Helmet laws and motorcycle rider death rates

We investigated motorcycle rider death rates between states with full motorcycle helmet laws and those without. This was done using both unadjusted bivariate analyses and multivariate random-effects generalized least squares regression models of rider death rates. Multivariate models were adjusted for the competing influences of several explanatory variables, including the existence of a motorcycle helmet law. From 1994 to 1996, states with helmet laws experienced a median death rate of 6.20 riders per 10000 registered motorcycles and states without helmet laws experienced a median death rate of 5.07 riders per 10000 registered motorcycles (P = 0.008). After controlling for other factors that affect motorcycle rider fatalities (most notably population density and temperature), death rates in states with full helmet laws were shown to be lower on average than deaths rates in states without full helmet laws (P = 0.740). Our study weakens the claim that rider death rates are significantly lower in states without full motorcycle helmet laws.     

Fatalities caused by nonvenomous animals: a ten-year summary from Sweden

All 58 deaths caused by nonvenomous animals in Sweden 1975-1984 were scrutinized. In 38 cases horses were involved, in 16 cattle and in one case each a moose, a lion, a dog and a ram. In the horse-related fatalities, the most common cause of accident was that the horse bolted or reared, causing the rider to fall off the horse or the cart or sulky. Falls were thus associated with 22 horse-related deaths. In cattle-related accidents, all fatalities where the cause of accident was known occurred due to aggressive behaviour of the animal. In horse-related accidents, head injuries dominated, while in cattle-related accidents head and chest injuries were equally common. It is suggested that wearing a proper helmet is the most important safety measure in horse-related activities. In cattle-related activities, the herding of untethered bulls together with cows is particularly dangerous and should be avoided.     

Helmet use and motorcycle fatalities in Taiwan

Motorcycle deaths accounted for more than half of total traffic fatalities in Taiwan in 2002. This study uses the police-reported crash data from Taiwan between 1999 and 2001 to estimate the effectiveness of helmets, simultaneously taking into account of sample selection bias. Sample selection arises because helmet usage will affect the probability of death or injury, which in turn influences whether a crash is included in the data. The results show that sample selection does not seriously bias the estimate of helmet effectiveness and helmets reduce the probability of death in a crash by 40%, which is higher than what was previously found. Without helmets, the number of motorcyclists killed in 2001 would have jumped by 51%. The estimated proportion of helmeted motorcyclists has increased from 71 to 78% between 1999 and 2001, suggesting that helmet use is rising after the implementation of mandatory helmet law in 1997. Also, helmets significantly reduce the likelihood of head and neck injuries in a crash by 53%, and lead to a 71% reduction in the probability of death caused by head and neck injuries.     

Motorcyclist fatalities and the repeal of mandatory helmet wearing laws

Previous studies had estimated that repeal of mandatory helmet wearing laws resulted in increases in the number of fatalities ranging from nearly 40% to essentially zero. This study was performed to determine more definitively the influence on motorcyclist fatalities of these repeals. After repeal, motorcyclist fatalities increased more in the states which repealed their laws than in those which did not in 24 cases out of 26, with the 95% confidence interval for the average effect being 25 +/- 6%. It is therefore concluded that repeals of mandatory helmet wearing laws for motorcyclists were followed by substantial increases in motorcyclist fatalities.     

Determinants of road traffic safety: New evidence from Australia using state-space analysis

This paper examines the determinants of road traffic crash fatalities in Queensland for the period 1958–2007 using a state-space time-series model. In particular, we investigate the effects of policies that aimed to reduce drink-driving on traffic fatalities, as well as indicators of the economic environment that may affect exposure to traffic, and hence affect the number of accidents and fatalities. The results show that the introduction of a random breath testing program in 1988 was associated with a 11.3% reduction in traffic fatalities; its expansion in 1998 was associated with a 26.2% reduction in traffic fatalities; and the effect of the “Safe4life” program, which was introduced in 2004, was a 14.3% reduction in traffic fatalities. Reductions in economic activity are also associated with reductions in road fatalities: we estimate that a one percent increase in the unemployment rate is associated with a 0.2% reduction in traffic fatalities.     

