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Recumbent bicycles
Published
27 October 2005
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1 December 2005
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DD
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  1. Hi Peter, Sorry for the delay in response but the weather is so great
    I have been out riding. I am sorry if I upset you so much, I suspect
    you must be quite young to be so naive. You don't seem to get the
    point that when a helmet works the accident is not major and is not
    reported. For your information in our country Health care is so
    expensive that most people seldom go to ER. In fact belive it or not
    the fellow that broke his leg in two places not only did not go to the
    ER but finished the ride another 40 miles on the broken leg (he had no
    insurance). It was only days later when he could not walk that a friend
    and xray tech snuck him into a clinic after hours and xrayed the leg.
    The man who landed on his head was taken in an ambulance, I seriously
    doubt if anyone at the hospital took any data. I am 62 years old and
    have a wife and 34 year old son, together we have been to the ER 7
    times and 2 of those were for the pregnancy and two for appendix.
    Where I live if you call an ambulance you get a bill for $462.00 and we
    are less than 2 miles from the hospital. In my opinion as a retired
    engineer the medical industry has the poorest form of statistical data
    of anyone. For example my Mom got a mitral valve replacement aprox. 20
    years ago, she was one of the first to get a valve made from the muscle
    of a pig. Her doctor took me aside and said, he was sorry they had to
    use that valve because they could not get the mechanical model to fit.
    He said no way she would live 7 years. She went back to the Dr 18
    months later it was fine, 5 years later the Dr wanted her to come back
    in for more tests, she refused because it was to far and she had no
    transportation, the Dr sent an ambulance to the house and did the
    tests. Sounds great huh, but 17 years after the valve replacement she
    died, from other causes, I called the Dr and asked if he wanted the
    heart to examine, he said no he had written his paper and was no longer
    interested. I talk to cancer patients often they say that the Dr's
    are only interested in what happens for 5 years after that they don't
    seem to care. As for your comments about pedestrian injuries/ deaths
    in the UK, I believe you, I have been to London several times you drive
    on the wrong side of the road and even have written on the curbs LOOK
    RIGHT trying to warn the rest of the world that the crazy Brits are
    coming from the wrong side.haha That ought to keep you going for a
    week. I am going out and enjoy another perfect day.
    Happy Trails Butch

  2. Lest anyone think Peter is a lone voice...

    Butch said:

    Hi Peter, Sorry for the delay in response but the weather is so great
    I have been out riding. I am sorry if I upset you so much, I suspect
    you must be quite young to be so naive. You don't seem to get the
    point that when a helmet works the accident is not major and is not
    reported.

    Which should mean, if they work, that reported injury rates go down as
    more people wear them. Whereas what we find is that the trend for
    cyclists is the same as for pedestrians regardless of changes in
    cyclists' helmet-wearing rate.

    Quoted message said:

    For your information in our country Health care is so
    expensive that most people seldom go to ER.

    Luckily Peter is quoting UK stats, where people go to Casualty (ER)
    for any injury they haven't got a plaster to fit. Among other things,
    these stats show walking and cycling to be about equally hazardous,
    and to vary the same way over time - despite cycle helmet wearing
    rates increasing from 0 to about half of cyclists in the last 20 years.

    One of the reasons people perceive cycling to be dangerous is the
    relentless propaganda saying it is, from those promoting helmets.

    Wear a helmet, if you wish, to prevent those small injuries you're not
    going to go to the ER for. But forget about it saving your life.

    Colin McKenzie

    --
    The great advantage of not trusting statistics is that
    it leaves you free to believe the damned lies instead!

  3. Quoted message said:
    Peter Clinch said:

    But it isn't "misguided advice", it is reporting the simple truth
    that population data does not show any noticable improvement in
    head injury rates with increased helmet wearing. That that *fact*
    runs counter to "common sense" doesn't make it wrong.

    It is misguided because it concerns only "serious" accidents and I'm
    betting you agree that far more less than "serious" accidents happen
    than serious. Where are the stats for those, the ones that without a
    helmet might have called for an ER visit and stitching?

    Put -'em up if you gottem, but I'm lookin' forward to your sounds of
    silence.

    I'll put them up for Pete if I may.

    Do you know the definitions of a "serious" injury? In most countries
    your "ER visit and stitching" would be counted as serious in the
    official definitions.

