Native Americans and Traffic Safety

From Summer 1994
Volume I, Number 2

Motor vehicle injuries take an enormous toll among members of the American Indian and Alaskan Native communities. Two Native Americans die each day from alcohol or other drug-related motor vehicle crashes. These crashes are the leading cause of death among children in those communities. Members of some tribes die in motor vehicle crashes at rates six times that of Americans of other ethnic backgrounds.

The Indian Health Service (IHS) is the federal agency with primary responsibility for providing federal health and safety serices to Native Americans and assisting tribes in delivering health services on reservation lands. IHS staff collaborate with Native American communities, tribal governments, and state agencies on issues including impaired driving, occupant protection, pedestrian safety, and data collection.

However, a number of special circumstances complicate attempts to prevent traffic injuries among Native Americans. Implementing effective traffic safety efforts in Native American communities requires a thorough knowledge of their specific culture, which is why IHS Injury Prevention staff involve the community in the design and implementation of injury prevention programs. (See the accompanying interview with Nancy Bill for a more in-depth perspective on this issue.)

The special legal status of tribal governments also has implications for program implementation on reservations. In most states, state traffic safety laws and regulations, including occupant restraint laws, are not binding on reservations. This disparity between state and tribal laws and regulations can have adverse effects upon motor vehicle safety on reservations. For example, most tribal governments do not submit motor vehicle crash reports to state agencies. Because of this, state have no way of identifying or correcting safety problems that may exist on state roads running through tribal lands.

A cornerstone of IHS efforts to reduce alcohol-related trauma among Native communities is the None for the Road campaign. None for the Road assists tribes in developing community-based programs involving a range of agencies, including public health, law enforcement, and judicial agencies. It seeks to ensure that these programs are based upon accurate data about the types and causes of motor vehicle-related injuries in the community. None for the Road promotes a comprehensive strategy, which includes public education, enforcement and sanctions, rehabilitation, and roadway hazard identification and removal. This effort has facilitated programs in over 50 communities, purchasing equipment such as breath analyzers and police car-mounted video cameras; training tribal police officers; improving lighting and signage along roadways; conducting public awareness and server-training workshops; and working with schools and community agencies to reduce the use of alcohol and other drugs among young people.

Occupant safety is another major focus of IHS activites to reduce motor-vehicle related injuries. While the IHS has a long history of efforts to promote seat belt and child restraint use, a major step was taken in June of 1993 when the IHS entered into an interagency agreement with NHTSA to promote occupant safety among Native Americans. Activities taking place during the first year of this agreement include an inventory of tribal traffic safety lawas, a number of public information campaigns, and a series of occupant protection workshops focusing on the issue of community involvement. For more information, contact Ann Mitchell at (202) 366-6900.

The Indian Highway Safety Programs (IHSP) division of the Bureau of Indian Affairs (BIA) provides the 543 federally recognized Indian tribes with about $500,000 of NHTSA-administered Section 402 monies annually. The priority for use of these funds is programs seeking to reduce the number of people who drive while intoxicated. Tribes have ued their grants to train tribal police on the use of sobriety checkpoints (and pay overtime for officers to staff these checkpoints) and for various DWI education programs. Applications for these grants are available from the IHSP every February. IHSP also works with the Indian Health Service and state agencies to facilitate traffic safety programs. See this issue's Federal Field Guide for information on how to contact the IHS and BIA.

NHTSA is also directly funding some traffic safety programs for Native Americans. NHTSA awarded a grant to the Navajo Nation that focuses on impaired driving. The grant will allow the Navajo-Hopi Land Commission to conduct a problem identification study, develop culturally specific strategies and approaches, and develop culturally appropriate public information and educational materials.

About 15 percent of the Navajo population has been relocated or otherwise displaced as a result of adjustments to reservations in the Southwest. Anecdotal evidence indicates that communities affected by relocation are experiencing an epidemic of alcohol- and other drug-related problems including impaired driving and pedestrian behavior. Research has shown that the stress of relocation or displacement can cause increases in such problems.

Two areas that were heavily affected by relocation, but that also contain populations that were not displaced, have been chosen as pilot areas for the grant. A survey will help define and quantify the problem, provide a comparison with a control group who are unaffected by relocation, and provide information on what prevention strategies may be effective in resolving this problem. For further information about this project, contact Ms. Akua Opokuwaa of NHTSA's Office of Alcohol and State Programs at (202) 366-2702.

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