Abstract

A strong evidence-based case is made for a reduction in the drink driving blood alcohol concentration (BAC), currently in the UK 80 mg to 50 mg per 100 ml which worldwide has been shown to decrease the number of drink driving including fatal accidents. An even lower BAC of 20 mg per 100 ml is recommended for the younger novice representing 7% of driving licence holders in the UK but involved in 20% of fatal and serious collisions. The danger of binge drinking and of combining alcohol with other drugs such as cannabis and marijuana is emphasised and the harmful influence of simple energy drinks when combined with alcohol. The review also emphasises the need for enhanced police enforcement and more public awareness campaigns which to date have indicated growing public support for reducing the drink driving limits.

Highlights

  • According to United Kingdom Department for Transport data, 13% of road traffic accidents in the UK involve alcohol

  • In 2018 around 5% of all reported road traffic accidents involved at least one driver or rider over the drink legal alcohol limit and between 220 and 270 people were estimated to have been killed in drink drive accidents compared with 200 in 2015

  • In the majority of countries worldwide, lowering of the Blood Alcohol Concentration (BAC) to a 50 mg per 100 ml limit has been found to be an important tool in reducing the number of drink driving accidents

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Summary

Introduction

In 2018 around 5% of all reported road traffic accidents involved at least one driver or rider over the drink legal alcohol limit and between 220 and 270 people were estimated to have been killed in drink drive accidents compared with 200 in 2015. In the majority of countries worldwide, lowering of the Blood Alcohol Concentration (BAC) to a 50 mg per 100 ml limit has been found to be an important tool in reducing the number of drink driving accidents.

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