Impaired and Distracted Driving in Nova Scotia Shirley Ann Rogers, Executive Director The funding for this session is provided through the support of the Insurance Bureau of Canada. We are very grateful for this support. Top Injury Issues Nova Scotia’s Injury Prevention Strategy (2010) indicates Motor Vehicle Collisions as the lead cause of injuries and injury-related deaths: 1. 2. 3. Motor Vehicle Collisions Falls Suicides/suicide attempts This makes motor vehicle collisions an important public health issue. Why is Injury Free Nova Scotia involved? We focus our efforts on reducing preventable injuries. We do it through advocating for policy changes and pursuing a comprehensive and inclusive approach to injury prevention. To us, this approach includes the four E’s of injury prevention: Education, Enforcement, Engineering, Economic incentives Our Focus Today To provide information on Impaired and Distracted Driving and their relationship to motor vehicle collisions. To learn more about the issues within your community and the work currently underway to address them. To talk together about what we can do at a local, regional and provincial level to better address this issue and help save lives. Injuries & Deaths Caused by MVCs Every year in Nova Scotia, 70-100 die, 5000 are injured, 200 suffer permanent disability Brain injury is one of the most serious related injuries. Motor Vehicle Collisions are the leading cause of severe traumatic brain injury in Nova Scotia. Youth are disproportionately involved in Motor Vehicle Collisions. Each year on average, 28 Nova Scotia youth are killed. The Cost has many Faces The cost in money: $86 million annually (2004 figures) including $39 million in direct costs to the health care system. Each serious injury costs on average $17,000 per person Costs related to caring for those with traumatic brain injury averages $400,000 a year Additional costs of burden to families and communities with damaged infrastructure, insurance claims The cost in Time/Focus: Collisions lead to over half(58%) of hospitalizations and emergency room visits further taxing our overburdened health care system. The Personal Cost: With injury and disability lives are altered, personal independence is lost. When lives end prematurely, families and friends are emotionally scarred and communities feel the effect. What Causes the Collisions? Vehicle Maintenance Factors Proven = 10% Probable = 13% Environmental Factors Proven = 20% Probable = 33% Human Error Proven = 70% Probable = 93% Many of these collisions are due to two issues: Impaired Driving – alcohol and/or other drugs (legal and illegal) Distracted Driving – cell phone talking, texting, hand-held and hands-free devices IMPAIRED DRIVING Impaired driving is the largest single criminal cause of death and injury in Canada. In an average year, more than 1,200 Canadians die as a result of impaired driving and more than 71,500 are injured. Young people who drink or use other drugs and drive may be particularly at risk for being involved in a motor vehicle accident because they have less experience with driving, and are more likely to engage in risk-taking behaviour. Centre for Addiction and Mental Health, 2010 Driver Impairment: Alcohol + Drugs In 2010 alcohol and legal + illegal drugs contributed to 39% of all fatal Motor Vehicle Collisions provincially. Alcohol & Motor Vehicle Collisions Source: NS Transportation and Infrastructure Renewal Year Percentage of total 2011 36% 2010 30.4% 2009 23.6% 2008 15.9% 2007 35.4% Impairment rates tend to remain steady even in years where the overall Motor Vehicle Collision rates have lowered. There is a trend for increased impairment rates for females and consistent impairment rates for males. There is often multiple causation – of 30% alcoholrelated collisions in 2010 …62% not wearing seatbelts, 54% speeding Link with Alcohol Consumption Increased rates in per capita consumption of alcohol result in increased alcohol related harms, including impaired driving. Impaired driving injuries and deaths arise both from driving and driving with someone who has consumed alcohol and/or drugs. Why do people still drink and drive when they know they're not supposed to? Lindsay Lohan is going to jail because she violated her probation for NOT learning that lesson ... and she's not alone. 30 percent of us will be involved in a drunk driving accident in our lives. Every 45 minutes, someone will be killed by a drunk driver. And at least 50 percent of drunk drivers will continue to drive drunk after having their licenses suspended. Freakonomics Blog – Eric Morris, 07/13/2010 IN OUR COMMUNITIES …ACCESS …ADVERTISING …PRICING …ACCEPTABILITY EACH PLAY A BIG ROLE Access Matters The number of alcohol outlets in downtown core of Halifax has increased from 5 to 17 over the past decade, and from 7 agency stores to 52 across the province. Some bars stay open until 4:00 a.m. on weekend nights. We know that the more accessible the alcohol is the more our society consumes. How much access is enough? Advertising Matters The alcohol industry’s goal is simple, - to make more money. This requires increased consumption of their product line. Brewers and distillers are increasingly targeting women as consumers. The NSLC notes women as a target for increasing sales (NSLC 2009/10 Annual Business Plan) It is a successful strategy. Women are consuming more alcohol and this is leading to increased harms, including impaired driving. a Skinny Girl (Brand) Margarita…why? Pricing Matters In Nova Scotia, products with higher percentage alcohol are less expensive than lower ones. (spirits like rye, vodka are less costly per drink than beer) Some of the cheapest drinks are “alcopops” with the highest alcohol in them. We know that youth are especially price conscious and will gravitate to the products that are lowest in price. Acceptability Matters Alcohol is intricately woven into our society. There is also a connection with “pride, fortitude, endurance” in the Maritimes