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Home My WebLink AboutCOM 0632.002 2008-2010 Motor Vehicle Crash Reduction Meeting 09.22.09 Collaboration to Reduce Motor Vehicle Related Deaths in Hawaii County Facilitated by NHOP 2002-2008 www.nhop.org Sharon H. Vitousek, M.D. North Hawaii Outcomes Project Director Summary • Too many people die on Hawaii Island roads. • Impaired driving is responsible for more than half of the deaths AND these deaths are preventable. • Reducing traffic deaths is a shared responsibility. Comm. No. Sharon H. Vitousek, M.D. North Hawaii Outcomes Project Ref. Dote T1F 15 ~Q Motor Vehicle Crash Reduction Meeting 09.22.09 Role of North Hawaii Outcomes Project Measure and Facilitate community health improvement in North Hawaii by: L~ Preparing and analyzing a Community Health Profile F-- Identifying critical health issues O Partnering to catalyze collaboration to improve Identifying evidence-based strategies to improve 0 Monitoring outcomes and progress www.nhop.org Too many people.die on Big Island roads. Sharon H. Vitousek, M.D. North Hawaii Outcomes Project Motor Vehicle Crash Reduction Meeting 09.22.09 Verify Data: High Traffic Death Rates in Hawaii County 5-Year Rates 1996 - 2000 .150 d k 9 IL - ~ GQ 9 I 59.0 (s7) isa 38.4 a Iggp~ i Hawaii County Honolulu County Kauai County Maui County Source: North Hawaii Motor Vehicle Fatality Research Project, 2002, by Andrew G. Ten Have, M.D., M.P.H. Engage Stakeholders i r~l+ t .~Tjx l M' ~ AA~ W~ Sharon H. Vitousek, M.D. North Hawaii Outcomes Project Motor Vehicle Crash Reduction Meeting 09.22.09 Anal ze WHY: Haddon Matrix FACTORS Basic road safety Human Factors Vehip t elements [policy & t ~ Pre-crash Alcohol and drug Roadworthiness Road design crash intoxication; preventio (Driver skill) (Brakes, lights, (Divided etc) . highway) PHASES Crash Seatbelt and Crash worthy- Protection injury helmet use. ness (airbags, (barriers prevention frame) crosswalks S Post-crash Vulnerability to Ease of ([Rehab] saving lives hemorrhage; emergenclice] first-aid skill access; fir urts] risk. edical] Assess Root Causes ?Human ?Impaired Driving from ¦ Alcohol, ¦ Illegal drug use (Meth epidemic), and Prescription drugs. ¦ Speeding ?Environmental ?Road design -undivided ?Long EMS transportation times? Sharon H. Vitousek, M.D. North Hawaii Outcomes Project • Motor Vehicle Crash Reduction Meeting 09.22.09 Summary • Too many people die on Hawaii Island roads. • Impaired driving is responsible for more than half of the deaths AND are preventable. • Reducing impaired driving is a shared responsibility. Identify Best Practices Transportation Research Board--NCHRP Report 500 Volume 16: Reducing Alcohol-Related Collisions 2005 ? Reduce Excessive Drinking and Underage Drinking ?Enforce Driving While Intoxicated (DWI) Laws ? Prosecute, Impose Sanctions, and Treat DWI Offenders ?Control High BAC and Repeat Offenders http://onlinepubs.trb.org/onlinepubs/nchrp/nchrp_rpt_500vl 6.pdf Sharon H. Vitousek, M.D. North Hawaii Outcomes Project Motor Vehicle Crash Reduction Meeting 09.22.09. Track Progress on Recommendations to the Mayor A? Priority--Mayor's Committee B? Data -Interdisciplinary data committee C? Evidence-Based Interventions ,/High Visibility Enforcement ,/Increase Police Drug Recognition Training ,/Traffic Safety Coordinator hired ,/Impaired Driving Taskforce Started ? Legislation for Graduated Licenses D ?Improve Integrated Planning for Safety Increased Awreness .x Sharon H. Vitousek, M.D. North Hawaii Outcomes Project • Motor Vehicle Crash Reduction Meeting 09.22.09 Increased Enforcement of DUI Laws Hawaii County Total DUI Arrests 1,410 1,395 1,400 1,293 1,200 1,076 1,086 1,069 1,000 *955 800 600 i 400 200 0 2003 2004 2005 2006 2007 2008 "2009 Chart: North Hawaii Outcomes ProjectSeptember 2009 Source: Hawaii County Police Department; 'As of 09.14.09: Improve Traffic Safety Laws: 2006 Legislation to Reduce Traffic Deaths • Act 72 Graduated licensing Sharon H. Vitousek, M.D. North Hawaii Outcomes Project • Motor Vehicle Crash Reduction Meeting 09.22.09 2009 Legislation • Act 88 Ignition interlock --Implementation task force • Other - Act 54 "Complete Streets" - Act 46 Penalty for operating a --Commercial vehicle with BAC > 0.04 Policy Change Process • 3 meetings prior to final decision in December • Each stakeholders shares what they will be supporting • Discussion • Group Support only for bills where there is 100% Consensus • MADD & DOH & DOT key advocacy & tracking Sharon H. Vitousek, M.D. North Hawaii Outcomes Project Motor Vehicle Crash Reduction Meeting 09.22.09 Hawaii County 1600 Total DUI Arrests 1410 1395 1400 1293 1246 1200 1076 1086 1069 1000 j 800 1 3 600 1 400 p 200 0 - 2003 2004 2005 2006 2007 2008 *2009 Chart : North Hawaii Outcomes Project - December 2009 Source: Hawaii County Police Department 'As of 11. 