TESTIMONIES
Testimony - Phyllis Agran
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Testimony Before the Assembly Committee on Transportation
On AB 2030, School buses, Seat belts
April 13,1998
Phyllis F. Agran, M.D., M.P.H.
Professor, Department of Pediatrics
Director, Pediatric Injury Prevention Research Group
University of California, Irvine
Introduction
My name is Phyllis Agran. I am here to testify in support of AB 2030. I am a Professor
of Pediatrics and Director of the Pediatric Injury Prevention Research Group at UC Irvine.
Over the last two decades our research findings have been instrumental in shaping public
policy measures designed to protect children.
I am also a member of the American Academy of Pediatrics Committee on Injury and Poison
Prevention, and immediate past president of the Association for the advancement of
Automotive Medicine. Finally, I am speaking to you today on behalf of the California
District of the American Academy of Pediatrics, representing 5,000 pediatricians, our
patients, and our families.
I recall first testifying before this Committee in the 1980's, when I presented data in
support of what became the historic and lifesaving California Child Passenger Safety Law.
Mandating seat belts on school buses is the next step forward in reducing the risk of
injury among the nation's 24 million children who every day ride in school buses. School
bus transport is relatively safe, but the children of California need and deserve the
added protection afforded by seat belts. AB 2030 would begin to phase in this protection
by requiring seat belts on all new school buses.
(Video: CNN news segment showing injury risks to unrestrained
children)
The Toll in Deaths and Injuries
Since the airing of the CNN report, there have been disagreements regarding the precise
statistics on deaths and injuries among school children. But this much is clear: According
the National Highway Traffic Safety Administration and the National Safety Council,
throughout the United States there are typically 10 school children killed and more than
9,500 injured each year in school bus incidents. For children in California, this
translates, on average, to 1 or 2 deaths per year and more than 1,000 school children
injured. These injuries range from lacerations and bruises to broken bones and spinal cord
damage resulting in permanent paralysis.¹ ²
Let's be honest: In violent school bus crashes, some of these fatalities and injuries
will occur regardless of restraint use. However, the estimate derived from a variety of
studies indicates that if just one-half of all school children on buses were using seat
belts, the number of injuries and deaths could be reduced by 20%.³ Logic suggests that
with 100% utilization, as many as 40% of all fatalities and injuries could be avoided.
Additional Benefits from Seat Belts on Buses
In addition to saving lives and avoiding injuries in crashes, the installation and use
of seat belts on new buses has other benefits.
First, seat belts reduce injuries in non-crash events. Our research has
documented that many children are injured in what we call noncrash events: sudden stops,
turns, and swerves. 4 5 Belts on buses would prevent most of these injuries.
Second, safety belts will keep children safely positioned. If you work with
children as I have every day of my professional life for over 20 years, you know that
children do not sit still for very long. They tend to turn around to talk and play with
others; if given the chance they move about. Seat belts would clearly improve this
situation.
Third, it should be obvious that a child belted in a school bus seat is better
behaved and safer than an unrestrained child. Early reports in New York and New Jersey
- states which have made belts in school buses mandatory - demonstrate the benefit of
improved behavior among restrained children.
Fourth, driver distraction caused by children moving about and playing in the
bus is diminished by requiring the use of seat belts.
Think about it. How would you like to be responsible for 40 or more school children
traveling unrestrained in your bus?
Fifth, a consistent poligy requiripy restraint use in motor vehicles is of
enormous educational value. 6 Children and their families need consistent
messages. Seat belts on school buses would reinforce the "buckle-up" message for
millions of children in California. Personally, I believe that there will be a
"trickle-up" effect of mandated belt use on school buses: Children will
encourage their parents and other adults to use seat belts in other vehicles. In fact,
-children can be excellent teachers. Often they have asked me, "Why is it important
for the bus driver to be belted, but not for the children?" That's a good question.7
Meeting Opposing Arguments
I would not be doing my job as a pediatrician and public health professional if I
didn't take a few minutes to immunize you against some of the disingenuous arguments
voiced by those opposing AB 2030.
Opponents have challenged the data and have claimed that injuries are not increasing.
