Wednesday, May 02, 2007

Older Drivers, Dangerous Drivers

DALLAS — As his 90-year-old neighbor struggled last May to set out on a morning drive to the store, David Prager began to worry.

Elizabeth Grimes, a widow who had lived on Meaders Lane for 50 years, had backed out of her driveway, across her lawn and off the curb. Her 1994 Mercury Grand Marquis then hit the curb across the street, Prager recalls, before Grimes mistook the gas pedal for the brake and "took off with a jackrabbit start."

Six blocks away, Grimes drove through a red light. The car slammed into Katie Bolka, a 17-year-old high school junior who was driving to school to take an algebra test. Five days later, Bolka died.

The crash was emblematic of what health and safety analysts say is likely to be an increasing problem as the elderly population booms: aging drivers, clinging to the independence that cars give them but losing their ability to operate the vehicles, causing more accidents.

The only measure scientifically proven to lower the rate of fatal crashes involving elderly drivers is forcing the seniors to appear at motor vehicle departments in person to renew their licenses, says the Insurance Institute for Highway Safety (IIHS), citing a 1995 study in the Journal of the American Medical Association.

But most states do not require older drivers to renew licenses in person, and only two — Illinois and New Hampshire — require them to pass road tests, which can be crucial in identifying drivers whose physical ability or mental awareness has diminished.

Safety and health specialists are especially concerned about drivers 85 and older, who, federal crash statistics show, are involved in three fatal accidents a day

Normal aging causes medical problems that affect driving. Reflexes, flexibility, visual acuity, memory and the ability to focus all decline with age. Medicines that treat various ailments also make it more difficult to focus and make snap decisions.

Elderly drivers are less likely than other drivers to be in crashes involving high speeds or alcohol, but they are more likely to crash at intersections where they miss a stop sign or turn left in front of oncoming traffic.

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