HomeMy WebLinkAboutCOM 0484.001 2004-2006 Report on Hawaii County Motor Vehicle Related Oeath Rate &
Efforts to Reduce
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North F~awaii Outcomes Project Ref. To:
November 21, 2005 R~fi. Dote
Report on Hawaii County Motor Vehicle Related Death Rate &
Efforts to Reduce
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February 17, 2005
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North Hawaii Outcomes Project
November 21, 2005
2
Report on Hawaii County Motor Vehicle Related Death Rate &
Efforts to Reduce
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North Hawaii Outcomes Project
November 21, 2005 3
Report on Hawaii County Motor Vehicle Related Death Rate &
Efforts to Reduce
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North Hawaii Outcomes Project
November 21, 2005
4
Report on Hawaii County Motor Vehicle Related Death Rate &
Efforts to Reduce
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North Hawaii Outcomes Project
November 21, 2005
5
Report on Hawaii County Motor Vehicle Related Death Rate &
Efforts to Reduce
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North Hawaii Outcomes Project
November 21, 2005
6
Report on Hawaii County Motor Vehicle Related Death Rate &
Efforts to Reduce
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Izs All motor vehicle crash fatalities
wn 'ar occupant fatalities only
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Counties with the same superscri pteA teller had stall stically cool pal able rare estimates (p>0 OS)_
Nor h Hawaii Outcomes Project
November 21, 2005
7
Report on Hawaii County Motor Vehicle Related Death Rate &
Efforts to Reduce
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C- The "injury pyramid" for Hawaii
Dca[hs
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5R0
Ilospilaliealinns
28
(9,700)
Emergency department visits
240
r (140,000?) k•~J
I Physician office visits and home treatments
Source: DOH Injury Prevention Division Dan Galanis PHD
North Hawaii Outcomes Project
November 21, 2005
8
Report on Hawaii County Motor Vehicle Related Death Rate &
Efforts to Reduce
Average Motor Vehicle Crash Injury Rate per Poaulatlon
1998 - 2002
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Average Motar Vehicle Crash Injury Rate per Vehicle Miles iroveled
1998.2002
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cXae Xo;,n Hrwaa o~aon~: P,ore~l Source: DepaRment of Health -Injury Prevention Division
North Hawaii Outcomes Project
Navember 21, 2005
9
Report on Hawaii County Motor Vehicle Related Death Rate &
Efforts to Reduce
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North Hawaii Outcomes Project
November 21, 2005
10
Report on Hawaii County Motor Vehicle Related Death Rate &
Efforts to Reduce
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Analyzing:
1. What are the causes of the high motor vehicle related death rat
2. What will help most to reduce Hawaii County motor vehicle
related deaths & crashes?
WHY? Causes are com Iex..The Haddon Matrix
FACTORS
Basic road safety Human Factors
elements Polic &
E t
Yre-crash Alcohol and drug Roadworthiness Road design
crash intoxication;
prevention river skill (Brakes, lights, (Divided
etc) highway)
Public transport.
PHASES Crash SeatbclL and helmet Crashworthiness rotection
injury use. (airbags, (barriers
prevention frame) crosswalks
Yost-crash Vulnerability to Ease of Emergency
saving lives hemorrhage; emergency response
first-aid skill access; fire risk. system
North Hawaii Outcomes Project
November 21, 2005 t I
Report on Hawaii County Motor Vehicle Related Death Rate &
Efforts to Reduce
Proportion of drivers who made errors
in fatal crashes in Hawaii, 1996-2000.
e. .failure to sta in lane 41% s eedin 29%
6 ] % 88 / 145 133 / 208 64% 25 / 39 61 % 43 / 71
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North Hawaii Outcomes Project
November 21, 2005 12
Report on Hawaii County Motor Vehicle Related Death Rate &
Efforts to Reduce
Injury Traffic Crashes and Alcohol-Related Traffic Crashes II
II 1999-2001
I goo i
I~ ~ .mHry T~ar~e ACaaems
' o AItaM1Ol Pelaletl ln~ury TraRm Accitlents I
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i 300
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50 _ _
36 2i ]U 26 2I 36 r2 ]6 ]6
Jan Feb Mer Apr Mey Jun Jul Nup Sep Oct Nov Dec
G~apM1: NotlM1 Hawaii Oulmmes Pminc~ 200] Somce'. Depetlmant of IIansporletron
3D%
35%
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6o~rw Cnl u.m enl of Tranzo~r~evori GrapF NoM~Hewau ON~omei
¦99 ?00 ?01
North Hawaii Outcomes Project
November 21, 2005 ~ 3
Report on Hawaii County Motor Vehicle Related Death Rate &
Efforts to Reduce
Association between alcohol and restraint use
among drivers killed in Hawaii, 1996-2000.
