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	<title>Comments on: To Wear Or Not to Wear (and Is That Even the Right Question?):   Ian Walker on Cycle Helmets</title>
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	<link>http://www.howwedrive.com/2008/10/01/to-wear-or-not-to-wear-and-is-that-even-the-right-question-ian-walker-on-cycle-helmets/</link>
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	<pubDate>Fri, 30 Jul 2010 08:15:57 +0000</pubDate>
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		<title>By: GregSea</title>
		<link>http://www.howwedrive.com/2008/10/01/to-wear-or-not-to-wear-and-is-that-even-the-right-question-ian-walker-on-cycle-helmets/#comment-10732</link>
		<dc:creator>GregSea</dc:creator>
		<pubDate>Fri, 22 Jan 2010 07:43:06 +0000</pubDate>
		<guid isPermaLink="false">http://www.howwedrive.com/?p=289#comment-10732</guid>
		<description>TedRe123 - while there may well not be the sort of data necessary to judge whether helmets make you safer, there *is* enough evidence to judge whether by "providing protective gear, you would encourage more people to take up an activity as they would feel safer". The answer is pretty clearly no.

The Australian case cited above is one of many that show a strong correlation between helmet promotion and severe drops in cycling - 1/3 is a certainly a huge drop and you see that sort of thing again and again. 

I say that as someone who cycles in Seattle and wears a helmet. In this way I'm like JanetM - it now just feels too weird not to wear one. Last fall on a visit to Holland for a week, however, I biked without one while I was there. In the Dutch context it felt fine. (Largely, I think, because no one else was wearing one - and the drivers there are competent and courteous, and the infrastructure excellent.)

However we *feel* about helmets, the facts such as they are make it increasingly easy to imagine the following being true:

* helmet promotion lead to substantial drops in cycling
* helmet use does not seem correlated with a drop in the death rate per mile cycled
* substantial drops in cycling are strongly correlated with a greater threat of death from heart disease and diabetes 

