Showing posts with label Helmets. Show all posts
Showing posts with label Helmets. Show all posts

Wednesday, 29 January 2014

Buy the ASA a helmet. They need one!

The banned advert
Oh, I am so tired of the cycle helmets issue. I wish it would just go away. Cycle helmets are designed to stop you getting concussion if you fall off your bike at low speeds. They aren't designed to help if you get hit by a car, and they won't. They're not even nearly strong enough, nor could they be made so.

Of course, most people don't know that. Most people think that wearing an inch of polystyrene will stop a ton of metal. They wouldn't believe it if they thought about it, but they don't think about it.

And some of the people who don't think about it are, sadly, in positions of power. This time it's the advertising standards authority. And what makes it worse is that they've banned, on helmet grounds, a perfectly good safety message which was not about helmets. It was about space. Helmets don't save lives. Space does. So by removing that message from people's televisions, they are actively making things worse.

Thank all the gods they have an online complaints form, because they need it. I trust that it's going to get a lot of use over the next few days: I encourage you to use it. I have, and what I've said is this:

I'm writing to complain about your recent ruling regarding Cycling Scotland's television advertisement

Your ruling was irresponsible, ill-informed, wrong both with respect to your own code and to the law of the land, and actively dangerous: it will certainly increase the number of deaths on our roads.

Contrary to your prejudice, there is no body of research to show that cycle helmets make any difference whatever to safety outcomes in accidents involving motor vehicles, and no manufacturer of cycle helmets claim that they do. Helmets are intended to mitigate cuts and bruising in simple falls, and are neither designed for nor capable of mitigating more serious impacts. So whether or not the cyclist was wearing a helmet on the road has no bearing on safety. The law of the land does not mandate helmets, for precisely this reason.

What has a bearing on safety is position on the road, and the helmetless cyclist shown in the advert is acting precisely correctly, both with regard to the law and with regard to the best available safety advice; the motorist shown in the advert also behaves perfectly correctly.

In short, your adjudication causes harm and offence under 4.1 and 4.4 of your rules, in that it is likely to encourage drivers to believe that they may ignore the highway code and pass cyclists dangerously close; and under 1.2 of your rules, in that contributing to road accidents as you are clearly doing is highly irresponsible.

I'm not inviting you to copy my text. Write your own. Lots of copies of the same text will have far less impact than lots of different, well written responses (I'm sure you can do better than me, I'm too angry about this to be persuasive).

However, having submitted it through their online form, I'd also recommend that you send them a copy by Royal Mail, because the weasels will probably claim their online form is only for advertisements, and that as their adjudication is not an advertisement they are entitled to ignore your complaint. They're not. And we mustn't let them.

I am so tired of helmet wars!

Friday, 24 May 2013

Cycle helmets, and road safety: a letter to the Lord Advocate


I've written about cycling helmets and safety a couple of times before. See 'Using, not losing, your head', and 'Lies, damned lies, and cycle helmets'. But more often, as you know, I write about things which relate to public policy in Scotland. Now, sadly, I'm having to combine the two topics.

In brief, in August 2011 a driver named Gary McCourt mowed down a 75 year old cyclist, Audrey Fyfe, on the Portabello Road in Edinburgh. She was killed. Nor was this the first time that McCourt had mown down and killed a cyclist; in 1985 he had been jailed for killing 22 year old George Dalgity.

McCourt stood trial this month for the death of Audrey Fyfe. He was sentenced to 300 hours of community service, and banned from driving for five years. In passing this remarkably lenient sentence, Sheriff James Scott commented that Audrey Fyfe "...was not wearing a safety helmet and that in my view contributed to her death."

Audrey was a very experienced cyclist, and like most experienced cyclists of her generation, she did not choose to wear a cycling helmet. As I've evidenced in the two posts I've referenced above, the evidence such as it is supports her in that choice: there is no conclusive evidence either that helmets significantly decrease the risk of injury to cyclists, or that they significantly increase it. There is a small correlation between increased rates of helmet wearing and increased (yes, you read that right, not decreased) rates of injury, but that's probably because the same fear factor which drives people to wear helmets also deters them from cycling at all, and we lose the 'safety in numbers' effect, rather than helmets actually killing people.

I'm not personally greatly in favour of custodial sentences, for any crime. But I do think that it should be automatic when a motorist causes injury or death to a pedestrian or cyclist, that they should be given at minimum a suspended life sentence, and, as a condition of its suspension, a lifetime driving ban. That way, they do not serve any prison time unless they are caught driving a motor vehicle again, but they know that, ever after, if they are found driving a motor vehicle, they will go to prison without the need for any further trial. If McCourt had been given a sentence of this kind on killing George Dalgity, he would not have killed Audrey Fyfe.

