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Investigation of large transit vehicle accidents and establishing appropriate protection for wheelchair riders.

INTRODUCTION

Wheelchairs users who ride buses should be afforded a level of safety comparable to that enjoyed by other passengers [1]. National and international efforts to improve wheelchair wheel·chair or wheel chair
n.
A chair mounted on large wheels for the use of a sick or disabled person.


wheelchair,
n
 rider safety have produced safety standards Safety standards are standards designed to ensure the safety of products, activities or processes, etc. They may be advisory or compulsory and are normally laid down by an advisory or regulatory body that may be either voluntary or statutory.  for the hardware used to secure the wheelchair and the occupant (wheelchair tie-down and occupant restraint systems [WTORS]) [2]. These efforts have focused on high-g frontal impacts that are more likely for smaller vehicles, such as passenger vans, and have facilitated the production of the crash-tested WTORS that are currently in widespread use. Most systems employ four straps to secure the wheelchair and a lap and shoulder belt to restrain the occupant.

Offering safe travel for wheelchair riders is one of the most challenging tasks facing providers of large transit city buses [3]. Existing crash-tested strap WTORS that comply with U.S. Americans with Disabilities Act (ADA) and U.S. Department of Transportation (DOT) standards present problems for both wheelchair riders and transit providers because they are both time-consuming time-con·sum·ing
adj.
Taking up much time.


time-consuming
Adjective

taking up a great deal of time

Adj. 1.
 and difficult to operate properly [4-5]. Often these systems are misused mis·use  
n.
Improper, unlawful, or incorrect use; misapplication.

tr.v. mis·used, mis·us·ing, mis·us·es
1. To use incorrectly.

2. To mistreat or abuse. See Synonyms at abuse.

Adj.
 or considered too cumbersome cum·ber·some  
adj.
1. Difficult to handle because of weight or bulk. See Synonyms at heavy.

2. Troublesome or onerous.



cum
 to use [3,6]. No alternative to strap WTORS has yet emerged that has been proven to satisfy the challenging ADA crash protection standards without hindering hin·der 1  
v. hin·dered, hin·der·ing, hin·ders

v.tr.
1. To be or get in the way of.

2. To obstruct or delay the progress of.

v.intr.
 the transit process.

The ADA national standard for WTORS was developed without the benefit of adequate information concerning the risk of injury or death to wheelchair riders and with virtually no information concerning the transit bus crash environment. The 1990 ADA that includes requirements for U.S. public transit bus WTORS (architectural and transportation barriers) prescribes strength requirements for the wheelchair tie-downs that were derived from 32 km/h, 8 to 10 g frontal barrier crash tests of large transit buses [7-9]. This barrier crash velocity was chosen to represent the average travel speed of a transit bus [10]. Evaluators of a prototype bus seat considered such a crash to be "very severe" [11]. In a recent study by the British Transportation Research Laboratory Ltd, the researchers adopted United Nations Economic Commission for Europe The United Nations Economic Commission for Europe (UNECE or ECE) was established in 1947 to encourage economic cooperation among its member States. It is one of five regional commissions under the administrative direction of United Nations headquarters.  Regulation 80 in their investigation of wheelchair rider protection on "M3" vehicles (vehicles with >8 seats and a total mass >4,500 kg) [12]. This regulation, applicable to large transit buses, includes a test protocol for bus seats and seat anchorages that involves a simulated impact with an 8 to 12 g peak deceleration deceleration /de·cel·er·a·tion/ (de-sel?er-a´shun) decrease in rate or speed.

early deceleration
. However, a previous British study indicated that a 10 g deceleration level was inappropriate for full-size buses [13].

We have conducted two prior studies in which we reviewed the literature and conducted database searches to determine the crash risk and crash environment for all vehicles that transport wheelchair riders and to determine whether the 8 to 12 g deceleration crash protection level was appropriate relative to real-world incident data [14-15]. We found few studies and limited data collection efforts because of both a lack of adequate data that identify wheelchair-seated occupants and the very low number of kilometers traveled by wheelchair users relative to other bus riders.

Our initial study found few documented cases of injuries to wheelchair riders aboard buses of any kind. Of the estimated annual average of 53,000 wheelchair-related injuries in all settings between 1988 and 1996 [16], about 170 (0.3%) involved a wheelchair aboard a moving vehicle. Most of these incidents involved the rider falling out of the wheelchair or the wheelchair tipping over or moving during vehicle maneuvers For the military usage, see .

"Maneuvers" is the 27th episode of , and the eleventh episode in the second season. Plot
After Voyager detects a Federation probe, the Kazon Nistrim attack and steal some transporter technology.
, and only 6 percent of the incidents involved a collision. No wheelchair riders sustained injuries severe enough to require hospital admission [14]. We also found no documented wheelchair rider injuries in transit bus crashes and that transit buses were, along with school buses, the safest form of transportation for the general public.

Our second study also documented the lack of information regarding wheelchair rider events and found very little published information regarding general transit bus safety and crash environments. Our results suggested that wheelchair riders do not face undue risks aboard transit buses. Most reported wheelchair incidents were noncollision events in which a rider was injured in·jure  
tr.v. in·jured, in·jur·ing, in·jures
1. To cause physical harm to; hurt.

2. To cause damage to; impair.

3.
 because he or she was not restrained properly or the wheelchair was inappropriately secured. The lack of information for wheelchair rider crashes and injuries is likely because wheelchair riders comprise <0.3 percent of bus passengers and, presumably pre·sum·a·ble  
adj.
That can be presumed or taken for granted; reasonable as a supposition: presumable causes of the disaster.
, a similarly low percentage of bus passenger kilometers traveled. Studies that span 30 years confirm that the transit bus is an exceedingly ex·ceed·ing·ly  
adv.
To an advanced or unusual degree; extremely.


exceedingly
Adverb

very; extremely

Adv. 1.
 safe form of transportation. We found no estimates of crash environment severity in terms of acceleration/deceleration (g level) in the passenger compartment compartment

a part of the body as a whole and divided from the rest by a physical partition.


fluid compartment
that liquid part of the body excluded by cell membranes. Includes intravascular and intercellular compartments.
 for incidents involving either wheelchair riders or other passengers. Although most injuries due to collisions have been minor, some are classified as serious; only a few fatalities have been reported. Crash conditions for the apparently rare severe events are not adequately described. Much more information was available for more the commonly occurring noncollision incidents associated with vehicle motion during normal operation and evasive e·va·sive  
adj.
1. Inclined or intended to evade: took evasive action.

2. Intentionally vague or ambiguous; equivocal: an evasive statement.
 maneuvers. Reported acceleration/deceleration levels for these events ranged from 0.3 to 0.75 g.

Although the results of our second study indicated that protection up to the 0.75 g level is more justifiable jus·ti·fi·a·ble  
adj.
Having sufficient grounds for justification; possible to justify: justifiable resentment.



jus
 than the 8 to 12 g level, the study failed to characterize events >0.75 g. The frequency, severity, and principal impact direction of these events was not established. This information is critical in establishing an appropriate level of crash protection for wheelchair riders. Therefore, this study attempts to characterize large transit bus injury-producing events, especially crashes that involve deceleration levels >0.75 g.

METHODS

The primary information sources for this study were five U.S. and Canadian Canadian (kənā`dēən), river, 906 mi (1,458 km) long, rising in NE New Mexico. and flowing E across N Texas and central Oklahoma into the Arkansas River in E Oklahoma.  databases that contain information on transit bus events, most of which involved a crash or abrupt bus motion. Although the original research plan included representative sampling of transit providers relative to geographic region and traffic density, because of the scarcity Scarcity

The basic economic problem which arises from people having unlimited wants while there are and always will be limited resources. Because of scarcity, various economic decisions must be made to allocate resources efficiently.
 of accessible information, I selected databases based on the quality of the information regarding large bus incidents and the level of access I was provided. Figure 1 lists the information items targeted in the databases. Two national U.S. databases were explored: the National Automotive Sampling System General Estimates System (GES GES GTN (Global Transportation Network) Exercise System
GES General Estimates System (NHTSA)
GES Ghana Education Service
GES Government Economic Service (UK) 
) and the Fatality Analysis Reporting System Fatality Analysis Reporting System (FARS) was created in the United States by NHTSA (the National Highway Traffic Safety Administration) to provide an overall measure of highway safety, to help suggest solutions, and to help provide an objective basis to evaluate the effectiveness  (FARS). The GES provides information on general motor vehicle events and the FARS records events involving a fatality fa·tal·i·ty
n.
1. A death resulting from an accident or disaster.

2. One that is killed as a result of such an occurrence.
. Three regional databases also were investigated: the Ontario Ontario, city, United States
Ontario, city (1990 pop. 133,179), San Bernardino co., S Calif., near Los Angeles, in a region of vineyards; inc. 1891.
 Ministry of Transportation (MOT (OpenView Managed Object Toolkit) An OpenView toolkit from HP for developing network management applications based on CMIS. The toolkit contains library routines that handle the transmission and receipt of CMIS requests and responses. ), the Washington State Transit Insurance Pool (WSTIP WSTIP Washington State Transit Insurance Pool ), and the New York New York, state, United States
New York, Middle Atlantic state of the United States. It is bordered by Vermont, Massachusetts, Connecticut, and the Atlantic Ocean (E), New Jersey and Pennsylvania (S), Lakes Erie and Ontario and the Canadian province of
 State DOT (NYSDOT NYSDOT New York State Department of Transportation ).

Because much of the data comprised small sample sizes from individual transit providers, I was unable to use statistical data analysis methods or validate To prove something to be sound or logical. Also to certify conformance to a standard. Contrast with "verify," which means to prove something to be correct.

For example, data entry validity checking determines whether the data make sense (numbers fall within a range, numeric data
 assumptions that regional data was representative of the United States United States, officially United States of America, republic (2005 est. pop. 295,734,000), 3,539,227 sq mi (9,166,598 sq km), North America. The United States is the world's third largest country in population and the fourth largest country in area.  as a whole. I identified trends and relationships between factors by visual inspection of the data from individual sources.

I analyzed an·a·lyze  
tr.v. an·a·lyzed, an·a·lyz·ing, an·a·lyz·es
1. To examine methodically by separating into parts and studying their interrelations.

2. Chemistry To make a chemical analysis of.

3.
 FARS and Ontario MOT database information to estimate transit bus fatality and injury rates, and investigated select FARS cases with crash reconstruction techniques to determine approximate crash-severity levels. The techniques used collision partner vehicle and effective fixed object masses, police-reported travel speeds, angles of impact, skid distances, and road surface conditions to calculate changes in bus velocity ([DELTA]V), a measure of impact severity.

RESULTS

U.S. National Databases

General Estimates System: Transit Bus Damage

The GES provides information on buses involved in crashes in the United States [17]. Unfortunately, the GES does not uniquely identify transit buses but groups them in the "Other bus" vehicle category. In order to separate the data collected for transit buses, I found a similar database, the Canadian Traffic Accident Information Data System (TRAID TRAID Textile Recycling for Aid and International Development (UK) ), that does include data unique to transit buses. Note that this approach assumes that the ratio of transit buses to intercity buses in the GES is similar to the ratio of transit buses to intercity buses in the Canadian TRAID database. Table 1 summarizes the number and type of reported bus damage events in 1999 in Canada Canada (kăn`ədə), independent nation (2001 pop. 30,007,094), 3,851,787 sq mi (9,976,128 sq km), N North America. Canada occupies all of North America N of the United States (and E of Alaska) except for Greenland and the French islands of  from the TRIAD and between 1999 and 2001 in the United States from the GES.

Transit buses comprised 72.7 percent of the Canadian TRAID "Severe (repair) + demolished de·mol·ish  
tr.v. de·mol·ished, de·mol·ish·ing, de·mol·ish·es
1. To tear down completely; raze.

2. To do away with completely; put an end to.

3.
" damage category total (32/44 = 0.727) (Table 1). Assuming a similar proportion exists for the corresponding GES damage category yields an annual average of 430 severely damaged transit buses (0.727 x 592) in the United States. Given the large number of buses with unknown damage, the actual number of severely damaged buses is likely higher. Another reported GES element, "Manner of leaving scene," is also related to crash damage and has fewer data points coded as "Unknown;" for example, the GES database records that 24,480 buses were driven from the crash scene, 1,308 were towed because of damage (in addition to serious damage, buses may be towed because of minor problems, i.e., broken headlight or windshield), 197 were towed but not because of damage, 117 were abandoned, and 163 were unknown. Assuming the same 0.727 ratio of transit buses to intercity buses for this data element yields an annual estimate of 951 (0.727 x 1,308) transit buses that were known to be towed because of damage in the United States. In summary, the GES data elements "Damage severity" and "Manner of leaving scene" suggest that annually between 430 and 951 transit buses were substantially damaged in crashes between 1999 and 2001 in the United States.

