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Bicycle Helmet Safety Institute

Helmet Related Statistics
from Many Sources




Summary: Below are acres of stats from every source we can find. They do not always agree, indicating that some of them are could be less than totally accurate. Take your pick! Market guesses are at the bottom.



First, our own pick of Basic Numbers
from many sources:

  • There are 85 million bicycle riders in the US.

  • 770 bicyclists died on US roads in 2006, down just 14 from the year before. Over 90 percent died in crashes with motor vehicles.

  • The "typical" bicyclist killed on our roads is a sober male over 16 not wearing a helmet riding on a major road between intersections in an urban area on a summer evening when hit by a car.

  • About 540,000 bicyclists visit emergency rooms with injuries every year. Of those, about 67,000 have head injuries, and 27,000 have injuries serious enough to be hospitalized.

  • Bicycle crashes and injuries are under-reported, since the majority are not serious enough for emergency room visits. 44,000 cyclists were reported injured in traffic crashes in 2006.

  • 1 in 8 of the cyclists with reported injuries has a brain injury.

  • Two-thirds of the deaths here are from traumatic brain injury.

  • A very high percentage of cyclists' brain injuries can be prevented by a helmet, estimated at anywhere from 45 to 88 per cent.

  • Direct costs of cyclists' injuries due to not using helmets are estimated at $81 million each year.

  • Indirect costs of cyclists' injuries due to not using helmets are estimated at $2.3 billion each year.

  • Helmet use in the US varies by orders of magnitude in different areas and different sectors of our society. White collar commuters probably reach 80 per cent, while inner city kids and rural kids would be 10 per cent or less. Overall, our best wild guess is probably no more than 25 per cent. Sommers Point, NJ, where a state helmet law is in effect, found that only 24 of the 359 students who rode to school in one week of the Winter of 2002 wore helmets (6 per cent) until the School District adopted a helmet rule. North Carolina observed 17 per cent statewide before their law went into effect in 2001.

  • Helmets are cheap. The typical discount store price has risen from under $10 to about $20, but there are still models available for under $10 at major national retailers including Target and Wal-Mart.






Statistics from the US Consumer Product Safety Commission

August, 2008


CPSC staff has reports of an annual average of 80 children under 16 years of age who died in bicycle-related incidents in recent years. About half of the 500,000 bicycle-related emergency room-treated injuries in 2007 involved children under the age of 16. When taking part in other recreational activities, wear the right helmet for that activity. Read CPSC's "Which Helmet for Which Activity" publication, which helps parents choose the most appropriate helmet, at http://www.cpsc.gov/CPSCPUB/PUBS/349.pdf (pdf).

More than 80 percent of the nearly 50,000 emergency room-treated injuries involving unpowered scooters in 2007 were to children younger than 15. In addition to wearing a helmet, CPSC recommends elbow and knee pads when riding a scooter.




A link to 2005 Statistics from the Dept of Transportation-NHTSA

Released November, 2007.







2005 Statistics from the Dept of Transportation-NHTSA

Released August, 2006.

  • Total bicyclist deaths in 2005: 784 (Up 26% from 2003)
  • Male bicyclist deaths in 2005: 684 (87%)
  • Night time bicyclist deaths in 2005: 380 (48%)
  • Bicyclists killed by motor vehicles: 720 (92%)
  • Bicyclists injured by motor vehicles: 45,000 (up 9.8%)
  • Bicyclists killed in alcohol-related crashes: 281 (up 10%)
  • Bicyclists injured in alcohol-related crashes: 3,000

To put those numbers in perspective, 43,441 people were killed on US highways in 2005, so cyclists were about 1.8% of the total.

Bicycle Deaths by Age Group in 2005

Age Group 2005 Fatalities Change from 2004
0-38+60%
4-7 17-35%
8-15 1190
16-20 47-6%
21-24 41+78%
25-34 76+25%
35-44 150+3.4%
45-54 156+21%
55-64 81+11%
65-74 48-16%
Over 7433-5.7%
Unknown 8+100%
total 784+7.8%


NHTSA Statistics by State

NHTSA has detailed fatality and injury statistics by state for all types of vehicles including bicycles. This link is for their 2005 numbers, released in mid-2006. To check for more recent studies see their stats home page.

For 2005 child injuries, including state breakdowns, see this page on the NHTSA server.




Statistics from the Insurance Institute for Highway Safety
Fatality Facts: Bicycles - 2006

Two percent of motor vehicle-related deaths are bicyclists. The most serious injuries among a majority of those killed are to the head, highlighting the importance of wearing a bicycle helmet. Helmet use has been estimated to reduce head injury risk by 85 percent.1 Twenty-one states and the District of Columbia have helmet laws applying to young bicyclists; none of these laws applies to all riders. Local ordinances in a few states require some or all bicyclists to wear helmets. A nationwide phone survey estimated that state helmet use laws increase by 18 percent the probability that a rider will wear a helmet. Helmets are important for riders of all ages, especially because 85 percent of bicycle deaths are persons 16 and older.

The following facts are based on analysis of data from the U.S. Department of Transportation's Fatality Analysis Reporting System (FARS).

  • A total of 770 bicyclists were killed in crashes with motor vehicles in 2006. Bicyclist deaths were down 23 percent since 1975 but 23 percent more than in 2003. The decline among female bicyclists (49 percent) was larger than the decline among male bicyclists (18 percent).

  • Ninety-five percent of bicyclists killed in 2006 reportedly weren't wearing helmets
      BHSI Note: We don't know where the numbers in the bullet point above and the chart below originated. The data to make that determination is not usually collected in the field.

    Bicycle Deaths by Helmet Use
    1994-2006

    Year No Helmet Helmet Total*
    Num
    1994776 (97%)19 (2%)796
    1995783 (95%)34 (4%)828
    1996731 (96%)27 (4%)761
    1997785 (97%)23 (3%)811
    1998741 (98%)16 (2%)757
    1999698 (93%)42 (6%)750
    2000622 (90%)50 (7%)689
    2001616 (84%)60 (8%)729
    2002589 (89%)54 (8%)663
    2003535 (85%)58 (9%)626
    2004602 (83%)87 (12%)722
    2005676 (86%)77 (10%)784
    2006730 (95%)37 (5%)770

    *Total includes other and/or unknowns. BHSI Note: cause of death may or may not have been head injury.

  • Twenty-four percent of bicyclists killed in 2006 had blood alcohol concentrations (BACs) at or above 0.08 percent. This percentage is one-third higher than in 1982.

  • Bicyclist deaths in 2006 occurred most often during June-September and between the hours of 6pm and 9pm.

  • Deaths among bicyclists younger than 16 have gone down by 84 percent since 1975, while deaths among bicyclists 16 and older have more than doubled.

    Bicycle Deaths by Age
    1975-2006

    Year Under 16(%) Over 16(%) Total
    1975 675 (67%) 323 (32%) 1,003
    1976 605 (66%) 306 (33%) 914
    1977 613 (66%) 306 (33%) 922
    1978 570 (64%) 320 (36%) 892
    1979 552 (59%) 373 (40%) 932
    1980 529 (55%) 431 (45%) 965
    1981 479 (51%) 438 (47%) 936
    1982 413 (48%) 446 (52%) 864
    1983 434 (52%) 392 (47%) 830
    1984 410 (49%) 415 (50%) 838
    1985 424 (49%) 435 (50%) 869
    1986 435 (47%) 485 (52%) 929
    1987 443 (47%) 494 (53%) 940
    1988 393 (44%) 502 (56%) 901
    1989 371 (45%) 449 (55%) 822
    1990 292 (34%) 551 (65%) 853
    1991 300 (36%) 530 (63%) 836
    1992 297 (41%) 418 (58%) 717
    1993 303 (38%) 500 (62%) 806
    1994 294 (37%) 495 (62%) 796
    1995 278 (34%) 542 (65%) 828
    1996 248 (33%) 507 (67%) 761
    1997 248 (31%) 560 (69%) 811
    1998 229 (30%) 526 (69%) 757
    1999 211 (28%) 537 (72%) 750
    2000 191 (28%) 496 (72%) 689
    2001 155 (21%) 570 (78%) 729
    2002 153 (23%) 503 (76%) 663
    2003 143 (23%) 481 (77%) 626
    2004 149 (21%) 569 (79%) 722
    2005 142 (18%) 636 (81%) 784
    2006 110 (14%) 653 (85%) 770

  • More than 7 times as many bicyclist deaths in 2006 were males compared with females. At every age more male than female bicyclists were killed and the rates of bicyclist deaths per million people were higher for males than females. The highest rate of bicyclist deaths per million people occurred for 50-54 year-old males.

  • Many more bicyclists were killed in urban areas than in rural areas in 2006 (71 percent compared with 27 percent). In 1975, bicyclist deaths occurred equally in rural and urban areas.

