• Rate of traffic-related fatal crashes per year in Hawaii County (Chart).
• # of traffic-related fatal crashes per year in Hawaii County(Chart).
• Rate of traffic-related fatalities per year in Hawaii County (Chart).
• # of traffic-related fatalities per year in Hawaii County (Chart).
• The proportion of alcohol-related fatal crashes by County (Chart).
• # of of alcohol-related fatal crashes in Hawaii County (Chart).
• The proportion of fatalities per year in Hawaii County (Chart).
• Rate of drug-related fatal crashes and fatalities per year in Hawaii County.
• # of of drug-related fatal crashes and fatalities per year in Hawaii County.
• Rate of major collisions per year in Hawaii County (Chart).
• # of major collisions per year in Hawaii County (Chart).

• # DUI arrests per year in Hawaii County (Chart) and Hilo/Kona Districts (Chart)
• # DUI arrest < 21 years of age (Chart)
• # DUI convictions per year (Chart)
• Proportion of DUI arrests which are repeat offenders.
• Proportion of DUI arrests which are convicted.
• Proportion of DUI arrests involved in a traffic collision (Chart)

• Hawaii County has a eight year (2001-2008) average death rate from motor vehicle related crashes which is nearly three times higher than the City and County of Honolulu and twice the State rate (Chart).
• Hawaii County has a higher percentage of fatal crashes from 1999 – 2004 which occur at higher posted speed limits, i.e. 45-55 mph (DOH-IPD).
• Hawaii County has a higher proportion of undivided 55 mph highways (DOH-IPD) proportion of undivided 55 mph highways (DOH-IPD).
• Impaired driving from alcohol, illegal drugs’ and/or prescription drugs is associated with approximately half of all Hawaii County motor vehicle-related fatalities (HCP).
• Hawaii County has a higher proportion of alcohol-related traffic fatatlites compared to other counties between 2002 -2008 (Chart).
• Binge drinking (2001-2008) is higher in Hawaii County compared to the State and is increasing (Chart).
• Hawaii County is experiencing a methamphetamine epidemic.
• The ratio of population per Hawaii County police officer is increasing and in early 2005 there were 73 unfilled positions in the Hawaii County Police Department (Chart).
• Hawaii County Police have unmarked cars.
• Rapid growth and development in Hawaii County, especially West Hawaii, is currently linked with dramatic increases in construction involving trucking materials across the Big Island.
• Hawaii County currently has only one Motor Vehicle Safety Officer for commercial vehicle inspections for the entire county.
• Hawaii County has experienced an increase in cross centerline fatal crashes.  In 2004 and 2005 the proportion of cross centerline fatal crashes in Hawaii County was 54.5% and 30.3% respectively, compared to 10.8% and15.3% for Honolulu.
• Hawaii County Number of Cross Centerline Fatal Traffic Crashes 2004-2008 (Chart)
• Hawaii County has longer transportation times for auto trauma to a Trauma Center in Honolulu.
• Though improving, Hawaii County has limited public transportation.

Local:             

Health Care Providers, Traffic Safety Committees, Schools, Driver’s Education, Parent Teacher Student Association, Graduation Night Committees, Kona-Kohala Chamber of Commerce, Employers, Papa Ola Lokahi, North Hawaii Drug Free Coalition, and Rotary Club of North Hawaii.

County:          

Police, Public Works, Prosecutors Office, Liquor Commission, Judiciary, Department of Health – State District Office Hospitals, Impaired Driving Task Force, EMS and Solutions 2000.

State:             

Department of Transportation, Hawaii Chapter-American College of Emergency Physicians, Department of Health-Injury Prevention Division, Department of Health - Vital Statistics, Mothers Against Drunk Driving, American Automobile Association, State Farm Insurance, and State Highway Safety Planning Committee.

National:        

National Highway Traffic Safety Association, Fatality Analysis Reporting System, American Association of State Highway and Transportation Offices, AASHTO Strategic Highway Safety Plan and Coalition to End Needless Deaths on our Roadways (END).

• High visibility sobriety checks with media coverage (See the Community Guide (www.thecommunityguide.org/mvoi/glance_massmediaAJPM.pdf).