In which case helmet promotion will have been a great public policy mistake.</description>
		<content:encoded><![CDATA[<p>TedRe123 - while there may well not be the sort of data necessary to judge whether helmets make you safer, there *is* enough evidence to judge whether by &#8220;providing protective gear, you would encourage more people to take up an activity as they would feel safer&#8221;. The answer is pretty clearly no.</p>
<p>The Australian case cited above is one of many that show a strong correlation between helmet promotion and severe drops in cycling - 1/3 is a certainly a huge drop and you see that sort of thing again and again. </p>
<p>I say that as someone who cycles in Seattle and wears a helmet. In this way I&#8217;m like JanetM - it now just feels too weird not to wear one. Last fall on a visit to Holland for a week, however, I biked without one while I was there. In the Dutch context it felt fine. (Largely, I think, because no one else was wearing one - and the drivers there are competent and courteous, and the infrastructure excellent.)</p>
<p>However we *feel* about helmets, the facts such as they are make it increasingly easy to imagine the following being true:</p>
<p>* helmet promotion lead to substantial drops in cycling<br />
* helmet use does not seem correlated with a drop in the death rate per mile cycled<br />
* substantial drops in cycling are strongly correlated with a greater threat of death from heart disease and diabetes </p>
<p>In which case helmet promotion will have been a great public policy mistake.</p>
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		<title>By: TedRe123</title>
		<link>http://www.howwedrive.com/2008/10/01/to-wear-or-not-to-wear-and-is-that-even-the-right-question-ian-walker-on-cycle-helmets/#comment-10126</link>
		<dc:creator>TedRe123</dc:creator>
		<pubDate>Wed, 09 Dec 2009 11:17:17 +0000</pubDate>
		<guid isPermaLink="false">http://www.howwedrive.com/?p=289#comment-10126</guid>
		<description>I would have thought that by providing protective gear, you would encourage more people to take up an activity as they would feel safer. Regards my crashes, I don't know how you can say I'm wrong regarding these, since you weren't there. I've been hit on the head without a helmet(non biking), and I promise you it's a lot more pleasant with some coverage than without coverage.</description>
		<content:encoded><![CDATA[<p>I would have thought that by providing protective gear, you would encourage more people to take up an activity as they would feel safer. Regards my crashes, I don&#8217;t know how you can say I&#8217;m wrong regarding these, since you weren&#8217;t there. I&#8217;ve been hit on the head without a helmet(non biking), and I promise you it&#8217;s a lot more pleasant with some coverage than without coverage.</p>
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		<title>By: Jonathan Krall</title>
		<link>http://www.howwedrive.com/2008/10/01/to-wear-or-not-to-wear-and-is-that-even-the-right-question-ian-walker-on-cycle-helmets/#comment-9398</link>
		<dc:creator>Jonathan Krall</dc:creator>
		<pubDate>Thu, 15 Oct 2009 18:22:18 +0000</pubDate>
		<guid isPermaLink="false">http://www.howwedrive.com/?p=289#comment-9398</guid>
		<description>Brilliant post.  Nice to see another voice speak up in favor of science and against fear-mongering.  Even fear-mongering that seems well-intentioned (see TedRe123 above) makes the world a lesser place.</description>
		<content:encoded><![CDATA[<p>Brilliant post.  Nice to see another voice speak up in favor of science and against fear-mongering.  Even fear-mongering that seems well-intentioned (see TedRe123 above) makes the world a lesser place.</p>
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		<title>By: Patrick</title>
		<link>http://www.howwedrive.com/2008/10/01/to-wear-or-not-to-wear-and-is-that-even-the-right-question-ian-walker-on-cycle-helmets/#comment-9388</link>
		<dc:creator>Patrick</dc:creator>
		<pubDate>Thu, 15 Oct 2009 00:57:55 +0000</pubDate>
		<guid isPermaLink="false">http://www.howwedrive.com/?p=289#comment-9388</guid>
		<description>TedRe123, you are completely wrong, there is very little credible evidence to support the idea that helmets prevent deaths or serious injury. Every study I've read that makes that claim has serious flaws. On the other hand, there is some very strong evidence that says do nothing. In Australia they passed a law requiring helmet use, and although deaths dropped 10%, ridership dropped 30%, so the actual rate of death went up. In the use helmet use went from about 20% to 50% during the 90s, but there was no drop in the number of deaths.

As has been pointed out numerous times, just because there was in indent in the helmet does not mean you would have suffered any injury.

Bicycle helmets are designed and tested to lower standards than hockey, football, and baseball helmets. Have you ever noticed that BMX riders wear full head helmets? It's because standard helmets don't provide sufficient protection, and BMX bikers are not dealing with the type of impact you get from a car crash.