    In the US, in 1991 18% of cyclists wore helmets. There were 568,000
    cyclist accidents requiring hospital treatment. 12% were head injuries.
    By 2000, 30% of cyclists wore helmets. There were 627,160 cyclist
    accidents. 12% were head injuries. So whatever all those extra helmets
    were doing they were not reducing head injuries.

    In the UK the proportion of female under-16 cyclists wearing helmets is
    double that of males. The proportion female under 16 cyclists suffering
    head injuries is virtually identical to that of males. So whatever all
    those extra helmets are doing for the girls, they are not protecting
    them from head injuries.

    The country with the lowest head injury rate for cyclists is Holland.
    They also have the lowest helmet wearing rate in the developed world at
    0.1%. Curiously the USA is the reverse with six times the death rate per
    km cycled and a 38% helmet wearing rate.

    In Australia where helmets are mandatory and enforced, one state has
    repealed the helmet law. That state now has the highest cycling rate
    and lowest head injury rate in Australia.

    Starting to see a pattern?

    Whatever common sense is telling you about the protective effect of
    helmets, experience around the world says its wrong.

    --
    Tony

    "I did make a mistake once - I thought I'd made a mistake but I hadn't"
    Anon

  4. Tony Raven said:

    In the US, in 1991 18% of cyclists wore helmets. There were 568,000
    cyclist accidents requiring hospital treatment. 12% were head injuries.
    By 2000, 30% of cyclists wore helmets. There were 627,160 cyclist
    accidents. 12% were head injuries. So whatever all those extra helmets
    were doing they were not reducing head injuries.

    In the UK the proportion of female under-16 cyclists wearing helmets is
    double that of males. The proportion female under 16 cyclists suffering
    head injuries is virtually identical to that of males. So whatever all
    those extra helmets are doing for the girls, they are not protecting
    them from head injuries.

    The country with the lowest head injury rate for cyclists is Holland.
    They also have the lowest helmet wearing rate in the developed world at
    0.1%. Curiously the USA is the reverse with six times the death rate per
    km cycled and a 38% helmet wearing rate.

    In Australia where helmets are mandatory and enforced, one state has
    repealed the helmet law. That state now has the highest cycling rate
    and lowest head injury rate in Australia.

    Very interesting information, and I'd like to read more. Can you post
    links to the studies or web sites where you got them?

  5. Rich said:
    rBOB said:

    It is perfectly
    legitimate to ask: Why has society deemed it appropriate / necessary /
    mandatory to wear a helmet while cycling but not while walking,
    driving, running, descending staircases, etc, etc...)?

    Possible answers:
    We're moving much slower while walking
    We have seatbelts and airbags for driving
    We also moving slower runnning then biking
    We have banisters to hold onto while descending staircases

    The U.S. is a safety consious country when it comes to personal
    activities. Right or wrong, helments are the safety item of choice for
    any activity involving moving at a speed greater then running (roller
    skating, skateboards, skiiing, etc..). It's an easy sell.

    Which is curious seeing as cycling helmets are not designed or certified
    for speeds higher than running. If your assertion was right then the
    manufacturers would surely be designing for and claiming protection for
    higher than running speeds but they don't.

    In addition to which the risk of head injuries from trips, falls etc
    while walking is just the same as the risk of head injuries while
    cycling. Since many many more people walk and more often, why are they
    not the primary target for helmets?

    Cycling is a very safe activity compared to all the other risks people
    take in their daily lives but for some reason people want to portray it
    as so uniquely dangerous that it requires special protective equipment.
    And guess what? The number one reason people give for not cycling is
    its dangerous. I wonder where they got that idea from?

    --
    Tony

    "I did make a mistake once - I thought I'd made a mistake but I hadn't"
    Anon

  6. Colin McKenzie said:

    Lest anyone think Peter is a lone voice...

    Butch said:

    Hi Peter, Sorry for the delay in response but the weather is so great
    I have been out riding. I am sorry if I upset you so much, I suspect
    you must be quite young to be so naive. You don't seem to get the
    point that when a helmet works the accident is not major and is not
    reported.

    Which should mean, if they work, that reported injury rates go down as
    more people wear them. Whereas what we find is that the trend for
    cyclists is the same as for pedestrians regardless of changes in
    cyclists' helmet-wearing rate.

    Quoted message said:

    For your information in our country Health care is so
    expensive that most people seldom go to ER.

