Why drug‑testing needs a rethink
Enforcement data from the UK’s Operation Limit campaign shows roadside drug tests were positive four times more often than breath alcohol tests, with a surge in mixed drink‑and‑drug offences, highlighting that today’s roads see complex, multi‑substance impairment rather than alcohol alone. Yet rapid saliva strips give only binary answers and suffer high false‑positive rates, so law‑enforcement and fleet operators urgently need quantitative tools and policies that reflect modern drug‑use realities.
Recent enforcement data show why modernising drug testing is urgent. During the UK Operation Limit campaign (1 Dec 2024 – 1 Jan 2025), police carried out 58 675 roadside tests, resulting in 8 648 arrests. Crucially, 42.2 % of roadside drug tests were positive, whereas only 9.7 % of breath alcohol tests were positive. These figures suggest that today’s fleets frequently encounter mixed, multi‑drug impairment rather than alcohol alone. Even more worrying, 2 782 drivers were arrested for both drink and drug offences, nearly twice the previous year.
Traditional rapid tests provide only a binary yes/no answer and often return false positives in 20–40 % of cases. Pregnancy‑style saliva strips reveal only the general class of substance and require laboratory confirmation, leaving drivers sidelined for months. Research from NIST underscores the need for better standards: current challenges include inconsistent sample collection, lack of validated analytical methods, insufficient sensitivity/specificity and difficulty differentiating similar compounds. Opportunities lie in developing consensus best practices, robust analytical standards and data‑sharing frameworks.
In parallel, fleet safety research reveals that 80 % of business fleets lack a road‑safety policy; nearly half do not perform regular vehicle checks, and 65 % do not use telematics or GPS tracking. Without proper policies, training or technology, employers struggle to manage drug‑driving risks. These trends highlight why binary tests aren’t enough anymore and why law‑enforcement agencies and employers alike need quantitative tools that match the complexity of modern drug use. 
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