Australia has some data about road accidents and alcohol and drug use. Alcohol remains the main drug, but other drugs are becoming concerning. We have an experience of 30 years on alcohol driving prevention. Strategies need to be broad, with highly visible law enforcement, a high probability of detection, and wide ranging public information in media and social marketing campaigns. We have also introduced drug testing. Young people are particularly vulnerable to drugged driving. We use electronic media to reach them. This can be damaging when not used properly, so we need to be very careful.