Driving under the influence of drugs or impairing medicines reduces fitness to drive[i] and increases crash risk. Drugs have a numbing, stimulating or mind-altering effect on the brain, or a combination of these effects, which impair traffic task performance. For drug use in traffic, we (unfortunately) have to rely on research dating back to 2011.
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Driver fatigue is estimated to be a (contributing) factor in 15 to 20% of crashes, but estimates in individual studies vary widely. Drivers who are tired are less attentive and react less quickly and less adequately than drivers who are not tired. They also get irritated and frustrated more easily.
Children are a vulnerable group among road users. They are, after all, still building up skills which will eventually allow them to become safe and independent road users. The role of parents in teaching their children how to behave safely in traffic is very important. In this fact sheet, children are taken to belong to the age category 0 to 14, unless specified otherwise.
A bicycle helmet is intended to protect cyclists against head and brain injuries when they are involved in crashes. The helmet does not prevent bicycle crashes (see the SWOV fact sheet Cyclists for general bicycle safety measures). International research shows that in case of a crash helmeted cyclists are 60% less likely to sustain serious head/brain injuries and 70% less likely to sustain fatal head/brain injuries than cyclists not wearing a helmet.
Visual information is of the utmost importance to road users. In darkness, both public lighting and vehicle lighting help road users take stock of the traffic situation and help them to be seen by others. Installing public lighting leads to a 50% reduction in the number of nighttime injury crashes. Disavantages of public lighting are, among other things, the risk of collisons with lamp posts, light pollution and the costs of material, maintenance and energy consumption. The road safety effects of a reduction in illuminance level on motorways vary according to the traffic situation.
Moped and light-moped riders are at relatively high risk of being a crash casualty. Although there is a trend towards fewer deaths, in the Netherlands, the risk of being killed or seriously injured remains very large compared with other modes of transport. In the Netherlands, helmet use is mandatory for moped riders, but not for light-moped riders. In recent years we have seen a strong increase in the number of light mopeds (especially the scooter model is widely sold), whereas the number of mopeds has been decreasing slightly.
In the past ten years (2006-2015) an average of 11 road deaths per year in the Netherlands was registered in crashes involving agricultural vehicles. Compared to the early 1990s, the average number of road deaths due to crashes involving an agricultural vehicle increased from 1% to 2% of the total number of road deaths in the Netherlands. Agricultural vehicles are defined as agricultural and forestry tractors as well as self-propelled machinery used in farming, construction industry, civil engineering and the maintenance of public green spaces.
In 2015, 47 motorcyclists died in traffic in the Netherlands. After 2009, when their number was approximately 1,300, it has not been possible to reliably determine the number of serious road injuries due to poor registration. In the Netherlands 1,4 million people have a motorcycle licence, but as there are 656,000 registered motorcycles, less than half own a motorcycle. These motorcyclists travel an average 1,200 to 3,400 km per year, which means that most do not really build a routine.
The elderly have a higher than average fatality rate in traffic. The most important cause of this high fatality rate among the 75 year olds and older is their greater physical vulnerability. In addition, functional limitations can lead to the elderly more frequently being involved in certain types of crashes. The crash type that is characteristic for the elderly occurs while turning left at an intersection.