Global Impact of Alcohol-Related Road Crashes

Road traffic crashes pose a significant global health concern, resulting in 1.2 million deaths annually with 20-50 million injuries. Alcohol plays a major role in fatal crashes, affecting 33%-69% in low and middle-income countries. The economic cost is estimated at $518 billion yearly, with demographic characteristics of drink drivers highlighting males aged 18-24 from low socio-economic backgrounds. Risk factors include high-speed crashes, single vehicle incidents, and increased crash risk with alcohol consumption. Efforts are needed to address this global epidemic and reduce the tragic consequences of alcohol-related road crashes.

• Alcohol
• Road traffic crashes
• Global health
• Drink driving
• Demographic characteristics

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1. The impact of alcohol related road crashes Global Overview and Perspectives Addis Ababa 8 July 2015 Brett Bivans IARD 1

2. Road Traffic Crashes: A Global Epidemic (1) Worldwide 1.2 million people die each year in road traffic crashes 20-50 million people injured annually In 2012, Road crashes was the 9th leading cause of death in the world Road injury is forecast to be the 7th leading cause of death globally by 2030 Road traffic crashes are the leading cause of death for people aged 15 29 worldwide 2

3. Road Traffic Crashes: A Global Epidemic (2) 92% of road traffic deaths occur in low and middle income countries 3

4. Road Traffic Crashes: A Global Epidemic (3) Estimated cost - $518 billion annually $65 billion in low/middle income countries Costs estimated at 1% - 1.5% GNP (low/middle income countries) Alcohol a factor in 33%-69% of fatal crashes (low/middle income countries) In many low and middle income countries data on alcohol- related road traffic deaths is unavailable or unreliable Differences between countries: Legal limit for drinking and driving Definition of what constitutes drinking and driving 4

5. Characteristics of Drink Driving and Crashes Crash risk increases with increasing alcohol consumption Single vehicle crashes Run-off-road single vehicle crashes High speed crashes (especially rural) Hit roadside object crashes High proportion of nighttime crashes High proportion of weekend crashes 5

6. Alcohol Effects on Driving There is an impact on: reaction times driver vigilance driver visual acuity steering efficiency risk of complications in injury rehabilitation 6

7. Demographic Characteristics of Drink Drivers Males, 18-24 years old From low socio-economic groups Single or divorced In blue collar occupations Low education and literacy levels Low self-esteem 7

8. Solutions Highly motorized countries have been able to reduce drink driving Examples include Australia, and more recently France Successful programs cannot always be translated unchanged to other countries because: Cultural beliefs differ from country to country Traffic mix is often very different Style and quality of road networks can differ Education levels vary and communication modes differ. But key principles of successful programs can be applied 8

9. Key Principles of Successful Programs Strong political commitment to prevent drink driving Clearly defined legislation for BAC level and penalties for offences Implementing good practice Strong and well publicized enforcement campaigns Public education to change attitudes toward drinking and driving Strict and swift enforced penalties for offenders 9

10. Global Actions on Harmful Drinking Initiatives Projects in six countries China, Colombia, Mexico, Nigeria, Russia and Vietnam Focus on: Capacity Building Local Projects oPublic education and awareness campaigns, enhanced enforcement campaigns, mass media Evaluation 10

11. Shoom Shufair Campaign Ethiopia Shoom Shufair is an example of how private sector can help reduce drinking and driving. Project goals: Raise awareness around not drink-driving Increased intention to use designated driver (shoom shufair) Partnerships & collaboration to address the issue 11

12. Partnerships for Shooom Shufair Broad range of partners involved in the project: Government (Federal Roads Transport Authority) Private Sector Hospitality Industry (Radisson Blu) Vehicle Rentals/Tour Operators Insurance (Nyala Insurance) Media (AfroFM) 12

13. Summary Alcohol impairs driving performance Alcohol involved crashes are a high proportion of all severe crashes in many countries Young, inexperienced males are most at risk Typical alcohol involved crash types are known There are some key principles of successful programs and good practice interventions proven to reduce alcohol related crashes 13