Fatality-Producing Events Aboard Transit Buses

The FARS attempts to record every U.S. motor vehicle event that involves a fatality of a vehicle occupant or nonmotorist [18]. Table 2 describes the crash and noncrash events fatal to transit bus drivers and passengers between 1997 and 2001.

Tables 3 and 4 summarize sum·ma·rize  
intr. & tr.v. sum·ma·rized, sum·ma·riz·ing, sum·ma·riz·es
To make a summary or make a summary of.



sum
 the number of fatalities and the event types. A total of nine drivers and seven onboard passengers were killed in 560 events. Because every FARS case must involve a fatality, this finding indicates that the great majority of fatalities occurred in the collision partner vehicle or involved a pedestrian A pedestrian is a person travelling on foot, whether walking or running. In modern times, the term mostly refers to someone walking on a road or footpath, but this was not the case historically. History
Walking is the primary means of human locomotion.
.

Drivers were more likely to die than passengers despite the average estimated passenger-to-driver ratio of 12:1. This ratio was not derived systematically, but it approximates onboard counts in various transportation studies [19]. The driver station is apparently more dangerous than the passenger area despite the common availability of occupant restraint belts (which were not always used as evidenced by the four cases in which an unbelted driver was ejected). In all but one case, the driver's fatal injuries occurred in a frontal or side crash. In five of eight cases, the damage to the bus was severe and required that the bus be towed from the scene. The percent of severely damaged buses in crash events that involved a driver fatality (5/8 = 62.5%) is much higher than the 4.1 percent calculated for general transit bus crashes (severe damage/ [none + minor + moderate + severe] = 592/15,056 = 3.9%) (Table 1).

Only three of the seven passenger deaths occurred during crashes, two frontal and one side. Bus crash damage was coded as "Severe" in two cases and "Moderate" in the third. The side-impact event required passenger extrication extrication Emergency medicine The process of removing a person from an entrapment, usually from a motor vehicle, often requiring the use of special tools. See Jaws of life. , which suggests that the bus wall may have intruded in·trude  
v. in·trud·ed, in·trud·ing, in·trudes

v.tr.
1. To put or force in inappropriately, especially without invitation, fitness, or permission:
 into the passenger space. The other four passenger fatalities occurred in noncontact events, two of which involved braking or turning. The sole fatality of a wheelchair rider, an 85-year-old female, was attributed to a bus executing a turn at relatively high speed.

Of the eleven driver and passenger fatalities that involved crashes, five of the crashes involved immovable objects or a heavy vehicle (Table 2, cases 385, 858, 224, 1119, and 760). One of the driver fatalities involved impact with a bridge abutment abutment /abut·ment/ (ah-but´ment) a supporting structure to sustain lateral or horizontal pressure, as the anchorage tooth for a fixed or removable partial denture.

a·but·ment
n.
, one a frontal impact with a tree, and another an impact with another bus. In one of the passenger cases, the bus slid sideways into a building, in another, the front of the bus hit a tree.

Regional Databases

In an attempt to gather additional information on transit bus events, I reviewed three regional databases: the Ontario MOT, the NYSDOT, and the WSTIP.

Ontario Ministry of Transportation Database

The Ontario MOT database provided a wealth of specific information concerning transit bus events. The Ontario MOT database, like the general Canadian TRAID database, uniquely identifies municipal transit buses rather than including them in an "Other bus" category as in the GES database. Therefore, like the TRAID, I used the Ontario MOT to help characterize U.S. transit bus events. This approach assumes that regionally reported events are representative of those in the United States as a whole, an assumption that was not tested in this study. Other advantages of the Ontario MOT database are that it captures 62 percent of the Canadian transit bus events, it is well documented, and the staff provide generous technical assistance. The 137-field database includes transit bus events that resulted in either injury or property damage >$1,000 Canadian and police-reported information on the event, the vehicle, and involved persons. The events are not investigated nor are crashes reconstructed re·con·struct  
tr.v. re·con·struct·ed, re·con·struct·ing, re·con·structs
1. To construct again; rebuild.

2.
. The Ministry staff provided data on transit bus events from 1999 to 2001.

Event type, bus speed, vehicle damage, and level of personal injury were the main parameters extracted. The Appendix (available online only at http://www.rehab.research.va.gov See .gov and GovNet.

(networking) gov - The top-level domain for US government bodies.
) defines the data elements used in the analyses. Assuming that g level is related to bus damage and the severity and frequency of occupant injury, I examined these parameters to identify events that most likely involved g levels that exceed those encountered during abrupt braking, turning, and accelerating.

The 1999 to 2001 database review involved 4,292 events and 61,529 bus passengers. The majority of the events involved only property damage and/or injury to other vehicle occupants or pedestrians. Only 580 of these events involved an injury to a bus passenger. A total of 844 passengers were injured. Sixty-six percent of the injuries were minimal; only 0.6 percent were major (requiring hospital admission) (Table 5).

Of the 844 bus passengers injured, the type of event was known for 751 (Table 5). For 49 percent of the passengers, the bus made contact with another vehicle or fixed object. For 51 percent of the passengers, the event did not involve contact. Most of the noncontact events are assumed to have involved bus motion from either normal or emergency maneuvers. Injury severity was not related to bus contact (Figure 2). All the major injuries occurred in noncontact events. For those events that involved contact, the amount of damage to the bus was unrelated to injury severity unless the bus was described as "Demolished" (Figure 3).

Table 6 summarizes the five contact events in which the bus was considered "Demolished" (damaged so severely as to be uneconomical to repair). In these events, nearly all the passengers aboard were injured (an average of 92%). In events in which less bus damage occurred, the percent of injured passengers decreased (Figure 4). In four of the five events, frontal contact was the primary impact. In one event that involved a bus being hit from the right side, one injured passenger was partially ejected.

The events involving contact are further characterized char·ac·ter·ize  
tr.v. character·ized, character·iz·ing, character·iz·es
1. To describe the qualities or peculiarities of: characterized the warden as ruthless.

2.
 in Figures 5 and 6. Visual inspection of the results suggests that injury severity is not strongly associated with estimated preevent bus speed (Figure 5). Three of the five major injuries occurred at speeds of <5 km/h. The percent of minor versus minimal injuries increased when speeds exceeded 30 km/h.

In cases in which [greater than or equal to]1 passenger was injured, impacts to the front of the bus were the most common (Figure 6). Collectively, frontal impacts comprised 57 percent of all impacts, rear impacts 24 percent, and left- and right-side impacts 19 percent. The single most heavily contacted area was the left front corner, which accounted for 25 percent of the impacts.

The following is a summary of Ontario MOT database findings:

1. The Ontario MOT database review provided additional evidence of transit bus safety. No onboard fatalities and only five major injuries were reported in the 3 years studied.

2. Injury frequency and severity were very similar for contact versus noncontact events, such as vehicle maneuvers.

3. Bus damage was associated with injury for only five cases in which the bus was considered "Demolished." Most of the passengers were injured. Four of these five cases involved impacts to the front of the bus.

4. Most (57%) injury-producing contacts were to the front of the bus.

5. Preevent bus speed was not strongly associated with injury.

[FIGURE 3 OMITTED]

New York State Department of Transportation Database

The NYSDOT is the only state DOT that systematically records and investigates transit bus events. In contrast to the Ontario MOT database review, I did not have access to the underlying data but relied on NYSDOT personnel to conduct database searches on my behalf. I explained the need to identify severe transit bus events and requested cases that involved bus crashes and resulted in bus occupant injuries and deaths. Table 7 summarizes the NYSDOT response, which is a sampling of case reports selected by an experienced staff member and is not intended to be a census of such events.

Three cases did not involve a crash but an abrupt evasive maneuver maneuver /ma·neu·ver/ (mah-noo´ver) a skillful or dextrous method or procedure.

Bracht's maneuver  a method of extraction of the aftercoming head in breech presentation.
. Braking was reported in three of the noncrash events for which insufficient details were available to determine if the passenger injuries were sustained during the preimpact braking or the subsequent crash. Although two drivers died, no passengers were killed or suffered injuries severe enough to require hospital admission. Summary of NYSDOT database findings:

1. No passengers were killed or suffered injuries severe enough to require hospital admission.

2. Of the four crash events, two involved impacts to the front of the bus, one to the side, and one involved a side impact followed by a frontal impact.

3. Avoidance maneuvers caused injuries in several noncrash cases. In one case (5606), preimpact braking caused a passenger to fall from the vehicle seat.

4. Five of the seven events involved abrupt braking; in two cases (5606 and 6102), the braking preceded the crash.

Washington State Transit Insurance Pool Database

The WSTIP maintains a database of claims for 19 transit properties in the Northwest, including one transit organization in Ohio. In contrast to the other database reviews, this review included both fixed-route transit buses and on-demand van-based buses (e.g., paratransit Paratransit is an alternative mode of flexible passenger transportation that does not follow fixed routes or schedules. Typically vans or mini-buses are used to provide paratransit service, but also share taxis and jitneys are important providers.  vans). WSTIP generously provided data for 1,333 injury and property claims recorded between 1996 and 2003. Of the 1,333 cases, only 162 (12%) involved a crash: 147 claims involved a fixed-route bus crash, 15 involved a van crash, and 53 involved wheelchair riders, although none of the more costly wheelchair rider claims involved a transit bus crash (Table 8).

Although the database does not indicate whether the claim event monetary totals were due to property damage or injury or a combination thereof, the WSTIP staff suggested that claims >~$10,000 usually indicate an injury was involved. The location of the injured claimant CLAIMANT. In the courts of admiralty, when the suit is in rem, the cause is entitled in the Dame of the libellant against the thing libelled, as A B v. Ten cases of calico and it preserves that title through the whole progress of the suit.  was not recorded, and the claimant could have been in a collision partner vehicle. Twenty-nine fixed-route buses and one van were involved in claims >$9,500 (Tables 8 and 9). The majority of these claims involved a bus crash (17/29).

[FIGURE 5 OMITTED]

WSTIP provided detailed information for the most severe crash that involved a fixed-route transit bus whose driver passed out from an apparent heart attack in March 1999. The bus, with 36 passengers onboard, hit concrete barriers with its left and right front corners injuring 22 passengers and the driver. The driver and 13 passengers were taken to area hospitals. Passengers interviewed at the hospital described "a scene of bodies flying around and a lot of chaos." The passengers, suffering no serious injuries, were all treated and released. The front of the bus was extensively damaged (Figure 7). Estimated bus repair costs were $41,000 excluding replacement parts.

Eleven cases did not involve a crash. Six of these cases (four nonwheelchair riders and two wheelchair riders) involved braking.

Table 10 outlines the four wheelchair rider incidents (two that did not involve a crash and two that did) and the associated claim costs. The average wheelchair rider claim cost for claims >$9,500 was $65,496, which is 60 percent higher than that of the average claim for nonwheelchair riders ($41,059). All four of the noncrash wheelchair events were among the 10 most costly event types despite having only one or two claimants per event (Table 11). The ratio of wheelchair rider claims >$9,500 to other rider claims (4/29 = 0.14) is much higher than the 0.0024 ratio of wheelchair riders to general riders estimated for Seattle Seattle (sēăt`əl), city (1990 pop. 516,259), seat of King co., W Wash., built on seven hills, between Elliott Bay of Puget Sound and Lake Washington; inc. 1869. , a city with a large percentage of wheelchair riders [15]. The ratio of all wheelchair rider claims to other rider claims (53/1,333 = 0.04) is also much higher than this estimated ratio of wheelchair riders to general riders.

The following is a summary of WSTIP database findings:

1. During the study period, 12 percent of the property and injury claims involved a crash. A transit bus was involved in 147 of the crashes and a van or paratransit vehicle in 15.

2. A severe crash, as evidenced by extensive bus damage and passengers being thrown out of their seats, injured 22 of the 36 passengers but caused no serious injuries.

3. The four wheelchair rider claims >$9,500 occurred aboard a paratransit vehicle and did not involve a crash. The average wheelchair rider claim event monetary total was higher than that for general riders.

4. A disproportionate dis·pro·por·tion·ate  
adj.
Out of proportion, as in size, shape, or amount.



dispro·por
 number of substantial (>$9,500) wheelchair rider claims were noted compared with the ratio of wheelchair riders to other riders of transit buses and vans.

