Alcohol ignition interlocks in all new vehicles: a broader perspective.

OBJECTIVE: To discuss the implications of widespread implementation of alcohol ignition interlocks. METHOD: We base our discussion on data from Finland including crash statistics and surveys collected from criminal justice professionals and general driving population. RESULTS: Alcohol ignition interlocks are an effective preventive measure against drunk driving when installed in the vehicles of convicted drunk drivers. However, once they are removed from the vehicles, drivers typically return to their habit of drinking and driving. Furthermore, for a number of reasons, the proportion of convicted drunk drivers that install an interlock in their vehicles is quite small. Therefore, many stakeholders believe that the solution to the drunk driving problem will come when interlocks become standard equipment in all new vehicles. However, drunk driving is a complex sociopsychological problem, and technology can rarely offer a solution to such complex problems. Consequently, many aspects of such interventions might be difficult to identify and include in cost-benefit analysis. CONCLUSION: We express caution about requiring an interlock as standard equipment in all new vehicles.

Night work, fatigued driving and traffic law: the case of police officers.

Given the well-known difficulties in defining and detecting fatigue, it is a real challenge to incorporate it into either traffic or criminal law. Finnish traffic law forbids fatigued driving "only" on a general level concerning the driver's fitness to drive. We present several comments from Finnish traffic and local police officers regarding their own experiences of driving while fatigued. The comments were extracted from a larger survey of traffic (N=129) and local (N=100) police officers, and prosecutors (N=96). Although the main topic of the survey was the application of the law that forbids fatigued driving, some police officers raised the issue of their own behavior in this respect. We argue that many shift workers, including police officers, break the law, especially when driving home after a night shift.

Fell asleep and caused a fatal head-on crash? A case study of multidisciplinary in-depth analysis vs. the court.

OBJECTIVES: Recognizing road accidents as sleep/fatigue-related is a challenging task due to the lack of validated criteria and reliable devices (cf. breath analyzer for alcohol levels). Consequently, it is difficult to incorporate fatigue in operationalized terms into either traffic or criminal law. Finnish Road Traffic Act explicitly forbids driving while tired but only on a general level regarding the driver's fitness to drive. The aim was to explore and compare the discussions held and conclusions reached by multidisciplinary accident-investigation teams and Finnish courts. METHODS: We describe nine fatal head-on crashes in which, according to the multidisciplinary investigation teams, the guilty nonintoxicated surviving driver had fallen asleep and caused the death of an occupant in the other vehicle. RESULTS: Despite the obvious difficulties with the data collection, the investigation teams provided sufficient information and explanation as to why falling asleep was the most probable cause of these nine accidents. On the other hand, there was wide variation in the court discussions and decisions. The court extensively deliberated on the role of fatigue in the four cases and only one driver was charged under the article of the Road Traffic Act covering driver fatigue. CONCLUSIONS: In conclusion, this study illustrates difficulties in enforcing the law that forbids driving while tired. Although multidisciplinary investigation teams analyze fatal accidents for safety-research purposes, and have a wider degree of freedom when making their conclusions, we believe that such expert evidence would be beneficial to the courts when they consider similar cases.