30.09 Hawaii County - Number of Major Collisions 3000 2,477 2,450 2500 2,362 2,393 2,276 2,260 2,171 i I 2000 1,716 1500 I * 1,1091 1000 i 500 0 - _ 2001 2002 2003 2004 2005 2006 2007 2008 *2009 Chart: North Hawaii Outcomes Project - September 2009 Source: Hawaii County Police Department - *As of 09.14.09 Sharon H. Vitousek, M.D. North Hawaii Outcomes Project Motor Vehicle Crash Reduction Meeting 09.22.09 Rate of Major Accidents per 10,000 Population I 200.0 184.5 180.0 157.4 160.0 150.6 147. 147.3 145.1 140.0 132.1 127.9 125.8 119.8 120.0 107.2 105.5 100.0 96.4 - 89.4 89.4 82.6 80.0 Y .,.m...,..,.i;, 60.0 40.0 ! 20.0 --,?-Hawaii County L City & County of Honolulu Kauai County ----Maul County 2000 2001 2002 2003 2004 2005 2006 2007 j Chart: North Hawaii Outcomes Project-November2009 Source: Department of Transportation Number of Traffic-Related Fatalities January 2000 - December 2008 180 160 161 Sate ami 140 140 142 140 138 120: 132 133 119 m 100 107 City and County of Honolulu 88 U W 80 ! 75 65 67 70 67 a`) 60 E 43 Hawaii CountyT~ Z 40 41 40 39 38 29 20 a 20 33 41 -zo.u W^24- 24 MaLIICOU County X78 15a,,,, 14 10-10 5 5 5 q 4 5 Kauai County 0 - - - 2000 2001 2002 2003 2004 2005 2006 2007 2008 Chart: North Hawaii Outcomes Project-January 2009 Source: Departmentof Transportation Traffic fatalities include; motor vehicle occupants, pedestrians, motorcyclists, moped operators, ATV operators, and bicyclists. Sharon H. Vitousek, M.D. North Hawaii Outcomes Project Motor Vehicle Crash Reduction Meeting 09.22.09 Next Steps Engineers • Obtain & Use timely crash data to allocate resources via GPS & SMS. • Can implement road safety audits, Emergency Medical Systems • Can develop three Level III trauma hospitals on Hawaii Island. • Can learn from Queens Medical Center how to implement screening and brief intervention of trauma patients for risky alcohol or drug use in the Emergency Room. See www.gointogether.org. Next Steps Government (State DOT,) • Can lead a culture of collaboration and accountability through improvements in Data and Safety Management Systems. • Can support County collaboration by providing county level data. Government (County) • Can support county wide collaboration through continuing to fund a County Traffic Safety Coordinator position. Employers • Can review Guide for Employers to Reduce Motor Vehicle Crashes drinking and driving policies. See www.osha.gov/Publications/motor vehicle guide.htm Sharon H. Vitousek, M.D. North Hawaii Outcomes Project Motor Vehicle Crash Reduction Meeting 09.22.09 Hawaii Island links with SHSP Priorities- Emphasis Areas • Impaired Driving • Aggressive Driving • Occupant Protection • Pedestrian and Bike Safety • Motorcycle & Moped Safety • Roadway Design • Data & Safety Management Hawaii Island SHSP Priorities Combat Impaired Driving 1) -/Establish an Ignition Interlock Program. 2) ?Expand SBIRT (brief substance abuse screening and intervention in emergency rooms). 3) Urge police departments to adopt a mandatory blood draw policy for serious vehicular crashes. 4) ?Share revenue with county law enforcement. 5) ?Enforce Use and Lose Law. Sharon H. Vitousek, M.D. North Hawaii Outcomes Project • Motor Vehicle Crash Reduction Meeting 09.22.09 Hawaii Island SHSP Priorities Roadway Design - Building Safer Roads 1) ? Pursue on a priority basis, projects identified in the Highway Safety Improvement Program for locations with known histories and incidents of crashes. 2) ? Install milled rumble strips at centerline and roadway shoulders. 3) ? Design safer slopes and ditches and remove or relocate objects in critical locations; add guardrails where needed. Lessons Learned • Complex issues require multiple stakeholders -State, County & National • Credible, compelling data engages stakeholders • Prioritization & Short key messages essential • Specific recommendations essential -Including Policy Change Sharon H. Vitousek, M.D. North Hawaii Outcomes Project Motor Vehicle Crash Reduction Meeting 09.22.09 Acknowledgement and Contacts • Hawaii County Mass Transit Tom Brown, 961-8343 • Hawaii County Public Works Warren Lee, Ron Thiel, 961-8349 • Mothers Against Drunk Drivers (MADD) Leah Marx, Arkie Koehl 532-6236 • Hawaii County Underage Drinking Prevention: Jan Yokoyama, 974-6025 • Governor's Highway Safety Committee Lil Beaufrere, 325-0039 • Liquor Commission Jan Pakele, 961-8218 For More Information: www.nhop.orq info _nhop.org (808) 887-2425 Sharon H. Vitousek, M.D. North Hawaii Outcomes Project