Analysis of Database Information

Fatal and Nonfatal Adj. 1. nonfatal - not bringing death; "nonfatal heart attack"
fatal - bringing death
 Injury Rates

Fatality rate fa·tal·i·ty rate
n.
See death rate.



fatality rate

see case fatality rate.
, expressed as deaths per 100 million passenger kilometers, is a widely used metric to describe the risk associated with a mode of transportation. The National Safety Council (NSC NSC
abbr.
National Security Council

Noun 1. NSC - a committee in the executive branch of government that advises the president on foreign and military and national security; supervises the Central Intelligence Agency
) calculates the fatality rate using FARS data and passenger kilometer kilometer

one thousand (103) meters; 3280.83 feet; five-eighths of a mile; abbreviated km.
 data from the American Public Transit Association (Table 12) [20]. I also calculated the fatality rate using a combination of FARS data and NSC Safety Management Information Statistics passenger kilometer data for "passenger fatalities due to all causes."

The FARS analysis finding of 0.006 fatalities per 100 million passenger kilometers is similar to the 0.004 rate calculated by the NSC. Our analysis identified only one onboard fatality in the 3-year study period due to a transit bus crash. This rate translates to an average annual rate of 0.001, a quarter of the NSC rate for onboard passenger fatalities in all transit bus events (Table 12). Note that the average annual fatality rates are based on very few annual fatalities and can change substantially if a single year with several fatalities is included or excluded from the calculation.

In addition to fatality rates, I also estimated onboard transit bus nonfatal injury rates and the number of annual injuries in the United States using Ontario MOT data. Table 13 and Figure 8 summarize the relationship between injury frequency and severity. As expected, as injury severity increases, frequency decreases. The rate of minor injuries, those that do not require hospital admission (2.603), is approximately half that of minimal injuries (5.060). In turn, the rate for major injuries that do require hospitalization hospitalization /hos·pi·tal·iza·tion/ (hos?pi-t'l-i-za´shun)
1. the placing of a patient in a hospital for treatment.

2. the term of confinement in a hospital.
 (0.046) is less than one-fifth the rate of minor injuries. Table 13 presents an estimate of the number of onboard transit bus passenger injuries in the United States extrapolated from the Ontario MOT injury data. The results suggest that only 19 major injuries occur annually.

Transit Bus Crash Event g-Level Determination

A major focus of this study was characterization A rather long and fancy word for analyzing a system or process and measuring its "characteristics." For example, a Web characterization would yield the number of current sites on the Web, types of sites, annual growth, etc.  of bus crashes in terms of onboard g levels. In addition to using database bus damage and passenger injury as very general indicators of crash g level, we corroborated cor·rob·o·rate  
tr.v. cor·rob·o·rat·ed, cor·rob·o·rat·ing, cor·rob·o·rates
To strengthen or support with other evidence; make more certain. See Synonyms at confirm.
 with University of Michigan (body, education) University of Michigan - A large cosmopolitan university in the Midwest USA. Over 50000 students are enrolled at the University of Michigan's three campuses. The students come from 50 states and over 100 foreign countries.  Transportation Research Institute (UMTRI UMTRI University of Michigan Transportation Research Institute ) researchers to estimate g levels using crash reconstruction techniques for select FARS cases [21].

UMTRI identified 33 transit buses cases in which passengers and/or the driver sustained injuries recorded in the FARS database for 1999. For inclusion in FARS, a transit bus event must involve a death. In all of these cases, the death occurred external to the bus.

We analyzed nine cases for which the relative velocity the velocity with which a body approaches or recedes from another body, whether both are moving or only one.

See also: Velocity
 of the bus/collision partner was known and the impact was to the front or to the side of the bus in order to allow comparisons to the Calspan bus crash test results (Tables 14 and 15, Figure 9) [22].

Eight of the nine cases involved the front of the bus hitting a passenger vehicle either in the side (four) or in the front (four head-on impacts) (Table 16). One case involved a car hitting the side of a bus at an intersection intersection /in·ter·sec·tion/ (-sek´shun) a site at which one structure crosses another.

intersection

a site at which one structure crosses another.
. Relative velocity in combination with vehicle masses, an indicator of crash severity, ranged from 35 to 193 km/h. Some of the crash severities were more than twice that of the Calspan offset frontal crash test, which employed an 1,800 kg bullet vehicle traveling at 90 km/h [22].

Transit Bus Crash Tests

Onboard acceleration data for a variety of defined crash types is needed to estimate bus passenger compartment acceleration in real-world crashes. After a prolonged pro·long  
tr.v. pro·longed, pro·long·ing, pro·longs
1. To lengthen in duration; protract.

2. To lengthen in extent.
 search, we found only a few reports of transit bus crash tests in which bus acceleration was recorded. Instrumented tests of transit buses are rarely conducted. Tests conducted by Calspan Corporation (Buffalo, New York) were well documented and provided the best data to allow a very approximate estimation estimation

In mathematics, use of a function or formula to derive a solution or make a prediction. Unlike approximation, it has precise connotations. In statistics, for example, it connotes the careful selection and testing of a function called an estimator.
 of the g level in the case events [22]. The Calspan tests involved impacting a stationary bus with an 1,800 kg passenger car. The four buses, weighing 10,700 to 14,900 kg, consisted of one representative commercial transit bus, GM New Look (General Motors Corp; Detroit, Michigan “Detroit” redirects here. For other uses, see Detroit (disambiguation).
Detroit (IPA: [dɪˈtʰɹɔɪt]) (French: Détroit, meaning strait
), and three Transbus prototypes (GMC GMC

See: Guaranteed Mortgage Certificate
 Transbus [General Motors Corp], Rohr ROHR Restoration of Human Rights  Transbus [Rohr, Inc; Chula Vista, California “Chula Vista” redirects here. For the area in Florida, see Chula Vista, Florida.
Chula Vista is a city in southern San Diego County, California, United States.
], and AM General Transbus [AM General; South Bend, Indiana This article is about the city in Indiana, US. For other uses of the name South Bend, see South Bend (disambiguation).
South Bend is a city in St. Joseph County, Indiana, United States.
]) developed in the early 1970s to demonstrate improved safety [22]. Each bus was struck by a car in the front and in the side. Calspan bus tests were conducted for the front bumper, offset frontal impact, and side impact at 16, 90, and 40 km/h car impact speeds, respectively. The bullet car was a full-size U.S. sedan Sedan (sədäN`), town (1990 pop. 22,407), Ardennes dept., NE France, on the Meuse River. A noted textile center since the 16th cent., Sedan also has metal and brewing industries. The town became part of French crown lands in 1642.  that weighed 1,800 kg.

Peak acceleration varied considerably in the side-impact tests (2.0-12.5 g). Variability was also evident for the 10 ms acceleration. In all tests, the bus was displaced displaced

see displacement.
 laterally lat·er·al  
adj.
1. Of, relating to, or situated at or on the side.

2. Of or constituting a change within an organization or a hierarchy to a position at a similar level, as in salary or responsibility, to the one being left:
 and sustained permanent deformation deformation /de·for·ma·tion/ (de?for-ma´shun)
1. in dysmorphology, a type of structural defect characterized by the abnormal form or position of a body part, caused by a nondisruptive mechanical force.

2.
 of the sidewall side·wall  
n.
1. A wall that forms the side of something.

2. A side surface of an automobile tire, between the edge of the tread and the wheel rim.

Noun 1.
. The low-speed bumper tests produced acceleration levels that did not rise above 2.2 g (Table 14, Figure 9). The high-speed offset frontal impacts produced the highest acceleration with a peak of 21 g for the Rohr Transbus (Table 15). Acceleration peaks that would be more likely to affect WTORS, such as the 5 and 10 ms values, were considerably lower in most of the tests, averaging 6.3 g for the front floor 5 ms acceleration value and 3.2 g for the front floor 10 ms value. Accelerations recorded on the floor in the rear of the bus were lower than those recorded nearer to the point of impact in the front of the passenger compartment (Figure 9). Despite the engaged parking brake, the impact drove the buses rearward rear·ward 1  
adv.
Toward, to, or at the rear.

adj.
At or in the rear.

n.
A rearward direction, point, or position.



rear
 99 to 674 cm and permanently deformed de·formed
adj.
Distorted in form.
 their bumpers 15 to 35 cm.

Table 16 summarizes the g-level estimates for the nine cases based on Calspan data. We estimated that peak front-floor acceleration was <13 g in four frontal impact cases and >13 g in another four. This break point was chosen because the average peak acceleration for the four Calspan buses was 12.7 g in the offset frontal test (Table 15). The average 5 and 10 ms duration peaks were 6.5 and 3.1 g, respectively. In one case (419), the peak acceleration may have been less than the 1.7 g that was recorded in the Calspan bumper test. The one side-impact case (428) was much more severe than the Calspan side-impact test because of higher car speed and mass (Table 16).

More recent tests conducted for Transport Canada Transport Canada is the department within the government of Canada which is responsible for developing regulations, policies and services of transportation in Canada. History  involved four impacts where the front of a stationary 10,000 kg transit bus was impacted by a 1,700 kg car traveling at approximately 48 km/h, a condition considered to "generate higher occupant loadings and give an indication of the upper reaches of the range" [23]; floor-mounted accelerometers indicated that the 10 ms duration bus longitudinal lon·gi·tu·di·nal
adj.
Running in the direction of the long axis of the body or any of its parts.
 peak acceleration did not exceed 3 g.

[FIGURE 7 OMITTED]

DISCUSSION

As in our previous studies, the database searches yielded few wheelchair rider events [14-15]. The transit bus is a very safe mode of transportation for the general ridership rid·er·ship  
n.
The number of passengers who ride a public transport system.
 [11,24-26]. Very limited data are available concerning the injurious in·ju·ri·ous  
adj.
1. Causing or tending to cause injury; harmful: eating habits that are injurious to one's health.

2.
 events that do occur [10,15]. We examined events that involved other riders to estimate the environment to which wheelchair users, had they been present, would have been exposed.

The FARS analysis confirmed NSC data that indicated a very low fatality rate for transit buses. The analysis also found an even lower rate for events that involved a crash. The injury analysis provided additional evidence of transit bus safety. Extrapolation (mathematics, algorithm) extrapolation - A mathematical procedure which estimates values of a function for certain desired inputs given values for known inputs.

If the desired input is outside the range of the known values this is called extrapolation, if it is inside then
 of Ontario MOT injury data suggests that only 19 of the approximately 4.6 billion passengers in the United States (1993 estimate) [27] are admitted annually to hospitals because of injuries sustained while onboard a transit bus.

Transit Bus Passenger Compartment g Level and Injury

The g-level determination effort was motivated mo·ti·vate  
tr.v. mo·ti·vat·ed, mo·ti·vat·ing, mo·ti·vates
To provide with an incentive; move to action; impel.



mo
 by a desire to examine the relatively few injury-producing transit bus events and characterize the event conditions, primarily in terms of passenger compartment g level. This parameter (1) Any value passed to a program by the user or by another program in order to customize the program for a particular purpose. A parameter may be anything; for example, a file name, a coordinate, a range of values, a money amount or a code of some kind. , used to quantify Quantify - A performance analysis tool from Pure Software.  crash severity and an indicator of injury risk, is also useful in establishing criteria for occupant safety systems [28].

The relationship between g level and passenger injury proposed here assumes the following:

1. Most injuries are sustained when the bus contacts another vehicle or roadside object and the passengers are thrown into interior components. For example, in a frontal collision, the bus itself abruptly a·brupt  
adj.
1. Unexpectedly sudden: an abrupt change in the weather.

2. Surprisingly curt; brusque: an abrupt answer made in anger.

3.
 slows but the unrestrained seated or standing passengers continue to move forward until striking seat backs, stanchions, or the fare box.

2. The force with which the passengers strike interior components and the resulting injuries are proportional proportional

values expressed as a proportion of the total number of values in a series.


proportional dwarf
the patient is a miniature without disproportionate reductions or enlargements of body parts.
 to the severity of the bus impact as measured by the g level in the passenger compartment, which is related to visible damage to the bus exterior.

Peak Acceleration Estimates and Injuries

In most of the cases reconstructed for the transit bus g-level determination effort in which the number of occupants and the number of injured occupants were known, at least half were injured (Table 17). A large proportion of injured occupants were also recorded for Ontario MOT passengers aboard buses that were demolished. However, except for one "Incapacitating in·ca·pac·i·tate  
tr.v. in·ca·pac·i·tat·ed, in·ca·pac·i·tat·ing, in·ca·pac·i·tates
1. To deprive of strength or ability; disable.