    Luckily Peter is quoting UK stats, where people go to Casualty (ER)
    for any injury they haven't got a plaster to fit. Among other things,
    these stats show walking and cycling to be about equally hazardous,
    and to vary the same way over time - despite cycle helmet wearing
    rates increasing from 0 to about half of cyclists in the last 20 years.

    One of the reasons people perceive cycling to be dangerous is the
    relentless propaganda saying it is, from those promoting helmets.

    Wear a helmet, if you wish, to prevent those small injuries you're not
    going to go to the ER for. But forget about it saving your life.

    It is worth noting that Holland has a high proportion of its
    population using bikes, a very low proportion of its cyclists wearing
    helmets and a low head injury rate among cyclists.

    http://home.comcast.net/~steveheadley1/biketowork.jpg

  7. Butch said:

    Hi Peter, Sorry for the delay in response but the weather is so great
    I have been out riding. I am sorry if I upset you so much, I suspect
    you must be quite young to be so naive.

    You didn't upset me, you were just being wrong. I'm 39 btw.

    Quoted message said:

    You don't seem to get the
    point that when a helmet works the accident is not major and is not
    reported.

    And therefore that should contribute to a fall in serious head
    injuries as helmet wearing rates increase. But no such thing
    happens, so it looks like the supposition you've made is flawed.

    Quoted message said:

    For your information in our country Health care is so
    expensive that most people seldom go to ER.

    But this will still lead to reported serious accidents falling /if/
    the helmets are reducing the need to get to ER. But is doesn't.

    Quoted message said:

    The man who landed on his head was taken in an ambulance, I seriously
    doubt if anyone at the hospital took any data.

    You think they don't record admissions? So where does all the data
    there is come from?

    As I suggested to Jim, "Show me the casualty savings!" What you've
    said above in no way prevents effective helmets changuing the
    numbers, but the numbers don't change.

    You complained about how dubious relying on statistics is, yet
    you've chosen to use a tiny sample base in your /own/ statistics,
    so your own statistics are clearly flawed. Yet you choose to use
    them rather than much sounder data sets with usable sample bases.
    If you don't like statistics because they can be misused, stop
    using bad data yourself.

    Pete.
    --
    Peter Clinch Medical Physics IT Officer
    Tel 44 1382 660111 ext. 33637 Univ. of Dundee, Ninewells Hospital
    Fax 44 1382 640177 Dundee DD1 9SY Scotland UK
    net [email hidden] http://www.dundee.ac.uk/~pjclinch/

  8. Helmets are kind of like tire pumps. Having a pump along for the ride won't
    prevent p*nct*r*s, but if you get one, you'll be glad you had one with you.

    I wonder if the insurance industry has good data about h*lm*ts and how they
    figure into injury/treatment equation.
    much snippage of 'your data are [censored] and my data are gold standard'

    ----== Posted via Newsfeeds.Com - Unlimited-Uncensored-Secure Usenet News==----
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  9. gotbent said:

    Helmets are kind of like tire pumps. Having a pump along for the ride won't
    prevent p*nct*r*s, but if you get one, you'll be glad you had one with you.

    I wonder if the insurance industry has good data about h*lm*ts and how they
    figure into injury/treatment equation.

    The problem with that sort of observational study is that it is a much
    discredited way of assessing things and has led to some major medical
    mistakes such as in MMR and HRT. For a critique have a look at
    http://ije.oxfordjournals.org/cgi/content/full/33/3/464 and
    http://bmj.bmjjournals.com/cgi/content/full/329/7471/868

    I don't know about elsewhere in the world but in the UK Courts, no
    insurance company has succeeded with a contributory negligence claim in
    personal head injury cases when the cyclist victim was not wearing a
    helmet (and they have tried). Either they have the data and are not
    using it, suggesting it does not help them, or they don't have it.

    Someone closely involved in two of these cases has said:

    "Referring back to the Court case mentioned early, the very eminent QC
    under whose instruction I was privileged to work, tried repeatedly to
    persuade the equally eminent neurosurgeons acting for either side, and
    the technical expert, to state that one must be safer wearing a helmet
    than without. All three refused to so do, stating that they had seen
    severe brain damage and fatal injury both with and without cycle
    helmets being worn. In their view, the performance of cycle helmets is
    much too complex a subject for such a sweeping claim to be made."

    and

    "In a recent Court case, a respected materials specialist argued that a
    cyclist who was brain injured from what was essentially a fall from
    their cycle, without any real forward momentum, would not have had their
    injuries reduced or prevented by a cycle helmet. This event involved
    contact against a flat tarmac surface with an impact energy potential of
    no more than 75 joules (his estimate, with which I was in full
    agreement). The court found in favour of his argument."

