Monthly Archives: January 2017

When the worst in the world try to lecture the rest

Abstract

Despite having one of the worst track record, Australians academics try to lecture the world about cycling safety.
This may seem odd.
Yet it fits with the Australian government agenda of obfuscating the disappointing results of its controversial bicycle helmet law.
This is not about cycling safety.
It is about defending government policy.

An odd display of confidence

Professional conferences are places where people present results they can be proud of. For example when they have achieved superior outcomes.

It was a surprise when academics from Australia went all the way to Finland to lecture about bicycle safety.
Australia is far from being a role model in cycling safety.

Australia’s cycling safety record is 22 TIMES worst than best practice

Why would a country with a poor track record attempt to lecture others?

Australia was the first country to introduce a compulsory bicycle helmet law in 1990.

27 years later, it is still controversial.

The main result has been to reduce cycling:

Following the helmet law, cycling declined sharply in Australia

Fewer people cycling lead to a less healthy population. Obesity rates rose sharply after 1990.

Source: Australian Institute of Health and Welfare
Australia’s obesity rate rose sharply after the helmet law was introduced in 1990

Australia is now one of the most obese nation in the world.

obesity-cycling-internationalCountries with less active transport (walking, cycling) have higher obesity rates.

The cost of obesity in Australia is estimated to be $58 BILLIONS per year.
If the helmet law was responsible for only 5% of obesity, that would cost $3 BILLIONS per year.

Why would any country want to emulate such results?
Only one country, New Zealand, has followed Australia, in 1994.
The result has been a reduction in cycling and an increase in the risk of injury:

New Zealand helmet law resulted in a reduction in cycling and an increase in the risk of injury

Other countries have shun this policy.

This policy has done more harm than good.
Australian politicians have failed to admit it.
Instead, bureaucrats have commissioned “studies” to defend government policy.

Injuries are up?  Let’s label it a “success”

Australian government agencies have commissioned academics to defend its controversial helmet law for more than 20 years.
For example, a 1993 “study” tried to deny that the helmet law reduces cycling.
A 2009 “study” tried to deny that helmets can aggravate brain injury.

Generous funding rewards studies praising bicycle helmets.
It is a brave academic who risks their career criticising government policy.

Australian academics went to Finland full of confidence. They are rarely challenged at home. They receive generous funding for “studies” defending government policy.

An example is this study, that claims the helmet law as a success.
Yet, the data within the study shows rising injuries after the helmet law:

cycling_injury_rateDespite rising injuries, this “study” claimed the helmet law was a “success”.

How to claim “success” when injuries increase? The creative spin used was to claim that, as head injuries did not rise as much as arm injuries, the helmet law was a success. The injury rate tripled after the helmet law. That’s labelled a “success”.
The government
quoted this study to defend its policy:

“A recent study from the University of New South Wales showed that the initial benefits of the mandatory helmet laws have been maintained over time.”

This “study” was conducted by the academics who presented in Finland.

The target audience is in Australia

The presentation in Finland was widely covered in the Australian media.

The presentation in Finland made it to the front page of a major Australian newspaper

Bike helmet review throws cold water on sceptics: they’ll likely save your life:
The largest review yet of bike helmet use by 64,000 injured cyclists worldwide has found helmets reduce the chances of a serious head injury by nearly 70 per cent…”

The article promotes claims favoring helmets, without mentioning that helmets increase accidents. There were many similar articles in the Australian media. They claimed the “study” proves helmets efficacy, and thus justifies the helmet law. Australia’s high injury rate was not mentioned. 

If helmets truly reduced serious head injury by 70%, Australia’s serious injury rate wouldn’t be 22 TIMES higher than best practice:

Most of the Australian media stills defend the helmet law based on theoretical benefits, ignoring actual results.

Trying to rewrite history

The academics who presented in Finland also claim that the helmet law did not reduce cycling.
They claim that data showing a decline in cycling participation suffers from

“convenience sampling”

The inconvenient data includes the national census from the Australian Bureau of Statistics.

According to the academics to who presented in Finland, the national census from the Australian Bureau of Statistics suffers from “convenience sampling”. Inconvenient data can be dismissed.

The academics claim that they have

“better quality data”

When pressed for evidence, their “better quality data” turned out to be hospital data. 

Hospitalisation data is “better” data to measure cycling levels than cycling counts? This beggars belief.
Helmet fanatics own study does show a sharp increase in injuries after the helmet law was introduced.
Yet rising injuries does not mean that there are more cyclists. This can be due to more accidents.
The evidence that the risk of injury has increased after the helmet law has been ignored.