  • One-third of bicyclist deaths in 2006 occurred at intersections.

  • Sixty percent of bicyclist deaths in 2006 occurred on major roads other than interstates and freeways, and 33 percent occurred on minor roads. Forty-six percent of deaths among bicyclists younger than 16 and 62 percent of deaths among bicyclists 16 and older occurred on major roads.
    Downloaded March 2008. For tables, graphs and more detail see the IIHS site. The IIHS is consistently the best source of bicycle fatality statistics on the Web. Their picture of a "typical" bicyclist killed on our roads would be a sober male over 16 not wearing a helmet riding on a major road between intersections in an urban area on a summer evening when hit by a car.



    Statistics from the US Consumer
    Product Safety Commission

    Consumer Product Safety Review
    Spring, 2006
    Sports Head Gear

    Estimated Emergency Room-Treated
    Head Injuries for Selected Sports
    2004

    BHSI note: Includes any head injury, including areas not covered by helmets: ears, mouth, eyes and face.

    Sport
    Category
    Est. Number of Head Injuries Est. Number of
    Hospitalized Head
    Injuries*
    Bicycles151,02410,769
    Baseball63,2341,346
    Football51,9531,324
    Skateboards18,743764
    Kick Scooters15,622 n/a
    Horseback riding14,2182,434
    Snowboarding8,540n/a
    Ice hockey5,944 n/a
    In-line skating3,511 n/a
    Lacrosse1,814 n/a

    Source: National Electronic Injury Surveillance System, CPSC

    n/a = Sample size too small to report estimate.

    Includes injuries suffered participating in the activity and/or patients wearing the apparel and equipment associated with the activity.

    Includes injuries to head, ears, mouth, eyes, and face.

    *Includes cases where patient was admitted, was held for observation, was treated and transferred to another hospital, was dead on arrival, or died in the ER.

    This chart also appeared in the March, 2006 press release on a CPSC Helmet Guide






    Statistics from the US
    Consumer Product Safety Commission

    October, 2005

    NEISS Data Highlights - 2004

    CPSC has the following injury data for bicycles and accessories:

    Estimated Number of Injuries: 534,883 (2001: 565,742 - 2002: 539,642)

    Coefficient of Variation: .08 (probable accuracy of sample)

    (Based on hospital samples including 15,417 actual injuries.)

    Estimated Number of Injuries in the United States and Territories that were treated in Hospital Emergency Departments.

      All Ages: 534,883

      Age 0 to 4: 32,175

      Age 5 to 14: 265,554

      Age 15 to 24 84,201

      Age 25 to 64 138,120

      Age 65+: 14,802

      Sex: Male 385,797

      Sex: Female 148,946

    Disposition:

      Treated and Released: 507,889

      Hospitalized or Dead on Arrival: 27,629

    Footnote: NEISS data gives estimated national totals based on hospital samples. See this October, 2005 CPSC newsletter for more background and totals for other activities.

    BHSI Note: The most important data lacking here is exposure data that would indicate more about the riders and how much time they spend on their bikes in relation to the number of injuries for a given group. The following data has that for a comparison of sports.





    Statistics from CPSC's NEISS data

    Injury Estimates for the Top 25 Product Groupings
    From the 2007 NEISS Data Highlights

    Total product-related injuries treated in hospital emergency rooms nationwide

    Stairs, Ramps, Landings, Floors 2,324,938
    Beds, Mattresses, Pillows 560,129
    Bicycles & Accessories 515,871
    Basketball 481,011
    Chairs, Sofas, Sofa Beds 476,109
    Football 455,193
    Bathroom Structures & Fixtures 330,102
    Non-glass Doors, Panels 321,665
    Tables, not elsewhere classified 309,252
    ATV’s, Mopeds, Minibikes, etc. 278,671
    Baseball, Softball 277,702
    Exercise, Exercise Equipment 264,921
    Desks, Cabinets, Shelves, Racks 262,171
    Cans, Other Containers 248,126
    Clothing 245,129
    Ladders, Stools 227,769
    All Toys 224,827
    Playground Equipment 219,625
    Soccer 198,679
    Swimming, Pools, Equipment 155,322
    Glass Doors, Windows, Panels 155,269
    Skateboards 143,682
    Workshop Manual Tools 131,396
    Carpets, Rugs 128,361
    Other Misc. Furniture & Accessories 122,662



    To construct your own custom query for NEISS data, visit this CPSC page and be prepared to spend some time mastering the intricacies of the database!






    Statistics from the Dr Pietro Tonino of Loyola U. School of Medicine

    Based on data from CPSC

    Sports-related injuries presenting at US hospital emergency rooms.
    Data for 2005. These would be the more serious injuries. There is no adjustment for exposure data to relate the number of hours spent by US residents in each of the activities.

    Sport ER Visits
    Basketball500,000
    Bicycling485,000
    US Football418,000
    Soccer (Football)175,000
    Skateboarding112,000
    Trampolines108,000
    Horseback riding73,000
    Golf47,000
    Roller Skating35,000
    Wrestling34,000
    Tennis19,000
    Track & Field17,000

    Dr. Tonino's study was reported in the Washington Post on June 19, 2006.




    Statistics from New York City

    New York issued a statement on their bicycle safety study including these numbers:

      Bicycle lanes and helmets may reduce the risk of death.

      • Almost three-quarters of fatal crashes (74%) involved a head injury.
      • Nearly all bicyclists who died (97%) were not wearing a helmet.
      • Helmet use among those bicyclists with serious injuries was low (13%), but it was even lower among bicyclists killed (3%).
      • Only one fatal crash with a motor vehicle occurred when a bicyclist was in a marked bike lane.

      Nearly all bicyclist deaths (92%) occurred as a result of crashes with motor vehicles.

      • Large vehicles (trucks, buses) were involved in almost one-third (32%) of fatal crashes, but they make up approximately 15% of vehicles on NYC roadways.
      • Most fatal crashes (89%) occurred at or near intersections.
      • Nearly all (94%) fatalities involved human error. All New Yorkers, whether pedestrians, bicyclists or motorists, can help prevent crashes by following traffic signs and signals and respecting other road users.

      Men and some children face particular challenges.

      • Most bicyclists who died were males (91%), and men aged 45–54 had the highest death rate (8.1 per million) of any age group.
      • Among children aged 5-14, boys had a much higher death rate than girls; Queens had the highest child bicyclist death rate of the five boroughs.

    The full report has more.




    Statistics from the Institute for Traffic Safety Analysis --Links temporarily down as site relocates--

    Traffic Fatality Trends in the US, UK and Australia: A Comparative Analysis

    Riley Geary has compiled and presented comparative fatality stats for the three countries. The format is stark, but easy to master in a few minutes, and the results are illuminating. In injury reduction we are well behind Australia (mandatory helmets) and the UK (fewer helmets than here). Is it possible that we are not doing something right?

    Here is the ITSA analysis of FARS fatality data.

    And here is the ITSA analysis reexamining the FARS helmet data.




    Statistics from the Consumer Product Safety Commission

    Here are "head injury" statistics from CPSC, based on their data from hospital emergency rooms. Unfortunately, the head injury numbers for kids under 15 are not statistically significant, and even worse, all head injuries in the table are lumped together. You may be looking at a cut chin that required three stitches, or maybe at a severe concussion. But it is sure that you can not tell from these numbers what percentage should have been mitigated by a helmet. If the rider had one.




    Statistics from Safe Kids USA

    On May 11, 2004, the Safe Kids USA published a study on helmet usage rates showing that:

    • Only 41 per cent of the kids 5 to 14 at surveyed sites were wearing helmets, although the sites chosen had a bias for higher rates.

    • Even at sites where helmets were required, only 52 per cent wore them.

    • At sites where wheels are used for transportation, only 38 per cent wore helmets.

    • More than a third of the kids wearing helmets did not have them fitted correctly. Conversely, two-thirds did!

    • The effect of laws was not well evaluated. Although sites with state-level helmet laws had only 45 per cent wearing helmets and sites without state level laws had 39 per cent, the study did not take into account whether or not there was a local ordinance.

    You can find the whole study on the Safe Kids site.



    Statistics from the State of Utah

    In 2004 the State of Utah published a ten year observational study of helmet use in Utah. It has pages of interesting statistics on helmet use by age groups as well as crashes.




    Note: BHSI does not endorse the optimistic findings of this next study! In addition, the total number of riders killed cited in point two has not been accurate for a decade, and current deaths each year are closer to 600.