    Make of that what you will.

    --
    Tony

    "The best way I know of to win an argument is to start by being in the
    right."
    - Lord Hailsham

  10. gotbent said:

    Helmets are kind of like tire pumps. Having a pump along for the
    ride won't prevent p*nct*r*s, but if you get one, you'll be glad
    you had one with you.

    Up to a point... but the above implies if you're in an accident you
    /will/ be better off with a helmet. But if that were the case then
    we would expect to see a dent in the serious accident figures with
    increasing helmet usage, but we don't.

    What the mechanism underlying this lack of effect is we don't
    really know. There are various suggested mechanisms but we don't
    know to what extent they operate. But we do know the final outcome
    of that operation appears to be no effect on serious injuries, so
    we can't say with any confidence that if you have an accident with
    potential to give serious head injuries that you will be better off
    with a helmet than without. Read the quote from Brian Walker I
    gave again (Tony has re-quoted it in the other followup to your post).

    I'll grant you that it seems obvious you'd be better off with a
    helmet, but just because common sense tells you that it doesn't
    make it right. Common sense also says if they help we'll see an
    effect on casualties, so with two bits of obvious common sense
    we've got contradictions. Which tells us we can't simply rely on
    common sense for the answers.

    Quoted message said:

    I wonder if the insurance industry has good data about h*lm*ts
    and how they figure into injury/treatment equation

    See Tony's reply for more on that.

    Quoted message said:

    much
    snippage of 'your data are [censored] and my data are gold standard'

    One or two anecdotes vs. the effective total sum of all anecdotes.
    There really isn't much question as to which is the more useful
    statistical starting point. If you want to argue that even so it
    isn't "gold standard" I would agree, but it's still the best we've
    got and a better thing to be working with than one or two people
    assuring you a helmet saved their life.

    Pete.
    --
    Peter Clinch Medical Physics IT Officer
    Tel 44 1382 660111 ext. 33637 Univ. of Dundee, Ninewells Hospital
    Fax 44 1382 640177 Dundee DD1 9SY Scotland UK
    net [email hidden] http://www.dundee.ac.uk/~pjclinch/

  11. gotbent said:

    I'm one of the anecdotal cases. <snip>

    I don't doubt it. But there still isn't any reduction in overall
    serious injuries from increased helmet wearing.

    In the quote previously made eminent neurosurgeons said it was too
    complex an issue to say that one was clearly better off with a
    helmet than without, so it is entirely possible that in some cases
    helmets can make things worse (have a google for "rotational
    injuries" as a possible mechanism, in addition to more cases of
    hitting one's head /at all/ due to an effectively bigger and
    heavier head). You can't make any assumptions about a notional
    next accident and if a hat will help, hinder, or do nothing, yet
    that's what a lot of people are doing.

    Given it is quite natural for people to assume a positive benefit
    you won't hear anecdotes saying how they made things worse, but
    remember that population level statistics of all serious injuries
    include all the positive anecdotes, including those where an injury
    has been removed from the serious bracket altogether, and despite
    all these anecdotes things haven't improved.

    I had my own anecdote which you can google out from uk.rec.cycling
    where I was wearing a helmet and I was convinced it saved me a much
    worse injury. Perhaps it did, but that is still no guarantee about
    how a helmet will affect another accident I may have. The hard
    numbers tell me my chances are no better or no worse whether or not
    I wear one. It was /very/ difficult abandoning my helmet for
    routine riding, but now I have I'm glad I did: I'm much more
    comfortable and enjoy my cycling more, and there is no evidence,
    /despite/ my previous anecdotal experience, that I am in any more
    danger of a serious head injury.

    See http://www.cyclehelmets.org/mf.html?1019 for more detail and
    references.

    Pete.
    --
    Peter Clinch Medical Physics IT Officer
    Tel 44 1382 660111 ext. 33637 Univ. of Dundee, Ninewells Hospital
    Fax 44 1382 640177 Dundee DD1 9SY Scotland UK
    net [email hidden] http://www.dundee.ac.uk/~pjclinch/

  12. On Sun, 30 Oct 2005 07:19:29 -0700, Rich <[email hidden]>
    said in <[email hidden]>:

    Quoted message said:

    Possible answers:
    We're moving much slower while walking
    We have seatbelts and airbags for driving
    We also moving slower runnning then biking
    We have banisters to hold onto while descending staircases

    Interesting, then, how the proportion of head injuries for
    hospitalised pedestrians and cyclists turns out to be almost exactly
    the same (30.0% for cyclists, 30.1% for peds). And the dominant cause
    of those injuries turns out to be something which vastly exceeds the
    protective capacity of any available helmet, namely impact with motor
    vehicles.

