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Road Cycling
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13 July 2004
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dreaded
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  1. On Thu, 15 Jul 2004 00:22:36 -0700, Bill Davidson
    <[email hidden]> wrote in message
    <1hqJc.1828$9j.1579@lakeread02>:

    Quoted message said:
    Quoted message said:

    Anybody who wears a helmet on the bike, but not in the car (a source
    of 50 to 100 times more fatal head injuries) is in a fantasy
    wonderland of denial

    Quoted message said:

    Count head injuries per mile travelled per person and those numbers
    go in the other direction--by a lot. I've easily travelled 20-30
    times as many miles in motor vehicles as on a bike. Total times
    hitting my head in motor vehicles: 0. Total times on the bike: 2.

    Count head injuries per mile travelled for pedestrians and for
    cyclists, and it's higher for pedestrians. Ditto fatalities.

    Quoted message said:

    This is just more [censored] statistics from the anti-helmet freaks.

    Where? I really want to meet more anti-helmet freaks. So far I've
    only met one.

    Guy
    --
    May contain traces of irony. Contents liable to settle after posting.
    http://www.chapmancentral.co.uk

    88% of helmet statistics are made up, 65% of them at Washington University

  2. On Wed, 14 Jul 2004 23:50:23 +0000 (UTC), "PK"
    <[email hidden]> wrote in message
    <[email hidden]>:

    Quoted message said:

    his conclusion does not exaclty reverse his position but introduces another
    layer of complexity;

    Well, since his previous position was "it doesn't happen" it certainly
    changed it a fair bit :-)

    Quoted message said:

    "The results indicate that risk compensation may modify the effectiveness of
    PE for children engaged in sports and leisure activities. Conversely, the
    findings also suggest that those wearing PE may be a cautious subgroup"

    The former explains why increases in wearing rates fail to yield
    measurable benefit, the latter explains whjy small-scale prospective
    studies show more benefit than whole-population data. The two are not
    inconsistent, I think.

    Quoted message said:

    (btw sample size in the study was 63 6-16 with non severe injury)

    Another small-scale study. I wonder why the injury prevention zealots
    never use the larger data sets from whole population time series? Oh,
    wait a minute... :-)

    Guy
    --
    May contain traces of irony. Contents liable to settle after posting.
    http://www.chapmancentral.co.uk

    88% of helmet statistics are made up, 65% of them at Washington University

  3. On Thu, 15 Jul 2004 03:09:29 GMT, Mike McGuire
    <[email hidden]> wrote in message
    <[email hidden]>:

    Quoted message said:

    Of course it may not be politic to include an opinion that an early
    symptom of an important qualification for organ donation, namely brain
    death, is implict in the decision not to wear...

    Indeed not, especially as there is no evidence to support the idea
    that helmets have any significant effect in preventing serious head
    injuries, or indeed the fact that the worst brain injuries are
    reckoned to be caused by rotational forces, which helmets can't
    mitigate.

    Remember, there is no known case where cyclist safety has improved
    with increasing helmet use.

    Guy
    --
    May contain traces of irony. Contents liable to settle after posting.
    http://www.chapmancentral.co.uk

    88% of helmet statistics are made up, 65% of them at Washington University

  4. John Smith said:


    Chalo said:


    Quoted message said:

    I have broken 4 helmets in accidents.

    So you assume that when your _styrofoam hat_ breaks, that you have
    been spared injury?

    Yes. Its a pretty basic concept. A crushable foam absorbs impact and
    limits the impact to the thing you are protecting. It is used in
    automobiles, particularly professional race cars, who come apart and
    otherwise deform in order to protect the occupant.

    Speaking of professionals, what is it that you think motorsports
    helmet designers are failing to understand when they build their
    helmets strong, rather than weak and feeble like bicycle helmets? Do
    you think they don't know what they're doing?

    Bicycle hats are _symbolic_ helmets, designed to break and give the
    _impression_ of having saved the wearer from injury (in order to
    stroke his ego/pick his pocket), rather than being designed to give
    actual and effective protection to the wearer. If they were intended
    for the latter, they would bear much more resemblance to motorcycle,
    auto racing, aviation, and skydiving helmets.