    Statistics from the Consumer Product Safety Commission

    • Bicycle helmet usage has increased from 18 percent in 1991 to 50 percent in 1998
    • Bike-related crashes kill 900 people every year and send about 567,000 to hospital emergency rooms with injuries
    • Wearing a bike helmet can reduce the risk of head injury by 85 percent.
    • Today there are an estimated 80.6 million riders, 43 percent of whom never wear helmets and 7 percent of whom wear helmets less than half the time
    • Of bikers who now report wearing a helmet, 98 percent said they wore a helmet for safety reasons, 70 percent said they wore a helmet because a parent or spouse insisted on it and 44 percent said they did so because a law required it.
    • 69 percent of children under 16 wear a helmet on a regular basis while riding a bike, according to parents.
    • 38 percent of adult bike riders regularly wear their helmets.
    Here is the Press Release on the study, and here is the whole text. There are other estimates further down this page that we consider more realistic for the nation as a whole. For example, the University of North Carolina has conducted reliable observational studies showing a statewide helmet usage rate of 17 per cent. On the other hand, usage observed in Seattle in 1998 was 60% for children, 37% for teens and 71% for adults. Helmet use in western Washington state is 56%, but just 33% for eastern Washington where helmet promotion campaigns have not been as intense. (Source: Diane Thompson, MS, Epidemiologist, Harborview Injury Prevention & Research Center)






    More Statistics from the Consumer Product Safety Commission's
    Consumer Product Safety Review - Spring, 2000
    Baby Boomer Sports Injuries


    • Sports-related injuries among those ages 35 to 54 (Baby boomers) increased 33 per cent from 1991 to 1998.
    • The population in that age bracket increased from 65 to 79 million, explaining some of the increase.
    • In 1998, bicycling accounted for the largest number treated in hospital emergency rooms. Bike injuries were over 65,000, while basketball injuries in second place were under 50,000.
    • In 1998, a total of 290 boomers died in bicycle crashes, with 255 involving a car (88 per cent).
    • In 1998, no other sport killed as many boomers. Swimming was a distant second with 67 deaths, skiing third with 7 deaths.
    • In 1998, baby boomers on bicycles died from head injuries at nearly twice the rate of children on bikes. CPSC believes that the difference in death rates is due to more helmet use by children.
    • CPSC believes that 69 per cent of children wear bike helmets and only 43 per cent of boomers.
    • It is important for baby boomers to stay active and participate in sports.
    • The article is signed by George Rutherford, CPSC Directorate for Epidemiology

    And this from a CPSC Web page:

    Q. Which sport is most likely to crash-land you in a hospital emergency room?

    A. Bike accidents crash-land more kids in hospital emergency rooms than any other sport. In fact, kids ages 5 to 14 get hurt more often than bikers of any other age! Every day, about 1,000 kids end up in hospital emergency rooms with injuries from bikes - like broken bones or brain concussions. About one kid every day dies of these injuries. Others suffer lifetime problems, like limping or brain damage.




    Injuries to Bicyclists
    From A Monograph by the Johns Hopkins Injury Prevention Center
    Sponsored by the Snell Memorial Foundation


    Each year in the United States;

    • more than 900 bicyclists are killed - - - [Falling since this was done: in 1997 it was 808]
    • 20,000 are admitted to hospitals
    • 580,000 receive emergency room treatment

    For the population as a whole, there are approximately:

    • 1.8 billion bicycle trips
    • 300 injuries per million trips
    • 1 death in every 2 million trips (0.5 per million)

    Helmets are needed because head injuries in bicyclists are noted in:

    • 65,000 emergency room cases and 7,700 hospital admissions annually
    • about 40 per cent of bicyclists admitted to hospitals
    • an estimated 70 to 80 per cent of fatally injured bicyclists

    Bicyclists hospitalized with head injuries are 20 times as likely to die as those without.

    Bicyclist injury rates per million trips are highest at age 5 to 15.

    Bicyclist death rates per million trips are highest above age 50.

    Bicyclist death rates per 100,000 population are highest at age 10-14.

    Fifty-six per cent of fatally injured bicyclists are age 20 or older.

    Death rates for male bicyclists age 20-54 have substantially increased in recent years.

    Compared with females, males;

    • make 2.5 times as many bicycle trips
    • are 2.4 times as likely to be killed, per trip
    • have a death rate per 100,000 population that is 6 times as high

    The death rate per million trips is 8 times as high from 10 PM to 1 AM as from 9 AM to 1 PM.

    Motor vehicles are involved in 90-92 per cent of bicyclist deaths and 12 per cent of injuries.

    One third of bicyclist fatalities occur on roads with speed limits of 55 mph or higher.

    Two-thirds of fatally injured bicyclists are tested for alcohol; 32 per cent of those tested have been drinking.

    Bicyclist death rates per trip or per person mile of travel greatly exceed the rates for car occupants.






    Statistics from Safe Kids USA
    Please check their Web page for their latest Fact Sheet on Bicycle Injury.



    Injuries to Children


      Deaths and Injuries

      • In 2001, nearly 314,600 children ages 14 and under were treated in hospital emergency rooms for bicycle-related injuries. Nearly half (47 percent) of children ages 14 and under hospitalized for bicycle-related injuries are diagnosed with a traumatic brain injury.

      • In 2001, children ages 14 and under accounted for 36 percent of bicyclists injured in motor vehicle crashes. It is estimated that collisions with motor vehicles account for nearly 90 percent of all bicycle-related deaths and 10 percent of all nonfatal bicycle-related injuries

      • More than 40 percent of all bicycle-related deaths due to head injuries and approximately three-fourths of all bicycle-related head injuries occue among children ages 14 and under.

      • Children can be seriously hurt from colliding with handlebars during a fall, even in low speed bike crashes. One national study of seriously injured bicyclists found that handlebar impacts accounted for 22 percent of injuries among nonhead-injured children. Improper bicycle sizing may predispose a child to falling and expose more of his trunk to the handlebar.

      When and Where Bicycle Deaths and Injuries Occur

      • Children are more likely to die from motor vehicle-related bicycle crashes at nonintersection locations (74 percent), during the months of April through October (81 percent) and between 3 p.m. and 7 p.m. (55 percent).

      • Nearly 60 percent of all childhood bicycle-related deaths occur on minor roads.The typical bicycle/motor vehicle crash occurs within 1 mile of the bicyclist’s home.

      • Children ages 4 and under are more likely to be injured in nonstreet locations around the home (e.g., driveway, garage, yard) than are children ages 5 to 14.

      • Children ages 14 and under are nearly four times more likely to be injured riding in non-daylight hours (e.g., at dawn, dusk or night) than during the daytime.

      • Among children ages 14 and under, more than 80 percent of bicycle-related fatalities are associated with the bicyclist’s behavior, including riding into a street without stopping, turning left or swerving into traffic that is coming from behind, running a stop sign, and riding against the flow of traffic.

      Who is at Risk

      • Riding without a bicycle helmet significantly increases the risk of sustaining a head injury in the event of a crash. Nonhelmeted riders are 14 times more likely to be involved in a fatal crash than helmeted riders.

      • Children ages 10 to 14 are at greater risk for traumatic brain injury from a bicycle-related crash compared with younger children, most likely because helmet use declines as children age. Helmet use is lowest (for all ages) among children ages 11 to 14 (11 percent).

      • Correct fit and proper positioning are essential to the effectiveness of bike helmets at reducing injury. One study found that children whose helmets fit poorly are at twice the risk of head injury in a crash compared with children whose helmet fit is excellentIn addition, children who wear their helmets tipped back on their heads have a 52 percent greater risk of head injury than those who wear their helmets centered on their heads.

      • Children ages 14 and under are five times more likely to be injured in a bicycle-related crash than older riders.

      • Males account for 82 percent of bicycle-related deaths and 70 percent of nonfatal injuries among children ages 14 and under.Children ages 10 to 14, especially males, have the highest death rate of all ages from bicycle-related head injury.

      Bicycle Helmet Effectiveness

      • Bicycle helmets have been shown to reduce the risk of head injury by as much as 85 percent and the risk of brain injury by as much as 88 percent.Bicycle helmets have also been shown to offer substantial protection to the forehead and midface.

      • It is estimated that 75 percent of bicycle-related fatalities among children could be prevented with a bicycle helmet.

      • Universal use of bicycle helmets by children ages 4 to 15 could prevent between 135 and 155 deaths, between 39,000 and 45,000 head injuries, and between 18,000 and 55,000 scalp and face injuries annually.

      • Child helmet ownership and use increases with the parent’s income and education level, yet decreases with the child’s age. Children are more likely to wear a bicycle helmet if riding with others (peers or adults) who are also wearing one.In a national survey of children ages 8 to 12, 53 percent reported that a parental rule for helmet use would persuade them to wear a helmet, and 49 percent would wear a helmet if a state or community law required it.

      Bicycle Helmet Laws and Regulations

      • Currently, 21 states, the District of Columbia and numerous localities have enacted some form of bicycle helmet legislation, most of which cover only young riders.At least five states now require children to wear a helmet while participating in other wheeled sports (e.g., for scooters, inline skates, skateboards).