    Guy
    --
    http://www.chapmancentral.co.uk

    "To every complex problem there is a solution which is
    simple, neat and wrong" - HL Mencken

  13. In <[email hidden]>, on 10/30/05

    at 05:23 AM said:
    Quoted message said:
    Quoted message said:

    Again, you are using apples to make statements about oranges and are clueless that you are doing it.

    Quoted message said:

    I'm agnostic on this issue and generally stay out of these discussions
    but I wish you would stop writing this over and over. It is perfectly
    legitimate to ask: Why has society deemed it appropriate / necessary /
    mandatory to wear a helmet while cycling but not while walking, driving,
    running, descending staircases, etc, etc...)?

    Appples and oranges. If you can not see that, then there is no point
    saying anything else.

    jim

    --
    -----------------------------------------------------------
    [email hidden]
    -----------------------------------------------------------

  14. On 30 Oct 2005 06:40:13 -0800, "Butch" <[email hidden]> said in
    <[email hidden]>:

    Quoted message said:

    Hi Peter, Sorry for the delay in response but the weather is so great
    I have been out riding. I am sorry if I upset you so much, I suspect
    you must be quite young to be so naive. You don't seem to get the
    point that when a helmet works the accident is not major and is not
    reported.

    And you don't seem to get the point that there is no known case where
    cyclist injuries have reduced with increasing helmet use (but plenty
    which show the opposite).

    I am neither young nor naive. I have also read most of the research,
    both ways. If you'd like to cite the study on which you base your
    opinion?

    Guy
    --
    http://www.chapmancentral.co.uk

    "To every complex problem there is a solution which is
    simple, neat and wrong" - HL Mencken

  15. On Fri, 28 Oct 2005 16:03:12 -0700, [email hidden] said in
    <[email hidden]>:

    Quoted message said:

    Can you say for certain that if no one were to wear helmets, the
    situation would not be worse than it is?

    Interesting reversal of the burden of proof there.

    Guy
    --
    http://www.chapmancentral.co.uk

    "To every complex problem there is a solution which is
    simple, neat and wrong" - HL Mencken

  16. In <[email hidden]>, on 10/30/05

    at 10:12 AM said:

    Tony Raven wrote:

    Quoted message said:
    Quoted message said:

    In the US, in 1991 18% of cyclists wore helmets. There were 568,000
    cyclist accidents requiring hospital treatment. 12% were head injuries.
    By 2000, 30% of cyclists wore helmets. There were 627,160 cyclist >


    accidents. 12% were head injuries. So whatever all those extra helmets

    Quoted message said:

    were doing they were not reducing head injuries.

    In the UK the proportion of female under-16 cyclists wearing helmets is
    double that of males. The proportion female under 16 cyclists suffering
    head injuries is virtually identical to that of males. So whatever all
    those extra helmets are doing for the girls, they are not protecting
    them from head injuries.

    The country with the lowest head injury rate for cyclists is Holland.
    They also have the lowest helmet wearing rate in the developed world at
    0.1%. Curiously the USA is the reverse with six times the death rate per
    km cycled and a 38% helmet wearing rate.

    In Australia where helmets are mandatory and enforced, one state has
    repealed the helmet law. That state now has the highest cycling rate
    and lowest head injury rate in Australia.

    Quoted message said:

    Very interesting information, and I'd like to read more. Can you post
    links to the studies or web sites where you got them?

    There is another set of factors operating here that all this ignores and
    that is most European countries are cyclist friendly. I do not know about
    Australia, but the US is not cyclist friendly. I've had seveal encounters
    where I've had drivers deliberately squueze me to the side of the road and
    hazards there while yelling that I should get off the road and on the
    sidewalk. Even had someone tell me they hoped some driver would run over
    me.

