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Impaired Driving in Canada Motor Vehicle Safety, Transport Canada
Paul Boase Motor Vehicle Safety, Transport Canada CARSP 2019 Conference
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Agenda Legislative Changes Cannabis Road Side Surveys
Fatality Database Other Research Conclusions CARSP 2019 Conference
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Legislation Bill C-45 The Cannabis Act Bill C-46 Impaired Driving
Addresses distribution, sale and regulations for use Came into force October 17, 2018 Edibles coming into force October 2019 Bill C-46 Impaired Driving Reflecting the commitment to address impaired driving by alcohol and drugs CARSP 2019 Conference
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C-46 Purpose and Objectives
The Bill has two main parts: Part 1 amended the Criminal Code to create new offences and authorize police to use new investigative tools in order to better detect drivers who operate motor vehicle while impaired by cannabis and other drugs. Part 2 repealed the entire transportation regime and replaced it with new section of Criminal Code to modernize, simplify, and strengthen its approach to impaired driving and other transportation offences. The idea is that Part 1 would come into effect on Royal Assent so we can begin to benefit from its provisions. Part 2 requires more time for everybody to get ready – new numbers for offences and prohibitions require adjustments/amendments to provincial systems. Would come into force 180 days after Royal Assent. CARSP 2019 Conference
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New offences Applies to other impairing drugs;
Three new offences of having a prohibited blood drug concentration (BDC) within two hours of driving: A straight summary conviction offence for drivers with low BDC. Summary conviction: 2 ng but less than 5 ng THC/mL of blood, no repeating; A hybrid offence for drivers with impairing BDC, drug alone: 5 ng or more THC/mL of blood; A hybrid offence for drivers with low BDC in combination with a low blood alcohol concentration (BAC). drug and alcohol: 2.5 ng or more THC/mL of blood combined with a BAC of 50 or more. Applies to other impairing drugs; Concentrations are not contained in the Bill, but are set by regulation. CARSP 2019 Conference
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Other Changes Includes a preamble outlining the purpose
Introduces Mandatory Breath Tests Reduces the number of available charges Changes to penalties Reduction in Hard Suspension Authorizes Road Side Drug Screening CARSP 2019 Conference
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Effects of Cannabis Physical Driving Euphoria and relaxation,
Perceptual changes and distortion of the passage of time Poor ability to divide attention, memory deficits Impaired motor functioning, including loss of coordination and balance Loss of inhibitions Physical changes such as increased heart rate, dilated pupils, and red eyes Poorer lane tracking Greater variability in steering wheel adjustments Slower reaction times Impairs divided attention and decision making ability Impairs perception of danger and response to it CARSP 2019 Conference
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Factors In Cannabis Impaired Driving?
Effects of cannabis on driving depend on: how much is consumed its potency (i.e., how much THC is in cannabis); how it was consumed (ingested vs inhaled); and person’s experience using cannabis (i.e., high drug tolerance among chronic users) Cannabis effects have been shown to vary from one person to another and from one dose to another for the same individual As a result, cannabis may be more difficult challenge to prosecute than alcohol. CARSP 2019 Conference
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Fatality Database Managed by the Traffic Injury Research Foundation since late 70s Drugs were officially added in 2000 Only includes pedestrians and drivers who were fatally injured Timeliness of the data remains an issue. CARSP 2019 Conference
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Fatal Injured Drivers by Age - 2015
TIRF Fatality Database CARSP 2019 Conference
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Alcohol Prevalence Alcohol in Fatally injured drivers
Alcohol in SI injured drivers TIRF Fatality Database CARSP 2019 Conference
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Drugs in Fatally Injured Drivers
All psychotropic drugs Cannabis TIRF Fatality Database CARSP 2019 Conference
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Polysubstance Use 2015 TIRF Fatality Database CARSP 2019 Conference
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Crash Risk Asbridge (2012) conducted
meta-analysis of 9 studies and reported 1.92 pooled relative risk ratio (RRR) Other reviews found pooled RRRs of: 2.7 (Li, et al., 2012) 1.3 for fatal collisions (Elvik, 2012) 1.2 to 9.5 (Wolf, 2013) Asbridge (2014) controlled for frequency of cannabis use and found that use of cannabis alone (based on blood test or self-reports) increased RRR of injury collision over 4 times higher if other drugs such as alcohol were involved, risk was more than 6 times greater These studies vary in methodology but risk is likely about twice as high with cannabis present and even higher when combined with alcohol CARSP 2019 Conference
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Roadside Surveys Standard protocol Wed – Sat nights, 9PM – 3 AM
4 locations per night (90 min each) 4-5 interviewers Police assist with traffic Provides information about alcohol and drug use in random sample of nighttime drivers Beirness and Associates CARSP 2019 Conference
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Sample vs Population Beirness and Associates CARSP 2019 Conference
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Prevalence % Drivers using Drugs % Drugs was Cannabis
% Drivers using Drugs % Drugs was Cannabis % Drivers using Alcohol 2010, BC 9.1 63.8 10.7 2012, BC 7 66 8 2014, Ontario 10 4 2016, Manitoba 53 1 2017, Ontario 10.3 82.5 4.4 2018, BC 8.5 62.3 4.9 2918, Yukon 17.8 87 5.1 2018, NWT 13.3 64.7 6.3 Note: all surveys pre legalization CARSP 2019 Conference
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Alcohol and Drug Positive Drivers According to Age (ON 2017)
CARSP 2019 Conference
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Drinking Drivers in Vancouver & Saanich Roadside Surveys
Beirness and Associates CARSP 2019 Conference
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BAC Distribution ON (2017 & 1986)
Beirness and Associates CARSP 2019 Conference
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Pre-legalization Changes in Drug Use by Drivers
Beirness and Associates CARSP 2019 Conference
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Drug Use by Drivers 8 – 10% positive for drugs
Higher in communities outside of major metropolitan areas 74% Cannabis Temporal pattern for drugs is different than that for alcohol Young drivers Older drivers CARSP 2019 Conference
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Non Fatally Injured Drivers
Began in Vancouver Dr. Jeff Brubacher team Utilize clinical samples from injured drivers Project has expanded to now include other hospitals and other provinces Jeff Brubacher et al CARSP 2019 Conference
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Jeff Brubacher et al CARSP 2019 Conference
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Interpretation Many injured drivers had used marijuana, alcohol, other drugs or sedating medications. Younger drivers and male drivers were more likely to test positive for THC, other drugs or alcohol. Females and older drivers were more likely to have used sedating medications. All substances were more common in single vehicle crashes or in drivers with severe injuries. Alcohol is still our biggest problem. Jeff Brubacher et al CARSP 2019 Conference
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In Conclusion Alcohol impaired driving is decreasing but remains a dominant issue Drug Impaired Driving is increasing in prevalence Long term safety outcomes are less clear Alcohol and Drug use are different and need to be addressed differently CARSP 2019 Conference
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Thank you for your attention Paul.Boase@tc.gc.a
Questions? Thank you for your attention CARSP 2019 Conference
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