Thank you so much for inviting me today. As mentioned, my name is Daniel Rosenfield and I'm a pediatric emergency specialist at SickKids hospital in Toronto, where I completed training in additional trauma care and injury prevention. I'm here today representing the Canadian Paediatric Society as a member of its injury prevention committee.
One caveat to put up front is that I'm speaking specifically about children, and I have no expertise or knowledge with respect to injuries in the adult population.
The first thing I'd like to say is that school buses are actually a very safe method of transportation for Canadian children. When children are injured or killed, it is actually typically around or outside of the bus as opposed to being a passenger on it. School buses typically operate during the day on city streets at relatively low speeds. This is where children are the safest.
The majority of injuries or fatalities that do occur happen off hours on evenings and weekends or holidays and typically on major arteries or highways as opposed to on city streets. School bus safety, as you may have heard previously, is based primarily on the compartmentalization theory: the idea that each seat, and the back and front of it, is its own little compartment. The relative safety of this model is actually somewhat debatable, although most research to date suggests that it performs quite well in front-back collisions but quite poorly in side or lateral collisions and rollovers, which of course are actually more common at night, on weekends and on highways.
Seat belt use with specific reference to lap belts has a mixed history and safety profile. While they do keep the passengers in the seat, they're actually associated with significant spinal and internal organ injuries, which can result from front-back collisions, and head injuries in side and lateral collisions. We do know that if seat belts are to be used, three-point restraints that are appropriate and fitting well are the best we have to prevent injuries.
As we know, children don't come in one size and thus proper-fitting restraints are essential when they are being used.
Overall, from the average trip to and from school, I would say that current standards are likely sufficient for buses. However, when looking at longer trips and trips on the highway, it's hard to definitively make any clear recommendations. However, if we were to implement mandatory seat belts, we would have to make sure they are three-point restraints, as lap belts have just not proven to be safe enough.
It would be important to mention that other technologies that have come into existence over the past 10 years with technology and electronics have made buses potentially safer, although no good robust research has actually looked at them. These include blind-spot cameras, other detection things and other sorts of technologies that can help bus drivers see around their bus to help avoid the injuries to children that occur around them.
With respect to coach buses, there's almost no literature examining children specifically. We know that fewer children use them. Obviously, it's not a primary method to get to and from school most of the time. However, with respect to safety, the compartmentalization theory applies once again. The coach buses use the idea of a seat front and back to keep kids compartmentalized, but research on this is much more sparse in this realm. We do know that if kids were to be using coach buses more regularly, most buses would require booster seats similar to how they are used in private vehicles.
Overall, the messages I'd like to convey to the committee today are that buses represent a very safe mode of transportation for Canada's children. Most crashes occur after regular hours, on highways and on roads that are not typically travelled by the drivers. Seat belts do offer a way of improving safety, but they're only one way in a potentially larger scheme of improving safety resources and technologies.
Thinking about other potential options, better driver training, background checks, using GPS technology to monitor bus patterns and driving behaviour, and other technologies that have largely become standard in today's cars may be worth investigating as ways to potentially improve bus safety, although none of these has been robustly evaluated in any academic sense.
I thank you for your time and I welcome any questions.