This chapter presents a general epidemiology of pedestrian and cyclist accidents. We begin with an overview of the scale and worldwide variability of both pedestrian and cyclist injuries. However, there is far more information available for pedestrian than for cyclist accidents and it can be difficult to distinguish between them, as they are sometimes jointly categorised in accident databases as Vulnerable Road Users [1]. In other cases, cyclist accidents are excluded from accident databases altogether [2] and even where they are included, underregistration is significant.1 However, the general pattern of injury severity for pedestrians and cyclists is similar [4] and, due to their higher significance and the increased data available, the focus of this chapter is on pedestrian injuries. Pedestrian accident databases are the principal source of information, but it will be seen that those available mostly contain accidents from a small number of industrialised countries. Therefore, their findings must be interpreted cautiously when assessing pedestrian and cyclist injury levels in less industrialised countries. Nevertheless, the existing accident databases provide the best available overview of pedestrian and cyclist injuries.


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