Alcohol ignition interlock programs

The alcohol ignition interlock is an in-vehicle DWI control device that prevents a car from starting until the operator provides a breath alcohol concentration (BAC) test below a set level, usually .02% (20 mg/dl) to .04% (40 mg/dl). The first interlock program was begun as a pilot test in California 18 years ago; today all but a few US states, and Canadian provinces have interlock enabling legislation. Sweden has recently implemented a nationwide interlock program. Other nations of the European Union and as well as several Australian states are testing it on a small scale or through pilot research. This article describes the interlock device and reviews the development and current status of interlock programs including their public safety benefit and the public practice impediments to more widespread adoption of these DWI control devices. Included in this review are (1) a discussion of the technological breakthroughs and certification standards that gave rise to the design features of equipment that is in widespread use today; (2) a commentary on the growing level of adoption of interlocks by governments despite the judicial and legislative practices that prevent more widespread use of them; (3) a brief overview of the extant literature documenting a high degree of interlock efficacy while installed, and the rapid loss of their preventative effect on repeat DWI once they are removed from the vehicles; (4) a discussion of the representativeness of subjects in the current research studies; (5) a discussion of research innovations, including motivational intervention efforts that may extend the controlling effect of the interlock, and data mining research that has uncovered ways to use the stored interlock data record of BAC tests in order to predict high risk drivers; and (6) a discussion of communication barriers and conceptual rigidities that may be preventing the alcohol ignition interlock from taking a more prominent role in the arsenal of tools used to control DWI. Whether interlock programs can help public policymakers achieve their expressed goals of substantially reducing the level of impaired driving will remain uncertain until procedural barriers and intransigent judiciary practices can be overcome that provide for more systematic routine use of interlock programs. Despite strong effectiveness evidence in all studies to date, the real potential of this technology to reduce the road toll cannot be estimated until they are more widely adopted.     

The impact of mandatory versus voluntary participation in the Alberta ignition interlock program

Research has demonstrated that participation in an interlock program significantly reduces the likelihood of subsequent driving while intoxicated (DWI) convictions at least so long as the interlock device is installed in the vehicle. Despite the growing number of jurisdictions that allow interlock programs and the demonstrated success of these programs, the proportion of DWI offenders who actually have the device installed is minimal. In an effort to increase the proportion of offenders using interlocks, some jurisdictions require offenders to install an interlock as a condition of license reinstatement whereas others merely offer offenders a reduction in the period of hard suspension if they voluntarily participate in an interlock program. The objective of the present study was to determine the extent to which voluntary interlock participants are more or less successful in terms of subsequent recidivism than those for whom interlock program participation has been mandated. The issue was addressed using data from the interlock program in Alberta, Canada, which provides for both mandatory and voluntary participation. The recidivism experience of voluntary and mandatory interlock participants was examined both during and after the period of interlock installation. Cox regression revealed that, after controlling for (or equating) the number of prior DWI offenses, the survival rates of DWI offenders who were ordered to participate in the interlock program did not differ from those of voluntary participants. These results suggest that further use of mandatory interlock programs should be just as successful as voluntary programs when offenders share characteristics with those studied in Alberta.     

Sleepiness among night-time drivers: relationship to blood alcohol concentration and other factors

OBJECTIVE: The study aimed to explore the distribution and correlates of subjective sleepiness among the general night-time driving population. METHODS: The survey took place in three British Columbia communities in June 2003 between 21:00 hours to 03:00 hours. Sites and vehicles were selected randomly. Surveyors obtained information on several demographic and situational variables including self-assessed degree of sleepiness and self-reported hours asleep and awake, as well as an objective measure of blood alcohol concentration obtained from a hand-held breath-testing device. RESULTS: The total compliance rate among intercepted drivers was 85%. Among the 2335 drivers responding to the questionnaire, 68.4% indicated that they were wide awake, 27.6% were somewhat sleepy, and 4.1% were very sleepy. Logistic regression quantified the independent contributions of the various factors to subjective sleepiness. Male drivers with positive blood alcohol concentrations under 50 mg% were more likely to report feeling sleepy than those with either higher or with zero blood alcohol concentration. Greater relative risk of sleepiness was also associated with being female, being under age 55, and advanced hour of night. Driving with passengers of the same gender was associated with lower reported sleepiness. CONCLUSIONS: A substantial proportion of night-time drivers are driving while sleepy, especially at late night and early morning hours. The combination of alcohol and sleepiness compounds impairment in experimental studies and deserves greater attention in crash risk studies and as a topic for public education and awareness.     