    There are not a lot of different "right" ways to make an effective
    crash helmet. All the good ones are more or less the same, and way
    different from a bicycle hat.

    Chalo Colina

  5. Raoul Duke said:


    "dreaded" <[email hidden]> wrote in message
    news:[email hidden]...

    I would rather crash fifty times with

    Quoted message said:

    my helmet on than once without it.

    After reading your post, sounds like you already have.

    It's funny, it seems that it's the Tour that brought out the helmet
    nazis this year rather than the end of winter.

  6. Just zis Guy said:

    On Thu, 15 Jul 2004 03:09:29 GMT, Mike McGuire
    <[email hidden]> wrote in message
    <[email hidden]>:

    Quoted message said:

    Of course it may not be politic to include an opinion that an early
    symptom of an important qualification for organ donation, namely brain
    death, is implict in the decision not to wear...

    Indeed not, especially as there is no evidence to support the idea
    that helmets have any significant effect in preventing serious head
    injuries, or indeed the fact that the worst brain injuries are
    reckoned to be caused by rotational forces, which helmets can't
    mitigate.

    Remember, there is no known case where cyclist safety has improved
    with increasing helmet use.

    Guy

    Hmm--considerably advanced symptoms. Don't leave home without that donor
    card.

    Mike

  7. On Thu, 15 Jul 2004 16:42:02 GMT, "AustinMN" <[email hidden]>
    wrote:

    <snip>

    Quoted message said:

    No, they have not. There have been several large scale studies showing they
    don't. The largest study to ever conclude that they do work has been
    discredited by it's original authors (by repeating it). Helmets really
    don't work. But the concept is aparently lost on most helmet advocates.

    No need to be glum; threads about the North American obsession can be
    a great source of amusement. I love seeing the same facile arguments
    and puerile attempts at insult being put forth by Johnny-come-latelies
    who convincingly seem to believe that they are being both original and
    clever. Note that the True Believers will usually identify themselves
    quickly by going straight for the invective early on in their first
    post to the thread (88% of them, in fact).

    In fact, it might not be a bad idea for me to put on a helmet before I
    read their offerings in case I fall out of my chair laughing!

  8. Bill Davidson <[email hidden]> wrote in message news:<jvzJc.99$6%1.5@lakeread02>...

    Quoted message said:

    The total bicycle fatality counts have been slowly decreasing for
    the last few decades with 2000 being the first year with less than
    700 in decades. We haven't been over 900 since 1988 (901) or over
    800 since 1997 (811). Helmet usage increased dramatically during
    the 1990's but I'm sure that has nothing to do with it.

    Total fatality counts for pedestrians have been decreasing on an
    exactly parallel slope to those of cyclists for many decades. (Their
    absolute counts are much higher, of course.)

    It's certain that helmet usage increasing dramatically had nothing to
    do with the decrease in pedestrian deaths. And since, in the face of
    greatly increased bike helmet use, the trends remain parallel, it
    means cyclists haven't gained anything on peds as a result of the
    helmets.

    The explanation that seems most probable, I think, is increased
    medical technology and knowledge. People who try to give all the
    credit to helmets must believe CAT scans have no value, and that
    physicians know nothing more than they did in 1975.

    - Frank Krygowski

  9. On Fri, 16 Jul 2004 06:35:14 GMT, Chris B.
    <[email protected]> wrote in message
    <[email hidden]>:

    Quoted message said:

    It's funny, it seems that it's the Tour that brought out the helmet
    nazis this year rather than the end of winter.

    Inability to distinguish between trundling down to the shops and
    descending Pyrennean passes en peloton at 50mph is a key attribute of
    the Liddites :-)

    Guy
    --
    May contain traces of irony. Contents liable to settle after posting.
    http://www.chapmancentral.co.uk

    88% of helmet statistics are made up, 65% of them at Washington University

  10. On Fri, 16 Jul 2004 06:42:33 GMT, mmcgr <[email hidden]> wrote in
    message <[email hidden]>:

    Quoted message said:
    Quoted message said:
    Quoted message said:

    Of course it may not be politic to include an opinion that an early
    symptom of an important qualification for organ donation, namely brain
    death, is implict in the decision not to wear...

