Comprehensive application of the Safe System approach is needed to protect vulnerable road users
The number of road fatalities in Victoria among motor vehicle occupants and motorcyclists declined significantly between 2007 and 2015, by about 4% per year. This has not been the case for pedal cyclists and pedestrians. Further, rates of traffic-related serious injuries have not changed for most road users, while the numbers of cycling injuries have increased 8% annually. The article by Beck and his co-authors in this issue of the MJA1 calls for increased investment in road safety to reduce the burden of traffic-related injury, particularly to pedal cyclists. Victoria already has a mandatory helmet law that is saving many cyclists from death and serious head injury, but this alone is not enough if, as a society, we aspire to eliminate traffic-related deaths and serious injuries altogether.
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- 1. Beck B, Cameron PA, Fitzgerald MC, et al. Road safety: serious injuries remain a major unsolved problem. Med J Aust 2017; 207: 244-249.
- 2. Liu BC, Ivers R, Norton R, et al. Helmets for preventing injury in motorcycle riders. Cochrane Database Syst Rev 2008; (1): CD004333.
- 3. Freedenberg EM, Curtis K, Poulos R, et al. Road trauma, patterns of injury and mortality in an Australian trauma centre. J Australas Coll Road Saf 2012; 23: 21-28.
- 4. Olivier J, Creighton P. Bicycle injuries and helmet use: a systematic review and meta-analysis. Int J Epidemiol 2017; 46: 278-292.
- 5. Australian Bicycle Council, Austroads. Australian cycling participation 2015. Sydney: Austroads, 2015. https://www.onlinepublications.austroads.com.au/items/AP-C91-15 (accessed Nov 2016).
- 6. Olivier J, Walter SR, Grzebieta RH. Long term bicycle related head injury trends for New South Wales, Australia following mandatory helmet legislation. Accid Anal Prev 2013; 50: 1128-1134.
- 7. Krizek KJ, Forsyth A, Baum L. Walking and cycling: international literature review. Final report. Melbourne: Department of Transport (Victoria), 2009. http://economicdevelopment.vic.gov.au/__data/assets/pdf_file/0010/1091908/WalkingCyclingLiteratureReview.pdf (accessed July 2017).
- 8. Pucher J, Dijkstra L. Promoting safe walking and cycling to improve public health: lessons from the Netherlands and Germany. Am J Public Health 2003; 93: 1509-1516.
- 9. Reid S, Adams S. Infrastructure and cyclist safety (Published Project Report PPR580). Transport Research Laboratory, 2011. https://trl.co.uk/sites/default/files/PPR580.pdf (accessed July 2017).
- 10. Bailey T, Woolley J. Road safety policy and practice: vulnerable road users in a safe system. J Australas Coll Road Saf 2017; 28: 40-49.
- 11. Schepers P, Twisk D, Fishman E, et al. The Dutch road to a high level of cycling safety. Safety Sci 2017; 92: 264-273.
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