and political influences are also discussed, indicating the ongoing fight for safer roads.


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  1. Evidence Based Policy Works It is Worth Fighting For Dr Declan Bedford Alcohol Action Ireland Conference Royal College of Physicians of Ireland 1st November 2012

  2. This Presentation Introduction of random breath testing 2006 Lowering the legal alcohol limits for driving 2011 A public health advocacy model a useful framework

  3. Context and background

  4. Road Deaths per Million Population 2005 Holland Norway Sweden Great Britain Switzerland Denmark Germany Finland Northern Ireland Ireland 4.6 4.8 4.9 5.5 5.5 6.1 6.5 7.2 7.8 9.6

  5. Per Capita (age 15+) Consumption of Alcohol Ireland and OECD countries 20.0 Ireland Average OECD countries 15.0 10.0 5.0 0.0 1960 1965 1970 1975 1980 1985 1990 1995 2000 2005

  6. Road Safety Strategy 2004-2006 There is no clear measure of the level of intoxicated driving in Ireland Crashes between 9PM and 3 AM used as a substitute measure

  7. Labour Party Transport Spokeswoman Roisin Shorthall TD 2005 You can t blame people for being cynical for the Government s failure to act on this, because of the fact there are so many publicans in the Dail and because of the close ties in particular between Fianna F il and publicans.

  8. Random Breath Testing Not recommended in Road Safety Strategy 1998-2002 Possible negative implications for public attitudes to and cooperation with the Garda Recommended in Strategic Task Force 2002 Road Safety Strategy 2004-2006

  9. Drink Driving Convictions Hard to get Based on initial Garda opinion Most contested Argument put forward that random breath testing unconstitutional

  10. Mr Eddie Shaw, Chairman of the National Safety Council 23rdNovember 2005 I do not know if we will ever get the legislation we need to enable drink driving to be detected and prosecuted. It seems that the protection our constitution provides is indirectly exchanged for about 140 lives every year

  11. RSA formally established on 1stSeptember 2006 Gay Byrne unveiled as Chairman Designate of RSA 27thMarch 2006

  12. Random Breath Testing implemented in July 2006

  13. Important factors in getting RBT implemented Leadership Evidence Provision of a credible rational Champions and allies identified to use as credible opinion formers Lobbying Opposition tackled based on the facts Information campaign Conferences Mobilised public opinion Organisation of resources Persistence

  14. Components of Model 1.Provide Strategic Leadership 2.Core Activities 3.Support Activities

  15. Provide Strategic Leadership Making sure the issue is relevant to society RBT testing works and saves lives and injuries Preventing tangential diversions

  16. Core Activities Building a coalition of support Organise Media coverage Briefings Lobbying

  17. Support Activities Gather information and evidence Evidence from other countries Any alcohol impairs driving RBT testing works and saves lives and injuries Role of alcohol in road deaths in Ireland

  18. Support Activities Creating public awareness Conduct opinion polls

  19. Alcohol Action Ireland Survey 2005 87% in favour of the introduction of RBT

  20. Drink Driving Over 8 out of 10 drivers surveyed rated drinking and driving as extremely shameful More shameful than adultery and tax evasion RSA 2006

  21. Support Activities Acting ethically Played the ball not the man

  22. Random Breath Testing implemented in July 2006 Lower limits for alcohol in 2011

  23. Deaths on Irish Roads 1961-2011 700 RBT 600 500 400 300 200 100 0 1961 1965 1969 1973 1977 1981 1985 1989 1993 1997 2001 2005 2009

  24. Deaths on Irish Roads 1961-2011 700 RBT 600 500 400 300 200 100 0 1961 1965 1969 1973 1977 1981 1985 1989 1993 1997 2001 2005 2009

  25. Deaths on Irish Roads 1961-2011 Blood alcohol reduced to 80 mg/ml 700 RBT 600 500 400 Blood alcohol reduced to 100 mg/ml 300 1st Road safety strategy 200 3rd Road safety Strategy 2nd Road safety strategy 100 0 1961 1965 1969 1973 1977 1981 1985 1989 1993 1997 2001 2005 2009

  26. RBT effective because It is evidence based Not a code of practice Not just a campaign Based on legislation

  27. Conclusion The implementation of RBT and lower alcohol limits demonstrates that major barriers can be overcome Implementing evidence based policies reduces alcohol related harm May take a long time but worth it in the end

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