      • Various studies have shown bicycle helmet legislation to be effective at increasing bicycle helmet use and reducing bicycle-related death and injury among children covered under the law.One example shows that in the five years following the passage of a state mandatory bicycle helmet law for children ages 13 and under, bicycle-related fatalities decreased by 60 percent. Police enforcement increases the effectiveness of these laws.

      • One recent study reported that the rate of bicycle helmet use by children ages 14 and under was 58 percent greater in a county with a fully comprehensive bike helmet law than in a similar county with a less comprehensive law.

      Health Care Costs and Savings

      • The total annual cost of traffic-related bicyclist death and injury among children ages 14 and under is more than $2.2 billion.

      • Every dollar spent on a bike helmet saves society $30 in direct medical costs and other costs to society.

      • If 85 percent of all child cyclists wore bicycle helmets in one year, the lifetime medical cost savings could total between $109 million and $142 million.

      • A review of hospital discharge data in Washington state found that treatment for nonfatal bicycle injuries among children ages 14 and under costs more than $113 million each year, an average of $218,000 per injured child.





    Stats from two Medical Journal Articles

    This link is to the medical journal article describing the Thompson and Rivara studies documenting the effectiveness of bicycle helmets. There are references at the bottom to other medical journal articles. This article is the authoritative source most often quoted on the potential for injury reduction by wearing a helmet. It is also scorned by opponents of helmet laws. Judge for yourself.

    This link is to the abstract of a second study by the same authors with somewhat different numbers for the effect of helmets in preventing head and facial injuries, last reviewed and updated in 1999.




    Stats from the Journal of Injury Prevention

    State level estimates of the incidence and economic burden of head injuries stemming from non-universal use of bicycle helmets, by J Schulman, J Sacks and G Provenzano

    "Approximately 107,000 bicycle-related head injuries could have been prevented in 1997 in the United States. These preventable injuries and deaths represent an estimated $81 million in direct and $2.3 billion in indirect health costs. Estimates range from 200 preventable bicycle-related head injuries and $3 million in health costs in Wyoming (population 480 000) to 13 700 preventable bicycle-related head injuries and $320 million in health costs in California (population 32.3 million)." (There are numbers for other states as well, but you have to buy the article for them.)




    Fatality Statistics for School Children
    From the FARS Database, USDOT

    School-Aged Children (5-18) Killed in Traffic Crashes During the School Year September 1, 1997 to June 15, 1998 Data from the Fatality Analysis Reporting System (FARS) U.S. Department of Transportation

    School-aged Pedalcyclists killed between the hours of 6:00 AM to 8:59 AM and 2:00 PM to 4:59 PM

    
    
    Alabama        0       Montana         0
    Alaska         1       Nebraska        1
    Arizona        3       Nevada          1
    Arkansas       1       New Hampshire   0
    California     5       New Jersey      0
    Colorado       0       New Mexico      0
    Connecticut    0       New York        1
    Dist. of Col.  0       North Carolina  0
    Florida        3       North Dakota    0
    Georgia        2       Ohio            2
    Hawaii         0       Oklahoma        0
    Idaho          0       Oregon          1
    Illinois       3       Pennsylvania    1
    Indiana        0       Rhode Island    0
    Iowa           0       South Carolina  2
    Kansas         0       South Dakota    0
    Kentucky       2       Tennessee       1
    Louisiana      0       Texas           1
    Maine          1       Utah            0
    Maryland       2       Vermont         0
    Massachusetts  0       Virginia        0
    Michigan       5       Washington      3
    Minnesota      0       West Virginia   1
    Missouri       1       Wisconsin       0
                           Wyoming         0
    
                                   Total: 44 
    
    






    A note from the University of California at Berkeley Wellness Letter of Dec 97:

    "It's estimated that 96 % of cyclists killed in 1996 were not wearing helmets."




    Stats from a manual detailing crash types

    Here is a link to Carol Tan's Manual of Crash Types detailing the situations where bicyclists and pedestrians are most likely to be injured.






    Stats from Canada's Child Safety Link

    Each year, more than 500 Canadian children are hospitalized for head injuries from bike crashes alone. Nearly 30 children die each year from these injuries. There is more on the Child Safety Link Web page.






    Statistics from Transport Canada

    Most Canadian deaths were unhelmeted riders

    Transport Canada statistics show that 88 per cent of the 80 cyclists who died nationwide in 2001 were not wearing helmets.






    Stats from a 2003 Swedish literature search

    Sweden has conducted an international literature search, summarized in this study published in 2003. (See page four for the English abstract.) They found that helmet laws can achieve level of usage not achieved by education alone, that helmet laws reduce head injuries, and that helmet laws can result in a reduction of cycling by young people. We have the abstract up on our site if you can't deal with the .pdf file.






    Stats from an Aussie study of helmet use and injuries

    Here is a study from Western Australia that shows that helmet use has reduced the incidence and severity of head injuries there. It is based on hospital data, and shows that the number of closed head injuries was cut in half with increased helmet use over time, though other injuries did not change significantly in number. The head injuries were less serious, and hospital stays were shorter.






    Stats from an article published in Pediatrics 2002; 110(5):e60.

    In Canada, the bicycle-related head injury rate declined significantly (45% reduction) in provinces where legislation had been adopted compared with provinces and territories that did not adopt legislation (27% reduction).






    Statistics from the abstract of an article from JAMA, the Journal of the American Medical Association:


    Bicycle Associated Head Injuries and Deaths in the United States From 1984 Through 1988: How Many Are Preventable?

    Jeffrey J. Sacks, MD, MPH; Patricia Holmgreen, MS; Suzanne M. Smith, MD; Daniel M Sosin, MD


    Objective. -To estimate the potential benefits from more widespread bicycle safety helmet use.

    Design.-Review of death certificates and emergency department injury data for 1984 through 1988. Categorization of deaths and injuries as related to bicycling and head injury. Using relative risks of 3.85 and 6.67 derived from a case-control study and varying helmet usage from 10 per cent to 100 per cent, population attributable risk was calculated to estimate preventable deaths and injuries.

    Setting.-Entire United States.

    Main Outcome Measures. -Numbers of US residents coded as dying from bicycle related head injuries, numbers of persons presenting to emergency departments for bicycle-related head injuries, and numbers of attributable bicycle related deaths and head injuries.

    Main Results. - From 1984 through 1988, bicycling accounted for 2985 head injury deaths (62 per cent of all bicycling deaths) and 905,752 head injuries (32 per cent of persons with bicycling injuries treated at an emergency department). Forty-one percent of head injury deaths and 76 per cent of head injuries occurred among children less than 15 years of age. Universal use of helmets by all bicyclists could have prevented as many as 2500 deaths and 757,000 head injuries, i.e., one death every day and one head injury every 4 minutes.

    Conclusions.-Effective community-based education programs and legislated approaches for increasing bicycle safety helmet usage have been developed and await only the resources and commitment to reduce these unnecessary deaths and injuries.

    (JAMA, 1991;266:3016-3018)






    Statistics from the abstract of a widely-quoted article which appeared in the
    New England Journal of Medicine on May 25, 1989.


    A Case-Control Study of the Effectiveness of Bicycle Safety Helmets

    by Robert S. Thompson, MD, Frederick P. Rivara, MD, M.P.H., and Diane C. Thompson, MS Abstract

    Bicycling accidents cause many serious injuries and, in the United States, about 1300 deaths per year, mainly from head injuries. Safety helmets are widely recommended for cyclists. but convincing evidence of their effectiveness is lacking. Over one year we conducted a case-control study in which the case patients were 235 persons with head injuries received while bicycling, who sought emergency care at one of five hospitals. One control group consisted of 433 persons who received emergency care at the same hospitals for bicycling injuries not involving the head. A second control group consisted of 558 members of a large heath maintenance organization who had had bicycling accidents during the previous year.

    Seven percent of the case patients were wearing helmets at the time of their head injuries, as compared with 24 percent of the emergency room controls and 23 percent of the second control group. Of the 99 cyclists with serious brain injury only 4 percent wore helmets. In regression analyses to control for age, sex, income, education, cycling experience, and the severity of the accident, we found that riders with helmets had an 85 percent reduction in their risk of head injury (odds ratio, 0.15; 95 percent confidence interval, 0.07 to 0.29) and an 88 percent reduction in their risk of brain injury (odds ratio, 0.12; 95 percent confidence interval, 0.04 to 0.40).

    We conclude that bicycle safety helmets are highly effective in preventing head injury. Helmets are particularly important for children, since they suffer the majority of serious head injuries from bicycling accidents. (N Engl J. Med 1969;320:1361-7)






    Statistics from a study titled The Effect of Bicycle Helmet Legislation on Bicycling Fatalities by Darren Grant and Stephen M. Rutner.

