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Paper text:
we studied six cycle tracks in montreal that are two - way on one side of the street .
each cycle track was compared with one or two reference streets without bicycle facilities that were considered alternative bicycling routes .
one reference street was a continuation of the street with the cycle track ; the remaining streets were parallel to the cycle track with the same cross streets as endpoints and , therefore , subject to approximately the same intersection frequency and cross traffic as the cycle track .
the injury and crash rates for each cycle track were determined from the emergency medical response ( emr ) database16 and police - recorded vehicle / bicycle crashes and estimated on the cycle tracks per bicycle - km . automated 24-h bicycle counts on montreal cycle tracks are available for selected years , with 2064  days in each sample from may to september .
we used linear interpolation between the 2000 and 2008 samples to determine average daily use for the date ranges of the injury and crash counts .
effective days in the 1 april to 15 november bicycling season ( when seasonal cycle tracks are open ) , recognising that bicycle use tends to be less in april , october and november than in the sampled months .
use estimates were converted to bicycle - km by multiplying by segment length and the fraction of the cycle track 's length ridden per cyclist .
this fraction , which ranged from 0.6 to 0.9 , was determined using expert judgement considering the cycle track length and opportunities for turning on and off .
the rr of the cycle track compared with the reference street was estimated using bicyclist counts and injuries from the emr database.16 although injury ( emr ) and bicycle / vehicle crash data from police records overlap strongly , the injury data have been shown to be more exhaustive17 and were available for a longer period .
injury counts were determined for the 1 april to 15 november bicycling season and within 15 m of each street centerline . for comparability with exposure data
, it was important to exclude individuals injured at intersections who may have been riding on a cross street ; however , the emr database does not indicate which street the injured cyclist was using . therefore , using the police crash database we determined for each section studied the fraction of bicycle / vehicle crashes involving cyclists who were riding on cross streets , and reduced injury counts by that fraction .
historical bicycle counts were available for the cycle tracks but not the reference streets . to obtain an unbiased measure of relative exposure ,
simultaneous 2  h bicycle counts were conducted at parallel counting sites on each cycle track and its reference street(s ) . using a ratio of simultaneous counts
the rr of injury for each cycle track was calculated as : rr = injuriestrackbikestrackinjuriesrefbikesrefwhere injuriestrack and injuriesref are the count of injuries on the cycle track and reference street(s ) , respectively , and bikestrack and bikesref are the corresponding cyclist counts .
ninety - five percent ci were calculated using the variance of log(ratio ) based on a poisson distribution for incidents .
rr for all cycle tracks was calculated similarly using the summed data from all the observations .
reference streets were selected with vehicular traffic danger ( volume , speed , heavy vehicles ) as similar as possible to their cycle track ; however , it was impossible to achieve exact similarity
. therefore , to compare the vehicular traffic danger , we also calculated the ratio of motor vehicle occupant ( mvo ) injuries on the cycle track street to mvo injuries on the reference street .
mvo injury counts are considered a surrogate for traffic danger a bicyclist might face on a given street apart from any treatment .
the injury and crash rates for each cycle track were determined from the emergency medical response ( emr ) database16 and police - recorded vehicle / bicycle crashes and estimated on the cycle tracks per bicycle - km . automated 24-h bicycle counts on montreal cycle tracks are available for selected years , with 2064  days in each sample from may to september .
we used linear interpolation between the 2000 and 2008 samples to determine average daily use for the date ranges of the injury and crash counts .
effective days in the 1 april to 15 november bicycling season ( when seasonal cycle tracks are open ) , recognising that bicycle use tends to be less in april , october and november than in the sampled months .
use estimates were converted to bicycle - km by multiplying by segment length and the fraction of the cycle track 's length ridden per cyclist .
this fraction , which ranged from 0.6 to 0.9 , was determined using expert judgement considering the cycle track length and opportunities for turning on and off .
the rr of the cycle track compared with the reference street was estimated using bicyclist counts and injuries from the emr database.16 although injury ( emr ) and bicycle / vehicle crash data from police records overlap strongly , the injury data have been shown to be more exhaustive17 and were available for a longer period .
injury counts were determined for the 1 april to 15 november bicycling season and within 15 m of each street centerline . for comparability with exposure data
, it was important to exclude individuals injured at intersections who may have been riding on a cross street ; however , the emr database does not indicate which street the injured cyclist was using .
therefore , using the police crash database we determined for each section studied the fraction of bicycle / vehicle crashes involving cyclists who were riding on cross streets , and reduced injury counts by that fraction .