2. To make legally ineligible; disqualify.
" injury, all the known injuries were minor, with GES labels of "Possible" or "Evident but not incapacitating." Although the GES coding system Noun 1. coding system - a system of signals used to represent letters or numbers in transmitting messages
code - a coding system used for transmitting messages requiring brevity or secrecy
 does not indicate whether hospitalization was required, these results suggest that very few of those injured required admission to the hospital.

Several cases were identified in which the peak onboard acceleration exceeded the 0.75 g level associated with sudden braking. Although actual g levels were impossible to determine with the limited available case information and crash test data, this analysis suggests that half of the frontal impacts involved peak front floor acceleration >~13 g. The number of certain injuries ("Evident but nonincapacitating" and "Incapacitating") did not seem to be related to the estimated g level in this admittedly small sample. Only one case in the "<13 g" classification (141) and one case in the ">13 g" classification (418) included an "Evident but nonincapacitating" injury. The most injurious case (428) was estimated to involve a peak g level that exceeded 5.8 and included three "Evident but nonincapacitating" injuries and the only "Incapacitating" injury (Table 16).

Transit Bus Damage and Injury

One of the primary objectives of the GES study was to identify high-g level crash events by bus damage and onboard injury. Assuming that bus damage classified as "Severe" or requiring towing from the crash scene is the result of a crash that resulted in >0.75 g acceleration/ deceleration in the passenger compartment, the GES bus damage data suggest that such events occur approximately one to three times a day in the United States. (Estimated number of transit buses substantially damaged annually = 430-951; 430 buses/365 days = 1.2 buses/ day; 951buses/365 days = 2.6 buses/day.)

However, we can reasonably assume that some of the many moderately damaged buses (5,285) were also involved in crashes that produced elevated g levels (Table 1). Alternatively, not all the buses "Towed due to damage" sustained significant structural damage. For example, minor damage such as broken headlights, which render a bus undriveable after a nighttime crash, may require towing. Confidence in the reported damage severity information is further eroded e·rode  
v. e·rod·ed, e·rod·ing, e·rodes

v.tr.
1. To wear (something) away by or as if by abrasion: Waves eroded the shore.

2. To eat into; corrode.
 by the large number of cases coded as "Unknown."

Although the bus damage information from the analysis of GES data is suspect in terms of absolute numbers of severely damaged buses, it does indicate that crashes that produce >0.75 g in the passenger compartment are not uncommon. The GES analysis suggests that ~5,200 passengers were exposed to crashes that severely damaged the bus and 11,500 to crashes that rendered the bus undriveable because of some level of damage (430 severely damaged buses x 12.1 passengers/bus = 5,200; 951 buses towed due to damage x 12.1 passengers/bus = 11,500). Despite the several thousand passengers exposed to crashes that may have produced elevated g levels, we estimate that only 19 passengers annually sustain major injury aboard either damaged or undamaged buses (Table 13).

As in the GES analysis, the motivation for the FARS analysis was to identify and characterize severe crash events, in this case indicated by a fatal injury onboard. In 3 out of 16 (19%) driver and passenger events, for cases in which collision partner information was reported, the bus hit a roadside structure or tree (Table 2). The Ontario MOT database, which includes a much broader range of bus events, recorded only 57 out of 3,576 events (1.6%) where the first impact involved a fixed object. This result suggests a higher than average g level for the FARS fatal events.

All but one driver fatality occurred in a crash, and most driver fatalities (63%) were associated with severely damaged buses (Table 2). This finding suggests that driver fatality is associated with severe bus damage and, presumably, with elevated g-level events. However, the passenger data indicated that a high-g event was not necessary to cause a fatality. While two out of three (67%) buses sustained severe damage in fatal passenger crashes (similar to the proportion recorded for fatal driver crashes), two of the passenger fatalities aboard a moving bus involved a low-g braking or turning maneuver.

Therefore, an equal number of bus passengers died in high- and low-g events. While this finding suggests that the risk of fatal injury is similar for the severe crashes and vehicle maneuvers for a given time period, it does not suggest that the average individual severe crash is as injurious as the average vehicle maneuver as was erroneously er·ro·ne·ous  
adj.
Containing or derived from error; mistaken: erroneous conclusions.



[Middle English, from Latin err
 stated in our prior review of German bus data [15]. Table 18 summarizes the German bus data. Although a similar number of Abbreviated Injury Scale 1 (slight) and 3 (serious) [29] injuries were recorded for both event types for the data collection time period, an estimated five times as many occupants aboard the buses were involved in the noncollision events. This finding indicates that occupants aboard the buses involved in crashes with trucks were five times as likely to be injured, evidence that supports the assumption that high-g events are more injurious.

The fact that our study of fatal injuries and the German study both found similar numbers of injuries for low- and high-g events is likely due to the relative frequency of occurrence of the two events. Severe crashes, in which passengers are likely to be injured, happen rarely (we estimate 2-3 a day for all buses in the United States) compared with abrupt vehicle maneuvers, which may occur several times a day for each of the estimated 44,000 buses in the United States [27].

The regional database reviews failed to find substantial injury in apparently severe crashes. The Ontario MOT database analysis found no relationship between passenger injury severity and bus damage coded as "None," "Light," "Moderate," or "Severe." In fact, knowing whether a contact was involved did not help to predict injury frequency or severity (Table 5). Moreover, all of the most severe injuries ("Major" injuries) occurred in noncontact events. Preevent bus speed, a parameter that should, on average, rank order crash event [DELTA]V and g level, was found to have little relationship to injury level (Figure 5).

The Ontario MOT data did, however, suggest a relationship between severe contact events and significant injury for cases in which the bus was described as "Demolished," although none of the injuries was coded as major or fatal as the Ontario MOT database recorded no major or fatal injuries in contact events (Figure 3).

Although the request to the NYSDOT database was for "severe transit bus events" and those that "involved bus crashes and resulted in bus occupant injuries and deaths," the NYSDOT staff returned several cases that included no fatalities and no passengers injured severely enough to require hospitalization. This low frequency and severity of injury is similar to that found in the Ontario MOT data review. Even the case that involved a frontal impact with an unyielding concrete staircase failed to produce serious passenger injury (Table 7). In this case, the deceleration apparently exceeded 0.75 g as evidenced by the unbelted driver being ejected through the windshield, the relatively high precrash bus speed (40-48 km/h), and the reported lack of preimpact braking. Note that of all the cases reviewed, this one was most like laboratory frontal barrier crash tests. However, despite the apparent severity of the crash, none of the passenger injuries required hospitalization.

[FIGURE 9 OMITTED]

In summary, with the exception of the g-level determination effort, the analyses found a relationship between injury and g level. However, we also found that elevated g levels are not necessary to produce passenger injuries. The FARS, German, and Ontario MOT data indicated that injury levels similar to those in high-g crashes regularly occurred in low-g events. The number of injured and the severity of the injuries were quite low for all the data sources and for all events, even those that produced severe bus damage. This finding is counterintuitive coun·ter·in·tu·i·tive  
adj.
Contrary to what intuition or common sense would indicate: "Scientists made clear what may at first seem counterintuitive, that the capacity to be pleasant toward a fellow creature is ...
. It is difficult to understand how unrestrained and often standing bus riders, whose ranks include many frail frail 1  
adj. frail·er, frail·est
1. Physically weak; delicate: an invalid's frail body.

2.
 older adults, are not more frequently and more severely injured in events that result in a severely damaged bus and/or in which the peak g level exceeds 13 g. Possible explanations include the following:

1. Database bus damage information, primarily provided by police reports, is not a reliable indicator of onboard g level.

2. Bus construction may limit the g level felt in the passenger compartment despite the appearance of substantial damage to the bus exterior.

3. Bus interior components, such as seat backs, may be effective at limiting peak forces on passengers who are thrown into them in a high-g event.

4. The g-level determination effort that relied on very limited crash reconstruction information overestimated g levels. Moreover, the estimates relied on a limited number of crash tests of 30-year-old transit bus designs. Three of the buses tested by Calspan were nonproduction Non`pro`duc´tion

n. 1. A failure to produce or exhibit.
 prototypes and none were low floor buses, an increasingly common type in current use. Performance of modern configuration and construction buses on the Calspan tests is unknown.

5. The effect of g level on bus passengers may not be adequately expressed by the peak acceleration/deceleration alone. For example, both the g level and the duration of the acceleration/deceleration or "crash pulse" were specified for the dynamic test of WTORS [30]. Further investigation is required to determine critical combinations of g level and duration for passengers who sit on the vehicle seat and those who sit in wheelchairs.

Wheelchair Rider Safety

Although the study primarily examined events injurious to the general ridership in order to estimate the transit environment for the wheelchair rider, we did evaluate a limited number of events that involved a wheelchair rider. The FARS analysis identified a single wheelchair rider fatality aboard a transit bus in a noncrash event. The WSTIP database provided valuable information on wheelchair riders, although the cases occurred aboard paratransit vans and not transit buses. The four WSTIP wheelchair rider cases did not involve a crash, yet were disproportionately dis·pro·por·tion·ate  
adj.
Out of proportion, as in size, shape, or amount.



dispro·por
 frequent and costly compared with claims involving the general ridership. If claim costs are an indication of injury severity, as suggested by WSTIP staff, then wheelchair riders appear to be more vulnerable to injury than other riders, a reasonable possibility given that many are physically frail and that WTORS are often insufficient.

Similar findings of disproportionate problem frequency for wheelchair riders have been reported. The 1986 Urban Mass Transit mass transit, public transportation systems designed to move large numbers of passengers. Types and Advantages


Mass transit refers to municipal or regional public shared transportation, such as buses, streetcars, and ferries, open to all on a
 Administration (now the Federal Transit Administration The Federal Transit Administration (FTA) is an agency within the United States Department of Transportation (DOT) that provides financial and technical assistance to local public transit systems. The FTA is one of eleven modal administrations within the DOT. ) workshop proceedings reported that the Southern California California (kăl'ĭfôr`nyə), most populous state in the United States, located in the Far West; bordered by Oregon (N), Nevada and, across the Colorado River, Arizona (E), Mexico (S), and the Pacific Ocean (W).  Rapid Transit rapid transit, transportation system designed to allow passenger travel within or throughout an urban area, usually employing surface, elevated, or underground railway systems or some combination of these.  District "has documented that wheelchair patrons have an accident rate of over 350 times greater than ambulatory Movable; revocable; subject to change; capable of alteration.

An ambulatory court was the former name of the Court of King's Bench in England. It would convene wherever the king who presided over it could be found, moving its location as the king moved.
 passengers" [9]. A more recent study reported that wheelchair riders account for 3 to 10 percent of passenger incidents [27], while comprising only 0.24 percent of the general ridership (WSTIP analysis).

While this study and others provide evidence to support the conclusion that wheelchair riders are more likely to be injured than the general ridership, other factors should be considered. In this study, all of the reviewed wheelchair rider events occurred on paratransit buses, whose vehicle maneuvers may be more frequent and/or pronounced than those of the large transit bus. (Alternately, this finding may reflect greater use of such vehicles by wheelchair riders [10].) Reports and claims regarding wheelchair riders may be more frequent given concerns of liability.

Information Necessary to Improve Wheelchair Rider Safety: Transit Bus Events Characterization

The objective of this study was to fully characterize injury-producing transit bus events in order to provide the information necessary for establishing an appropriate level of crash protection for wheelchair riders. The study sought to determine the frequency, severity, and principal impact direction of these events. Although some progress was made toward these goals, the study's overall objective was not fully realized. The most ambitious goal, determining the range of g-level events and their frequency of occurrence, proved to be largely out of reach. However, the study did provide a better understanding of transit bus events.

Low-g Events

Low-g events (peak acceleration/deceleration <0.75 g), such as those involving abrupt braking, apparently occur frequently given that they account for half of onboard passenger injuries and, in this study, for all of the wheelchair riders' injuries as well as the only onboard fatality identified by the FARS analysis. This finding was similar to that of a study of a large urban transit system that indicated all the wheelchair rider incidents were caused by vehicle maneuvers and that many onboard bus fatalities for the general ridership were caused by noncollision events [10].

High-g Events

High-g events (peak acceleration/deceleration >0.75 g) associated with crashes occur roughly 500 to 1,000 times a year in the United States. This very approximate estimate was based on the assumption that bus crash damage could be used to sort events as either low or high g. However, this approach did not allow an estimate of the g levels for the high-g events. The limited g-level determination effort suggested that the high-g events could be subdivided into those in which the peak g level was <13 g or >13 g but did not provide information regarding event frequency. Greater specificity in terms of g-level ranges and associated event frequencies were the study objectives.