Evaluating the North Carolina safety belt wearing law

The North Carolina Seat Belt Law required an evaluation of the effectiveness of the act with a report of the findings to the Legislature three years after the law went into effect. This paper addresses changes in statewide belt usage and in occupant injury associated with that law. Observational data collected bimonthly from a probability sample of 72 sites stratified by geographic region, rural/urban location, road type, and time of day show that belt use rose from a baseline rate of 25% to a warning ticket phase rate of 45%. Belt use then reached 78% upon enforcement and is now nearly 64%. Time series analysis showed that statistically significant reductions in percentages of moderate and serious injuries occurred at the beginning of both the warning ticket and the enforcement phases. Forecasts of injuries and deaths were also developed from the time series models and were compared with observed totals. Warning tickets brought about a modest 5.4% reduction in serious injuries; fatalities among occupants covered by the law showed no change. In contrast, the subsequent enforcement phase saw a reduction of 11.6% in fatalities and 14.6% in serious or worse injuries. This represents an estimated annual savings of 131 lives and over 2,300 serious injuries in North Carolina during the 18 months following onset of enforcement.     

An econometric analysis of the effects of the penalty points system driver's license in Spain

This article seeks to quantify the effects of the penalty points system driver's license during the 18-month period following its coming into force. This is achieved by means of univariate and multivariate unobserved component models set up in a state space framework estimated using maximum likelihood. A detailed intervention analysis is carried out in order to test for the effects and their duration of the introduction of the penalty points system driver's license in Spain. Other variables, mainly indicators of the level of economic activity in Spain, are also considered. Among the main effects, we can mention an average reduction of almost 12.6% in the number of deaths in highway accidents. It would take at least 2 years for that effect to disappear. For the rest of the safety indicator variables (vehicle occupants injured in highway accidents and vehicle occupants injured in accidents built-up areas) the effects disappeared 1 year after the law coming into force.     

Cycle helmet effectiveness in New Zealand

Since late 1989, the cycle helmet wearing rate in New Zealand has risen from around 20% for adults and teenagers, and 40% for younger children, to more than 90% in all age groups. Cycle helmet wearing became mandatory under New Zealand law in January 1994. This paper considers the effect of cycle helmet wearing on hospitalised head injuries between 1990 and 1996, using cyclist limb injuries as a measure of exposure to the risk of cycling trauma. Non-motor vehicle crashes were treated separately from those involving a motor vehicle. Non-motor vehicle crashes were further subdivided by age group. Cyclist head injuries decreased with increasing helmet wearing rates for non-motor vehicle crashes in all age groups, and for motor vehicle crashes. For an increase of 5 percentage points in the helmet wearing rate, the corresponding decreases in head injuries in non-motor vehicle accidents were estimated to be 10.2, 5.3 and 3.2% for children of primary school age (5–12 years), secondary school age (13–18 years), and adults respectively. The corresponding decrease in hospitalisations for motor vehicle crashes was 3.6%. All results were significant at the 95% level. The relatively large increase in helmet wearing associated with the passing of a compulsory helmet wearing law in 1994 reduced head injuries by between 24 and 32% in non-motor vehicle crashes, and by 20% in motor vehicle crashes. No increase or decrease in the severity of head injuries for which cyclists were hospitalised over this period could be detected. This may have been due to the small and highly variable number of ‘high severity’ injuries.     

Motorcyclist fatality rates and mandatory helmet-use laws

Using cross-sectional time series data for the 50 states and Washington, DC, covering the period 1975-2004, we estimate fixed effects regression models that examine the effects of universal and partial helmet laws on three different motorcyclist fatality rates, while controlling for other state policies and characteristics. Depending on the particular measure that is employed, states with universal helmet laws have motorcyclist fatality rates that are on average 22-33% lower in comparison to the experience with no helmet law. Additionally, partial coverage helmet laws are associated with reductions in motorcyclist fatality rates of 7-10%, on average.     

