Item 5. A
..
Tarrant County Public Health
Division of Epidemiology and Health Information
Pedal Cyclist Injury Deaths, Tarrant County
Table 1. Pedal cyclist deaths by cause of death by age group, Tarrant county, 2008-2010
e . lk&e.
Rt L it-c'
Pedal cyclist in collision 0 0 1 1 0 0 3 0 1 0 0 6
with a motor vehicle
Pedal cyclist in collision
0
0
0
0
0
0
0
0
0
0
0
0
with pedestrian or animal
Pedal cyclist in collision
0
0
0
0
0
0
0
0
0
0
0
0
with other pedal cycle
Pedal cyclist injured in
collision with railway
0
0
0
0
0
0
0
0
0
0
0
0
train or railway vehicle
Pedal cyclist injured
in collision with other
0
0
0
0
0
0
0
0
0
0
0
0
non -motor vehicle
Pedal cyclist injured in
collision with fixed or
0
0
0
0
0
0
0
0
0
0
0
0
stationary object
Pedal cyclist injured in
non -collision transport
0
0
0
0
0
0
0
0
0
0
0
0
accident
Pedal cyclist injured in
other and unspecified
0
0
0
0
0
2
2
0
1
0
0
5
transport accidents
Total
O
0
1
1
0
2
5
0
2
0
0
11
Data source: Texas Department of State Health Services
Data provided by: Division of Epidemiology and Health Information, Tarrant County Public Health
Tarrant County Public Health 1101 S. Main Street Fort Worth, TX 76104 (817) 321-4700 www.tarrantcounty.com/ehealth
Page 2 of 2
Table 1. Pedal cyclist deaths by collision with a motor vehicle by age group, Tarrant county, 2011-2013
Cause of Death
Age
Group Pedal cyclist in
(in years) collision with a
motor vehicle
< 1
0
1to4
1
5 to 14
3
15-24
1
25-34
0
35-44
1
45-54
3
55-64
1
65-74
0
75-84
0
85+
0
Total 10
Data source: Texas Department of State Health Services
Data provided by: Division of Epidemiology and Health Information, Tarrant County Public Health
Tarrant County Public Health 1101 S. Main Street Fort Worth, TX 76104 (817) 321-4700 http://health.tarrantcounty.com
Securing the Safety of
Southlake I s Cyclists
InitiativeUpdated HelmetLaw • SafetyAwareness Campaign
••••••!••••i••••••••S••tp0000••i••!1 p•••oo•o
My background
• Current Southlake population, traffic, and
cycling information
Why we need an extended helmet
ordinance
• What we can do better educate and
enforce existing legislation
000000000000000000000err 0000•••i•••i••!•••••
• Southlake Resident and Student
Deeply impacted by a cycling tra;
this year
• Extensive research on the subjec
Feel that we as a community car
job
of:
..
Legislation
.
Education
.
Enforcement
• Proposals & recommendations
Southlake- A Growing Community
• Population Approaching 30,000
• New Shopping Centers Along Southlake Boulevard
• Increased population and retail shops means more traffic on
Southlake streets
SouthlakeCity of
Po
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•••
tf 31,924
.
26,575
21,519
13,350
f.
i
i
r
0.
i
(Last and Lind)
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Southlake Survey
According to a city conducted survey, citizens were asked what is
the most important issue facing Southlake. Almost everyone had
a similar response:
0
0
Traffic, traffic, traffic ... when one project finishes another one begins.
DFW Connect is virtual finished, Kimball from Highland to Dove is starting .
.. Construction projects change the traffic congestion patterns
How we grow. We have seen a significant growth over the last two
years. It is great financially for our community but needs to grow in a
way that keeps with the values of Southlake. A small town feel that is
safe
The new traffic patterns ... make navigating the city difficult. Finding safe
ways for residents to get where they are going seems important. Maybe
the solution includes more walking and biking routes �n
(2013 Citizen Satisfaction Survey Verbatim Comments)
Danger on the Road for Cyclists
• Increased traffic means increased susceptibility for accidents
• Auto -Bike accidents are some of the most fatal
• FATALITIES
From 2009 to 2013 nationwide bicycle fatalities have increased
by 18%
See Appendix A
(Insurance Institute for Highway Safety and Highway Loss Data Institute)
• INJURIES
According the National Highway Traffic Safety Administration:
500,000 people are treated annually for cycling related injuries
Amounts to $5 billion in lifetime medical costs for Americans
See Appendix B
(Pedestrian and Bicycle Information Center)
Our Current Helmet Law
• Southlake has a bicycle helmet ordinance for children ages 14
and under.