The Cyclists Touring Club are encouraging people to write to the Lord Advocate, urging him to appeal this over-lenient sentence. Here is the letter I have written:

As a matter of public policy, it is important to decrease the amount of car use in our cities, and to switch journeys from modes of transport which consume a great deal of energy and of public resources such as road space to those that do not. Further, there is a public policy interest in improving the general health and fitness of the population. Encouraging cycling fulfils both these aims. The main deterrent to increased cycling is the threat to cyclists from irresponsible and inattentive drivers. 
In the light of this, the decision of Sheriff James Scott to impose a non-custodial sentence as penalty for Gary McCourt's second killing of a cyclist is against the public interest and should not be allowed to stand. It is particularly notable that Scott cited Mrs Fyfe's lack of a helmet as a reason in his unduly lenient judgement. There is no evidence whatever that cycling helmets offer any protection in collisions with motor vehicles, and those who manufacture and sell helmets do not pretend that there is. They are designed to mitigate simple falls at low speed, and nothing more. The sheriff was therefore ill-informed, wrong and and prejudiced in his judgement. 
More importantly though, this fact had no bearing on the matter before him, namely the criminality of McCourt's driving. Hence he had no legal basis for referring to it when explaining his sentencing decision. 
Given McCourt's previous conviction I feel that a much stronger sentence should be applied, with at least a lifetime driving ban imposed.  
I urge you to appeal this unduly lenient sentence. 
Yours sincerely, 
Simon Brooke

May I encourage you to write one also?

Saturday, 20 November 2004

Using, not losing, your head




Cycle helmets are a good thing, aren't they? It's obvious. They protect your head. They must be a good thing: it's common sense. Why then is the cycling community, in the face of proposed mandatory helmet legislation, fighting internecine helmet wars?

Don't panic



Before going into the details of this argument, let's start by putting this into perspective. Cycling is actually a very safe activity. Nothing, of course, is absolutely safe. Last year, in Britain, 114 cyclists were killed. Of those, 95 (83%) died as a result of collisions with motor vehicles. But that's out of millions of cyclists, covering billions of miles. In fact, according to the National Statistics Office, there is on average one fatal accident for every twenty one and a half million miles cycled. Twenty one and a half million. If you were to cycle ten miles every single day, it would be nearly six thousand years before you had a fatal accident.

At the same time as those 114 cyclists died, over three thousand people died from accidents and mishaps in their own homes. Do you think your home is a dangerous place to be?


Of course, in the modern world, there are dangers other than accidents. We live highly stressed lives in which opportunities for exercise get fewer and fewer, and opportunities to eat and drink become more and more available. We get fat. We get unfit. And our health suffers in consequence, with the incidence of illnesses such as obesity, heart disease, osteoporosis and diabetes increasing rapidly. Cycling is a good general exercise both for the cardiovascular system and for the limbs. Unlike walking, jogging or running, the movement is smooth and so does not cause impact damage to the ankles, knees and hips. Yes, there is a finite risk of accident when cycling but it is nevertheless undoubted that if you cycle regularly not only are you likely to live longer but you're more likely to enjoy a fit, active and healthy old age.

Got that? Good. Now let's talk about helmets.

Use no hooks: or, A box for a computer



In the more tragic and more bloody wars of the Democratic Republic Congo, many warriors wear or carry lucky charms which they believe will protect them against bullets. We sophisticated westerners read stories of this and we think 'how quaint, and sad, and ignorant, are these uneducated child soldiers going into battle, believing superstitiously in the protection of lucky charms'. And then we cycle off into the traffic, wearing our cycle helmets.

This note was written as a web page. If you're reading it on a web page, you're reading it on a computer. I'd like you to stop for a moment and think about that computer. When it arrived from its maker - possibly when you bought it - it was packed in a strong cardboard box. Inside the strong cardboard box was almost certainly some polystyrene foam packaging material. Probably at least 40mm of it, surrounding and protecting your computer from the inevitable bumps it would incur in transit - bumps like being dropped from someone's hands onto the warehouse floor, or thumped up against another, similarly packaged computer.

By and large, for these sort of bumps, the packaging works, and your computer probably arrived home safe and sound.

Now think about your bicycle helmet. Like the packaging your computer came in, it is worn to protect a very valuable object - your brain. Like the packaging your computer came in, it is made of polystyrene foam - and typically it's a good bit less than 40mm thick.

Putting the boot in



I would like you to stop again, and think about the box your computer came in. I'd like you, as a thought experiment, to imagine taking your computer, putting it back it in its original box, and placing the box in the middle of the street. Now I want you to imagine getting into a car and driving into the box at just thirty miles an hour. You've imagined that? Good. Now do you think you would be able to use the computer afterwards?