Shooting the messenger

The government-funded academics presenting in Finland have been defending the helmet law for years. Their latest attempt is a meta-analysis, making bold claims favoring helmets. It suffers from publication bias: selecting studies favorable to the desired conclusion. This meta-analysis was re-analysed in 2017 by Colin Clarke, who concluded:

“When examined in detail, all (claims) were found to be unreliable claims due to weaknesses of the supporting evidence and methodology”

The Australian government commissioned a similar meta-analysis in 2001. It claimed polystyrene-based bicycle helmets are effective in preventing deaths. In 2011, an independent researcher, Elvik, re-analysed this meta-analysis. He concluded it:

“was influenced by publication bias and time-trend bias that was not controlled for. As a result, the analysis reported inflated estimates of the effects of bicycle helmets”

elvik-p1aBrave researchers who have the courage to expose government funded propaganda face the wrath of those who feed on government funding.

The government-funded academics presenting in Finland have aggressively attacked Elvik.

Hidden conflicts of interests

The academics who presented in Finland were from the University of New South Wales (UNSW). UNSW has earned generous funding for “studies” defending the helmet law for years.

Between 2006 & 2009, It earned at least $248,000 in funding for bicycle helmets “studies”. Government funding was channeled through the Australian Research Council.

The underlying University department is primarily funded by government agencies.
Such conflicts of interest are not disclosed.
Yet that doesn’t fool independent reporters:

Aussie government funds scientists: find helmets great after all

the government of NSW has commissioned research which (surprise!) finds the effect of their helmet law is massive and sustained. The authors …  include all types of minor flesh wounds, bruising etc. which you would certainly hope would be prevented by helmet use, rather than looking at a reduction of critical injury / death which is what public health policy should be worrying about, when the alternative is serious sedentary disease. It’s generated some nice headlines and superficial reinforcement for the helmet law (which is probably what the government were really trying to commission).”

The cost of letting governments get away with deceit

Government propaganda is not new.
It is rarely exposed on an international stage though.

Should we we let governments get away with deceit?

There is more at stake than it seems. The consequences of failing to act against government deceit can be dire. Consider the deceit behind the invasion of Iraq. This has cost hundreds of thousands of lives. Millions of people are still suffering from the consequences.

Governments can do a lot of damage. When we let governments get away with deceit, the damage can be much worse.
We end up paying the bill.

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5 ways wearing a bicycle helmet can result in injuries

We tend to be less cautious

Wearing a safety device creates a feeling of safety. This makes us less cautious. This well documented behavior is called risk compensation. We tend to take more risks when wearing safety equipment.

risk-compensationRisk compensation is the tendency to take more risks when wearing safety equipment.

The New York Times reported an odd increase in injuries after bicycle helmets became popular in the US:

the rate of head injuries per active cyclist has increased 51 percent just as bicycle helmets have become widespread. …

the increased use of bike helmets may have had an unintended consequence: riders may feel an inflated sense of security and take more risks. …

The helmet he was wearing did not protect his neck; he was paralyzed from the neck down. …

”It didn’t cross my mind that this could happen,” said Philip, now 17.

”I definitely felt safe. I wouldn’t do something like that without a helmet.” ”

Safety experts recognise the role of risk compensation.
From the New York Times article:

”People tend to engage in risky behavior when they are protected,” he said. ”It’s a ubiquitous human trait.”

Even cyclists who discount the daredevil effect admit that they may ride faster on more dangerous streets when they are wearing their helmets.”

A study in Accident Analysis and Prevention found that children are also affected by risk compensation:

“Results indicated that children went more quickly and behaved more recklessly when wearing safety gear than when not wearing gear, providing evidence of risk compensation.”

A 1989 study found that helmet wearers were 7 times more likely to have accidents.

Risk compensation is an unconscious phenomenon.
We may not be aware of it.
Yet it affect the way we ride, the way we approach risks.

We are more likely to be hit by cars

Risk compensation also affects motorists.
Motorists tend to be less careful around helmeted cyclists. Drivers assume helmeted cyclists are “protected”.

A study published by the University of Bath in the UK reported that cars leave less room to helmeted cyclists:

“Bicyclists who wear protective helmets are more likely to be struck by passing vehicles”

Injuries tend to be more severe

Another subtle aspect of risk compensation is that we tend to ride faster.
A study in the Risk Analysis international journal found that:

“those who use helmets routinely perceive reduced risk when wearing a helmet, and compensate by cycling faster

In case of an accident, the higher speed results in more severe injuries.