    Quoted message said:
    Quoted message said:

    Indeed not, especially as there is no evidence to support the idea
    that helmets have any significant effect in preventing serious head
    injuries, or indeed the fact that the worst brain injuries are
    reckoned to be caused by rotational forces, which helmets can't
    mitigate.

    Quoted message said:
    Quoted message said:

    Remember, there is no known case where cyclist safety has improved
    with increasing helmet use.

    Quoted message said:

    Hmm--considerably advanced symptoms. Don't leave home without that donor
    card.

    OK, now let's review this. On the one side you have a man who says a
    cyclist without a helmet is a dead man riding, on the other side you
    have a man who posts proven facts which disprove that case. What is
    your justification for discounting at a stroke every sngle whole
    population analysis of cyclist head injurty rates?

    Maybe you believe, as Thompson, Rivara and Thompson apparently do,
    that helmets are more effective against brain injury than against
    minor cuts and bruises. If so, surely you can point to a jurisdiction
    where reductions in serious and fatal head injury rates have been
    achieved through helmet use?

    Or maybe you are a mountain biker who has forgotten that "cycling"
    covers everything from pottering around the park on a child's tricycle
    to extreme downhill? How many different sorts of bikes do you ride,
    and what kinds of riding? How many miles per year on and off road?

    How do you account for the fact that it took four attempts to prove
    any cost benefit for New Zealand's helmet law, and even that was found
    only for children under 12 and on the basis of pretending they all
    would have worn helmets anyway and ignoring both pre-existing trends
    and the fact that they grow?

    How do you account for the fact that the head injury rate in the USA
    rose by 40% as helmet use rose from 18% to 50%?

    How do you account for the fact, acknowledged by the authors of the
    law, that Alberta's halmet law was followed by a doubling of the head
    injury rate?

    How do you account for the fact that the head injury rate in Australia
    remained unchanged after compulsion?

    How do you account for the fact that the two safest cycling countries
    in the world, Holland and Denmark, have negligible helmet wearing
    rates?

    How do you account for the fact that the pro-helmet road safety
    minister in the UK acknowledged that there is no known case where
    cyclist safety has improved with increasing helmet use?

    Surely you have thought all this through, otherwise you would just be
    trolling.

    Guy
    --
    May contain traces of irony. Contents liable to settle after posting.
    http://www.chapmancentral.co.uk

    88% of helmet statistics are made up, 65% of them at Washington University

  11. Frank Krygowski said:

    Bill Davidson <[email hidden]> wrote in message


    news:<jvzJc.99$6%1.5@lakeread02>...

    Quoted message said:
    Quoted message said:

    The total bicycle fatality counts have been slowly decreasing for
    the last few decades with 2000 being the first year with less than
    700 in decades. We haven't been over 900 since 1988 (901) or over
    800 since 1997 (811). Helmet usage increased dramatically during
    the 1990's but I'm sure that has nothing to do with it.

    Total fatality counts for pedestrians have been decreasing on an
    exactly parallel slope to those of cyclists for many decades. (Their
    absolute counts are much higher, of course.)

    It's certain that helmet usage increasing dramatically had nothing to
    do with the decrease in pedestrian deaths. And since, in the face of
    greatly increased bike helmet use, the trends remain parallel, it
    means cyclists haven't gained anything on peds as a result of the
    helmets.

    The explanation that seems most probable, I think, is increased
    medical technology and knowledge. People who try to give all the
    credit to helmets must believe CAT scans have no value, and that
    physicians know nothing more than they did in 1975.

    Of course, tougher drunk driving laws and enforcement have nothing to do
    with it either.

    Austin

  12. "AustinMN" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:
    Frank Krygowski said:

    Bill Davidson <[email hidden]> wrote in message


    news:<jvzJc.99$6%1.5@lakeread02>...

