Category Archives: Highway Safety

Cellphone Bans Cut Crashes; TelematicsCan Help ReduceDistracted Driving

Max Dorfman, Research Writer, Triple-I

State prohibitions on cellphone use while driving correlate with reduced crash rates, according to recent research by the Insurance Institute for High Safety (IIHS). However, overall results were mixed among the states studied, with different legal language, degrees of enforcement, and penalty severity, providing possible explanations for the differing outcomes.

The study observed crash rate changes in California, Oregon, and Washington after legislation to prevent cellphone calls and texting while driving was enacted in 2017, with the research looking at overall numbers from 2015 to 2019. These numbers were compared to control states Idaho and Colorado.

Notably, the study found:

  • A 7.6 percent reduction in the rate of monthly rear-end crashes of all severities relative to the rates in the control states;
  • Law changes in Oregon and Washington were associated with significant reductions of 8.8 percent and 10.9 percent, respectively;
  • California did not experience changes in rear-end crash rates of all severities or with injuries associated with the strengthened law.

Still, state governments face several hurdles in their efforts to prevent crashes caused by cellphone use.

“Technology is moving much faster than the laws,” said Ian Reagan, a senior research scientist at IIHS. “Our findings suggest that other states could benefit from adopting broader laws against cellphone use while driving, but more research is needed to determine the combination of wording and penalties that is most effective.”

Distracted driving remains a major issue

Distracted driving remains a significant problem on roads nationwide. Indeed, distracted driving increased more than 30 percent from February 2020 to February 2022, due largely to changes in driving patterns spurred by the coronavirus pandemic, according to research by telematics service provider Cambridge Mobile Telematics.

The Governors Highway Safety Association (GHSA) reported that more than 3,100 people died in distraction-related accidents in 2020, with an estimated 400,000 people injured each year in such crashes. The true numbers, according to the study, are likely higher due to underreporting. The report also found that cell dial, cell text, and cell-browse were among the most prevalent and highest-risk behaviors.

Telematics can help

Telematics, which uses mobile technology to track driver behavior and provide financial incentives to drive less and often and more carefully, can help reduce dangerous driving. The more consumers positively react to the incentive, the less they pay for their insurance.

Research from the Insurance Research Council – like Triple-I, a nonprofit affiliate of The Institutes, focused on this exact issue, studying public perception and use of telematics. The study found that 45 percent of drivers surveyed said they made significant safety-related changes in the way they drove after participating in a telematics program. Another 35 percent said they made small changes in the way they drive.

During the pandemic, insurance consumers’ comfort with the idea of letting their driving be monitored in exchange for a better premium appeared to improve. In May 2019, mobility data and analytics firm Arity surveyed 875 licensed drivers over the age of 18 to find out how comfortable they would be having their premiums adjusted based on telematics variables. Between 30 and 40 percent said they would be either very or extremely comfortable sharing this data. In May 2020, they ran the survey again with more than 1,000 licensed drivers.

“This time,” Arity said, “about 50 percent of drivers were comfortable with having their insurance priced based on the number of miles they drive, where they drive, and what time of day they drive, as well as distracted driving and speeding.”

Pot Legalization Link To Car Crashes Variesby State, Study Finds

Max Dorfman, Research Writer, Triple-I

Recreational marijuana use is associated with automobile crash trends, according to a paper published in the Journal of Studies on Alcohol and Drugs. However, the study also noted that retail marijuana sales aren’t solely responsible for the general rise in accidents.

Legalization of recreational marijuana use was correlated to a 6.5 percent growth in the rate of crashes involving injuries and a 2.3 percent rise in those involving fatalities. With legalization and retail sales, the study found that the total impact was a 5.8 percent rise in injury crash rates and a 4.1 percent increase in fatal crash rates.

But these results were inconsistent across states, with the effects on injury crash rates varying from a 7 percent decrease to an 18 percent rise and fatal crash rates ranging from a 4 percent increase to a 10 percent decline. Colorado experienced the biggest rise in injury crash rates after legalization and retail sales, coming in at 17.8 percent. Nevada experienced the largest decline in fatal crashes, at 9.8 percent.

“Legalization removes the stigma of marijuana use, while the onset of retail sales merely increases access,” said lead researcher Charles M. Farmer of the Insurance Institute for Highway Safety. “But access to marijuana isn’t difficult, even in places without retail sales. Users who previously avoided driving high may feel that it’s okay after legalization.”

