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The National Traffic and Motor Vehicle Safety Act was enacted in the United States in 1966 to empower the federal government to set and administer new safety standards for motor
vehicle A vehicle () is a machine designed for self-propulsion, usually to transport people, cargo, or both. The term "vehicle" typically refers to land vehicles such as human-powered land vehicle, human-powered vehicles (e.g. bicycles, tricycles, velo ...
s and
road traffic safety Road traffic safety refers to the methods and measures, such as traffic calming, to prevent road users from being killed or seriously injured. Typical road users include pedestrians, cyclists, Driving, motorists, passengers of vehicles, and p ...
. The Act was the first mandatory federal safety standards for motor vehicles. The Act created the National Highway Safety Bureau (now
National Highway Traffic Safety Administration The National Highway Traffic Safety Administration (NHTSA ) is an agency of the U.S. federal government, part of the Department of Transportation, focused on automobile safety regulations. NHTSA is charged with writing and enforcing Feder ...
). The Act was one of a number of initiatives by the government in response to increasing number of cars and associated fatalities and injuries on the road following a period when the number of people killed on the road had increased 6-fold and the number of vehicles was up 11-fold since 1925. The reduction of the rate of
death Death is the end of life; the irreversible cessation of all biological functions that sustain a living organism. Death eventually and inevitably occurs in all organisms. The remains of a former organism normally begin to decompose sh ...
attributable to motor-vehicle crashes in the
United States The United States of America (USA), also known as the United States (U.S.) or America, is a country primarily located in North America. It is a federal republic of 50 U.S. state, states and a federal capital district, Washington, D.C. The 48 ...
represents the successful public health response to a great
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advance of the 20th century—the motorization of the United States.


