Campaign LogoPedal Power

Issue 53
November 2004

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Local Transport Plan Input

Please would you spend a few minutes completing the feedback for the latest Local Transport Plan (LTP) if you have not done so already. The LTP sets out the plans for traffic and transport over a five-year period The Consultation ends on14th January and the LTPis due to be published in July 2005.

The draft plan with a feedback form than can be completed on line is on: http://www.leics.gov.uk/index/highways/transport_plans_policies/ltp.htm .

In partular please note the choices at the end which you need to classify as High, Medium, Low or not a priority:-

"The Cycle route network completions" refers to the Central Leicestershire area to an extent but is likely to be specifically targetted at Loughborough out of Martin Broomhead's work. It's therefore really important that this is well supported in the consultation.

We believe the option: "Bypasses on the lorry route network" includes a possible project to increase the capacity of the Epinal Way. Now that the extension is completed we understand pressure is increasing to widen it and/or increase the capacity of roundabouts (as we predicted when the extension was being planned).

You may wish to make the point that the emphasis should be on measures for traffic reduction rather than allowing for increased levels.

Yuletide Party

Once again we will be holding a Yuletide celebration at John Storer House on Monday 13 December. We hope to see you there. Please bring some food and drink.

National Bike Week 2005 (11 - 19 June)

It is proposed that the main event for next year's Bike Week will be a repeat of the sponsored ride across Garendon Park on June 19.

The ride is aimed at primary school children, their parents /relations/ friends and anyone who would like to join in (sponsored or unsponsored). All children must be accompanied by a responsible adult.

We are in the process of sending out invitations to participate to most of the Primary Schools in Loughborough and we have suggested that they nominate a charity as well as their Parent Staff Association as a beneficiary.

The Plan is for the event to be marshalled so please put this in your new diary as we will need a lot of help since we should get a much higher turnout with more schools involved. More details of the ride can be seen on the Campaign Website at www.ldcuc.org.uk .

British Medical Association U- Turn on Helmets
(Based on an article from the Cycle Campaign Network News Extra)

In a sudden U-turn from its previous policy of opposing cycle helmet compulsion on the grounds that it would discourage cycling, the Board of the Directorate of Professional Activities of the British Medical Association has approved a policy to campaign for compulsory helmets for all cyclists, adults and children.

The BMA has taken the run-up to the publication of the Government's public health white paper to press for compulsion, alongside calls for other measures to focus strongly on public health.

The BMA paper advocating compulsion can be found at www.bma.org.uk/ap.nsf/Content/cyclehelmetslegis

A detailed critique is available at www.cyclehelmets.org/mf.html#1101

An open letter form Malcolm Wardlaw on the BMA policy change on cycle helmet compulsion. (this has been edited down from the letter posted on the CCN Website at www.cyclenetwork.org)

As many of you will already be aware, the British Medical Association has suddenly changed its position on cycle helmets - the BMA now supports compulsory use of helmets by both adults and children.

The original position of the BMA was arrived at in 1999 as a result of extensive gathering of evidence from many points of view. The decision not to make helmets compulsory was fully explained in a report called Cycle Helmets. This was an open process. The result was a reasonably balanced presentation of the evidence then available, although it was lacking in effective treatment of the issue of risk in cycling (actually very low).

The change of stance has been, by comparison, a closed process sprung as a fait accompli. The new policy in most respects rejects the findings of the original study, yet in general on the basis of evidence already available in 1999! I am distributing this critique of the pro-compulsion paper to interested parties, notably doctors who may be members of the BMA, in order to ensure that you become aware of what is being done in your name. You may be inclined to object to the sudden change of heart by the BMA.

There are some specific points I would like to emphasise, on the basis of my own knowledge:

  1. The paper begins by creating the impression that there is large support for a cycle helmet law in the medical profession. In support of this, it cites a single communication from a single doctor. However, the BMJ carried out an opinion poll of its readership in 2002. This showed some support for a cycle helmet law, but roughly equal support for a pedestrian helmet law for children.

    The respondents showed far higher support for measures against bad driving and reduced speed limits to reduce danger at source. The poll results can be found at: bmj.bmjjournals.com/cgi/content/full/324/7346/1107/DC1?ck=nck

    These results do not justify the claim that doctors want a cycle helmet law. If the BMA wishes to alter its stance on an important public health issue, it should do a professional job of it and poll its members openly.

  2. The paper rejects evidence that helmet laws suppress cycling, especially by children. The reasoning is that experience in Australia is "out of date". In support of this, the case of Ontario is cited, where legislation apparently did not suppress child cyclists. There is a simple reason for this; the Ontario law was never enforced. If a law isn't enforced, it can't deter cycling, can it?