The study was more successful in determining the direction of impact for transit bus crashes. All the data sources that recorded direction of impact indicated that most of the injurious events involved the bus rapidly decelerating because of frontal impacts with another vehicle or roadside object. This finding, based on Ontario MOT data, was also reported by most prior studies and suggests that the common practice of designing WTORS primarily for frontal impacts is applicable for transit buses [22]. One study, conducted by the Emergency Care Research Institute, did not find sufficient evidence to select any one impact direction for transit buses [10]. In addition, we found that most noncollision events involved braking or turning.

Implications for WTORS Performance Criteria

The finding that many injuries occur during low-g events suggests that occupant protection systems designed for such events would significantly reduce injury. The Ontario MOT database analysis suggests that eliminating injury in noncontact events would reduce overall injury frequency by 50 percent. Given the results of this study and others, protection for both braking and turning is a higher priority than for accelerating.

While we found ample evidence that wheelchair rider protection for low-g events is justifiable, sufficient evidence to formulate formulate /for·mu·late/ (for´mu-lat)
1. to state in the form of a formula.

2. to prepare in accordance with a prescribed or specified method.
 recommendations regarding high-g crash events was quite limited. The data did suggest a priority for protection in frontal impacts. The results of this study are inadequate for evaluating the existing ADA WTORS requirements predicated on the 8 to 10 g peak deceleration level.

Study Limitations and Recommendations for Further Investigation

Because of a scarcity of information regarding wheelchair rider injuries, this study attempted to infer injury risk for this population by examining the somewhat more available data regarding injuries to transit bus general ridership. However, good information for the general ridership was limited, which resulted in compromises in the study design. Instead of sampling U.S. transit providers based on geographic region and traffic density/speeds, we selected information sources from both the United States and Canada based on the quality of the databases and the access allowed us. The g-level determination effort relied on very limited crash reconstruction information and on data from a limited number of crash tests with older transit buses. Moreover, the effect of g level on bus passengers and wheelchairs was not investigated. Further work is needed to establish parameters, such as duration above a certain acceleration level, that adequately characterize the crash environment and to identify events that are potentially injurious. Subsequent investigation of bus crashes is needed to determine the frequency of these elevated g-level events and the crash pulse effects on wheelchair riders, their wheelchairs, and WTORS.

The most challenging task would be gathering event crash pulses. Fortunately, the U. S. National Transportation Safety Board (NTSB NTSB
abbr.
National Transportation Safety Board
) via its 2001 "NTSB Most Wanted Most Wanted may refer to:
  • Lists used by law enforcement agencies to alert the public, such as the FBI Ten Most Wanted Fugitives and FBI Most Wanted Terrorists
  • America's Most Wanted, a U.S.
 List of Transportation Safety Improvements," has recommended that transit providers install event data recorders in their transit bus fleets that are capable of recording crash pulses [31]. Having this data would greatly assist in crash-reconstruction efforts. Computer models, developed and verified ver·i·fy  
tr.v. ver·i·fied, ver·i·fy·ing, ver·i·fies
1. To prove the truth of by presentation of evidence or testimony; substantiate.

2.
 with laboratory sled tests, could be used to estimate the behavior of a wheelchair and rider in response to a wide range of recorded crash pulses.

Ultimately, this effort would inform the development of transit bus crash pulse corridors, the first of which that reflect a frontal impact. Crash pulse corridors developed with this approach could define the conditions of a test that assesses transit bus WTORS as has been done for general use WTORS [30].

The advantage of this proposed approach would be that WTORS designed for use on transit buses could be evaluated by a test developed from real-world crash data and would provide a level of protection commensurate com·men·su·rate  
adj.
1. Of the same size, extent, or duration as another.

2. Corresponding in size or degree; proportionate: a salary commensurate with my performance.

3.
 with real-world risk. This approach would encourage the development of WTORS tailored to transit buses that appropriately balance crash protection with factors such as cost and ease of use. We anticipate that this effort would recommend a lower severity crash pulse than the one for which the current four-strap tie-down system is designed and may allow more user-friendly systems, such as the rear-facing wheelchair compartment concept, a configuration that is reported to provide protection during a 3 g/10 ms duration crash pulse [23].

CONCLUSIONS

The data reviewed during the course of this study supported the finding of prior research that the large transit bus is a very safe form of transportation. Examination of the relatively few collision and noncollision injury-producing transit bus events provided useful, if incomplete, information that enabled characterization of the events in terms of passenger compartment g level and direction of acceleration/deceleration. This information is required to develop WTORS tailored to the transit bus environment and is summarized as follows:

1. Low-g events, such as those involving abrupt braking or turning, occur frequently and account for half of onboard passenger injuries and, in this study, account for all of the wheelchair riders' fatal and nonfatal injuries. This result implies that WTORS that sacrifice high-g protection for improved ease of use could reduce injury risk significantly.

2. Bus damage reports suggest that high-g crash events occur roughly 500 to 1,000 times a year in the United States.

3. Some bus crashes involve passenger compartment peak g levels >13 g. The frequency of these and other high-g events was not determined. Therefore, the results of this study are inadequate for suggesting a reasonable peak g level for protection.

4. All the data sources that recorded direction of impact indicated that most of the injurious events involved the bus rapidly decelerating because of frontal impacts with another vehicle or roadside object. This finding was also reported by most prior studies and suggests that transit bus WTORS should be designed with protection during frontal crashes as a priority.

5. The data suggest that wheelchair rider protection for low-g events is justifiable, while sufficient evidence to formulate recommendations regarding high-g crash events is limited.

Further study is needed to determine the magnitude of elevated g-level events and how frequently they occur. The effects of a range of real-world crash pulses on wheelchairs and their riders should be investigated. This information is needed to determine a level of protection commensurate with real-world risk for wheelchair riders on large transit buses.

ACKNOWLEDGMENTS See About this product.  

Many thanks to Larry Schneider Lawrence "Larry" Schneider, PC (born March 23, 1938) is a Canadian politician.

Born in Regina, Saskatchewan, he was mayor of Regina from 1979 until 1988. In the 1988 federal election, he was elected as a Progressive Conservative candidate in the riding of
, UMTRI, who provided valuable information and critique for this article; Dan Blower, UMTRI, who participated in the g-level event analysis and helped with FARS coding; Charles Charles, archduke of Austria
Charles, 1771–1847, archduke of Austria; brother of Holy Roman Emperor Francis II. Despite his epilepsy, he was the ablest Austrian commander in the French Revolutionary and Napoleonic wars; however, he was handicapped by
 Compton Compton, city (1990 pop. 90,454), Los Angeles co., S Calif., a suburb between Los Angeles and Long Beach; inc. 1888. It has aircraft, electronic, and steel industries. Largely African American, Compton is a noted center for rap music. , who assisted with UMTRI GES coding; Yossary Elzohairy, Ontario MOT, who provided both data and generous technical assistance; John Fabian Fa·bi·an  
adj.
1.
a. Of or relating to the caution and avoidance of direct confrontation typical of the Roman general Quintus Fabius Maximus.

b. Cautious or dilatory, as in taking action.

2.
, who provided case studies from the NYSDOT; and Al Hatten, who provided a spreadsheet spreadsheet

Computer software that allows the user to enter columns and rows of numbers in a ledgerlike format. Any cell of the ledger may contain either data or a formula that describes the value that should be inserted therein based on the values in other cells.
 of data from the WSTIP.

This material is the result of work supported with resources of the U.S. Department of Education, National Institute of Disability and Rehabilitation rehabilitation: see physical therapy.  Research through the Rehabilitation Engineering Rehabilitation engineering is the systematic application of engineering sciences to design, develop, adapt, test, evaluate, apply, and distribute technological solutions to problems confronted by individuals with disabilities.  Research Center on Wheelchair Transportation Safety located at the University of Pittsburgh Pittsburgh (pĭts`bərg), city (1990 pop. 369,879), seat of Allegheny co., SW Pa., at the confluence of the Allegheny and the Monongahela rivers, which there form the Ohio River; inc. 1816. .

The author has declared that no competing interests exist.

REFERENCES

[1.] Schneider Schnei·der   , Vreni Born 1964.

Swiss alpine skier. She won the overall World Cup in 1989, 1994, and 1995, was a four-time world champion, and earned five Olympic medals.
 L, chair. Proceedings of the ANSI/RESNA Subcommittee sub·com·mit·tee  
n.
A subordinate committee composed of members appointed from a main committee.


subcommittee
Noun
 on Wheelchairs and Transportation. 1999 Jun 25-26; Long Beach, CA. Arlington Arlington, county, United States
Arlington, county (1990 pop. 170,936), N Va., across the Potomac River from Washington, D.C. Arlington is a residential and commercial suburb of Washington.
 (VA): RESNA RESNA Rehabilitation Engineering and Assistive Technology Society of North America (formerly Rehabilitation Engineering Society of North America)  Press;1999.

[2.] Hobson Hobson may refer to:

People with the surname Hobson:
  • Hobson (surname)
In places:
  • Hobson, County Durham, a village in England
  • Hobson, Montana, United States
See also
 DA. Wheelchair transport safety--The evolving solutions. J Rehabil Res Dev n. 1. (Hind. Myth.) A god; a deity; a divine being; an idol; a king. . 2000;37(5):vii-xv. [PMID PMID PubMed-Indexed for MEDLINE
PMID Portable Multispectral Imaging Device
PMID Process Management Improvement & Deployment
PMID Physical Media Id
PMID Performance Metric Identifier
: 11322162]

[3.] Ketola HN, Chia D. Assessment of Americans with Disabilities Act research and development needs. Final report. Washington (DC): U.S. Department of Transportation; 1997.

[4.] U.S. Architectural and Transportation Barriers Compliance Board. Buses, vans and systems: Technical assistance manual. Washington (DC): U.S. Department of Transportation, U.S. Architectural and Transportation Barriers Compliance Board; 1992.

[5.] Rutenberg U, Hemily PB. Use of rear-facing position for common wheelchairs on transit buses. Washington (DC): Transportation Research Board; 2003.

[6.] Rutenberg U. Urban transit bus accessibility considerations. Toronto (Canada): Canadian Urban Transit Association Canadian Urban Transit Association (CUTA) is a trade association for the urban transit industry in Canada. It was originally established in 1904 as the "Canadian Street Railway Association". ; 1995.

[7.] Khadilkar A, Will E, Costa V. Crash protection systems for handicapped school bus occupants. Vol. I. Executive summary. Final report. Report No.: DOT-HS-805-826. Washington (DC): U.S. Department of Transportation, National Highway Traffic Safety Administration; 1981.

[8.] Stewart CF, Reinl HG. Wheelchair securement on bus and paratransit vehicles. Washington (DC): United States Urban Mass Transportation Administration; 1981.

[9.] Battelle Memorial Institute The Battelle Memorial Institute is a private not-for-profit applied science and technology development company headquartered in Columbus, Ohio. The institute opened in 1929 but traces its origins to the 1923 will of Ohio industrialist Gordon Battelle which provided for its . National workshop on bus-wheelchair accessibility: Guideline guideline Medtalk A series of recommendations by a body of experts in a particular discipline. See Cancer screening guidelines, Cardiac profile guidelines, Gatekeeper guidelines, Harvard guidelines, Transfusion guidelines.  specifications for wheelchair securement devices. Washington (DC): U.S. Department of Transportation, Urban Mass Transportation Administration; 1986.

[10.] Easter Seals Easter Seals is an international charitable organization devoted to providing opportunities for children with physical disabilities. See
  • Easter Seals (Canada)
  • Easter Seals (UK)
  • Easter Seals (US)
 Project ACTION, ECRI ECRI European Commission against Racism and Intolerance
ECRI Emergency Care Research Institute
ECRI Economic Cycle Research Institute
. Positioning and securing riders with disabilities and their mobility aids in transit vehicles: Designing an evaluation program. Final report. Washington (DC): Easter Seals Project ACTION; 1997.

[11.] Booz, Allen Al·len , Edgar 1892-1943.

American anatomist who is noted for his studies of hormones and for the discovery (1923) of estrogen.
 and Hamilton Hamilton, city, Bermuda
Hamilton, city (1990 est. pop. 3,100), capital of Bermuda, on Bermuda Island. It is a port at the head of Great Sound, a huge lagoon and deepwater harbor protected by coral reefs.
, Inc. Transbus safety and human factors. Summary Report (1971-1976) No. TR 77-004 prepared for the U.S. Department of Transportation under contract No. DOT-UT-10008 by Booz, Hamilton and Allen, Inc. Bethesda: (MD); September 1977.

[12.] Le Claire M. The safety of wheelchair occupants in road passenger vehicles. London (England): Transport Research Laboratory; 2003.