historical bicycle counts were available for the cycle tracks but not the reference streets . to obtain an unbiased measure of relative exposure
, simultaneous 2  h bicycle counts were conducted at parallel counting sites on each cycle track and its reference street(s ) . using a ratio of simultaneous counts
the rr of injury for each cycle track was calculated as : rr = injuriestrackbikestrackinjuriesrefbikesrefwhere injuriestrack and injuriesref are the count of injuries on the cycle track and reference street(s ) , respectively , and bikestrack and bikesref are the corresponding cyclist counts .
ninety - five percent ci were calculated using the variance of log(ratio ) based on a poisson distribution for incidents .
rr for all cycle tracks was calculated similarly using the summed data from all the observations .
reference streets were selected with vehicular traffic danger ( volume , speed , heavy vehicles ) as similar as possible to their cycle track ; however , it was impossible to achieve exact similarity
. therefore , to compare the vehicular traffic danger , we also calculated the ratio of motor vehicle occupant ( mvo ) injuries on the cycle track street to mvo injuries on the reference street .
mvo injury counts are considered a surrogate for traffic danger a bicyclist might face on a given street apart from any treatment .
all six cycle tracks were two - way on one side of the street and separated from traffic by raised medians , parking lanes , or delineator posts .
the brbeuf and maisonneuve cycle tracks stand out as safer than the other four ( table 1 ) .
injury and vehicle / bicycle crash rates for cycle tracks in montreal , quebec * whole segments of the cycle track were studied and not just intersections .
length of the section studied , which may be less that the entire cycle track length for comparability with reference streets .
 year is the 7.5 month period ( 1 april to 15 november ) when the seasonal cycle tracks are open .
demand is lower in april , october and november and , therefore , bicycle volume for a 
injuries ( data source  emergency medical response ) between 1 april and 15 november for the period 1 april 1999 to 31 july 2008 divided by 9.53 . bicycle  motor vehicle crashes ( data source  police reports ) between 1 april and 15 november 20026 , divided by 5 . compared with bicycling on a reference street ,
the overall rr of injury on a cycle track was 0.72 ( 95% ci 0.60 to 0.85 ) ; thus , these cycle tracks had a 28% lower injury rate .
three of the cycle tracks exhibited rr less than 0.5 , and none showed a significantly greater risk than its reference street .
overall , 2.5 times as many cyclists used the cycle tracks compared with the reference streets ( table 2 ) .
rr of injury for cycle tracks compared to similar on - street routes for montreal , quebec * statistically significant comparisons are shown in bold .
an on - street bike route on a parallel street in close proximity of the cycle track .
injuries recorded by emergency medical response ( emr ) services between 1 april 1999 and 31 july 2008 for the season 1 april to 15 november .
95%ci calculated using the variance of log(rr ) based on a poisson distribution . for comparisons having two reference streets , the total number of bicyclists is used from both streets .
the relative danger from vehicular traffic of the cycle tracks compared with their reference streets was close to 1.0 overall , but with a wide range ( table 3 ) .
not surprisingly , the brbeuf and maisonneuve cycle tracks with lowest crash rate and relative injury risk ( tables 1 and 2 ) also had the lowest relative danger from vehicular traffic ( table 3 ) .
yet even for the four cycle tracks on streets with vehicular traffic danger similar to or greater than its reference street , the cycle tracks still had less or a similar risk of injury .
injuries to motor vehicle occupants recorded by emergency medical response ( emr ) services between 1 january 1999 and 31 july 2008 .
95% ci calculated using the variance of log(rr ) based on a poisson distribution . for comparisons having two reference streets , the average number of injuries of the reference streets is used .
contrary to aashto 's safety cautions about road - parallel paths and its exclusion of cycle tracks , our results suggest that two - way cycle tracks on one side of the road have either lower or similar injury rates compared with bicycling in the street without bicycle provisions .
this lowered risk is also in spite of the less - than - ideal design of the montreal cycle tracks , such as lacking parking setbacks at intersections , a recommended practice.18 while the goal of this study was to consider both one and two - way cycle tracks , all of the montreal cycle tracks were two - way with half the bicyclists riding in a direction opposite to that of the closest vehicular traffic , a practice not favoured by aashto .
although the montreal cycle tracks were two - way , they had lower or similar risk compared with the road .
the dutch crow bicycle guidelines suggest that one - way cycle tracks are even safer.3 the crash rate for montreal 's cycle tracks ( 10.5 crashes per million bicycle - km ) is low compared with the few and inconsistent crash rates in the literature . when calculated to include only vehicle / bicycle crashes , these rates range from 3.755 to 5419 in the usa and from 4620 to 6721 in canada .
