Before the crash: A systematic analysis of police narratives to determine the prevalence of pre-crash factors in fatality road transport crashes

Abstract

Objectives: The objectives of this study were to identify the prevalence of pre-crash factors that were present in fatal road transport crashes for the deceased and counterpart road user.

Methods: The study is a retrospective population-based case series study of transport-related deaths reported to coroners in Australia from 2013 to 2016. Data was extracted from the National Coronial Information System.

Results: In total, 6,137 fatality crashes occurred during the study period. Police reports were available for 5,523 crashes (89.9%). The most frequently reported pre-crash factors reported behaviour specifically drivers (e.g., driving without a license or while license was disqualified). Presence of intoxicating substances were also reported in the deceased and counterparts. Analyses of toxicology reports are continuing to determine if rates are comparable to level of use in community.

Conclusions: Coronial report provide detailed information that may be pertinent to understanding and potentially preventing crashes. Also emerging from the data is the extent of pre-crash factors that relate to illegal or deviant behavior and whether these are contextual or contributory factors.     

Using medico-legal data to investigate fatal older road user crash circumstances and risk factors

Objective: This study used medico-legal data to investigate fatal older road user (ORU, aged 65 years and older) crash circumstances and risk factors relating to 4 key components of the Safe System approach (e.g., roads and roadsides, vehicles, road users, and speeds) to identify areas of priority for targeted prevention activity.

Method: The Coroners' Court of Victoria's (CCOV) Surveillance Database was searched to identify and describe the frequency and rate per 100,000 population of fatal ORU crashes in the Australian state of Victoria for 2013–2014. Information relating to the deceased ORU, crash characteristics and circumstances, and risk factors was extracted and analyzed.

Results: One hundred and thirty-eight unintentional fatal ORU crashes were identified in the CCOV Surveillance Database. Of these fatal ORU crashes, most involved older drivers (44%), followed by older pedestrians (32%), older passengers (17%), older pedal cyclists (4%), older motorcyclists (1%), and older mobility scooter users (1%). The average annual rate of fatal ORU crashes per 100,000 population was 8.1 (95% confidence interval [CI], 6.0–10.2). In terms of the crash characteristics and circumstances, most fatal ORU crashes involved a counterpart (98%), of which the majority were passenger cars (50%) or fixed/stationary objects (25%), including trees (46%) or embankments (23%). In addition, most fatal ORU crashes occurred close to home (73%), on-road (87%), on roads that were paved (94%), on roads with light traffic volume (37%), and during low-risk conditions: between 12 p.m. and 6 p.m. (44%), on weekdays (80%), during daylight (75%), and under dry/clear conditions (81%). Road user (RU) error was identified by the police and/or the coroner for the majority of fatal crashes (55%), with a significant proportion of deceased ORUs deemed to have failed to yield (54%) or misjudged (41%).

Conclusions: RU error was the most significant factor identified in fatal ORU crashes, which suggests that there is a limited capacity of the road system to fully accommodate RU errors. Initiatives related to safer roads and roadsides, vehicles, speed zones, as well as behavioral approaches are key areas of priority for targeted activity to prevent fatal ORU crashes in the future.     

Contaminant exposure in outmigrant juvenile salmon from Pacific Northwest estuaries of the United States

To better understand the dynamics of contaminant uptake in outmigrant juvenile salmon in the Pacific Northwest, concentrations of polychlorinated biphenyls (PCBs), DDTs, polycylic aromatic hydrocarbons (PAHs) and organochlorine pesticides were measured in tissues and prey of juvenile chinook and coho salmon from several estuaries and hatcheries in the US Pacific Northwest. PCBs, DDTs, and PAHs were found in tissues (whole bodies or bile) and stomach contents of chinook and coho salmon sampled from all estuaries, as well as in chinook salmon from hatcheries. Organochlorine pesticides were detected less frequently. Of the two species sampled, chinook salmon had the highest whole body contaminant concentrations, typically 2--5 times higher than coho salmon from the same sites. In comparison to estuarine chinook salmon, body burdens of PCBs and DDTs in hatchery chinook were relatively high, in part because of the high lipid content of the hatchery fish. Concentrations of PCBs were highest in chinook salmon from the Duwamish Estuary, the Columbia River and Yaquina Bay, exceeding the NOAA Fisheries' estimated threshold for adverse health effects of 2400 ng/g lipid. Concentrations of DDTs were especially high in juvenile chinook salmon from the Columbia River and Nisqually Estuary; concentrations of PAH metabolites in bile were highest in chinook salmon from the Duwamish Estuary and Grays Harbor. Juvenile chinook salmon are likely absorbing some contaminants during estuarine residence through their prey, as PCBs, PAHs, and DDTs were consistently present in stomach contents, at concentrations significantly correlated with contaminant body burdens in fish from the same sites.