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11. 2 Recall from the Lecture on Epidemics and Substance Abuse The importance of road traffic collisions determining the index of disabilty adjusted life

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Page 1: 11. 2 Recall from the Lecture on Epidemics and Substance Abuse The importance of road traffic collisions determining the index of disabilty adjusted life

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Page 2: 11. 2 Recall from the Lecture on Epidemics and Substance Abuse The importance of road traffic collisions determining the index of disabilty adjusted life

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Recall from the Lecture on Epidemics and Substance

AbuseThe importance of road traffic collisions

determining the index of disabilty adjusted life years = years lost of life + years lived with disability

Page 3: 11. 2 Recall from the Lecture on Epidemics and Substance Abuse The importance of road traffic collisions determining the index of disabilty adjusted life

3Michaud CM, Murray CJL, Bloom BR. JAMA 2001; 285(5):535-539.

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Estimated Leading Causes of Disability-Estimated Leading Causes of Disability-Adjusted Life-Years (DALYS) in the U.S., Adjusted Life-Years (DALYS) in the U.S.,

19961996

Page 4: 11. 2 Recall from the Lecture on Epidemics and Substance Abuse The importance of road traffic collisions determining the index of disabilty adjusted life

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Estimated Leading Causes of Disability-Adjusted Life-Years (DALYS) in the U.S., 1996

Michaud CM, Murray CJL, Bloom BR. JAMA 2001; 285(5):535-539.

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Page 5: 11. 2 Recall from the Lecture on Epidemics and Substance Abuse The importance of road traffic collisions determining the index of disabilty adjusted life

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IssuesPrivate optima & social optima

Government Regulation Versus Market Solutions

Collision Statistics and Risk

Local Traffic: Volume, Collisions, and Congestion

Control of Driving Under the Influence, DUI

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Page 6: 11. 2 Recall from the Lecture on Epidemics and Substance Abuse The importance of road traffic collisions determining the index of disabilty adjusted life

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Part I: Private Optima Vs. Social Optima

The Value of Time and Speeding

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Page 7: 11. 2 Recall from the Lecture on Epidemics and Substance Abuse The importance of road traffic collisions determining the index of disabilty adjusted life

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Value of Time & Speeding

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Page 8: 11. 2 Recall from the Lecture on Epidemics and Substance Abuse The importance of road traffic collisions determining the index of disabilty adjusted life

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Distance = Rate*TimeD =100 miles Rate (speed) Time to travel

100 25 mph 4 hours

100 40 mph 2.5 hours

100 50 mph 2.0 hours

100 75 mph 1 hour 20 minutes

100 80 mph 1 hour 15 minutes

100 85 mph 1 hour 11 minutes

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Page 9: 11. 2 Recall from the Lecture on Epidemics and Substance Abuse The importance of road traffic collisions determining the index of disabilty adjusted life

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Time saved

Time for travel

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Vehicle CostsVictoria Transport Policy

Institute

Fixed costs: $ 2884/360 = $8 per day

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Page 14: 11. 2 Recall from the Lecture on Epidemics and Substance Abuse The importance of road traffic collisions determining the index of disabilty adjusted life

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Fixed costs

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Page 15: 11. 2 Recall from the Lecture on Epidemics and Substance Abuse The importance of road traffic collisions determining the index of disabilty adjusted life

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Variable costs $0.14mile* 100 =

$14, corrected for inefficiency

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Risk of fatality: 1.27 per 100 million miles traveled, or

1.27*10-6 *$1.4 Million or about $2, but U-shaped with speed

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Page 19: 11. 2 Recall from the Lecture on Epidemics and Substance Abuse The importance of road traffic collisions determining the index of disabilty adjusted life

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Page 20: 11. 2 Recall from the Lecture on Epidemics and Substance Abuse The importance of road traffic collisions determining the index of disabilty adjusted life

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Part II. Government Regulation

Versus the Private Marketself – insurance against risk of accidents

Civil Law-suit for damages

Government Requires Insurance of all Drivers Uninsured driver Moral hazard?