Even if this were true - which, incidentally, I believe is not the case - the tragic fact
remains that across the country nearly 10,000 school children are injured in school bus
incidents every year. Californias proportionate share is more than 1,000.
Opponents will cite old studies on school bus crashes. Some of the studies have since
been refuted. 8 Other older studies' such as a 1967 UCLA study in which a
school bus was intentionally crashed, actually called for both 28-inch high seat backs and
lap belts to make school buses safer. 9 Unfortunately, opponents of AB 2030
often cite the UCLA study but ignore the lap belt recommendation.
Opponents will tell you that lap belts are dangerous. Seat belts are not the panacea
for avoiding injury in all motor vehicle crashes. However, common sense and our own
practical experience have taught us that seat belts save lives and reduce injuries. That's
why we tell our children to always buckle up. And that's why it's the law just about
everywhere - except in school buses.
Opponents of AB 2030 may tell you that compartmentalization which is the configuration
of seats and the padding of seat backs in school buses - provides adequate protection. It
doesn't. In fact, the benefits of so-called compartmentalization are pretty much limited
to frontal crashes. It provides no protection in non-crash events, lateral impact crashes
and rollovers. These are conditions under which a lap belt could be expected to mitigate
injury.
Now claiming to be concerned with the safety of our children, the opponents of this
bill are offering amendments calling for lap/shoulder belts on all buses, not just school
buses and not just those newly manufactured. The costs of the proposed amendments would be
$1.4 billion. This is a transparent attempt to defeat AB 2030 by doing what no one is
asking for and by running up the costs to unacceptable levels. The fact of the matter is
that AB 2030, in its current form, would provide a simple, cost-efficient means of phasing
in protection for our school children by requiring lap belts on all new school buses.
Specifically, AB 2030 is estimated to cost only $1.60 per child per year for the lifetime
of the bus. Dr. Alan Ross will provide more information on the limited costs associated
with implementing AB 2030.
It is now time for California to join the states of New York and New Jersey in
mandating seat belts on all new school buses as an important public health policy
priority. That's exactly what AB 2030 would do.
You are here today as our elected representatives and legislators. Before you vote on
AB 2030, think of yourself as a parent or grandparent. Then ask yourself this question:
"If I had the opportunity to put my child, my grandchild or any other child in a
school bus with lap belts or in a school bus without lap belts, which would I
choose?"
Thank you.
1 US Department of Transportation. National Highway Traffic Safety
Administration. Fatal Accident Reporting System and GES. National Safety Council. Accident
Facts.
2 US Department of Transportation. National Highway Traffic Safety
Administration. Summary of selected school bus crash statistics in 1990.
3 The Transportation Research Board, National Research Council, Special
Report 222, 1989 based on best estimates from crash tests, sled tests, and analyses of
school bus crash data found that seat belts would be beneficial. I was a member of the
study committee. Although the majority of the members did not recommend a requirement for
seat belts, a strong minority of us representing the public health and medical communities
issued a minority report calling for a uniform occupant restraint policy for all motor
vehicles. We recommended encouraging states and local school districts to equip new school
buses with seat belts.
4 Agran P. Motor vehicle occupant injuries in non-crash events. Pediatrics.
1981;67:838-840.
5 Agran P, Dunkle D, Winn D. Non-crash motor vehicle accidents: Childhood
injuries from interior impact. AJDC. 1985;139:304-306.
6 Providing the opportunity for children to use belts on school buses is
consistent with the Presidential Initiative for Increasing Seat Belt Use Nationwide.
"Once a person establishes the habit of wearing seat belts on every trip, it's
usually a habit for life." "Everyone must buckle up properly, on every
trip."
7 In areas where programs installing belts on school buses have been
implemented, school administrators, transportation directors, drivers, parents and
students favored and supported the program. (DOT HS 806 965. Final Report. School
Bus Safety Belts: Their Use, Carryover Effects and Administrative Issues.
8 Spital M, Spital A, Spital R. The compelling case for seat belts on school
buses. Pediatrics. 1986;78;928-932.
9 Siegel AW, Nahum AM, Runge DE. Bus collision causation and injury
patterns. Warrendale, PA. Society of Automotive Engineers, 1971.
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