Abstract
A decline is described in the number of alcohol-related traffic fatalities and in the percentage of total fatalities involving alcohol in the US between 1982 and 1994. In 1995, however, the trend is seen to be reversed and this continues in 1996. Possible factors accounting for earlier successes and more recent reversals are noted. These include a) legislative action, b) minimum drinking age, c) enforcement and d) changes in public awareness and concern. Factors to be considered in future campaigns are discussed. These include an increase in the number of Hispanic drivers and women drivers and in the numbers of women drinking. A group with a particularly high accident risk who need to be targetted are the 21 -34 age group.