Farmer added, “Studies looking for a direct causal link between marijuana use and crash risk have been inconclusive.” Unlike with alcohol, no objective measure yet exists for how impaired a marijuana user has become.

As Triple-I notes, most studies find that marijuana use results in impaired coordination, memory, associative learning, attention, cognitive flexibility, and reaction time. Although it is clear from this research that driving ability is diminished, the extent of impairment continues to be studied.

Younger drivers are at higher risk of traffic accidents than older drivers, with younger male drivers at high risk. Early evidence indicates that younger male drivers are most likely to drive under the influence of marijuana.

Another study, in the journal Drug and Alcohol Dependence, suggests chronic, heavy use of recreational marijuana impairs driving skills, even when the driver is not high, with those who started regularly using marijuana before 16 years old showing the worst results.

These results demonstrate that the effects of marijuana vary widely across demographic groups, making it all the more important for everyone to be cautious when using the drug.

Distracted Driving Surges Since Start of Pandemic

By Max Dorfman, Research Writer, Triple-I

Distracted driving in the United States has risen more than 30 percent from February 2020 to February 2022, as the coronavirus pandemic has upended driving patterns, according to a recent report by telematics service provider Cambridge Mobile Telematics (CMT). This comes despite improvements in other dangerous behaviors, like speeding, which has declined as traffic returned since the early phases of the pandemic.

Drivers in January 2022 averaged 1:35 seconds of distraction per hour, a high for the past three years. Additionally, in February 2022, this figure increased to 1:38 seconds – a 25.5 percent increase from February 2019, and a 30.3 percent rise from February 2020, which was the last month of pre-pandemic driving.

Additionally, evening and late-night distracted driving has dramatically increased compared to pre-pandemic levels, with evening distraction ballooning to almost 35 percent from February 2020 to April 2020. Late-night distraction has become even worse, with 40 percent of drivers in the same period. This trend has remained high, with the average time distracted standing at 1:29 seconds per hour by February 2022 for late-night driving.

The U.S. government takes notice

Recently, the Governors Highway Safety Association (GHSA) released a report detailing data limits and other barriers to limiting distracted driving. The report found that approximately 3,142 people died in distraction-related accidents in 2020, with an estimated 400,000 people injured each year in such crashes. The true numbers, according to the study, are likely higher due to underreporting.

The GHSA report also notes that the most prevalent and highest-risk behaviors include:

  • Cell dial;
  • Cell text;
  • Reaching for an object;
  • Cell-browse and;
  • In-vehicle device.

A total of 15 percent of police-reported motor vehicle traffic crashes recorded distraction as a factor, according to national crash data, with drivers aged 15 to 20 years at the highest risk for distracted driving in a fatal crash.

This comes despite 80 percent of drivers stating that talking on a hand-held cell phone is extremely or very dangerous. However, 37 percent admit to doing this. Almost all drivers (95 percent) said reading or typing a text or email on a hand-held cell phone while driving is extremely or very dangerous. However, 23 percent reported typing or sending a text or email on a hand-held cell phone at least once in the past 30 days, with 34 percent stating that they read on a hand-held device while driving.

Can telematics help?

A 2020 study by Triple-I’s sister organization the Insurance Research Council (IRC) focused on public perception and use of telematics, which can be used to lower the cost of insurance for responsible drivers.

Indeed, 45 percent of drivers surveyed said they made significant safety-related changes in the way they drove after participating in a telematics program. An additional 35 percent said they made small changes in the way they drive.

And although many individuals who made small or significant changes ultimately return to previous driving habits, one in four participants reported that they consider the changes made to be permanent, with an additional 19 percent saying they engaged in previous driving habits only rarely.

These kinds of shifts in behavior hold promise not only for the future of telematics, but for safer roadways with significantly fewer accidents.

Reducing Traffic Fatalities and Injuries Through Vision Zero

By Max Dorfman, Research Writer, Triple-I

Local governments in the United States in recent years have begun adopting “Vision Zero” policies, which aim at cutting roadway fatalities to zero. Such policies – which have demonstrated success abroad – have drawn even more interest since the onset of the pandemic, during which traffic fatalities and injuries have surged.

