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The Automotive Coalition for Traffic Safety (ACTS) and the National Highway Traffic Safety Administration (NHTSA) have commenced a five-year cooperative agreement exploring the feasibility of, and the public policy challenges associated with, widespread use of in-vehicle alcohol detection technology to prevent alcohol-impaired driving. This effort, known as the Driver Alcohol Detection System for Safety (DADSS) program, aims to develop technologies that could be a component of a system to prevent the vehicle from being driven when the device registers that the driver's blood alcohol concentration (BAC) exceeds the legal limit (currently 0.08 g/dL throughout the United States). For DADSS installation as original equipment in new vehicles there are critical requirements to be met. Alcohol detection technology must be seamless to the driver and be able to quickly and accurately measure the driver's BAC non-invasively.

This study, which is an extension of an earlier study, examined an additional 64 frontal crashes of airbag-equipped vehicles in the 1997-98 National Automotive Sampling System Crashworthiness Data System (NASS/CDS) in which the driver died. The principal cause of death in each case was determined based on an examination of the publicly available case materials, which primarily consisted of the crash narrative, the injury/source summary, and photographs of the crashed vehicle. Results were consistent with the earlier analyses of the 1990-96 NASS/CDS files. In the combined data set (1990-98), gross deformation of the occupant compartment was the leading cause (42 percent) of driver deaths in these 116 frontal crashes. The force of the deploying airbag (16 percent) and ejection from the vehicle (13 percent) also accounted for significant portions of the driver deaths in these frontal crashes. There continues to be little or no evidence that airbags deploy with too little energy.

Using data from the National Automotive Sampling System/Crashworthiness Data System (NASS/CDS) for1995-96, this study updates previous analyses of driver fatalities in airbag-equipped vehicles in the NASS/CDS database for 1989-93 and 1989-94. A total of 59 cases of frontal crashes of airbag-equipped vehicles with driver fatalities were identified in these 8 years of NASS/CDS data, but in 9 cases the fatalities were not related to the impacts (e.g., fire, medical condition). Vehicle intrusion was the cause of the fatal injuries in 27 cases, and 7drivers died from injuries sustained when they were either partially or totally ejected from their vehicles. There was one case in which the airbag did not deploy, although the crash conditions indicated it should have. One driver died from contact with a nonintruding vehicle surface, and the causes of the fatal injuries in 5 cases were unknown.

The current study estimates about 5 percent of the U.S. female population sits closer than 10 inches from the steering wheel; 35 percent for the smallest 10 percent of the female population. Of the females sitting closer than 10 inches, 66 percent sit within 9-10 inches, and 17 percent sit within 8-9 inches. In a separate study, drivers sitting within 9-10 inches were able to increase this distance to 10 inches or more and still drive comfortably in a number of cars by making a few minor seating adjustments.

Using 1988-95 data from the Fatality Analysis Reporting System, risk of death was compared among front- and rear-seated passengers ages 12 and younger involved in fatal crashes, controlling for restraint use, passenger airbags, and other variables. Among children sitting in the rear, risk of death was reduced about 35 percent in vehicles without passenger airbags and about 50 percent in vehicles with passenger airbags (difference was not statistically significant). Rear seats were protective for both restrained and unrestrained children. Children were about 10-20 percent less likely to die in rear center than in rear outboard positions.

Automobile insurance claims of two popular midsize cars with different air bag deployment frequencies -- the Dodge/Plymouth Neon and Honda Civic -- were examined to determine performance in higher severity crashes (the upper 30 percent of crashes ranked by adjusted repair cost). Previously, it was found that drivers sustained more, mainly minor, injuries in the Neon which had a higher deployment frequency in low speed crashes. This study examined, for these two cars, whether there was any trade-off associated with a higher deployment threshold. It was found that even at higher speeds, the Neon had a greater frequency of air bag deployments, which in turn resulted in a greater likelihood of driver injury. Once again upper extremity injuries were most prevalent for Neon drivers and were highest for female drivers. At the same time, there was little evidence that driver protection was compromised in the Civic in the more important high speed crashes.

A review of 39 driver fatalities in 1990-93 cars with air bags from the National Accident Sampling System indicated most of these fatalities were due to causes unrelated to frontal air bag performance. Two-thirds occurred in side-impact or rollover crashes, in which air bag effectiveness is limited; of 15 frontal crash fatalities, 6 died of causes unrelated to the frontal impact and 5 in cars with severe intrusion. The remaining four fatalities, three of whom were unbelted, were in moderate to high severity crashes which could have been survivable; however the deploying air bags, instead of protecting, probably contributed to the fatal injuries. A similar review of 12 fatalities of unbelted drivers in cars without air bags revealed 3 could have been prevented by air bags, but 4 were in crashes that could have put them in position to be injured by the air bag.

Automobile insurance claims were examined to determine the air bag deployment frequencies of cars with significant frontal crash damage. Air bag deployment frequencies were found to vary greatly by car model. Two popular midsize cars -- the Dodge Neon and Honda Civic -- were studied in detail to better understand the differences in the performance of different air bag systems in low severity crashes (delta V ≤ 15 mph). The Neon had a greater frequency of low speed air bag deployments than the Civic, which in turn resulted in a greater likelihood of air bag-induced minor injuries, in particular upper extremity injuries for females. Differences in air bag leading edge speed and excursion distance may also contribute to the different likelihood of injuries.