Overview

Motor vehicle crashes remain one of the leading causes of injury-related deaths in North Carolina. In 2023, there were over 1,500 traffic fatalities across the state, with more than 114,000 injuries reported as a result of vehicle collisions. These crashes not only result in personal loss but can also strain emergency services and impose significant economic costs on communities. While the number of fatalities decreased compared to 2022, the overall rise in crashes and injuries underscores the ongoing need for effective prevention strategies.

These numbers are a sobering reminder that every decision behind the wheel matters and that prevention begins long before a crash ever occurs.

Key Prevention Strategies

1. Buckle Up Every Time

Seat belts have been proven to reduce the risk of fatal injury by 45% for front-seat passengers. Make sure every person in the vehicle is buckled up correctly every time, no exceptions. Children should be secured in a car seat or booster that fits their age, height and weight. The seat must also be properly installed to provide full protection.

2. Never Drive Impaired

Alcohol and drugs impair judgment and reaction times. North Carolina's "Booze It & Lose It" campaign emphasizes the importance of sober driving. Always designate a sober driver or use alternative transportation.​

Sober Advice from Billy the Buck - Booze It & Lose It - NCDOT Governor's Highway Safety Program

3. Eliminate Distractions

Distracted driving, including texting or using a phone, significantly increases crash risk. Stay focused on the road and avoid multitasking while driving.​

4. Obey Speed Limits

Speeding reduces a driver's ability to react to sudden changes and increases the severity of crashes. Adhere to posted speed limits and adjust speed according to road conditions.​

5. Practice Defensive Driving

Anticipate potential hazards, maintain safe following distances, and be prepared for the unexpected actions of other drivers. Defensive driving courses can enhance these skills.​

Special Considerations

Teen Drivers

Teen drivers are at higher risk due to inexperience and a greater likelihood of distraction. North Carolina’s Graduated Driver Licensing (GDL) program helps reduce crashes by gradually introducing driving privileges and building experience over time. Parents should stay involved; set clear expectations, limit nighttime driving, and ride along often. Encourage teens to use their phone’s driving mode to block texts and notifications, helping them stay focused behind the wheel.

Older Adults

Age-related changes can affect vision, reaction time, and cognitive ability, all of which impact safe driving. Regular health checkups, medication reviews, and honest self-assessments help older drivers determine if they’re still fit to be behind the wheel. Programs like CarFit can also help older adults adjust their vehicle for comfort and safety; ensuring mirrors, seats, and steering are properly positioned.

Pedestrians and Cyclists

In North Carolina, over 2,000 pedestrians are involved in vehicle crashes annually, with 150–200 fatalities. Drivers should remain vigilant, especially in areas with high foot traffic.​

Resources