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Discussion Paper on Mandatory Helmet Legislation

 

 

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A Discussion Paper on Mandatory Helmet Legislation

as approved by the Cycle Ontario Annual General Meeting on Feb 19, 2005

This paper is also available in a printable PDF version.

"We have advanced to new and surprising levels of bafflement."
       — Lois McMaster Bujold

In November, 2004, Private Member's Bill 129 received first and second reading in the Ontario Legislature. If passed, this bill would require all cyclists (as well as all in-line skaters and skateboarders) to wear approved helmets. The only stated rationale for this bill is to reduce head injuries.

This is not the first such bill. In 1991-3, mandatory helmet legislation was passed, but the government of the day changed the regulations (which actually implement the law) to have the law only apply to cyclists under 18. There has been at least one other private member's bill on this topic proposed in the last two years; it died on the order paper.

Bill 129, while proposed by MPP John Milloy, was initially only supported by head injury advocates and health professionals. Cycling groups like Cycle Ontario Alliance, who represent the public who would be affected by the proposed law, were not informed of the bill until after second reading.

1. Cyclist Involvement and Consultation

Cycle Ontario Alliance calls on the provincial government to let the public speak on Bill 129. Those citizens directly affected by the proposed legislation: Ontario cyclists, have the democratic right to be able to speak to MPPs before the law is finalized and enacted.

When the previous mandatory helmet bill (Bill 124) was being debated in 1991, public hearings were held.

Furthermore, cyclists — and, in particular cycling organizations and cycling educators who have been directly involved for many years in promoting cycling, promoting cycling safety, and educating cyclists in traffic skills — have the great reservoir of expertise on the possible consequences of this bill, and are most knowledgeable about the health risks and benefits of cycling.

RECOMMENDATION 1:

That the Ontario Government hold public hearings on Bill 129, with open public sessions across the province, in order to allow citizens to comment on, critique, and propose improvements to Bill 129; and that Cycle Ontario Alliance be invited to participate in these hearings.

 

2. Understanding Cycling Safety and Risk Management

Cycling is an inherently low-risk and accessible activity, if done lawfully and with a proper attitude towards sharing the road. The reality is that most people cycle their entire lives in safety and enjoyment.

Like any other form of transportation, however, cycling does carry some risks. Risks to cyclists can be reduced by:

  1. improving the cycling environment (e.g. fixing potholes; improving cycling facilities and cyclist-unfriendly roads; ticketing aggressive drivers; speed limit reduction; traffic calming)
  2. improving the understanding of all road users (both cyclists and motorists) on how to safely share the road (e.g. avoiding "dooring" and right-turn cut-off collisions
  3. increasing cycling skills education, to teach cyclists how to avoid and get out of risky situations
  4. improving cycling equipment (e.g. better bike accessories; upgraded bike maintenance; more visible lights and reflectors)
  5. increasing enforcement of existing laws against aggressive or anti-cyclist motorists, and against cyclists who break the law. For example, a Canadian Medical Association study of Ontario cycling fatalities showed that cyclists who disobeyed the law requiring lights at night increased their risk of dying by a factor of four.
  6. encouraging cyclists to use equipment that reduces the effect of cycling crashes and collisions (e.g. bicycle helmets, knee-pads)

The first five strategies are preventative: they try to avoid the crash or collision. The last strategy involves injury reduction once the crash/collision has happened.

Cycle Ontario believes that all these strategies are necessary in order to improve cycling safety, and must be implemented together.

Bill 129 addresses only prevention of one type of injury. It will not address high-speed or serious cycling collisions where a helmet will not prevent death or serious injury, or the many crashes where head injuries are not involved (but broken bones are). Promoting helmets as a standalone safety measure will not attack the actual causes of cyclist injury, nor sufficiently reduce cycling injuries, compared to a comprehensive approach that includes all the above strategies.

References:

 

3. Implementing a comprehensive cycling safety strategy

Ontario cyclists' experience with the previous helmet legislation was that substantial education and promotion campaigns were promised but aside from updates to and printing of Cycling Skills and the Young Cyclists' Guide, nothing happened once the bill was passed.

One cycling group withdrew from the Bicycle Safety Team, the government-led group charged with implementing these campaigns, because the promised cycling education work was only directed towards wearing helmets, instead of improving safe cycling skills.

Cycle Ontario is seriously concerned this could happen again.

In addition, one of the most-cited consequences of legislation requiring mandatory helmet use is a substantial drop in the number of people cycling. This may be because of dislike of wearing helmets, not wishing to buy or not being able to afford a helmet, or increased perception that cycling is very dangerous, because of the publicity surrounding the bill, including descriptions of cycling injuries

Regardless of whether mandatory helmet legislation should be passed, the government has already indicated (through Active 2010 and other initiatives) that it wishes to increase physical activity and fitness in order to improve public health. One of the most effective ways of doing this is through cycling, since this activity can be easily and cheaply integrated into everyday life.

Studies have shown that many potential cyclists do not cycle for fear of crashes or collisions. This is a fear that can be addressed by improving cycling education and implementing strategies 1-6 above.