The Vision Zero Network is a nonprofit focused on helping local governments implement the Vision Zero plan. First implemented in Sweden in 1997, that country has seen its traffic fatalities halved, inspiring other governments to adopt similar measures. Vision Zero is also becoming an initiative for the entire European Union.

More than 40 communities across the United States have adopted these policies, including major metropolitan areas like New York City, Los Angeles, and Portland, Ore. In Portland, several data points are helping government officials better understand how to reduce traffic fatalities and injuries, including a high percentage of pedestrian crashes occurring because of long distances between marked crossings. Portland has taken the initiative, building “a system to protect pedestrians includes frequent safe crossings, street lighting, a cultural acceptance of slower speeds and people educated about how to interact safely on the streets.”

Success in Hoboken, NJ

Hoboken, a city of about 54,000 people across the Hudson River from New York City, has experienced zero traffic deaths for three years as of 2021. Instrumental in this has been Mayor Ravi Bhalla’s Vision Zero program. Mayor Bhalla’s 2019 executive order has resulted in the city extending its bike-lane network 38 percent in 2019 and 2020, with its total on-street network of 16.3 miles now nearly half of the city’s 33 miles of streets.

The city also has put in curb extensions at intersections, marked wider crosswalks, and timed traffic signals to give pedestrians a seven-second head start. When it’s warmer, major commercial areas of the city are closed to cars entirely or assigned as “slow streets” with decreased traffic and velocities.

“While we’ve made major progress in the past three years, having no pedestrian fatalities and a reduction in pedestrian injuries, we are striving to create even safer streets in the years ahead,” said Mayor Bhalla. “With the adoption of the Vision Zero Action Plan, we’ll be able to take even more actionable steps to reach our goal of all traffic-related deaths and injuries by 2030, one of the most ambitious Vision Zero goals in the entire country.” 

With these steps being implemented nationwide, entire communities are becoming safer. Additionally, insurers could potentially pass the savings produced by lower accident rates onto consumers, as they did earlier in the pandemic.

Now the U.S. federal government has announced its own version of Vision Zero. In late January, federal transportation officials released a plan to reduce the tens of thousands of road deaths that occur every year.

Truckers’ Premiums Keep Rising, Despite Safety Improvements, Coverage Changes

As with so many other goods and services, insurance for commercial trucks has become more costly since the pandemic – but a closer look at the numbers shows that this trend pre-dates COVID-19’s economic and supply-chain disruption.

“Despite reductions in insurance coverage, rising deductibles, and improved safety, almost all motor carriers experienced substantial increases in insurance costs from 2018 to 2020,” according to a recent report by the American Transportation Research Institute (ATRI). And, while frequency and severity have been on the rise from 2009 to 2018, the report shows the rate of insurance cost increases during the period far exceeding the crash rate increase.

ATRI’s observations are consistent with findings in a recent study by Triple-I and the Casualty Actuarial Society (CAS) that the phenomenon known as “social inflation” accounted for $20 billion in commercial auto liability claims between 2010 and 2019. 

“External factors that go well beyond carrier safety force commercial trucking insurance costs to increase,” says Triple-I Chief Insurance Officer Dale Porfilio. “The higher premiums ultimately tend to be passed along to consumers in the form of higher prices for goods and services.”

ATRI recognizes three key areas of influence on premiums beyond crash history and policy components:

  • Economic impacts on the insurance industry,
  • Carrier-specific factors, and
  • Social inflation.

External economic conditions, including general inflation and rising health-care costs, contribute to increased insurance premium rates.

“Medical advances help save lives, but these treatments directly contribute to higher medical costs,” ATRI points out. “Similarly, technological advances in motor vehicles contribute to increasing costs associated with repairing them; electronics now make up 40 percent of the cost of a new vehicle.”

These higher costs affect premiums through larger claims and losses that have to be incorporated into pricing.

Premium rates also are affected by carrier-specific considerations like operational sectors, cargo values, states or regions of operation, company growth, and commitment to safety culture and technologies.

“Carriers demonstrating consistent year-over-year improvements in safety technology adoption, safe driver hiring and training practices, and crash history can potentially lower their premium costs, despite the current adverse environment,” ATRI said.

