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It has been 17 years since Rivara et al1 published their manuscript on the “Epidemiology of bicycle injuries and risk factors for serious injury”. The authors reported on crash circumstances and preventive measures. Using data from their seminal case–control study on bicycle helmet effectiveness, the study reported on crash circumstances, helmet use and injury outcomes to identify prevention opportunities. This study was part of a broader intellectual effort to engage rigorous epidemiological science in the gritty real-world work of injury prevention: identifying modifiable crash risk factors,1 measuring helmet effectiveness2 and putting this knowledge to work in a large controlled community campaign.3
The work of Rivara et al is important for its contributions …