Abstract
After a decade of promotion and education, legislation for mandatory helmet wearing by bicyclists in Victoria was introduced on 1 July 1990. The legislation was a world first. Comparison of 1710 bicyclist casualties wearing and not wearing helmets has demonstrated that wearing helmets certified to the Australian Standard reduces the head injury risk by at least 39% and lessens head injury severity. Simulated impact testing of helmets has shown that they provide protection in most impacts including collisions involving a motor vehicle. Legislation for mandatory helmet wearing in Victoria has led to increased wearing rates and marked reductions in bicyclist fatalities and head injuries. The Victorian experience gives substantial support to the introduction of legislation for mandatory helmet wearing by bicyclists.
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- Baker S. P., O'Neill B., Haddon W., Jr, Long W. B. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma. 1974 Mar;14(3):187–196. [PubMed] [Google Scholar]
- DiGuiseppi C. G., Rivara F. P., Koepsell T. D., Polissar L. Bicycle helmet use by children. Evaluation of a community-wide helmet campaign. JAMA. 1989 Oct 27;262(16):2256–2261. [PubMed] [Google Scholar]
- McDermott F. T. Helmet efficacy in the prevention of bicyclist head injuries: Royal Australasian College of Surgeons initiatives in the introduction of compulsory safety helmet wearing in Victoria, Australia. World J Surg. 1992 May-Jun;16(3):379–383. doi: 10.1007/BF02104435. [DOI] [PubMed] [Google Scholar]
- McDermott F. T., Klug G. L. Differences in head injuries of pedal cyclist and motorcyclist casualties in Victoria. Med J Aust. 1982 Jul 10;2(1):30–32. doi: 10.5694/j.1326-5377.1982.tb124205.x. [DOI] [PubMed] [Google Scholar]
- McDermott F. T., Klug G. L. Injury profile of pedal and motor cyclist casualties in Victoria. Aust N Z J Surg. 1985 Oct;55(5):477–483. doi: 10.1111/j.1445-2197.1985.tb00926.x. [DOI] [PubMed] [Google Scholar]
- Thomas S., Acton C., Nixon J., Battistutta D., Pitt W. R., Clark R. Effectiveness of bicycle helmets in preventing head injury in children: case-control study. BMJ. 1994 Jan 15;308(6922):173–176. doi: 10.1136/bmj.308.6922.173. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Thompson R. S., Rivara F. P., Thompson D. C. A case-control study of the effectiveness of bicycle safety helmets. N Engl J Med. 1989 May 25;320(21):1361–1367. doi: 10.1056/NEJM198905253202101. [DOI] [PubMed] [Google Scholar]
- Vulcan A. P., Cameron M. H., Watson W. L. Mandatory bicycle helmet use: experience in Victoria, Australia. World J Surg. 1992 May-Jun;16(3):389–397. doi: 10.1007/BF02104437. [DOI] [PubMed] [Google Scholar]
- Williams M. The protective performance of bicyclists' helmets in accidents. Accid Anal Prev. 1991 Apr-Jun;23(2-3):119–131. doi: 10.1016/0001-4575(91)90043-5. [DOI] [PubMed] [Google Scholar]