[13.] Petty Petty

girl airbrushed beauty, scantily clad in Esquire’s pages. [Am. Lit.: Misc.]

See : Sex Symbols
 SP. The safe transportation of wheelchair occupants in the United Kingdom. In: Proceedings of the 10th International Technical Conference on Experimental Safety Vehicles; 1985: London, England. Washington (DC): National Highway Transportation Safety Administration; 1985. p. 488-91.

[14.] Shaw G. Wheelchair rider risk in motor vehicles: A technical note. J Rehabil Res Dev. 2000;37(1):89-100. [PMID: 10847576]

[15.] Shaw G, Gillispie T. Appropriate protection for wheelchair riders on public transit buses. J Rehabil Res Dev. 2003; 40(4):309-19. [PMID: 15074442]

[16.] Kirby R, MacLeod Mac·leod , John James Rickard 1876-1935.

British physiologist. He shared a 1923 Nobel Prize for the discovery and successful clinical application of insulin.
 D. Wheelchair-related injuries reported to the national electronic injury surveillance system: an update. In: Proceedings of the Rehabilitation Engineering and Assistive Technology Hardware and software that help people who are physically impaired. Often called "accessibility options" when referring to enhancements for using the computer, the entire field of assistive technology is quite vast and even includes ramp and doorway construction in buildings to support  Society of North America North America, third largest continent (1990 est. pop. 365,000,000), c.9,400,000 sq mi (24,346,000 sq km), the northern of the two continents of the Western Hemisphere.  (RESNA) Annual Conference; 2001 Jun 22-26. Arlington (VA): RESNA; 2001. p. 385-87.

[17.] National Highway Traffic Safety Administration. The National Automotive Sampling System General Estimates System analytical user's manual 1988-1999. Washington (DC): U.S. Department of Transportation, National Highway Traffic Safety Administration, National Center for Statistics and Analysis; 2000.

[18.] U.S. Department of Transportation. Traffic safety facts 2001. Washington (DC): U.S. Department of Transportation, National Highway Traffic Safety Administration; 2002.

[19.] Shanley JW. Safety in mass transit: A case study of bus accidents in Washington, DC. Washington (DC): Consortium's Urban Transportation Center; 1974.

[20.] National Safety Council. Injury facts, 2002 edition. Itasca (IL): National Safety Council; 2002.

[21.] Blower D, Schneider L, Woodrooffe J. Characterization of transit-bus accidents resulting in passenger injuries for use in developing alternative methods for transporting wheelchair-seated travelers. In: Proceedings of International Truck & Bus Safety & Security Symposium symposium

In ancient Greece, an aristocratic banquet at which men met to discuss philosophical and political issues and recite poetry. It began as a warrior feast. Rooms were designed specifically for the proceedings.
; 2005 Nov 14-16. Itasca (IL): National Safety Council; 2005.

[22.] Segal D. Transbus structural crash test report. Calspan Report ZN-5875-V-1; 1976.

[23.] Rutenberg U, Baerg R, MacNabb M, Little A, Hemily B. Assessment of low floor transit bus g forces on rear-facing wheelchair securement systems. Report Number TP 14429E. Montreal Transportation and Development Centre. Ottawa, Ontario (Canada): Transport Canada; 2005.

[24.] Langwieder K, Danner M, Hummel hummel

entire, naturally polled deer.
 T. Collision types and characteristics of bus accidents--Their consequences for bus passengers and the accident opponent. In: Proceedings of the 10th International Technical Conference on Experimental Safety Vehicles; 1985; London, England. Washington (DC): National Highway Transportation Safety Administration; 1985. p. 585-913.

[25.] Lawrence GJ. Study of improved safety for minibuses by better seat and occupant retention. United Kingdom: Transport Research Laboratory; 2000.

[26.] Transportation Resource Associates, Inc. Transit bus safety program: Task 2--Regulations and oversight
For Oversight in Wikipedia, see Wikipedia:Oversight.


Oversight may refer to:
  • Government regulation — The role of an official authority in regulating a separate authority.
 (Federal, state, local & industry). Final Report. Washington (DC): U.S. Department of Transportation, Federal Transit Administration; 2001.

[27.] King R. Bus occupant safety. Project SF-1: TCRP TCRP Traffic Congestion Relief Program
TCRP Texas Civil Rights Project
TCRP Tactical Command Readiness Program
TCRP Transit Cooperative Reseach Program
 Synthesis of transit practice, Issue 18. Transportation Research Board, National Research Council. Washington (DC): National Academies Press; 1996.

[28.] Gearhart C. Recent progress in crash pulse analysis. Int J Vehicle Des. 2001;26(4):395-406.

[29.] Association for the Advancement of Automotive Medicine
AAAM may also refer to the AIM-152 AAAM air-to-air missile.


The Association for the Advancement of Automotive Medicine (AAAM), founded in 1957 by the Medical Advisory committee to the Sports Car Club of America, is an organization dedicated to
 (AAAM). The abbreviated injury scale--1990 revision. Update 98. Des Plaines Des Plaines, city, United States
Des Plaines (dĕs plānz), city (1990 pop. 53,223), Cook co., NE Ill., a suburb of Chicago on the Des Plaines River; inc. 1925. Among its manufactures are chemicals and electronic equipment.
 (IL): AAAM; 1998.

[30.] Society of Automotive Engineers SAE International (SAE) is a professional organization for mobility engineering professionals in aerospace, automotive and the commercial vehicle industries.

The Society is a standards development organization for the engineering of powered vehicles of all kinds, including
 (SAE sae abbr (BRIT) (= stamped addressed envelope) → sobre con las propias señas de uno y con sello ). Recommended Practice SAE J2249: Wheelchair tie-downs and occupant restraint systems for use in motor vehicles: SAE; 1997.

[31.] Kowalick TM. Pros and cons of emerging event data recorders (EDRs) in the highway mode of transportation. In: Proceedings of the 53rd IEEE (Institute of Electrical and Electronics Engineers, New York, www.ieee.org) A membership organization that includes engineers, scientists and students in electronics and allied fields.  Vehicular Technology Conference The Vehicular Technology Conference (VTC) is a semiannual international academic conference on wireless communications. It is organised by the Institute of Electrical and Electronics Engineers' Vehicular Technology Society. , Volume 4; 2001 May 6-9; Rhodes, Greece. New York: IEEE; 2001. p. 3037-41.

Submitted for publication March 19, 2007. Accepted in revised form July 17, 2007.

Abbreviations: ADA = Americans with Disabilities Act, DOT = Department of Transportation, FARS = Fatality Analysis Reporting System, GES = General Estimates System, MOT = Ministry of Transportation, NSC = National Safety Council, NTSB = National Transportation Safety Board, NYSDOT = New York State DOT, TRAID = Traffic Accident Information Data System, UMTRI = University of Michigan Transportation Research Institute, WSTIP = Washington State Transit Insurance Pool, WTORS = wheelchair tie-down and occupant restraint systems.

Address all correspondence to Greg Shaw Greg Shaw (January 1949 - October 19, 2004) was a Los Angeles-based fanzine publisher, music historian and record label owner. He grew up near San Francisco, California.

It was as a young teenager that he started writing about rock and roll music.
, PhD; Center for Applied Biomechanics The study of the anatomical principles of movement. Biomechanical applications on the computer employ stick modeling to analyze the movement of athletes as well as racing horses.
Biomechanics 
, University of Virginia Virginia, state, United States
Virginia, state of the south-central United States. It is bordered by the Atlantic Ocean (E), North Carolina and Tennessee (S), Kentucky and West Virginia (W), and Maryland and the District of Columbia (N and NE).
, 1011 Linden Linden, city, United States
Linden, city (1990 pop. 36,701), Union co., NE N.J., in the New York metropolitan area; inc. 1925. During the first half of the 20th cent.
 Ave AVE Avenue
AVE Average
AVE Alta Velocidad Espanola (train between Madrid and Seville)
AVE Alta Velocidad Española (Spanish: High Speed Train)
AVE Audio Video Entertainment
AVE Advertising Value Equivalent
, Charlottesville, VA 22902; 434-296-7288, ext 130; fax: 434-296-3453. Email: cgs5w@virginia.edu DOI (Digital Object Identifier) A method of applying a persistent name to documents, publications and other resources on the Internet rather than using a URL, which can change over time. : 10.1682/JRRD.2007.03.0045

Greg Shaw, PhD

Department of Mechanical and Aerospace Engineering, Center for Applied Biomechanics, University of Virginia, Charlottesville, VA
Table 1.

Number and severity of bus damage events in Canada in 1999 from
Traffic Accident Information Data System (TRAID) database and United
States from 1999 to 2001 from General Estimates System (GES) database.

                                            Damage Event
                                           Category (No.) *

                                           None    Superficial
Year/Database                Bus Type    [None]        [Minor]

1999 TRAID (Canada)            Transit      419            794
                             Intercity      117            271
                                 Total      536          1,065
1999-2001 GES                    Other    3,111          6,068
(United States) ([dagger])

                             Damage Event Category (No.) *

                                                    Severe
                                                (Repair) +
                             Moderate Unsafe    Demolished
Year/Database                   [Functional]   [Disabling]

1999 TRAID (Canada)                      171            32
                                          67            12
                                         238            44
1999-2001 GES                          5,285           592
(United States) ([dagger])

                             Damage Event
                                 Category
                                  (No.) *

                                 Unknown +
                             Not Available
Year/Database                    [Unknown]    Total

1999 TRAID (Canada)                    620    2,036
                                       181      648
                                       801    2,684
1999-2001 GES                       11,210   26,266
(United States) ([dagger])

* TRAID categories collapsed to approximate corresponding GES
categories, which are displayed in brackets.

([dagger]) GES counts are U.S. national estimates based on sample
of events (National Automotive Sampling System). Data presented
as mean/year.

Table 2.

Fatality Analysis Reporting System database 1997 to 2001:
Transit bus case event descriptions. Database was searched for
all fatalities of either drivers or passengers that occurred
aboard transit bus in either crash or noncrash events.

Year   Case No.   Driver or Passenger Fatality

1997       2850   Unrestrained driver ejected after bus hit curb
                    and rolled over. Severe bus deformation
                    required towing.
             60   Unrestrained driver killed after bus hit on
                    right side. Severe bus deformation required
                    towing.
             11   Driver drowned.
1998       2261   87-year-old female fell from stopped bus.
            422   87-year-old female fatally injured because of
                    braking.
1999        385   Driver killed when bus hit tree in frontal
                    crash. Severe bus deformation required towing.
           1709   Passenger fell or jumped from bus.
            739   Restrained driver died in head-on crash. Minor
                    deformation but bus was towed.
            986   Unrestrained driver ejected in crash that caused
                    moderate bus damage.
           1191   Unrestrained driver ejected in oblique frontal
                    collision. Severe bus deformation required
                    towing. Driver run over by bus.
           1184   Passenger killed in frontal crash. Severe bus
                    deformation required towing.
2000       1362   85-year-old wheelchair rider killed when bus
                    negotiated curve at 76 km/h.
2001        858   Unrestrained driver ejected through left-side
                    window after collision with another bus.
                    Moderate bus damage.
            224   60-year-old male died in frontal crash with
                    tree. Moderate bus damage.
           1119   62-year-old female extricated after bus hit curb
                    then slid sideways into building.
            760   Driver killed in head-on impact with bridge
                    abutment after preimpact braking. Severe bus
                    deformation required towing.

Table 3.

Fatality Analysis Reporting System database 1997 to 2001:
Transit bus case fatalities.

                               No. Onboard Fatalities

                            Drivers             Passengers
          No. Fatal
Year      Crashes *   All Cases   Crashes   All Cases   Crashes

1997         109          3          2          0          0
1998         115          0          0          2          0
1999         106          4          4          2          1
2000         127          0          0          1          0
2001         103          2          2          2          2
Total        560          9          8          7          3
Mean/Yr      112          1.8        1.6        1.4        0.6

* Fatal crashes include those in which fatally injured was in
collision partner vehicle or was pedestrian. One bus per case
was involved, with two exceptions in which two buses were
involved.

Table 4.

Fatality Analysis Reporting System database 1997 to 2001: Transit
bus case fatalities and contact type.

                     Driver     Passenger
Contact Type       Fatalities   Fatalities

Frontal                4            2
Side                   2            1
Rear                   0            0
Other/Unknown          2            0
Noncontact Event       1            4
Total                  9            7

Table 5.

Ontario Ministry of Transportation database 1999 to 2001: Injury
severity and event type for injured passengers (n = 844). Database
contained  total of 4,292 events and 61,529 passengers in all events.