Texas
fnton
Under 18
1997
ust
Under 18
1996I97
cdford
Under 16
1996
enbrook
Under 17
1996
0PPCII
Under 15
1997
alias
Under 18
1996/2014
•on Worth
Under 18
1996
ouston
'ndcr 18
1995
outhlake
'ndcr 15
1999
("Bicycle Helmet Laws")
• 15 -- 17 year -olds are in fatal bicycle accidents at the same
rate at 4 -- 5 year olds
See Appendix C
(Tracy et.al)
Benefits of Helmet Usage
• An impact at 30 MPH is the equivalent of falling off a 30 foot
building
See Appendix D
(Alzheimer's Association, Ellis)
• Wearing a bike helmet can reduce your risk of head injury by
85%
David Spain, chief of trauma and critical care surgery at Stanford
University Medical Center
• Helmet usage for minors amounts to saving over 250 lives and
prevents more than 500,000 injuries nationwide
• Every $10 helmet generates $570 in benefits to society
See Appendix E
("Bicycle Safety Educational Efforts at Stanford" and National Injury and Violence
Prevention Resource Center)
Step 1: Expand Current Law
Expand Southlake"s current Bicycle Helmet
Law to extend below 18 years of age
Save lives
Save money
Reduce serious injuries
Align Southlake with adjoining high -traffic communities
(Arlington, Austin, Dallas, Fort Worth, Houston)
Our Current Bicycle Safety Education
• Most Southlake residents are unaware of
current laws
* Limited/no engagement with Fire Department
is No engagement with local bicycle businesses
• No Bicycle Safety posts on FaceBook page in
past year
Recent back -to -school safety post mentioned
nothing about bicyclists or helmets
• No bicycle safety emails
City of Southlake, TX - Government
" August e it at 12:00pn,
Southlake DPS has 4 Back to school reminders:
1. Parents — check for traffic pattern changes and road construction near
your child's school.
2. Parents - take a moment to "time"' the route you would normally take,
3. All drivers — Remember, "no cell phone use in school zones" and be sure
to obey all traffic warning signs
4. All Drivers - Allow extra time for your daily commute especially
before and after school. Read more: http://bit.ly/l PgTr4D
Back -to -School Traffic Reminder I
MySouthlakeNews
It's hard to believe that summer is winding down and
school will soon be back in session. Back -to -school
preparations are already underway for Carroll
MYSO} JTHLAKENEN1S r f; M
jr Like W, Comment 4 share
Step 2: Improve Bicycle Safety Education Efforts
Expand Southlake-s current Bicycle Helmet Education Efforts, by.
Tasking Police/Fire Departments with annual education campaigns at
i schools
Engaging local businesses and our Fire Department to support efforts to
make sure parents have proper helmets for their kids
See Appendix E
(State of New York Department of Health)
w Schedule at least 3 major bicycle safety campaigns per year (spring,
summer, back -to -school)
Facebook, emails, press releases, etc.
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Step 3: Actively Enforce Helmet Laws
t►►Jv► L c. .JvuL►►►urXL. -� t,ur I L. iiL uI►LA/ vI t-ZltatAl."%-"
helmet laws
Warnings
Tickets for parents
Teen court
Reward vouchers
P Press Releases and announcement of program similar to
"Click it or Ticket" seat belt campaign
A Drive awareness of current
Improve helmet compliance
Safety & Awareness Campaign
Step 1: Enhance
Helmet
Ordinance
Step 5:
Assessment and
Adjustment
See Appendix H
Step 4: Greatly
increase Bicycle
Helmet Usage
Step 2: Improve
Bicycle Safety
Education
See Appendix G
(Ten Smart Rules to
Bike Safety)
Step 3: Increase
Enforcement
Effo its
Conclusion
Bicycling accidents are a growing concern as
Southlake is becoming more urban.
Current data suggests that adolescents are
just as susceptible to head trauma via cycling
fatalities as children.
As such, Southlake should extend the helmet
ordinance, educate its community on
bicycling safety, and enforce current and
future legislation to better protect its
citizens.
