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Impact of the demerit point system on road traffic accident mortality in Spain
  1. José Pulido1,
  2. Pablo Lardelli2,
  3. Luis de la Fuente3,
  4. Víctor M. Flores1,
  5. Fernando Vallejo1,
  6. Enrique Regidor4
  1. 1 Centro Nacional de Epidemiología. Instituto de Salud Carlos III, Spain;
  2. 2 Departamento de Medicina Preventiva y Salud Pública, Facultad de Farmacia, Universidad de Granada, Spain;
  3. 3 Secretaría del Plan Nacional sobre el Sida. Ministerio de Sanidad y Consumo, Spain;
  4. 4 Departamento de Medicina Preventiva y Salud Pública, Universidad Complutense de Madrid, Spain
  1. * Corresponding author; email: jpulido{at}


Background: To assess the effect of the Demerit Point System (DPS), introduced in Spain on 1 July 2006, on the number of fatalities due to road traffic accidents, using a methodology that controls for the seasonal variation and trend in the data series.

Methods: Time series analysis by ARIMA models of 29113 fatalities in road traffic accidents (at the accident scene or within 24 hours thereafter), between January 2000 and December 2007. The model permitted estimation of an intervention parameter, together with its 95% confidence interval, to calculate the number of fatalities that would have occurred if the DPS had not been implemented, after controlling for the effect of other measures introduced in 2004.

Results: It was estimated that 618 persons (95% CI = 259 to 977) would have died in traffic accidents in the 18 months after implementation of the DPS had it not been in effect, which represents a reduction of 14.5% (95% CI = 6.1% to 23.0%) from a total of 4252 deaths.

Conclusion: Implementation of the DPS in Spain has led to a significant reduction in the number of traffic accident deaths in the context of a downward trend after the implementation of the 2004 measures.

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