If the government undertook programs, in conjunction with municipalities, school boards, and cycling groups, to improve

  • the cycling environment,
  • cycling skills education,
  • motorist understanding of sharing the road with cyclists,
  • enforcement against aggressive drivers and law-breaking cyclists, and
  • other risk-reduction programs (including helmet promotion),

this would produce a better public understanding of the value of safe cycling and a realistic evaluation of any risks.

It would also encourage people to ride, and accomplish the government's twin goals of improving health and fitness, and reducing air pollution and congestion.

Then, if the government concluded that mandatory legislation was valuable, that strategy could be applied without the likelihood of a noticeable drop in the cycling population.

In 1991, the Toronto City Cycling Committee estimated the cost of a similar program at $800,000 [Hansard: Bill 124 hearings, Dec. 9, 1991].

 

RECOMMENDATION 2:

Cycle Ontario recommends that the government undertake a comprehensive program to increase cycling safety by improving

  • the cycling environment
  • cycling skills education
  • motorist understanding of sharing the road with cyclists,
  • enforcement against aggressive drivers and law-breaking cyclists, and
  • other risk-reduction programs (including helmet promotion),

before proceeding with any mandatory helmet legislation.

 

4. Improving the decision-making process on the bill

The GOAL of this exercise should be to reduce injuries from cycling, to reduce the (already-low) risk of riding a bicycle, and, as a result of reducing worries about injuries, getting more people cycling.

Increasing the use of bicycle helmets is one MEANS to partially achieve a reduction in injuries.

A law requiring mandatory wearing of helmets is one MEANS to partially achieve increased bicycle helmet use.

A mandatory helmet law should be examined to see whether

a) it is the most effective method of achieving this goal
b) it is the most effective method of achieving this goal with the given financial, police, and other resources
c) its positive effects substantially outweigh its negative side-effects, and do this to a greater extent than alternative measures to achieve the same goal

No law is free. Each law must be enforced; the public must be made aware of the law, the reasons for it, and the consequences of breaking it.

A consistent argument for mandatory helmet legislation is "A helmet saved my life". That's an argument for deciding to wear a helmet. But a law requires legislators to look at the negative consequences of legislation as well, and to weigh negative against positive consequences.

Proponents of mandatory helmets often argue, "If it saves one life, the law is worth it." However, governments frequently find themselves in situations where funding a drug or a medical treatment or a training procedure will almost certainly save a life (or mean the difference between a good and bad life). That doesn't mean that drugs for all rare diseases are covered, or that your elderly relative will not have to wait for three years to get cataracts removed or a hip replaced. There is always a trade-off. Governments have to decide what is the most effective use of limited funds. Which decision will have the least negative effects, and the most bang for the buck? Which laws will be obeyed, and which will be only spottily enforced or followed because police have higher priorities?

The proponents of the helmet bill argue that it will decrease the risk of head injury. At what cost?

Direct Costs

  • increased police enforcement costs for daily enforcement and to run special campaigns, to warn and charge offenders, to appear in court to testify
  • alternatively if no extra funding is available, less police time spent on solving crimes, performing outreach, or crime prevention. What will be the opportunity costs of less time spent catching speeders because it was spent charging cyclists without helmets?
  • increased government advertising to the public required to explain the rationale for wearing helmets, and how to wear them safely (cycling safety volunteers frequently see helmets so improperly worn that they will give no actual protection
  • increased requirements for volunteer bicycle education/safety groups and city health or traffic safety programs to provide helmet use education
  • increased costs to individuals who would not otherwise buy a bicycle helmet
  • increased costs to charities to provide bike helmets to those who could otherwise not afford them

Indirect Costs

  • increased public perception that cycling is dangerous, leading to decreased effectiveness of government's Active 2010 program, and other programs that encourage cycling as one method of improving fitness
  • increased public perception that cycling is dangerous, leading to decrease in overall cycling use in favour of car use, leading to increased congestion and air pollution
  • increased public perception that wearing a helmet is the primary method of ensuring safety while riding a bike, leading to increased risky or law-breaking behaviour, leading to injuries or death

Other likely effects

  • increased usage of hockey and other non-bike helmets, which will have little protection in a crash
  • increased usage of already-crashed or too-old bike helmets, which will have less protection in a crash

 

RECOMMENDATION 3:

Cycle Ontario recommends that the government

  1. undertake a thorough, public, scientific review of the existing data on the effects of and costs of mandatory helmet legislation worldwide
  2. commission an independent study of the effects of Bill 124, the legislation which required cyclists under 18 to wear helmets starting Oct. 1, 1995, on
    • cycling usage,
    • frequency of head injuries and deaths primarily due to head injuries,
    • overall frequency of cycling injuries and deaths, and
    • public perception of the dangers of cycling,

    as well as

    • the effectiveness of the enforcement of this legislation, and
    • the actual resources spent on enforcing it by municipal police forces.

RECOMMENDATION 4:

That Cycle Ontario set up a working group of up to 5 members, reporting to the Board of Directors, to research, refine, and write a Cycle Ontario brief to the Legislature on Bill 129, to be approved by the Board before submission. The working group will communicate by e-mail and post regularly to the Discuss list with drafts, questions, and ideas, to involve all Cycle Ontario members.

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