Finally, and most importantly, biking is not dangerous. Your chance of death or serious injury is no greater than driving or walking. If you don't wear a helmet when driving or walking then there's no legitimate reason you should wear a helmet. If you want to wear a helmet, that is your choice, but don't go around scaring people away from cycling, you are doing them a dis-service and endangering all the cyclists out there.</description>
		<content:encoded><![CDATA[<p>TedRe123, you are completely wrong, there is very little credible evidence to support the idea that helmets prevent deaths or serious injury. Every study I&#8217;ve read that makes that claim has serious flaws. On the other hand, there is some very strong evidence that says do nothing. In Australia they passed a law requiring helmet use, and although deaths dropped 10%, ridership dropped 30%, so the actual rate of death went up. In the use helmet use went from about 20% to 50% during the 90s, but there was no drop in the number of deaths.</p>
<p>As has been pointed out numerous times, just because there was in indent in the helmet does not mean you would have suffered any injury.</p>
<p>Bicycle helmets are designed and tested to lower standards than hockey, football, and baseball helmets. Have you ever noticed that BMX riders wear full head helmets? It&#8217;s because standard helmets don&#8217;t provide sufficient protection, and BMX bikers are not dealing with the type of impact you get from a car crash.</p>
<p>Finally, and most importantly, biking is not dangerous. Your chance of death or serious injury is no greater than driving or walking. If you don&#8217;t wear a helmet when driving or walking then there&#8217;s no legitimate reason you should wear a helmet. If you want to wear a helmet, that is your choice, but don&#8217;t go around scaring people away from cycling, you are doing them a dis-service and endangering all the cyclists out there.</p>
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		<title>By: TedRe123</title>
		<link>http://www.howwedrive.com/2008/10/01/to-wear-or-not-to-wear-and-is-that-even-the-right-question-ian-walker-on-cycle-helmets/#comment-9028</link>
		<dc:creator>TedRe123</dc:creator>
		<pubDate>Wed, 16 Sep 2009 11:56:39 +0000</pubDate>
		<guid isPermaLink="false">http://www.howwedrive.com/?p=289#comment-9028</guid>
		<description>I couldn't disagree more. We absolutely know that wearing protective gear will provide some protection. I've crashed twice and struck my head on hard objects twice. Once I smacked the side of a bus, and there was an indent in the helmet. If there was an indent in my head, I might not be writing this now. I can just say by personal experience that if you're moving, you will strike hard things when you land. If you never crash then you don't need a helmet. Both times did not involve a car.</description>
		<content:encoded><![CDATA[<p>I couldn&#8217;t disagree more. We absolutely know that wearing protective gear will provide some protection. I&#8217;ve crashed twice and struck my head on hard objects twice. Once I smacked the side of a bus, and there was an indent in the helmet. If there was an indent in my head, I might not be writing this now. I can just say by personal experience that if you&#8217;re moving, you will strike hard things when you land. If you never crash then you don&#8217;t need a helmet. Both times did not involve a car.</p>
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		<title>By: Just a cyclist</title>
		<link>http://www.howwedrive.com/2008/10/01/to-wear-or-not-to-wear-and-is-that-even-the-right-question-ian-walker-on-cycle-helmets/#comment-3156</link>
		<dc:creator>Just a cyclist</dc:creator>
		<pubDate>Sun, 30 Nov 2008 11:15:27 +0000</pubDate>
		<guid isPermaLink="false">http://www.howwedrive.com/?p=289#comment-3156</guid>
		<description>"Litigous folks"... Well, isn't telling cyclists wear protective gear in order not to get harmed by cars a bit like telling women not dress unduly lightly in order not to get molested?</description>
		<content:encoded><![CDATA[<p>&#8220;Litigous folks&#8221;&#8230; Well, isn&#8217;t telling cyclists wear protective gear in order not to get harmed by cars a bit like telling women not dress unduly lightly in order not to get molested?</p>
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		<title>By: Ian Walker</title>
		<link>http://www.howwedrive.com/2008/10/01/to-wear-or-not-to-wear-and-is-that-even-the-right-question-ian-walker-on-cycle-helmets/#comment-2350</link>
		<dc:creator>Ian Walker</dc:creator>
		<pubDate>Tue, 04 Nov 2008 17:27:22 +0000</pubDate>
		<guid isPermaLink="false">http://www.howwedrive.com/?p=289#comment-2350</guid>
		<description>Eric. With regard to your first point, I also lock my front door! My point was that there is a moral issue here as well as a practical issue. Moreover, the more vulnerable road users acquiesce and protecting themselves against a danger they don't cause, the easier it becomes for motorists to continue to behave irresponsibly. Most importantly, my point is that this sort of issue shouldn't be one sorted out by individuals, but rather should be sorted out at the level of the government: just as they legislate to stamp out burglary, they could legislate far more to protect vulnerable road users. None of this precludes the option of locking your door, or wearing a helmet. 

As for your second point, you're dead right to pull me up on my equivocation: it was a fudge I slipped in with an eye to any litigious folk who might be reading.  

Todd: your reasoning has the same issue as some of the other points I raised. The idea you wear a helmet because you don't want your wife to have to explain your demise to your children only makes sense if you have already accepted a helmet increases your safety. If some people earnestly believed that carrying a pack of playing cards in your pocket made you safer, would you start to carry one so your wife didn't have to explain you died from not having one? I'm not saying anything about helmets, here: I'm just pointing out your reasoning only makes sense if you work from the assumption they are helpful, and I'd say that's not a safe assumption. 