                            Event Type (No.)

Injury Type       n (%)   Contact   Noncontact   Total

Minimal        554 (66)       247          260     507
Minor          285 (34)       124          115     239
Major           5 (0.6)         0            5       5
Fatal           0 (0)           0            0       0
Total         844 (100)       371          380     751 *

* Event type unknown for 93 of 844 injured passengers.

Table 6.

Ontario Ministry of Transportation database 1999 to 2001: Contact
events involving a demolished bus.

Speed                           Bus Struck   Vehicle
Limit    Bus Speed   Bus        Vehicle/     Struck    Bus Contact
(km/h)   (km/h)      Motion     Object       Bus       Area

50       0           Stopped    --           Yes       Front

50       10          Going      Yes          --        Left front
                     straight

60       35          Going      Yes          --        Front
                     straight

50       50          Going      Yes          --        Front
                     straight

70       5           Turning    Yes          Yes       Right + front
                     left

         Collision
Speed    Partner                     Bus
Limit    Vehicle/       No. Bus      Passengers
(km/h)   Object         Passengers   Injured (%)   Comments

50       Vehicle        3            66            2 adult females had
                                                   minimal injuries.

50       Vehicle        2            100           2 adult males had
                                                   minimal injuries.

60       Vehicle        12           92            All 11 adults had
                                                   minor injuries.

50       Curb +         5            100           2 adults had
         tree *                                    minimal and 3 minor
                                                   injuries.

70       Vehicle +      1            100           1 adult, partially
         pole + fence                              ejected, had minor
                                                   injuries.

* Tree, shrub, or stump.

Table 7.

New York State Department of Transportation database 1999 to 2001:
Select transit bus cases.

Case
No.    Event Type   Summary                          Comment

5606   Crash        Estimated bus travel speed 37    Preimpact
                    km/h, after braking 24 km/h.     braking caused 1
                    40-passenger bus * rotated       passenger to fall
                    left after hit by left-moving    from seat.
                    fire truck. Unbelted driver
                    killed. Bus continued moving
                    after impact until wheel hit
                    raised median causing sudden
                    stop. 3 passengers treated and
                    released.

6102   Crash        Right front corner of fire       Preimpact
                    truck traveling at 24 km/h       braking for both
                    hit left front corner of         vehicles.
                    40-passenger bus at
                    intersection. Bus traveling
                    at estimated 24 km/h, slowed
                    to 16 km/h when entered
                    intersection. Impact spun bus
                    right. Driver and 10
                    passengers treated and
                    released.

5549   Crash        46-passenger bus traveling at    --
                    8 km/h was hit by right side
                    of tractor-trailer. Unbelted
                    driver ejected through left
                    window and killed. Bus
                    continued until hitting car
                    and curb. All 6 bus passengers
                    suffered minor injuries and
                    were treated and released.

6402   Crash        36-passenger bus traveling       Extensive damage
                    from 40-48 km/h broadsided SUV   to front and
                    with right front corner, then    undercarriage.
                    hit concrete staircase with      No preimpact
                    driver-side front corner.        braking.
                    Driver was ejected through
                    windshield. Unbelted driver
                    sustained serious injuries. 3
                    passengers were treated and
                    released.

6659   Braking      40-passenger bus moving at       --
       ([dagger])   ~16 km/h braked suddenly to
                    avoid taxi cab. 9 of 60
                    passengers were injured. 5
                    were treated and released and
                    others treated at scene.

6766   Braking/     40-passenger bus moving at       --
       Turning      24-32 km/h braked and turned
       ([dagger])   to right to avoid van. 5 of 50
                    passengers were injured and
                    treated and released.

6558   Braking      40-passenger bus traveling at    --
       ([dagger])   32 km/h skidded to stop to
                    avoid taxi cab. Several
                    passengers fell to floor.
                    Driver and 6 of 40 passengers
                    were injured. 2 passengers
                    refused treatment. Driver and
                    others were treated and
                    released.

* Bus seating capacity: 35-45 seats considered "standard"
large transit bus.

([dagger]) Noncrash.

Table 8.

Washington State Transit Insurance Pool database 1996 to 2003:
Claims.

Claim Type                     Bus Type                   Count

Total Claims                   Fixed route and demand     1,333
                               responsive (paratransit)

Claims >$9,500                 Fixed route                29
Crashes Involving Contacting   Fixed route                147
  Vehicle or Fixed Object
                               Van pool and paratransit   15
Wheelchair Riders Aboard       --                         53
  Fixed Route Buses and
  Paratransit Vans

Claim Type                     Comment

Total Claims                   Includes claims for minor and major
                               incidents. Claimants may have been
                               aboard transit bus/van, in collision
                               partner vehicle, or pedestrians.
Claims >$9,500                 Includes one fixed-route van.
Crashes Involving Contacting   --
  Vehicle or Fixed Object
                               --
Wheelchair Riders Aboard       None involved crashes on fixed-route
  Fixed Route Buses and        buses.
  Paratransit Vans

Table 9.

Washington State Transit Insurance Pool database 1996 to 2003:
Fixed-route claims >$9,500.

Event Type                             Count

Bus Crash                                 17
Van Crash                                  1
Noncrash
  Bus Braked                               4
  Bus Accelerated                          1
  Bus Slid Laterally                       1
  Driver Rudeness                          1
Wheelchair Bus or Van (all noncrash)       4
Total                                     29

Table 10.

Washington State Transit Insurance Pool database 1996 to 2003:
Wheelchair rider claims >$9,500. Mean of all claims was $65,496.

Incident Year   Claim Cost   Incident Description

1999            $108,072     Fell out of wheelchair when driver
                             had to stop quickly.

2001            $31,613      Fell out of wheelchair onto floor
                             when driver had to stop quickly.
                             Wheelchair rider refused wheelchair
                             seat belt.

1998            $28,416      Wheelchair tipped over during left
                             turn causing rider to be thrown to
                             floor and to hit "various metal
                             railings." Claimant states driver
                             did not secure him properly.

1999            $28,386      Wheelchair tipped over and rider
                             suffered open head wound.

Table 11.

Washington State Transit Insurance Pool database 1996 to 2003:
Ten most costly claims.

                                                         Number of
Incident Year   Claim Cost   Event Type                  Claimants

1999            $538,059     Bus crash                      29
1999            $108,072     Wheelchair bus or van           1
1999             $56,603     No crash, bus braked            1
1998             $42,027     Van crash                       1
1996             $32,827     Bus crash                       4
2001             $31,613     Wheelchair bus or van           2
1998             $28,416     Wheelchair bus or van           1
1999             $28,386     Wheelchair bus or van           1
2001             $28,366     No crash, bus accelerated       5
2000             $27,466     Bus crash                       4

Table 12.

National Safety Council (NSC) and Fatality Analysis Reporting System
(FARS) databases: Transit bus passenger fatality rate per 100 million
passenger kilometers.

                            NSC ([dagger])Passenger
                            Fatalities: All Causes

            Passenger                         Fatality
Year     Kilometers *   Count   Rate ([double dagger])

2000   30,466,941,406       1                    0.003
1999   30,369,984,523       1                    0.003
1998   29,064,597,333       2                    0.007
Mean   29,967,174,421    1.33                    0.004

               FARS ([paragraph])

         Passenger          Passenger
         Fatalities:        Fatalities:
         All Causes         Crashes

               Fatality           Fatality
Year   Count       Rate   Count       Rate

2000       1      0.003       0      0.000
1999       2      0.007       1      0.003
1998       2      0.007       0      0.000
Mean    1.67      0.006    0.33      0.001

* Passenger kilometers from NSC Safety Management Information
Statistics database include both directly operated and purchased
transportation data.

([dagger]) NSC rate for 2001 calculated using 34.4 billion
passenger kilometers.

([double dagger]) Fatality rate = deaths per 100 million passenger
kilometers.

([paragraph]) Calculated from FARS data.

Table 13.

Fatality Analysis Reporting System (FARS) and Ontario Ministry of
Transportation (MOT) databases: Fatal and nonfatal injury rates
and estimated number of annual onboard transit bus injuries in
United States.

                                 Ontario MOT * Injury Type

Rate/No.                   All         Minimal     Minor     Major

Mean/100 million               7.708       5.060     2.603    0.046
  Passenger km
Ontario MOT                  281         185        95        2
  Annual Mean
Estimated                  2,630       1,727       885       19
  Annual U.S.
  Mean ([double dagger])

                           FARS ([dagger])
Rate/No.                    Injury Fatal

Mean/100 million                0.006
  Passenger km
Ontario MOT                      --
  Annual Mean
Estimated                        --
  Annual U.S.
  Mean ([double dagger])

* Injury rate calculated from Ontario Accident Data System
information.

([dagger])Calculated from FARS data.

([double dagger]) U.S. to Ontario injury rate estimated as 9.35
and calculated from ratio of U.S. to Ontario bus passenger km.
Calculation assumes number of injuries/km is same for U.S. and
Ontario. U.S. bus passenger km mean for 1998-2000 was 21,200,000,000
km (National Safety Council. Injury Facts; 1999-2002) and Ontario
mean bus passenger km for 1999-2001 was 2,267,920,882 km.

Table 14.

Calspan side-impact and bumper test summary. Calspan bus tests
were conducted for front bumper and side-impact at 16 and 40 km/h
car impact speeds, respectively. Bullet car was full-size, U.S.
sedan that weighed 1,800 kg.

                                     Accelerometer   Acceleration
Test Type            Bus             Number          Peak *

Side Impact          GM New Look     A1              12.5
([double dagger])    ([section])

                     GMC Transbus    A1              --
                     ([section])

                     Rohr Transbus   A1              2
                     ([paragraph)

                     AM General      A1              3
                     Transbus **

                     Mean            --              5.8

Bumper               GM New Look     A2              2.2
([dagger][dagger])
                     GMC Transbus    A2              1.9

                     Rohr Transbus   A2              1.6

                     AM General      A2              1.2
                     Transbus

                     Mean            --              1.7

                                     Acceleration
                                     10 ms Peak
Test Type            Bus             ([dagger])     Comment

Side Impact          GM New Look     7.5            5 cm deformation.
([double dagger])    ([section])                    Front wheel of bus
                                                    moved laterally
                                                    94 cm.

                     GMC Transbus    --             Front wheel of bus
                     ([section])                    moved laterally
                                                    25 cm.

                     Rohr Transbus   4.6            >18 cm deformation.
                     ([paragraph)                   Front wheel of bus
                                                    moved laterally
                                                    29 cm.

                     AM General      2              10 cm deformation.
                     Transbus **                    Front wheel of bus
                                                    moved laterally
                                                    13 cm.

                     Mean            4.7            --

Bumper               GM New Look     1.6            Bumper deformation
([dagger][dagger])                                  not recorded. Bus
                                                    pushed back 292 cm
                                                    (measured at front
                                                    axle centerline).

                     GMC Transbus    1              Center bumper
                                                    permanent
                                                    deformation 2 cm.
                                                    Bus pushed back
                                                    182 cm.

                     Rohr Transbus   0.9            Center bumper
                                                    permanent
                                                    deformation 5 cm.
                                                    Bus pushed back
                                                    107 cm.

                     AM General      1              Bumper deformation
                     Transbus                       not recorded. Bus
                                                    pushed back
                                                    152 cm.

                     Mean            1.1            --

* Acceleration from instrument axis oriented to impact direction
and estimated from acceleration/time plots. Although not explicitly
stated in test report, accelerometer data appeared to be filtered
in accordance with SAE J211 [1] using channel class 60. Acceleration
data from instruments located on floor centerline near front of
passenger area.

([dagger]) Acceleration exceeds this value continuously for at
least 10 ms. Estimated from published plots.

([double dagger]) Side-impact acceleration data derived from
Calspan Transbus report [2].

([section]) General Motors Corp; Detroit, Michigan.

([paragraph) Rohr, Inc; Chula Vista, California.

** AM General; South Bend, Indiana.

([dagger][dagger]) Bumper acceleration data was derived from
Calspan Transbus report [2]. Buses' transmissions were in neutral
and park.

1. Society of Automotive Engineers (SAE). Recommended Practice
SAE J211: Instrumentation for Impact Test: SAE; 1988.

2. Segal D. Transbus structural crash test report.
Calspan Report ZN-5875-V-1; 1976.

Table 15.

Calspan offset frontal test summary. For offset frontal test,
right side of bus was aligned with left (driver) side of impacting
car at 90 km/h car impact speed. Bullet car was full-size, U.S.
sedan that weighed 1,800 kg.