Polystyrene foam is just polystyrene foam. Polystyrene foam is a light, weak, compressible solid which rapidly becomes brittle with age and is easily damaged by solvents. It doesn't become magically stronger just because it's formed into a cycle helmet. The same foam that didn't protect the computer in the thought experiment is equally not going to protect your head in similar circumstances.

Ticking the box



Nor do the manufacturers, nor the standards writers, believe it should. The European test for cycle helmets involves dropping the helmet, containing a dummy head weighing not more than 6Kg, onto a flat surface from a height of 1.5 metres. I don't know about you, but I'm 1.88 metres tall and I weigh 82Kg. If I just fall over from standing upright, I already exceed the impact which cycle helmets sold in Europe are tested to protect against - and exceed it by a very substantial margin. And that's before I've even got on my bicycle and started moving.

In practice, cycle helmets are expected to be helpful in accidents up to about 15mph (24Km/h). You might (common sense) expect a 30mph impact to be only twice as bad as a 15mph impact, and you might think that something which offered reasonable protection at 15mph would offer some degree of protection at 30mph. Unfortunately, it doesn't work like that. Firstly, the force of the impact scales with the square of the speed, so your 30mph impact is four times, not twice, as severe as your 15mph one. But secondly, and even more scarily, it is widely accepted that the probability of injury scales with the fourth power of the speed. So your 30mph impact is sixteen times as likely to cause injury than your 15mph impact.

And that's before you consider what happens to polystyrene foam when its design load is exceeded. It snaps. It suffers 'brittle failure'. You can do this experiment quite easily with the foam packing your computer came in. Take a piece of the foam about as long as your helmet, and about as thick as your helmet. Try to crush it between your finger and thumb. It's surprisingly strong, isn't it? You can squeeze it very hard and it doesn't deform a lot. Polystyrene foam is quite strong in compression, that's why it is used. Now take your piece of foam and snap it between your two hands. That's amazingly easy, isn't it? It takes far less force than crushing it does... which means it has absorbed far less force. When a helmet breaks, it offers no further protection. The more an impact exceeds the helmet's design parameters, the more likely it is to break, and the less likely it is to offer any protection.

You saw the whole of the moon



But let's step back a bit. Let's suppose, for the moment, a helmet provides 100% protection for the part of the body it covers. Because, let's face it, the part of the body a cycle helmet protects is the scalp. What happens to the rest of the body in a 30mph, or in a 60mph accident? Is it really going to be much comfort to your grieving relatives to learn that your hair-do survived OK? Do you believe that because your scalp is protected, your neck and your chest will be protected, too? Or, if not, that your magically preserved brain can be magically plugged into a new heart and lungs? Of course you don't. And of course you know that an impact which has enough force to do severe damage to your skull is likely to do severe damage to other vital systems too. In thinking about protection it is no use protecting one part. It's not enough to see the crescent: you have to look at the whole of the moon.

He's dead, Jim



But it's worse than that. Not only do helmets not provide adequate protection in road speed accidents: they may actually make things worse. In fact they must do so, because in whole populations, as helmet wearing rises, so does the rate of cyclist deaths. Yes, you read that right: the more cyclists wear helmets, the more get killed.
 I don't know why. No-one knows why. Two main mechanisms have been suggested: 'risk compensation', the willingness of people to do more risky things when they believe themselves protected, and rotational injury.

The fact that people do do riskier things when they think they're protected is to some extent obvious. Indeed, Bell cycle helmets have been sold with the slogan 'Courage for the Head'. Could cyclists really be using up all of the safety benefit that helmets provide by taking more risks? It's possible. Could drivers, thinking helmeted cyclists are protected, take more risks around them? That's possible too.

But the more worrying possibility is this: wearing a helmet makes your head bigger. It increases the diameter by about 50%, which means it increases the area by about 125%. Now, is it easier to hit a target if it's more than twice as big? You bet it is. Your head being effectively bigger means that it's more likely to get hit; but again it may be still worse than this. Because we have evolved over millions of years of falling to tuck our heads in. We have reflexes which know - without our thinking about it - just how far we need to tuck our heads in to avoid an impact. By making the head bigger we may possibly defeat that instinctive protection mechanism. And it gets worse: larger diameter means more leverage, more angular acceleration. It has been suggested - and so far this is no more than a suggestion - that helmet wearing may increase rotational injuries to the brain. Rotational acceleration tears brain tissue and causes much more severe brain damage than linear accelerations of the same magnitude.

So not only do helmets make you (very slightly) more likely to get injured; they may also - but this is not proven - significantly increase your risk of the most frightening sort of injury, brain damage.

So: it's junk, then?



Does all this mean you shouldn't wear a helmet? Not in my opinion, no. I have a helmet, a MET Parachute, and I do wear it. When I think it will do some good.

