To the Editor.
—We read with interest the Council Report entitled "Helmets and Preventing Motorcycle- and Bicycle- Related Injuries."1 We agree that promoting the wearing of helmets by bicyclists is desirable. Oregon recently passed such a law requiring bicyclists younger than 16 years to wear helmets. Liability insurance covering most organized riding requires the use of approved helmets by adults. However, none of these laws or events address how well helmets fit.We were participants and/or provided medical backup to Cycle Oregon, a 500-mile tour for adults. This multiday tour of 2000 cyclists has 7 years' experience without a serious head injury. Some of the reasons for this safety record are the choice of low-trafficked, well-surfaced roads and the emphasis on rider responsibility and safety.Cycle Oregon publishes a daily newspaper, the Cycle Oregonian. Early in the tour, it published guidelines on the appropriate fitting of helmets. Three days after
Resnick MP, Ross M, Schmidt TA, Wiest J, Grass H, Sweetman P. Helmets and Preventing Motorcycle and Bicycle Injuries: Comments and a Correction. JAMA. 1995;274(12):939. doi:10.1001/jama.1995.03530120031021