    Quoted message said:
    Quoted message said:

    The total bicycle fatality counts have been slowly decreasing for
    the last few decades with 2000 being the first year with less than
    700 in decades. We haven't been over 900 since 1988 (901) or over
    800 since 1997 (811). Helmet usage increased dramatically during
    the 1990's but I'm sure that has nothing to do with it.

    Total fatality counts for pedestrians have been decreasing on an
    exactly parallel slope to those of cyclists for many decades. (Their
    absolute counts are much higher, of course.)

    It's certain that helmet usage increasing dramatically had nothing to
    do with the decrease in pedestrian deaths. And since, in the face of
    greatly increased bike helmet use, the trends remain parallel, it
    means cyclists haven't gained anything on peds as a result of the
    helmets.

    The explanation that seems most probable, I think, is increased
    medical technology and knowledge. People who try to give all the
    credit to helmets must believe CAT scans have no value, and that
    physicians know nothing more than they did in 1975.

    Of course, tougher drunk driving laws and enforcement have nothing to do
    with it either.

    Austin


    You know, after wearing a motorcycle helmet, it's hard to believe that a
    bike helmet is much more than a symbolic gesture to appease the gods or
    something.

  13. Mike McGuire <[email hidden]> wrote in message news:<[email hidden]>...

    Quoted message said:


    Base on most of the response, you are clearly using the wrong approach.
    Something in the spirit of Jonathan Swift's "Modest Proposal" might be
    the thing. Something like

    URGENT NEED FOR ORGAN DONATIONS!!!

    Non-helmet wearers, let us help you get your organ donation paper work,
    living will etc. in order. There is a vast need and many deserving
    recipients out there, and it would be a shameful waste to not be able to
    give them a well conditioned set of cyclist lungs and heart. They would
    be very grateful, and oh yes, please carry your donor card always.

    At least Mike's response is cuter than the usual "organ donation"
    wisecrack. But it remains an ignorant wisecrack. And Mike, don't get
    your hackles up. I meant "ignorant" as in, not knowing the facts.

    One of my best friends worked for an organ donation organization for
    quite a few years, doing educational outreach. I asked him about
    bicyclists and organ donations. He said cyclists are not, and never
    have been, much good for organ donations.

    For one thing, there are FAR too few cyclist fatalities in a given
    year. Anyone can look up the numbers - roughly 750 cyclists die per
    year in the US. OTOH, there are 40,000 motorist deaths, and about
    6500 pedestrian deaths.

    Furthermore, despite the fictions created by helmet promoters, the
    typical cyclist death is not an unharmed body with a massive head
    injury. There are usually multiple causes of death, and internal
    organs are frequently seriously damaged. This is why so many helmet
    promotion sites say things about cycling deaths "involving" head
    injuries. When you phrase it that way, you can say a person with a
    crushed chest and a scratched forehead counts.

    But the vast majority of organ donations come from more mundane
    things. My friend said stroke victims are a big source, if only
    because their numbers are so tremendous. And unfortunately for your
    argument, cyclists are less likely to suffer strokes - whether they
    wear a helmet or not.

    So if you want organ donors, convince people to give up cycling and
    ride in cars.

    Of course, that's what helmet promotion horror stories do, isn't it?

    Quoted message said:

    Of course it may not be politic to include an opinion that an early
    symptom of an important qualification for organ donation, namely brain
    death, is implict in the decision not to wear...

    I'd say people who make insulting arguments without looking up the
    facts are closer to brain death, wouldn't you? ;-)

    - Frank Krygowski

  14. "John Smith" <[email hidden]> wrote in message news:<[email hidden]>...

    Quoted message said:

    "Frank Krygowski" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    1) You seem to have a great faith in your helmet. You have crashed
    enough to break 4 helmets.

    Yes. Even though I am a very cautious rider. And the accidents were not
    avoidable.

    Hmmm. I would have avoided at least three, perhaps four.

    Quoted message said:

    Accident one. Bicylcling along a paved river path at a relatively slow
    pace. Small kid darted out from behind trees. Had choice of kid or tree.
    Chose tree.

    I'll admit, multi-use paths are relatively dangerous places. If
    you've really got one with large (kid-hiding) trees immediately
    adjacent, it doesn't meet design codes. I'd recommend staying off it.

