On 6/13/2023 4:49 PM, Jeff Liebermann wrote:
> On Tue, 13 Jun 2023 12:18:02 -0700 (PDT), Tom Kunich
> <
cycl...@gmail.com> wrote:
>
>> Now because the numbers of cyclist injured badly enough to go
>> to an ER is so low those statistics are somewhat biased but
>> the general trend is unmistakable.
>
> Amazing. An estimated 60,000 ER visits per year is low?
>
> Please show me a recent graph of where the "general trend" is
> "unmistakable".
>
> "Emergency Department Visits for Bicycle-Related Traumatic Brain
> Injuries Among Children and Adults - United States, 2009 - 2018"
> <
https://www.cdc.gov/mmwr/volumes/70/wr/mm7019a1.htm>
> <
https://www.cdc.gov/mmwr/volumes/70/wr/pdfs/mm7019a1-H.pdf>
>
> "During 2009 - 2018, an estimated 596,972 ED visits for
> bicycle-related TBIs occurred in the United States."
>
> "Bicycling leads to the highest number of sport and recreation related
> emergency department (ED) visits for traumatic brain injuries (TBIs)
> in the United States"
I've seen many claims that bicycling is a particularly dangerous "sport"
- or in this case, "sport and recreation." But those comparative lists
always seem to leave out two activities with much worse data.
Those are driving and walking.
"Wait!" some may say; "Driving and walking aren't sports!"
But there certainly is sport driving, both sanctioned and unsanctioned.
There is certainly sport walking. See
https://en.wikipedia.org/wiki/Racewalking
So what's the difference between those and bicycling?
For motoring, walking and cycling, huge portions of Americans
participate. This supplies a huge source of participants who may
occasionally get some injury; and in contrast to driving, people from
age 4 to 16 add to that number of participants. For all three, true
"sport" or competition is a minuscule portion of the participants.
Almost everyone driving, walking or cycling has no thought of competing.
They are performing what, to them, is a normal activity to do during the
day, perhaps just to get somewhere.
So if bicycling is listed as a sport, so should walking and driving. If
that were done, each of their fatality counts and their TBI counts would
totally eclipse that of cycling.
Here's where cycling would look worse: in the dreaded Skinned Knee
category. Most cyclist visits to ER are for "abrasions of the lower
limb." Upper limbs also do badly. Yes, horrors, most people do fall off
their bikes occasionally. (Some even ride tricycles to avoid that!)
But OTOH, every study I've seen on the topic has said emphatically that
bicycling is a strong net benefit for health. IOW, an individual is
safer cycling than not cycling. And if helmet mania convinces people
that riding is too dangerous, society will suffer a net loss in health.
> "Policies that recommend the use of bicycle helmets have achieved
> long-term sustained helmet use rates and a 20% - 55% reduction in
> bicycle-related head injuries, including TBIs."
Your reference upstream said "Overall, the rate of ED visits for
bicycle-related TBIs decreased by approximately one half (48.7%) among
children and by 5.5% among adults." But attributing that directly to
helmets is a stretch. Cycling among kids has plummeted in recent
decades. In the early 1970s, about half of kids walked or biked to
school. That's down to about 10% or less now, and biking has dropped
more than walking. Drops in cycling are a well proven result of
mandating helmets, and I believe the same effect occurs when helmets are
strongly promoted.
I've come across statements by helmet promoters whose response was
"Good. If we can keep kids from riding, that's even better than letting
them ride only with helmets." But uncommon as serious TBI is, if there
are fewer kids cycling, there will be less cycling TBI cases.
That's not my idea of a social benefit.
--
- Frank Krygowski