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Between 1987 and 1989 there were ∼5,000 cases of fatal and injury-sustained road traffic accidents, of which 2.3–3.0% were alcohol related (blood alcohol levels greater than the legal limit of 80 mg% ethanol). The offenders of alcohol-related accidents are mostly Chinese (> 79%), male (>98%), and more often 30–40 years old. The majority of the alcohol-related accidents (>74%) took place between 8 P.M. and 4 A.M. in fine weather and light traffic. Rear-end, head-on, and side-on collisions comprised >60% of all the alcohol-related accidents, and losing control of vehicles ∼30%. Drunken driving cases for the same period that were not accidents showed a number of characteristics similar to those for accidents. In Singapore, motorcycle riders and pedestrians are more prone to road fatality than other road-user groups. International comparisons of road fatalities per 100,000 population gave Singapore one of the lowest accident rates (8.1–8.4) as compared with countries such as Australia, the United Kingdom, the United States, New Zealand, Canada, and Japan.