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Of the 291 million individuals living in the United States, approximately 191 million, or 65.6 percent, are licensed to drive. Every year, about 42,000 individuals die in traffic-related crashes. The National Highway Traffic Safety Administration estimated in 2000 that highway crashes cost U.S. society about $230.6 billion a year, with each roadway fatality costing an average of $977,000, and each critical injury crash costing an average of $1.1 million.
TO THE NATIONAL HIGHWAY TRAFFIC SAFETY ADMINISTRATION: In cooperation with the American Medical Association and the American Association of Motor Vehicle Administrators, develop a procedure to periodically collect, evaluate, and report data, on a State and national basis, regarding the extent to which medical conditions contribute to the cause of accidents.
Original recommendation transmittal letter:
Closed - Acceptable Alternate Action
Hagerstown, MD, United States
Addressee(s) and Addressee Status:
NHTSA (Closed - Acceptable Alternate Action)
Safety Recommendation History
We are encouraged by your efforts to work with the AMA, the AAMVA, and the states to link the National Emergency Medical Services Information System to the Health Information Exchange, providing emergency responders with existing driver health conditions and treatments. Although this program is only available in a limited number of communities at this time, we understand that you are continuing to improve data collection and use as the program expands. Although you do not have direct control of the linkage, this collaborative effort represents an acceptable alternate means of developing the recommended medical data collection procedure for noncommercial drivers. Accordingly, Safety Recommendation H-04-38 is classified CLOSED--ACCEPTABLE ALTERNATE ACTION.
List of 9 safety recommendations for which you have not provided a substantive update in 3 or more years. Recommendations include H-00-028, H-01-041, H-03-013, H-03-014, H-03-016, H-04-038, H-09-011, H-09-012, and H-09-013. We are interested in knowing whether and how our recommendations are implemented, both to ensure that the traveling public is provided the highest level of safety and to identify creative solutions that might be shared with others. We are concerned because we have not received updates regarding action either taken or planned to address the nine open recommendations listed above in Part 3 for some time—in some cases, for over 10 years. Failure to address these important safety issues places the public at risk. Because of this long delay, and the fact that some of the recommendations listed above are nearly 15 years old, please reply to this letter within 90 days to provide an update regarding your actions and plans to address them. Pending your timely reply, the recommendations will retain their current classifications.
The Safety Board notes NHTSA's plans to meet with the AMA and AAMVA to discuss (1) the types of medical conditions on which to focus research efforts, (2) ways in which the States and medical community may facilitate this effort, and (3) the feasibility of obtaining information relative to medical conditions' contributions to vehicle crashes. We appreciate NHTSA's offer to update the Safety Board following these meetings, which constitute a positive start to addressing this recommendation. Accordingly, Safety Recommendation H-04-38 is classified OPEN -- ACCEPTABLE RESPONSE pending the development of the recommended procedure.
Letter Mail Controlled 2/9/2005 1:36:09 PM MC# 2050053 - From Jeffrey W. Runge, M.D., Administrator: The NTSB recommended that NHTSA work with the American Medical Association (MA) and the American Association of Motor Vehicle Administrators (AAMVA) to develop a procedure to periodically collect, evaluate, and report data, on a State and national basis, regarding the extent to which medical conditions contribute to the cause of crashes. NHTSA will meet with AMA and AAMVA to get their input and suggestions on the types of medical conditions on which to focus research efforts and ways in which the States and medical community may facilitate this effort. We will also solicit their input on the feasibility of obtaining information relative to medical conditions in vehicle crashes. NHTSA will update NTSB after meeting with these organizations. In the meantime, we ask that this recommendation be classified as "Open--Acceptable Response."
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