    If the tree was not immediately adjacent, it sounds like you were
    inattentive to me.

    Quoted message said:


    Accident two. Domino's Pizza driver, who had been sitting in car for a few
    minutes, opens door in front of bicycle.

    You actually ride within reach of car doors? Sorry, but that would
    never happen to me.

    Quoted message said:


    Accident three. I stop at stop sign and am hit from behind by car that did
    not stop.

    I'd be interested in the circumstances. This is a _very_ unusual
    accident! Still, I tend to be aware of rearward traffic, by use of a
    mirror. But it's conceivable this one would have got me.

    Quoted message said:


    Accident four. Bicycling on Bike Path, Bicyclist going the other way turns
    around to talk to friend and suddenly veers into me in head on crash. I
    break helmet and walk away.... they are not wearing helmet and go to ER.

    Yep, bike paths. Bad places. By the way, what injury took them to
    the ER? And what was the outcome?

    Quoted message said:


    Yes,. you are right. Maybe I would have just "walked away" from those
    accidents anyway. But the simple fact is that there are more studies which
    say that helemts help than studies that say that they are neutral and a lot
    more studies which stay that helmets are, at worst neutral, than studies
    that say that they hurt.

    I'll admit, you're right about the raw numbers of pro vs. con studies.
    To give a little more detail, there are more "case control" studies
    examining people showing up at an ER.

    Here's how those are done: If you ask those people coming to the ER
    "were you wearing a helmet" and compare with whether or not they had a
    "head injury," you'll get some nice looking pro-helmet data. To
    compute the benefit, you compare the "helmet" people with the "no
    helmet" people. You also take care to define "head injury" as any
    injury above the neck. Cuts to the ears should definitely be counted.
    So should bruised noses, scratched chins, etc. The nice thing, for
    helmet promotion, is that when you publish and use the words "head
    injury" people will naturally assume truly debilitating brain injury,
    not ear scratches. Also, you can pretend that the two groups really
    were equivalent - ignoring, say, poor kids who can't afford helmets
    being taken in only for really significant injuries, versus richer
    kids with good insurance taken in "just in case." What I've described
    is the method of most studies on the subject.

    OTOH, if you look at large population data things are not so good for
    helmet promoters. For example, if you take a country like New
    Zealand, where they made helmets mandatory for all ages, you'll have a
    sudden increase in the use of helmets - from maybe 15% to maybe 90%.
    (They actually enforce their law.) Then if you look at hospital data,
    you can check the reason cyclists are admitted. Do this for
    essentially all hospitalized cyclists in the country. You can hope to
    find a drop in the percentage hospitalized due to head injury.

    The trouble here is, you're actually looking at the serious injuries.
    And you're looking at the entire population, not just your limited
    contrasting rich & poor groups.

    Oh, the other trouble is, you won't find any benefit from the surge in
    helmet use. We know this, because I'm describing a real study.

    You can also count the raw numbers of head injuries after a helmet law
    comes into effect. You'll probably see a drop. But just be careful
    you don't compare with the actual number of cyclists out there on the
    roads, because you'll see an even bigger drop, so it will become clear
    the helmets aren't protecting the cyclists, they're just driving them
    away from cycling.

    So if you want to publish a paper on bike helmet effectiveness to
    bolster your academic standing (or satisfy your helmet-company
    sponsor) be sure to do it the "right" way. Fortunately, that's also
    the much easier way!

    Quoted message said:

    But you have your mind made up, and no doubt it
    would be as ineffective to argue this point with you...

    There's a lot of that around here, isn't there?

    - Frank Krygowski

  15. "Just zis Guy, you know?" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    How do you account for the fact that it took four attempts to prove
    any cost benefit for New Zealand's helmet law, and even that was found
    only for children under 12 and on the basis of pretending they all
    would have worn helmets anyway and ignoring both pre-existing trends
    and the fact that they grow?

