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A report by Public Health Wales suggests banning young drivers from driving at night.
The report looked at factors which could have prevented the 34 teenage deaths that occurred between 2006-2010 in cars.
Of the vehicles in which there were fatalities, the driver was over the legal blood alcohol limit in five of the 22 cases.
Driving at night was also identified as a key factor in these deaths, with 19 out of 28 crashes occurring between 9pm and 5am.
A campaign has been launched calling for young drivers to be banned from driving at night.
Public Health Wales says newly qualified young motorists should be banned from night driving and from carrying a certain number of passengers.
It comes as the body published a report looking at the deaths of people aged 13 - 17 in motor vehicles between 2006-2010. It's now calling on the Welsh Government to lobby the UK Government to introduce changes to licensing for young drivers.
The report calls for the introduction of a graduated driving licence which could put limitations on or ban newly qualified young drivers from driving at night and drinking alcohol. It could also limit how many passengers can be taken in the car.