Letters Section Editor: Stephen J. Lurie,
MD, PhD, Senior Editor.
To the Editor: Dr Koepsell and colleagues1 reported a 2-fold increased risk of pedestrian–motor
vehicle collision at sites with a marked crosswalk in 6 cities in Washington
state and California from 1995 through 1999. The authors concluded that "crosswalk
markings alone may do little to protect older pedestrians [from] being struck
by a motor vehicle as they cross the street at an urban intersection." Koepsell
et al also reported that the benefit of crosswalk markings on the risk of
injuries to older pedestrians was limited to those intersections that lacked
a vehicle stop sign (15% for case and 18% for control sites).
Cardenas VM. Dangers to Elderly Pedestrians at CrosswalksDangers to Elderly Pedestrians at Crosswalks. JAMA. 2003;289(10):1244-1245. doi:10.1001/jama.289.10.1244-a