the injury rate ( 8.5 injuries per million bicycle - km ) lacks comparable data in the literature , partly because few communities have accessible bicycle - incident ambulance records .
although the brbeuf and maisonneuve cycle tracks were safer , the sample of six cycle tracks was too small to determine which factors make some safer .
in one of the few comparisons of bicycling in the street versus bicycling on a separated path parallel to the street in the usa , wachtel and lewiston22 determined a relative crash risk of 1.8 for bicycling on sidewalks which had been designated as bikeways , compared with bicycling in the adjacent street in palo alto , california .
however , their study considered only intersection crashes , omitting non - intersection crashes that include being hit from behind , sideswiped , or struck by a car door .
motor vehicle collisions city - wide in palo alto were non - intersection crashes . if non - intersection crashes are included to match this 26% proportion , reanalysis of the wachtel and lewiston22 data in the article shows that there is no significant difference in risk between the sidewalk bikeway and the street ( table 4 ) . for bicyclists riding in the same direction as traffic , as would be case with one - way cycle tracks , sidewalk bikeways carried only half the risk of the street
therefore , the wachtel and lewiston22 data , when corrected to include non - intersection crashes , corroborate our findings that separated paths are safer or at least no more dangerous than bicycling in the street .
furthermore , as the most common cause of fatal bicyclist collisions in urban areas is overtaking,23 it is probable that an analysis accounting for the severity of injury would be still more favourable towards cycle tracks .
crash rr from wachtel and lewiston22 data with non - intersection crashes included * statistically significant comparisons are shown in bold .
significance , calculated using the variance of log(irr ) based on a poisson distribution ( for comparison with original article ) . authors ' original data .
our study considered whole segments of cycle tracks and not just intersections , measured bicycle exposure directly , and included appropriate comparison groups .
the study , though , only included analysis of six cycle tracks , all of which were two - way and in the same city , and lacked injury severity data .
this research underscores the need for better bicycle counting and injury surveillance and for additional safety studies , particularly of one - way cycle tracks , intersections , injury severity and other factors that affect cycle track safety .
public health and bicycling advocates in the usa have faced a dichotomy , believing from surveys and european experience that cycle tracks encourage more bicycling , yet being warned that they lead to higher crash and injury rates .
our results suggest that cycle tracks lessen , or at least do not increase , crash and injury rates compared with the street .
individuals , in particular women , children , and seniors , prefer to bicycle separated from motor traffic .
cycle tracks ( physically - separated bicycle - exclusive paths along roads ) exist and continue to be built in the netherlands where 27% of all trips are by bicycle and 55% of bicycle riders are female . engineering guidance in the united states
has discouraged bicycle facilities that resemble cycle tracks , including parallel sidepaths and sidewalk bikeways , suggesting that these facilities and cycle tracks are more dangerous than bicycling in the street .
overall , 2  times as many cyclists rode on the cycle tracks compared with the reference streets .
there were 8.5 injuries and 10.5 crashes per million - bicycle kilometers respectively on cycle tracks compared to published injury rates ranging from 3.75 to 67 for bicycling on streets .
the relative risk of injury on the cycle track was 0.72 ( 95%ci=0,60 - 0.85 ) compared with bicycling in the reference streets .
cycle tracks lessen , or at least do not increase , crash and injury rates compared to bicycling in the street .
most individuals prefer bicycling separated from motor traffic 
 . however , cycle tracks ( physically separated bicycle - exclusive paths along roads , as found in the netherlands ) are discouraged in the usa by engineering guidance that suggests that facilities such as cycle tracks are more dangerous than the street . 
 the objective of this study conducted in montreal ( with a longstanding network of cycle tracks ) was to compare bicyclist injury rates on cycle tracks versus in the street . for six cycle tracks and comparable reference streets , vehicle / bicycle crashes and health record injury counts were obtained and use counts conducted . 
 the relative risk ( rr ) of injury on cycle tracks , compared with reference streets , was determined . 
 overall , 2.5 times as many cyclists rode on cycle tracks compared with reference streets and there were 8.5 injuries and 10.5 crashes per million bicycle - kilometres . 
 the rr of injury on cycle tracks was 0.72 ( 95% ci 0.60 to 0.85 ) compared with bicycling in reference streets . 
 these data suggest that the injury risk of bicycling on cycle tracks is less than bicycling in streets . 
 the construction of cycle tracks should not be discouraged .