Bus                      Accelerometer   Accelerometer
                         Number          Location *

GM New Look              A2              Front floor **
  ([paragraph])          A4              Rear floor ([dagger][dagger])
GMC Transbus             A2              Front floor
  ([paragraph])          A4              Rear floor
Rohr Transbus            A2              Front floor
  ([dagger][dagger])     A4              Rear floor
AM General Transbus      A2              Front floor
  ([section][section])
                         A4              Rear floor
Mean                     --              Front floor mean
                         --              Rear floor mean
                         --              Max permanent bumper
                                           deflection mean
                         --              Bus final position mean

                                                        Acceleration
                                         Acceleration    5 ms Peak
Bus                      Accelerometer       Peak        ([double
                         Number           ([dagger])      dagger])

GM New Look              A2                  12.0            6.3
  ([paragraph])          A4                   7.8            6.3
GMC Transbus             A2                  13.3            5.5
  ([paragraph])          A4                   5.8            5.6
Rohr Transbus            A2                  20.7           12.7
  ([dagger][dagger])     A4                   7.0            5.6
AM General Transbus      A2                   4.9            4.0
  ([section][section])
                         A4                   4.5            4.5
Mean                     --                  12.7            7.1
                         --                   6.3            5.5
                         --                   --             --
                         --                   --             --

                                                           Max
                                         Acceleration   Permanent
                                          10 ms Peak      Bumper
Bus                      Accelerometer     ([double     Deflection
                         Number            dagger])        (cm)

GM New Look              A2                  2.0            53
  ([paragraph])          A4                  3.3            --
GMC Transbus             A2                  3.0            15
  ([paragraph])          A4                  5.2            --
Rohr Transbus            A2                  4.0            23
  ([dagger][dagger])     A4                  4.3            --
AM General Transbus      A2                  3.8            25
  ([section][section])
                         A4                  3.8            --
Mean                     --                  3.2            --
                         --                  4.2            --
                         --                   --            29
                         --                   --            --

                                            Bus Final
Bus                      Accelerometer       Position
                         Number          ([section]) (cm)

GM New Look              A2                     99
  ([paragraph])          A4                     --
GMC Transbus             A2                    674
  ([paragraph])          A4                     --
Rohr Transbus            A2                    277
  ([dagger][dagger])     A4                     --
AM General Transbus      A2                    140
  ([section][section])
                         A4                     --
Mean                     --                     --
                         --                     --
                         --                     --

                         --                    298

* Acceleration data from instruments located on floor centerline.

([dagger]) Acceleration from instrument axis oriented to impact
direction and estimated from acceleration/time plots. Although
not explicitly stated in test report, accelerometer data appeared
to be filtered in accordance with SAE J211 [1] using channel class
60. Acceleration data from instruments located on floor centerline.

([double dagger]) Acceleration exceeds this value continuously for
5 or 10 ms. Estimated from published plots.

([section]) Buses' transmissions were in neutral and parking brake
engaged. Posttest displacement of front axle centerline was reported.

([paragraph]) General Motors Corp; Detroit, Michigan.

** Front floor acceleration data derived from Calspan Transbus
report [2].

([dagger][dagger]) Rear floor acceleration data derived from
Calspan Transbus report [2].

([dagger][dagger]) Rohr, Inc; Chula Vista, California.

([section][section]) AM General; South Bend, Indiana.

1. Society of Automotive Engineers (SAE). Recommended Practice
SAE J211: Instrumentation for Impact Test: SAE; 1988.

2. Segal D. Transbus structural crash test report. Calspan Report
ZN-5875-V-1; 1976.

Max = maximum.

Table 16.

University of Michigan Transportation Research Institute
(UMTRI) database: Transit bus peak acceleration estimates.

           Relative
           Velocity *   Bus               Bus
UMTRI      Velocity *   [DELTA] V *       Mass ([dagger])
Case No.   (km/h)       (km/h)            (kg)

414        42           3                 13,866
415        167          17                14,515
418        140          12                13,558
419        35           2                 14,297
421        71           8                 13,327
422        42           5                 13,041
425        193          94                13,585
428        68           9                 13,608
442        105          15                12,383

           Car Mass
UMTRI      ([double dagger])
Case No.   (kg)                Crash Type   Summary

414        1,225               Frontal      Bus hit side of car
415        1,588               Frontal      Bus hit pickup truck
                                              head-on
418        1,270               Frontal      Bus hit side of car
419        1,016               Frontal      Bus hit side of car
421        1,633               Frontal      Bus hit mini-van head-on
                                              (20[degrees] oblique)
422        1,665               Frontal      Bus hit side of car
425        1,277               Frontal      Bus hit car head-on
428        2,041               Side         Car hit side of bus
442        2,121               Frontal      Bus hit car head-on

           Peak           Comment
UMTRI      Acceleration
Case No.   Estimate (g)

414        <13            Much less energy than
                            Calspan offset frontal.
                            ([paragraph]) If bus [DELTA] V
                            is correct, peak <1.7 g.
415        >13            Much more energy than
                            Calspan offset frontal.
418        >13            More energy than Calspan
                            offset frontal.
419        <1.7           Much less energy than
                            Calspan offset frontal &
                            <1.7 g Calspan bumper test
                            (1,800 kg car at 16 km/h).
421        <13            Less energy than Calspan
                            offset frontal.
422        <13            Less energy than Calspan
                            offset frontal.
425        >13            Much more energy than
                            Calspan offset frontal.
428        >5.8           More energy than Calspan
                            side-impact test;
                            ([sectiona]) higher speed
                            (42 vs 25 mph) & slightly
                            higher car mass
                            (2,050 vs 1,800 kg).
442        >13            More energy than Calspan
                            offset frontal. Higher
                            impact speed & car mass.

* Calculated values. To quantify impact severity, UMTRI used vehicle
weight, speed, angle of impact, skid distance, and road surface
condition to calculate peak contact velocity for collision. Peak
contact velocity, or bus [DELTA] V, is defined as maximum change
in velocity that would be experienced by unrestrained object in bus.

([dagger]) Weight of 68 kg is assumed for every adult passenger in
lieu of actual passenger weights. Passenger weight is combined with
bus empty weight to represent actual gross weight of bus at time
of impact.

([double dagger])Passenger vehicle weights were obtained from
Automobile Blue Book [1].

([paragraph]) Estimate relative to average front floor acceleration
in Calspan frontal offset tests [2] that involved impacting front
of buses with 1,800 kg car moving at 90 km/h.

Average peak acceleration for 4 buses was 12.7 g. Average 5 and
10 ms duration peaks were 6.3 and 3.2 g, respectively. Estimate
did not use estimated bus V. If estimated bus V is accurate, French
barrier test and Flxible bumper barrier test results could be used
to estimate peak acceleration.

([sectiona])Calspan side impact tests [2] were conducted with 1,800
kg car moving at 90 km/h. Average peak acceleration was 5.8 g;
average 10 ms duration peak was 4.7 g.

1. National Market Reports, Inc. Automobile Blue Book. Overland
Park (KS): Intertec Publishing; 2002.

2. Segal D. Transbus structural crash test report. Calspan Report
ZN-5875-V-1; 1976.

Table 17.

University of Michigan Transportation Research Institute
database: Transit bus peak acceleration estimates versus
injuries.

                                 Injury ([dagger])
Peak              No.
Acceleration   Occupants                       Evident But
Estimate (g)   Onboard *   All   Possible   Nonincapacitating

<13             Unknown     1       0               1
<13                4        4       4               0
<13             Unknown     4       4               0
>13                4        4       4               0
>13                5        5       5               0
>13                2        1       0               1
>13                5        1       1               0
<1.7               2        1       1               0
>5.8               4        4       0               3
Total             --       25      19               5

                                  Injury ([dagger])
Peak              No.
Acceleration   Occupants
Estimate (g)   Onboard *   Incapacitating   Fatal   Unknown

<13             Unknown          0            0        0
<13                4             0            0        0
<13             Unknown          0            0        0
>13                4             0            0        0
>13                5             0            0        0
>13                2             0            0        0
>13                5             0            0        3
<1.7               2             0            0        0
>5.8               4             1            0        0
Total             --            --           --       --

* Includes driver.

([dagger])Assumes 1 injury (most severe) per occupant. Coding
scale was developed for nonmedical personnel and provides only
relative injury severity. Information does not indicate whether
injury required hospitalization. Injury designations presented
here are those in General Estimates System database and are
also used by various states. Possible = not visible, complaint
of pain, probable-not apparent, shock; Evident But
Nonincapacitating = minor injury, moderate injury, minor
visible injury, bruise/abrasion/swelling, nonsevere visible
injury, minor burn or bleed, shock, refused medical treatment;
Incapacitating = severe injury, serious visible injury, major
injury, moderate injury, visible injury or carried from scene,
evident-incapacitating, disabled, semiconscious, incoherent,
unconscious, severed limb, internal injury, minor or severe
burn or bleed, fracture/dislocation, concussion, shock.

Table 18.

German motor insurers bus incidents. Buses with capacity >25
involved in events resulting in 1 minor (Abbreviated Injury Scale
[AIS] 1 [1]) injury from 1978 to ~1985. (Data collection end date
not specified [2].)

                                           Bus/Truck
Number                      Noncollision   Collision

Buses/Events                      142          18
Occupants                       1,718 *       328
AIS 1 or Slight Injuries           58          62
AIS 3 or Serious Injuries           8          10

* Number of occupants estimated for noncollision events with
assumed average of 12.1 passengers per bus [2].

1. Association for the Advancement of Automotive Medicine (AAAM).
The abbreviated injury scale--1990 revision. Update 98. Des Plaines
(IL): AAAM;

2. Langwieder K, Danner M, Hummel T. Collision types and
characteristics of bus accidents--Their consequences for bus
passengers and the accident opponent. In: Proceedings of the 10th
International Conference on Experimental Safety Vehicles; 1985;
London, England. Washington (DC): National Highway Transportation
Safety Administration; 1985. p. 585-913.

Figure 1.

Information targeted from database reviews on transit bus events.

Element              Comment

Event Type           Crash or noncrash event that affected driver
                     or passengers.

Vehicle Damage       Surrogate for crash severity and basis for
                     approximate g-level estimation. Location and
                     extent of damage indicates principle
                     direction of force.

Preimpact Vehicle    Change in velocity ([DELTA]) of crash
Speed                indicates crash severity. While [DELTA]V can
                     only be estimated by crash reconstruction,
                     preimpact speed or posted speed limit is
                     useful in estimating approximate [DELTA]
                     upper boundary.

Collision Partner/   Large buses must hit or be hit by heavy
Object               vehicle for light vehicle at high speed) to
                     generate high g levels. Hitting rigid
                     roadside object, such as bridge abutment,
                     also can result in severe event.

Occupant Injury      Number and severity of passenger injuries
                     allow estimation of risk and are also crude
                     indicators of event severity. Driver injury
                     can also aid in estimating event severity;
                     e.g., event in which unbelted driver is
                     ejected suggests >0.75 g deceleration.

Figure 2.

Ontario Ministry of Transportation database 1999 to 2001:% of
passengers injured in contact and noncontact events and severity of
their injuries.

Injury Severity

           Contact   Noncontact

Minimal     67          68
Minor       33          30
Major                    1
Fatal

Note: Table made from bar graph.

Figure 4.

Ontario Ministry of Transportation database 1999 to 2001: % of 580
contact events in which 1 passenger was injured as function of %
injured passengers ([injured/uninjured] x 100) and bus damage; e.g.,
in 64% of events, % of injured passengers was <10 when bus damage
was described as "None or Light."

               None or Light   Moderate or Severe   Demolished

Injured <10%        64               50

Injured >10%
and <50%            27               30

Injured >50% and
[less than or
equal to]100%       9                20                 100

Note: Table made from bar graph.

Figure 6.

Ontario Ministry of Transportation database 1999 to 2001: Distribution
of impact location for 269 cases for which contact occurred and
location was known and 1 bus passenger was injured. F = front, L =
left, R = rear, Rt = right.

FRt Corner   17%
RtF           3%
Rt Complete   2%
Rt Center     3%
RtR           2%
RRt Corner    1%
R Complete    3%
R Center     13%
RL Corner     7%
LR            1%
L Center      2%
L Complete    1%
LF            5%
Fl Corner    25%
F Complete    1%
F Center     14%

Note: Table made from pie chart.

Figure 8.

Ontario Ministry of Transportation database 1999 to 2001: Injury
rate per 100 million passenger kilometers.

Injury Type

Fatal     0.006
Major     0.046
Minor     2.603
Minimal   5.06

Note: Table made from bar graph.
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