Jarmo Pikkarainen

Drinking and driving: choosing the legal limits

The legal limit for drinking and driving in Britain is 80 mg/dl (17.4 mmol/l) of alcohol in the blood. This was chosen 20 years ago on the basis of studies that have recently been reanalysed. Changes in public opinion, the results of recent research, and the evaluation of other countermeasures, such as random breath testing, show that there are good grounds for revising the legal limit downwards. It is suggested that the legal limit should be reduced from 80 mg/dl to 50 mg/dl (10.9 mmol/l) and random breath testing introduced as in most Nordic countries. A zero limit is proposed for learner and first year drivers, who are likely to have accidents even with low concentrations of alcohol in their blood.

Drinking and driving: success of random breath testing in Finland.

Since the introduction of random breath testing in Finland in 1977 the drinking and driving rate has halved, and there has been an appreciable reduction in the rates of death and injury from road accidents associated with drinking. The results of Finnish studies indicate that random breath testing deters social drinkers and detects problem drinkers. Problem drinkers are more likely to be driving in morning traffic, when vulnerable road users such as children are about, and are more likely to be detected by random breath testing than by any other police activity. Random breath testing is a popular measure and has not only saved lives but has paid for itself by savings in health service and other resources. Introducing random breath testing into Britain could save at least 400 lives a year. The main recommendation of the Blennerhassett report of 1976--discretionary testing--is compared with the success of random breath testing in Finland.

Conventional laboratory tests as indicators of heavy drinking in young university students

Conventional laboratory tests: gamma glutamyltransferase (GGT), alanine aminotransferase (ALAT), aspartate aminotransferase (ASAT), mean corpuscular volume (MCV), cholesterol, and high-density lipoprotein cholesterol (HDL-cholesterol) were studied as possible markers of heavy drinking in a sample of 1,619 first-year university students in Helsinki. Alcohol consumption was measured on a frequency-volume scale. No significant (p < 0.001) correlation between the laboratory tests and reported drinking was found. However, significant differences between different drinking groups were found in GGT, MCV, and HDL-cholesterol in both female and male students and in cholesterol in male students. We conclude that, even if alcohol drinking has some impact on GGT, MCV, HDL-cholesterol, and cholesterol (males), these tests are neither specific nor sensitive enough to be used as screening tests for heavy drinking in young students.

Drunken driving with motorboat in Finland: A pilot study on the southern seacoast in summer 1978

Four surveys of breath alcohol were conducted on two motorboat passages at the archipelago of the Gulf of Finland on Friday and Saturday afternoons in summer 1978. All passing motorboats were controlled by the police and the drivers were breathanalyzed with AlcolmeterR. The breath test was positive for 126 (29.7%) of 424 examined drivers. Mainly these drivers had ingested small amounts of alcohol, and in only five cases (1.2%) did the blood alcohol result exceed the statutory blood alcohol limit, which is 0.15% for motored water traffic in Finland. The present study suggest a remarkable difference in peoples attitudes toward driving a motor vehicle on land or at sea in their free time after ingestion of alcohol.