    Abstract:
    "A number of states passed legislation in the 1990s requiring youths to wear helmets when riding bicycles. The effect of this legislation on bicycling fatalities is examined using data from the Fatality Analysis Reporting System. A panel analysis is used to account for unobservable, time-invariant factors that may correlate with the incidence of laws across states. A control-group methodology is used to control for time-varying unobservable factors that may correlate with the implementation of laws within states. Timing issues are also explored. A helmet law reduces fatalities by about 15% in the long run, less in the short run. There is no evidence of spillover effects (to adults) or substitution effects (youths choosing other methods of transportation) associated with implementation of a helmet law. Through 2000 existing helmet laws have saved 130 lives. If all states had adopted helmet laws in 1975, more than 1,500 lives would have been saved."






    Statistics from a publication of the U. S. Consumer Product Safety Commission.

    Bicycle Use and Hazard Patterns in the United States

    Note: We recommend caution in using these figures, since a number of people in the bicycle community questioned the validity of the survey techniques used for this study. - BHSI

    The exposure survey found that only 11.8 million (18 percent) of the entire population of about 67 million bicyclists wear helmets all or most of the time. Another 6 percent, representing about 4 million riders, reported that they wear helmets sometimes, but less than half of the time.

    The proportion of children under age 15 who wear helmets all or most of the time was about 15 percent. HF reports (in part IV) that the low usage rate for children may be partly related to peer pressure. Some studies show that children are not inclined to wear helmets if their social group disapproves of helmet use. However, helmet use in all age groups appears to be increasing. Just over half of the current users (53 percent) began wearing helmets in the last two years.

    And here is Michael Ravnitzky's article on how to get better statistics from CPSC.






    Usage Data from Actual Observation of Cyclists in Alaska

    "Our department initiated a project during the summer of 2000 to document the observed use of bike helmets in communities around Alaska. We needed to develop a statistical baseline of helmet use. The data is preliminary, but it looks to be a 35% use rate in larger places (Anchorage, Fairbanks, Juneau), about 17% in smaller cities, and almost non-existent in rural areas." Source: David Thomson, Health Program Manager, Community Health & EMS, Alaska Division of Public Health






    Usage Data from Actual Observation of Cyclists in Seattle

    "Here in Seattle our OBSERVED helmet use in 1998 was 60% for children, 37% for teens and 71% for adults. We use a formal sampling scheme to select observation sites and then count helmet use among the bicyclists riding by. These observations have been done almost yearly since 1985. We also have had a very effective multifaceted helmet campaign plus legislation in the area surrounding Seattle. Helmet use in Washington state is 56% for western WA and 33% for eastern WA where campaigns have not been as intense. Helmet use does vary by area, but at least here the numbers are good and improving slowly." Source: Diane Thompson, MS, Epidemiologist, Harborview Injury Prevention & Research Center, Seattle, WA. By email, April 23, 1999.






    Usage Data from Actual Observation of Cyclists in Duval County, Florida

    The Duval County Health Department estimates that "for every bike injury prevention intervention dollar ($1) spent in Jacksonville, FL an estimated $23.46 is saved in medical costs, public programs, property damage, future earnings and quality of life by our residents.

    2000 Duval County Helmet Usage Rate:

    • Under 5 years old: 100%
    • 5 to 10: 74.3%
    • 11 to 13: 31.1%
    • 14 to 17: 0%
    • 18 to 30: 25.4%
    • Over 30: 30.2%

    2001 Duval County Helmet Usage Rate:

    • Under 10 years old: 64.7%
    • 11 to 13: 17.9%
    • 14 to 29: 35.4%
    • Over 30: 26.6%

    Observed usage rates in two cities in Broward County:

    • Ft. Lauderdale: 25%
    • Hollywood: 15%

    Duval County Bicycle Fatality Rates

    Per 100,000 riders

      1995: 0.97
      1996:0.69
      1997:0.67
      1998:0.41
    Conclusion: 58% reduction since the Duval County bike safety program geared up.






    Usage Data from Actual Observation of Cyclists in Hawai'i


    Helmet Use in Hawai'i

    Source: Hawai'i Dept of Transportation

    This study was based on observations at 136 sites on the islands of O'ahu, Maui, Kaua'i and the Big Island.

      1997: 26 per cent
      1998: 36
      1999: 19
      2000: 22
      2001: 25
      2002: 20



    BHSI note: we do not know why the variations are so large from year to year.




    Usage Rate Statistics from The National Survey of Children's Health

    Use this page to begin and search for "Helmets" either by State or by National level. The results seem unrealistically high to us. Children 6 to 17 years old wearing helmets Always (38%) or Usually (15%) would total to 53% usually in helmets. The state breakdowns seem to track those numbers. In the subgroup breakdowns the high income group are reported as "Always" wearing helmets 48% of the time, with the lowest income group at 32%. Nationwide the 6 to 11 year old group are reported wearing helmets usually plus always as 63%. No observational studies we have seen indicate that the numbers would be that high.





    Economic Statistics from the Children's Safety Network



    BICYCLE HELMETS SAVE MEDICAL COSTS FOR CHILDREN

    Annually, 196 children younger than age 15 die from bicycle-related injuries. Approximately 8,900 additional children were hospitalized for bicycle-related injuries, and another 344,000 were treated and released in emergency departments. Bicycle helmets prevent 52 to 60 percent of bike-related head injury deaths (for all ages), as well as an estimated 68 to 85 percent of nonfatal head and scalp injuries, and 65 percent of upper and middle face injuries, even when misuse is considered. Thus, bicycle helmets significantly reduce the total medical costs for bike-related head injuries.

    A. Costs Saved

    • Every $10 bike helmet generates $570 in benefits to society. (Although the retail cost of bicycle helmets typically range from $10 to $70, nonprofit organizations can buy them in bulk for as little as $7 and distribute them nearly at cost.)
    • These savings include $50 in medical costs, $140 in future earnings and other tangible resources, and $380 in quality of life costs.
    • For each child bicycle helmet law that is passed, it costs $11 per new user and generates $570 in benefits to society.
    • If 85 percent of all child cyclists wore helmets in 1 year, the lifetime medical cost savings would total $197 to $256 million.
    • It is very expensive to treat a child with a bike-related head injury. These medical costs may sometimes last the child's lifetime. For example, in 1991, bicycle crashes to children ages 4 to 15 caused 52,000 nonfatal head injuries and 93,000 nonfatal face scalp injuries. Lifetime medical payments for these injuries will approach $394 million.
    • 2,200 of the children who sustain these head injuries will suffer permanent disabilities that will affect their ability to work. Universal bicycle helmet use by children aged 4 to 15 would prevent 1,200 to 1,700 of these permanently disabling injuries.
    • Every bicycle helmet saves health insurers $57 and auto insurers $17.
    • These cost savings estimates may be conservative, as they ignore other significant benefits. For example:
      • Parents will spend less time and money caring for injured children.
      • Lawyers will file fewer lawsuits seeking compensation for child cyclists' injuries.

    B. LIVES SAVED AND INJURIES PREVENTED

    • Universal bike helmet use by children aged 0 to 14 would prevent 212 to 294 deaths annually.
    • Universal bike helmet use by children aged 0 to 14 would prevent 382,000 to 529,000 bicycle-related injuries annually.

    C. BICYCLE HELMET USE

    • Helmet use among children aged 14 and younger is approximately 15 percent nationwide.
    • Parents report that 85 percent of children who own bicycle helmets wear them. The usage rate does not vary by income.
    Note: All costs are in 2004 dollars and were computed using the methodology outlined by Miller, Romano, and Spicer. Numbers may not correspond to totals due to rounding.

    These numbers are from Childhood Injury Costs & Prevention Facts
    Children's Safety Network Economics and Data Analysis Resource Center
    (www.edarc.org) Phone: 301-755-2728 E-mail: sheppard@pire.org
    Pacific Institute for Research and Evaluation
    11720 Beltsville Drive, Suite 900, Calverton, MD 20705 Rev: 10/05






    Statistics from Scott Osberg

    I just got back from 3 weeks of counting bicycle helmets in Boston's Back Bay. I replicated my 1996-97 observations and preliminary analyses indicate helmet use is holding steady at around 31-35 percent. Considering the huge medical and public health communities in Boston and the affluence of Back Bay where I collected the data, one would certainly expect helmet use among riders there to exceed any national average.






    Statistics from the US Department of Transportation
    National Highway Traffic Safety Administration.

    Here is NHTSA's latest on bicycle deaths and injuries, published in early 2006.

    Some highlights:

    Pedal cyclist deaths 1994 to 2005

    1994	802
    1995	833
    1996	765
    1997	814
    1998	760
    1999	754
    2000	693
    2001	732
    2002	665
    2003	629
    2004	727
    2005    784
    
    
    • Pedalcyclist fatalities occurred more frequently in urban areas (66%), at nonintersection locations (67%), between the hours of 5 p.m. and 9 p.m. (30%), and during the months of June, July, and August (36%).