There is a greater risk of the head hitting the road

In the event of an accident, helmets increase the risk of the head hitting the road.  Helmets increase the volume/size of contact area of the head. Helmeted riders are more than twice as likely to hit their head in an accident, with more impacts to the sides. Post-crash studies found that most helmets show impacts to the side,where a bare head is protected by the shoulders.

helmet-head-size-2Helmets increase the volume of the head, doubling chance of the head hitting the road in an accident;

A 1988 study reports that helmeted riders hit their heads seven times more often than un-helmeted riders.

We can suffer severe brain injury

In 1960, people believed that brain injury was due to linear acceleration, from the head hitting a wall for example. This belief has shaped the design of bicycle helmets.

Since, scientific research has shown that the main cause of brain injury is diffuse injury, caused by the head turning quickly. The skull may be intact, but there can severe internal brain injury. This article reports from a surgeon who operates on cyclists:

” “The ones with brain swelling, that’s diffuse axonal injury, and that’s bad news” …

the whole brain is shaken up, creating many little tears in its inner structure …

Such patients undergo personality change, can contract epilepsy and have difficulty controlling their anger. They might become unemployable. Depression is a common accompaniment to brain injury. Rosenfeld sees patients’ families shattered, too. “They’re never the same. It often leads to marriage disharmony and family breakdown.” …

Rosenfeld’s opinion is candid. “I don’t know if [helmets] do much to protect the inner part of the brain,” “

Research has found that helmets can increase rotational acceleration:

“The non-shell helmet did in all trials grab the asphalt surface, which rotated the head together with the helmet. The consequences were in addition to the rotating of the head, a heavily bent and compressed neck, transmitted on through the whole test dummy body after the impact.  …

This gives an average angular acceleration of 20800 rad/s² for rotating the head from 0 to 0.26 rad during the 5 ms. Löwenhielm proposes 4500 rad/s² to be the maximum angular acceleration that can be tolerated for a limited time period”

Helmets were found to amplify rotational acceleration to four times higher than the tolerable maximum.

The larger head volume amplifies rotational acceleration. A 3cm increase in helmet circumference increases rotational acceleration by 150%:

“the 3000rad/s² to 8500rad/s² measured during abrasive and projection oblique tests with size 54cm (E) helmeted headforms. However, for the most severe cases using a size 57cm (J) headform, rotational acceleration was typically greater than 10,000rad/s² and increased to levels of 20,000rad/s², a level at which a 35% – 50% risk of serious AIS3+ injuries is anticipated.”

The volume of a bicycle helmet amplifies rotational acceleration to dangerous levels where severe brain injury can occur.

A New Zealand doctor reports:

“cycle helmets were turning what would have been focal head injuries, perhaps with an associated skull fracture, into much more debilitating global head injuries”

In Canada, the length of stay in hospital increased increased following helmet laws, from 4.3 days to 6.9 days. The number of serious head injury admissions increased by 46%.

Contrary to popular belief, helmets are not designed to protect against brain injury.
However, they can increase rotational acceleration, causing severe brain injury.

What a load of rubbish!

This might sound like a load of rubbish to cyclists who wear helmets. Some believe their helmet saved their life. Few consider they may have fewer accidents without a helmet.

Cycling injuries rose dramatically after a helmet law was introduced in Australia.

cycling_injury_rateThe rate of cycling injuries tripled after Australia introduced a helmet law.

You might feel safer wearing a helmet.
However that doesn’t mean you are safer.

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How to escape bicycle helmet fines in Australia

Nerendra Jeet Singh, a Sikh, went to court in New South Wales (NSW), Australia over a bicycle helmet fine. He escaped the fine, arguing that his identity and religion are of prime importance.

In Queensland, Jasdeep Atwal challenged a helmet fine in court. The Sikh community has led Queensland to reform the helmet law to add a religious exemption.

Sikhs have helmet exemptions in South Australia, Western Australia, Queensland and Victoria.

In Victoria, Alan Todd challenged a helmet fine in court, avoiding the fine.

People who challenge a helmet fine in court often escape it. In NSW, the defence of necessity allows people to break a law to avoid more dire consequences. Bicycle helmets increase the risk of accident and injury. To avoid a higher risk of accident, cyclists can choose not to wear a helmet.

This might explain why the police rarely book cyclists for helmets in NSW. It is pointless harassment: most people give up cycling, those who prefer to keep riding can challenge the fine in court.

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