0
Thank You I.
mmm m$en
A - Danger on the Road for Cyclists
• Increased traffic implies increased susceptibility for accidents
• Auto -Bike accidents are some of the most fatal
• Bicycling fatalities generally increase as a city grows
• In 2013, 68% of bicyclists were killed in urban areas, compared with
32% in rural areas
Bicyclist Deaths by Land Use 2009-2013
Urban
Rural
Total
Year
Number
%
Number
%
Number
%
2009
436
69
191
30
628
100
2010
444
71
174
28
621
100
2011
468
69
208
31
680
100
2012
503
69
225
31
730
100
2013
502
68
239
32
1741
100
*Total includes other and/or unknowns
(Insurance Institute for Highway Safety and Highway Loss Data Institute)
B - Cycling Accidents on the Rise
According to the National Highway Traffic Safety Administration here
are several stats reflecting the nature of cycling accidents:
• Annually, 500,000 persons are treated in emergency departments
for cycling related injuries/fatalities
• Data suggests that fatal and non -fatal crash -related injuries to
bicyclists resulted in lifetime medical costs of $5 billion
• Texas, along with California and Florida, led the nation in cycling
fatalities
• Injuries:
- Bicyclist
Injuries in
2001:
45,000
- Bicyclist
Injuries in
2011:
48,000
An increase of 6.7%
• Deaths
- Bicyclist
Deaths in
2011:
682
- Bicyclist
deaths in
2013:
743
An increase of 8.9%
(Pedestrian and Bicycle Information Center)
C - Step 1: Demographics
• Average age of bicyclists killed in crashes with motor vehicles
is increasing
• Approximately equivalent numbers of teenagers ages 16-18
are injured as children ages 4-5 are from bicycling.
Fig. 2
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Frequency of injury by mechanism and year of age in children aged 0 18 years with
insurarim 2002
(Tracy et.al)
D - Effects of Head Injury
U
I
rA
03
13,11
00
6 Sr
00
00
rac.k
I ai 1 qcry h Admc
7 O*rV hisiding
3 C*!tyv ItIv(*10
lornp� 15mrh 20mob 2 5 mib 30
Speed at Impact (mph) I
(Alzheimer's Association, Ellis)
E -Benefits of Helmet Usage
Health Benefits
• According to David Spain, chief of trauma and critical care surgery at Stanford University
Medical Center, wearing a bike helmet can reduce your risk of head injury by 85 percent
• Facial injuries are also prevented through helmet usage; injuries to the upper and mid facial
areas are reduced 65 percent
• Helmet usage for minors amounts to saving over 250 lives and prevents more than 500,000
injuries nationwide
Costs Saved
• Compared to the dollar and personal costs of brain injury, helmets are inexpensive
insurance
• Every $10 helmet generates $570 in benefits to society; these savings include $50 in
medical costs and other tangible resources, $140 in future earnings, and $380 in quality of
life costs
WN
Vl-,.1 (70" i AM R W W Q% n**Y M t I.
ft"LRMYsmwe"a"*Wwrsrm$PV
("Bicycle Safety Educational Efforts at Stanford" and National Injury and Violence Prevention Resource Center)
F - Check Proper Helmet Usage
• 1. Ensure that helmets meet U.S. Consumer Product Safety
Commission (CPSC) standards (look for the sticker)
• 2. All helmets must have a thick, firm polystyrene or other shock -
absorbing material to cushion impact; foam pads are for
comfort/sizing — not safety
• Ensure proper fitting before purchase
• Confirm that the helmet's straps can be adjusted for a snug fit
• Check to see the helmet covers the top of the forehead and has
limited movement up/down and side to side
• After a bicyclist falls and hits his/her head, the helmet has served its
purpose. Do not use it again.
(State of New York Department of Health)
G - Step 3: Safety Instruction
Helmets are only one piece of the puzzle. We need to induce safer riding skills for
children and adolescents. Rules like the following should be sent to all members of
the community:
Protect Your Head 6 Act like a Car Drivers are sed to
j 'A ear a helmet_ the oatterns of othe- drivers.
Cron t weave in and out of traffic,
The more predictabty Yoo. ride, the
safe^ y0;; are. Cheek fo traffic. Be
aware of traffic aroind yo-.
