Driving of motor vehicles is a highly coordinated process involving a series of learned reflexes and carefully made conscious decisions. Many medical conditions with cognitive dysfunction, neuromuscular coordination or vision consequently affect driving safety. The medical profession, transport authorities and regulatory bodies have been interested in the medical aspects of fitness to drive. Legislations have been established in almost all developed countries. Good examples include legislations in North America, Europe and Australia. Sadly the global situation is not as promising. There is an urgent need for the rest of the world to adopt the latest evidence-based and well-tested guidelines, legislations and experiences from the developed countries in this area. Raising the awareness among the public, professionals and regulators about the importance of the issue is urgently needed.
Key-words:
Motor vehicle - Drivers - Transport - Driving safety legislation - Hypoglycemia - Diabetes. Fitness to drive - Developing world