Patterns of safety belt usage following introduction of a safety belt wearing law

The paper reviews the process of enacting a safety belt wearing law in Israel, and studies the impact it has had on belt usage and on casualty reductions. Safety belt legislation in Israel had several unique features in that, on the one hand, all passenger vehicles were retrofitted with safety belts, but, on the other hand, it exempted drivers and front-seat passengers of pre-1969 model vehicles from the compulsory use of belts. Also, the legislation applied only to the use of belts on interurban roads. Repeated counts of safety belt usage, before and after the implementation of the law, provided strong evidence for the efficacy of the legislative act as such. Usage rates rose from an average of 6% to upward of 70%. There was a marked carryover effect of the law on belt wearing rates on urban roads and on the use by drivers of pre-1969 model cars. However, this effect diminished with time. Results of a questionnaire survey provided further evidence for the general acceptance of the law by the public. Only a small minority of drivers completely rejected the use of safety belts. A comparison with data from other countries shows that the impact of a compulsory safety belt wearing law on safety belt usage and on casualty reduction is a universal phenomenon. This fact should encourage researchers, legislators and adminstrators in jurisdictions which are still deliberating the value of mandatory safety belt legislation. On the basis of the trends in fatalities and casualties to car drivers and passengers on urban roads during the two and one-half year period following the introduction of the seat belt law, it is estimated that a reduction of 42% in car fatalities and 44% in car passengers occurred on interurban roads during those two and one-half years. The corresponding reductions in casualties were 18% and eight percent respectively.     

The prevention of injury from motorcycle use: epidemiologic success, legislative failure

Following the repeal of the North Dakota mandatory motorcycle helmet law in 1977, the State Highway and Health Departments initiated a study to examine the impact of the change on driver safety. Motorcycle crash data gathered by the State Highway Patrol and other law enforcement agencies was augmented by death and injury reports submitted to the State Health Department by medical care providers. The combined data set produced 2934 crashes, 2162 traumatized victims, 3718 injuries and 53 deaths between January 1977 and December 1980. Reporting from medical providers increased the volume of crash reports, improved the reliability of the highway data and added an unrecognized population of victims to the data base. In spite of the clear indication that injuries and deaths had increased among motorcycle users who rode without helmet protection, legislative passage of a mandatory helmet law in either the 1979 or the 1981 North Dakota legislative session failed. The reasons behind the legislative rejection of efforts to improve highway safety are examined. The forces that affect politics are reviewed.     

Motorcycle helmet use in relation to legal requirements

Helmet use by motorcyclists was observed in late 1978 in cities in six U.S. states with varying legal requirements regarding their use. In two cities (Baltimore, Maryland and Miami, Florida) in which all motorcyclists are legally required to wear helmets, virtually all wore helmets. In three cities (New Orleans, Louisiana, Phoenix, Arizona and Houston, Texas) where helmet use laws requiring use by all motorcyclists were changed in 1976 or 1977 so that use is required only by those less than 18 years old, wearing rates were 39, 46 and 63%, respectively. In Los Angeles, California, which has never had a law requiring helmet use, 46% wore helmets.

Based on these survey results, and on the known efficacy of helmets in reducing injuries to motorcyclists, the repeal of helmet laws that occurred in 26 states in 1976–1978 can be expected to result in major increases in motorcyclist deaths in succeeding years.     

An analysis of Malaysia road traffic death distribution by road environment

Various initiatives, strategies and programmes have been taken by the Government of Malaysia to resolve issues pertaining to road traffic deaths. Nevertheless, the implementation of the programmes outlined in Malaysian Road Safety Plan 2006 needs to be enhanced in order to achieve the set targets. In this regard, it is imperative for all parties concerning road safety to determine the factors that significantly contribute to road traffic deaths. According to the Ministry of Works, Malaysia, the blackspot treatment programme (which is centred on the elimination of road hazards by engineering approaches) is successful in reducing the number of injuries due to road traffic accidents up to a certain extent. This study is focussed on analysing road traffic deaths caused by various road environment elements recorded by the police from 2000 to 2011 in order to determine their distribution, proportion and relationship with fatal accidents. The Chi-square test and Marascuilo procedure with 5% level of significance are used in this study. Based on locality, the number of road traffic deaths in rural area (66%) is significantly higher compared with that in urban areas (34%). Based on road category, the number of road traffic deaths is the highest for federal roads, whereas the highest rate of fatalities per kilometre is recorded for expressways. Based on road segment, the number of road traffic deaths is the highest for straight road segments, followed by bends. In addition, the number of road traffic deaths is the highest for Y/T junctions, followed by cross junctions. The lowest number of road traffic deaths is recorded for interchanges and roundabouts. The results show that only 11.25% of the total road traffic deaths are related to road defects. The highest proportion of deaths due to road defects (48.6%) is associated with lack of street lighting provision, whereas road shoulder edge drop-off and potholes contribute 15.4% and 11.2% of road traffic deaths, respectively.     