You are right to say that drivers don't go out looking to have collisions. This is a very good point, and it's something it's easy to forget. However, some collisions happen because of misjudgements of bicycles who have been seen also. These are relatively systematic and so not accidents.</description>
		<content:encoded><![CDATA[<p>Eric. With regard to your first point, I also lock my front door! My point was that there is a moral issue here as well as a practical issue. Moreover, the more vulnerable road users acquiesce and protecting themselves against a danger they don&#8217;t cause, the easier it becomes for motorists to continue to behave irresponsibly. Most importantly, my point is that this sort of issue shouldn&#8217;t be one sorted out by individuals, but rather should be sorted out at the level of the government: just as they legislate to stamp out burglary, they could legislate far more to protect vulnerable road users. None of this precludes the option of locking your door, or wearing a helmet. </p>
<p>As for your second point, you&#8217;re dead right to pull me up on my equivocation: it was a fudge I slipped in with an eye to any litigious folk who might be reading.  </p>
<p>Todd: your reasoning has the same issue as some of the other points I raised. The idea you wear a helmet because you don&#8217;t want your wife to have to explain your demise to your children only makes sense if you have already accepted a helmet increases your safety. If some people earnestly believed that carrying a pack of playing cards in your pocket made you safer, would you start to carry one so your wife didn&#8217;t have to explain you died from not having one? I&#8217;m not saying anything about helmets, here: I&#8217;m just pointing out your reasoning only makes sense if you work from the assumption they are helpful, and I&#8217;d say that&#8217;s not a safe assumption. </p>
<p>You are right to say that drivers don&#8217;t go out looking to have collisions. This is a very good point, and it&#8217;s something it&#8217;s easy to forget. However, some collisions happen because of misjudgements of bicycles who have been seen also. These are relatively systematic and so not accidents.</p>
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		<title>By: Todd</title>
		<link>http://www.howwedrive.com/2008/10/01/to-wear-or-not-to-wear-and-is-that-even-the-right-question-ian-walker-on-cycle-helmets/#comment-2014</link>
		<dc:creator>Todd</dc:creator>
		<pubDate>Tue, 28 Oct 2008 17:55:36 +0000</pubDate>
		<guid isPermaLink="false">http://www.howwedrive.com/?p=289#comment-2014</guid>
		<description>Let's try to take one more thing into account. Drivers don't go out looking to hit a bicyclist. Accidents happen for the most part because the driver didn't see the bicyclist. It's not because they were reckless or mean or aggressive. They make a mistake. It's an accident. 

So, if you believe that wearing a helmet either increases survival or  reduces basic injury and you don't mind wearing one then put it on.

I wear one not because I don't feel safe but rather I don't want my wife to have explain to my kids why I can't be the dad that they need. Also, I don't want to be a hypocrite when I make my kids wear their helmets.</description>
		<content:encoded><![CDATA[<p>Let&#8217;s try to take one more thing into account. Drivers don&#8217;t go out looking to hit a bicyclist. Accidents happen for the most part because the driver didn&#8217;t see the bicyclist. It&#8217;s not because they were reckless or mean or aggressive. They make a mistake. It&#8217;s an accident. </p>
<p>So, if you believe that wearing a helmet either increases survival or  reduces basic injury and you don&#8217;t mind wearing one then put it on.</p>
<p>I wear one not because I don&#8217;t feel safe but rather I don&#8217;t want my wife to have explain to my kids why I can&#8217;t be the dad that they need. Also, I don&#8217;t want to be a hypocrite when I make my kids wear their helmets.</p>
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		<title>By: JanetM</title>
		<link>http://www.howwedrive.com/2008/10/01/to-wear-or-not-to-wear-and-is-that-even-the-right-question-ian-walker-on-cycle-helmets/#comment-1887</link>
		<dc:creator>JanetM</dc:creator>
		<pubDate>Thu, 23 Oct 2008 16:07:10 +0000</pubDate>
		<guid isPermaLink="false">http://www.howwedrive.com/?p=289#comment-1887</guid>
		<description>What I find fascinating is that it *isn't* clear from the evidence that wearing a helmet protects the cyclist from injury that would otherwise occur without the helmet. That something so "obvious" isn't strongly supported by the data indicates to me that the issue isn't really about helmets. That this issue provokes such strong emotion suggests to me that the real issue is fear.