i
' ~9% _ ~ ~ s°r°
i
29%=nol restrained
32%=restrained
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62 % =restrained ~ 60%=not restrained
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No drinking (134) Drinking (1l0)
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North Hawaii Outcomes Project
November 21, 2005 14
Report on Hawaii County Motor Vehicle Related Death Rate &
Efforts to Reduce
1'a[a1 ll7juri±~~ t+~ I~~tt~~ttirli•hii~li~ Urcupants
1 [a~~~<<ii Edr~iclc~I7t~,~'lauu-ltltl(14
Age Groin Gender
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The Age Effect: Fatality Data
Five-year motor vehicle fatality rates (/100,000 residents),
by age group and county, 1999-2003.
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~ I~-2J~ ti~Ji JS eJ 41-, I[_2J~ <<JJ~ JSLI~ (.Sig
All momrvehlele crash fetali~ies Car eempan(fe~alitiea only
North Hawaii Outcomes Project
November 21, 2005
IS
Report on Hawaii County Motor Vehicle Related Death Rate &
Efforts to Reduce
r
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¦ Male
? Female
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0-14 15-18 19-20 21-35 36-55 66b5+
NO,e ^Rnx nea.e..n unxux zooo yoyw.eon Source oOT
North Hawaii Outcomes Project
November 21, 2005
16
Report on Hawaii County Motor Vehicle Related Death Rate &
Efforts to Reduce
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ri
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North Hawaii Outcomes Project
November 21, 2005
17
Report on Hawaii County Motor Vehicle Related Death Rate &
Efforts to Reduce
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North Hawaii Outcomes Project
November 21, 2005
18
Report on Hawaii County Motor Vehicle Related Death Rate &
Efforts to Reduce
C Posted speed limit of fatal crashes,
by county, 1996-2000.
ioo% O
unknown
20 3% 6%
75%
god as-ss min
50% ~
2% 0% i
~ 6%
25% - 3o-ao ~ni,n
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0% I i
5% 6% _
0% - 5/
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20.25 mph
Hawaii Honolulu Kauai Maui
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North Hawaii Outcomes Project
November 21, 2005 19
Report on Hawaii County Motor Vehicle Related Death Rate &
Efforts to Reduce
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North Hawaii Outcomes Project
Novembcr21,2005 20
Report on Hawaii County Motor Vehicle Related Death Rate &
Efforts to Reduce
Data: What's needed?
• Ideal data: age, restraint status, alcohol use,
etc. for all drivers
- lloesn't exist
• Next best: drivers involved in crashes
(fatal, non-fatal, and PDO)
- Police department data/state DOT data
• Alternatives:
- FARS-data on surviving members of crash
• Small numbers, cannot generalize
- Hospital records
• Hard to obtain
• Lacking information on crash-related factors
(c.g. speeding, restraint status, etc.)
Data: What's needed? (cont.)
• Individual level data (i.e. "raw" data)
is needed for this type of causal analysis.
- Control for confounders
(multivariate analyses)
• Agc
• Restraint use
• Alcohol involvement
• Driver error
• etc.
North Hawaii Outcomes Project
November 21, 2005 21
Report on Hawaii County Motor Vehicle Related Death Rate &
Efforts to Reduce
L Summary and Conclusions
• Injuries are a leading cause of death in Hawaii.
- Occupant fatalities are a leading cause of fatal injuries.
• Hawaii County has by far the highest rate of
occupant fatalities.
• What is Needed?
- Police crash and DOT data is needed to explore the causes
(using multi-variate techniques).
- Timely 2eoeraphic analysis is also needed to identify high-risk
stretches of road (DOT analysis is currently 1 year later).