    Te wstats are interesting, but a good portion of what is NOT discussed is
    driver's attitudes on cyclists on the road. Until that can be equated,
    they are interesitng but do not reflect the actual riding conditions.

    jim

    --
    -----------------------------------------------------------
    [email hidden]
    -----------------------------------------------------------

  17. In <[email hidden]>, on 10/30/05

    at 12:49 PM said:

    [email hidden] wrote:

    Quoted message said:
    Quoted message said:

    It is misguided because it concerns only "serious" accidents and I'm
    betting you agree that far more less than "serious" accidents happen
    than serious.

    Quoted message said:

    Certainly "less than serious" accidents happen, but by their very nature
    they aren't serious. I've banged my head a few times and drawn blood
    doing housework, I'm not alone in that. I don't feel the need for a
    hlemt doing it though, and I doubt you do either.

    Is housework considered a hazardous acitivity? No.

    So do not compare apples and oranges. A better comparison would be
    construction sites where helmets ARE required (at least in the US) because
    it is a dangerous activity.

    Quoted message said:
    Quoted message said:

    Where are the stats for those, the ones that without a
    helmet might have called for an ER visit and stitching?

    Quoted message said:

    If there were a significant number of those then there would be a drop
    in the overall figures of serious injuries, but there aren't.

    That is an assumption. Unless, of course you can cite a study saying
    specifically that.

    Quoted message said:
    Quoted message said:

    Put -'em up if you gottem, but I'm lookin' forward to your sounds of
    silence.

    Quoted message said:

    They don't exist because they don't get to ER rooms. But they don't get
    into the serious figures which they would have done otherwise, and the
    serious head injury rates would have gone down accordingly. But they
    haven't.

    Quoted message said:
    Quoted message said:

    Where is your data on non-serious injuries? Without any on your part,
    anecdotal evidence is better than your lack of information.

    Quoted message said:

    See above. For non-serious injuries they amount to basically
    discomfort, /if/ I have one. A helmet means discomfort on 100% of
    trips.

    Quoted message said:
    Quoted message said:

    Well, if it is that easy, why haven't you done it?

    Quoted message said:

    Why haven't I done what?

    You said it should be easy to get those studoes/facts . . .

    Quoted message said:
    Quoted message said:

    Really, how do you propose that be measured? They only measure srious
    injuries and have no data at all on those that walk away without a
    report being filed.

    Quoted message said:

    But if they meant a serious injury was /avoided/ then the annual rate of
    serious injuries would be coming down, and would show a better trend
    than that for pedestrians who have historically matched cyclist trends
    for years since before helmets were introduced. This hasn't happened.

    Quoted message said:
    Quoted message said:

    Again, you are using apples to make statements about oranges and are
    clueless that you are doing it.

    Quoted message said:

    No I'm not. You read through the work at www.cyclehelmets.org and pick
    the real holes in it. It's fully referenced so you can get back to the
    sources.

    Sorry, Pete, you are. The study onlyu concerns serious injusries and
    nothing else. It misses taking into account a lot of variables that are
    imprtant to being able to make any categorical statement.\

    jim

    --
    -----------------------------------------------------------
    [email hidden]
    -----------------------------------------------------------

  18. On Mon, 31 Oct 2005 15:42:27 -0800, [email hidden] said in
    <[email hidden]>:

    Quoted message said:

    Appples and oranges. If you can not see that, then there is no point
    saying anything else.

    Yes, apples and oranges. Cyclists who choose to wear helmets and ride
    in family groups on bike trails, versus those who do not and ride
    alone on city streets. Apples and oranges. Only an idiot would fail
    to see the difference. And only a zealot would attribute it to the
    headgear rather than the riding style.

    Interestingly, where the helmet usage rate rises by very large amounts
    in a very short time (such as in New Zealand, where it doubled in a
    single year) there is no discernible change in recorded head injury
    rates. Obviously someone forgot to tell all those apples to become
    oranges...

    Guy
    --
    http://www.chapmancentral.co.uk

    "To every complex problem there is a solution which is
    simple, neat and wrong" - HL Mencken

  19. In <[email hidden]>, on 10/30/05

    at 04:25 PM said:

    Lest anyone think Peter is a lone voice...

    Quoted message said:
    Butch said:

    Hi Peter, Sorry for the delay in response but the weather is so great
    I have been out riding. I am sorry if I upset you so much, I suspect
    you must be quite young to be so naive. You don't seem to get the
    point that when a helmet works the accident is not major and is not
    reported.

