Accuracy of Ignition Interlock Devices (IIDs): Discover the Truth

Ignition interlock devices (IIDs) are alcohol breath testers attached to other equipment in a motor vehicle. As such, they are subject to the various sources of error that plague other breath testers. Makers typically gloss over the inadequacies of the machines they sell. They’re frequently guilty of making claims not verified by independent researchers. So what is the accuracy of ignition interlock devices? It varies widely.


I.  Some Possible Sources of Error

II. Summary & Conclusion

Blood alcohol concentration (BAC) can only be measured by analyzing a sample of blood. Breath alcohol testers (commonly called breathalyzers) try to measure alcohol in the breath. The devices then use that to estimate BAC. That’s why not all states permit their use. Simply put, alcohol breath testers can convict completely innocent people.

It follows that the poor accuracy of ignition interlock devices can unfairly prevent people from driving their vehicles

I. Some Possible Sources of Error

Incorrect Ratios

Breath testers (really, breath estimators) assume that that certain ratios are constant in the human body. However, these ratios vary widely from person to person. And even within the same person during the day.

For example, many breath estimators assume a 2,100-to-1 ratio. That is, in converting alcohol in the breath to estimates of alcohol in the blood. But this ratio varies from 1,900 to 2,400 among people. And it varies within a person from one time to another. This variation will lead to false BAC readings.

Similarly, some “breathalyzers” assume a hematocrit (cell volume in blood) of 47%. However, hemocrat values range from 42% to 54% in men. And they range from 38% to 46% in women. Unfortunately, people with a lower hematocrit will have a falsely high BAC reading.

Many Compounds Detected as Alcohol

accuracy of ignition interlock devices

Ignition Interlock Device

Many alcohol breath testers detect as alcohol any chemical compounds that contain the methyl group in its structure. Yet there are thousands of these compounds. Some occur naturally in the body and breath. Others are picked up in the environment. This can result from breathing fumes from alcohol, glue paint, paint remover,  cleaning fluids, etc. Even from “new car smell.”

Another source of false readings is tobacco smoking. Long-term heavy smokers are more likely to have falsely high BAC readings than non-smokers. That’s because smoking greatly increases the production of acetaldehyde. This substance can be detected and measured as alcohol.

Acetone on the breath is another cause of false BAC estimates. Research shows that acetone can be high enough in normal people to cause false high BAC readings.

In addition, either fasting or dieting can cause much higher acetone levels. They can be high enough to cause a false BAC reading of .06.

Alternatively, a low-carbohydrate diet can increase acetone levels. The body makes more acetone as it tries to make up for the reduced glucose in low-carbohydrate diets. The Atkins and similar diets are designed to achieve a condition known as “low carb ketosis.”  This is to promote the utilization of fat.

Ketones create isopropyl alcohol, which is then converted into acetone. Thus, a side effect of ketosis is that the high levels of acetone produced causes it to be exhaled.  There it can be falsely identified as alcohol. This occurs among teetotalers.

These false readings are cumulative or in addition to the presence of any other compounds in the methyl group. And there are over 100 of which can occur in the breath.

Endogenous Ethanol (Alcohol) Production

Alcohol exists in the breath of all living humans. It’s from from endogenous (that is, internally produced) ethanol. Naturally occurring bacteria, primarily in the intestines, produces alcohol 24/7. Carbohydrate-rich diets are commonly associated with higher levels of endogenous alcohol production.

The term “auto-brewery syndrome” describes people who show signs of intoxication because of endogenous ethanol production. This usually occurs after eating meals rich in carbohydrates. Some alcohol abstainers produce enough alcohol within their bodies to become legally intoxicated and arrested while driving.


Elevated body temperature is another source of error. Each one degree Centigrade above the standard body temperature can falsely raise the estimate by seven percent. Unfortunately, the body temperature of a normal healthy person will vary as much as one degree from the standard temperature. It can also vary by that much during a normal day.accuracy of ignition interlock devices

In addition, ambient or air temperature can cause false BAC readings.

Radio Frequency Interference

Radio frequency interference (RFI) is another source of possible error. Unfortunately, the RFI detectors that available for use are based on technology that’s over half a century old. They aren’t reliable, and don’t solve the problem.

Lack of Precision

Even under ideal conditions,  BAC lack precision. Law profesor Lawrence Taylor  explains that scientists universally recognize an inherent error in breath analysis. It’s generally plus or minus about .01% BAC. Courts across the U.S. accept this as fact. Hawaii courts recognize a larer inherent error of .015 BAC.

This means that under ideal conditions, a BAC reading of .08 actually reflects an actual BAC of anywhere from .07 to .09. And Hawaii recognizes that it could be from .065 to .095. That’s a margin of error of 20 to 30 percent in the accuracy of  ignition interlock devices.

II. Summary & Conclusion

Publications and websites for alcohol breath testing devices tout “unparalled accuracy” and contain other puffery. However, they give no guarantee of accuracy in measuring BAC. Much more often, they specifically disclaim it.

Sellers can’t guarantee that their devices accuracy measure BAC. That’s because the devices only estimate BAC. Faulty breathalyzers can put innocent people behind bars. Poor accuracy of ignition interlock devices probably cause fewer serious problems. But problems can be serious. For example, a sober driver who can’t start her car to rush her baby to the emergency room. Or a sober man who can’t start his car may lose his job. The list of serious problems from IIDs is a long one.

This does not suggest that IIDs shouldn’t be used. To the contrary, they prevent needless traffic deaths. But the alcohol detection needs to be  high enough to avoid unnecessary problems caused by seriously faulty BAC estimates. The accuracy of ignition interlock devices is important.