Fifteen years of child drowning--a 1967-1981 analysis of all fatal cases from the Brisbane Drowning Study and an 11 year study of consecutive near-drowning cases

A total population study of childhood fresh water drowning accidents (fatalities) for the 15 year period, 1967-1981, is reported. These data are from the ongoing Brisbane Drowning Study which has now also analysed 255 fresh water child immersions (both fatalities and near-fatalities) over the eleven year period, 1978-1981, and as such forms a consecutive unselected series for over one decade. The annual fatality (drowning) rate is 3.53 per 100,000. Details of immersion accidents by site, sex and by outcome (survivors versus fatalities) are presented. An analysis of secular trends revealed that one epidemic peak of child drownings in swimming pools and domestic baths (noted in the mid 1970s in Australia and other countries) is now passed. Evidence is presented to suggest that a vigorous education, and public awareness campaign can reduce the incidence of serious child immersion accidents by one-third. Such a campaign may have influence on all types of childhood household drownings (pools, baths, garden ponds), irrespective of site. Survival rates for unsupervised children who lose consciousness in fresh water are site-dependent, only 21% of such potential victims surviving after losing consciousness in rivers and creeks, compared with the survival rate of 65% for those in potential drowning incidents in their own backyard. Violent death continues to account for more than half of all deaths in childhood up to the age of 14 years [Gratz, 1979; Mayer, Walker and Johnson et al., 1981].(ABSTRACT TRUNCATED AT 250 WORDS)     

Projected mortality from injuries

Illustrative projections of mortality from injuries, all accidents and motor vehicle crashes were developed based on current mortality rates. If exposure to existing injury sources is unchanged and unless more effective injury prevention countermeasures are employed, 8 million injury deaths may be expected to occur among the resident population of the United States alive in 1980. These deaths include nearly 2 million motor vehicle fatalities and more than 5.6 million deaths from all accidents.     

Retail alcohol monopolies, underage drinking, and youth impaired driving deaths

OBJECTIVE: To explore associations of state retail alcohol monopolies with underage drinking and alcohol-impaired driving deaths. DATA: Surveys on youth who drank alcohol and binge-drank recently and their beverage choices; census of motor vehicle fatalities by driver blood alcohol level. METHODS: Regressions estimated associations of monopolies with under-21 drinking, binge drinking, alcohol-impaired driving deaths, and odds a driver under 21 who died was alcohol-positive. RESULTS: About 93.8% of those ages 12-20 who consumed alcohol in the past month drank some wine or spirits. In states with a retail monopoly over spirits or wine and spirits, an average of 14.5% fewer high school students reported drinking alcohol in the past 30 days and 16.7% fewer reported binge drinking in the past 30 days than high school students in non-monopoly states. Monopolies over both wine and spirits were associated with larger consumption reductions than monopolies over spirits only. Lower consumption rates in monopoly states, in turn, were associated with a 9.3% lower alcohol-impaired driving death rate under age 21 in monopoly states versus non-monopoly states. Alcohol monopolies may prevent 45 impaired driving deaths annually. CONCLUSIONS: Continuing existing retail alcohol monopolies should help control underage drinking and associated harms.     

