title: [Alcohol intoxication at the wheel in the Waadt canton (Switzerland).A comparative study of penal and administrative measures 1970 and 1989 in the canton capital city (Lausanne) and a rural area].
abstract: The canton of Vaud is one of the major wine-growing areas of Switzerland. The driving ban rate for drunk driving is the highest in the country. This is the result of the very important rise in the number of drivers intercepted by the police for drunk driving (accidentless cases), in the course of the last ten years (+260%). In order to find out what penal and administrative measures were taken against drunk drivers (those who did not commit an accident), a comparative retrospective study of the offenses committed in the area of Lausanne and in rural area of the canton of Vaud (La Broye) was undertaken. This study deals with the years of 1970 and 1989. In a parallel, the average blood alcohol concentration (BAC) value, relative distribution of the BAC (frequency profile), and the concordance between the doctor's medical examination and the suspect's BAC were studied. Our results demonstrate that only the urban area (Lausanne) showed a significant increase in the drunk-driving offenses without accident, resulting in a significant decrease in the average BAC value as well as a veering towards the left of the BAC frequency profile curve. The legal sanctions and the administrative measures diverge according to the different areas, the most striking fact is the lowering of the average term of imprisonment for second-time or multiple offenders in the study group of Lausanne. The results of the clinical examination undertaken by the doctor at the moment of the blood test have shown that there is often a difference between the clinical evaluation and the actual BAC: for a BAC of 2 to 3/1000, the objective clinical symptoms of drunkenness (Romberg, unstable gait, coordination troubles) are noticed in only half of the cases. As a result, the assessment is no longer based on objective criteria but on subjective criteria as well as on the life-style of a certain period. In conclusion it is our belief that the efforts made by the vaudois police (especially in urban areas) should be pursued further, since positive results are apparent. The Judiciary system should however rebalance the sanctions delivered to drunk-drivers, showing greater severity towards second-time or multiple offenders.
authors.affiliation: Institut für Rechtsmedizin, Universität Lausanne.
authors.forename: Y
authors.initials: Y
authors.lastname: Dubey
authors.forename: H R
authors.initials: HR
authors.lastname: Gujer
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000428:Alcohol Drinking / Q000331:legislation & jurisprudence* / Q000517:prevention & control; D000435:Alcoholic Intoxication / Q000453:epidemiology* / Q000517:prevention & control; D001334:Automobile Driving / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D000431:Ethanol / Q000493:pharmacokinetics; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D012424:Rural Population / Q000706:statistics & numerical data; D013557:Switzerland; D014505:Urban Population / Q000706:statistics & numerical data
chemical_list: D000431:Ethanol
vernacular_title: Trunkenheit am Steuer im Kanton Waadt (Schweiz). Eine Vergleichsstudie über straf- und verwaltungsrechtliche Massnahmen der Jahre 1970 und 1989 zwischen der Kantonshauptstadt (Lausanne) und einer ländlichen Gegend.