Evaluating cycling fatality risk with a focus on cycle helmet use
Abstract:
During the last 3 decades the use of cycle helmets has increased substantially in
some countries, with laws requiring their use and many places promoting them.
Reports have detailed the cycling fatality risk with rates varying per billion kilometres
cycled, for example the Netherlands with a rate of 8, Germany 11, France 27, United
Kingdom 21 and United States of America 49. Helmet wearing is much higher in the
USA than in the Netherlands or Germany, yet they have a fatality risk 4 to 5 times
higher, so how much effect does helmet wearing have? Claims are made of them
saving lives and preventing head injuries. On the other hand, some findings suggest
a higher accident/injury rate may result from helmet usage and other evidence
suggests they may not have a significant effect in saving lives. Helmet requirements
and legislation can lead to discouraging cycling, resulting in serious health implications.
A clear understanding of the pros and cons of the issues are needed to guild
individuals and public policy.
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