Accidents of the sort cycle helmets won't help with - high speed impacts with something solid - are, fortunately, incredibly rare. When people fall off bicycles, they mostly do so at low speed and very often on tricky, off-road tracks. On tricky, off-road tracks you're very rarely travelling at very high speed and what you hit usually isn't moving at all. Indeed, you mostly fall off in the trickiest sections (or at least, I do) and that's when you're going slowest. Of course, such a fall is unlikely to kill you, but it can leave you with nasty bruising, grazes or even concussion. And a cycle helmet will protect you from bruising and grazing on the part of the body it covers, and may help a bit with concussion, too. So I wear my helmet when I'm doing tricky off-road stuff, particularly if I haven't ridden the particular route before. I should say here that although I've fallen off mountain bikes by now literally thousands of times, I've never hit my head at all - it's almost always my hips and elbows that get it. So even on a mountain bike a helmet isn't essential, and I often don't wear one.

And I don't wear one on the road. Ever. There really isn't any point. I haven't fallen off a bike on the road since I was sixteen, and that's thirty-three years ago. I'm an experienced road rider, and I ride with good awareness of traffic; I know how to protect myself from many of the ways motorists can kill you. Of course I can't protect myself against a motorist who is driving too fast and genuinely doesn't see me, but in that case I do not believe a helmet offers any useful protection. Indeed, on the basis of the available statistics and the simple physics I've described above, I know it cannot.

So cycle helmets are not junk. They are genuinely useful under some circumstances. But pretending they can save your life in traffic accidents is at best mistaken and at worst dishonest. To be fair, helmet makers do not pretend this; but there are still ignorant or misguided people who do - indeed, the opinion that it isn't safe to cycle on the road without one is very common. This common misapprehension is what leads to occasional campaigns for the wearing
of cycle helmets to be made compulsory, by law. It's to counter this misapprehension that I've written this article.

Thursday, 18 November 2004

Lies, damned lies, and cycle helmets


I've just been moved to write to the British Medical Association, a thing which doesn't often happen. The BMA had a critical role to play in the recent campaign to make cycle helmets compulsory in the United Kingdom; they have long had a well thought out policy on cycle helmets - on the whole favouring them, but aware of the ambiguous nature of the evidence in favour of them and siding against compulsion. Their position helped persuade MPs not to vote for compulsion. It seems the pro-compulsionists have seen the BMA as a key target to convert, and recent press releases have announced a policy change, apparently by fiat at the top. The papers the BMA have published in support of their new policies are masterpieces of dishonesty and sloppy thinking. So here is my first, brief, critique, as expressed in an email to parliamentaryunit@bma.org.uk, the address they cite for comments.



My attention has been drawn to your web pages published at
<URL:http://www.bma.org.uk/ap.nsf/Content/Cyclhelmet> and <URL:http://www.bma.org.uk/ap.nsf/Content/Cyclehealth>.

In the first you quote: "Each year over 50 people aged 15 years and under are killed by cycling  accidents, with 70-80 per cent of these resulting from traumatic brain  injury."

As I'm sure you are well aware, the figure recorded for the UK for 2002 as a whole is nineteen deaths, of which only ten involved head injury[1], so the figure you quote is a gross exaggeration. Indeed in no year in the past decade have 50 children died in the UK in cycling accidents, so you cannot even pretend that this figure is historically correct.

In the second you start with the statement: "Action should be taken to both reduce the high rate of fatal and  serious accidents suffered by cyclists..."

In fact, there is no 'high rate of fatal and serious accidents suffered by cyclists'. The fatal accident rate for cyclists is only 75% as high as that for pedestrians (29.5 per billion kilometers as opposed to 44.8 per billion kilometers), and less than a third of that for motorcyclists who do have to wear helmets[2]. Cycling is not only safer than walking, it is getting safer faster, with a steady and healthy downward trend in casualties[3].

Finally, of 114 cyclists of all ages killed in 2003, 61 were involved in collisions with cars, while 25 were involved in collisions with heavy goods vehicles; in total 95 deaths resulted from collisions with motor vehicles.[4] No-one pretends that a cycle helmet would make any useful difference in accidents of this kind.

In summary, these two documents taken together represent irresponsible scaremongering, composed of phoney data completely at variance with the facts. Scaremongering has the inevitable effect of reducing cycling, and reducing cycling has been shown to increase the risk per cyclist. So not only are these papers dishonest in their content, they are also misguided and counter productive in their intent. By reducing the number of people cycling the BMA will not only increase the number of people dying through illnesses related to obesity and lack of exercise, it will also increase the risk of injury and death to people who do cycle.

I am horrified that the BMA should express views on a public policy matter on the basis of such shoddy and dishonest research and without, I understand, bothering to consult its members.

Yours sincerely

Simon Brooke

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