Have one [drink] for the road” was once a commonly used phrase in American culture. It has only been within the past 25 years that as a Nation, we have begun to recognize the dangers associated with drunk driving. And through a multipronged and concerted effort involving many stakeholders including educators, media, legislators, law enforcement, and community organizations such as Mothers Against Drunk Driving the Nation has seen a decline in the numbers of people killed or injured as a result of drunk driving. But it is now time that we recognize and address the similar dangers that can occur with drugged driving (Berghaus 1995) (Berghaus 1995).
Discussion
The principal concern regarding drugged driving is that driving under the influence of any drug that acts on the brain could impair one's motor skills, reaction time, and judgment. Drugged driving is a public health concern because it puts not only the driver at risk but also passengers and others who share the road (Berghaus 1995).
However, despite the knowledge about a drug's potentially lethal effects on driving performance and other concerns that have been acknowledged by some public health officials, policy officials, and constituent groups, drugged driving laws have lagged behind alcohol-related driving legislation, in part because of limitations in the current technology for determining drug levels and resulting impairment. For alcohol, detection of its blood concentration (BAC) is relatively simple, and concentrations greater than 0.08 percent have been shown to impair driving performance; thus, 0.08 percent is the legal limit in this country. But for illicit drugs, there is no agreed-upon limit for which impairment has been reliably demonstrated. Furthermore, determining current drug levels can be difficult, since some drugs linger in the body for a period of days or weeks after initial ingestion (Drummer 2004).
Some States (Arizona, Delaware, Georgia, Indiana, Illinois, Iowa, Michigan, Minnesota, Nevada, North Carolina, Ohio, Pennsylvania, Rhode Island, South Dakota, Utah, Virginia, and Wisconsin) have passed “per se” laws, in which it is illegal to operate a motor vehicle if there is any detectable level of a prohibited drug, or its metabolites, in the driver's blood. Other State laws define “drugged driving” as driving when a drug “renders the driver incapable of driving safely” or “causes the driver to be impaired. (Drummer 2003)”
In addition, 44 States and the District of Columbia have implemented Drug Evaluation and Classification Programs, designed to train police officers as Drug Recognition Experts. Officers learn to detect characteristics in a person's behavior and appearance that may be associated with drug intoxication. If the officer suspects drug intoxication, a blood or urine sample is submitted to a laboratory for confirmation (Ramaekers 2004).
How Many People Take Drugs and Drive?
According to the National Highway Traffic Safety Administration's (NHTSA) 2007 National Roadside Survey, more than 16 percent of weekend, nighttime drivers tested positive for illegal, prescription, or over-the-counter medications (Soderstrom 2001). More than 11 percent tested positive for illicit drugs.1 Another NHTSA study found that in 2009, among fatally injured drivers, 18 percent ...