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Serious head injuries in cyclists have fallen significantly over
a period of increasing helmet use, suggesting that helmets are
protective. Cook and Sheikh (p 1055) analysed all emergency admissions
in England in 1991-95: 3% were for injuries sustained while cycling. A
third of these had a primary diagnosis of head injury. Half of these
were in children. Although there was no change in the number of
cyclists admitted as emergencies over the four years studied, the
number with head injuries fell by 12%. The authors say that this
indicates that helmets are beneficial.