Predicting categories of drugs used by suspected drug-impaired drivers using the Drug Evaluation and Classification Program tests

Objective: The purpose of this study was to statistically determine which combination(s) of drug-related signs and symptoms from the Drug Evaluation and Classification (DEC) protocol best predict the drug category used by the suspected drug-impaired driver.

Methods: Data from 1,512 completed DEC evaluations of suspected impaired drivers subsequently found to have ingested central nervous system (CNS) depressants, CNS stimulants, narcotic analgesics, and cannabis were analyzed using a multinomial logistic regression procedure. A set of evaluations completed on drug-free subjects was also included. The relative importance of clinical, behavioral, and observational measures in predicting drug categories responsible for impairment was also examined.

Results: Thirteen drug-related indicators were found to significantly contribute to the prediction of drug category, including being under the care of a doctor or dentist, condition of the eyes, condition of the eyelids, mean pulse rate, assessment of horizontal gaze nystagmus (HGN), convergence, performance on the One Leg Stand (OLS) Test, eyelid tremors, pupil size in darkness, reaction to light, presence of visible injection sites, systolic blood pressure, and muscle tone. Indicators related to the appearance and physiological response of the eye contributed the most to the prediction of drug category, followed closely by clinical indicators and performance on the psychophysical tests.

Conclusions: The findings from this study suggest that drug recognition experts (DREs) should be careful to review a set of key signs and symptoms when determining the category of drug used by suspected drug-impaired drivers. Drug use indicators related to the appearance and physiological response of the eye were found to contribute the most to the prediction of the drug category responsible for the impairment. These results could help form the basis of a core set of indicators that DREs could initially consult to form their opinion of drug influence. This in turn may enhance the validity, effectiveness, and efficiency of drug detection and identification by DREs and lead to a more effective and efficient DEC program, improved enforcement of drug-impaired driving, and greater acceptance of the DEC program by the courts.     

The impact of mandatory versus voluntary participation in the Alberta ignition interlock program

Research has demonstrated that participation in an interlock program significantly reduces the likelihood of subsequent driving while intoxicated (DWI) convictions at least so long as the interlock device is installed in the vehicle. Despite the growing number of jurisdictions that allow interlock programs and the demonstrated success of these programs, the proportion of DWI offenders who actually have the device installed is minimal. In an effort to increase the proportion of offenders using interlocks, some jurisdictions require offenders to install an interlock as a condition of license reinstatement whereas others merely offer offenders a reduction in the period of hard suspension if they voluntarily participate in an interlock program. The objective of the present study was to determine the extent to which voluntary interlock participants are more or less successful in terms of subsequent recidivism than those for whom interlock program participation has been mandated. The issue was addressed using data from the interlock program in Alberta, Canada, which provides for both mandatory and voluntary participation. The recidivism experience of voluntary and mandatory interlock participants was examined both during and after the period of interlock installation. Cox regression revealed that, after controlling for (or equating) the number of prior DWI offenses, the survival rates of DWI offenders who were ordered to participate in the interlock program did not differ from those of voluntary participants. These results suggest that further use of mandatory interlock programs should be just as successful as voluntary programs when offenders share characteristics with those studied in Alberta.     