    Quoted message said:

    Which should mean, if they work, that reported injury rates go down as
    more people wear them. Whereas what we find is that the trend for
    cyclists is the same as for pedestrians regardless of changes in
    cyclists' helmet-wearing rate.

    Quoted message said:
    Quoted message said:

    For your information in our country Health care is so
    expensive that most people seldom go to ER.

    Quoted message said:

    Luckily Peter is quoting UK stats, where people go to Casualty (ER) for
    any injury they haven't got a plaster to fit. Among other things, these
    stats show walking and cycling to be about equally hazardous, and to
    vary the same way over time - despite cycle helmet wearing rates
    increasing from 0 to about half of cyclists in the last 20 years.

    Quoted message said:

    One of the reasons people perceive cycling to be dangerous is the
    relentless propaganda saying it is, from those promoting helmets.

    Quoted message said:

    Wear a helmet, if you wish, to prevent those small injuries you're not
    going to go to the ER for. But forget about it saving your life.

    And the proof that it will NOT save your life is? Do not confuse overall
    stats with what happens in any given situation. I am sure that there are
    isolated cases where the use of a helmet IS the direct cause of death in
    what would have been a non-serious accident. For isntance, not work
    properly, helmet slides bbehind head, straps cut off breathing . . .

    Of course, the acid test is: are you willing to take your CHILD with you
    on a bike in traffic without that child wearing a helmet? Are you willintg
    to take your CHILD with you mountain biking without that child wearing a
    helmet?

    That's where the rubber meets the road.

    jim

    --
    -----------------------------------------------------------
    [email hidden]
    -----------------------------------------------------------

  20. In <[email hidden]>, on 10/30/05

    at 05:08 PM said:
    Quoted message said:
    Peter Clinch said:

    But it isn't "misguided advice", it is reporting the simple truth
    that population data does not show any noticable improvement in
    head injury rates with increased helmet wearing. That that *fact*
    runs counter to "common sense" doesn't make it wrong.

    It is misguided because it concerns only "serious" accidents and I'm
    betting you agree that far more less than "serious" accidents happen
    than serious. Where are the stats for those, the ones that without a
    helmet might have called for an ER visit and stitching?

    Put -'em up if you gottem, but I'm lookin' forward to your sounds of
    silence.

    Quoted message said:

    I'll put them up for Pete if I may.

    Quoted message said:

    Do you know the definitions of a "serious" injury? In most countries
    your "ER visit and stitching" would be counted as serious in the
    official definitions.

    As I was saying. Non-serious are those you DO NOT end up in the ER for.

    Quoted message said:

    In the US, in 1991 18% of cyclists wore helmets. There were 568,000
    cyclist accidents requiring hospital treatment. 12% were head injuries.
    By 2000, 30% of cyclists wore helmets. There were 627,160 cyclist
    accidents. 12% were head injuries. So whatever all those extra helmets
    were doing they were not reducing head injuries.

    Missing bit of data and that is the total number of riders in both years.
    Source?

    Quoted message said:

    In the UK the proportion of female under-16 cyclists wearing helmets is
    double that of males. The proportion female under 16 cyclists suffering
    head injuries is virtually identical to that of males. So whatever all
    those extra helmets are doing for the girls, they are not protecting
    them from head injuries.

    Quoted message said:

    The country with the lowest head injury rate for cyclists is Holland.
    They also have the lowest helmet wearing rate in the developed world at
    0.1%. Curiously the USA is the reverse with six times the death rate per
    km cycled and a 38% helmet wearing rate.

    That has a lot to do with wach copuntries view of cycling. Europe is
    cycling friendly. The US is not.

    Quoted message said:

    In Australia where helmets are mandatory and enforced, one state has
    repealed the helmet law. That state now has the highest cycling rate
    and lowest head injury rate in Australia.

    Interesting, but what happens in Oz may or may not be relevant to the US
    or anywhere elase for that matter.

    Quoted message said:

    Starting to see a pattern?

    Yep, one person's facts are another's damned lies.

    Quoted message said:

    Whatever common sense is telling you about the protective effect of
    helmets, experience around the world says its wrong.

    This comment fails to address the relative safety of cyclists because of
    attitudes and acceptance of cycling, doesn't it? Without that comparative
    information, the stats are interesting, but may not be telling you what
    YOU think they are. I'm betting you know people who have cycled in Europe
    who would not venture on the road in the US because of the attitude of US
    drivers.

    jim

    --
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    [email hidden]
    -----------------------------------------------------------

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