For myself, I admit that, even knowing all this intellectually, I continue to wear a helmet out of fear. I first started riding a bicycle before helmet use was pushed in the United States. I rode a single-speed bike around town. I didn't even know helmets existed and it never occurred to me to want one. After I got a touring bicycle so I could ride longer distances, I was told (by a bicycle shop) that I should wear a helmet. I began wearing a helmet, and now I feel scared at the thought of not wearing it, even within town. 

I've had two falls in which my head (with helmet) hit the ground (I've also had many falls in which my head did not hit the ground). Once I slipped in some gravel; once I was hit by a car at slow speed. It's hard for me to say whether either event would have happened if I hadn't been wearing my helmet. But afterward, I was glad I had been wearing a helmet, and I think that is what keeps me wearing a helmet for now. I am curious to know at what point I would no longer feel the need to wear a helmet.</description>
		<content:encoded><![CDATA[<p>What I find fascinating is that it *isn&#8217;t* clear from the evidence that wearing a helmet protects the cyclist from injury that would otherwise occur without the helmet. That something so &#8220;obvious&#8221; isn&#8217;t strongly supported by the data indicates to me that the issue isn&#8217;t really about helmets. That this issue provokes such strong emotion suggests to me that the real issue is fear.</p>
<p>For myself, I admit that, even knowing all this intellectually, I continue to wear a helmet out of fear. I first started riding a bicycle before helmet use was pushed in the United States. I rode a single-speed bike around town. I didn&#8217;t even know helmets existed and it never occurred to me to want one. After I got a touring bicycle so I could ride longer distances, I was told (by a bicycle shop) that I should wear a helmet. I began wearing a helmet, and now I feel scared at the thought of not wearing it, even within town. </p>
<p>I&#8217;ve had two falls in which my head (with helmet) hit the ground (I&#8217;ve also had many falls in which my head did not hit the ground). Once I slipped in some gravel; once I was hit by a car at slow speed. It&#8217;s hard for me to say whether either event would have happened if I hadn&#8217;t been wearing my helmet. But afterward, I was glad I had been wearing a helmet, and I think that is what keeps me wearing a helmet for now. I am curious to know at what point I would no longer feel the need to wear a helmet.</p>
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		<title>By: Eric L</title>
		<link>http://www.howwedrive.com/2008/10/01/to-wear-or-not-to-wear-and-is-that-even-the-right-question-ian-walker-on-cycle-helmets/#comment-1625</link>
		<dc:creator>Eric L</dc:creator>
		<pubDate>Thu, 16 Oct 2008 20:16:45 +0000</pubDate>
		<guid isPermaLink="false">http://www.howwedrive.com/?p=289#comment-1625</guid>
		<description>David @ 11:

You're starting to get at a complication that isn't brought up above, which is the difference between the individual effect of an individual decision to wear a helmet and the collective effect of cultural changes or public campaigns that lead to higher rates of helmets.  It may be the case that, all else being equal, an individual is safer wearing a helmet, but working to convince everyone they shouldn't be biking without one makes biking less common, drivers more reckless, and is ultimately harmful.</description>
		<content:encoded><![CDATA[<p>David @ 11:</p>
<p>You&#8217;re starting to get at a complication that isn&#8217;t brought up above, which is the difference between the individual effect of an individual decision to wear a helmet and the collective effect of cultural changes or public campaigns that lead to higher rates of helmets.  It may be the case that, all else being equal, an individual is safer wearing a helmet, but working to convince everyone they shouldn&#8217;t be biking without one makes biking less common, drivers more reckless, and is ultimately harmful.</p>
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