The drinking driver: a medical view

Accidents are the third main cause of death in Europe with 40% of them due to road traffic accidents (RTAs). These victims are mainly young male drivers/riders and elderly pedestrians. One quarter of the deaths and 10% of the injuries are associated with alcohol. Consumption of alcohol is generally increasing. Ignorance of the effects of alcohol on the body and on the performance of skilled mental and physical tasks contributes to the number of road users who are impaired by alcohol. Alcohol is a depressant drug which impairs information processing in the brain. The risk of being involved in a RTA increases very rapidly with increasing concentration of alcohol in the body. There are probably two groups of drivers, the majority who do not drink, or who drink very little, before driving and those who regularly drink whether or not they are going to drive. The former (the social drinker) can do without his drink, the latter (the problem drinker) cannot. Various legislative measures have been introduced in different countries with varying success. Most developed countries now make it illegal to drive with more than a stipulated concentration of alcohol in the body. Much discussion centres round what further legal steps should be taken to reduce drinking and driving, especially the more widespread use of random roadside breath testing of drivers. Doctors are much concerned in this public health problem which causes such misery and waste of resources and are involved in research on the physical and psychological effects of alcohol, the best methods of educating drivers on these effects and, where necessary, identifying those who are misusing alcohol to the extent that they should be kept off the road.