    Actually you should READ that study instead of just looking at conclusions.
    Initially, it was predicated on New Zealand's low health care costs, not the
    high US health care costs. Secondly, it also says that it understates
    various items including the "value" of a life. And, of course, it
    acknowledges that Helmets do prevent and reduce injury. It simply says
    that in a low health care cost society, the cost-benefit (and without
    assigning a specific value to the lost or damaged life) the cost of treating
    the head injuries is less than the cost of preventing the injuries.

  16. Scooter the mighty said:


    You know, after wearing a motorcycle helmet, it's hard to believe that a
    bike helmet is much more than a symbolic gesture to appease the gods or
    something.

    It's to appease, alright, but not gods. Bike hats are built as flimsy
    as they are _just so that they will break_ when exposed to the
    slightest impact. This appeases the buyer's desire to be undertaking
    a daring and adventurous activity as well as his desire to be
    self-preservingly safety conscious.

    When one of those fool hats busts, the helmet enthusiast thinks,
    "without it I would surely have been seriously injured! How smart I
    am to wear a helmet, and how brave I am to venture out into the jaws
    of certain peril on my bicycle." Whereas someone who regularly wears
    a serious helmet thinks, "of course it broke! The piece o' [censored] is
    made of styrofoam and brand-name decals!"

    I started to enumerate the major distinctions between proven crash
    helmets and bike hats, but decided that anybody who is willing to lay
    his faith in such an obviously ineffectual piece of body armor (one
    that can be destroyed if you accidentally sit on it, for instance)
    probably would not be swayed by additional facts.

    Chalo Colina

  17. "Chris B." <[email protected]> wrote in message
    news:[email hidden]...

    Quoted message said:

    It's funny, it seems that it's the Tour that brought out the helmet
    nazis this year rather than the end of winter.

    If you don't want to wear a helmet, that's fine with me. What I object to
    is the presentation of psuedo-science as fact and the fact that the
    anti-helmet Nazis are going to result in a number of gullible innocents
    suffering serious injuries.

  18. "Just zis Guy, you know?" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    Count head injuries per mile travelled for pedestrians and for
    cyclists, and it's higher for pedestrians. Ditto fatalities.

    This is the kind of absolutely insane claim that undermines the arguments of
    the Anti-Helmet Nazis. There is not a single study that you can cite which
    supports this.

  19. Just zis Guy said:

    ...How do you account for the fact that the pro-helmet road safety
    minister in the UK acknowledged that there is no known case where
    cyclist safety has improved with increasing helmet use?

    Surely you have thought all this through, otherwise you would just be
    trolling.

    Guy

    Obviously attitudes in this matter are completely hardened and are quite
    beyond humor. As to the charge of trolling, probably. As they say over
    in rec.outdoors.fishing, Fish On!

    Mike

  20. On Sat, 17 Jul 2004 03:58:13 GMT, "john smith" <[email hidden]>
    wrote in message
    <[email hidden]>:

    Quoted message said:
    Quoted message said:

    Count head injuries per mile travelled for pedestrians and for
    cyclists, and it's higher for pedestrians. Ditto fatalities.

    Quoted message said:

    This is the kind of absolutely insane claim that undermines the arguments of
    the Anti-Helmet Nazis. There is not a single study that you can cite which
    supports this.

    Actually the idea that pedestrian fatality rates are higher per mile
    travelled is not controversial. Malcolm Wardlaw based a rather
    amusing piece in the BMJ on exactly that fact, based directly on the
    British Government's road casualty statistics.

    The data set with which I am most familiar is for children in England.
    Here, the head injury rate (HI as % of all admissions) is about the
    same for cyclists and pedestrians - cyclists are not particularly at
    risk of head injuries. This data set also includes the rather
    interesting fact that more children in England are admitted to
    hospital for head injuries resulting from assault than from cycling.

    The major determinant of whether there will be a head injury is the
    involvement of a motor vehicle, not a bicycle.

    And notwithstanding your falling foul of Godwin's law, I only know of
    one person who is actually anti helmet. I know an awful lot who are
    implacably opposed to the propaganda used by those who promote
    helmets.

    Guy
    --
    May contain traces of irony. Contents liable to settle after posting.
    http://www.chapmancentral.co.uk

    88% of helmet statistics are made up, 65% of them at Washington University

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