“Social inflation” refers to the impact of litigation and government policy trends on insurance claims and, ultimately, costs to policyholders. Social attitudes and behaviors affect insurance payouts through changes in laws and propensity to litigate, and jury awards don’t necessarily reflect logical conclusions or precedents. Jury decisions can be influenced by emotions, state and local laws or procedures, and plaintiff bar tactics. In recent years, practices like third-party litigation funding – investment by hedge funds and other third parties in lawsuits in return for a share in the awards – have played an increasing role in social inflation.

Acting to Curb Rising Auto Fatalities

By Max Dorfman, Research Writer, Triple-I

After years of steady declines, traffic fatalities in the United States are on the rise, contributing to increasing auto insurance rates. This comes despite declines in the average number of miles driven due to the pandemic. In 2020, 38,680 deaths occurred on U.S. roads, the most since 2007.

In late January, federal transportation officials released a plan to reduce the tens of thousands of road deaths that occur every year, an issue that has become more significant since the beginning of the coronavirus pandemic.

“We cannot and should not accept these fatalities as simply a part of everyday life in America,” said Transportation Secretary Pete Buttigieg. “No one will accomplish this alone. It will take all levels of government, industries, advocates, engineers and communities across the country working together toward the day when family members no longer have to say good-bye to loved ones because of a traffic crash.”

Pandemic’s impact

Roadway safety in the United States had increased for decades before the pandemic, primarily due to enforcement of seat belt laws and vehicle safety features, such as airbags, improved braking, and stability control. Yet, the first year of the pandemic saw a 7.2 percent rise in U.S. roadway deaths from 2019. Some experts saw this rise in reckless driving as due, in part, to the isolation associated with the pandemic lockdowns. 

“You’ve been cooped up, locked down, and have restrictions you chafe at,” said Frank Farley, a professor of psychology at Temple University in Philadelphia.

In the early months of the COVID pandemic, insurers were giving rebates for personal auto policies, spurred by reductions in miles driven and anticipation of fewer accidents. However, it quickly became clear that reduced miles driven didn’t automatically lead to fewer deadly accidents. Instead, reckless driving – and fatalities – increased.

The end of pandemic shutdowns hasn’t helped either, with the U.S. Department of Transportation’s National Highway Traffic Safety Administration (NHTSA) estimating that 31,720 people died in motor vehicle traffic crashes for the first nine months of 2021, rising about 12 percent from the 28,325 fatalities projected for the first nine months of 2020. In Q1 of 2020, traffic fatalities were 1.12 per 100 million miles driven. By the end of Q3 of 2021, this number had spiked to 1.41 per 100 million miles driven.

What can be done?

The federal infrastructure deal promises to spend more on new safety measures, with the goal of eliminating road deaths. With this in mind, the Department of Transportation is implementing a Safe System Approach, under the premise that fatal accidents can be avoided if individuals understand the need for safe driving and accept that crashes can be avoided. The aim is zero traffic deaths.

Indeed, the Safe System Approach, which has been adopted across several countries in Europe, has seen remarkably positive results. Traffic fatalities fell 50 percent In Sweden and the Netherlands between 1994 and 2015.

“There are communities that have gotten to [zero traffic fatalities] already,” added Buttigieg. “And I’m not just talking about Oslo,” which experienced zero pedestrian deaths in 2019, “but a place like Hoboken, N.J., in the U.S. has seen multiple years with zero deaths.”

Auto insurance premium rates are affected by many factors, and accident and fatality trends are a major ones. Reckless driving trends – combined with increasing auto repair costs associated with safety, efficiency, and comfort – can only continue to put upward pressure on rates. Individual behavior and government policies must converge in the direction of improving responsibility and safety for all drivers.

Studies: Car Crashes Rise as Recreational Cannabis Becomes Legal in States

Connecticut this week became the latest state to legalize recreational use of marijuana, and more are expected to follow.

The increased marijuana use that accompanies legalization has raised concerns about road safety.

Researchers at Insurance Institute for Highway Safety (IIHS) and the Highway Loss Data Institute (HLDI) since 2014 have been examining how legalization has affected crash rates and insurance claims, and evidence is emerging that crash rates go up when states legalize recreational use and retail sales of marijuana.

The most recent of these studies, released on June 17 by the IIHS, shows that injury and fatal crash rates in California, Colorado, Nevada, Oregon, and Washington jumped in the months following relaxation of marijuana laws in each state. The five states experienced a 6 percent increase in injury crash rates and a 4 percent increase in fatal crash rates, compared with other Western states where recreational marijuana use was illegal during the study period.

