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Matthew D. Kaplan

An article published earlier this month by Al Jazeera America looks at a new academic study focusing on the costs and benefits of bike lanes and other publicly-funded spending on cycling infrastructure. Living in Portland, a city often cited as one of the most bike-friendly in North America, its findings are not likely to be particularly controversial. Still, they are a useful reminder of how bike riding benefits the community at large and not just cyclists themselves.

The study (see link below) was published in Environmental Health Perspectives, an academic journal sponsored by the National Institutes of Health. It comes with the ponderous title “The Societal Costs and Benefits of commuter bicycling: Simulating the Effects of Specific Policies Using System Dynamics Modeling” but reaches, Al Jazeera reports, a fairly straightforward conclusion: “for every dollar spent on bike-related infrastructure, cities can receive anywhere from $6 to $24 in cost savings in the form of reductions to pollution and traffic congestion, as well as lowered health care costs from decreased traffic fatalities and increased exercise.”

Some of those conclusions may seem obvious to an audience here in bike-friendly Oregon, but they are a reminder that it is important to get the details of infrastructure right. More importantly, in focusing on the big picture – by, for example, citing long-term benefits such as lower health-care costs the study is especially useful.

In an effort to raise awareness regarding distracted driving Allstate, the insurance giant, is touring the country with a driving simulator designed to highlight the dangers of texting while behind the wheel.

According to a recent news release issued by the company (see below) the program, known as “Reality Rides,” was launched last summer and is expanding this year. It involves “a driving simulator that utilizes a real – but stationary – vehicle equipped with virtual reality technology, including a new curved LED television embedded in the car windshield. The television displays an animated environment and reacts to the driver’s motions.” Participants are invited to ‘drive’ the car while texting and/or talking on the phone as a way to experience just how significant the danger of distracted driving can be. Allstate plans to take the simulator to 40 cities over the course of the summer following what the company describes as a successful rollout of the program last year. This represents a significant expansion from the 26 “Reality Rides” events the company organized in 2013.

“Last year, the first tour surveyed more than 1,700 people… Seventy-three percent (of whom) said they learned more about distracted driving after experiencing the simulation,” the company says. The same survey – conducted at the simulator sites last year – found that “more than one-third of drivers say they text and drive at least some of the time.” The company is also using the simulator to promote Graduated Drivers License laws, under which teen drivers face more restrictions on their driving than adults. “Stronger teen driving laws… have been shown to reduce traffic fatalities by as much as 40 percent in the states where they have been adopted,” the company says.

As anyone who has watched the news over the last few weeks knows hot car deaths have once again been commanding attention this summer. Consider this one of those things regarding Oregon injuries to children that should not need to be said but, unfortunately, needs to be reinforced as we approach the hottest time of the year. As SafeKids Oregon reminds us all: “Hot weather and vehicles can be a deadly combination.”

The group’s latest news release continues: “There have been no overheating deaths in Oregon since 2004. Regrettably, 17 children have died from being left or trapped inside hot vehicles nationally in 2014 alone. In addition, there have been many ‘near misses.’” That national number is especially shocking when one considers that there is at least another six weeks of hot weather remaining pretty much everywhere in the country.

As they so often do, SafeKids offers easy and common sense advice on the best ways to avoid trouble. However, in addition to tips that are common knowledge – such as the fact that on a hot day the temperature inside a sealed car can rise by 20 degrees in just 10 minutes – they also offer some warnings that may come as news to many readers. Specifically, many people might not be aware that “cracking a window does little to keep the car cool.” This is an important point because it contradicts what many people think they know about hot cars and summer weather. Similarly, many readers might not be aware that the temperature outside need not be especially ‘hot’ for hot car deaths to occur. “With temperatures in the 60s, your car can heat up to well above 110 degrees.”

A ruling last week by the Oregon Court of Appeals broadens the traditional interpretation of our state’s dram shop laws and merits closer examination. According to an account published in The Oregonian the decision in a wrongful death lawsuit established that “party hosts whose invitees bring their own alcohol can still be held liable if drunken guests hurt themselves or others.”

The case is formally known as Baker v Croslin. As detailed by the newspaper, the facts of this important case are as follows: a man died in a 2010 shooting incident “after a night of extensive drinking and gunplay at a house party in Northeast Portland.” The party host “was convicted of criminally negligent homicide” but the victim’s widow also filed an Oregon wrongful death lawsuit.

“Under Oregon law, a party host can be held liable for damages caused by intoxicated guests if the host provided the alcohol to a visibly intoxicated guest, and if the host ‘substantially contributed to the intoxication of the guest,’” the newspaper notes. This is a succinct description of Oregon dram shop law – something about which I have written on this blog on numerous occasions. The Dram Shop Law is designed to encourage responsibility on the part of people serving or selling alcohol. We often talk about it in the context of drunk driving, though the details of this case are a powerful reminder that the consequences of reckless alcohol use extend far beyond cars and roads.

Just as the July 4 holiday weekend got underway news broke of a sweeping recall of school buses. According to an Associated Press report, republished by ABC News, “Blue Bird is recalling more than 2,500 All American school buses and some transit buses to fix a problem that could make steering more difficult. The company also is recalling a smaller number of school buses that may be prone to a propane fuel leak, according to paperwork filed with the National Highway Traffic Safety Administration.”

It will be worth keeping an eye on the NHTSA vehicle recall website over the next week or two for further details as this story develops. At this writing the NHTSA had not posted information about the Blue Bird recall, presumably because the company’s paperwork has not yet been completely processed. In the meantime, however, it is safe to say that it is difficult to imagine a clearer risk of injuries to children than a school bus with a steering or a fuel leak issue.

