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Answers to the first two questions have objective answers that can be sought from specific empirical studies and what is already known about traffic safety.1 Three unrelated sources of evidence consistently show that cycle helmets reduce risk substantially in a crash. The science of biomechanics shows that a helmet reduces the peak acceleration forces that are associated with injury. Many published epidemiological studies, including that by Maimaris and colleagues in this issue of the BMJ and the references it cites,2 find that helmets reduce injury and the risk of death. Such studies fall short
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