Only the increase in injury crash rates was statistically significant.

“Our latest research makes it clear that legalizing marijuana for recreational use does increase overall crash rates,” says IIHS-HLDI President David Harkey. “That’s obviously something policymakers and safety professionals will need to address as more states move to liberalize their laws — even if the way marijuana affects crash risk for individual drivers remains uncertain.”

Insurance records show a similar increase in claims under collision coverage, which pays for damage to an at-fault, insured driver’s own vehicle, according to HLDI’s latest analysis. The legalization of retail sales in Colorado, Nevada, Oregon, and Washington was associated with a 4 percent increase in collision claim frequency compared with the other Western states from 2012 to 2019. That’s down slightly from the 6 percent increase HLDI identified in a previous study, which covered 2012  to 2018.

While the evidence that crash rates have increased in states that legalized marijuana is mounting, it appears that further study is needed to determine whether marijuana use alone is responsible. Preliminary data suggests people who use alcohol and marijuana together are accountable for most of the crashes.

Another factor may be that marijuana users in counties that do not allow retail sales are driving to counties that do. The increased travel could lead to more crashes, even if their crash risk per mile traveled is no higher than that of other drivers.

Expect a Memorial Day travel surge

This Memorial Day weekend, the unofficial start of summer, many are feeling a renewed sense of hope as COVID-19 infection rates fall and vaccinated individuals are given the green light to travel.

Over 37 million Americans are planning trips of more than 50 miles from their homes this weekend, according to AAA, an increase of more than 60 percent from last year, but still 6 million fewer than 2019’s pre-pandemic travelers on the same weekend.

Drivers are reminded to exercise caution on the roads, as Memorial Day has some of the highest auto accident rates, with alcohol consumption as a major contributing factor.

Triple-I recently spoke with Forbes magazine about avoiding some of the other hazards of summer, including car theft, grill fires, and dog bite liability.

We hope that you take the extra precautions outlined in the Forbes article — as well as review your insurance coverage – and have a safe, healthy summer.

“Landscape of Fear”: What Wolves Can Teach Us About Risk Mitigation

Reintroducing wolves into areas where they’ve previously been decimated seems to reduce car crashes involving deer by nearly 25 percent.

Huh? What? Is this one of those “Correlation doesn’t equal causation” memes?

Not at all.

Scientists in Wisconsin have gathered data about road collisions and wolf movements in the state to quantify how the arrival of wolves affected the frequency of deer-auto collisions.

“In a pretty short period of time, once wolves colonize a county, deer vehicle collisions go down about 24 percent,” said Dominic Parker, a natural resources economist at the University of Wisconsin, Madison and co-author of their new study published in the journal Proceedings of the National Academy of Sciences.

You might say, “Well, of course – wolves eat deer, fewer deer means fewer collisions.” But it’s a bit more subtle than that. The scientists found that reintroducing wolves created what scientists call “a landscape of fear.”

“When you have a major predator around, it impacts how the prey behave,” Parker said. “Wolves use linear features of a landscape as travel corridors, like roads, pipelines and stream beds. Deer learn this and can adapt by staying away.”

Just one study

Now, of course, this is just one study, and it’s not being embraced by everyone – for example, farmers and ranchers who don’t love the reintroduction of predators that might kill their livestock or add to the cost of protecting the animals they raise.

“People who value the existence of wolves are often not in the same communities where wolves are present,” said Jennifer Raynor, Parker’s colleague and co-author. “Urban wildlife lovers may be happy to know that wolves exist out there, but rural people have to stare at the carcasses of livestock and pets.”

Deer-vehicle collisions “are happening in both urban and rural areas,” Raynor said. “No one is avoiding this problem” – which means rural people are also benefiting from wolves, whether they realize it or not.

On average, 19,757 Wisconsinites collide with deer every year, leading to about 477 injuries and eight deaths. Wolves save the state $10.9 million in losses every year, the scientists determined —a figure 63 times greater than the total compensation paid for the loss of livestock or pets.

The average cost of an animal-strike claim under comprehensive coverage for 2001-14 models during calendar years 2004-13 was $2,730. That’s a hefty price but still lower than the average payout of $3,510 for a collision claim, the Highway Loss Data Institute has found.