    • In 1994, the average age of pedalcyclists killed in traffic crashes was 28.9; in 2004 the average age of those killed was 38.7, and the average age of those injured was 28.6.

    • Pedalcyclists under age 16 accounted for 21 percent of all pedalcyclists killed and 32 percent of those injured in traffic crashes in 2004. In comparison, pedalcyclists under age 16 accounted for 37 percent of all those killed in 1994.

    • Pedalcyclists age 25 and older have made up an increasing proportion of all pedalcyclist deaths since 1994. The proportion of pedalcyclist fatalities age 25 to 64 was 1.4 times higher in 2004 than in 1994 (56% and 41%, respectively).

    • Nearly one-fifth (19%) of the pedalcyclists killed in traffic crashes in 2004 were between the ages of 5 and 15. The pedalcyclist fatality rate for this age group in 2004 was 3.1 per million population - about 24 percent higher than the rate for all pedalcyclists (2.5 per million population). The injury rate for this age group was 286 per million population, compared with 140 per million population for pedalcyclists of all ages.

    • Alcohol involvement - either for the driver or the pedalcyclist - was reported in more than one-third of the traffic crashes that resulted in pedalcyclist fatalities in 2004. In 28 percent of the crashes, either the driver or the cyclist was reported to have a blood alcohol concentration (BAC) of .08 grams per deciliter (g/dL) or higher. Lower alcohol levels (BAC .01 to .07 g/dL) were reported in an additional 6 percent. Nearly one-fourth (24%) of the pedalcyclists killed had a BAC of .01 g/dL or higher, and one-fifth (20%) had a BAC of .08 g/dL or higher.

    • Most of the pedalcyclists killed or injured in 2004 were males (87% and 76%, respectively), and most were between the ages of 5 and 44 (58%and 78%, respectively).

    • In 2004, the pedalcyclist fatality rate per capita was almost 7 times as high for males as for females, and the injury rate per capita was more than 3 times as high for males as for females.
    Pedalcyclist Traffic Fatalities and
    Fatality Rates by State, 2004


    State Deaths Deaths per
    Million Population
    Alabama61.32
    Alaska23.05
    Arizona274.70
    Arkansas31.09
    California1103.06
    Colorado112.39
    Connecticut51.43
    Delaware33.61
    DC35.42
    Florida1227.01
    Georgia202.27
    Hawaii75.54
    Idaho32.15
    Illinois251.97
    Indiana132.08
    Iowa72.37
    Kansas31.10
    Kentucky71.69
    Louisiana122.66
    Maine10.76
    Maryland12 2.16
    Massachusetts111.71
    Michigan212.08
    Minnesota101.96
    Mississippi41.38
    Missouri30.52
    Montana22.16
    Nebraska10.57
    Nevada146.00
    New Hampshire10.77
    New Jersey161.84
    New Mexico42.10
    New York402.08
    North Carolina252.93
    North Dakota23.15
    Ohio191.66
    Oklahoma61.70
    Oregon92.50
    Pennsylvania141.13
    Rhode Island00
    South Carolina225.24
    South Dakota11.30
    Tennessee71.19
    Texas492.18
    Utah62.51
    Vermont11.61
    Virginia101.34
    Washington71.13
    West Virginia42.20
    Wisconsin142.54
    Wyoming00
    U.S. Total7252.47
    Puerto Rico153.85


    There is lots detail and more charts in the NHTSA document.




    Statistics from a publication of the Centers for Disease Control.


    Injury Mortality

    National Summary of Injury Mortality Data
    1986-1992

    Data Source:
    National Center for Health Statistics, Vital Statistics


    Produced by
    Office of Statistics, Programming, and Graphics
    National Center for Injury Prevention and Control
    4770 Buford Highway - K59
    Atlanta, GA 30341
    (Contact: Steve James 404-488-4656)

    U.S. Department of Health and Human Services
    Public Health Service
    Centers for Disease Control and Prevention (CDC)
    February 1995


    Introduction

    The National Summary of Injury Mortality Data provides tabulations of the total numbers of deaths and the mortality rates per 100,000 population for major and other selected external causes of death from injury, by race, sex, and age groupings. There are two sets of tables. The first set presents national data on injury mortality for 1986 through 1992 and will allow the user to assess short-term trends in numbers of deaths and mortality rates. The second set of tables summarizes national and state data for 1992 on the eight major causes of Injury mortality. The state tables provide a means of comparing the relative magnitude of deaths from these major causes within and across states.

    The numbers of deaths by external cause of injury (International Classification of Disease-9th Revision, E-Godes [1]) are from the annual mortality data tapes of the National Center for Health Statistics (NCHS), Centers for Disease Control and Prevention. We used population data from the U.S. Bureau of the Census to calculate death rates for 1985 through 1990. Intercensal population estimates were used for 1985 through 1989 and decennial census population counts for 1990. For 1991 and 1992, we used Demo-Detail postcensal population estimates. (For information about the postcensal population estimates, contact Richard Irwin, Director, Demo-Detail, 2303 Apple Hill Road, Alexandria, VA 22308, Phone No. 703-780-9563.)

    We computed age-adjusted rates by the direct method and standardized to the total U.S. population as enumerated in 1940. This method and the standard year of 1940 were used to be consistent with data reported by NCHS and with data being tracked for the year 2000 objectives of the U.S. Public Health Service (2). Our age-adjusted death rates may differ slightly from those of NCHS because we used 5-year age categories, as presented in our tables, for calculations and NCHS used 10-year age groups (3).

    For the convenience of the user, we have provided mortality rates for each of the race-sex-age groupings In which one or more deaths occurred. (Note: They did, but we did not! See phone number below for more tables. - BHSI) However, because NCHS considers rates based on 20 or fewer deaths to be statistically unreliable, such rates should be regarded with caution. For further details on this and other statistical issues, please refer to the Advance Report of Final Mortality Statistics, 1992 (3). (To obtain a copy of this report, contact NCHS at 301-436-8500).


    Pedal Cyclist Deaths and Rates per 100.000

    For Years 1988-1992
    All Races / Both sexes

    
    
    AGE        1988       1989       1990        1991       1992
    YRS      No. Rate   No. Rate   No. Rate   No. Rate   No. Rate
    
    0-4     18  .10    17  .09    18  .10    14  .07    10  .05
    5-9    157  .88   129  .72   104  .58   106  .58    99  .54
    10-14  186 1.13   180 1.07   149  .87   161  .91   151  .83
    15-19  136  .73   114  .63   124  .69    80  .47    68  .40
    20-24   86  .44    68  .35    65  .34    79  .41    48  .25
    25-29   69  .32    69  .32   100  .47    60  .29    50  .25
    30-34   58  .27    68  .31    63  .29    71  .32    59  .26
    35-39   52  .27    44  .23    67  .34    74  .36    58  .27
    40-44   33  .20    38  .22    45  .26    39  .21    42  .22
    45-49   29  .22    23  .17    37  .27    49  .35    41  .27
    50-54   19  .17    19  .17    23  .20    33  .28    26  .22
    55-59   19  .18    21  .20    19  .18    26  .25    32  .31
    60-64   16  .15    17  .16    26  .24    25  .24    19  .18
    65-69   19  .19    12  .12    27  .27    28  .28    23  .23
    70-74   22  .28    17  .22    17  .21    22  .27    16  .19
    75-79   16  .27    19  .32    16  .26    19  .30    13  .20
    80-84    5  .14    12  .31     9  .23    11  .27    14  .34
    85+      7  .24     3  .10     7  .23     3  .10     8  .25
    UNK AGE  2          0          1          3          0
    
    TOTAL* 949   .39  870  .35   917  .37   903  .36   777  .30
    AgeAdj**     .42       .38        .39        .38        .32
    
    
    Below is the same data broken down by sex. Guess who has the problem!

    All Races / Males

    
    AGE       1988        1989        1990        1991       1992
    YRS     No. Rate    No. Rate    No. Rate    No. Rate   No. Rate
    
     0-4     12  .13     12  .13     12  .13     11  .11     7  .07
     5-9    128 1.41    105 1.14     81  .88     81  .87    83  .88
    10-14   157 1.86    151 1.75    131 1.50    133 1.47   131 1.41
    15-19   124 1.31    104 1.12     11 1.23     71  .81    61  .70
    20-24    75  .75     61  .62     58  .60     64  .66    43  .44
    25-29    60  .55     56  .52     85  .79     52  .50    48  .47
    30-34    47  .44     60  .56     56  .52     65  .59    55  .50
    35-39    46  .49     37  .38     58  .59     66  .65    49  .47
    40-44    28  .35     30  .36     37  .43     31  .33    38  .41
    45-49    24  .38     21  .32     30  .45     45  .65    35  .46
    50-54    15  .28     18  .33     20  .36     33  .58    23  .39
    55-59    13  .25     15  .30     18  .36     25  .50    30  .60
    60-64    15  .30     16  .32     22  .44     23  .46    18  .37
    65-69    18  .41      9  .20     24  .53     23  .51    20  .45
    70-74    22  .66     16  .48     13  .38     21  .59    14  .38
    75-79    13  .57     17  .72     13  .54     15  .60    12  .47
    80-84     5  .39     11  .83      8  .59     10  .71    12  .82
    85+       7  .87      1  .12      6  .71      3  .34     8  .88
    UNK AGE   2           0           1           3          0
    T0TAL*  811  .68    740  .62    786  .65    775  .63   687  .55
    AGEADJ**     .72         .65         .68         .65        .57
    
    
    Below is the same data broken down by sex. Guess who has the problem!