History

Systematic motor-vehicle safety efforts began during the 1960s. In 1960, unintentional injuries caused 93,803 deaths; 41% were associated with motor-vehicle crashes. In 1966, after Congress and the general public had become thoroughly horrified by five years of skyrocketing motor-vehicle-related fatality rates, the enactment of the ''Highway Safety Act'' created the National Highway Safety Bureau (NHSB), which later became the
National Highway Traffic Safety Administration The National Highway Traffic Safety Administration (NHTSA ) is an agency of the U.S. federal government, part of the Department of Transportation, focused on automobile safety regulations. NHTSA is charged with writing and enforcing Feder ...
(NHTSA). The systematic approach to motor-vehicle-related injury prevention began with NHSB's first director, William Haddon. Haddon, a public health physician, recognized that standard public health methods and epidemiology could be applied to preventing motor-vehicle-related and other injuries. He defined interactions between host (
human Humans (''Homo sapiens'') or modern humans are the most common and widespread species of primate, and the last surviving species of the genus ''Homo''. They are Hominidae, great apes characterized by their Prehistory of nakedness and clothing ...
), agent (
motor vehicle A motor vehicle, also known as a motorized vehicle, automotive vehicle, automobile, or road vehicle, is a self-propelled land vehicle, commonly wheeled, that does not operate on railway track, rails (such as trains or trams), does not fly (such ...
), and environmental (
highway A highway is any public or private road or other public way on land. It includes not just major roads, but also other public roads and rights of way. In the United States, it is also used as an equivalent term to controlled-access highway, or ...
) factors before, during, and after crashes resulting in injuries. Tackling problems identified with each factor during each phase of the crash, NHSB initiated a campaign to prevent motor-vehicle-related injuries. When he signed the bill into law on September 9, 1966, President
Lyndon B. Johnson Lyndon Baines Johnson (; August 27, 1908January 22, 1973), also known as LBJ, was the 36th president of the United States, serving from 1963 to 1969. He became president after the assassination of John F. Kennedy, under whom he had served a ...
noted that while 29 American soldiers had died over the recent
Labor Day Labor Day is a Federal holidays in the United States, federal holiday in the United States celebrated on the first Monday of September to honor and recognize the Labor history of the United States, American labor movement and the works and con ...
weekend, 614 Americans died in automobile accidents. In 1966, passage of the Highway Safety Act and the National Traffic and Motor Vehicle Safety Act authorized the federal government to set and regulate standards for motor vehicles and highways, a mechanism necessary for effective prevention. The Highway Safety Act resulted in the national adoption of the
Manual on Uniform Traffic Control Devices The ''Manual on Uniform Traffic Control Devices for Streets and Highways'' (usually referred to as the ''Manual on Uniform Traffic Control Devices'', abbreviated MUTCD) is a document issued by the Federal Highway Administration (FHWA) of the Unit ...
, while the National Traffic and Motor Vehicle Safety Act led to the national adoption of the
Federal Motor Vehicle Safety Standards The Federal Motor Vehicle Safety Standards (FMVSS) are U.S. federal vehicle regulations specifying design, construction, performance, and durability requirements for motor vehicles and regulated automobile safety-related components, systems, and ...
. Many changes in both vehicle and highway design followed this mandate. Vehicles (agent of injury) were built with new safety features, including head rests, energy-absorbing steering wheels, shatter-resistant windshields, and safety belts. Roads (environment) were improved by better delineation of curves (edge and center line stripes and reflectors), use of breakaway sign and utility poles, improved illumination, addition of barriers separating oncoming traffic lanes, and guardrails. The results were rapid. By 1970, motor-vehicle-related death rates were decreasing by both the public health measure (deaths per 100,000 population) and the traffic safety indicator (deaths per VMT). Changes in driver and passenger (host) behavior also have reduced motor-vehicle crashes and injuries. Enactment and enforcement of traffic safety laws, reinforced by
public education A state school, public school, or government school is a primary school, primary or secondary school that educates all students without charge. They are funded in whole or in part by taxation and operated by the government of the state. State-f ...
, have led to safer behavior choices. Examples include enforcement of laws against driving while intoxicated ( DWI) and underage drinking, and enforcement of
seat belt A seat belt, also known as a safety belt or spelled seatbelt, is a vehicle safety device designed to secure the driver or a passenger of a vehicle against harmful movement that may result during a collision or a sudden stop. A seat belt reduce ...
,
child safety seat A child safety seat, sometimes called an infant safety seat, child restraint system, child seat, baby seat, car seat, or a booster seat, is a seat designed specifically to protect children from injury or death during vehicle collisions. Most c ...
, and
motorcycle helmet A motorcycle helmet is a type of helmet used by motorcycle riders. Motorcycle helmets contribute to motorcycle safety by protecting the rider's head in the event of an impact. They reduce the risk of head injury by 69% and the risk of death by 4 ...
use laws. Government and community recognition of the need for motor-vehicle safety prompted initiation of programs by federal and state governments, academic institutions, community-based organizations, and industry. NHTSA and the Federal Highway Administration within the U.S. Department of Transportation have provided national leadership for traffic and highway safety efforts since the 1960s. The National Center for Injury Prevention and Control, established at CDC in 1992, has contributed public health direction. State and local governments have enacted and enforced laws that affect motor-vehicle and highway safety,
driver licensing A driver's license, driving licence, or driving permit is a legal authorization, or the official document confirming such an authorization, for a specific individual to operate one or more types of motorized vehicles—such as motorcycles, car ...
and
testing Test(s), testing, or TEST may refer to: * Test (assessment), an educational assessment intended to measure the respondents' knowledge or other abilities Arts and entertainment * ''Test'' (2013 film), an American film * ''Test'' (2014 film) ...
,
vehicle inspection Vehicle inspection is a Standard Inspection Procedure, procedure mandated by national or subnational governments in many countries, in which a vehicle is inspected to ensure that it conforms to regulations governing Car safety, safety, Automobi ...
s, and traffic regulations. Preventing motor-vehicle-related injuries has required collaboration among many professional disciplines (such as
biomechanics Biomechanics is the study of the structure, function and motion of the mechanical aspects of biological systems, at any level from whole organisms to Organ (anatomy), organs, Cell (biology), cells and cell organelles, using the methods of mechani ...
has been essential to vehicle design and highway safety features). Citizen and community-based advocacy groups have played important prevention roles in areas such as drinking and driving and child-occupant protection. Consistent with the public/ private partnerships that characterize motor-vehicle safety efforts, NHTSA sponsors "Buckle Up America" week, which focuses on the need to secure children in child-safety seats properly at all time


