Federal data shows that driving under the influence in Massachusetts is a growing problem.

The number of drivers under the influence of alcohol, drugs or medication at the time of a fatal crash “increased steadily” from 2020 to 2023 in the Bay State, according to AAA Northeast, citing the latest available data from the National Highway Traffic Safety Administration.

Over the four years, the Commonwealth recorded 141 total such incidents, increasing from 17 in 2020 to 55 in 2023, according to data in the Fatality Analysis Reporting System.

Mary Kate DePamphilis, program director for the Massachusetts chapter of Mothers Against Drunk Driving, says that one death is too many because of impaired driving, and fatality numbers “don’t consider the many others who have been injured; some severely.”

Dozens of community members gathered in Franklin on Thursday for a vigil in memory of the state’s most recent victims of impaired driving: 5-year-old girl Krisha Patel and her 38-year-old mother, Minaben Patel.

Suspect James Blanchard, 21, of Franklin, is accused of drinking Tito’s Vodka straight out of a 1.75-liter bottle behind the wheel when he plowed a pickup truck head-on into a sedan driven by Atulkumar Patel, Krisha’s father and Minaben’s husband, the evening of May 24.

“MADD is heartbroken over the Memorial Day crash that happened in Franklin,” DePamphilis told the Herald. “An innocent child and her mother are no longer with us because of someone’s careless decision to drink and drive.

“Impaired driving crashes are 100% preventable,” she added, “which makes this even more tragic.”

Locally, DePamphilis said her organization is working “every day to prevent these senseless deaths” in partnership with law enforcement, by providing education in schools for children and parents, while “working on strengthening impaired driving legislation.”

Mothers Against Drunk Driving is also “working diligently” to advocate for the federal HALT Act, legislation that would mandate impaired driving prevention technology in all new cars, DePamphilis said.

Reducing the number of impaired driving incidents in the Bay State is also the mission of traffic safety grants awarded through the state Office of Grants and Research. This fiscal year, the program issued more than $12 million in federal funding to nonprofits, municipal police and state agencies to bolster safety for all users of the road.

Data provided to the Herald shows that the Massachusetts State Police conducted 26 sobriety checkpoints and 40 saturation patrols between December 2023 and September 2024, totaling 7,187 hours of enforcement activity and issuing over 11,000 citations and written warnings to drivers.

“Every day, we serve victims of impaired driving, free of charge,” DePamphilis said of Mothers Against Drunk Driving. “We are there for families in their darkest days to help navigate through grief and the criminal justice system, eventually getting to a place in their healing journey where they can cope. I urge anyone who has been a victim of impaired driving to reach out to 1-800-MADD-HELP.”