Simulation of wind-driven dispersion of fire pollutants in a street canyon using FDS

Air quality in urban areas attracts great attention due to increasing pollutant emissions and their negative effects on human health and environment. Numerous studies, such as those by Mouilleau and Champassith (J Loss Prevent Proc 22(3): 316–323, 2009), Xie et al. (J Hydrodyn 21(1): 108–117, 2009), and Yassin (Environ Sci Pollut Res 20(6): 3975–3988, 2013) focus on the air pollutant dispersion with no buoyancy effect or weak buoyancy effect. A few studies, such as those by Hu et al. (J Hazard Mater 166(1): 394–406, 2009; J Hazard Mater 192(3): 940–948, 2011; J Civ Eng Manag (2013)) focus on the fire-induced dispersion of pollutants with heat buoyancy release rate in the range from 0.5 to 20 MW. However, the air pollution source might very often be concentrated and intensive, as a consequence of the hazardous materials fire. Namely, transportation of fuel through urban areas occurs regularly, because it is often impossible to find alternative supply routes. It is accompanied with the risk of fire accident occurrences. Accident prevention strategies require analysis of the worst scenarios in which fire products jeopardize the exposed population and environment. The aim of this article is to analyze the impact of wind flow on air pollution and human vulnerability to fire products in a street canyon. For simulation of the gasoline tanker truck fire as a result of a multivehicle accident, computational fluid dynamics large eddy simulation method has been used. Numerical results show that the fire products flow vertically upward, without touching the walls of the buildings in the absence of wind. However, when the wind velocity reaches the critical value, the products touch the walls of the buildings on both sides of the street canyon. The concentrations of carbon monoxide and soot decrease, whereas carbon dioxide concentration increases with the rise of height above the street canyon ground level. The longitudinal concentration of the pollutants inside the street increases with the rise of the wind velocity at the roof level of the street canyon.     

Evaluation of the Drug Evaluation and Classification program: a critical review of the evidence

OBJECTIVE: A critical review of the existing evaluation studies on the Drug Evaluation and Classification (DEC) program was conducted to determine the validity and accuracy of the technique for identifying drivers under the influence of drugs. METHODS: Studies were divided into two categories--laboratory studies and field (i.e., enforcement) studies. A classification process was devised using common criteria based on the toxicology findings (i.e., drug positive or drug negative) and the opinion of the police officer who assessed the driver (i.e., drug positive or drug negative). A series of standard measures (Sensitivity, Specificity, False Alarm Rate, Miss Rate, Corroboration, and Accuracy) were calculated for each to assess the effectiveness of the DEC program. RESULTS: Laboratory studies do not provide overwhelming support for the accuracy with which officers trained in the DEC program can detect and identify the particular class(es) of drug involved based on psychophysical assessment alone. The detection and identification of the relatively low levels of drugs administered were typically better than chance but many cases were missed. The fact that some drugs were detected with greater accuracy than others suggests that the effects of these substances were more prominently manifested in the symptomology assessed by the DEC procedure. Although field enforcement studies are not as scientifically rigorous as laboratory studies, DEC assessments in an enforcement context have the benefit of information obtained from the arresting officer and from interviews with the suspect. In addition, the drug doses consumed by users are typically much higher than those permitted in controlled laboratory studies. In general, officers trained in the DEC program are able to identify persons under the influence of drugs and to specify the drug class responsible with a degree of accuracy that not only exceeds chance, but in some cases reaches a very high level. CONCLUSIONS: There remains room for improvement in the DEC program. As further research becomes available, either from laboratory or field investigations or both, it needs to be incorporated into the program to enhance its validity and accuracy.     

Hard core drinking drivers

The term "hard core" has been used extensively over the past 15 years to identify persons who drink and drive regularly, typically at high blood alcohol levels. This article discusses how the term arose and clarifies what it means, both as a concept and in practice. It describes the characteristics of hard core drinking drivers and estimates their contribution to drinking driver trips, arrests, and crashes. It summarizes current knowledge and recommendations on the most effective means to affect their behavior and reduce their drinking and driving.