    The evidence that helmet laws deter cycling is so overwhelming that one could write a paper on the topic alone. Cycle use in Australia is still below, or hardly above, what it was in 1990 (before laws were passed) when population increase is accounted for. In Western Australia, the population has increased by 33% since 1990, but cycle counts only rose above pre-law levels again in the last couple of years. Cycle use was growing in WA before the law was passed - the law destroyed that growth permanently. Those interested are recommended to see www.cyclehelmets.org for a litany of examples. By taking Ontario as an example to "prove" helmet legislation does not suppress cycle use, the BMA stray into the realm of intellectual corruption. See: Burdett A. Efficacy of cycle helmets and ethical arguments for legislation. J R Soc Med 2004;97:503.

  3. In justifying the "need" for a helmet law, the paper cites various injury figures. These appear large, but only because so many slight injuries are captured. In reality, there are about 3,000 serious injuries in road cycling accidents per year, and 130 deaths. This works out at on average 1,000 years of cycling by the cyclist population per serious injury, 3,000 years per serious head injury, and about 20,000 years per death. In other words, cycling is a low risk activity and puffing out the figures by including a mass of slight injuries does not change that. The cycling environment in Britain presents risks comparable, or less, than driving in France.

    The paper claims that there are more than 50 child cyclist deaths a year in Britain. This is not correct. There are about 20-25 deaths in road accidents (which are accurately reported by the Police, if less so by coroners), of which approx. 15 will have suffered fatal head injury. Contrary to the impression given, pedestrians are just as prone to serious or fatal head injury as cyclists, or perhaps a little more so. In addition to the 15 on-road deaths, there will be a small number of off-road deaths.

    The pedestrian population faces higher risks per mile travelled than cyclists, by a factor of 1.6, and pedestrians are far more vulnerable than cyclists, adults pedestrians being about twice as likely to be killed in a reported road accident than adult cyclists.

    The reality is that the actual risk in cycling is low and does not warrant draconian measures imposed at the individual level. The best way ahead is to increase cycle use, which makes it safer anyway, and provide more effective cycle training and sensible advice on when a helmet may provide some benefit. A cycle helmet is not intended to provide protection in a road accident. It is fundamentally unethical of the BMA to propose helmet legislation as a road safety measure.

  4. In support of the effectiveness of legislation, the paper cites a number of claims about helmets preventing brain injuries and helmet laws reducing deaths and serious injuries. Reductions in deaths and head injuries after helmet laws have always run in line with prevailing trends for pedestrians. The Victoria helmet law is often cited as a success, but it was introduced along with measures against speeding and drunk driving. Pedestrian deaths fell 45% in the first year of the cycle helmet law. Pedestrian hospital admissions for concussion fell by 28% and 75% in the first and second year of the cycle helmet law, respectively - pretty much the same as the result for cyclists.

    Careful follow up studies have failed to produce any convincing evidence that helmet laws reduced serious injuries in the cyclist population. This point is carefully dealt with in presentation material that may be found at the web site of the Cross Party Cycling Group of the Scottish Parliament. See: www.scottish.parliament.uk/msp/crossPartyGroups/groups/cpg-cycle.htm

    The large discrepancy between predictive observational studies, reporting 60-75% prevention of brain injury, and the null results of legislation is easily explained. Observational studies are based on samples drawn from two totally different groups: those who do self-select to take a treatment (usually a minority) and those who do not (usually the vast majority). Inevitably confounding social factors have such a massive influence that the results may mean very little. The current crisis of confidence in observational epidemiology arises from similar experience with Hormone Replacement Therapy and vitamin supplements. The problem of unreliable science has become acute in the cycle helmet issue because proponents of helmets and helmet laws absolutely refuse to face up to the realities of the situation.

PERSONAL VIEW.

I finish with this personal view. The BMA has acted with inexcusable arrogance in this matter. The decision has been taken behind closed doors, the membership has not been effectively informed (there is no mention of the change of policy in the current edition of the BMJ), the evidence presented is so selective as to amount to intellectual corruption, especially with regard to the denial of the deterrence of cycling by legislation, on the basis of a single province where the law was never enforced. I would hope that those reading this will likewise feel outraged and make their feelings known to the BMA.


Any letters or articles for inclusion in the newsletter should be sent to
the Editor at 32 Bramcote Road,Loughborough, LE11 2SA or E Mailed to john.catt@ntlNOSPAMPLEASEworld.com.

(Please remove NOSPAMPLEASE).

CAMPAIGN MEETINGS are usually held on the second Monday of the month at John Storer House at 7-30pm.

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