fat and old wrote:They tend to take it badly when someone points out a positive outcome due to helmet wearing and are intent on belittling the experience as inconsequential, erroneous or extraordinary.
I don't think that's a fair comment. DavidS wrote an anecdote about a helmet protecting him, which is largely irrelevant to Mandatory Helmet Laws. Helmets would protect him driving, walking and jogging - pursuits which, believe it or not, have head injury rates similar to or higher than cycling. His anecdote is relevant to the safety of helmets, not whether they should be compulsory.
However, helmets themselves may, in some cases, actually be more dangerous than a bare head. Curnow (2003, 2007, amongst others) has done work on the efficacy of helmets and notes (2003) "It is shown that the design of helmets reflects a discredited theory of brain injury. The conclusions are that the meta-analysis does not provide scientific evidence that such helmets reduce serious injury to the brain, and the Australian policy of compulsory wearing lacks a basis of verified efficacy against brain injury."
Corner (1987 and p.2 Econ. Ref. Committee) has raised serious concerns about the possibility that helmets could increase rotation of the head during impact - "But the research, by Corner et al in 1987, reported that the standard tests of helmets were deficient in merely protecting against a direct blow but not reducing rotation of the head from oblique impact, and it is the main cause of fatal and disabling brain injury. Worse, Corner's experiments found that a helmet on a dummy head could increase rotation. Despite similar findings since in the USA and UK, this defect in standard helmets remains. Helmets are therefore likely to increase the risk of severe brain injury, and statistics for fatal head injuries to cyclists suggest that this did occur after the helmet laws." (Prof. Rissel, p.2 of Econ. Refs. Committee).
This research is contested by others, but the important point is that
the scientific evidence is inconclusive on the protective properties of helmets. Irrespective of the impact on particular individuals, the public health evidence is pretty conclusive that mandatory helmet laws have a huge negative health effect.
As a side note, I'd say that if within a week someone's had two crashes that were serious enough to involve head impact, they are either a very high-risk cyclist or a very poor cyclist. A helmet
may have helped, but better riding skills and risk assessment would have helped more.
Cth. Economics References Committee. Senate. Personal choice and community impacts Inquiry. Hearing on 16 November 2015. Retrieved from
http://parlinfo.aph.gov.au
Corner, J., Whitney C, O'Rourke, N, Morgan, D. (1987). Motorcycle and bicycle protective helmets: requirements resulting from a post crash study and experimental research. Federal Office of Road Safety Report CR55. Retrieved from
http://coneheadhelmets.com.au/wp-conten ... Helm_1.pdf
Curnow, W.J. (2003). The efficacy of bicycle helmets against brain injury. Accident Analysis and Prevention, 35, 287-292. doi: 10.1016/S0001-4575(02)00012-X
Curnow, W.J. (2007). Bicycle helmets and brain injury. Accident Analysis and Prevention, 39, 433-436. doi: 10.1016/j.aap.2006.09.013