    All Races / Females

    
    AGE       1988        1989        1990        1991        1992
    YRS     No. Rate    No. Rate    No. Rate    No. Rate    No. Rate
    
     0-4      6  .07      5  .06      6  .07      3  .03      3  .03
     5-9     29  .33     24  .27     23  .26     25  .28     16  .18
    10-14    29  .36     29  .35     18  .22     28  .32     20  .23
    15-19    12  .13     10  .11     11  .13      9  .11      7  .08
    20-24    11  .11      7  .07      7  .07     15  .16      5  .05
    25-29     9  .08     13  .12     15  .14      8  .08      2  .02
    30-34    11  .10      8  .07      7  .06      6  .05      4  .04
    35-39     6  .06      7  .07      9  .09      8  .08      9  .08
    40-44     5  .06      8  .09      8  .09      8  .08      4  .04
    45-49     5  .08      2  .03      7  .10      4  .06      6  .08
    50-54     4  .07      1  .02      3  .05      0  .00      3  .05
    55-59     6  .11      6  .11      1  .02      1  .02      2  .04
    60-64     1  .02      1  .02      4  .07      2  .04      1  .02
    65-69     1  .02      3  .05      3  .05      5  .09      3  .05
    70-74     0  .00      1  .02      4  .09      1  .02      2  .04
    75-79     3  .08      2  .05      3  .08      4  .11      1  .03
    80-84     0  .00      1  .04      1  .04      1  .04      2  .07
    85+       0  .00      2  .09      1  .05      0  .00      0  .00
    UNK AGE   0           0           0           0           0
    TOTAL*  138  .11    130  .10    131  .10    128  .10     90  .07
    AGEADJ**     .13         .11         .11         .11         .08
    
    
    
        *Total number and crude rate include unknown age.

        **Age-adjusted rate excludes unknown age. Standard population is 1940 U.S. all races/both sexes.

        Data Sources, National Center for Health Statistics Mortality Data Tapes for number of deaths; U.S. Bureau of Census population estimates; intercensal data are used for 1984-1989 and decennial census data are used for 1990. Demo-Detail postcensal population estimates are used for 1991-92.






    Query the FARS Database

    The FARS Database is the Fatality Analysis Reporting System put up by NHTSA - DOT. You can construct your own query to generate data on fatalities (not injuries, just fatalities) in your state, by year, by time of day, by many other criteria. They have some Frequently Used Queries as examples.




    Statistics from the Centers for Disease Control, National Center for Injury Prevention and Control

    Bicycle Helmet Usage and Head Injury Prevention

    Here is a link to a query on bicycle related head injuries on the CDC server. There is meat there if you can find it. It turned up about 17,000 pages for us!




    Statistics from the Bicycle Helmet Safety Institute

    Mandatory Helmet Laws

    As of March 2, 2008 we know of 22 state laws (including the District of Columbia) requiring minors to wear helmets while bicycling, and more than 150 local ordinances, some of which cover all ages. Please check our page on mandatory helmet laws for more current info.




    Statistics from a journal article

    Motorcycle Helmet Laws

    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.




    Statistics from the Health Policy Tracking Service, National Conference of State Legislatures

    Mandatory Helmet Laws

    The National Conference of State Legislatures, has a more detailed chart, listing the states that do not have laws, but when last checked was out of date.




    Expensive Statistics from American Sports Data

    Comprehensive Study of Sports Injuries in the US

    The teaser for this study (the link above) indicates that in the US in 2002 there were 51.7 million bicycle riders and they had 3.8 million injuries. Basketball led the list with 5.3 million injuries, followed by football with 4.0 million. For injuries per 1000 participants, they rank cycling fourth with 7.3, below basketball with 13.2, football with 32.3 and in-line skating with 11.4. Their numbers include both emergency room visits and less serious injuries, which they say are five times more numerous than those requiring emergency room care. They will sell you the full study for about $500 to $600. The teaser is an interesting read.






    A translation of statistics from a publication of the French Consumer Safety Commission (Commission de la Securite des Consommateurs):


    Helmets for Cyclists

    • Bicycle accidents occur two times out of three to children under 15.
    • They occur mostly to boys (71% of the injured; 80% if you include 15 to 25 year olds)
    • Accidents are associated with sports or leisure activities, close to home for the youngest group. Use of the bicycle for transportation is also responsible for a large number of accidents, and of those a large number of victims are over 65.
    • Falls represent 90 per cent of the causes of the accidents.
    • The head is hit in 38 per cent of the accidents. This figure rises to 55 per cent for infants of 1 to 5 years and 48 per cent for those of 5 to 10 years.
    • Contusions are the most important lesions in bicycle accidents (40 per cent of the cases). The rate of fractures is equally large among children of 10 to 15 years of age and those over 65.
    • The rate of hospitalization is high (18 per cent of the accidents). This figure rises to 30 per cent of the people from 45 to 64 years old and 40 per cent of those over 65.






    Statistics from a Johns Hopkins U. study published in the Journal of the American Medical Association in February, 2001:


    Bicyclists and Alcohol

    • One drink increases a bicyclist's probability of serious injury or death by a factor of six.

    • Four or five drinks increases the probability by a factor of 20.

    • One third of bicycle fatalities have elevated blood alcohol levels.

    (We have a page up on Bicycles and Alcohol.)






    Statistics promised by the National Bicycle Dealers Association:

    A Look At Some Of The Bicycle Industry's Vital Statistics

    The U.S. bicycle industry is approximately a $6 billion per year industry, counting the retail value of bicycles, related parts, and accessories through all channels of distribution, according to the National Bicycle Dealers Association. Bicycle sales for the U.S., including both the dealer and mass merchant channels are as follows:

    
    Year   Million Bicycles Sold (* indicates projections)
    
              20 inch wheels     All wheel
                and above         sizes
    
    2005        14.0*              19.8*
    2004        13.0*              18.3*
    2003        12.9*              18.5*
    2002        13.6*              19.5*
    2001        11.3*              16.7*
    2000        11.9*              20.9*
    1999        11.6*              17.5*
    1998        11.1*              15.8*
    1997        11.0*              15.2*
    1996        10.9               15.4
    1995        12.0               16.1
    1994        12.5               16.7
    1993        13.0               16.8
    1992        11.6               15.3
    1991        11.6
    1990        10.8
    1989        10.7
    1988         9.9
    1987        12.6
    1986        12.3
    1985        11.4
    1984        10.1
    1983         9.0
    1982         6.8
    1981         8.9
    1980         9.0
    1979        10.8
    1978         9.4
    ...
    1973        15.2 (record high year)
    

    Source: Bicycle Manufacturers Association

    Bicycles and related products appeal primarily to a recreation market in the United States, though there is an influential and growing number of people using bicycles for transportation.

    Bicycle usage is at an all-time high, with over 100 million U.S. bicycle owners, a figure which has grown substantially each year since 1983, according to the Bicycle Institute of America. Of that 100 million, 55 million were adults (age 16 and up), while 45 million were children. 31 million adults rode regularly, defined as at least once a week. There were about 4.9 million bicycle commuters, 250,000 bicycle racers, 25 million mountain bike/hybrid riders, 1.7 million bicycle tourers, and 3.8 million participants in recreational bicycle events.






    Statistics from Bicycle Retailer and Industry News:


    How Many Cyclists are there in the US?

    (As reported May 15, 2007)

    BRIN reported stats from the Outdoor Industry Association showing that 60 million people in the US participate in cycling. Their data was gathered from a telephone survey. The National Sporting Goods Association used a panel reporting by mail to determine that 35.6 million Americans rode a bike six or more times in the 2006, a decline of 13.3 percent from 2005. The decline was largely attributed to youth using other types of wheels including scooters, skateboards and wheeled footwear. The NSGA's numbers showed a peak in 1995 of 56 million participants, with annual declines since then. At one time BRIN had the complete article on line, but we can't find it any more.



    Statistics from American Bicyclist:


    Some Bike Shops Still Do Not Carry Helmets

    (As reported in American Bicyclist in August, 1995)

    Ninety-three percent of bike shops carry helmets. Two percent plan to add them in the coming year. American Bicyclist asks if that can mean that one bike shop in 20 still does not carry helmets.