The AP story did not say how many school buses are affected by the steering-related recall notice, only that it involves “some buses made between 2011 and last May.” The story put the number of transit buses affected at 400, but did not say in which cities they are currently on the road. The fuel leak issue involves “388 Vision school buses made in 2012 or 2013,” the news agency reports.

When July began on Tuesday an important new Oregon law also went into effect. As reported by The Oregonian a new “mediation program… (gives) patients and their families an option besides suing when medical errors happen.”

The measure was a priority for Gov. John Kitzhaber and, as the newspaper notes, became law following input from both trial lawyers and the Oregon Medical Association. The new law “is intended to cut down on lawsuits and boost the reporting of medical errors to help improve health care practices.”

Some practical details remain to be worked out, and it will take months if not several years before we can say with certainty how well the program is working in practice, but as a public health matter we should all hope that the Early Discussion and Resolution Program, as it is formally known, performs as expected. As I have written in this space as recently as last month, medical mistakes remain far too common in our state and reducing or eliminating them is made more difficult by a reporting system that remains, to a great extent, voluntary. As a result, doctors and patients alike are often working from inadequate data. A system that improved both the volume and the quality of data on medical mistakes would be a huge boon to everyone.

Citing new figures published by the Centers for Disease Control, Oregon Public Broadcasting reports that “excessive drinking accounts for one in every nine deaths in Oregon.” That figure, it adds, puts our state on the wrong side of the national average, which is one death in 10.

Between drunk driving and other well-known alcohol-related risks the figure is, perhaps, less surprising than it might seem. It is worth noting that the study focused on the broad health risks associated with alcohol. While drunk driving was included it was not the sole focus of the research. According to OPB “The study looked at binge drinking, defined as four or more drinks for women and five or more for men, as well as heavy drinking, which is eight drinks a week for a woman and 15 for a man.”

The focus on binge drinking also highlights the importance of strict enforcement of Oregon dram shop laws. These extend responsibility for injuries and damage caused by a drunk person to bars, taverns and any business that sells alcohol. The dram shop rules are a reminder that cutting off someone who is drinking too much is everyone’s responsibility, not just that of the drinker himself or his companions.

A former NFL player and a former pro wrestler traveled to Capitol Hill this week to warn fellow athletes about the dangers of traumatic brain injuries – but unlike many recent TBI-focused events in Washington in recent months the emphasis of this news conference was teens, not fellow retired pros.

According to a report published by CBS News both “Chris Nowinski, a Harvard graduate and former professional wrestler… and Ben Utecht, a former NFL player for the Cincinnati Bengals and Indianapolis Colts, still suffer years later as a result of these all-too-common injuries.” Testifying before the Senate Special Committee on Ageing, both men focused not on the dangers to professionals like themselves, but on the damage and long-term consequences too many young people risk.

Nowinski told the senators that he suffered a head injury during a wrestling match at age 24, but ignored the symptoms for five weeks. “I lied about my symptoms for five weeks, thinking I was doing the right thing… My ignorance cost me my career, cost me at least five years of my health… and I don’t know what it’s going to cost me in the future,” he said. His biggest fear is CTE – a “progressive neurodegenerative disease (that) can emerge from repeated blows to the head.” He also spoke about the growing body of evidence hinting at a link between traumatic brain injuries sustained in youth and the onset of Alzheimer’s and similar diseases later in life.

With the arrival of summer it is time, once again, to remind every parent (and older sibling) out there of the importance of protecting children from window falls. These tragedies are among the most easily preventable Oregon injuries to children.

The issue is back in the news after two incidents in recent weeks here in Oregon, one of them fatal. Earlier this month a four-year-old North Portland boy died after falling from a 3rd floor window, according to television station KOIN. The station also reports that a Beaverton girl was seriously injured in April after a fall from a second floor window.

As the station notes, “statistics show more than 3000 children under the age of 6 fall from windows every year.” It might have added that window fall incidents regularly rise each summer – making the timing of the station’s report particularly important. What makes these incidents especially heart-breaking is how easily preventable they are. It starts, of course, with education – reminding adults as well as kids that screen windows, which are designed to keep bugs out, are never strong enough to prevent even a relatively small child from falling, and reminding parents that children – small ones especially – need to be watched carefully, and should never be left alone in a room with an unlocked window, let alone an open one.

Bicyclist deaths in traffic accidents rose in 2012 (the most recent year for which data is available) both in absolute numbers and as a fraction of the nation’s overall road and highway death toll, according to a new report released by the National Highway Traffic Safety Administration.

As a table on the first page of the report shows, the total number of traffic-related fatalities fell by more than 20% over the last decade, from 42,884 nationwide in 2003 to 33,561 in 2012. During that same time period, however, the number of bicyclists killed on America’s roads rose from 629 to 726 – an increase of almost 20 percent. As a portion of overall traffic-related deaths that represented an increase from 1.5 percent to 2.2 percent – a small portion of the overall number, but a dramatic increase proportionately speaking.

At a time when people across the country are becoming more aware of the health and environmental benefits of cycling these are worrying numbers. It is good to see that tougher enforcement and better public education have brought the overall traffic death rate down so dramatically (indeed, in the 1970s and 80s it was well over 50,000 per year). At the same time it is alarming to see the rate of bicycle accidents and fatalities rise – especially in an era when one might hope that more bikes on our streets would lead to greater awareness and caution among drivers.

50 SW Pine St 3rd Floor Portland, OR 97204 Telephone: (503) 226-3844 Fax: (503) 943-6670 Email: matthew@mdkaplanlaw.com
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