Specific public health concerns


High-Risk Populations

*''Alcohol-impaired:'' From 1982 to 1997, the annual motor-vehicle crash-related fatalities involving Alcohol (drug), alcohol decreased by 39% to approximately 16,000; these deaths accounted for 38.6% of all traffic deaths. Factors that may have contributed to this decline included increased public awareness of the dangers of drinking and driving; new and tougher state laws; stricter law enforcement; an increase in the minimum legal
drinking age The legal drinking age is the minimum age at which a person can legally consume alcoholic beverages. The minimum age alcohol can be legally consumed can be different from the age when it can be purchased in some countries. These laws vary betwee ...
; prevention programs that offer alternatives such as safe rides (e.g.,
taxicab A taxi, also known as a taxicab or simply a cab, is a type of vehicle for hire with a Driving, driver, used by a single passenger or small group of passengers, often for a non-shared ride. A taxicab conveys passengers between locations of thei ...
s and
public transportation Public transport (also known as public transit, mass transit, or simply transit) are forms of transport available to the general public. It typically uses a fixed schedule, route and charges a fixed fare. There is no rigid definition of whi ...
), designated drivers, responsible alcohol-serving practices and a decrease in per capita alcohol consumption. *''Young drivers and passengers:'' From 1975 to 1997, motor-vehicle-related fatality rates had decreased 27% for young motor-vehicle occupants (ages 16–20 years). However, in 1997 the death rate was 28.3 per 100,000 population—more than twice that of the U.S. population (13.3 per 100,000 population). Some teenagers are more likely than adult drivers to speed, run red lights, make illegal turns, ride with an intoxicated driver, and drive after drinking alcohol or using drugs. Strategies that had contributed to improved motor-vehicle safety among young drivers included laws restricting purchase of alcohol among underaged youths and some aspects of
graduated licensing system Graduate may refer to: Education * The subject of a graduation, i.e. someone awarded an academic degree ** Alumni, a former student who has either attended or graduated from an institution * High school graduate, someone who has completed high ...
s (e.g., restrictions related to nighttime driving). *''Pedestrians:'' From 1975 to 1997,
pedestrian A pedestrian is a person traveling on foot, by wheelchair or with other mobility aids. Streets and roads often have a designated footpath for pedestrian traffic, called the '' sidewalk'' in North American English, the ''pavement'' in British En ...
fatality rates decreased 41%, from 4 per 100,000 population in 1975 to 2.3 in 1997 but still account for 13% of motor-vehicle-related deaths. Factors that may have reduced pedestrian fatalities included more and better sidewalks, pedestrian paths, playgrounds away from streets, one-way traffic flow, and restricted on-street parking.


Occupant-Protection Systems

''Safety belts:'' In response to legislation, highly visible law enforcement, and public education, rates of safety belt use nationwide had increased from approximately 11% in 1981 to 68% in 1997 (8). Safety belt use began to increase following enactment of the first state mandatory-use laws in 1984. In 1997, all states except
New Hampshire New Hampshire ( ) is a U.S. state, state in the New England region of the Northeastern United States. It borders Massachusetts to the south, Vermont to the west, Maine and the Gulf of Maine to the east, and the Canadian province of Quebec t ...
had
seat belt law A seat is a place to sit. The term may encompass additional features, such as back, armrest, head restraint but may also refer to concentrations of power in a wider sense (i.e "seat (legal entity)"). See disambiguation. Types of seat The foll ...
s. Primary laws (which allow police to stop vehicles simply because occupants are not wearing safety belts) are more effective than secondary laws (which require that a vehicle be stopped for some other traffic violation). The prevalence of safety belt use after enactment of primary laws increased 1.5-4.3 times, and motor-vehicle-related fatality rates decreased 13%-46%. ''Child-safety and booster seats:'' All states had passed child passenger protection laws, but these varied widely in age and size requirements and the penalties imposed for noncompliance. Child-restraint used in 1996 was 85% for children aged less than 1 year and 60% for children aged 1–4 years. From 1975 to 1997, deaths among children aged less than 5 years had decreased 30% to 3.1 per 100,000 population, but rates for age groups 5–15 years had declined by only 11%-13%. Child seats were misused by as many as 80% of users In addition, parents failed to recognize the need for booster seats for children who were too large for child seats but not large enough to be safely restrained in an adult lap-shoulder belt.


Sources

Reported by: Div of Unintentional Injury Prevention, National Center for Injury Prevention and Control, CDC.


Related Journal

''
Traffic Injury Prevention ''Traffic Injury Prevention'' is a bimonthly peer-reviewed academic journal covering the prevention of injuries resulting from traffic accidents. It was established in 1999 as the ''Journal of Crash Prevention and Injury Control'', obtaining its c ...
'


See also

*
Road-traffic safety Road traffic safety refers to the methods and measures, such as traffic calming, to prevent road users from being killed or seriously injured. Typical road users include pedestrians, cyclists, Driving, motorists, passengers of vehicles, and p ...


References

{{US highway acts 1966 in American law