• North Hawaii Outcomes Project request confirmation of data showing high motor vehicle crash death rate from Dept. of Health – Injury Prevention Advisory Committee.
• Analysis of Hawaii County Motor Vehicle-related injury and fatality data from Department of Health-Injury Prevention and Control Program by North Hawaii Outcomes Project.
• North Hawaii Outcomes Project facilitates interdisciplinary collaborative effort by the Motor Vehicle Crash Reduction Group (MVCRG) to reduce motor vehicle-related injuries and fatalities.
• MVCRG visits “hot spots.”
• Presentations on high motor vehicle related fatality rate to multiple groups by NHOP.
• Solutions 2000 works to reduce speeding and report reckless driving through reporting to police non-emergency line 935-3311 and increase awareness through brochures.
• Motor Vehicle Crash Reduction group makes Recommendations to the Mayor June 2004.
• Hawaii County police increases high visibility sobriety checkpoints.
• Hawaii County Police Increases Drug Recognition Evaluation (DRE) Training in Hawaii County.
• MVCRG selects priorities on injury prevention.
• MVCRG participants write Safe Communities Grant to fund Traffic Safety Coordinator.
• Safe Communities Grant to fund a Traffic Safety Coordinator, to develop a county-wide Impaired Driving Task Force.
• Link with National Highway Traffic Safety Association “You Drink, You Drive, You Lose” campaign facilitated by Department of Transportation.
• Community policing working on prevention through youth education and partnerships to get speeding off the roads by building racing facilities.
• “Project Impact” by Hawaii County Police to decrease teen drinking and driving.
•  Department of Health-IPD developed map of locations of fatal motor vehicle related crashes which was distributed by North Hawaii Outcomes Project to increase awareness.
• MVCRG makes recommendations to the 2005 State legislature to support Graduated licenses.
• MVCRG makes recommendations to the 2006 State legislature on nine Bills to increase traffic safety, seven signed into law.
• Increased 2006 Police Force recruitment and training.
• Ongoing seat belt enforcement, “Click it or Ticket” through Department of Transportation.
• Department of Transportation developing Statewide Highway Strategic Plan for safety.
• MVCRG develops performance measures to help track progress.
• Hawaii Community College uses NHOP and Dept. of Health/Dept. of Transportation motor vehicle crash data to write grant for court monitoring program, which was funded and implemented in 2006.
• North Hawaii Community Hospital.
• Construction academy at Kealakehe High School.

• See Recommendations to the Mayor
• Hawaii County and State identify high death rates as a priority.
• Hawaii County and State work to improve data collection analysis and feedback.
• Hawaii County implement evidence based interventions.
• Hawaii County improve integrated planning process for safety.

Increase Awareness:

• Work with State and County to declare priority on reducing motor vehicle related deaths and injuries.
• Collaborate with National Highway Traffic Safety Association (NHTSA) “You Drink, You Drive, You Lose” and “Over the Limit Under Arrest” campaigns.
• Increase awareness and access to Safe Rides and Designated Driver programs through County Impaired Driving Task Force. 
• Support Solutions 2000 community roads safety watch effort to report reckless driving to police non-emergency line 935-3311.

Obtain Additional Data:

• Gather data on conviction rate of DUI/Operating a vehicle under the influence (OVUII) and what % of arrestees and convictions are repeat offenders.
• Track progress of performance measures developed by the MVCRG.
• Improve analysis of cross centerline crashes and potential alternatives to reduce them.
• Increase consensus on data by addressing different ways of counting fatalities and alcohol related fatalities.
• Improve tracking of alcohol and drug-related fatalities and injury causing collisions.
• Evaluate impact of Hawaii County efforts to increase high visibility sobriety checks.
• Analyze link between recruitment crash sites and fatality locations. 

Inventory and Build on Existing Resources:

• Build on past work done in Hawaii: Traffic Records Assessment, 1998 & 2006, and Impaired Driving Assessment, 1998.
• Inventory bars / restaurants participating in Safe Ride and Designated Driver program.
• Inventory bars / restaurants which train servers to reduce impaired driving.

Increase Organizational Links:

• Improve integrated planning process for road safety with increased links between departments of DOT and Hawaii County.
• Increase links between MVCRG, Hawaii County and State Strategic Highway Safety Plan.
• Build stronger links with employers, trucking companies, schools, media, auto insurance, judiciary, advocacy groups and health care systems
• Continue the Motor Vehicle Crash Reduction Group (MVCRG) interdisciplinary meetings, which track progress in Recommendations to the Mayor and performance measures.

Identify and Address Barriers:

• Police workforce shortage and Police Drug Recognition Evaluation (DRE) trained officer shortages.
• Cumbersome and long process for DUI arrest and processing and Repeat DUI monitoring.
• Traffic Safety Records System does not yet integrate needed components. (See NHTSA's recommendations to improve)
• Financing for divided highways and centerline rumble strips.
• Financing improved EMS transportation over water to Level 1 Trauma Center.
• Financing public school access to high quality drivers’ education.
• Perceived liability for sharing crash location data.
• Minimal public transportation.
• STIP criteria for allocation of federal dollars for road safety improvements currently does not take into account growth and penalizes the Big Island for many one lane roads.

 Promote Effective Programs:

• Continue high visibility enforcement of impaired driving laws.  
• Work with MADD and schools to develop active youth chapters.

Promote Effective Practices:

• Improve integrated planning process for road safety.
• Streamline DUI processing and improve processing of repeat offenders.
• Work to increase training for police, prosecutors, judiciary and EMS personnel in handling impaired driving arrests.

Promote Effective Policies:

• Assess benefit and feasibility of standardized high quality Driver Education financed and delivered through pubic schools.
• Identify schools with effective school policies concerning alcohol and illegal drugs and share with other schools. 
• Identify work sites with effective work site policies to reduce impaired driving and share with other employers.
• Continue collaborative advocacy for State Legislation promoting safety including ignition interlock.

Improve Health Systems:

• Link with Hawaii Chapter of American College of Emergency Physicians to increase screening and brief intervention of trauma patients.
• Improve timely identification of chemical dependency, dual diagnosis and effective treatment.

 Acknowledge Champions and Progress:

• Collaborate with MADD and others to recognize the work being done in Hawaii County to reduce impaired driving, especially Hawaii County Police increased training and increased enforcement.