    Source: American Bicyclist research by Readex.






    Statistics from the July 8, 1995, Capital Times of Madison, Wisconsin


    Madison Streets may be Safer

    • 86 percent of bike accidents involved an automobile or truck. Only 11 percent involved a bike only and 3 percent a bike and pedestrian.
    • The most common reason for an accident? Motorists failing to yield the right of way to a bike caused 42 percent of accidents. Another 39 percent occurred because cars were making a turn and didn't notice a bike.
    • Car drivers were issued traffic citations in 18 percent of accidents. Bike riders were issued tickets in just 2 percent,
    • Bikes running stop signs or traffic signals resulted in just 1.7 percent of injury accidents. (This is a favorite statistic of mine because motorists continually complain about bikes running through stop signs. Drivers should realize that it's easier for bikes to check traffic while they are rolling through a stop sign than come to a complete stop. This rolling stop practice actually helps keep traffic moving.)
    • Weather may be a factor. The pavement was wet in 12 percent of bike crashes.
    • Booze is sometimes a factor. Bicyclists were noted as drinking in 7 percent of car-bike crashes. Only 3 percent of drivers had been drinking.
    • Helmets may be reducing the number of deaths. There has been only one bicycling fatality on Madison streets since 1989. That death came last year when a 31-year-old man crashed at the comer of Gilman and Butler streets. He was not wearing a helmet.






    Statistics from Failure Analysis Associates


    Injuries Associated with Example Items in 1989

    (Chart copyright 1995 by FaAA, repeated here because it is hard to read on their Web page.)

    
    
          Product         Number of Injuries
    
    
       Motor Vehicles                          1,744,903
       Stairs, Steps, Ramps and Landings         854,500
       Bicycles and accessories                  514,700
       Beds                                      299,200
       Household Chemicals and Cleaning Products  65,900
       Doors (Not Glass)                          46,200
       Pens and Pencils                           29,900
       Money                                      28,700
       First Aid Equipment                        27,300
       Toothpicks                                  5,500
       Combs or Hairbrushes                        3,700
    
    
    Note: Emergency room treated injuries projected 
    from Consumer Product Safety Commission data...
    (rest is obscured on their page).
    
    
    

    And more estimates from the same source:

    Estimate of Fatal Risk by Activity

    
    
    
      Activity            # Fatalities per 1,000,000 
                              exposure hours
    ------------------------------------------------
      Skydiving                             128.71
      General Aviation                       15.58
      On-road Motorcycling                    8.80
      Scuba Diving                            1.98
      Living (all causes of death)            1.53
      Swimming                                1.07
      Snowmobiling                             .88
      Passenger cars                           .47
      Water skiing                             .28
      Bicycling                                .26
      Flying (scheduled domestic airlines)     .15
      Hunting                                  .08
      Cosmic Radiation from 
               transcontinental flights        .035
      Home Living (active)                     .027
      Traveling in a School Bus                .022
      Passenger Car Post-collision fire        .017
      Home Living, active & passive (sleeping) .014
      Residential Fire                         .003
    
    
    
    Data compiled by Failure Analysis Associates, Inc. (see Design News, 10-4-93)






    Market Guesses





    Statistics from various sources gathered
    by the Bicycle Helmet Safety Institute


    How Many Helmets are Sold Each Year?

    (Updated November, 2006. Nothing new since)


    We have asked many manufacturers if they had a good estimate of how many helmets are sold in the US market each year. If they do have that info, they are not sharing it. So we are reduced to reporting rumor and speculation on this subject. The best guesses we have found are in the 12 to 15 million helmets per year range. The bulk of those would be mass merchant sales, rather than the helmets sold in bike shops. We noted a small price increase in advertised mass merchant sales prices in our area after 2000, ending in mid-2004 when Wal-Mart began marketing a helmet for $7.14, and others followed. (Here is a collage of recent Sunday newspaper ads from our area.) In the May 1, 2002 issue of Bicycle Retailer and Industry News, reporter Matt Wiebe says that helmet sales in the US for 2001 totaled $150 million. He does not attribute that estimate, but in the next paragraph he does quote Bell Sports' President Bill Fry.

    One manufacturer who was willing to give us an estimate put the total world market for bicycle helmets at 25 to 30 million helmets per year. We have no idea whether or not that is correct.

    Bell Sports informed us that they manufactured more than four million bicycle helmets per year in the US in 2002-03 although they have some models made in Asia. They did not give us total sales.

    If you need very old market estimates for comparisons, back in 1990, Bell Helmets was good enough to share with us their market estimates for total industry sales of bicycle helmets for 1989-1990. We were grateful to have these numbers from Bell, since they were not available to us elsewhere, and still are not. Bell cautioned at the time that the usage rates, which they referred to in marketingspeak as Usage Penetration rates, were approximate.

    Industry-wide sales (millions)

    1989 1990
    US2.02.5
    World2.5 to 3.03.5 to 4.0


    Usage Rate (all bicyclists)

    1989 1990
    US5.2%6.3%
    World3.4%4.2%


    Usage Rate (regular bicyclists)

    1989 1990
    US20.4%23.1%
    World11.3%13.7%




    Below are some rare stats that a manufacturer actually published, but they date back to the mid-1990's and the manufacturer is no longer in business.



    Old Statistics from the Headstrong Group:


    How Many Helmets are Sold Each Year?


    From Headstrong Group (no longer in business--this is old stuff!)

    Market Share of Some Major Manufacturers:

    
    Manufacturer        1993       1994      Percent     1995 est.
    
    Bell Sports         3,000     4,000        40%       4,500
    
    Cycle Products      1,500     2,000        20        2,000
    
    Headstrong                    1,700        17        3,300
    
    Troxel              1,500     1,000        10        1,000
    
    Other               1,000     1,300        13        2,200
                        -----     -----       -----      -----
    
         Total          7,000    10,000       100       13,000
    
    
    Note: The brochure where this chart appears did not make it clear whether these estimates are for the U.S., North American or World helmet markets. It also does not say whether or not it includes the non-bicycle part of Headstrong's sales of baseball, equestrian, ski, snowboard and skating helmets. Source is cited as "Various industry reports and internal estimates." Whatever the accuracy of the figures, we are indebted to Headstrong Group as the only manufacturer to publicly publish their estimates.






    Statistics from the National Bicycle Dealer Association:


    How do dealers regard helmet brands?


    The NBDA has posted the results of a dealer survey rating helmet brands by consumer demand, availability, profitability, marketing support, etc. You can find it here on the NBDA site. The Consumer Demand rankings were Giro, Bell, Pro-tec, Specialized, Trek, Louis Garneau and Vigor. The dealers ranked the product lines in order Giro, Specialized, Bell, Louis Garneau, Vigor, Trek.






    Statistics from the Bicycle Market Research Institute:


    How Many Active American Cyclists are There?


    (As reported in Bicycle Retailer and Industry News on April 15, 1995)

    • There are 58.7 million Americans who are active cyclists.
    • Thirty percent of them live in California, New York and Illinois.
    • California accounts for 14.5 percent of the nation's riders and 18 percent of all its mountain bike riders.


    These numbers are much lower than others often cited, including those from the Bicycle Federation and the U.S. Consumer Product Safety Commission. We do not have the definition of "active cyclist" to confirm how the total was reached. This data is contained in a study titled BIKETRAC Bicycling Participation and Usage Study. For more information on purchasing this study you can contact BMRI at (617) 277-5660.






    Statistics from American Sports Data

    No Data Available!

    American Sports Data advertises a study for $395 that covers "Helmet Sports" nation-wide. We don't know what it contains, since we can't afford it. American Sports Data, Inc., 234 North Central Avenue, Hartsdale, NY 20530. 914-328-8877. asd@cloud9.com.






    Statistics from the National Sporting Goods Association:


    How Many Active American Cyclists are There?


    (As reported in Bicycle Retailer and Industry News on September 1, 1995)

    • Some 49.8 million Americans rode their bicycles in 1994.
    • That's an increase from 47.9 million in 1993
    • But it falls well short of the peak figure for 1989, which was 56.9 million.
    • Cycling placed third behind exercise walking and swimming.
    • As a percentage of state population, cycling is the number one sport in Colorado, Iowa and Oregon. In California, cycling placed behind backpacking, camping, hiking and table tennis.


    This study defines a bicyclist as someone over the age of 6 who has ridden at least six times during the year. The same participation was applied to walkers and swimmers. Campers, hikers and table tennis players required only one time.

    The NSGA will sell you a copy of the full survey for $275. You can call them at (708) 439-4000.






    Stats from Bell Sports' Bell Mile Marker, December 2005:

    "From a survey Bell conducted last year, we know that nearly 60% of kids don’t wear helmets when they ride bikes." Note: last year would have been 2004.






    Other Pages to Check




    This page was last revised on: August 20, 2008.

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