- A few other states are using real-time crash-location mapping
systems to lower crash rates. (Crash clusters are identified in
real-time.)
Recommendations to the Mayor
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"How many deaths will it take till he knows
that too many people have died?"
Blowing in the Wind, Bob Dylan
North Tlawaii Outcomes Project
November 21, 2005 22
Report on Hawaii County Motor Vehicle Related Death Rate &
Efforts to Reduce
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North Hawaii Outcomes Project
November 2I, 2005 23
Report on Hawaii County Motor Vehicle Related Death Rate &
Efforts to Reduce
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North Hawaii Outcomes Project
November 21, 2005
24
Report on Hawaii County Motor Vehicle Related Death Rate &
Efforts to Reduce
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locatbna al fa1W Motor Yehkle~2eWletl Crashes
in Newell Cgnry 1986 ~ 200d
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Drive Safely so~r~a. DePI. orHae~rh ~n;nry
Prevention Division
www.nho~~or~c
North Hawaii Outcomes Project
November 21, 2005
25
Report on Hawaii County Motor Vehicle Related Death Rate &
Efforts to Reduce
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Tracking Progress
Draft(6) Hawaii County Impaired Driving prevention & MVR Crash/Fatality
Reduction Recommendations
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x oI I~m.ny.er o-aamgs
Impmve mronWxer program vFS vouce
North Hawaii Outcomes Project
November 21, 2005
26
Report on Hawaii County Motor Vehicle Related Death Rate &
Efforts to Reduce
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North Hawaii Outcomes Project
November 21, 2005 27
Report on Hawaii County Motor Vehicle Related Death Rate &
Efforts to Reduce
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Both Driver and Passenger Are Being Held in Kona Cell Block
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North Hawaii Outcomes Project
November 21, 2005
28
Report on Hawaii County Motor Vehicle Related Death Rate &
Efforts to Reduce
Enforcement ~ March 2005
171O~n Big Island Arrested for DUI
i,61 ~
lil I fir WlhsfweaN
i i nnri,~x tlk week o[ Wb. ax ~ I
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West Hawaii Today January 11, 2005
2004 DUI 1Crests
District
Kc,na ..508
South Milo.... -
urn .............166
Souih Kohala 67
ivEortt:~ ~nh~Ia 2~
Namakua itrt
1~,'ti 13
'dcrth ~!iia_ . 0
Is?and Total........ 1,085
1,085 DUI Arrests in 2004
North Hawaii Outcomes Project
November 21, 2005
29
Report on Hawaii County Motor Vehicle Related Death Rate &
Efforts to Reduce
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North Hawaii Outcomes Project
November 21, 2005 30
Report on Hawaii County Motor Vehicle Related Death Rate &
Efforts to Reduce
a~G =}t~;~eut DUl
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"Douglas Cooper,49 had two previous drunken driving convictions, when
he was arrested April 20, 2003 on suspicion of Negligent Homicide."
Cooper was still free on bail when he was arrested April 2, (2005) and
charged with driving under the influence, speeding and driving without
insurance, registration or up-to-date weight tax."
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North Hawaii Outcomes Project
November 21, 2005 31
Report on Hawaii County Motor Vehicle Related Death Rate &
Efforts to Reduce
~
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1N71"x.~nts " May 27, 2005
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North Hawaii Outcomes Project
November 21, 2005 32
Report on Hawaii County Motor Vehicle Related Death Rate &
Efforts to Reduce
4
70 Estimate for 2005 65,000,000
so
50
40
30
z
20
10
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2005 200! 2006
l ~ttitl Injurir~~ to Nlr~tr~rii°h14:1c~ t:Jlc~tp~tnt>
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North Hawaii Outcomes Project
November 21, 2005
33
Report on Hawaii County Motor Vehicle Related Death Rate &
Efforts to Reduce
Motor Vehicle Related Death Rates
35
L JI
~ 30
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North Hawaii Outcomes Project
November 21, 2005
34
Report on Hawaii County Motor Vehicle Related Death Rate &
Efforts to Reduce
- • - •
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North Hawaii Outcomes Project
November 21, 2005
35
Report on Hawaii County Motor Vehicle Related Death Rate &
Efforts to Reduce
_ • ~ •
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North I Iawaii Outcomes Project
November 21, 2005
36