2. Stay Visible If drivers T Don't Get distracted Don't listen
can see you, they are to music or talk on the phone
less likely to hit VoQ. Use while -4dmg.
Lq fights when b4king at
night or in low -light
condit.ons.
I look, Signal • look B Obey all Traffic laws B lights
u o a e Again Use hand signals_4M As tot5AY
b- let drivers and other F
t�cycBstx know where
you're going took and .
sm alarm sets make eye contact. Don't
assume drivers wig stop.
4. Stay Alert Keep a
9. Assure Bicycle Readiness €s
lookout for obstades in
your bicycle property adjusted? is
your path.
your saddle in a comfortable
position?
5. Go with the Plow Bike
10. Do a Quick Bicycle Test Check
ii the direction of traffic.
you- brakes and your wheels.
Make sure that "quick release"
wheels a=e property secured.
(Ten Smart Rules to Bike Safety)
009000000000000 ►0••000000*•0•••0••000•w•0•i•
Step
Assessment
• Annually, Southlake's Safety Department may reconvene and
address the benefits/ drawbacks to the newly implemented
helmet ordinance and safety campaign
• Data to consider include:
K demographics of helmet users
11� awareness of helmet law
iii. degree of implementation
iv, injuries prevented
v. lives saved
• Potential readjustments will be made for the oncoming year
Works Cited
Alzheimer's Association National Office. "Traumatic Brain Injury." Traumatic Brain Injury. Alzheimer's Association
National Office, 2015. Web. 3 Aug. 2015.
"Bike Helmets Save Lives! & It's the Law!" Bike Helmets Save Lives! & It's the Law! State of New York Department of
Health, Mar. 1995. Web. 11 Aug. 2015. Revised November 2011
Bicycle Helmet Laws." Bicycle Helmet Laws. Bicycle Helmet Safety Institute, 20 July 2015. Web. 11 Aug. 2015.
"Bicycle Safety Educational Efforts at Stanford." Bicycle Safety Educational Efforts at Stanford. Stanford University, n.d.
Web. 11 Aug. 2015
Ellis, M.D., John W. "Ellis Clinic." Ellis Clinic. N.p., 2000. Web. 17 July 2015.
Insurance Institute for Highway Safety, and Highway Loss Data Institute. "Pedestrians and Bicyclists." Fatality Facts.
N.p., 1996. Web. 9 Aug. 2015.
Last, Greg, and Jill Lind. "Southlake, Texas City Overview." City of Southlake Department of Economic Development,
17 Apr. 2013. Web. 12 July 2015.
National Center for Injury Prevention and Control (NCIPC). "Home and Recreational Safety." Centers for Disease
Control and Prevention. Centers for Disease Control and Prevention, 28 May 2013. Web. 11 Aug. 2015.
National Injury and Violence Prevention Resource Center. Bicycle Helmets Save Medical Costs for Children (n.d.): n.
pag. Health Resources and Services Administration's Maternal and Child Health Bureau. Web. 21 July 2015.
Ramirez, Domingo, Jr. "Teen Dies in Southlake Bicycle Accident." WFAA. N.p., 8 Apr. 2015. Web. 11 Aug. 2015.
"Ten Smart Rules to Bike Safety." BikeMadison. City of Madison, Wisconsin, 1995. Web. 25 July 2015.
Tracy, Elisabeth 1, Brian R. Englum, Andrew S. Barbas, Carolyn Foley, Henry E. Rice, and Mark L. Shapiro. "Pediatric
Injury Patterns by Year of Age." Journal of Pediatric Surgery. U.S. National Library of Medicine, June 2013. Web.
27 July 2015.
Tracy Unified School District. "What Is the California Bicycle Helmet Law?"What Is the California Bicycle Helmet
Law? (n.d.): n. pag. Web. 29 July 2015.
Pedestrian and Bicycle Information Center within the University of North Carolina Highway Safety Research Center,
David B. Allison, Kevin R. Fountaine, JoAnn E. Manson, June Stevens, Theodore B. Vanitallie, and Ali K. Mokdad.
"DATA & RESOURCES." Pedestrian & Bicycle Information Center. U.S. Department of Transportation Federal
Highway Administration, 19 Jan. 2005. Web. 1 Aug. 2015.
2013 Citizen Satisfaction Survey Verbatim Comments." City of Southlake, 2013. Web. 15 July 2015.