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.

In the Netherlands, a sustainable road safety approach, in which measures in the fields of Engineering, Education and Enforcement (3Es) are complementary, has been used for decades. Enforcement reduces high-risk road user behaviour and is therefore an important component of this safe system approach.

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.

Sustainable Road Safety implies that the traffic environment is designed to rule out serious crashes and to mitigate the severity of the crashes that do happen. The human dimension is the primary focus: man who is vulnerable, makes mistakes and does not abide by the rules.

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.

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.