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Page 21: 11. 2 Recall from the Lecture on Epidemics and Substance Abuse The importance of road traffic collisions determining the index of disabilty adjusted life

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Part III: Risk of an Accident

Collision Statistics Number of collisions involving fatalities Number of Collisions Involving Injuries Number of Collisions Involving Only Property

Damage

Region US California Santa Barbara County Oxnard-Ventura

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Page 22: 11. 2 Recall from the Lecture on Epidemics and Substance Abuse The importance of road traffic collisions determining the index of disabilty adjusted life

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Why Did the Number of Fatal Crashes Start

Declining?Safer cars?

Seat belts Air bags

Safer Roads?

Safer Drivers?

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Risk Measures: Per Capita, Per VMT

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Passenger car involvement down, light trucks &

motorcycles up

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California Trends

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Oxnard-Ventura 2010 Fatalities

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Local Traffic & Traffic Measures

Traffic Volume or Counts

Traffic Collisions: Fatal, Injury, Property Damage Only

Traffic Congestion

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Not Much Change in Traffic Volume

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Traffic CollisionsSanta Barbara County , Total

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Traffic CollisionsVentura County, Total

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Traffic CollisionsSan Luis Obispo County,

Total

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What is Going On In Ventura?

Traffic Congestion

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Ventura CountyVehicle Miles Travelled,

VMT

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Traffic Collisions Involving Injuries,

Traffic Congestion & Public Transportation

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Positive?

Page 42: 11. 2 Recall from the Lecture on Epidemics and Substance Abuse The importance of road traffic collisions determining the index of disabilty adjusted life

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Spurious Correlation? Difference

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Traffic Collisions Involving Injuries,Traffic Congestion & Public

Transportation

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Still +

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Actual, Fitted & Residual

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-300

-200

-100

0

100

200

300

-600

-400

-200

0

200

400

94 96 98 00 02 04 06 08

Residual Actual Fitted

Page 45: 11. 2 Recall from the Lecture on Epidemics and Substance Abuse The importance of road traffic collisions determining the index of disabilty adjusted life

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Control Of DUI

History: Sweden Guiding Force: Temperance Movement in

Parliament

History: Great Britain Guiding Force: Physicians

History: US Guiding Force: MADD, SADD

History: CA

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NHTSA

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NHTSA

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Holidays & DUI

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Motor Vehicle Drivers in Fatal Collisions By Age, Under the Influence,

2009 CA

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60

80

100

120

140

160

2005 2006 2007 2008 2009

ALCINVFATCOLL

Alcohol Involved Fatal Collisions, Jan 2005-Dec 2009

July Aug Aug

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Intervention Analysis

If you know the date a law became effective then you can see if behavior changed after that date

Example: per se legislation setting a blood alcohol content, bac, of 0.08 was passed in the United Kingdom in October 1967

Monthly Data on the number of road fatalities and number seriously injured is available from January 1960 to December 1975

Page 54: 11. 2 Recall from the Lecture on Epidemics and Substance Abuse The importance of road traffic collisions determining the index of disabilty adjusted life

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Road Fatalities and Seriously Injured

200

400

600

800

1,000

1960 1962 1964 1966 1968 1970 1972 1974

KILL

4,000

5,000

6,000

7,000

8,000

9,000

10,000

1960 1962 1964 1966 1968 1970 1972 1974

INJ

0

1

2

1960 1962 1964 1966 1968 1970 1972 1974

STEP

Road fatalities

Seriously Injured

Step Function

Page 55: 11. 2 Recall from the Lecture on Epidemics and Substance Abuse The importance of road traffic collisions determining the index of disabilty adjusted life

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Regress Road Fatalities On seasonal Dummies and Step

Function

-46/608 = 7.6%

Page 56: 11. 2 Recall from the Lecture on Epidemics and Substance Abuse The importance of road traffic collisions determining the index of disabilty adjusted life

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Regress SDKill = -87*sdstep + error

-200

-100

0

100

200

-400

-200

0

200

400

61 62 63 64 65 66 67 68 69 70 71 72 73 74 75

Residual Actual Fitted

-87/608 = -14%

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40

60

80

100

120

140

160

150 200 250 300 350 400 450

FATALCOLLISIONS

AL

CF

ATA

LC

OL

L

Alcohol Involved Crashes with Fatalities VS. Crashes Involving

Fatalities

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The End