There were dramatic decreases in drinking and driving in the industrialised world in the decade of the 1980s. That decline did not continue in the early 1990s. In fact, in most countries the declines reversed in the early 1990s and drinking and driving began to increase. By the middle of the decade the increases stabilised and the rates began to decrease. These current decreases, which appear to be continuing, are much less dramatic then the decreases of the 1980s. This paper summarises the nature of and the trends in drinking and driving in Canada, France, The Netherlands, Germany, Great Britain, Australia and the United States and the planned initiatives for combating the problem in each of the countries.