that seeks to connect alcohol and the maritime “spirit”. This is used successfully in advertising. We do not question the displays of alcohol ads at family events, in public settings Alcohol industry fundraising for breast cancer awareness? Beer company 4 by 8 foot display positioned to “welcome” visitors at the airport. When we see the risks of alcohol consumption we tend to isolate out the individual factor and focus all needed solutions on them. More education More treatment centres More stiff penalties for those caught drinking and driving. We seldom believe the need to look more broadly at how we treat alcohol in our society. We do not target resources on those broader “population-based” approaches. We Also Distance Ourselves From the Issue Many people who self-define as not drinking and driving will have one drink and operate a vehicle. Many of these same people will host a party where alcohol is provided and send their guests home driving under the influence. Why? “Why are you trying to change a culture that does not want to change?” …asked within the context of questioning Molson Coors sponsorship of the Skating Oval in HRM. DISTRACTED DRIVING Much of the following section is taken, with permission, from the work done by the National Safety Council, and specifically through the presentation of David Teater, Senior Director of Transportation Initiatives , who presented at the Safety Services Nova Scotia Road Safety Conference 2011. Distracted Driving Driver distraction is the leading factor in fatal and serious injury collisions 28% of all collisions attributable to cell phones (*2008 statistics) In U.S.A. that means 1.6 million collisions a year and 645,000 injuries due to cell phones Cell phone users are 4 times as likely to be in a collision. We love our cell phone -taken from Infographic: Mobile Statistics, Stats & Facts 2011 World-wide 4 billion mobile phones in use. Of them, 3.05 billion are SMS enabled – allowing for texting. By 2014, mobile internet anticipated to exceed desk-top internet usage ½ of all local searches performed on mobile devices 86% of users are using them watching t.v. 29% scan mobile tags to get coupons On average 2.7 hours per day is spent socializing on them, more than twice the time spent eating. 91% of mobile internet access is to socialize 61% play games 50% search for maps 55% checking weather 49% Social networking (facebook etc.) 42% Music Women 35 – 54 are the most active group in mobile socialization Over 70% of the worlds population now have a mobile phone, 9 out of 10 people in the U.S.A. In the U.S.A. children are now more likely to own a mobile phone (85%) than a book (73%). Talking on the “Cell” A snapshot of all drivers would show 11% of us are talking on the cell phone at any time, and this is anticipated to increase 81% of drivers admit to talking on the cell phone while driving 74% baby boomers 88% Generation X 89% Generation Y 62% of teen drivers from the National Safety Council “Texting” and Driving 18% of drivers admit to texting while driving: 4% of Baby boomers 15% of Generation X 39% of Generation Y 36% of teen drivers Webster’s Dictionary names its Word of the Year for 2009 as DISTRACTED DRIVING Damage Totals from Distracted Driving = Cell-phones Much of the available statistics on this issue are from the U.S.A. where: 1.2 million collisions a year or 21% of all collisions involve cell-phone conversations Minimum of 100,000 collisions or 2% involve texting Total = 23% of all Motor Vehicle Collisions involve cell phone use. Risk for New and Experienced Drivers We know that increased driving skill comes from increased practise and dealing with different scenarios, road conditions, traffic patterns Sometimes risky behaviour comes from those least experienced with driving but even experienced drivers can become complacent about the real risks and begin undertaking risky behaviours. Many of us treat the car as a safe “cocoon”. Driving is a Complex Task Driving a motor vehicle is a complex activity: Knowing the rules of the road Hand-eye coordination Focused concentration of our mind. Attention = Visual + Mechanical + Cognitive Hands-Free and Hand-held: Both Risky Many people think hands-free phones are safer than hand-held ones, but with both our brain is affected and a safety risk results. If we end up talking longer because we feel safer, then hands-free phones become even more of a problem. Most legislation, including ours in Nova Scotia from April 2008 only banned hand-held devices. Hands-free ones are currently legal and many employer policies allow them. Even though illegal -we still do it. Operating a hand-held cell phone in Nova Scotia is illegal. Many people still do it. Why? The Multitasking Myth The brain does not multitask when performing two tasks at the same time. The brain functions sequentially, switching from one task to the other. What happens when you are watching your favourite television show and your friend phones and you try to talk and watch the show? Too Much to Attend to? The brain will filter information due to sensory overload. You will not be aware of the information being filtered out. You will not know what you do not know. Information will not get stored in memory As a driver, you will miss critical information on potential hazards Inattention Blindness “looking” but not “seeing” is a type of cognitive distraction Even “hands-free” drivers are less likely to see: High and low relevant objects Visual cues Exits, red lights and stop signs Navigational signage Content of objects MRI shows a 37% Decrease in Parietal Lobe Activation The parietal lobe plays important roles in integrating sensory information from various parts of the body, knowledge of numbers and their relations, and in the manipulation of objects. Driving Alone ©National Safety Council 2010 Driving with Sentence Listening What is currently being done to address Impaired and Distracted Driving in your community? Is there more we can be doing to help save lives?