More research needed

Guillaume Chapron at the Swedish University of Agricultural Sciences, who studies large carnivores, says the team hasn’t provided enough information about their statistical methods, the degree of uncertainty in their results, or details on how to replicate their analysis.

“It may be that they found a new dimension to the role played by wolves, but their paper makes a critical evaluation of their findings impossible,” he said. “I’m sure it will be loved by wolf advocates, but much less by statisticians.”

Eyes on natural risk mitigation

More research clearly is needed before anyone should begin advocating large-scale reintroduction of wolves into populous areas with an eye toward reducing auto insurance claims and premiums. But the study highlights an area to which insurers are paying increasing attention: natural risk mitigation.

For example, interest has risen in how restoration of natural ecosystems – such as mangrove forests and coral reefs – can reduce insured losses caused by storm surge caused by hurricanes.

In many places, mangroves are the first line of defense, their aerial roots helping to reduce erosion and dissipate storm surge. A healthy coral reef can reduce up to 97 percent of a wave’s energy before it hits the shore. Reefs — especially those that have been weakened by pollution, disease, overfishing, and ocean acidification — can be damaged by severe storms, reducing the protection they offer for coastal communities. 

In Florida, a recent study found, mangroves alone prevented $1.5 billion in direct flood damages and protected over half a million people during Hurricane Irma in 2017, reducing damages by nearly 25 percent. Another study found that mangroves actively prevent more than $65 billion in property damage and protect over 15 million people every year worldwide.

Communities, businesses, and families looking to reduce damages and their associated costs should look closely at natural, pre-emptive mitigation.

Learn More on the Triple-I Blog

Man-Made and Natural Hazards Both Demand a Resilience Mindset

Hurricane Delta Triggered Coral Reef Parametric Insurance

Mangrove Insurance: Parametric + Indemnity May Aid Coastal Resilience

Mangroves and Reefs: Insurance Can Help Protect Our Protectors

Distracted driving during the pandemic

Getty Images

Activities that take drivers’ attention off the road, including talking or texting on mobile devices, eating, and talking with passengers, are a major safety threat.

During the pandemic, while overall driving decreased, unsafe behavior by drivers rose in an alarming way. Motor vehicle deaths were up 8 percent in 2020 from the prior year – the highest percentage increase in 13 years, according to the National Safety Council.

Perhaps unaware of the danger, one in four drivers thinks roads are safer today than they were before the pandemic, yet a growing number of people reported using their mobile devices in unsafe ways while driving, according to the 2021 Travelers Risk Index on distracted driving.

The study found increases in the following behaviors:

  • Texting or emailing (26 percent, up from 19 percent pre-pandemic).
  • Checking social media (20 percent, up from 13 percent pre-pandemic).
  • Taking videos and pictures (19 percent, up from 10 percent pre-pandemic).
  • Shopping online (17 percent, up from 8 percent pre-pandemic).

“Traffic volumes were lower during the early days of the pandemic, which may have given drivers a false sense of security,” said Chris Hayes, Second Vice President of Workers Compensation and Transportation, Risk Control, at Travelers. “Not only did distracted driving increase, data from our telematics product IntelliDrive shows that speeding also became more prevalent. As travel restrictions are lifted around the country, it’s critical to slow down and stay focused on the road by eliminating distractions.”

Travelers’ findings suggest that many people may be feeling increased pressure to always be available for their jobs. This year, 48 percent of business managers said they expect employees to respond frequently to work-related calls, texts or emails, compared to 43 percent pre-pandemic. One in four respondents said they answer work-related calls and texts while behind the wheel, citing the following reasons:

  • 46 percent said they think it might be an emergency.
  • 29 percent said their supervisor would be upset if they don’t answer.
  • 22 percent said they are unable to mentally shut off from work.

Yet, a higher number of employers are concerned about liability from distracted driving. More than one-quarter (27 percent) indicated that they worry a great deal about their liability should an employee be involved in a crash because of distracted driving, up from 21 percent pre-pandemic.

April is Distracted Driving Awareness Month. Here are a few resources to help reduce preventable crashes and keep everyone safe on the road:

Travelers Distracted Driving Prevention Materials
National Safety Council
National Highway Traffic Safety Administration
OSHA Guidelines for Employers to Reduce Motor Vehicle Crashes