The National Highway Traffic Safety
Administration (NHTSA) studies pertaining to Horizontal Gaze
Nystagmus (HGN) contain flaws suggesting they are not reliable
indicators of a level of intoxication. NHTSA studies allege that
Horizontal Nystagmus, or the horizontal jerking of the eyes, is
considered to be an indicator that a person is under the influence of
alcohol or drugs.
Police officers frequently give the HGN
test as one test of the NHTSA three Standardized Field Sobriety Tests
(SFSTs). NHSA alleges in their materials that the HGN test is 77%
accurate in determining whether a person has a 0.10 BAC or more.
However, experts have criticized the administration of this test by police officers who are not an ophthalmologist trained in the detection
of eye movements and or eye pathologies. Furthermore, experts have
opined that the HGN test when administered according to NHTSA
standards will not stand up to peer review and may lead to false
results.
For a test to be scientifically valid,
there must be high reliability and validity both measured by a
correlation coefficient ranging from 0 to 1.0 (highest end of the
scale). Reliability relates to the consistency of scores based on
re-testing. Validity relates to the ability of a test to predict
particular benchmarks. For a test to be reliable the reliability and
validity correlation coefficient must be 0.85 or higher. According
to the 1977 NHTSA study which studied the Horizontal Gaze Nystagmus
test, the validity correlation coefficient for the HGN for a person
with a BAC of 0.10 was 0.67, equating to an approximate 33% better
prediction than chance. In 1981, the HGN was researched again in the
laboratory and the error rate was found to be 32% for a person with a
0.10 BAC. No validity correlation coefficients were mentioned in
this study. Reliability correlation coefficients were given for the
HGN of 0.66. When different officers performed the test on the same
subject with the same BAC, the coefficient for the HGN dropped down
to 0.59. In other words, in a laboratory condition, the officers were
wrong 41% of the time that a person with a 0.10 BAC experienced
Horizontal Gaze Nystagmus.
NHTSA alleges that Horizontal
Gaze Nystagmus (HGN), or the horizontal jerking of the eyes, is an indicator
that a person is under the influence of alcohol or drugs. According
to research, there are 47 types of nystagmus which can be found in
individuals, including horizontal nystagmus. There also exist numerous causes of HGN. The court
in Schultz v. State, 664 A.2d 60, 77 (Md. App. 1995)
judicially recognized (identified) THIRTY EIGHT (38) medical
conditions unrelated to alcohol which can cause Horizontal Nystagmus.
These conditions included:
problems with the inner ear
labyrinth; irrigating the ears with warm or cold water under
peculiar weather conditions; influenza; streptococcus
infection; vertigo; measles; syphilis; arteriosclerosis; muscular dystrophy; multiple sclerosis; Korchaff’s syndrome; brain hemorrhage; epilepsy; hypertension; motion sickness; sunstroke; eyestrain; eye muscle fatigue; glaucoma; changes in
atmospheric pressure; consumption of excessive amounts of
caffeine; excessive exposure to nicotine; aspirin; circadian rhythms; acute trauma to the head; chronic
trauma to the head; some prescription drugs, tranquilizers,
pain medications, anti-convulsants; barbiturates; disorders of the vestibular apparatus and brain stem; cerebellum dysfunction; heredity; diet; toxins; exposure to solvents, PCBs, dry-cleaning fumes, carbon monoxide; extreme chilling; lesions; continuous movement of the
visual field past the eyes; and antihistamine use.
Ophthalmologists (medical eye doctors)
receive training in the detection of eye movements and or eye
pathologies, including nystagmus and its causes, over many years of
medical school and residency. Officers frequently receive less than
40 hours of training in learning how to assess if a person is under
the influence, including learning how to conduct field sobriety
tests. It therefore follows that even if an officer does correctly
identify Horizontal Nystagmus, it is unrealistic given the numerous
causes of horizontal nystagmus that a police officer can distinguish
the cause of the Nystagmus. As a result, officers can jump to the
false premise that if they do identify HGN, that it must be
indicative of ethanol (alcohol) intoxication.
Another problem experts have identified
with the Horizontal Gaze Nystagmus (HGN ) test is both determining
the presence of alcohol and the actual alcohol concentration. The
HGN, as administered by the NHTSA protocol for the SFSTs has been
cited as the only reliable index of blood alcohol when examined for
its ability to distinguish BACs under and over .04% within the
.00-.08% range. So it is a fallacy to use this test to determine
whether someone may has a .08 BAC or above. Also troubling is the
fact that nystagmus can remain for some time even after all alcohol
clears from a persons blood (a BAC of 0.00).
Post by Kentucky DUI Lawyer Stephen J. Isaacs, Isaacs Law Office.
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