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Decline in head injuries not due to helmet laws
Research that has looked at child bicycle-related injury rates (head and other)
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Skateboard law defeated in British Columbia
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The British Columbia helmet law came into effect from September 1996. It applies to all ages.
Exemptions apply to children under 12 years riding non-chain driven 3 or 4-wheeled cycles; users of pedicabs and quadricycles; and people exempt on religious or medical grounds (MVA, 1996). Exemption certificates have not always been forthcoming for qualifying applicants, but the court declined to impose a fine in one such case when a charge was brought.
The penalty for not wearing a helmet is CAD 25 plus CAD 4 victim of injury surcharge. For children under 16, the penalty acrues to the parents if aware of the offence.
There was an increase in the proportion of cyclists wearing a helmet between 1995 and 1999 as shown below (Foss and Beirness, 2000). British Columbia already had relatively high helmet wearing rates pre-law, so some of the increase to 1999 may have taken place without a law.
| Proportion of cyclists wearing helmets | 1995 pre-law | 1999, 3 years after law |
| Commuter cyclists | 60% | 75% |
| Recreational cyclists | 48% | 74% |
| Neighborhood cyclists | 39% | 72% |
| Community survey | 39% | 60% |
| Male | 44% | 68% |
| Female | 50% | 76% |
Anecdotal reports suggest that the law has been vigorously enforced in the City of Victoria and partially enforced in the City of Vancouver. In 2008 Vancouver police issued 1,823 no-helmet tickets. In 2009 the number was 2,838. In 2010 it was estimated that about 55-60% of cyclists in Vancouver wore helmets.
The percentage of child cyclists admitted to hospital with head injury pre and post law was as follows (Macpherson et al, 2002):
| 1994-95 | 1995-96 | 1996-97 | 1997-98 |
| 39.8% | 32.4% | 35.1% | 30.0% |
The largest improvement in head injury rates was pre-law. The law resulted in no improvement in % head injuries from a year before legislation (95/96) to a year after (97/98) compared with Canadian provinces that did not introduce a helmet law. It seems likely, therefore, that on-going trends rather than the helmet law was responsible for the changes over time. (Robinson, 2003b)
For cyclists of all ages, total cyclist injuries from police attended collisions ( i.e. involving a motor vehicle) declined by 35% from 1995 to 1997 (31% by 1999) (ICBC). Head injuries in these collisions as a percentage of total injuries varied thus:
| 1995 | 1997 | 1998 | 1999 |
| 12.8% | 13.9% | 12.4% | 14.0% |
The proportion of head injuries did not change with the helmet law.
In 2010, the Superintendent of Motor Vehicles admitted that fatalities had not fallen since introduction of the helmet law, but still claimed that helmets saved lives. (Private comm)
Controlled surveys of cycle use before and after the law were not carried out. However a survey to measure helmet use in 1999 suggested that the cyclist profile had changed, with around 30% fewer cyclists aged 16 to 30 years, a similar reduction in road cycles and a smaller reduction in the proportion of females cycling. (Foss and Beirness, 2000)
The fall of 35% in all cyclist injuries from 1995 to 1997 (see above) was most likely a combination of general road safety benefits and falling cycle use. Pedestrian injuries fell by 7% over the same period (ICBC). It is therefore possible that cycle use fell by around 28% due to the helmet law.
No data available.
Foss RD, Beirness DJ, 2000. Bicycle helmet use in British Columbia. UNC Highway Safety Research Center; Traffic Injury Research Foundation . 
Data from Traffic Collision Statistics British Columbia. Published by the Insurance Corporation of British Columbia.
Macpherson AK, To TM, Macarthur C, Chipman ML, Wright JG, Parkin PC, 2002. Impact of Mandatory Helmet Legislation on Bicycle-Related Head Injuries in Children: A Population-Based Study. Pediatrics 2002; 110(5):e60. 
Bicycle Safety Helmet Exemption Regulation, Motor Vehicle Act, 261/96, 1996. . 
Private communication. .
Robinson DL, 2003. Confusing trends with the effect of helmet laws. Pediatrics P3R 7 Jul 2003. 