Road traffic accidents in rich developing countries: The case of Libya

Libya is a rich developing country which suffers the consequences of explosions in both human and vehicle population. This has been accompanied by a heavy toll of deaths, In 1977, road accidents were the cause of 10% of all deaths and 62% of male deaths in the age group 15–25. The rates-per hundred million veh km-of fatalities, injuries and accidents (1980) were 35.202 and 416 respectively. The pedestrian fatality and casualty rates (1977) were high (20,134/100,000 population) especially among the old males over 64 (89,384/100,000 population). In the age group 20–24, casualty rate of drivers was 1256/100,000 driver (1977). Accidents were severe as well. Between 1970–1980 accident severity index was increasing with time and almost doubled by the end of the period reaching 13. Road accidents in Libya do not only represent an important social problem but also an economic one. In 1978, accidents cost the country about $160 million. The factors which affect accident rates and severity are divided into behavioural and structural ones and investigated. There is room for improving traffic safety in Libya. A comprehensive traffic safety program is urgently needed.     

The effectiveness of helmets in reducing all-terrain vehicle injuries and deaths

This article examines the effectiveness of helmets in reducing all-terrain vehicle (ATV) related deaths and head injuries, conditional on the occurrence of injury producing accidents. A logit regression model is used to analyze cross-section data on ATV-related fatal and nonfatal injuries, and to determine the factors that are associated with deaths and head injuries. The results suggest that, given an accident resulting in injury or death, helmet use reduces the risk of death by about 42%, and could reduce the likelihood that a given nonfatal injury involves the head by about 64%. Other factors that are associated with the risk of fatality for injury accidents include the use of alcohol or drugs, driving on paved roads, the driver's age and sex, and the vehicle's engine size. A benefit-cost analysis of helmet use is conducted and policy implications are discussed.     

The epidemiology of fatal motor vehicle accidents in Kuwait

The main objectives of this study are to present data on fatal motor vehicle accidents in Kuwait with a view to find out the principal epidemiological features, establish a baseline for future evaluation, use international death rates to compare Kuwait with other countries and offer specific recommendations as to how the risks involved can be reduced. The epidemiology of all fatal accidents which had occurred in Kuwait between 1 January 1977 and 31 December 1978 are analysed. This two-year series, which includes 726 accidents and represents 1.7% of all types of accidents, resulted in 803 deaths (7.3% of the national deaths toll) and 1175 injuries. The death rates per hundred million vehicle kilometers of travel, per 100,000 registered motor vehicles and per 100,000 resident population in 1978 were about 8.5, 84.8 and 31.7 respectively. These figures reveal significantly higher rates than in some industrialized countries, thus ranking motor vehicle accidents among the four leading causes of death and probably as the commonest single cause of death in Kuwait. The study shows that children under the age of 15 yr contributed 26.2% of all motor vehicle fatalities. 40.9% of pedestrian deaths (55.2% of the series), 25% of pedal-cyclist deaths, 6.3% of motorcyclist deaths and 1.2% of driver deaths. It also confirms the importance of the motor vehicle-pedestrian type of accident (58.3%) and the over-representation of buses, trucks and motorcycles with respect to involvement in fatal accidents as compared to their relative ratios of registered vehicles. The principal recommendations call for the formation of a National Council for Road Safety, the establishment of intensive roadside care, traffic education of road users and at risk groups, improvement of the environment and the firm enforcement of the law to curb the toll of this killer disease in a traditional country undergoing rapid modernization like Kuwait.     

The effect of infrastructure and demographic change on traffic-related fatalities and crashes: a case study of Illinois county-level data

This paper presents analyses of data from the Highway Safety Information System (HSIS) for the State of Illinois. Our analyses focuses on whether various changes in road network infrastructure and geometric design can be associated with changes in road fatalities and reported accidents. We also evaluate models that control for demographic changes. County-level time-series data is used and fixed effect negative binomial models are estimated. Results cannot confirm the hypothesis that changes in road infrastructure and geometric design have been beneficial for safety. Increases in the number of lanes appears to be associated with both increased traffic-related accidents and fatalities. Increased lane widths appears to be associated with increased fatalities. Increases in outside shoulder width appear to be associated with a decrease in accidents. Inclusion of demographic results does not significantly change these results but does capture much of the residual time trend in the models. Potentially mis-leading results are found when the time trend is not included. In this case a negative association between vertical curvature and both accidents and fatalities. No statistical association with changes in safety is found for median widths, inside shoulder widths, and horizontal and vertical curvature.