Martin Porter mentions a fun fact about helmet wearing:
Hans Voerknecht has been to a Velo-City conference in Vancover to explain why mandatory helmet laws are not such a great idea. One of his statistics is that In the Netherlands, where cycling is ubiquitous, 13.3 per cent of the cyclists admitted to hospitals with injuries wore helmets — even though just 0.5 per cent cent of Dutch cyclists wear helmets.
This statistic is both utterly useless and extremely important. It tells us nothing about whether helmets are effective, ineffective or dangerous, but it does brilliantly illustrate the fact that the helmets issue is far from being a simple “no brainer”, and hints at one of the major flaws in the scientific studies of helmet efficacy.
Martin speculates on the reason for the interesting 30 times higher rate of hospitalisation amongst helmet wearers:
Maybe tourists from Anglo Saxon nations wearing helmets are disproportionately represented in the hospital statistics. Maybe also those with helmets are perceived by motorists or perceive themselves to be less vulnerable.
In fact, it’s obvious who the helmet wearers are in the Netherlands.
Here’s a cyclist wearing a helmet:
while this bicycle user is helmet free:
These cyclists, ready for Saturday morning training, are wearing helmets, but the woman who has just passed them isn’t:
This cyclist is wearing a helmet:
This family out for a ride isn’t:
This cyclist is wearing a helmet:
This chap just has a cap:
This guy is wearing a helmet:
This one isn’t:
These cyclists are wearing helmets:
These folks aren’t:
These cyclists are wearing helmets:
And these aren’t:
Can you spot the difference? All of the helmeted cyclists are racing around, head down, feet firmly clamped to the pedals on fragile lightweight skinny tired bicycles — except for the one on a muddy knobbly tired mountainbike. Most of the helmet photos were taken at the weekend. Some of the others were too: a couple of gents leisurely touring the sand dunes in a nature reserve, and a family crossing Nesciobrug, perhaps off for a picnic in the country. But mostly they’re just people making everyday journeys: commuters in Amsterdam, shoppers in Utrecht, school kids in Houten. They’re on sturdy steady bicycles, rarely doing more than 15mph. Their environment is not completely without hazards, but even if things do go wrong, they’re extremely unlikely to find themselves hospitalised. The racers and mountainbikers, meanwhile, are far more likely to fall off or hit something, and at the sort of speeds where that breaks things.
The Dutch wear helmets — and get injured — when they’re doing sports. The Dutch don’t wear helmets when they’re using transport.
This is one of the major flaws in much of our research on helmets, and in much of the British approach to cycling. It fails to account for the differences between using a bicycle and participating in (extreme) sports.
Edited to add, in case it wasn’t clear — for I fear that too frequently in these posts I leave all of the background as taken, having been over it many times before — in the Netherlands these racers wearing helmets are the same people riding utility bikes without them. The folk who get dressed up in lycra and helmets to ride sports bikes at the weekend will, during the week, be riding a utility bike in normal clothes and no helmet, because that’s what the Dutch do. All of them. I mean, they don’t all do the racing, but they all have a utility bike. We don’t expect folk who enjoy a bit of rock climbing at the weekend to continue wearing their helmet all week, or people whose hobby is diving to keep the scuba tank on for the Monday morning commute.